Overview of medical cannabis -originally written for Hospice but applicable to anyone-covers myths and stigmas, political history, the Endo-cannabinioid system , how medical cannabis actually works in the body, how to select the right strain for the symptom, side effects, methods of use, how to obtain a medical use card in Massachusetts and updated Mass regulation including the comparison of medical vs. recreational regulations. Notes are visible with download. There is one inbedded video that needs WIFI to view but link is included.
My presentation on neurotransmitter glutamate. References from Comprehensive textbook of psychiatry 9th edition and Stahl's essential psychopharmacology 4th edition.
My presentation on neurotransmitter glutamate. References from Comprehensive textbook of psychiatry 9th edition and Stahl's essential psychopharmacology 4th edition.
Serotonin is major neurotransmitter and affects the physiology of our body. Serotonin antagonists are used in various pathological conditions of body. This is a small presentation showing feature of serotonin.
CBD as medicine from ancient wisdom to modern science. psychoactive tetrahydrocannabinol (THC) vs non-psychoactive cannabidiol (CBD). Current use of CBD.
Introduction to Neuro Degenerative Diseases, Neurodegenerative diseases, Parkinson Disease, Alzhimer’s Disease, Newer Drugs
Presented by
K. THANMAYA DIVYA
Department of Pharmacology
Drug profile of pregabalin and lacosamide: A deep insight!RxVichuZ
This is my 48th powerpoint...it deals with the drug profiles of LACOSAMIDE & PREGABALIN (2 anti-epileptic drugs), their pharmacological profiles & role in neuropathic pain..
Happy reading!!
:)
Cannabis as Medicine: Redefining the Paradigm of the Doctor-Patient Relations...Canna Holdings, LLC
Dr. D'Angelo will cover the need and best practices for maintaining a standard of care in a changing medical environment, and establish the responsibilities of the patient and provider during cannabis therapy treatments.
Serotonin is major neurotransmitter and affects the physiology of our body. Serotonin antagonists are used in various pathological conditions of body. This is a small presentation showing feature of serotonin.
CBD as medicine from ancient wisdom to modern science. psychoactive tetrahydrocannabinol (THC) vs non-psychoactive cannabidiol (CBD). Current use of CBD.
Introduction to Neuro Degenerative Diseases, Neurodegenerative diseases, Parkinson Disease, Alzhimer’s Disease, Newer Drugs
Presented by
K. THANMAYA DIVYA
Department of Pharmacology
Drug profile of pregabalin and lacosamide: A deep insight!RxVichuZ
This is my 48th powerpoint...it deals with the drug profiles of LACOSAMIDE & PREGABALIN (2 anti-epileptic drugs), their pharmacological profiles & role in neuropathic pain..
Happy reading!!
:)
Cannabis as Medicine: Redefining the Paradigm of the Doctor-Patient Relations...Canna Holdings, LLC
Dr. D'Angelo will cover the need and best practices for maintaining a standard of care in a changing medical environment, and establish the responsibilities of the patient and provider during cannabis therapy treatments.
We specialize in Michigan medical marijuana card certifications and With 2 locations to assist you Natures Answer Ann arbor, and Natures Answer Detroit we are just minutes away from most people and are trusted by thousands of Michigan medical marijuana patients from all over our great state.
Criminal Law Compliance For Healthcare Professionals - Painkiller LawMeister Law Offices
Steve Meister, an attorney from Los Angeles, gives a detailed explanation of the Painkiller Law purpose which is to help healthcare providers and professionals to verify, achieve and maintain compliance with the criminal laws of prescribing controlled substances.
June 19, 2013: This presentation to highlight the dangers of counterfeit drugs to Maine patients was given to the Bangor Dept. of Health Public Advisory committee
Florida marijuana laws 5 facts about getting a medical marijuana cardDaniel Lofaso
Florida marijuana laws surrounding medical and recreational use can be confusing. Use this infographic to learn 5 very important facts about Florida medical marijuana and recreational use.
