Thursday, May 21, 2020

Essay on Substance Abuse A Nationwide Epidemic - 2215 Words

The consequences that follow the use of any drug are unfavorable. Although many individuals may see drug addiction as a mere lifestyle choice, it is a problem that many individuals suffer from and inevitably a growing issue that leaves major social and economic impacts. The most commonly abused substances are Nicotine, Inhalants, Alcohol, Cocaine, Amphetamines, Prescription medications, Heroin, Ecstasy and Marijuana. 1a(National Institute on Drug Abuse, 2011) Initially, a person may find themselves using substances voluntarily and with confidence that they will be able to dictate their personal use. However, over the period of time that drug use is repeated, changes are taking place throughout the brain, whether it is functionally†¦show more content†¦Thus, being an addict. Substance abuse is a key component to the problems that we face today as a society. According to the National Highway Traffic Safety Administration (Alcohol-Impaired Driving, 2009) in 2009, 32% of all motor vehicle traffic fatalities in the United States were due to alcohol-impaired driving crashes. Surveys were also conducted by the National Highway Traffic Safety Administration (National Highway Traffic Safety Administration, Compton, Berning, 2009) so researchers were able to estimate not only the prevalence of drinking and driving, but for the first time they were also able to collect data on the number of drivers who were under the influence of drugs that impaired their abilities. In this data, it was found that 16% of weekend night time drivers tested positive for impairing drugs, in contrast to the 2% of drivers who were at the legal alcohol limit; making drugs 7 times more prevalent. These statistics show that â€Å"drugged† driving is a concern for not only law enfor cement but also puts other drivers at risk of becoming a part of future statistics. Some of the health concerns that we deal with as a society are also linked to substance abuse. The Center for Disease Control (Center for Disease Control, 2011) had estimated that about 1.1 million Americans were living with HIV, and approximately 21% did not know they were infected. In correlation toShow MoreRelatedSubstance Abuse In America Case Study780 Words   |  4 PagesSubstance abuse in America has gone to lengths such as reaching the rural Appalachian culture in West Virginia. Despite the Nationwide crisis and epidemic of 23 million individuals using, misusing and abusing substances West Virginia is currently unable to say that they are safe and that they have not been affected by this epidemic (Carpenter, Mcclellan, Rees, 2016). All types of drugs ranging from medication prescribed substances to street drugs have been reported in just about all areas ofRead MoreThe Epidemic Of Opioid Addiction1678 Words   |  7 Pages The United States currently faces an unpr ecedented epidemic of opioid addiction. This includes painkillers, heroin, and other drugs made from the same base chemical. In the couple of years, approximately one out of twenty Americans reported misuse or abuse of prescriptions painkillers. Heroin abuse and overdoses are on the rise and are the leading cause of injury deaths, surpassing car accidents and gun shots. The current problem differs from the opioid addiction outbreaks of the past in thatRead MoreThe Ironical History Of Substance Abuse1218 Words   |  5 PagesThe Ironical History of Substance Abuse in America The history of substance abuse is full of irony. The poppy, a beautiful flower, is the source of opium, a raw pain-killing substance regularly cultivated and harvested in the East, where it was widely used. Tragically, Europe and America imported the drug and adopted its unregulated use. Though legal, the opium dens of the early 19th century certainly oppressed the lives of the poor, taking what little money they had and offering a dangerous environmentRead MoreAddiction Changes The Way The Brain Processes Information964 Words   |  4 Pages(but not all) users of opioids develop addiction, describe the many dangers associated with addiction, and explain why addicts are often resistant to treatment. So let’s start our journey. I’m sure you won’t be disappointed.