Therapy Should Be The First Line For Treating Pain Example For Students

Therapy Should Be The First Line For Treating Pain Nonopioid therapy should be the first line for treating pain whether for chronic or other types of pain. When a patient fails nonopioid treatment, then escalating up to the opioids should only be when the benefits outweigh the risks. Providers should have an agreed upon treatment plan with the patient. The lowest dosage should be considered when starting on any type of pain medication. According to the article in JAMA, 2016, the authors, Dowell, Haegerich and Chou state that primary care clinicians find managing chronic pain challenging. Surgeons after surgery find it difficult to manage surgical pain after a patient has been on a high dose of opioids. This is especially true when the patients are not forthright in the dosage and or medication prescribed. We will write a custom essay on Therapy Should Be The First Line For Treating Pain specifically for you for only $16.38 $13.9/page Order now The January 1, 2016 Morbidity and Mortality Weekly Report, Rudd, Aleshire, Zibbell and Gladden detail the increases of overdose opioid deaths in the United States from 2000 to 2014. And, the deaths are described as an epidemic. The skin color, gender, race nor location was a factor for the increase in these deaths. However, in the middle of the years 2013 and 2014, there was a drastic rise in the death toll. The authors reported in 2014, The deaths coincided with law enforcement reports of increase availability of illicitly manufactured fentanyl, a synthetic opioid; however, illicitly manufactured fentanyl cannot be distinguished from prescription fentanyl in death certificate data. These findings indicate that the opioid overdose epidemic is worsening. There is a need for continued action to prevent opioid abuse, dependence and death, improve treatment capacity for opioid use disorders and reduce the supply of illicit opioids, particularly heroin and illicit fentanyl. (Rudd, et al., 2016, p. 1). Consequently, this leads into the area of prescription pain medication overuse or misuse. The authors maintained that not using the opioid pain medications as the intended purpose can open the door for heroin use. Heroin is cheap, untainted and accessible. Both of these types of drug overdoses whether prescription or heroin are on the rise and the partnerships between healthcare systems and communities will need to improve for the health of the community. According to the authors of the July, 2016 Health Affairs, the majority of the United States have drug monitoring programs. The two states that do not participate in this program are Missouri and New Hampshire. These programs collect information from pharmacies and report the analyzed information to physicians. The objective is to reduce the amount of doctor shopping. When comparing the two articles, as the overdose drug opioid deaths increased in 2014, the amount of drug monitoring programs increased. With this retrospective study, the authors reviewed the data and reported that the implementation of the programs increased while the drug overdosed deaths decreased. Florida worked with the federal government and took action and closed a pill mill operation. With this action, Florida saw a decrease in opioid-related overdose deaths (Patrick, et al., 2016, p. 2). In summary, as the CDC saw the opioid-related deaths as an epidemic from 2000 to 2014, the states saw a need in reducing deaths. At the state level, a drug monitoring program provided pharmacies to work with the provider and send notifications of patient’s prescriptions, thus eliminating doctor shopping and pill mills. This type of program is an example of how partnerships between healthcare systems and communities improved for