Marijuana Pros and Cons - Public Health ConsultingRick Goldman
http://publichealthconsulting.org/ Get the facts about the pros and cons of marijuana. Karina Villalba from ARAK Public Health Consulting makes a presentation at the Florida Department of Health's Health Fair.
Similar to Understanding the Endo-Cannabinoid System and Usage of Medical Cannabis in Massachusetts-updated 2018 (16)
Providing Culturally Sensitive Care at End of Life.pdftgregoryhowcm
Handout with scan codes to articles for providing culturally sensitive care at end of life for 6 patient populations
Asian,Jewish,Muslim
Intellectuali disbilites,racially sensitive care to black americans,Hindu,Church of latter day saints,mormans,Buddhist,Jehovah witness,native American,Christian,hispanic/latino
Understand the definitions of professional boundaries • Explain how Maslow’s hierarchy is applicable to identify caregiver versus patient needs • Discuss challenges and possible scenarios encountered • Review the impact of social media on caregiving • Identify warning signs of crossed boundaries • Explore strategies to maintain healthy boundaries
Speaking points are in note section once downloaded
updated definitions of pressure ulcer injury wound coding per 2016,non-pressure wounds, how to code, best practice treatments,quiz on coding stages. Lecture notes visible in note view once downloaded
Discusses bed bugs,scabies,lice,fleas,ticks and mosquitos, the identification, potential disease and eradication. Created for both long term care and home patients of a hospice. Notes are seen in note section once downloaded.
PP slides to accompany Teepa Snow's youtube video about her Gems Approach
https://www.youtube.com/watch?v=UXzJRZCNiRU&list=PLeu1xlHHkFCU_k85X1xBwjzayVIzNB12R&index=20
India Clinical Trials Market: Industry Size and Growth Trends [2030] Analyzed...Kumar Satyam
According to TechSci Research report, "India Clinical Trials Market- By Region, Competition, Forecast & Opportunities, 2030F," the India Clinical Trials Market was valued at USD 2.05 billion in 2024 and is projected to grow at a compound annual growth rate (CAGR) of 8.64% through 2030. The market is driven by a variety of factors, making India an attractive destination for pharmaceutical companies and researchers. India's vast and diverse patient population, cost-effective operational environment, and a large pool of skilled medical professionals contribute significantly to the market's growth. Additionally, increasing government support in streamlining regulations and the growing prevalence of lifestyle diseases further propel the clinical trials market.
Growing Prevalence of Lifestyle Diseases
The rising incidence of lifestyle diseases such as diabetes, cardiovascular diseases, and cancer is a major trend driving the clinical trials market in India. These conditions necessitate the development and testing of new treatment methods, creating a robust demand for clinical trials. The increasing burden of these diseases highlights the need for innovative therapies and underscores the importance of India as a key player in global clinical research.
CHAPTER 1 SEMESTER V - ROLE OF PEADIATRIC NURSE.pdfSachin Sharma
Pediatric nurses play a vital role in the health and well-being of children. Their responsibilities are wide-ranging, and their objectives can be categorized into several key areas:
1. Direct Patient Care:
Objective: Provide comprehensive and compassionate care to infants, children, and adolescents in various healthcare settings (hospitals, clinics, etc.).
This includes tasks like:
Monitoring vital signs and physical condition.
Administering medications and treatments.
Performing procedures as directed by doctors.
Assisting with daily living activities (bathing, feeding).
Providing emotional support and pain management.
2. Health Promotion and Education:
Objective: Promote healthy behaviors and educate children, families, and communities about preventive healthcare.
This includes tasks like:
Administering vaccinations.
Providing education on nutrition, hygiene, and development.
Offering breastfeeding and childbirth support.
Counseling families on safety and injury prevention.
3. Collaboration and Advocacy:
Objective: Collaborate effectively with doctors, social workers, therapists, and other healthcare professionals to ensure coordinated care for children.
Objective: Advocate for the rights and best interests of their patients, especially when children cannot speak for themselves.
This includes tasks like:
Communicating effectively with healthcare teams.
Identifying and addressing potential risks to child welfare.
