Trojan Horse: Death of a Dark Nation
This politically-incorrect book not only reveals the most critical problems facing Black America, if offers real solutions, and a blueprint for total economic and psychological transformation. Help Centre. My Wishlist Sign In Join. Be the first to write a review. Add to Wishlist. Ships in 7 to 10 business days. Link Either by signing into your account or linking your membership details before your order is placed. Description Product Details Click on the cover image above to read some pages of this book! More Books in Philosophy See All. In Stock.
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WordPress Shortcode. Published in: Education. Full Name Comment goes here. Are you sure you want to Yes No. Be the first to like this. No Downloads. The "perfect storm" leading to the present opioid crisis began in the s and through the s. The "mantra" during these years was that pain was being poorly treated. The result was endless education regarding treatments for pain, adoption of pain as a vital sign, and ultimately linking patient satisfaction surveys to physician and nursing performance score cards and, in some cases, reimbursement.
However, the reality was that the perfect storm lacked concrete evidence to support treatment of long-term pain for diagnoses outside cancer and palliative care. Prescribers were caught in the storm of improving patient satisfaction rather than screening for addiction and calculating the risk-benefits of opioid therapy.
Trojan Horse : Death of a Dark Nation (2009, Paperback)
The Centers for Disease Control and Prevention CDC recommendations for opioid prescribing may be the most important documents for primary care clinicians for prescribing opioids for chronic pain outside cancer and palliative care. Widespread adoption of the CDC guidelines could help begin to bring to an end to the current epidemic of opioid overprescribing. Additional strategies should include correcting the gaps in insurance coverage for the treatment of chronic pain and addiction and reimbursement for nonpharmacological interventions. Essential to move forward is support for medication-assisted therapies for opioid addiction such as methadone and buprenorphine.
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Rather than assuming that this drug therapy is trading 1 addiction for another, consider that these medications allow patient to live and manage their disease not unlike a person with diabetes who takes insulin. Finally, education and training for clinicians in schools and in practice should be considered as the requirement to prescribe opioids. Finally, prescribers and patients need to acknowledge the elephant in the room.
Only time will reveal how much constant and misleading pharmaceutical advertising has contributed to the current crisis. Pharmaceutical advertising and education in the in the s and s minimized the risk for misuse and addiction and helped create a culture of compulsory generous opioid prescribing. Looking back now, one can see how this marketing disguised as evidence led clinicians and patients to where we are standing now. The CDC guidelines provide a beginning for the way out of this current crisis.
For the future, qualitative research is needed to understand motivations for opioid use and forces for relapse. Compassion does not mean the elimination of all pain and the reduction of suffering is much more complex than just prescribing opioids. For additional safety information, check out the following resources available on the World Wide Web. Mammoser G. Healthline Web site. Accessed July 17, Analysis of illicit carfentanil: emergence of the death dragon. Forensic Chem. Stanley TH. The fentanyl story. J Pain. Fentanyls: are we missing the signs? Highly potent and on the rise in Europe.
Int J Drug Policy. Unexpected "gas" casualties in Moscow: a medical toxicology perspective. Ann Emerg Med. Drug Enforcement Administration Web site. Accessed July 18, Drug overdose deaths in the United States, The role of science addressing the opioid crisis. N Engl J Med.
Accessed July 6, Human health hazards of veterinary medications: information for emergency departments. J Emerg Med. Carfentanil-an ultra potent opioid. Am J Emerg Med. Accessed September 1, Accessed July 15, Murphy M. Watt L. China bans more synthetic opioids blamed for US drug deaths. The Seattle Times Web site.
Accessed July 20, Drug Enforcement Administration.. DEA schedules deadly synthetic drug U Drug Enforcement Administration. Web site. National Institute for Occupational Safety and Health. Fentanyl: preventing occupational exposure to emergency responders. Centers for Disease Control and Prevention Web site.
Accessed July 19,