CARE Nevada
in collaboration with
Nevada Community Prevention Coalition
present
PRESCRIPTION DRUG ABUSE
GET INSURED LIVE H...
GET INSURED
LIVE HEALTHY
PRESCRIPTION DRUG ABUSE
WHO WE ARE and WHAT WE DO | CARE Nevada
In the pursuit of building health...
GET INSURED
LIVE HEALTHY
PRESCRIPTION DRUG ABUSE
WHO WE ARE and WHAT WE DO | NCPC
In the pursuit of building healthy commu...
GET INSURED
LIVE HEALTHY
PRESCRIPTION DRUG ABUSE
The Problem with Rx Abuse
Prescription drug abuse is the Nation’s fastest...
GET INSURED
LIVE HEALTHY
PRESCRIPTION DRUG ABUSE
What is Prescription (Rx) Drug Misuse and Abuse
Prescription (Rx) Drug Mi...
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LIVE HEALTHY
PRESCRIPTION DRUG ABUSE
Prescription (Rx) Medications are all around us . . .
and youth notice
 ...
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LIVE HEALTHY
PRESCRIPTION DRUG ABUSE
Did you know that Prescription (Rx) Drugs Can . . .
 Increase blood pres...
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LIVE HEALTHY
PRESCRIPTION DRUG ABUSE
What is Medication Misuse, Abuse, and Dependence?
Misuse by Patient
Dose ...
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LIVE HEALTHY
PRESCRIPTION DRUG ABUSE
What is Medication Misuse, Abuse, and Dependence?
Misuse by Practitioner
...
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LIVE HEALTHY
PRESCRIPTION DRUG ABUSE
What is Medication Misuse, Abuse, and Dependence?
Abuse by Patient
Use re...
GET INSURED
LIVE HEALTHY
PRESCRIPTION DRUG ABUSE
What is Medication Misuse, Abuse, and Dependence?
Dependence
Use resultin...
GET INSURED
LIVE HEALTHY
PRESCRIPTION DRUG ABUSE
Factors associated with prescription drug misuse/abuse in older adults
 ...
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LIVE HEALTHY
PRESCRIPTION DRUG ABUSE
Prescription Drug Abuse in Older Adults
 Reduced ability to absorb & met...
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LIVE HEALTHY
PRESCRIPTION DRUG ABUSE
“Symptoms” of Medication-Related Problems Due to Misuse/Abuse
 Confusion...
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LIVE HEALTHY
PRESCRIPTION DRUG ABUSE
“SIGNS” of Prescription Drug Misuse/Abuse
 Loss of motivation
 Memory l...
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LIVE HEALTHY
PRESCRIPTION DRUG ABUSE
Identifying High Risk “Older” Adults
 Use of certain medications (e.g., ...
GET INSURED
LIVE HEALTHY
PRESCRIPTION DRUG ABUSE
Medications to Target in Substance Abuse Interventions
1. Central Nervous...
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LIVE HEALTHY
PRESCRIPTION DRUG ABUSE
Sedative Misuse and Abuse
a) Self-medicating hurts and losses will lead t...
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LIVE HEALTHY
PRESCRIPTION DRUG ABUSE
Prescribing and Use Patterns for Benzodiazepines
Older primary care pati...
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LIVE HEALTHY
PRESCRIPTION DRUG ABUSE
Opioid Misuse/Abuse
 Use pain medicine to sleep, relax, soften negative ...
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LIVE HEALTHY
PRESCRIPTION DRUG ABUSE
Alcohol and Medication Misuse
 An estimated one in five older adults may...
GET INSURED
LIVE HEALTHY
PRESCRIPTION DRUG ABUSE
Our Challenge:
 Nevada has the Fourth Highest Drug Overdose Mortality Ra...
GET INSURED
LIVE HEALTHY
PRESCRIPTION DRUG ABUSE
Our Solution:
Educate the public to understand the risks of prescription...
GET INSURED
LIVE HEALTHY
PRESCRIPTION DRUG ABUSE
Goals:
 Expand prevention services into the most sparsely
populated rura...
GET INSURED
LIVE HEALTHY
PRESCRIPTION DRUG ABUSE
Game Plan
 Provide group seminars about RX use and abuse
 Provide suppo...
GET INSURED
LIVE HEALTHY
PRESCRIPTION DRUG ABUSE
Contact Information
Care NV
info@carenv.org
702.836.9033
https://www.face...
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Prescription Drug Abuse Presentation

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Prescription Drug Abuse Presentation

  1. 1. CARE Nevada in collaboration with Nevada Community Prevention Coalition present PRESCRIPTION DRUG ABUSE GET INSURED LIVE HEALTHYand
  2. 2. GET INSURED LIVE HEALTHY PRESCRIPTION DRUG ABUSE WHO WE ARE and WHAT WE DO | CARE Nevada In the pursuit of building healthy communities, CARE is committed to: a) improve the health of Nevadans by helping them get insured b) helping Nevadans receive resources to help live healthy lives CARE’s commitment to our community is based on collaboration by working with the business community, agencies and groups to systematically solve existing and emerging problems that as individuals we would not be able to solve. A healthy community is a productive community.
