The Opioid Crisis What Goes Up, Must Come Down - 955 Words

THE OPIOID CRISIS 1 The Opioid Crisis: What Goes Up, Must Come Down Pam Lane Incest, Sexual Abuse, and Trauma MHT214 Spring May 1 st , 2017 Professor Bonnie Cole Lesson 13 Assignment THE OPIOID CRISIS 2 Abstract My personal perception of opioid addiction used to be someone shooting up heroin, an illicit drug, and overdosing was just the inevitable end on the pathway of addiction. It was something distant to me, and in my mind, only happened in the back alleys of cities. When my first cousin became addicted to heroin as part of the â€Å"Dead Head† culture, following the Grateful Dead band around as a groupie, it became personal. He struggled many years with his addiction, and was admitted to drug rehab†¦show more content†¦If OPR are the gateway drug to heroin addiction, it was their increased availability that fueled the opioid crisis. Kolodny et al. (2015), also noted that Purdue Pharma, the manufacturer of OxyContin, started the aggressive promotion of their product for pain treatment shortly after introducing it in 1995, which changed the conservative prescribing practices previously followed by physicians, and ultimately led to the overprescribing of OPR for pain treatment. Paulozzi, Jones, Mack, Rudd. (2011), reported that the increase in production of OPR has closely paralleled the increase in overdose rates. Prescriptions for OPR are easily obtainable from high volume prescribers at pain clinics, who provide them to patients without oversight. OPR are often used illegally, taken by family members, friends, or sold for nonmedical use. Even with the best case scenario, an individual with a valid prescription of OPR is still at risk for addiction, and possible overdose. THE OPIOID CRISIS 4 The response to the opioid epidemic needs to address all the factors that contribute to it. In order to reduce the availability of inappropriately prescribed OPR, more care needs to be taken when evaluating patients prior to prescribing OPR, as well as continuing to monitor patients for possible addiction issues. Prescription Drug MonitoringShow MoreRelatedFire Medics1312 Words   |  6 Pagestaxpayers (which would be needed to start up the pilot --programs). Predominantly, research shows that 90% of the time, firefighters arrive on scene three minutes and forty-five seconds before paramedics (OMBI, 2013). Within this time, arguably fire medics would significantly benefit the patient because they are receiving treatment at its earliest stage. In other words, the three minutes and forty-five seconds difference is critical, when it comes down to patient care. For instance, there is aRead MoreThe Effects Of Heroin And Prescription Opiates1971 Words   |  8 PagesA Euphoric Memory: The Effects of Heroin and Prescription Opiates Heroin, as an illicit drug, is very powerful. What a lot of people do not know is that prescription drugs, such as Oxycodone and Vicodin, can be more powerful and even more addictive than their opiate brother. Pharmaceuticals can be so addictive because they, unlike heroin itself, are legal and easy to acquire. However, they often lead to the use of heroin because heroin is incredibly inexpensive when compared to prescriptions. ToRead MorePrescription Opioid And Illegal Drug Abuse Essay2170 Words   |  9 Pagesdie annually from accidental overdose is extremely unnerving. One of the biggest issues the world is facing in the 21st century is prescription opioid and illegal drug abuse. Unfortunately, this lethal dilemma is not publicized in the media as much as other things such as celebrity drama, cancer prevention, or the newest fitness craze. The notorious opioid epidemic is in full swing and has effected individuals from all religions, cultures, and genders. Although it may seem l ike a collective issueRead MoreIni. Narcotics And Opiates.The Definition Of The Term Narcotics7784 Words   |  32 Pagesprohibited drug. However, a more widely accepted definition being used is that of narcotic analgesics described as pain relivers and associated with opioids. The word opium comes from the Greek word opion meaning â€Å"poppy juice.† Opium refers to the dried latex that is obtained from scratching the seed pods of the opium poppy (Papaver somniferum). Up until about ten years ago, the clients treate4d by an addiction therapist ran the gamut of drugs. There were heroin and painkiller addicts, cokeRead MoreCommunity Gardening: One Solution for Curing Diabetes1219 Words   |  5 Pagesrecently been diagnosed with diabetes. I never thought that this would be an issue for me, and that my weight and food choices would become so out of hand. However, here I am at fifty-eight facing this dreaded nightmare. Unwilling to face this health crisis but unable to dodge it was the deciding factor to focus this discussion on diabetes and finding realistic solutions. One solution, introduced this summer to me is community gardening. The viability of this solution is simple and plain to see, albeitRead MoreIt Is Believed That Living A Life Laced With Drugs Is A2119 Words   |  9 Pagesmindset must be altered, because it causes people to pay no regards to this really important issue. Drug addiction is not something society can brush off easil y; as a country, we need to prioritize helping addicts because not only is it ruining the lives of the addicts themselves, it is also ruining the lives of people around them. Drug Addiction is a relapsing disease, and it affects the lives of the surrounding people. And even though recovery is hard to achieve and addiction never truly goes awayRead MoreCase Study Essay33967 Words   |  136 Pagesof heart failure (HF). She was discharged from the hospital 10 days ago and comes in today stating, â€Å"I just had to come to the hospital today because I cant catch my breath and my legs are as big as tree trunks.