Download or read book Decreasing Pharmacotherapy and Transforming Care of Infants with Neonatal Opioid Withdrawal Syndrome written by Glen R. Dopp (Jr) and published by . This book was released on 2023 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Opioid addiction has become an issue throughout the United States. The prevalence ofpharmacotherapy treatment in newborns withdrawing from opioids remains high in theUnited States, and each year millions of funds are spent caring for infants impacted byNeonatal Opiate Withdrawal Syndrome (NOWS). The nurse practitioner (NP) identifiedand implemented a system change for the care and treatment of infants with NOWS alsoknown as Neonatal Abstinence Syndrome (NAS). He also addresses complications withthe current Finnegan Neonatal Abstinence Syndrome assessment tools and treatmentprotocol in a Midwest health care facility. The NP implemented a new system changecalled Eat, Sleep, and Console that included the creation of policies, protocols, andalgorithms; education of clinicians and families; and the formation of communitycollaborations to improve and support families of infants impacted by NOWS. Educationfor staff to break down biases and judgements was also provided and resulted in deliveryof effective, high quality, and culturally congruent care in an improved environment. Thenursing theory utilized to guide this system change was Dr. Leininger's Theory ofCultural Care Diversity and Universality, also known as the Cultural Care Theory. Theimplications of this system change resulted in reduction in pharmacotherapy and lengthof stay for infants suffering from NOWS.Keywo' rds: NOWS, NAS, neonatal abstinence syndrome, drug-addicted newborn,treatment of NAS, neonatal opioid withdrawal syndrome, MAT, suboxone/methadoneprogram, ESC, eat sleep console.

Download or read book Medications for Opioid Use Disorder Save Lives written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2019-06-16 with total page 175 pages. Available in PDF, EPUB and Kindle. Book excerpt: The opioid crisis in the United States has come about because of excessive use of these drugs for both legal and illicit purposes and unprecedented levels of consequent opioid use disorder (OUD). More than 2 million people in the United States are estimated to have OUD, which is caused by prolonged use of prescription opioids, heroin, or other illicit opioids. OUD is a life-threatening condition associated with a 20-fold greater risk of early death due to overdose, infectious diseases, trauma, and suicide. Mortality related to OUD continues to escalate as this public health crisis gathers momentum across the country, with opioid overdoses killing more than 47,000 people in 2017 in the United States. Efforts to date have made no real headway in stemming this crisis, in large part because tools that already existâ€"like evidence-based medicationsâ€"are not being deployed to maximum impact. To support the dissemination of accurate patient-focused information about treatments for addiction, and to help provide scientific solutions to the current opioid crisis, this report studies the evidence base on medication assisted treatment (MAT) for OUD. It examines available evidence on the range of parameters and circumstances in which MAT can be effectively delivered and identifies additional research needed.

Download or read book Pain Management and the Opioid Epidemic written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2017-09-28 with total page 483 pages. Available in PDF, EPUB and Kindle. Book excerpt: Drug overdose, driven largely by overdose related to the use of opioids, is now the leading cause of unintentional injury death in the United States. The ongoing opioid crisis lies at the intersection of two public health challenges: reducing the burden of suffering from pain and containing the rising toll of the harms that can arise from the use of opioid medications. Chronic pain and opioid use disorder both represent complex human conditions affecting millions of Americans and causing untold disability and loss of function. In the context of the growing opioid problem, the U.S. Food and Drug Administration (FDA) launched an Opioids Action Plan in early 2016. As part of this plan, the FDA asked the National Academies of Sciences, Engineering, and Medicine to convene a committee to update the state of the science on pain research, care, and education and to identify actions the FDA and others can take to respond to the opioid epidemic, with a particular focus on informing FDA's development of a formal method for incorporating individual and societal considerations into its risk-benefit framework for opioid approval and monitoring.

Download or read book Neonatal and Pediatric Clinical Pharmacology An Issue of Pediatric Clinics E Book written by John N van den Anker and published by Elsevier Health Sciences. This book was released on 2012-10-30 with total page 240 pages. Available in PDF, EPUB and Kindle. Book excerpt: The need for safe and effective use of medicines in children and WHO's initiative "Make Medicines Child Size" have boosted research and educational activities in the area of pediatric clinical drug research. This issue focuses on both general and specific aspects of neonatal and pediatric clinical pharmacology including ethics, pharmacogenomics, metabolomics, adverse drug reactions, pain medication, pulmonary hypertension and several other hot topics. The editors have been able to find outstanding authors for the different parts on neonatal and pediatric pharmacology.

Download or read book Infant Child Mental Health Early Intervention written by Connie Lillas and published by National Geographic Books. This book was released on 2008-12-16 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: A groundbreaking neuroscientific understanding of infant and child development, including a CD-ROM with supplementary worksheets, figures and tables. When early interventions with children fail, clinicians wonder: How could things have been different? The answers seem obvious at first, but a little reflection begins to unveil just how complicated this question really is. Who should have been included in the treatment? With what professionals and using what approaches? When should intervention have occurred? Each question involves a spectrum of both personal and societal issues, which is perhaps why problems that are so widely acknowledged remain so widely ignored. Often, a family is not aware that their story could have had a different ending. So, in response to the critical need for a more cohesive system of care for our youngest patients, this book presents a conceptual framework for interdisciplinary collaboration. Examining the issues of infant mental health and early intervention from a brain-based perspective—one that cuts across all domains—addresses the need for individual practitioners to incorporate the whole picture in relation to their part in assessing and intervening with each individual child and parent, and provides a global framework for team collaboration.

