NR 503 Week 8 Discussion: Health Policy and Ethics
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Course
EPIDEMIOLO NR 503
Institution
5
Week 8: Discussion - Health Policy and Ethics
Oct 20, 2019 3:55am
Cassandra Moore
Class,
I reside in Michigan and a recent bill that was passed in March of 2019 is Bill 0111 (2019) and
the sponsor is Peter Lucido. This bill was written to address the opioid epidemic that we are
currently faci...
i reside in michigan and a recent bill that was passed in ma
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EPIDEMIOLO NR 503
5
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Week 8: Discussion - Health Policy and Ethics
Oct 20, 2019 3:55am
Cassandra Moore
Class,
I reside in Michigan and a recent bill that was passed in March of 2019 is Bill 0111 (2019) and
the sponsor is Peter Lucido. This bill was written to address the opioid epidemic that we are
currently facing in the United States. It requires all prescribers to run a Michigan automated
prescription system (MAPS) report on any individual who they will be prescribing or dispensing
a controlled substance too, except for hospice patients. Michigan wanted to do their part in
decreasing the opioid epidemic. By doing this the principals of advocacy were certainly
demonstrated. Advocacy is defined as support or recommendation for a particular cause or policy
(Weible, Ingold, Nohrstedt, Henry, & Jenkins-Smith, 2019). In light of the current opioid crisis
across the entire United States, Michigan demonstrated advocacy and support against the crisis
by adopting and placing this bill into practice. This bill has significantly cut down on the number
of opioids prescribed and decreases the potential for misuse of prescribed opioids.
m
er as
Population health was certainly addressed when this bill was enacted as well. Population
co
health was improved and definitely in mind for those who created the bill. In 2017 opioid abuse
eH w
was one of the most consequential and preventable public health threats in the nation (Gostin,
o.
Hodge, & Noe, 2017). Overall, public health has improved although there is limited numerical
rs e
data available since the bill just began this year. As an emergency department nurse, I can attest
ou urc
to seeing a decreased number of opioid overdoses although it appears that individuals are finding
other ways to overdose and reverting to other things such as methamphetamine. Emergency
rooms were specifically targeted as a place to help combat the opioid crisis and decrease drug
o
diversion (Elder, DePalma, & Pines, 2018).
aC s
The American nurses association code of ethics is a basic guideline and ethical standards
vi y re
for nurses and organizations to advocate for the protection of human rights and social justice
(Epstein, & Turner, 2015). Relating this to the bill regarding opioids you can see the connection.
As nurses and health professionals one of our main goals and desires is to protect people and
ed d
assure that all individuals have the right to receive fair and appropriate healthcare treatment if
they should need it. The portion of this bill requiring prescribers to run a report history on
ar stu
patients regarding controlled substances before prescribing is an example of this. This assures
“equality” among patients to assure that patients are not receiving more than they should be of
controlled substances. Overall, adopting this bill had only positive intentions for our counties,
is
state, and the nation as a whole. Although not all people are happy, and we may be going from
one extreme to another we had to change something because too many lives were being lost
Th
secondary to lenient prescribing practices. In summary, this was a major step towards improving
public health and a true demonstration of advocacy.
sh
Reference:
Elder, J. W., DePalma, G., & Pines, J. M. (2018). Optimal implementation of prescription drug
monitoring programs in the emergency department. Western Journal of Emergency
Medicine, 19(2), 387.
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