A MAN found dead in bed by his mother on December 5 last year was in constant pain due to health problems, an inquest was told.
Jeffrey Lloyd, 59, of Pontypool, lived with his mother, Margaret, and took medication including morphine to ease the pain of spinal stenosis. He suffered from asthma and bronchitis, smoked cannabis for pain relief, and was dependant on alcohol, said Mrs Lloyd in a statement.
She had checked him and found him asleep at around 3am that morning, but he was not breathing when she checked again at 5.10am
A post mortem examination determined the cause of death as acute exacerbation of chronic obstructive pulmonary disease (COPD) – though Mrs Lloyd said he had not been diagnosed with it – and alcohol and drugs intake. Several prescribed drugs were detected in his system, in therapeutic doses.
Senior coroner for Gwent Wendy James said that together these produced a “cocktail”. She recorded a narrative conclusion, that Mr Lloyd died of natural causes, exacerbated by alcohol and drugs intake.
Full article: http://www.southwalesargus.co.uk/news/16397839.man-found-dead-in-bed-by-his-mother-was-in-constant-pain-before-he-died/
ORAT – Opioid Risk Assessment Tool (ORAT)
‘People who are addicted to painkillers are a really complex group,’ says Jon Royle, chief executive of the Bridge Project. ‘You’ve got people who are prescribed painkillers and who are also using illicit drugs and have complex addiction issues. And you’ve got other people who were prescribed them to manage pain legitimately, so where the pain relief is required and where it has become an actual addiction problem is no longer clear cut.’ Among the patient group are those with complex emotional, psychological problems, who are taking anything to make themselves better, he explains. ‘So there are a lot of issues to work with when you get into this cohort.’
At the Bridge Project, based in Bradford, staff had experienced success in running a benzodiazepine withdrawal service for the past seven years, targeting patients in primary health care and GP practices.‘Doing that kind of work in primary care, we were also coming across a great deal of patients addicted to prescribed painkillers as well,’ says Royle. As with the benzos, ‘these patients are never going to roll up at an addiction treatment service on the high street – but that doesn’t mean that there’s not tens of thousands of them out there, people who’d say “I’ve never been near an illegal drug in my life”.’
So they decided to develop a model along similar lines to the benzodiazepine scheme, going into GP practices with the highest levels of prescribing and using the Opioid Risk Assessment Tool (ORAT) – which sits alongside the patient record system, Emis – to screen patients. They then worked with GPs to review the patients’ prescribing and liaised with specialist doctors and addiction practitioners to offer treatment, detoxification and support such as cognitive behavioural therapy (CBT). The response has been ‘really good, with far better outcomes than with opiate users’, says Royle – success he attributes to planting the service within primary care.
ORAT – Dependency detector
Two years ago, Dr Chris van Tulleken discovered we are taking more prescription drugs than ever before – a billion prescriptions a year in the UK. He worked with a GP surgery to get patients to try drug-free alternatives – with amazing results.
Now he is on a new mission – to understand why we are giving British kids over three times more medication than we were 40 years ago. As a new dad, Chris has a very personal motivation to explore the reasons behind this explosion in medication. In the series he sets about finding alternatives which might be just as, or even more, effective than drugs. He tackles the shocking rise in teens taking anti-depressants by testing if wilderness therapy can work where the drugs are failing. He investigates why parents are giving out so many over-the-counter meds when they may not be always necessary, and he helps hyperactive kids replace their drugs with mindful meditation.
He also digs deeper into the forces driving the over-medication of UK children and asks whether the drug industry itself could be playing a part in the rise. In 2016 we spent a staggering £64 million on one brand of children’s liquid paracetamol. Chris meets a self-confessed fan who reveals she has bought over 25 bottles in less than two years! As a new dad, Chris doesn’t blame vulnerable parents. His research reveals a pharmaceutical industry that helps create a culture which, he believes, encourages parents to unnecessarily use liquid paracetamol. At a family fair in Bristol, Chris creates a surprising stunt to show Britain’s parents when not to give liquid paracetamol and make sure they don’t waste their hard-earned money giving children drugs they don’t need.
One of the other areas where medication rates have increased the most is treating kids’ behavioural problems – prescription meds for ADHD have increased by 800 per cent since 2000. These drugs do help some symptoms of ADHD in the short-term, but side effects can include loss of hunger, changes in personality and stunted growth. Chris joins a group of hyperactive children as they attempt the impossible – an intense course of stillness and mindful meditation as an alternative to the meds. As the families go on transformative and emotional journeys, they discover, with poignant results, that ADHD remedies do not always have to come in a pill.
A sharp rise in strong painkiller prescriptions is partly being driven by inconsistent pain services across Wales, a leading clinician has said.
Dr Julia Lewis said the lack of alternative therapies left doctors little choice but to prescribe them, leading to dependency.