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Open AccessJournal ArticleDOI

The Opioid Epidemic and the Role of the Occupational Health Nurse

Sheila Higgins, +1 more
- 01 Jan 2019 - 
- Vol. 67, Iss: 1, pp 36-45
TLDR
An overview of the opioid epidemic and its impact on health, the challenges for the workplace, and recommended strategies for the occupational health nurse to impact the problem are provided.
Abstract
The opioid epidemic is a national public health crisis. It began with the misuse of commonly used prescription opioid pain relievers and has led to the increased use of heroin and illicit fentanyl. Large-scale initiatives have begun on the federal and state level and place an emphasis on improved opioid prescribing, which have important implications for the workplace. Treatment of work injury may initiate the use of prescription opioids and result in misuse and possible overdose. Prescription drug abuse affects all aspects of society so potentially any workplace could be affected. A multifaceted approach is needed to reduce opioid morbidity and mortality and the occupational health nurse should be actively involved. The intent of this article is to provide an overview of the epidemic and its impact on health, the challenges for the workplace, and recommended strategies for the occupational health nurse to impact the problem.

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Citations
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References
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Journal ArticleDOI

CDC Guideline for Prescribing Opioids for Chronic Pain - United States, 2016.

TL;DR: This guideline is intended to improve communication between clinicians and patients about the risks and benefits of opioid therapy for chronic pain, improve the safety and effectiveness of pain treatment, and reduce the risks associated with long-term opioid therapy, including opioid use disorder, overdose, and death.
Journal ArticleDOI

Increases in Drug and Opioid-Involved Overdose Deaths - United States, 2010-2015.

TL;DR: In an effort to target prevention strategies to address the rapidly changing epidemic, CDC examined overall drug overdose death rates during 2010-2015 and opioid overdosedeath rates during 2014-2015 by subcategories (natural/semisynthetic opioids, methadone, heroin, and synthetic opioids other than methad one).
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Increases in Drug and Opioid Overdose Deaths--United States, 2000-2014

TL;DR: Findings indicate that the opioid overdose epidemic is worsening and 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.

Vital Signs: Overdoses of Prescription Opioid Pain Relievers - United States, 1999-2008

TL;DR: Wide variation among states in the nonmedical use of OPR and overdose rates cannot be explained by underlying demographic differences in state populations but is related to wide variations in OPR prescribing.
Journal ArticleDOI

The Prescription Opioid and Heroin Crisis: A Public Health Approach to an Epidemic of Addiction

TL;DR: The scope of this public health crisis, its historical context, contributing factors, and lines of evidence indicating the role of addiction in exacerbating morbidity and mortality, are described, and a framework for interventions to address the epidemic of opioid addiction is provided.
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