† After further questioning, you learn she is strictly following the fluid and salt restriction ordered during her last hospital admission. She reports gaining 1 to 2 pounds every day since her discharge. 1. What error in teaching most likely occurred when M.G. was discharged 10 days agoRead MoreSexually Transmitted Diseases35655 Words   |  143 Pageson the environment 192-199 Reproduction in man 200-201 References 202 Introduction Many people live their lives without having a clue about certain things pertaining to science and its impact on living. They remain dark when it comes on to having an understanding of how the scientific things of this world actually work. This portfolio was done as a means of fulfilling the requirements for the course Science for Living, but it will also prove highly beneficial to any reader thatRead MoreNursing Essay41677 Words   |  167 Pagescare services provided to the American public? Nursing represents the largest sector of the health professions, with more than 3 million registered nurses in the United States. The question presented to the committee that produced this report was: What roles can nursing assume to address the increasing demand for safe, highquality, and effective health care services? In the near term, the new health care laws identify great challenges in the management of chronic conditions, primary care (includingRead MoreGsk Annual Report 2010135604 Words   |  543 Pagesoperating with both integrity and transparency. 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Sexual Education During The Late 1900 S - 1428 Words

Human nature has shaped and developed many different social norms in our society, however, they also create many social problems when conflicting views come under scrutinization. Sexual education in America has been problematic since the late 1900’s because there is simply a lack of it. Sexual education has transformed over a hundred years, abated by the effect of religious upbringings and conservative outlooks. However, as evolved as it is today, it is still a national issue because of the ongoing struggle of comprehensive sexual education against abstinence, and in the midst of the two, students are still not being exposed to proper sexual health. Sexual education started towards the beginning of the 1900’s when industrialization was†¦show more content†¦After WWI broke out, so did a major amount of STDs in America, and the only way the American public could address the problem was to turn to different outlets of the medias to support abstinence. A movie was created in the early part of the war, Fit to Fight (retitled to Fit to Win after the war) where the 5 characters in the movie went off to war and 3 of them had sex with prostitutes and the ones who has touched the prostitutes all have various degrees of consequences (Lord). Furthermore, the U.S. was not prepared for sexual education to the masses, and the government struggled between trying to educate our soldiers of venereal diseases while successfully not crossing the lines of â€Å"moral values† (Lord). When the 1920s arrived, sex ed became a proponent of promoting family life. It evangelized the pre-marital chastity. Sexual fulfillment is frowned upon and sex continues to be viewed as a method of procreation. However, sex ed classes were held in biology classes, thus allowing the students a more clinical setting to study about their sexual health rather than being preached at in class for their â€Å"moral conducts.† There also appeared to be an inclusion of sociological examples within the lessons against abstinences. Lucy S Curtiss, an English teacher from Connecticut composed an implementation of sex ed through her paper, â€Å"Sex Instructions through English Literature†, in 1923. She refers to sex as a â€Å"social evil† and counter-argued that sex needs to be explicitly

The Enemy Within Free Essays