Educating families about their child's condition and treatment options.
4. Professional Development and Research:
Objective: Stay up-to-date on the latest advancements in pediatric healthcare through continuing education and research.
Objective: Contribute to improving the quality of care for children by participating in research initiatives.
This includes tasks like:
Attending workshops and conferences on pediatric nursing.
Participating in clinical trials related to child health.
Implementing evidence-based practices into their daily routines.
By fulfilling these objectives, pediatric nurses play a crucial role in ensuring the optimal health and well-being of children throughout all stages of their development.
Empowering ACOs: Leveraging Quality Management Tools for MIPS and BeyondHealth Catalyst
Join us as we delve into the crucial realm of quality reporting for MSSP (Medicare Shared Savings Program) Accountable Care Organizations (ACOs).
In this session, we will explore how a robust quality management solution can empower your organization to meet regulatory requirements and improve processes for MIPS reporting and internal quality programs. Learn how our MeasureAble application enables compliance and fosters continuous improvement.
Medical Technology Tackles New Health Care Demand - Research Report - March 2...pchutichetpong
M Capital Group (“MCG”) predicts that with, against, despite, and even without the global pandemic, the medical technology (MedTech) industry shows signs of continuous healthy growth, driven by smaller, faster, and cheaper devices, growing demand for home-based applications, technological innovation, strategic acquisitions, investments, and SPAC listings. MCG predicts that this should reflects itself in annual growth of over 6%, well beyond 2028.
According to Chris Mouchabhani, Managing Partner at M Capital Group, “Despite all economic scenarios that one may consider, beyond overall economic shocks, medical technology should remain one of the most promising and robust sectors over the short to medium term and well beyond 2028.”
There is a movement towards home-based care for the elderly, next generation scanning and MRI devices, wearable technology, artificial intelligence incorporation, and online connectivity. Experts also see a focus on predictive, preventive, personalized, participatory, and precision medicine, with rising levels of integration of home care and technological innovation.
The average cost of treatment has been rising across the board, creating additional financial burdens to governments, healthcare providers and insurance companies. According to MCG, cost-per-inpatient-stay in the United States alone rose on average annually by over 13% between 2014 to 2021, leading MedTech to focus research efforts on optimized medical equipment at lower price points, whilst emphasizing portability and ease of use. Namely, 46% of the 1,008 medical technology companies in the 2021 MedTech Innovator (“MTI”) database are focusing on prevention, wellness, detection, or diagnosis, signaling a clear push for preventive care to also tackle costs.
In addition, there has also been a lasting impact on consumer and medical demand for home care, supported by the pandemic. Lockdowns, closure of care facilities, and healthcare systems subjected to capacity pressure, accelerated demand away from traditional inpatient care. Now, outpatient care solutions are driving industry production, with nearly 70% of recent diagnostics start-up companies producing products in areas such as ambulatory clinics, at-home care, and self-administered diagnostics.
The dimensions of healthcare quality refer to various attributes or aspects that define the standard of healthcare services. These dimensions are used to evaluate, measure, and improve the quality of care provided to patients. A comprehensive understanding of these dimensions ensures that healthcare systems can address various aspects of patient care effectively and holistically. Dimensions of Healthcare Quality and Performance of care include the following; Appropriateness, Availability, Competence, Continuity, Effectiveness, Efficiency, Efficacy, Prevention, Respect and Care, Safety as well as Timeliness.
Telehealth Psychology Building Trust with Clients.pptxThe Harvest Clinic
Telehealth psychology is a digital approach that offers psychological services and mental health care to clients remotely, using technologies like video conferencing, phone calls, text messaging, and mobile apps for communication.
The Importance of Community Nursing Care.pdfAD Healthcare
NDIS and Community 24/7 Nursing Care is a specific type of support that may be provided under the NDIS for individuals with complex medical needs who require ongoing nursing care in a community setting, such as their home or a supported accommodation facility.
Antibiotic Stewardship by Anushri Srivastava.pptxAnushriSrivastav
Stewardship is the act of taking good care of something.