the health of the community. At our facility, when the state of Texas and the DEA ruled that hydrocodone must be prescribed by a physician, this impacted the transplant surgeons and the practice changed. Tylenol with codeine and tramadol is now prescribed with a maximum quantity of 30 and no refills. Patients that require hydrocodone must have a face to face physician communication and discussion. The prescribing physician will write for the lowest amount and lowest quantity. Patients that require a high dose of pain medication after transplant surgery will be referred to pain management. Our facility has experience pharmacies calling to notify the provider of pain medications that are too soon to fill. How do you see your facility handling narcotics? Is there a protocol in place? What have you experienced? .ua37a06a6db124edb1fe60d8ae447b207 , .ua37a06a6db124edb1fe60d8ae447b207 .postImageUrl , .ua37a06a6db124edb1fe60d8ae447b207 .centered-text-area { min-height: 80px; position: relative; } .ua37a06a6db124edb1fe60d8ae447b207 , .ua37a06a6db124edb1fe60d8ae447b207:hover , .ua37a06a6db124edb1fe60d8ae447b207:visited , .ua37a06a6db124edb1fe60d8ae447b207:active { border:0!important; } .ua37a06a6db124edb1fe60d8ae447b207 .clearfix:after { content: ""; display: table; clear: both; } .ua37a06a6db124edb1fe60d8ae447b207 { display: block; transition: background-color 250ms; webkit-transition: background-color 250ms; width: 100%; opacity: 1; transition: opacity 250ms; webkit-transition: opacity 250ms; background-color: #95A5A6; } .ua37a06a6db124edb1fe60d8ae447b207:active , .ua37a06a6db124edb1fe60d8ae447b207:hover { opacity: 1; transition: opacity 250ms; webkit-transition: opacity 250ms; background-color: #2C3E50; } .ua37a06a6db124edb1fe60d8ae447b207 .centered-text-area { width: 100%; position: relative ; } .ua37a06a6db124edb1fe60d8ae447b207 .ctaText { border-bottom: 0 solid #fff; color: #2980B9; font-size: 16px; font-weight: bold; margin: 0; padding: 0; text-decoration: underline; } .ua37a06a6db124edb1fe60d8ae447b207 .postTitle { color: #FFFFFF; font-size: 16px; font-weight: 600; margin: 0; padding: 0; width: 100%; } .ua37a06a6db124edb1fe60d8ae447b207 .ctaButton { background-color: #7F8C8D!important; color: #2980B9; border: none; border-radius: 3px; box-shadow: none; font-size: 14px; font-weight: bold; line-height: 26px; moz-border-radius: 3px; text-align: center; text-decoration: none; text-shadow: none; width: 80px; min-height: 80px; background: url(https://artscolumbia.org/wp-content/plugins/intelly-related-posts/assets/images/simple-arrow.png)no-repeat; position: absolute; right: 0; top: 0; } .ua37a06a6db124edb1fe60d8ae447b207:hover .ctaButton { background-color: #34495E!important; } .ua37a06a6db124edb1fe60d8ae447b207 .centered-text { display: table; height: 80px; padding-left : 18px; top: 0; } .ua37a06a6db124edb1fe60d8ae447b207 .ua37a06a6db124edb1fe60d8ae447b207-content { display: table-cell; margin: 0; padding: 0; padding-right: 108px; position: relative; vertical-align: middle; width: 100%; } .ua37a06a6db124edb1fe60d8ae447b207:after { content: ""; display: block; clear: both; } READ: Prevention For Opioid Drug AbuseReferences Dowen, D., Haegerich, T., Chou, R. (2016) CDC Guideline for Prescribing Opioids for Chronic Pain – United States, 2016. JAMA. 315(15): 1624-1645. doi: 10.1001/jama.2016.1464 Patrick, S. W., Fry, C. E., Jones, T. F., Buntin, M. B. (2016). Implementation of Prescription Drug Monitoring Programs Associated with Reductions in Opioid-Related Death Rates. Health Affairs. Advance online publication. doi: 10.1377/htlthaff.2015.1496 Rudd, Rose A., Aleshire, N., Zibbell, J. E., Gladden, R. M. (2016). Increases in Drug and Opioid Overdose Deaths – United States, 2000-2014. Morbidity and Mortality Weekly Report (MMWR), 64(50), 1378-82.

