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dc.contributor.advisorJones, Nora L.
dc.creatorSpivack, Stephanie
dc.date.accessioned2020-11-05T15:02:02Z
dc.date.available2020-11-05T15:02:02Z
dc.date.issued2019
dc.identifier.urihttp://hdl.handle.net/20.500.12613/3602
dc.description.abstractPeople who inject drugs, particularly opioids, are a growing population, especially in North Philadelphia. This population is at high risk for medical complications that require hospitalization. While hospitalized, this population poses unique challenges to the healthcare system, including high costs and readmission rates, as well as stress and burnout among providers and staff. These patients are at high risk of discharges against medical advice because of complicated social factors as well as inadequate recognition of pain and withdrawal. As the opioid epidemic evolves, previous strategies for managing these patients, which traditionally relied on referral to psychiatry or social work in addition to symptomatic treatment, need to be re-evaluated. Ethically, the decision-making capacity of these patients is frequently called into question, and there is a difficult-to-strike balance between respecting their autonomy and acting with beneficence to provide the best care. There are also public health concerns that come into play. Better acknowledgment of the issues that this population faces, and better management of pain and withdrawal, may improve their outcomes, as well as reduce provider stress and burnout.
dc.format.extent29 pages
dc.language.isoeng
dc.publisherTemple University. Libraries
dc.relation.ispartofTheses and Dissertations
dc.rightsIN COPYRIGHT- This Rights Statement can be used for an Item that is in copyright. Using this statement implies that the organization making this Item available has determined that the Item is in copyright and either is the rights-holder, has obtained permission from the rights-holder(s) to make their Work(s) available, or makes the Item available under an exception or limitation to copyright (including Fair Use) that entitles it to make the Item available.
dc.rights.urihttp://rightsstatements.org/vocab/InC/1.0/
dc.subjectMedical Ethics
dc.subjectAddiction Medicine
dc.subjectInfective Endocarditis
dc.subjectIntravenous Drug Use
dc.subjectOpioid Use Disorder
dc.subjectOpioid Withdrawal
dc.subjectStaphylococcus Aureus Bacteremia
dc.titleThe Care of Hospitalized Intravenous Drug Users in 2019
dc.typeText
dc.type.genreThesis/Dissertation
dc.description.departmentUrban Bioethics
dc.relation.doihttp://dx.doi.org/10.34944/dspace/3584
dc.ada.noteFor Americans with Disabilities Act (ADA) accommodation, including help with reading this content, please contact scholarshare@temple.edu
dc.description.degreeM.A.
refterms.dateFOA2020-11-05T15:02:02Z


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