Over prescription of opioids

Researched Argument Essay
In your English 1020 class, you have selected a research topic. At this time you have thoroughly researched your topic, and you have compiled an annotated bibliography for your topic. Now it’s time to put your newly-acquired knowledge to work.
For this assignment, students will compose an argumentative research paper. When writing this argument, students should take a well-informed position on a debatable issue, supporting the thesis with credible, reliable, and authoritative research. The pattern of development for the essay may be a cause-and-effect argument, an evaluation argument, a proposal argument, or a combination of two patterns (for more information, review chapters 13, 14, and 15 in Practical Argument). Students should include a thesis statement, supporting claims, reasons, and evidence. Approach this assignment rhetorically, meaning student writers should involve themselves in the conversation surrounding their topics, considering multiple viewpoints during the research process, and then formulating a position that the student writer will then assert and defend in the essay. Use a blend of exposition (reporting, explaining, clarifying, assessing) and argumentation (taking a position, persuading, agreeing/disagreeing, planting a naysayer, etc.) to support your thesis.
The Researched Argument essay should consist of 7-9 typed pages, NOT counting the Works Cited pages. The essay should be in 12-point, Times New Roman font, with 1-inch margins on all sides and an appropriate heading and title for MLA-style essays.
Your essay should follow MLA formatting guidelines for citation, documentation, and page layout. Below you will find information for how to format a page correctly and how to cite and document sources accurately according to MLA format:
This essay should employ 8-10 sources that you have found, including articles from VSCC Library’s databases, credible online resources, and any media sources that are relevant to your topic. Some of these sources may be the ones you included on your annotated bibliography assignment, but you are expected to do additional research in order to thoroughly explore the topic and inform yourself about the issue. These sources should be cited in the body of your essay and documented on the Works Cited page according to MLA 8th edition guidelines.
Prescription drug issues, such as over-prescription of opioids or misuse of stimulants for ADD/ADHD (choose one): How do these people gain access to the drugs, and how do doctors’ decisions and practices contribute to the problem? What role do pharmaceutical companies and pain clinics play in the problem? What kind of regulations or laws might help to reduce this drug epidemic? What role does Big Pharma play in the problem, and how could their influence be contained?

Annotated Bibliography
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Ashli Cantrell
Professor Cocita
English 1020 Section # C02
8 March 2020
Annotated Bibliography
Dineen, Kelly K, and James M DuBois. “BETWEEN A ROCK AND A HARD PLACE: CAN PHYSICIANS PRESCRIBE OPIOIDS TO TREAT PAIN ADEQUATELY WHILE AVOIDING LEGAL SANCTION?” American journal of law & medicine vol. 42,1 (2016): 7-52. doi:10.1177/0098858816644712
Kelly K. Dineen is an Assistant Professor, Saint Louis University, School of Law & Center for Health Care Ethics & Co-director, Bander Center for Medical Business Ethics and James M. DuBois is the Steven J. Bander Professor of Medical Ethics & Professionalism and Director of the Center for Clinical Research Ethics at Washington University School of Medicine in the Division of General Medical Sciences. They provide an abstract overview of prescription opioids and how it’s an important role for physicians to use these prescriptions to treat widespread pain. They also discuss the significant risk involved in the misuse or over prescribed pain medication. The treatment of pain had become more adequate in the 1990’s when the treatment of widespread chronic pain causing an increase in the number of opioids being prescribed. They also discuss the influence made by the pharmaceutical companies. With the
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influence of pharmaceutical companies’ physicians started prescribing more and more opioid prescriptions increasing more negative usage of the drugs.
Both Dineen and DuBois credentials are appropriate for discussing the topic. The topic was not biased and went off information that is provided in other sources. They used several different informational topics to have an argumentized article. They also provided a section of incomplete data and also a malpractice section in their article.
Addiction: Part I. Benzodiazepines-side Effects, Abuse Risk and Alternatives Lance Longo-Brian Johnson- https://www.aafp.org/afp/2000/0401/p2121.html
Lance P. Longo, M.D., University of Wisconsin Medical School, Milwaukee, Wisconsin M.D. and Brian Johnson, Harvard Medical School, Boston, Massachusetts. They use a different approach to discuss the overuse of opioids by discussing Benzodiazepines. A lot of factors are left out when discussing the opioid effects and what other drugs play a factor in usage. They discuss the fact that opioids are used to treat chronic physical pain, but the Benzodiazepines are used to treat the mental. Benzodiazepines are used to treat symptoms such as insomnia and anxiety. Most patients whom are prescribed opioid drugs are also prescribed benzos. This drug is used as a calming effect when also in chronic pain making this a drug an epidemic along with opioids.
Longo and Johnson credentials are appropriate for discussing the topic.The topic was not biased and went off information that is provided in other sources. They used several different informational topics to have an argumentized article. They also provided a section of

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Neurochemistry, the toxicity and its drug interactions, also providing tables of information in their article.
Addiction: Part II. Identification and Management Of the Drug-seeking Patient Lance Longo-Ted Parran- Brian Johnson-William Kinsey- https://www.aafp.org/afp/2000/0415/p2401.html
Lance P. Longo, M.D., University of Wisconsin Medical School, Milwaukee, Wisconsin M.D., Brian Johnson, Harvard Medical School, Boston, Massachusetts, TeddParran, Jr., M.D., Case Western Reserve School of Medicine, Cleveland, Ohio, and William Kinsey, M.D., University of Vermont School of Medicine, Burlington, Vermont. They discuss the most used drugs in drug abuse are opioids, hypnotics, and stimulants. Discuss how patients with chronic pain and anxiety are at an increased risk of becoming addicted. In this article they discuss about physicians undertreating due to the fear of potential drug abuse and not only that but the fear of being legally sanctioned. They are undertreating for the pain but not only that but for the anxiety. They go in detail about the characteristics of drug abuse and the definition of abuse, dependence, and addiction.
Longo, Johnson, Parran, and Kinsey credentials are appropriate for discussing the topic.The topic was not biased and went off information that is provided in other sources. They used several different informational topics to have an argumentized article. They also provided a section of screening for addiction, patient characteristics, escalating use, drug-seeking behavior, doctor shopping, and scams all related to the addiction of opioid use.

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