Resume styles that will get you the job

Resume styles that will get you the job Job hunting today is serious business. Simply put, the competition is tougher than ever for available jobs, which means that every aspect of your job hunting game needs to be razor sharp- including your resume. Don’t forget, in many ways your resume is your â€Å"calling card†- it will make your first impression on potential employers for you, and if the first impression you make isn’t great, chances are you’re closing the door on new opportunities. Crafting a professional and polished resume should be a top priority for you when you’re looking for a new job. Sure, we understand that you want to stand out from the job hunting crowd, but there are ways you can make yourself stand out for all the wrong reasons, and doing so will not do you any favors when you’re trying to land your next great position. This includes the â€Å"flashy resume,† which can take on a variety of bizarre forms. We’re all familiar with the resumes that try and get too creative and make use of multiple colors, pictures, wacky fonts, and too-clever styles- sure, your resume might get noticed by an HR professional or hiring manager, but when it does it’ll also likely not be taken seriously or it’ll be laughed right into the delete folder. Not a great start to any job hunt.Regardless of what industry you’re job hunting in, there are some clear dos and don’ts in the world of resumes, from fonts to styles, colors, and more. Consider following these general guidelines when you’re sending your next resume out for consideration.Resume Dos and DontsDespite all the advancements in technology and how we look for jobs in recent years, the world of resumes is still a somewhat traditional one, where clarity and substance trumps excessive amounts of style. When choosing a font for your resume, it’s always a good idea to choose a traditional font that’s easy to read. Remember, your resume is one of doz ens (sometimes even hundreds) that will be reviewed for any given job opening, so making it as easy as possible for hiring personnel to read is always a smart move.VelvetJobs recently published an article that covered a wide array of font sizes to consider for your resume. A few good clean and attractive fonts that are commonly used and well-received on resumes include Times New Roman, Calibri, Cambria, Verdana, and Arial. Don’t opt for an overly stylized font that’s hard to read, even if you think it looks cool or really shows off your aesthetic. Don’t select a font that’s too humorous or cute either. Also, choose a legible font size- an 11-point or 12-point font is a good choice for maximizing legibility. Don’t try to pull off a smaller font size in an effort to fit more text on a page- if you want to shrink things down, reduce the amount of text on the page instead of the font size.In terms of typography and structure, a clean and classic look t hat promotes maximum readability of your resume information (which becomes even more important as you gain experience and talking points over time) is still well-received in all industries. You may have the urge to show off your creative side with a clever resume design, but resist the urge to get too cute- a design that throws your readers into a confusing maze of information will not be appreciated or followed. Also, avoid including any pictures or graphics unless it’s expected in the position or industry that you’re job hunting in. A resume design that clearly showcases each position you’ve held, along with succinct bullet points that highlight your responsibilities and accomplishments, is always a good way to go.Keep it simple!A good rule of thumb when you’re crafting your resume is to always opt for substance over style, clarity over cleverness. Your final product should be a clear and polished document that conveys why you’re the ideal candid ate for the job, and should entice readers to want to learn more about you- hopefully over a face-to-face interview, where you can really show off your stuff. Use these dos and donts for crafting a resume when you’re on your next job hunt. Good luck!

Self evaluation Essay Example | Topics and Well Written Essays - 250 words - 1

Self evaluation - Essay Example Therefore, before I began writing my personal narrative, I had decided on what I wanted to write. I stuck to my original topic and wrote the narrative to the end while. I knew altering the topic midway the essay would complicate the narrative. Changing the essay midway would make the narrative lose its intended meaning of informing the readers the importance of having caring friends. Additionally, altering the topic would make readers find difficulties understanding how Hallie impacted in my life. As I created my essay, I encountered some few problems here and there. The most noted problem was coming up with a topic. As I have already explicated, I have lots of things to write about; thus, choosing one became problematic. However, after thinking widely, I decided to write about my experience in Italy with Hallie. Another problem was the lack of enough time to write my essay. Writing an essay is a lengthy process which requires time, failure of which may make one produce papers that are weak and lacks strong argument. In as much as the time was limited, I still managed to organize my thoughts to produce an exciting piece of work. There are two essential changes that I made while revising my work. The first change involved incorporating additional situations of dialogue in my essay. I added more instances of dialogue so that the readers could have the true feeling of what happened that day. Dialogue helped in advancing the story, developing characters, and moving the plot. In this way, the narrative was more appealing to the readers. Secondly, I also changed the last sentence of the essay. I decided to use a proverb since proverbs emphasize themes. Therefore, by concluding my essay with an adage, I wanted the readers to understand the meaning and importance of friendship. In conclusion, I enjoyed writing my essay, and I was proud to include the part that explicated how I

The Lesson by Toni Cade Bambara Essay Example | Topics and Well Written Essays - 250 words