â€Æ' Chapter 3 Our National Epidemic of Opioid Addiction â€Å"Funny thing about the monster. The worse he treats you, the more you love him.† ─Ellen Hopkins â€Å"However vast the darkness, we must supply our own light† ─Stanley Kubrick â€Å"It is during our darkest moments that we must focusRead MoreAddiction : Addiction And Addiction985 Words   |  4 Pages(but not all) users of opioids develop addiction, describe the many dangers associated with addiction, and explain why addicts are often resistant to treatment. So let’s start our journey. I’m sure you won’t be disappointed.â€Æ' Chapter 3 Our National Epidemic of Opioid Addiction â€Å"Funny thing about the monster. The worse he treats you, the more you love him.† ─Ellen Hopkins â€Å"However vast the darkness, we must supply our own light† ─Stanley Kubrick â€Å"It is during our darkest moments that we must focusRead MoreIncentive Based Drug Policy Solution1317 Words   |  6 Pagesdifferent approaches the recovery rates are low. The policies in place to address the epidemic will have to be adapted if we want to prevent addiction and help decrease overdose hospitalizations and deaths. Incentive based treatment is a policy measure that has been in place but is less well known. The voucher based treatment has not been as systematically implemented as other policies due in part to skepticism about abuse deterrents. Behavioral economics are somewhat controversial but have shown to beRead MoreOpioid Abuse : A Statewide Epidemic Affecting The Rural And Urban Cities Essay1427 Words   |  6 PagesAdvocacy Role Paper Opioid abuse in Tennessee is a statewide epidemic affecting both rural and urban cities. One thousand two hundred sixty-three deaths related to opioid overdose occurred in the state of Tennessee in 2014. More people died from opioid overdose than the number of gunshot and motor vehicle accident deaths combined. Known as â€Å"Hillbilly Heroin,† the opioid of choice are Hydrocodone, Percocet, Oxycodone IR, and Oxycontin with street values ranging from $5 to $80 dollars per pill.Read MoreAddiction Changes The Way The Brain Processes Information Essay896 Words   |  4 Pagesnot all) users of opioids develop an addiction, describe the many dangers associated with addiction, and explain why addicts are often resistant to treatment. So let’s start our journey. I’m sure you won’t be disappointed.â€Æ' Chapter 3 Our National Epidemic of Opioid Addiction â€Å"Funny thing about the monster. The worse he treats you, the more you love him.† ─Ellen Hopkins â€Å"However vast the darkness, we must supply our own light† ─Stanley Kubrick â€Å"It is during our darkest moments that we must focusRead MoreThe Effects Of Substance Use And Incarceration894 Words   |  4 Pagesdenying the United State s long and complex history of substance use and incarceration. Some could make a strong argument that our country s battle against substance use has been a misguided, ill conceived, expensive, and discriminatory attempt which produced inauspicious results. The War on Drugs and Deinstitutionalization are two such attempts. This paper will analyze how these policy blunders have formed a strong association between substance use and incarceration, how current practice and researchRead MoreDrug Abuse And Its Effects On The Increase Of The Drug Epidemic Essay945 Words   |  4 PagesHeroin abuse in America has become an overwhelming issue considering the numbers of people who abuse it today compared to just two years ago. America has become a drug culture, the marketplace of an international flow of drugs on an unprecedented scale (Biernacki, 1986). There are many foundation s of this social problem; the intense availability of drugs in neighborhoods where crime is prevalent, as well as basic economics. Prescription pain killers have become much more expensive and more difficult

Wednesday, May 6, 2020

CRITICAL APPRAISAL OF A SYSTEMATIC REVIEW AND NARRATIVE...

