Spelling suggestions: "subject:"opioid ese disorder"" "subject:"opioid ese isorder""
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SJUKSKÖTERSKANS PERSPEKTIV PÅ INFÖRANDETAV DEPOTINJEKTION BUPRENORFIN I LARO : EN INTERVJUSTUDIE / NURSE’S PERSPECTIVE ON INTRODUCING PROLONGED-RELEASE INJECTABLE BUPRENORPHINE IN OPIOID SUBSTITUTION TREATMENT : AN INTERVIEW STUDYRhodin, Tove, Rosén, Anneli January 2022 (has links)
Bakgrund: LARO i Sverige är omgärdat av strikta regler. Läkemedlen som används, däribland buprenorfin, intas dagligen övervakat av sjuksköterska de tre första månaderna och vidare till dess att patienten bedöms kunna ta läkemedlet på egen hand. Sedan 2018 finns buprenorfin som depotinjektion veckovis eller månadsvis, vilket innebär en ny omvårdnadssituation. Syfte: Att utforska sjuksköterskans perspektiv på införandet av buprenorfin som depotinjektion i LARO. Metod: Tolv semistrukturerade intervjuer av sjuksköterskor med erfarenhet av depotinjektioner buprenorfin i LARO. Resultat: Införandet av depotinjektioner innebar ett fokusskifte i behandling och omvårdnad med bland annat minskad kontroll och ökad tillit mellan sjuksköterska och patient. Behandlingen med depotinjektioner ansågs kunna öppna för ökad egenmakt för patienterna. LARO-enheternas organisatoriska förutsättningar påverkade hur de tagit sig an den nya behandlingsformen. Kunskap och samsyn efterfrågades. Slutsats: Depotinjektioner buprenorfin kan öppna upp för nya sätt att främja egenmakt i LARO. Det finns ett behov av forskning på området. / Background: Opioid substitution treatment in Sweden is strictly regulated. Medications like Buprenorphine are taken daily supervised by a nurse during the initial three months and thereafter until the patient is assessed to be trusted with self-administration. Prolonged-release injectable Buprenorphine has beenavailable since 2018 for weekly or monthly use. This has implications for nursing care and practices. Purpose: To explore the nurse’s perspective on introducing prolonged-release injectable buprenorphine in opioid substitution treatment. Method: Twelve semi-structured interviews were conducted with nurses experienced in treatment with prolonged-release injectable buprenorphine. Results: The introduction of injection treatment entailed a shift in focus regarding restrains, trust and patient empowerment. The care units’ approaches to the new treatment differed and was influenced by organisational conditions. Nurses requested more knowledge and consensus about the new treatment. Conclusion:Prolonged-release injectable formulations may enable new approaches to patientempowerment in opioid substitution treatment. Research in this field is required.
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TriHealth Outpatient Alcohol & Drug Treatment Program: Standardized Intake Process Physician ReferralJackson, Cody Ann, Dr. 02 May 2023 (has links)
No description available.
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NONINVASIVE MEASUREMENT OF HEARTRATE, RESPIRATORY RATE, AND BLOOD OXYGENATION THROUGH WEARABLE DEVICESJason David Ummel (10724028) 29 April 2021 (has links)
<p>The last two decades have shown a boom in the field of
wearable sensing technology. Particularly in the consumer industry, growing
trends towards personalized health have pushed new devices to report many vital
signs, with a demand for high accuracy and reliability. The most common
technique used to gather these vitals is photoplethysmography or PPG. PPG devices
are ideal for wearable applications as they are simple, power-efficient, and
can be implemented on almost any area of the body. Traditionally PPGs were
utilized for capturing just heart rate, however, recent advancements in
hardware and digital processing have led to other metrics including respiratory
rate (RR) and peripheral oxygen saturation (SpO2), to be reported as well. Our
research investigates the potential for wearable devices to be used for
outpatient apnea monitoring, and particularly the ability to detect opioid
misuse resulting in respiratory depression. Ultimately, the long-term goal of
this work is to develop a wearable device that can be used in the
rehabilitation process to ensure both accountability and safety of the wearer.