Antimicrobial stewardship is a coordinated program that promotes the appropriate use of antimicrobials (including antibiotics), improves patient outcomes, reduces microbial resistance, and decreases the spread of infections caused by multidrug-resistant organisms.
WHO launched the Global Antimicrobial Resistance and Use Surveillance System (GLASS) in 2015 to fill knowledge gaps and inform strategies at all levels.
ACCORDING TO apic.org,
Antimicrobial stewardship is a coordinated program that promotes the appropriate use of antimicrobials (including antibiotics), improves patient outcomes, reduces microbial resistance, and decreases the spread of infections caused by multidrug-resistant organisms.
ACCORDING TO pewtrusts.org,
Antibiotic stewardship refers to efforts in doctors’ offices, hospitals, long term care facilities, and other health care settings to ensure that antibiotics are used only when necessary and appropriate
According to WHO,
Antimicrobial stewardship is a systematic approach to educate and support health care professionals to follow evidence-based guidelines for prescribing and administering antimicrobials
In 1996, John McGowan and Dale Gerding first applied the term antimicrobial stewardship, where they suggested a causal association between antimicrobial agent use and resistance. They also focused on the urgency of large-scale controlled trials of antimicrobial-use regulation employing sophisticated epidemiologic methods, molecular typing, and precise resistance mechanism analysis.
Antimicrobial Stewardship(AMS) refers to the optimal selection, dosing, and duration of antimicrobial treatment resulting in the best clinical outcome with minimal side effects to the patients and minimal impact on subsequent resistance.
According to the 2019 report, in the US, more than 2.8 million antibiotic-resistant infections occur each year, and more than 35000 people die. In addition to this, it also mentioned that 223,900 cases of Clostridoides difficile occurred in 2017, of which 12800 people died. The report did not include viruses or parasites
VISION
Being proactive
Supporting optimal animal and human health
Exploring ways to reduce overall use of antimicrobials
Using the drugs that prevent and treat disease by killing microscopic organisms in a responsible way
GOAL
to prevent the generation and spread of antimicrobial resistance (AMR). Doing so will preserve the effectiveness of these drugs in animals and humans for years to come.
being to preserve human and animal health and the effectiveness of antimicrobial medications.
to implement a multidisciplinary approach in assembling a stewardship team to include an infectious disease physician, a clinical pharmacist with infectious diseases training, infection preventionist, and a close collaboration with the staff in the clinical microbiology laboratory
to prevent antimicrobial overuse, misuse and abuse.
to minimize the developme
2. We are not making recommendations for
or against legal recreational use of
Cannabis
Any name brand cannabis products or
services are for example only, we are not
endorsing any specific products, brand
or businesses
This Presentation Focuses
on the use of Cannabis for
Medicinal Purposes Only
3. OBJECTIVE
S
1. History and politics of
cannabis
2. How the Endo Cannabinoid
System works
3. The healing properties and
side effects of cannabis
4. Process of obtaining
medical cannabis in MA
5. Legalized cannabis laws in
Massachusetts
9. "There are 100,000 total marijuana smokers in the US, and
most are Negroes, Hispanics, Filipinos, and entertainers.
Their satanic music, jazz, and swing, result from marijuana
use. This marijuana causes white women to seek sexual
relations with Negroes, entertainers, and any others.“
Harry Anslinger, head of Federal Bureau of Narcotics
17. Cannabinoid
Receptors
found on the
surface of
cells
Metabolic
enzymes
break down
endocannabinoids
after they are used
Endocannabinoids
small molecules
that activate
cannabinoid
receptors
Key Pieces of the Endo
Cannabinoid System
33. Marinol & Cesamet
These are part of a class of
medications called
cannabinoids.