CRITICAL APPRAISAL OF A SYSTEMATIC REVIEW AND NARRATIVE REVIEW RELATED TO COMPUTERISED PHYSICIAN ORDER ENTRY SYSTEM The author of this paper is a nurse educator working in an Intensive Care Unit (ICU) within the north-west region of England. For the purpose of this paper, the author has chosen a systematic review (SR) and a narrative review (NR) and aims to critically analyse these reviews using the Critical Appraisal Skills Programme (CASP) tool. The CASP tool has been developed by the Solutions for Public Health (SPH) (formerly known as Public Health Resources Unit), which is controlled by the National Health Service (NHS) (SPH, 2006). The tool is based on the guidelines formed by a group of clinicians at McMaster University, Canada†¦show more content†¦The author feels that using two different tools would increase the rigour of the appraisal and its relevance to practice. In the forthcoming sections of this essay, the author will attempt critically analyse the two papers using the CASP tool for SRs. Formulation of the research question Formulation of the research question guides the type of data collection for the study and states what the study will ‘hypothesise’ (Polit and Beck, 2010). The CASP tool acknowledges that clearly-focused research question will describe the population studied, the intervention given and the outcomes considered (SPH, 2006). The research question in the SR is clearly formulated. The population of patients studied were general and critically ill hospital patients, the intervention was a SR and outcome to be assessed was about the safety of the CPOE and clinical decision support systems or CDSS (CDSS is a computerised medication prescription system) based on hierarchy of outcome measures (kindly refer to table 2 of SR) within ICU settings. Likewise, in the NR, the population of patients studied were general and critically ill patients, the analysis was done via a NR and the purpose of the study was to assess the results of CPOE on clinical and surrogate outcomes in hospitalise d patients in both general and critical care settings. Based on this, the author acknowledges that the SR has adopted a narrow and more specific research question asShow MoreRelatedEvidence Based Practice Essay6286 Words   |  26 Pagesapproximately 17 hears to translate research findings into practice (if at all) • Without current best evidence, practice becomes rapidly out of date to the detriment of patients. • In order to keep up with the journals relevant to our practice, we need to review 19 articles a day, 365 days of the year!!! • Textbooks may be out of date by the time they are printed • Traditional continuing education conferences do not significannot ly improve clinical practice. • To advance our profession and enhance lifeRead MoreDeveloping a framework for critiquing health research5723 Words   |  23 Pagesthat are commonly used to critique qualitative research and then presents a single framework that addresses both research approaches. This new framework is currently being used to assist teaching and learning activities relating to the critical appraisal of published research. As such, it is still in the developmental stage and as teachers we continue to reflect on the application of this framework to our teaching. Feedback from students is essential to this development and the article presentsRead MoreThe Difference between Performance Management and Performance Appraisal24271 Words   |  98 Pages Performance Management and Appraisal Learning Outcomes After studying this chapter you should be able to: 8.1 Discuss the difference between performance management and performance appraisal 8.2 Identify the necessary characteristics of accurate performance management tools 8.3 List and briefly discuss the purposes for performance appraisals 8.4 Identify and briefly discuss the options for â€Å"what† is evaluated in a performance appraisal 8.5 Briefly discuss the commonlyRead MorePerformance Appraisal17716 Words   |  71 PagesSpecially Uploaded for ProjectsParadise.com PERFORMANCE APPRAISAL SYSTEM -1- Specially Uploaded for ProjectsParadise.com INDEX SR.NO 1. TOPIC MEASURING PERFORMANCE V/S ACTION PERFORMANCE APPRAISAL OBJECTIVES OF PERFORMANCE APPRAISAL PERFORMANCE APPRAISAL AND COMPETITIVE ADVANTAGE APPRAISAL PROCESS METHODS OF APPRAISAL MANAGEMENT BY BJECTIVES(MBO) LARSEN AND TOUBRO, HUMAN RESOURCE DEVELOPMENT— PERFORMANCE APPRAISAL SYSTEM ASSESSMENT CENTRES 360-DEGREE FEEDBACK APPRAISE THE PERFORMANCERead MoreStudy Guide Essay25129 Words   |  101 Pagesany information storage and retrieval system without written permission from the publisher, except for the inclusion of brief quotation in review. Copyright  © 2014 by California Coast University BAM 411 Human Resource Management Syllabus Course Number BAM 411 Course Title Human Resource Management Course Description This course provides a thorough review of essential human resource management concepts and techniques. 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American Views Before and After World War II Free Essays