This document details contributions towards this goal through the design,
development, and evaluation of a device called “Kick Ring”. Primarily, we
investigate the ability of Kick Ring to record heartrate (HR), RR, and SpO2. Moreover,
we show that the device can calculate RR in real time and can provide an
immediate indication of abnormal events such as respiratory depression. Finally,
we explore a novel method for reporting apnea events through the use of several
PPG characteristics. Kick Ring reliably gathers respiratory metrics and offers
a combination of features that does not exist in the current wearables space.
These advancements will help to move the field forward, and eventually aid in
early detection of life-threatening events.</p>
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Defeating the dragon: Heroin dependence recoverySantos, Monika Maria Lucia Freitas dos 30 June 2006 (has links)
Heroin dependence, which is escalating within South Africa, has become a symbol of the social disorder of the times - associated with materialism, poverty, crime, the problems of a society in transition, the disadvantaged, and the inner cities. However, that is not to say that all those who misuse heroin develop a problem or become dependent. In reality, only a small minority of heroin users develop a dependence, but for those who do it can result in unpleasant and potentially terrifying experiences/consequences, that can often be extremely difficult to escape from. That is not to say that recovery from dependence to heroin is not possible. Indeed, contrary to the beliefs of many people, the reality is that many people do eventually recover. Despite the vast sums of money devoted to treatment intervention of heroin dependants in the South Africa and worldwide, the processes by which recovery occur remain fairly unclear. Moreover, relatively little is known about the contribution of interventions and processes in facilitating such recovery. The statistical and content analysis of the data revealed that one of the most important factors identified in allowing successful behaviour modification and promoting recovery was psychosocial and pharmacological intervention, which seemed to produce a range of positive effects that facilitated natural healing processes. However, a range of other factors alongside intervention were also important in promoting behaviour modification. This study has provided important information, from forty recovering heroin dependants themselves, on the many factors that are important in achieving abstinence, in allowing recovery to be maintained in the longer term, and in potentially allowing an eventual exit from heroin dependence. A number of difficulties encountered in intervention were also identified. The statistical findings of the study support the `maturing out' hypothesis of heroin dependence (c² = 16.841; r = 0.001; df = 3). Ethnicity, highest level of education, employment status, marital status, biological parents' marital status or whether biological parents were deceased or not did not relate to any of the identified behavioural indices associated with heroin dependence recovery. A framework for the development of a contextual heroin dependence recovery model is also discussed. / Psychology / (M.A.(Psychology))
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Defeating the dragon: Heroin dependence recoverySantos, Monika Maria Lucia Freitas dos 30 June 2006 (has links)
Heroin dependence, which is escalating within South Africa, has become a symbol of the social disorder of the times - associated with materialism, poverty, crime, the problems of a society in transition, the disadvantaged, and the inner cities. However, that is not to say that all those who misuse heroin develop a problem or become dependent. In reality, only a small minority of heroin users develop a dependence, but for those who do it can result in unpleasant and potentially terrifying experiences/consequences, that can often be extremely difficult to escape from. That is not to say that recovery from dependence to heroin is not possible. Indeed, contrary to the beliefs of many people, the reality is that many people do eventually recover. Despite the vast sums of money devoted to treatment intervention of heroin dependants in the South Africa and worldwide, the processes by which recovery occur remain fairly unclear. Moreover, relatively little is known about the contribution of interventions and processes in facilitating such recovery. The statistical and content analysis of the data revealed that one of the most important factors identified in allowing successful behaviour modification and promoting recovery was psychosocial and pharmacological intervention, which seemed to produce a range of positive effects that facilitated natural healing processes. However, a range of other factors alongside intervention were also important in promoting behaviour modification. This study has provided important information, from forty recovering heroin dependants themselves, on the many factors that are important in achieving abstinence, in allowing recovery to be maintained in the longer term, and in potentially allowing an eventual exit from heroin dependence. A number of difficulties encountered in intervention were also identified. The statistical findings of the study support the `maturing out' hypothesis of heroin dependence (c² = 16.841; r = 0.001; df = 3). Ethnicity, highest level of education, employment status, marital status, biological parents' marital status or whether biological parents were deceased or not did not relate to any of the identified behavioural indices associated with heroin dependence recovery. A framework for the development of a contextual heroin dependence recovery model is also discussed. / Psychology / (M.A.(Psychology))
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