The Lesson by Toni Cade Bambara - Essay Example The story â€Å"The Lesson,† by Toni Cade Bambara elucidates the situations of trials and tribulations in the life of blacks. What a contrast of life in different parts of the same city! The type of hardships undergone by Sylvia and her friends in the slums of New York, the type of environment they were brought up and the glaring imbalance as compared to the ambience of the Fifth Avenue can lead to two types of reactions. One is the black children may be fired with ambition to excel in life, improve their economic prospectus and achieve the rewards comparable to life in the Fifth Avenue. The other could be one of jealously and revenge. Evaluate the reaction of Sugar, an innocent child who says, â€Å"You know, Miss Moore, I dont think all of us here put together eat in a year what that sailboat costs.†(cai.ucdavis.edu) This is the pointer to the standard of life of the black children. Bambara creates poignant story how a college educated black woman arrives at the slum neighborhood on weekends and takes the children to a sort of picnic to posh areas like Manhattan. From the time the children leave from their slums until they return home, what are their feelings after being exposed to richness and luxury? How disturbed could be their emotional world comparing own plight and the affluence they saw throughout the day? How disturbed could be their emotional world comparing own plight and the affluence they saw throughout the day? The plot of the story is simple, but the philosophy behind it is profound.

Humanities Baroque Essay Example for Free

Humanities Baroque Essay Dramatic religious paintings were being made Literature was being written in a way that it will be memorable. The King James version of the Bible had major impacts on the arts. It was finished in 1611 and was considered to be the most important change in English literature and printing (Ryken). It was set to transform the entire English language and keep the emotional influence. â€Å"The new translation of Scripture preserved the spiritual fervor of the Old Testament Hebrew and the narrative vigor of the New Testament Greek† (Fiero 62). The King James Version was a big part of the Baroque period because it was a piece of literature that had heightened emotional words and could actually be understood correctly by the reader. In Baroque artwork, viewers can visualize the emotional impact the painting has. Everything is in action and the painting is like shot in the middle of what’s going on. In Caravaggio’s The Crucifixion of Saint Peter, everything is painted right in the middle of the crucifixion. Saint Peter is not even up yet but in the middle of getting there. The painting is activated and has complex movements. Gravity has a very powerful pull in this picture as well. Viewers can see the emotion in Saint Peter’s face that he is scared but brave. Caravaggio made sure to tell a story in this painting with emotion since you see a poor, innocent, and homeless looking man being crucified. Everything from the guy’s dirty feet and bottom who hoisting up Saint Peter is basically sticking out to the viewer’s face. The three men do not show there face as they crucify Saint Peter and it adds mystery as to who would do such an act. Everything from the nails in Saint Peter’s hands to the dirt on their feet is very real and descriptive. Light is also emphasized in this painting as well because of the black background. The Baroque period and its artwork gave out real emotion while the action is happening. All the tension in one painting is thrown into the viewers’ faces (Fiero). Music in the Baroque period surrounded itself with rhythm, melody, terraced dynamics, texture, and basses. Composers would express emotions and affection in their music and broke away from the Medieval times by using vocal and instrumental music. A famous composer in the Baroque period was Johann Sebastian Bach. He used to mainly do church music but then developed a more musical potential for the concerto form. The best composed song in his career was called The Art of Fugue. â€Å"A fugue is a polyphonic composition in which a single musical theme is restated in sequential phrases† (Fiero). Baroque music brought in emotions and even listeners who don’t even understand the brilliance composition of Bach, can grow a love for his music just listening to it. The Baroque period brought in emotion to everything like literature, paintings, and music. It forever changed literature and the English language for people to understand it better and are able to be moved by the words in text instead of just reading it.

