Dq response 14/1 | Nursing homework help

 Amelia Mangune

Posted Date

Jun 9, 2022, 10:31 AM


The reduction in prescribing opioids is a tool for decreasing lawful supply (by limiting the indications for opioid prescription or otherwise reducing the number of patients having prescriptions) and reducing demand or genuine desire for using or misusing opioids (Phillips, Ford & Bonnie, 2017). Reduced prescribing based on the authors, can impact demand in two methods: first, by reducing patients’ dependence on opioids to handle pain by satisfying their needs through other forms of pain management; second, by reducing the number of individuals who develop opioid use disorder (OUD) and increasing the incentive for treatment among patients with OUD. 

Phillips, Ford & Bonnie (2017) also wrote that the Prescription Drug Monitoring Programs (PDMPs), currently authorized by U.S. states (except Missouri, the District of Columbia, and Guam’s U.S. territory), are statewide electronic databases developed to prevent the diversion and misuse of controlled substances. They require pharmacies and dispensing providers to indulge in central office data on prescribed and dispensed controlled substances (e.g., drug type, dose, amount dispensed), insurance/payment, and patient details. These data can be scrutinized for patterns in prescribing and dispensing. It monitors patterns, including identifying possible “doctor shoppers” (individuals who visit multiple prescribers or pharmacies to obtain numerous prescriptions), the need for treatment, unsafe drug combinations, and inappropriate provider prescribing practices. In addition, because PDMPs include virtually all data on prescriptions dispensed to a patient regardless of payment method, they allow for more complete monitoring than claims databases, which are only confined to details on payments for prescriptions within a specific network.

We have a clinical responsibility to monitor our patients to whom we prescribe controlled substances (Becker & Starrels, 2021). Based on the authors, as practitioners, we should adhere to the policies of our state boards in the United States. Experts recommend a “universal precautions” practice incorporating a standard prescribing and monitoring framework for all patients prescribed the medications that include:

  • Establishing a transparent clinician-patient relationship.
  • Recording in the patient’s medical record.
  • A medical history, including substance use and mental health.
  • Physical examination.
  • Medical decision-making, including review of benefit and harm.
  • Plan of care.
  • Frequent follow-up with standardized monitoring for benefit and harm. 
  • Drug testing. 
  • Use of prescription monitoring programs where available. 
  • Discuss all planned monitoring strategies in the treatment agreement.

Prescription drug misuse happens along a spectrum of severity, from less severe behaviors (e.g., a single incident of a patient taking more than prescribed) to more severe behaviors (e.g., undisclosed prescription sources). Therefore, every provider’s response should be proportionate to the behaviors’ severity and pattern. Patients presumed of substance use disorder should be referred to and evaluated by an addiction specialist (Becker & Starrels, 2021).


Becker, W.C. & Starrels, J.L. (April 06, 2021). Prescription drug misuse: Epidemiology, prevention, identification, and management. UpToDate. https://www.uptodate.com/contents/prescription-drug-misuse-epidemiology-prevention-identification-and-management?search=opioid%20misuse&source=search_result&selectedTitle=1~150&usage_type=default&display_rank=1

Phillips, J.K., Ford, M.A. & Bonnie, R.J. (July 13, 2017). 5 Evidence on strategies for addressing the opioid epidemic. Retrieved from https://www.ncbi.nlm.nih.gov/books/NBK458653/


Calculate Your Essay Price
(550 words)

Approximate price: $22

Calculate the price of your order

550 words
We'll send you the first draft for approval by September 11, 2018 at 10:52 AM
Total price:
The price is based on these factors:
Academic level
Number of pages
Basic features
  • Free title page and bibliography
  • Unlimited revisions
  • Plagiarism-free guarantee
  • Money-back guarantee
  • 24/7 support
On-demand options
  • Writer’s samples
  • Part-by-part delivery
  • Overnight delivery
  • Copies of used sources
  • Expert Proofreading
Paper format
  • 275 words per page
  • 12 pt Arial/Times New Roman
  • Double line spacing
  • Any citation style (APA, MLA, Chicago/Turabian, Harvard)

Our guarantees

Delivering a high-quality product at a reasonable price is not enough anymore.
That’s why we have developed 5 beneficial guarantees that will make your experience with our service enjoyable, easy, and safe.

Money-back guarantee

You have to be 100% sure of the quality of your product to give a money-back guarantee. This describes us perfectly. Make sure that this guarantee is totally transparent.

Read more

Zero-plagiarism guarantee

Each paper is composed from scratch, according to your instructions. It is then checked by our plagiarism-detection software. There is no gap where plagiarism could squeeze in.

Read more

Free-revision policy

Thanks to our free revisions, there is no way for you to be unsatisfied. We will work on your paper until you are completely happy with the result.

Read more

Privacy policy

Your email is safe, as we store it according to international data protection rules. Your bank details are secure, as we use only reliable payment systems.

Read more

Fair-cooperation guarantee

By sending us your money, you buy the service we provide. Check out our terms and conditions if you prefer business talks to be laid out in official language.

Read more

Order your essay today and save 10% with the coupon code: best10