nursing interventions for each key ethical issue.

We are doing a assignment on pro of legalisation drugs in canada vancouver bc. my part is omly last understanding and conclusion. i am sendind full part what we have written. but i need omly highlighted part only. We are just sending for your reference. we have a debate on this topic please write like a debate only. need to be education part and facilities in vancouver bc. i need only 2 pages to speak on this part. i donot need full part. Pro-Legalization of Drugs Debate Date: November 23 Group Members: Tiana, Gabe, Kim, Lina, and Parm H Debate Notes for the Pro-legalization of Drugs We are debating the legalization of drugs within the community of Vancouver, the talking points that we believe that are important that we hit are Is addiction a mental health disorder or personal choice ( were siding with a mental health disorder) Stigma associated with drugs and drug usage The success that Portugal has had, the backstory of Portugal Debate Format ( Add your name to whichever section you feel comfortable discussing) 5 minute Position Presentation – PRO 2 minute Work Period 3 minute Rebuttal – PRO 1 minute Work Period 2 minute Response – pro or con 1 minute Work Period 2 minute Position Summary – pro or con ROUGH DRAFT OF CONTENT Other Groups Discussion Topics. Mental Health Potency of drugs Portugal H.R on illegal drugs Therapeutic Psychedelics Opening Statement – Tiana When one approaches the topic of substance abuse or addiction many hurry to voice their opinions of disgust, and how this affliction is not a mental health disorder but simply a personal choice or weakness that eventually burdens the community fiscally, and socially. The world-wide stigma behind the term addiction has allowed for those suffering with this disorder to be stigmatized by society in such a way that leaves an individual shamed and at complete mercy to this life-taking disease. As the prevalence of drug usage continues to increase in Vancouver the naïve perception of the those unwilling to acknowledge the entirety of the situation must be faced with the reality that this disease is taking a lot more from the community then finical resources. As the death toll from the current opioid crisis increases from 974 people in 2016 to over 1,400 people in 2017, and now in 2018 death rates are According to the CBC News the Opioid death toll in the B.C. death rates to be about 29 deaths for every 100,000 persons (“Opioid death toll in Canada | CBC News”, 2018). To shame the entire municipal of Vancouver on their view of addiction and substance abuse would be wrong, initiatives taken by the community such as the implementation of the four principles set forth by ‘The Four Pillars Drug Strategy”, and harm reduction facilities such as Insite demonstrate that not everyone takes part in the stigma surrounding this vulnerable population. However, what if the initiatives weren’t just that of the city of Vancouver? What if instead of the battle being just that of the communities it became that of the countries? If Canada could take the initiative to normalize and decriminalize drug usage would communities be void of the shame that is holding back the progress of this situation. Practical application of the desensitization of drugs and drug users has been applied in the country of Portugal, whom in the summer of July 2001 decriminalized certain aspects of drug usage. This country’s wide acceptance of the reality of the substance abuse problem not only benefited the citizens of Portugal by dramatically decreasing the instances of HIV, overdose deaths, and occurrence of addiction but it also finally opened up members of the community to have open discussions about the once taboo topic of drugs. These open discussions not only provided education for those naïve to the world of addiction but also allowed for the community to generate ideas regarding harm reduction and rehabilitation programs unique to their communities, guaranteeing Portugal’s success as they strive to not only rehabilitate the individual but also the community. Ideals that if replicated in Vancouver could not only have the same beneficial statistics but open up the door for new age war against the stigma of drugs and drug users. Personal Choice or Mental Illness- Lina Key Points for This Presenter You are arguing that addiction is a mental illness and not a personal choice. How abuse (either sexual or physical) experienced at a young age manuliaptes brain structure The changes in structure to the Hippocampus affect an individual’s response to stress Dr. Martin Teicher explores the subject ( familiarize yourself with his Harvard journal). To understand why someone would argue to normalize drug usage and to decriminalize the acts pertaining to it, one should understand the complexity of the addictions that fiend for these illicit and illegal substances. In a Utopian society where man and his family live blissfully without any societal burdens or overwhelming responsibilities, one could easily judge another if they ended up living a life with addiction. A lifestyle choice one could easily equate to let’s say a personal choice. A poor one but nonetheless a choice, as nothing else has disrupted or complicated the individual sense of personal equilibrium.However , the current state of society is far from this Utopian community. Currently over 89.7% (Canada, 2014) of Canadians claim life-long usage of legal drugs such as alcohol, for most blue-collared, or low-income families it is the most dominant substance abused. Acting as a catalyst behind the increasing rates of domestic abuse within the family and exposing children at a young age to extreme forms of physical, mental and sexual abuse. The complexity of this abuse or any traumatic event experienced at a young age has the ability to manipulate the brain structure, Dr. Martin Teicher a member of the Harvard Medical School Affiliate has studied these manipulations in two significant areas of the brain. The hippocampus is which associated with memory function and the subiculum which receives information from the hippocampus and helps determine the individual’s biochemical and behavioral responses to stress. (“Child Abuse Linked to Alcoholism, Drug Addiction |”, 2012). Dr. Teicher states that repeated instances of child abuse damage the child’s bio-stress system which in turn will continuously produces hormones to keep the body on high alert. This continuous influx of hormones and cortisol can generate mood swings of anxiety, and depression, hinder the child’s ability to sleep, and impair their cognitive function. As the child matures with age these changes in the biostructure of their brain start to become more apparent, with no healthy coping mechanisms learnt in their childhood, and an automatic fight or flight response to any type of stressors they are left extremely vulnerable to anything that can provide a sense of relief and just like their parents before them turn to alcohol or other legal or illegal substances. If one would like to argue that experiencing child abuse or being born to a mother or father who is addict is done so by personal choice then. STIGMA – (kim) 🙂 Key Points for This Presenter • How vancouverites immediate impression of addiction are those living on the streets.( extremely negative impression) • Combined with archaic societal norm of drugs and drug usage being deemed bad this aids in the creation of a stigma • The drug user feels the crippling isolation, and more shame that is associated with the stigma which further pushes them away from seeking help and wanting to rehabilitate into the community. • The stigma creates a divide between the community and addiction • If public perception wasn’t so negative The rebellious, countercultural essence of drug use is changed when society sees it as a disease and not a crime. (Nicholas Kristof, 2017) The current crisis of lower east side of Vancouver could be described in a few words heartbreaking, intimidating and of epidemic status. With an overwhelming amount of the population living with an untreated mental illness and the of lack access or interest in healthcare, many of these persons seek to self-medicate with street drugs increasing the rates of the comorbidity of addiction. As the disease process of addiction starts takes place an individual begins to lose their social support systems, sense of self, and attachment to society, due to this de-attachment many struggle to maintain a job or any societal role and end living on the streets of Vancouver untreated, manic, and physically deteriorating. Which unfortunately is the version of addiction that most of the general public witness on a day to day basis. Due to the theoretical beating we took as children that drugs are bad, and people that do drugs are just as bad, the societal norm has become for most to be extremely apprehensive around anything associated with drugs or drug usage. This mis-education has trickled throughout the years and throughout the community and now is prevalent in the looming stigma hindering those affected by addiction. Portraying drug users as evil, selfish, untrustworthy, violent tweakers this label forces many to live a life of recluse hiding away in shame until their eventual overdose. Defeating the Stigma (KIM) Public perception of drugs and drugs users play a massive role in the rehabilitation process of any addict, as this divergence from what has been considered the societal norm weighs heavy on an individual’s conscious. Within the process of decriminalization, the stigmas and public perception around drug usage will be addressed, members from differing parts of the community will be welcomed to engage with one another on intellectual levels that use science and practical application to better understand what addiction truly is. Educating themselves and their future selves on fact and not societal fiction. Rehabilitating the community to acknowledge the truth behind addiction is the first and most crucial step in ensuring that the crippling effects of the being stigmatized as a drug user are no longer felt, but instead these individuals are offered a helping hand. Portugal Success Story (need to add more content to this) – Gabriel Key Points for This Presenter • Through historical understanding of the decriminalization of drugs in Portugal. • Why they did it ? • How they did it ? • How an increase in police force towards addiction did not solve the problem. • The national drug