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Evaluating impact of opioid detoxification lengths of stay on withdrawal symptoms upon discharge
Descriptive
TitleInfo
Title
Evaluating impact of opioid detoxification lengths of stay on withdrawal symptoms upon discharge
Name
(type = personal)
NamePart
(type = family)
Melendez
NamePart
(type = given)
Tamara
NamePart
(type = date)
1979-
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Tamara Melendez
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(authority = RULIB)
author
Name
(type = personal)
NamePart
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Kamienski
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Mary
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Mary Kamienski
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Advisory Committee
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chair
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Rutgers University
Role
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(authority = RULIB)
degree grantor
Name
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NamePart
School of Nursing - RBHS
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school
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Text
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theses
Genre
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ETD doctoral
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2020
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2020-10
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English
Abstract
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Purpose: The purpose of this project was to determine if a longer length of detoxification is more affective reducing withdrawal symptoms. Detoxification is the process in which toxic substances in an effort to excrete them from the body. Adequate detoxification treatment for opioid use disorder is essential. The length of stay as well as the pharmacological use for detoxification are the most important aspects in treatment. An adequately treated patient during detoxification may lead to better treatment outcomes.
Method: This project compared COWS scores in the beginning and at the end of detoxification with the use of Subutex for a five-day and a seven-day length of stay. The data was evaluated and compared using independent and paired t-tests. This project took place at a 16-bed detoxification facility in northern New Jersey. The use of a tool to determine the level and severity of withdrawal is important to help determine if the treatment regimen is effective in the resolution of opioid withdrawal. The clinical opioid withdrawal scale (COWS) is the tool most commonly used during detoxification to assess withdrawal symptoms when treated with Subutex.
Implications for practice: The findings from this project suggests that patients that detox from opioids do better after completing a seven-day detox. Based on the findings of this project the facility should consider collecting additional data to assess the relapse rate for a five-day length of stay to determine how many patients return for treatment after discharging due to opioid relapse.
Method: This project compared COWS scores in the beginning and at the end of detoxification with the use of Subutex for a five-day and a seven-day length of stay. The data was evaluated and compared using independent and paired t-tests. This project took place at a 16-bed detoxification facility in northern New Jersey. The use of a tool to determine the level and severity of withdrawal is important to help determine if the treatment regimen is effective in the resolution of opioid withdrawal. The clinical opioid withdrawal scale (COWS) is the tool most commonly used during detoxification to assess withdrawal symptoms when treated with Subutex.
Implications for practice: The findings from this project suggests that patients that detox from opioids do better after completing a seven-day detox. Based on the findings of this project the facility should consider collecting additional data to assess the relapse rate for a five-day length of stay to determine how many patients return for treatment after discharging due to opioid relapse.
Subject
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Topic
Opioid
Subject
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Topic
Post-Master's DNP Practice
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Title
Rutgers University Electronic Theses and Dissertations
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ETD_11067
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text/xml
Extent
1 online resource (55 pages) : illustrations
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DNP
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(type = bibliography)
Includes bibliographical references
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TitleInfo
Title
School of Nursing (RBHS) DNP Projects
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rucore10004500001
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NjNbRU
Identifier
(type = doi)
doi:10.7282/t3-40wq-2f96
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Rights
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The author owns the copyright to this work.
RightsHolder
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Name
FamilyName
Melendez
GivenName
Tamara
Role
Copyright Holder
RightsEvent
Type
Permission or license
DateTime
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2020-08-04 17:55:19
AssociatedEntity
Name
Tamara Melendez
Role
Copyright holder
Affiliation
Rutgers University. School of Nursing - RBHS
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License
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Author Agreement License
Detail
I hereby grant to the Rutgers University Libraries and to my school the non-exclusive right to archive, reproduce and distribute my thesis or dissertation, in whole or in part, and/or my abstract, in whole or in part, in and from an electronic format, subject to the release date subsequently stipulated in this submittal form and approved by my school. I represent and stipulate that the thesis or dissertation and its abstract are my original work, that they do not infringe or violate any rights of others, and that I make these grants as the sole owner of the rights to my thesis or dissertation and its abstract. I represent that I have obtained written permissions, when necessary, from the owner(s) of each third party copyrighted matter to be included in my thesis or dissertation and will supply copies of such upon request by my school. I acknowledge that RU ETD and my school will not distribute my thesis or dissertation or its abstract if, in their reasonable judgment, they believe all such rights have not been secured. I acknowledge that I retain ownership rights to the copyright of my work. I also retain the right to use all or part of this thesis or dissertation in future works, such as articles or books.
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Embargo
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2020-10-31
DateTime
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2022-10-31
Detail
Access to this PDF has been restricted at the author's request. It will be publicly available after October 31st, 2022.
Copyright
Status
Copyright protected
Availability
Status
Open
Reason
Permission or license
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