Download or read book Case Studies in Pain Management written by Alan David Kaye and published by Cambridge University Press. This book was released on 2014-10-16 with total page 547 pages. Available in PDF, EPUB and Kindle. Book excerpt: Edited by internationally recognized pain experts, this book offers 73 clinically relevant cases, accompanied by discussion in a question-and-answer format.

Download or read book Clinical skills in infant mental health written by Sarah Mares and published by ACER Press. This book was released on 2017-08-22 with total page 670 pages. Available in PDF, EPUB and Kindle. Book excerpt: Clinical skills in infant mental health: the first three years provides an evidence-based approach to assessment of young children and their families. The impact of various adverse circumstances is clearly explained and the quality of parenting and the importance of early relationships are addressed.

Download or read book Study Guide for Lehne s Pharmacology for Nursing Care written by Jacqueline Burchum, DNSc, APRN, BC and published by Elsevier Health Sciences. This book was released on 2015-02-06 with total page 321 pages. Available in PDF, EPUB and Kindle. Book excerpt: Complex pharmacologic information is simple to learn with this complete study resource! Designed to accompany Lehne's Pharmacology for Nursing Care, 9th Edition, this robust workbook features critical thinking study questions, case studies, and patient teaching scenarios that help you connect pharmacology concepts with their impact on patient care. Plus, an emphasis on priority nursing care with NCLEX examination-style review questions prepares you for success on the exam. NCLEX Examination-style questions are included in each chapter. NEW! NCLEX-style alternate format questions including prioritization questions, bolster your readiness for the NCLEX Exam while supporting review of core pharmacology content NEW! Increased emphasis on patient safety features questions on safe patient care that challenge you to select appropriate actions to prevent or remediate medication errors. NEW! Detailed rationales for all prioritization questions are included in the answer key and encompass explanations for both correct and incorrect responses.

Download or read book Pain Management for People with Serious Illness in the Context of the Opioid Use Disorder Epidemic written by Engineering National Academies of Sciences (and Medicine) and published by . This book was released on 2019 with total page 83 pages. Available in PDF, EPUB and Kindle. Book excerpt: The United States is facing an opioid use disorder epidemic with opioid overdoses killing 47,000 people in the U.S. in 2017. The past three decades have witnessed a significant increase in the prescribing of opioids for pain, based on the belief that patients were being undertreated for their pain, coupled with a widespread misunderstanding of the addictive properties of opioids. This increase in prescribing of opioids also saw a parallel increase in addiction and overdose. In an effort to address this ongoing epidemic of opioid misuse, policy and regulatory changes have been enacted that have served to limit the availability of prescription opioids for pain management. Overlooked amid the intense focus on efforts to end the opioid use disorder epidemic is the perspective of clinicians who are experiencing a significant amount of daily tension as opioid regulations and restrictions have limited their ability to treat the pain of their patients facing serious illness. Increased public and clinician scrutiny of opioid use has resulted in patients with serious illness facing stigma and other challenges when filling prescriptions for their pain medications or obtaining the prescription in the first place. Thus clinicians, patients, and their families are caught between the responses to the opioid use disorder epidemic and the need to manage pain related to serious illness. The National Academies of Sciences, Engineering, and Medicine sponsored a workshop on November 29, 2018, to examine these unintended consequences of the responses to the opioid use disorder epidemic for patients, families, communities, and clinicians, and to consider potential policy opportunities to address them. This publication summarizes the presentations and discussions from the workshop.

Download or read book Essentials of Anesthesia for Infants and Neonates written by Mary Ellen McCann and published by Cambridge University Press. This book was released on 2018-02-22 with total page 465 pages. Available in PDF, EPUB and Kindle. Book excerpt: A practical, comprehensive guide to the special needs of infants and neonates undergoing anesthesia.

Download or read book Substance Use Disorders written by Gerard Moeller and published by Oxford University Press. This book was released on 2020-09-17 with total page 400 pages. Available in PDF, EPUB and Kindle. Book excerpt: Substance Use Disorders provides an overview of substance misuse and addresses the neurobiology, pharmacotherapy, and behavioural therapy management of substance use disorders from a clinical perspective. Examining the opioid epidemic to frame its discussion of the epidemiology of substance misuse, this book explores common barriers that prevent the implementation of effective treatment. Chapters discuss various aspects of substance use disorders, particularly opioids, alcohol, cannabis, and cocaine, to inform better conceptualization and management of these conditions. Part of the Primer On Psychiatry series, this book will provide a solid foundation for residents and fellows in psychiatry and addiction medicine and can also be used in clinical practice.