The active ingredient of
MARINOL Capsules is
man-made dronabinol also
chemically known as
tetrahydrocannabinol, or
THC”
http://www.marinol.com
Synthetic Medications-THC
only
34. Possible medication
interactions
Birth Control Pills:may be less effective
Anti-coagulants:may increase risk of
bleeding
SSRI:may increase serotonin levels
May cause over sedation with sedatives,
anti-psychotics, opiates and
benzodiazepines
40. Severe paranoia
Fear and anxiety
Lack of energy
and enthusiasm
Heavy limbs
Lack of mobility
Extreme dry
mouth
Burning eyes
Shortness of
breath
Tachycardia
Shaking
trembling
Chills / sweats
Disorientation
Upset stomach
41. Chapter 369 of acts of 2012
AN ACT FOR THE
HUMANITARIAN
MEDICAL USE OF
MARIJUANA.
The citizens of Massachusetts intend
that there should be no punishment
under state law for qualifying patients,
physicians and health care
professionals, personal caregivers for
patients, or medical marijuana treatment
center agents for the medical use of
marijuana, as defined herein.
105 CMR 725.00 May 24, 0213-DPH
implements the Act
42. Scientific review of marijuana’s status as a federal Schedule I
controlled substance and relisting marijuana as a federal Schedule II
controlled substance for purposes of facilitating research.
Development of prescribing standards that includes indications for
use, specific dose, route, expected effect and possible side effects, as
well as indications for stopping a medication.
Establishing evidence-based standards for the use of marijuana and
related cannabinoids.
Protection from criminal or civil penalties for patients using
therapeutic marijuana and related cannabinoids as permitted under
state laws.
Exemption from criminal prosecution, civil liability, or professional
sanctioning, such as loss of licensure or credentialing, for health care
practitioners who discuss treatment alternatives concerning marijuana
or who prescribe, dispense or administer marijuana in accordance with
professional standards and state laws.
Confirmation of the therapeutic efficacy of medical marijuana
43. Prescription Drug Use Falls in
Medical Cannabis States
Researchers at the
University of Georgia
found that the use of
prescription drugs is
significantly less in
states with legal medical
marijuana.
The drop was especially
pronounced for patients
with chronic pain, a
condition often treated
with opioids.
44. Massachusetts Qualifying
Conditions of “Debilitating
Medical Condition”
Cancer or malignant tumors
Glaucoma
AIDS
Hepatitis C
ALS
Crohn's disease
Parkinson's disease
Multiple Sclerosis
45. “Other conditions as determined
in writing by a qualifying patient's
physician
Such as (but not limited to):”
Chronic back pain
Rheumatoid Arthritis
Insomnia
Anorexia
Anxiety
Depression
Massachusetts Qualifying Conditions of
“Debilitating medical condition”
46. Weakness
Cachexia
Wasting Syndrome
Intractable Pain
Nausea
Impairing Strength or
Ability
The symptom(s) need
to be progressing to
such an extent that
one or more of a
patient’s major life
activities is
substantially limited.
“Debilitating Medical Condition that has
caused one or more of the following
symptoms”:
48. Finding a Marijuana
DoctorInitial Fees range from $125-$250 and are not
covered by Insurance
All are required to have hardship discounts,
most all have Veteran discounts
Annual renewal fees run from $75 to $250
https://www.marijuanadoctors.com/medical-marijuana-doctors/ma/
49.
50. 4. Make an appointment
5. Bring:
a. Medical documentation such
as doctor’s office notes, a referral from
the physician/clinician stating the
condition(s), MRI or Radiography
reports, Laboratory reports (for certain
conditions),and in some cases
prescription records from the
pharmacy.
b. Proof of MA residency**
c. Fee for the visit ($150-$225) Is
usually not covered by any insurance
although there is usually a small
discount for veterans-must provide
proof of military experience such as a
DD-214 or military/veterans ID.
51. 6. If the MD finds them qualified,
s/he will register them with the
Department of Health-Medical Use
of Marijuana Program at the end of
the visit and give them a
registration number
7. The medical marijuana law
requires that there is a bona-fide
relationship with the qualifying
physician so they will schedule a
follow up appointment per their
office policy. (Cost usually $125-
200)
52. More time consuming
(may take 3-4 weeks)
Ability to pay by check
or money order
Will still need all documentation
Call 617-660-5370
Mon-Fri 9am -4:30 pm
53. unable to go
to the Dispensary ?
