Volume 8, Issue 4 (3-2019)                   PCNM 2019, 8(4): 23-26 | Back to browse issues page


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Abdi M, Pourrahimi A, Yousefi K, Nouri Khaneghah Z, Rabie Siahkali S, Torkmandi H. A Preventive Approach to the Risk of Substance Abuse in Medical Personnel with Migraine: A Case Report. PCNM 2019; 8 (4) :23-26
URL: http://nmcjournal.zums.ac.ir/article-1-602-en.html
Operating Room Department, Faculty of Nursing and Midwifery, Zanjan University of Medical Sciences, Zanjan, Iran , hojjat.or@gmail.com
Abstract:   (6340 Views)
Background: Substance abuse as a major social and medical problem can be job-dependent.
Objectives: Among various occupations, medical personnel have greater access to narcotic drugs, leading to mood, behavior, and occupational disorders and ultimately death due to lack of control.
Methods: The present study reported a death of medical personnel with migraines owing to colleagues' inattention to substance abuse.
Results: The case was a 44-year-old man with 24 years of clinical experience, good social relationship, no symptoms of psychiatric disorder, an expert in the field of anesthesiology, and a popular manager among hospital colleagues. Diagnosed with migraine headaches one year ago, he worked for several treatment centers. According to some reports, he showed ataxia in some cases due to the exacerbated headache. Additionally, ataxia and drowsiness after a headache attack were not considered the cause of drug abuse so that they were always attributed to the disease. Eventually, in a shift, he had a respiratory failure and then died of the overdose or non-control of fentanyl abuse.
Conclusion: Medical personnel with migraine are at high risk of substance abuse in therapeutic settings. Therefore, it is suggested that periodic and intangible examinations be conducted for medical personnel, especially those with migraines in the field of substance abuse, and preventive counseling be provided.
Full-Text [PDF 531 kb]   (2046 Downloads)    
Type of Study: case report | Subject: Nursing
Received: 2019/12/8 | Accepted: 2019/03/1 | Published: 2019/03/1

References
1. Archer KR, Seebach CL, Mathis SL, Riley III LH, Wegener ST. Early postoperative fear of movement predicts pain, disability, and physical health six months after spinal surgery for degenerative conditions. Spine J. 2014; 14(5): 759-67. [crossref]
2. Bhattarai B, Kandel S, Adhikari N. Perception about the role of anesthesia and anesthesiologist among the paramedical staffs: Perspective from a medical college in Nepal. Kathmandu Univ Med J (KUMJ). 2012; 10(2):51-4. [crossref]
3. Miller S, Matharu MS. Migraine is underdiagnosed and undertreated. Practitioner. 2014; 258(1774): 19-24.
4. Brand M, Rojas J, Fareed S, Koos E. ExecuCare: Outpatient treatment for impaired professionals. Addictive Disorders & Their Treatment. 2013; 12(1): 11-8. [crossref]
5. Schep LJ, Knudsen K, Slaughter RJ, Vale JA, Megarbane B. The clinical toxicology of gamma-hydroxybutyrate, gamma-butyrolactone and 1, 4-butanediol. Clin Toxicol (Phila). 2012; 50(6): 458-70. [crossref]
6. Aldington D, Jagdish S. The fentanyl ‘lozenge’story: from books to battlefield. J R Army Med Corps. 2014; 160(2): 102-104. [crossref]
7. Schug SA, Ting S. Fentanyl formulations in the management of pain: an update. Drugs. 2017; 77(7): 747-63. [crossref]
8. Jalal H, Buchanich JM, Roberts MS, Balmert LC, Zhang K, Burke DS. Changing dynamics of the drug overdose epidemic in the United States from 1979 through 2016. Science. 2018; 361(6408): eaau1184. [crossref]
9. Colon-Berezin C, Nolan ML, Blachman-Forshay J, Paone D. Overdose Deaths Involving Fentanyl and Fentanyl Analogs—New York City, 2000–2017. MMWR Morb Mortal Wkly Rep. 2019; 68(2): 37. [crossref]
10. Ahn JS, Lin J, Ogawa S, et al. Transdermal buprenorphine and fentanyl patches in cancer pain: a network systematic review. J Pain Res. 2017; 10: 1963-72. [crossref]
11. Corsi NJ, Dragovic LJ. Fatal overdoses involving carfentanil: A case series. J Forensic Sci leg Med. 2019; 5(3): 147. [crossref]
12. Ramos-Matos CF, Lopez-Ojeda W. Fentanyl. StatPearls [Internet]: StatPearls Publishing; 2019.
13. Rojas JI, Jeon-Slaughter H, Brand M, Koos E. Substance abuse patterns and psychiatric symptomatology among three healthcare provider groups evaluated in an out-patient program for impaired healthcare professionals. J Addict Dis. 2013; 32(1): 99-107. [crossref]
14. Littlejohn P. The missing link: using emotional intelligence to reduce workplace stress and workplace violence in our nursing and other health care professions. J Prof Nurs. 2012; 28(6): 360-68. [crossref]
15. Wright EL, McGuiness, Moneyham, Schumacher, Zwerling, Stullenbarger. Opioid abuse among nurse anesthetists and anesthesiologists. AANA J. 2012; 80(2): 120-28.
16. Groh DC, Rouen P. The prevalence and patterns of substance abuse among nurse anesthesia students. AANA J. 2014; 82(4): 277.
17. Bonn-Miller MO, Boden MT, Bucossi MM, Babson KA. Self-reported cannabis use characteristics, patterns and helpfulness among medical cannabis users. Am J Drug Alcohol Abuse. 2014; 40(1): 23-30. [crossref]
18. Blackburn‐Munro G, Blackburn‐Munro R. Chronic pain, chronic stress and depression: coincidence or consequence? J Neuroendocrinol. 2001; 13(12): 1009-23. [crossref]
19. Crook J, Milner R, Schultz IZ, Stringer B. Determinants of occupational disability following a low back injury: a critical review of the literature. J Occup Rehabil. 2002; 12(4): 277-95. [crossref]
20. Saastamoinen P, Leino-Arjas P, Laaksonen M, Lahelma E. Socio-economic differences in the prevalence of acute, chronic and disabling chronic pain among ageing employees. Pain. 2005; 114(3): 364-71. [crossref]
21. Iwersen-Bergmann S, Rösner P, Kühnau H, Junge M, Schmoldt A. Death after excessive propofol abuse. Int j legal med. 2001; 114(4-5): 248-51. [crossref]
22. Kranioti EF, Mavroforou A, Mylonakis P, Michalodimitrakis M. Lethal self administration of propofol (Diprivan): a case report and review of the literature. Forensic Sci Int. 2007; 167(1): 56-58. [crossref]
23. Neville K, Roan N. Challenges in nursing practice: Nurses’ perceptions in caring for hospitalized medical-surgical patients with substance abuse/dependence. J Nurs Adm. 2014; 44(6): 339-46. [crossref]

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