Juan Conde Professor Muniz 19 November 2012 English 67 The Enemy Within Throughout life everyone is forced to face their own worst enemy and will have a lot of trouble confronting and dealing with them that worst enemy will always be themselves. This enemy brings many problems and inner conflicts that are difficult to solve. Everyone has their own way of coping with these problems, some more critical than others. We will write a custom essay sample on The Enemy Within or any similar topic only for you Order Now In the book Drugstore Cowboy, by James Fogle, the main character Bob deals with this dichotomy in different was throughout the book and his two sides are very easily differentiated. Throughout the book Bob is faced with difficult decisions and has the choice of either being that humane and caring man or the cruel and manipulative man that he can be. As he is making these decisions Bob has to not only think of the situation but also make sure that his crew is safe or if he needs to use them. Bob is a very complex individual with two conflicting sides to him, one that is used to show his humane and caring nature and the other is used to intimidate or manipulate people. Deep down, Bob is a caring and humane man. He protects his crew with his life; he puts himself on the line for his crew and for the people he cares about like his mother and Diane. This side of Bob is made very clear when he visits his mother and shows her nothing but respect and he even shows some humility when speaking to her. When Bob’s mom exclaims that Bob is a thief he replies, â€Å"Jesus, Mama, when have I ever stole anything from your house? Name me one thing I ever took from you without telling you? Just name me one thing? † (Fogle58). The way he replies and speaks to his mother shows that he has the outmost respect for her, his way of talking to his mother shows humility. When speaking with his mother he always calls her mama or mom; he never called her by her first name or by anything else. Bob also shows a lot of submissiveness when he is with his mom, it seems like he still feels like a little kid when he talks or confronts her. Bob would do anything for his wife, Diane. Bob loved Diane; when he first met her he felt like she wasn’t like other woman. Bob took Diane cross-roading but had the intentions of stealing her car, instead he fell for her. Fogle comes to explain how Bob felt about Diane, â€Å"Bob loved Diane body and soul by then. Even narcotics had never brought him the pleasure and satisfaction that Diane did back then â€Å"(166). It seems like Bob is truly a caring and humane person because of how he felt and still feels about Diane. Bob seems to put Diane before himself subconsciously he might not want people to see how much he really cares about her but deep down she means everything to him, he will defend her as much as he can. It also seems that Bob only wants to keep Diane happy but he thinks that the only way he can do that is with narcotics. Bob seems to always try to hide how he feels about the people close to him because he is scared that something might happen to them and he just wants them to be safe and out of harm’s way; he is truly a caring and protective individual. On the other hand Bob can also be a very maniacal and manipulative, he can even seem inhuman and cruel; he uses any means necessary to obtain what he is after, he finds a way to manipulate and control people to make his plans go how he wants. Bob will use people to control a situation to go in his favor without any resentment about what happens to the other people. Bob show his manipulative side when he told his crew: â€Å"I just wrote the narcos and anonymously told them that the reason they could never catch Bob Hughes for possession of narcotics was that he had an arrangement with the guy that lived on the north side of him†(Fogle 82). Bob doesn’t seem to have any problem using people to get what he wants he doesn’t seem to have a conscience. Most of Bob’s actions show how he is a manipulative man, he uses people in order achieve what he wants. Bob would go through any means necessary in order to get whatever he wants. Through Bob’s actions it seems that he is nothing but a selfish man that only cares about what he will receive from the situation. It seems that Bob only wants to do only what he will benefit from; he doesn’t seem to care about anything or anyone else. Bob is also cruel and inhumane towards his own crew. When Bob walks into the room after an attempt to get drugs he sees Nadine’s dead body and a hat on the bed; he then pays more attention and is more worried about having a hat on the bed than Nadine being dead. After seeing Rick balling and crying over her â€Å"Bob shook his head in disgust. ’She beat you, man. Your own woman beat you out of part of your own cut on a score. She got what she deserves’† (Fogle 134). This shows how Bob not only doesn’t care about what happened to her, but also he has been desensitized to death, he only cares about the fact that she wasted the drugs and left them with the burden of having to get rid of a dead body. Bob only sees that because he feels like she cheated them out of the drugs and they can’t do anything about it. Bob also seems to react this way because of how Nadine has acted in the past, she would complain a lot and always wanted more than she could handle. Throughout the book Bob shows that he can and will use and manipulate people into doing what he wants so that he gets what he wants and whatever it is he has been working for. In both