strategy. • https://www.nytimes.com/2017/09/22/opinion/sunday/portugal-drug-decriminalization.html?rref=collection%2Fcolumn%2Fnicholas-kristof&action=click&contentCollection=opinion®ion=stream&module=stream_unit&version=latest&contentPlacement=82&pgtype=collection. Interesting article from Nicholas Kristof ( American journalist) regarding the decriminalization of drugs in Portugal When the regime of authoritarian ruler Antonio Salazar ended in 1974 Portugal a country once closed off to the outside world was suddenly opened. This bohemian state of mind allowed for the influx of new markets and new influences into the country, the most noteworthy of these items being heroin. By the late 1980’s the drug epidemic had spiraled out of control with an estimated 100,000 people, almost 1% of the country’s population at the time, addicted to heroin. As the government watched this afflicted population grow, new anti-drug laws were created that enforced harsher jail times, leaving many struggling with addiction to be incarcerated and continuing to use within the confines of jail. As the number of drug-related deaths began to increase so did the rates of HIV, AIDS, Tuberculosis, Hepatitis B and C, in desperate need for change Portugal began the extensive journey of a country wide rehabilitation process. In 1999, after an extensive world-wide process of drug reform research members of the Portuguese government came together to create The National Drug Strategy, a document outlining the strategies to achieving the decriminalization of drugs. Understanding the Hesitancy to legalizing drugs/Conclusion (need to add more content) Key points for the Presenter • Understanding that a change like this comes with hesitancy • Effect it could have on the culture of Vancouver ( mention only POSITIVE EFFECTS) • The concern that vulnerable youth will be more inclined to drug usage, discuss how this wouldn’t happen as proper education would be The fear of the unknown is intimidating even more so intimidating when the possible consequences of the conquest of the unknown could ultimately change your community for the worse. The unknown in these circumstances being the act of decriminalizing drugs, those in favour of not allowing this kind of initiative to take precedent argue that they are concerned with how this could change Vancouver culture and if decriminalization was the answer could the country handle the socioeconomic burden associated with rehabilitating all these individuals. Grandparents and Great Grandparents who consider substance abuse morally or spiritually objectionable often fear that decriminalization sends a confusing message of partial endorsement for such dangerous choices to young, impressionable people. (“Pros and Cons of Decriminalizing Drug Addiction”, 2018) As well as those who are biological predisposed towards addiction may be more open minded to dabble and experiment with drugs if they do not fear legal consequences. Conclusion – Gabriel In conclusion I would like to see the community of Vancouver adopt the principles and ideals of the Portugal’s 1999, National Drug Strategy. Applying this act of decriminalizing drug and drug usage within the Downtown East Side does not only look to benefit the marginalized populations that reside there but also to educate the privileged masses with the hopes to break the c sorry my part is last this is my part i have attached file and contents also for your reference. please see this clearly. if donot undestand please ask me Understanding the Hesitancy to legalizing drugs/Conclusion (need to add more content) Key points for the Presenter • Understanding that a change like this comes with hesitancy • Effect it could have on the culture of Vancouver ( mention only POSITIVE EFFECTS) • The concern that vulnerable youth will be more inclined to drug usage, discuss how this wouldn’t happen as proper education would be The fear of the unknown is intimidating even more so intimidating when the possible consequences of the conquest of the unknown could ultimately change your community for the worse. The unknown in these circumstances being the act of decriminalizing drugs, those in favour of not allowing this kind of initiative to take precedent argue that they are concerned with how this could change Vancouver culture and if decriminalization was the answer could the country handle the socioeconomic burden associated with rehabilitating all these individuals. Grandparents and Great Grandparents who consider substance abuse morally or spiritually objectionable often fear that decriminalization sends a confusing message of partial endorsement for such dangerous choices to young, impressionable people. (“Pros and Cons of Decriminalizing Drug Addiction”, 2018) As well as those who are biological predisposed towards addiction may be more open minded to dabble and experiment with drugs if they do not fear legal consequences. Conclusion – Gabriel In conclusion I would like to see the community of Vancouver adopt the principles and ideals of the Portugal’s 1999, National Drug Strategy. Applying this act of decriminalizing drug and drug usage within the Downtown East Side does not only look to benefit the marginalized populations that reside there but also to educate the privileged masses with the hopes to break the cycle of mis-education and stigmatization

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