America is well-know for its wealth and independence. Proud Americans come together to fight for democracy and freedom, while fighting against extremists and their desire for world conquest. War stories usually favor the victor. We will write a custom essay sample on American Views Before and After World War II or any similar topic only for you Order Now As a result, after World War II, many of the stories that began to circulate added to an already inflated US ego. After World War II, depending upon the country, the impressions of Americans are diverse. On one hand, Americans were saviors; however, the other hand, many were offended because of America’s tentativeness to join the war efforts, plus the overconfidence Americans displayed with they eventually joined the war. Although, the US declared themselves as isolationists, they continued to provide defense supplies to the Allied states. These defense supplies came by way of Roosevelt’s Lend-Lease program. This program contributed to Allies collaborative efforts to resist German advancements. The Axis powers took considerable offense to this policy, which resulted in hostility towards the US. By the time, the US officially entered the war; a devastated, Nazi-occupied Europe was struggling for survival. The wealth gained from Lend-Lease resulted in a secure and confident economy for the US. This great wealth, massive military, and America’s ability to harness atomic power, added to the audacity to use that power, were the factors that elevated the US into superpowerdom. Although, the economy was not the only reason for America’s ascent to become a superpower, it was also the combined efforts of the American citizens to support the war effort, which attributed to their elevated status. However, according to Stoler, most Americans did not attribute the end of World War II to combined efforts; they perceived it as a return to â€Å"normalcy† (p. 385). Stoler continued his opinion by stating that both Britain and the Soviet Union were slightly aggravated and annoyed at the US for assuming the superior status at the end of World War II (p. 388). Americans believed their arrival secured the defeat over Nazi Germany and the Japanese Empire. However, Britain and the Soviet Union’s opinions differ slightly regarding the US. According to Stoler, the British considered Americans â€Å"latecomers† to the war and felt abandoned during the first two years (p. 388). When the US finally decided to join the war, they entered with the â€Å"naive, arrogant, and incorrect belief that they should dictate both combined wartime strategy and a new, self-serving postwar international order† (p. 388). From the Soviet’s point of view, America’s role was â€Å"relatively insignificant† as compared to the Soviet role; plus, the US deliberately procrastinated entering the war with the intention to exploit the Soviet Union by using the Lend-Lease program (Stoler p. 388). Memory serves as an important element during war-time. Many people consider memories of specific events irrelevant. These recollections of selectively retrieved events can possibility deliver incorrect details of said events. Earl Kelly with the McClatchy-Tribune Business News even quoted Carol Gluck while speaking at the 31st annual Bancroft Lecture at the Naval Academy, â€Å"history and memory are often in collision, rather than collusion, with each other† (2010). Even the most overrated misconceptions of World War II were sometimes included into movies. Often, the US Government embedded them selves into the movie industry. The reason being was to influence Americans on the importance of entering the war by means of propaganda. Worland states, that the Office of War Information affected most popular war-time films; especially films that â€Å"depicting the armed forces, images of America as a united, democratic society, the ideology of the Axis enemy, and so on† (p. 48). This governmental influence pushed Americans to support the war effort. The U. S. brought to the war added military, supplies, and ideas for the Allies. While the US may have been imprudent and arrogant in their attempt to assume control, but the U. S. did bring alternative solutions to the table. To some countries, Americans are egotistical and lazy. Fortunately, America’s pompous attitudes gave the added incentive and strength to the Allied powers that helped end the war. Works Cited Kelly, E. (2010). Historian says memories fuel inaccuracies. McClatchy – Tribune Business News. Retrieved November 20, 2010, from ProQuest Newsstand. (Document ID: 2155533071). Stoler, M. (2001). The Second World War in U. S. History and Memory. Diplomatic History, 25(3), 383. Retrieved from Academic Search Premier database. Worland, R. (1997). OWI meets the monsters: Hollywood Horror Films and War Propaganda, 1942 to 1945. Cinema Journal. 37(1), p. 47-65. Stable URL: http://www. jstor. org/stable/1225689 How to cite American Views Before and After World War II, Essays