scenes Bob shows how he can get into people’s heads and make sure that they do whatever he wants them to do to achieve whatever he wants. Life is full of nothing but conflicts and difficult situations and everyone has their own way of dealing with them. Throughout the book, Drugstore Cowboy, Bob is put through various difficult situations which he handles in one of two ways: being a humane and caring man or being a manipulative and maniacal man. Bob is depicted as both a caring and maniacal man in the sense that he cares a lot about his crew but also if the situation calls for it he will not care at all for them. Bob will manipulate anyone who gets in his way of obtaining what he wants, but he cares for those close to him but will sometimes even use them in order to get what he wants. Bob has a very complex way of living and thinking and it is showed in various ways throughout the book. Work Cited Fogle, James. Drugstore Cowboy. New York: Dell Publishing, 1990. Print. How to cite The Enemy Within, Essay examples

Network Routing Protocol

Question: Describe about the Network Routing Protocol. Answer: Structure of IPv4 Host identifier Network identifier IPV4 classes Address classes are organizational structure of IP address which defines the network address and node address part. These addresses also define the maximum possible computer network size. The classes determine the bits of address used to identify network, identify host computer as well as total number of host subnets allowed per network Internet Protocol (IP) Network This is a network for communication that send and receive packet messages using IP usually between computing networks. IP network is implemented using LAN, and enterprise networks. The host network nodes are configured using TCP/IP suite Sub-network is a logical section of the IP network. The IP network is sub-divided into small sections called sub-networks through a process called sub-netting. Subnet mask When IP address is divided into host and network division a 32 bit number is achieved as a result. This number is called subnet mask. An example of subnet mask is 255.255.255.0. Whereby the number 255.255.255 is the network division and 0 is the host division To make Subnet mask the network bits are set to all 1s and host bits to 0s. Two host addresses are not allocated to host but they are reserved for special purposes. Network address gets 0 address while broadcast 255 of the special two host address Size of subnet 255 128. C.192 224 e. 240 f. 248 g.252 h. 254 i. 255 224 k. 240 l. 248 m.252 Addressing plan Assuming the last two numbers of my id number is 15. Then the is address is 191.115.0.0 20 pcs Subnet mask: 255.255.0.0 Network IP: 191.115.0.0 First host IP: 191.151.0.1 Last host IP: 191.151.0.18 Broadcast IP: 191.151.0.19 50pcs Subnet mask: 255.255.0.0 Network IP: 191.115.0.0 First host IP: 191.151.0.1 Last host IP: 191.151.0.48 Broadcast IP: 191.151.0.49 100pcs Subnet Mask: 255.255.0.0 Network IP: 191.115.0.0 First host IP: 191.151.0.1 Last host IP: 191.151.0.98 Broadcast IP: 191.151.0.99 200pcs Subnet Mask: 255.255.0.0 Network IP: 191.115.0.0 First host IP: 191.151.0.1 Last host IP: 191.151.0.198 Broadcast IP: 191.151.0.199 400 pcs Subnet Mask: 255.255.0.0 Network IP: 191.115.0.0 First host IP: 191.151.1.0 Last host IP: 191.151.1.0 Broadcast IP: 191.151.1.0 IP routing IP routing is an umbrella of protocols that define the path to be followed by data as it moves between source network nodes and destination network nodes. The data is routed from source node to destination node via several series across several networks. It allows devices on various TCP/IP networks connect to each other and once connected it offers communication path Routing Metric These metrics that the router uses to make routing decisions. A metric is one among fields of a routing table. It can hold any number of values the define the best route from several routes provided. Difference between Dynamic and static routing In Static router, packet routing is done manually whereby it sets the optimal paths between source and destination nodes manually. The router is configured to send data traffic to given destinations in already configured routes. On the other hand in dynamic routers the process of routing is done using OSPF, BGP, ISIS and EIGRP protocols. These defines routing paths the traffic will use to destination. The protocols update the routing table and find the optimal path between source and destination nodes. Distance vector and link state Distant vector uses distance vector routing protocol that has bellman-ford algorithm whereby routing information is exchanged connected neighbors directly while the link state routing use link state routing protocol that has shortest path first where all routers know the reachable paths by other network routers. All routers in link state routing have a copy of synchronized link state database Static routing configuration RA# RA# RA#sh IP route RA#sh IP route RB# RB#conf t RB(config)# RB(config)#IP route 192.168.1.0 255.255.255.0 10.0.0.1 RB(config)# RB(config)# RB(config)