Soccer :: essays research papers fc

Procedures 1. The team that wins the coin toss may choose to kick off or defend the goal of its choice. 2. All players must be on their own half of the field before the kickoff takes place. 3. Defensive players must be outside the center circle, at least ten yards away from the ball, for the kickoff. Players 1. Each team has up to eleven players; one is the goalkeeper. The other players are known as defenders, midfielders, and forwards, or strikers. 2. In major competitions, a team may not use more than three substitutions in a game. In other competitions up to five may be used. 3. A substitute must be summoned onto the field by the referee and must enter the field at the centerline after the player she/he is replacing has left the field. Equipment 1. The ball is round, covered in leather or in leather like material, and is between 27 and 28 inches in circumference. It must weigh 14 to 16 ounces and have 14 pounds of air pressure. 2. Players dress in team shirts, shorts, shin guards, and socks. Shoes may have studs if they are rounded, no longer than .75 inch, and no less than .5 inch in diameter. Goalkeepers often wear elbow and kneepads and gloves. The goalkeeper wears different colored uniform than his teammates. 3. Any equipment deemed dangerous to players may not be worn. This includes, earrings, glasses, necklaces, bracelets, watches, and casts and braces that the referee considers dangerous. Modifications 1. Soccer is played on various sized fields w with competitions ranging anywhere from 3 on 3 players through 11 on 11. Offside, and Goalkeeping Offside A player is offside if he/she is closer to the opponentà ¢Ã¢â€š ¬Ã¢â€ž ¢s goal line than the ball is, unless the player is still in his/her own half of the field or at least two opponents are closer to the opponentà ¢Ã¢â€š ¬Ã¢â€ž ¢s goal line. Offside is determined by the playerà ¢Ã¢â€š ¬Ã¢â€ž ¢s position at the moment of the pass, not at the moment he/she receives the pass. A player is not offside when he/she receives a ball that, bounces off a defender who had possession of the ball, comes at him directly from a goal kick, corner kick, or throw in; was deflected by the goalkeeper, or was shot at the goal and bounces off a defender. Nor is player offside when he/she is in line with a defender a⁴桴⁥潭

Nutrition and Vegetables Essay

Vegetables are a very important part of our diet. Vegetables are an excellent source for fiber, vitamins A and C, potassium, calcium, and iron. Researchers have discovered that having a good diet of fruits and vegetables can lower blood pressure, reduces the risk of heart disease, stroke and possibly some types of cancers. It can also lower your risk of eye problems and digestive problems. Vegetables are eaten in a variety of ways such as main meals or for snacks. The nutritional content in vegetables can vary considerably. Most vegetables do not contain protein or fat. The dried beans, peas, and lentils are a good source of complex carbohydrates and can have high protein content. Sometimes these types of vegetables can be used to some extent as a meat substitute. Potatoes and corn are very starchy vegetables. These types of vegetables turn into sugar. Vegetables have a variety of colors. They can range from dark green to a beautiful orange color. The dark green vegetables are usually the leafy vegetables, and squash, pumpkin, and sweet potatoes are examples of the orange family. Some vegetables have a red/blue coloring such as eggplant and red cabbage. Many articles today have different ideas on the amount or servings of vegetables a person should eat per day. The amounts can range from two (2) up to nine (9) servings per day. The majority of nutrition specialists suggest 2-1/2 cups per day. Potatoes do not count in your servings per day! The best bet for servings are the dark leafy greens, tomatoes, and anything that is yellow, orange, or red color. According to the National Cancer Institute, not enough fruits and vegetables are produced or imported to supply all of the people in the United States for a healthy diet of five servings per person per day. Another problem affecting vegetable growth is bugs and insects. Scientific studies have been conducted that support the claim that insects attack plants that do not receive the proper balance of nutrients. The number of documented outbreaks of human infections associated with raw vegetables and unpasteurized fruit juices has increased in recent years. Most of the outbreaks were identified primarily as Salmonella. Tomatoes, seed sprouts, cantaloupe, apple juice and orange juice are the most recent vegetables to be linked to the Salmonella bacteria. The E. coli infection has been found in lettuce, sprouts, and apple juice. It is very hard to determine the source of contamination for the bacteria for vegetables. Unlike beef and chicken that are thoroughly inspected, methods for fresh produce are not as advanced. The contamination could occur at any point throughout the production process. Some of the potential sources of contamination include soil, feces, irrigation water, dust, insects, and human handling. Recently the Center for Disease Control has had a nationwide recall on alfalfa sprouts with the Salmonella bacteria and for romaine lettuce containing the E. coli bacteria. In conclusion, people have been consuming meats and vegetables since the beginning of time. I am sure many people died back in the beginning of time from the diseases and bacteria we have discovered today. We must consume meats and vegetables to survive. Humans cannot live on water alone. If individuals today will use common knowledge on preparing meats and vegetables, a lot of issues such as the contamination and bacteria would not exist. All in all the meats and vegetables today are safe and nutritious. If consumed in the right amounts, we will have a healthy, long, enjoyable life.