Download or read book Relieving Pain in America written by Institute of Medicine and published by National Academies Press. This book was released on 2011-10-26 with total page 383 pages. Available in PDF, EPUB and Kindle. Book excerpt: Chronic pain costs the nation up to $635 billion each year in medical treatment and lost productivity. The 2010 Patient Protection and Affordable Care Act required the Department of Health and Human Services (HHS) to enlist the Institute of Medicine (IOM) in examining pain as a public health problem. In this report, the IOM offers a blueprint for action in transforming prevention, care, education, and research, with the goal of providing relief for people with pain in America. To reach the vast multitude of people with various types of pain, the nation must adopt a population-level prevention and management strategy. The IOM recommends that HHS develop a comprehensive plan with specific goals, actions, and timeframes. Better data are needed to help shape efforts, especially on the groups of people currently underdiagnosed and undertreated, and the IOM encourages federal and state agencies and private organizations to accelerate the collection of data on pain incidence, prevalence, and treatments. Because pain varies from patient to patient, healthcare providers should increasingly aim at tailoring pain care to each person's experience, and self-management of pain should be promoted. In addition, because there are major gaps in knowledge about pain across health care and society alike, the IOM recommends that federal agencies and other stakeholders redesign education programs to bridge these gaps. Pain is a major driver for visits to physicians, a major reason for taking medications, a major cause of disability, and a key factor in quality of life and productivity. Given the burden of pain in human lives, dollars, and social consequences, relieving pain should be a national priority.

Download or read book Neonatal Pain written by Giuseppe Buonocore and published by Springer Science & Business Media. This book was released on 2008-02-13 with total page 167 pages. Available in PDF, EPUB and Kindle. Book excerpt: This is the first book dealing with fetal pain and its consequences and with pain in premature babies. The volume gives an overview of the current knowledge in this field. An international team of renowned specialists evaluates neonatal and fetal pain from the different points of view, and possible consequences of pain – even psychological – on the brain. This book will be an invaluable resource for professionals and for post-graduate students in all disciplines.

Download or read book Primary Pediatric Care written by Robert A. Hoekelman and published by Mosby Incorporated. This book was released on 2000-10-01 with total page 1936 pages. Available in PDF, EPUB and Kindle. Book excerpt: -- An outstanding offer, both the New Hoekelman book & CD! -- Important new information at your fingertips, whether at the office or home.

Download or read book Lippincott s Illustrated Q A Review of Pharmacology written by Stanley Zaslau and published by Lippincott Williams & Wilkins. This book was released on 2013-01-01 with total page 319 pages. Available in PDF, EPUB and Kindle. Book excerpt: Lippincott's Illustrated Q&A Review of Pharmacology offers up-to-date, clinically relevant board-style questions—perfect for course review and board prep. 1,000 multiple-choice questions with detailed answer explanations cover frequently tested topics in pharmacology, including questions related to clinical topics and divided by body systems. The book features full-color illustrations and offers flexible study options with online access to the questions and answers on a companion website.

Download or read book Study Guide for Pharmacology for Nursing Care E Book written by Jacqueline Burchum and published by Elsevier Health Sciences. This book was released on 2013-12-24 with total page 324 pages. Available in PDF, EPUB and Kindle. Book excerpt: Complex pharmacologic information is simple to learn with this complete study resource! Designed to accompany Pharmacology for Nursing Care, critical thinking study questions, case studies, and patient teaching scenarios connect pharmacology concepts with their impact on patient care. Plus, an emphasis on priority nursing care with NCLEX examination-style review questions prepares you for success on the exam. An emphasis on the key information that nursing students need to know NCLEX Examination-style questions for each chapter in a variety of study/review formats Case Study scenarios provide true-to-life practice in responding to clinical situations that are typical of contemporary medication therapy Implications of drugs and drug classes for patient care Highlighted application-level questions help you integrate other nursing knowledge such as developmental considerations, laboratory values, and symptoms of adverse effects Critical thinking, prioritization, and delegation questions More questions dedicated to prioritization and delegation Increased variety of question types includes matching, true-false, completion, and other formats Decreased emphasis on questions that require lengthy free-text responses Shortened question scenarios more closely resemble NCLEX Examination questions Reorganization of chapters breaks content into four sections: Study Questions (matching, true-false, completion, etc.) Critical Thinking, Prioritization, and Delegation Questions (multiple-choice, multiple-select) Dosage Calculation Questions Case Studies Answer key now included in printed Study Guide

Download or read book Clinical Case Studies for the Family Nurse Practitioner written by Leslie Neal-Boylan and published by John Wiley & Sons. This book was released on 2011-11-28 with total page 432 pages. Available in PDF, EPUB and Kindle. Book excerpt: Clinical Case Studies for the Family Nurse Practitioner is a key resource for advanced practice nurses and graduate students seeking to test their skills in assessing, diagnosing, and managing cases in family and primary care. Composed of more than 70 cases ranging from common to unique, the book compiles years of experience from experts in the field. It is organized chronologically, presenting cases from neonatal to geriatric care in a standard approach built on the SOAP format. This includes differential diagnosis and a series of critical thinking questions ideal for self-assessment or classroom use.