  3. 3. GET INSURED LIVE HEALTHY PRESCRIPTION DRUG ABUSE WHO WE ARE and WHAT WE DO | NCPC In the pursuit of building healthy communities, NCPC is committed to: a) promoting collaboration towards individual, family, and community wellness b) providing funding for direct prevention services in rural Clark County NCPC is a comprehensive community coalition that brings together every community sector to support the development and implementation of multi-faceted plans that lead to individual, family, and community health and wellness.
  4. 4. GET INSURED LIVE HEALTHY PRESCRIPTION DRUG ABUSE The Problem with Rx Abuse Prescription drug abuse is the Nation’s fastest-growing drug problem. While there has been a marked decrease in the use of some illegal drugs like cocaine, data from the National Survey on Drug Use and Health (NSDUH) show that nearly one-third of people aged 12 and over who used drugs for the first time in 2009 began by using a prescription drug non-medically. The same survey found that over 70 percent of people who abused prescription pain relievers got them from friends or relatives, while approximately 5 percent got them from a drug dealer or from the Internet. Additionally, the latest Monitoring the Future study—the Nation’s largest survey of drug use among young people—showed that prescription drugs are the second most-abused category of drugs after marijuana.
  5. 5. GET INSURED LIVE HEALTHY PRESCRIPTION DRUG ABUSE What is Prescription (Rx) Drug Misuse and Abuse Prescription (Rx) Drug Misuse is:  the use of a prescription medication in a way not intended by the original prescribing doctor.  the use of prescription medications originally prescribed for another person. Prescription (Rx) Drug Abuse is:  the use of a prescription medications without a prescription  the use of prescription medications in a way other than was prescribed  the use of prescription medications to get high
  6. 6. GET INSURED LIVE HEALTHY PRESCRIPTION DRUG ABUSE Prescription (Rx) Medications are all around us . . . and youth notice  Patients leave a doctor’s office with a prescription in hand in 7 out of 10 visits.  Direct-to-consumer advertising on TV and in magazines is pervasive.  Many people don’t know how to safely use these medications or ignore their doctor’s instructions.
  7. 7. GET INSURED LIVE HEALTHY PRESCRIPTION DRUG ABUSE Did you know that Prescription (Rx) Drugs Can . . .  Increase blood pressure or heart rate.  Damage the brain and other organs.  Lead to accidental overdose / poisonings.  Cause physical dependency and / or addiction.  Disrupt breathing (respiratory depression).  Lead to risks associated with mixing multiple drugs or combining with alcohol.  Cause seizures and even death.
  8. 8. GET INSURED LIVE HEALTHY PRESCRIPTION DRUG ABUSE What is Medication Misuse, Abuse, and Dependence? Misuse by Patient Dose level more than prescribed Longer duration than prescribed Used for purposes other than prescribed Used together with other meds/alcohol Skipping/hoarding doses
  9. 9. GET INSURED LIVE HEALTHY PRESCRIPTION DRUG ABUSE What is Medication Misuse, Abuse, and Dependence? Misuse by Practitioner Prescription for inappropriate indication Unnecessary high dosages Failure to monitor all medications Failure to fully explain appropriate use
  10. 10. GET INSURED LIVE HEALTHY PRESCRIPTION DRUG ABUSE What is Medication Misuse, Abuse, and Dependence? Abuse by Patient Use resulting in declining physical and social function Use in risky situations Continued use despite adverse social or personal consequences
  11. 11. GET INSURED LIVE HEALTHY PRESCRIPTION DRUG ABUSE What is Medication Misuse, Abuse, and Dependence? Dependence Use resulting in tolerance or withdrawal symptoms Unsuccessful attempts to stop or control use Preoccupation with attaining or using the drug
  12. 12. GET INSURED LIVE HEALTHY PRESCRIPTION DRUG ABUSE Factors associated with prescription drug misuse/abuse in older adults  Female gender  Social isolation  History of a substance abuse  History of or mental health disorder – older adults with prescription drug dependence are more likely than younger adults to have a dual diagnosis  Medical exposure to prescription meds with abuse potential
  13. 13. GET INSURED LIVE HEALTHY PRESCRIPTION DRUG ABUSE Prescription Drug Abuse in Older Adults  Reduced ability to absorb & metabolize meds with age  Increased chance of toxicity or adverse effects  Med-related delirium or dementia wrongly labeled as Alzheimer’s disease
  14. 14. GET INSURED LIVE HEALTHY PRESCRIPTION DRUG ABUSE “Symptoms” of Medication-Related Problems Due to Misuse/Abuse  Confusion  Depression  Delirium  Insomnia  Parkinson’s-like symptoms  Incontinence  Weakness or lethargy  Loss of appetite  Falls  Changes in speech
