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Aberrant behavior, opioids and pain
Jirásková, Michaela ; Raudenská, Jaroslava (advisor) ; Neugebauer, Jan (referee)
UNIVERZITA KARLOVA 2. LÉKAŘSKÁ FAKULTA Ústav ošetřovatelství Michaela Jirásková Aberantní chování, opioidy a bolest Bakalářská práce Praha 2023 ABSTRACT Background: Objectives: The aim is to determine the frequency of risk of aberrant behavior based on screening and the actual incidence of aberrant the group of patients with chronic pain without opioid treatment. Methods: 30 patients with chronic non-cancer pain not using opioid analgesics and 30 patients with chronic non-cancer pain using opioid analgesics hospitalized at the Department of Rehabilitation Medicine, 2nd Faculty of Medicine Charles University and Motol University Hospital. Patients were presented with the following tests in paper form: Structured Interview, ORT, ET, COMM, SOAP-R, CADE AID. Respondents signed an informed consent form based on EC approval. The study was approved by the EC. Results: For socio-demographic and clinical variables, we used chi-square testing for statistical significance as appropriate and concluded that there was a statistically significant difference between the opioid analgesic user group and the non-user group. When examining the effect of sociodemographic variables on quality of life in patients with chronic non-cancer pain compared to the effect of sociodemographic variables on the group of patients without...
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Opioid Crisis in the USA and its relevance to the Czech opioid situation
Sovík, David ; Kopsa Těšinová, Jolana (advisor) ; Nekola, Martin (referee)
The bachelor thesis focuses on the topic of opioid abuse in the United States of America and in the Czech Republic. The current situation of opioid abuse in the USA is called the "Opioid Crisis". The thesis describes the historical development of the problem, including its division into three main phases, in each of which a different opioid is the most abused. In the first phase, it is prescription opioids that are most commonly abused, while the last two stages are dominated by illicit opioid abuse of heroin and fentanyl. The identification of the primary causes of the Opioid Crisis is an important part of the thesis. Purdue Pharma is explicitely mentioned as having manufactured opioids that have directly contributed to the widespread abuse of opioids. Within the thesis, a typology is created in order to clarify which social groups in the USA are the most susceptible to becoming addicted to opioids. In the part of the thesis dedicated to the situation in the Czech Republic, a historical and current perspective of national opioid abuse is provided. Potential present and future threats that could lead to a worsening of the situation are also identified.
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