May designate/register up to
2 caregivers
Cannot be currently designated
by another patient, unless that
caregiver is an immediate family
member.
Pt and caregivers MUST carry
registration card at all times when
have medical cannabis on person
56. Bring the paper ID until the plastic card arrives
Find a Massachusetts Dispensary here
Each dispensary will set the limit on how much can
be purchased at a given time
ONLY approved patients and caregivers can
enter the dispensaries
Go Shopping…
57. Average prices at
MA Dispensaries
subject to change daily
¼ oz flower $100
Pre-rolled “joint” $15 each
Tincture $50-70
Edibles $5-30
Topicals $20-55
58. (6) 105 cmr 725.100 A (6):
RMD must have a program to provide reduced
cost or free marijuana to patients with
documented verified financial hardship.
60. Onset 5-15 minutes
Duration 1-4 hours
Rolled
AKA ”joints”
Rolling Papers $3-
5
Rolling Machine
$7-15
Pipes
$5-200+ Water Pipes
AKA “Bongs”
$25-200+
Will need a
grinder
$12-100
61. Use of precise heat to vaporize flower or
concentrates instead of combustion
62. ConcentratesKief the tiny, sticky crystals that
cover the cannabis flower
contains terpenes and cannabinoids
66. Grow Your Own
Allowed up to a dozen plants
$100 annual cultivation fee
$8-25 per seed
May not cultivate cannabis plants in places where
plants are "visible from a public place without the
use of binoculars, aircraft or other optical aids."
70. UPDATED MMJ REGULATIONS
1. Certified nurse practitioners can apply for
permission to issue marijuana
recommendations
2. Allows employees of nursing homes, hospice
centers, and other medical facilities to
administer cannabis to patients
(Facility/agency must resister)
3. Medical dispensaries are allowed to post
their prices online
4. Medical dispensaries can grow from
clippings instead of seeds, boosting yields,
73. Massachusetts and Cannabis
1911
• MA Becomes First State to Outlaw Cannabis
2008
• Possession of small amounts of cannabis
decriminalized
2012
• Became the eighteenth state to legalize medical
cannabis
2013
• Eliminated criminal and civil penalties for the possessions
and use of up to a 60-day supply of marijuana for patients
possessing a state issued registration card
2016
• Recreational use legalized with parameters
74.
75. FACTO
R
MEDICAL RECREATIONAL
FINANCIA
L
YEARLY DR FEE ( $125-250)
YEARLY MA FEE ($50)
COST OF PRODUCTS AT LIST
PRICE
NO YEARLY FEES
COST IS LIST PRICE PLUS 17%
TAX
ADDITIONAL 3% TAX IN MOST
TOWNS
EDIBLES NO RESTRICTIONS ON THC
LEVELS
LIMIT OF 5MG THC PER PORTION
ID STATE ISSUED CARD
GOVERNMENT ID PROVING
AGE 21 OR OLDER
GOVERNMENT ID PROVING AGE
21 OR OLDER
AMOUNT
S
10 OZ IN 60 DAYS
STATE TRACKS
1 OZ FLOWER OR 5MG
CONCENTRATE PER
TRANSACTION
STATE DOES NOT TRACK
TESTING CURRENT LAB TESTING LABS HAVE NOT YET BEEN SET
UP
PAYMEN DEBIT AND CASH MOST LIKELY CASH ONLY FOR
76.
77. Legal
Grey Area
Cannabis remains illegal under federal law
It’s legal to purchase but
Retail stores selling cannabis won’t open before
Summer of 2018
Towns and cities have the right to vote to block
recreational marijuana shops
Selling will remain a crime punishable by up to two
years of incarceration and up to a $5,000 fine.
You can “gift” but may not sell
Internet shipping not allowed
Medical cannabis patients transferring products to
other people remains illegal
Medical cannabis patients are not protected if
crossing state lines with cannabis, even to another
state that has medical cannabis laws
