NURS 6150 week 11 Public Health Initiative

The public health issue of opioid misuse and addiction has been rapidly growing and due to this many Americans are either dying from overdose or living with the problem.  More than 25 million Americans live with daily chronic pain, and lack effective and safe non-opioid options for pain management (National Institutes of Health [NIH], 2018).  In April 2018, National Institutes of Health (NIH) launched the Helping to End Addiction Long-term (HEAL) Initiative, an aggressive, trans-agency effort to speed scientific solutions to stem the national opioid public health crisis (NIH, 2018).  The goal of the NIH HEAL Initiative is to improve treatments for opioid misuse and addictions and enhance pain management.  NURS 6150 week 11 Public Health Initiative

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Cultural, Ethical, Regulatory and Legal Factors.

One of the most challenging issue with the opioid crisis is how to respond to a patient’s pain without causing harm.  Ethically as nurses, we are required to treat pain “as whatever the patient is stating and is experiencing”, and we have a moral obligation to respond to the patient’s need and provide treatment.  However, if we encounter the misuse of opioid medications by patients, it may cause a conflict in our ethical duty to provide care and at the same time to prevent harm.  To be ethically and morally considerate it is necessary for nurses to understand the patient’s perception of pain, provide support and education, and offer pain medication as ordered.  Additionally, offering patient’s non pharmacological therapies such as cognitive behavioral therapy, guided imagery, or one on one support may be effective strategies.  Physicians also face this ethical issue as they must decide when it is okay to prescribe opioids.  They must carefully prescribe pain killers to patients while at the same time preventing increased tolerance, dependency, and overdose.

Current Legislation

On July 22, 2016, President Obama signed the Comprehensive Addiction and Recovery Act (CARA) in to law because it addresses the full continuum of care from primary prevention to recovery support, including significant changes to expand access to addiction treatment services and overdose reversal medications (American Society of Addiction Medication [ASAM], 2018).  The highlights of this law is that it grants money towards federally qualified health centers (FQHCs) and opioid treatment programs (OTPs), states to implement strategies for pharmacists to dispense naloxone pursuant to a standing order and to develop naloxone training materials for the public, to expand the availability of medication-assisted treatment in areas with high rates of heroin and opioid use, and requires Nurse practitioners and Physician Assistants to complete 24 hours of training to be eligible for a waiver to prescribe and must be supervised by or work in collaboration with a qualifying physician.  This law positively affects the selected public health initiative as it not only provides access to treatment for substance abuse but also prevents over prescribing by requiring providers to have training to prescribe.NURS 6150 week 11 Public Health Initiative

Public health laws are meant to prevent diseases and epidemics; increase life span and health through organized public campaigns, governmental and non-governmental agencies, communities and individuals. Public health law assignment help is an important service of My Assignment help.com. Students in dire need of public health law assignment help online can now log on to our website. Here is everything you needed to know about our public health law assignment help online.

Public Heath: Explaining the concept

Before the coming of germ theory (the scientific understanding that diseases are caused by a microorganism and spread through contagion), it was believed that diseases are caused by miasmas or noxious fumes emerging from the decaying vegetative and animal matters. As such public health laws were mainly directed towards the prevention of deadly communicable diseases such as small-pox, cholera and plague. Measures were taken to prevent these diseases. The organized governmental and public effort to counter deadly diseases through sanitary measures is called public health movement. Acquire detailed knowledge from our public health law assignment help experts.

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History of public health laws

Our public health law assignment help experts inform that the Romans had an elaborate system of public health. After the Black Death in Europe in the 14th century, public health measures were steeped up. In the 19th century, rapid urbanization and industrialization brought about a string of deadly epidemics which swept across the city of London and other cities of Europe. Sanitary reforms started from around 1840s. In England, the first public health act was passed in 1842. This was followed by the actual rebuilding of a number of cities such as Paris and Naples. Similar measures were undertaken in America and in the colonies of Europe. Learn about the full revolution of public health law by ordering our public health law assignment help material.NURS 6150 week 11 Public Health Initiative

Public health/Public diseases

The diseases which once caused havoc across Europe and America are now entirely tamed. However, a student needing public health law assignment and essay help online must take into account a brief history of each of these diseases:

1. Cholera

It is a disease of the small intestine and is caused by the bacterium, vibrio cholera. It is transmitted through food and water which has been contaminated by the feces of an infected person. Our public health law assignment help experts also add the fact it was one of the most deadly diseases of the 19th century and affected the slums, the back alleys and working class neighborhoods of London. Out of a desire to control the spread of such deadly diseases was born the 19th century sanitary movement.

2. Plague

Another infectious disease is plague which is caused by Yersinia Pestis a bacterium. It is transmitted by air and also by food materials and utensils. Our public health law assignment help experts state that it causes the swelling of lymph nodes and high fever.NURS 6150 week 11 Public Health Initiative

3. Small pox

Another important contagious disease from the point of view of public health is small pox. It is caused by variola major a virus. It is localized disease of the blood vessels which results in the heavy, fluid filled blisters.

All these contagious diseases resulted in huge number of deaths in Europe. It was mainly as a response of these diseases that a number of public health measures were undertaken, such as quarantining of infected individuals, ban on the sale of adulterated liquors and food, forceful variolation and vaccination etc. These were some of the measures which were followed in the 19th century and are still emulated in many countries for the prevention of diseases. Some of these measures are still followed in many countries. Our public health law assignment help experts can throw more light on this.NURS 6150 week 11 Public Health Initiative