  15. 15. GET INSURED LIVE HEALTHY PRESCRIPTION DRUG ABUSE “SIGNS” of Prescription Drug Misuse/Abuse  Loss of motivation  Memory loss  Family or marital discord  New difficulty with activities of daily living (ADL)  Difficulty sleeping  Drug seeking behavior  Doctor shopping
  16. 16. GET INSURED LIVE HEALTHY PRESCRIPTION DRUG ABUSE Identifying High Risk “Older” Adults  Use of certain medications (e.g., warfarin, digoxin, diuretics, psychoactive meds, analgesics)  4 or more medications  Certain chronic conditions (e.g., diabetes)  Evidence of medication misuse  Chronic alcohol use
  17. 17. GET INSURED LIVE HEALTHY PRESCRIPTION DRUG ABUSE Medications to Target in Substance Abuse Interventions 1. Central Nervous System (CNS) Depressants Antianxiety Medications, Tranquilizers, Sedatives and Hypnotics a) Benzodiazepines b) Barbiturates 2. Opioids and Morphine Derivatives Narcotic Analgesics / Pain Relievers a) Codeine b) Hydrocodone c) Oxycodone d) Morphine e) Fentanyl f) Meperidine
  18. 18. GET INSURED LIVE HEALTHY PRESCRIPTION DRUG ABUSE Sedative Misuse and Abuse a) Self-medicating hurts and losses will lead to changes in lifestyle b) Doctors prescribe benzodiazepines to seniors more than any other age group c) Behavioral pharmacological profile of sedatives is similar to benzodiazepines d) Prolonged use or self-medication will lead to Prescription Drug Addiction e) Illegal street retail of RX meds has an alluring profit making component f) Sedatives are recommended for short-term use but many take meds long-term g) Sedatives can cause hazardous confusion & falls
  19. 19. GET INSURED LIVE HEALTHY PRESCRIPTION DRUG ABUSE Prescribing and Use Patterns for Benzodiazepines Older primary care patients (aged >/= 60) who received new benzodiazepine prescriptions from primary care physicians for insomnia (42%) and anxiety (36%) After 2 months, 30% used benzodiazepines at least daily Both those continuing and those not continuing daily use reported significant improvements in sleep quality and depression, with no difference between groups in rates of improvement A significant minority developed a pattern of long-term use
  20. 20. GET INSURED LIVE HEALTHY PRESCRIPTION DRUG ABUSE Opioid Misuse/Abuse  Use pain medicine to sleep, relax, soften negative affect of life  Dose requirement reduced with age  Reduced GI absorption  Reduced liver metabolism  Change in receptor sensitivity  Short-acting are the most easily & widely available  Defeat extended-release mechanism  Problems  Sedation, confusion  Respiratory depression
  21. 21. GET INSURED LIVE HEALTHY PRESCRIPTION DRUG ABUSE Alcohol and Medication Misuse  An estimated one in five older adults may be affected by combined difficulties with alcohol and medication misuse.  Alcohol-medication interactions may be a factor in at least 25% of ED admissions (NIAAA, 1995).
  22. 22. GET INSURED LIVE HEALTHY PRESCRIPTION DRUG ABUSE Our Challenge:  Nevada has the Fourth Highest Drug Overdose Mortality Rate in the United States  Nevada Scored Seven out of 10 on New Policy Report Card of Promising Strategies to Help Curb Prescription Drug Abuse
  23. 23. GET INSURED LIVE HEALTHY PRESCRIPTION DRUG ABUSE Our Solution: Educate the public to understand the risks of prescription drug use to avoid misuse in the first place. Ensure responsible prescribing practices, including increasing education of healthcare providers and prescribers to better understand how medications can be misused and to identify patients in need of treatment. Increase understanding about safe storage of medication and proper disposal of unused medications, such as through "take back" programs. Make sure patients do receive the pain and other medications they need, and that patients have access to safe and effective drugs.
  24. 24. GET INSURED LIVE HEALTHY PRESCRIPTION DRUG ABUSE Goals:  Expand prevention services into the most sparsely populated rural areas of Clark County.  Increase prescription drug and wellness education across all rural populations of Clark County.  Create community readiness through education and discussion for the adoption of a bill specific to administering rescue medications, such as Naloxone, to overdosing individuals. This does not include a cost factor.  Increase the voluntary use of the Prescription Medical Program (PMP) through promotion and education.
  25. 25. GET INSURED LIVE HEALTHY PRESCRIPTION DRUG ABUSE Game Plan  Provide group seminars about RX use and abuse  Provide support groups for users and family  Provide literature to local business and organizations  Provide referral to mental health providers and sources  Collaborate with community partners
  26. 26. GET INSURED LIVE HEALTHY PRESCRIPTION DRUG ABUSE Contact Information Care NV info@carenv.org 702.836.9033 https://www.facebook.com/CARENVORG NCPC info@nv-cpc.org 702.293.3313 https://www.facebook.com/NCPCOrg

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