Opioid epidemic that needs improvement.

In 500 – 1000 words, identify an operational area for your care setting affected by the opioid epidemic that needs improvement. Examples include but are not limited to nursing policy, treatment protocol, professional development, and community education. Describe the care setting, current practice and professional issues related to the opioid epidemic, and driver(s) for change

Sample Solution

The opioid crisis is placing enormous fiscal, political, and humanitarian pressure on states. States have a variety of proven tools at their disposal for addressing such public health challenges. A number of these tools can be applied to improve opportunities for treatment of people with opioid use disorders. States can influence access to effective treatment because they license providers, regulate pharmacies, administer the Medicaid program, and oversee the public behavioral health care system. In what follows, we outline state policies that promote treatment of opioid use disorders (OUDs) and more broadly people with substance abuse disorders (SUDs)

Ethan speaks about a winter of discontent because he feels the jaws of a dishonest society attempting to eat away at his core values, that is honesty and integrity. When his employer, Alfio Marullo, attempts to get Ethan to save money at the expense of customers, Ethan claims he does not chisel people just to earn a profit. Marullo explains that exploiting customers is good business, for “good business is the only kind…that stays in business” (21). Marullo believes that “business is money” and that “money is not friendly” (23), to people who actually care for the customers’ wellbeing. His immoral business skills are representative of society’s new value set. Ethan fights against these new values by refusing to comply with Marullo’s wishes. But try as he might, Ethan cannot escape, even in the comfort of his own home. There his restless wife and children pine for the comforts of wealth and luxury, which Ethan’s meager salary cannot provide. He reminds his family that “money does not change the sickness, only the symptoms” (101) and that only “money gets money” (144). Sadly, he cannot convince them that possessing more wealth will only increase their desire for it, and they continue to inquire when he will be rich. When Ethan assumes that his family’s happiness depends on acquiring wealth, he forsakes his honest ways in order to make this happen. He does not suspect that this action will bring about a winter of discontent. (243)

In attempting to conform to society’s new moral values, Ethan becomes even more miserable. He “trade[s] a habit of conduct and attitude for comfort and dignity” (200) in order to restore his family name, but in the process he becomes disgusted with himself.e After selling out Marullo “the wave of ill-disguised stomachs closed in again” bringing with it a sense of “desolation” (226). After learning that Marullo viewed him as a good person Ethan is riddled with guilt, and the money he now holds seems meaningless. Likewise, when he betrays Danny Taylor in order to gain an enormous fortune, Ethan is constantly haunted by guilt; one that cannot be relieved with the comforts of money. As much as he attempts to mold to society’s new set of values, he is unable to leave his traditionalist ways behind. Ethan sees that his decisions lead him through “a minefield of truth” (231); one which points out how he has ruined others’ lives in order to make himself rich. Disgusted, Ethan tries to rid himself from the false allure of wealth, and the bitter aftertaste that is left behind when he learns that it is impossible to stop desiring it.

It is on the verge of suicide that Ethan realizes his daughter Ellen is the cure for his terrible discontent. After finding his son, Allen engages in plagiarism, Ethan cannot believe that his prodigy would follow such immoral practices. As they too have fallen under society’s immoral spell, Ethan decides that he will rid himself of his guilty feelings by taking his own life. But before he leaves his house, Ethan is confronted by his daughter, who begs him not to go because he is “not coming back” (274) to the safety of his family. However, Ethan believes that suicide is his only way out, and proceeds to his secret cavern. But as the tide rushes in, Ethan snaps back to reality when he finds the talisman that his daughter treasures, and remembers her loving touch. His daughter’s love proves to Ethan that there are still decent people in the world. Understanding that the future rests in the hands of compassionate people like Ellen, Ethan struggles away from the cave knowing that his daughter needs him, “else another light might go out” (276). It is Ethan’s hope that perhaps one virtuous person can make all the difference in a society gone wrong.

Steinbeck writes about how Americans of the 1960’s have driven themselves into a winter of discontent because of their endless greed, and lessening of moral values. Forty years later, his message still rings true; studies show how wealthy America is not as happy as impoverished Nigeria. The higher echelons of American society concern themselves with physical looks alone, while old values such as honesty and respect have fallen by the wayside. But although The Winter of Our Discontent preaches abo

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