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By	
  	
  
Taos	
  Alive	
  
Every	
  day,	
  we	
  are	
  bombarded	
  with	
  
information	
  and	
  images	
  from	
  a	
  wide	
  variety	
  of	
  
media,	
  including:	
  
	
  
	
  
Age	
  of	
  Information	
  &	
  Misinformation	
  
Media	
  and	
  Us	
  
When faulty information
motivates a decision
that affects our health,
the consequences can be
far more serious
1.  Who paid for this media message? Why?
2.  Who is the “target audience”? What
words, images or sounds suggest this?
3.  What is the text (story) of the message?
4.  What is the subtext (hidden message)?
5.  What lifestyles, values and points of
view are represented?
6.  What part of the story is not being told?
Deconstructing Media
Deconstruct	
  This!	
  
 
Disclaimers	
  in	
  TV	
  commercials	
  :	
  
Why?	
  
	
  
Do	
  you	
  think	
  disclaimers	
  tell	
  you	
  
all	
  the	
  side	
  effects?	
  	
  
Does	
  the	
  doctor?	
  
TV	
  commercials	
  
Superfluous	
  
Know	
  Somebody	
  Like	
  This?	
  
Teen	
  Marketing	
  
Rx drugs advertised
to teens on the web :
Insomnia
ED
Acne
What	
  I	
  heard	
  about	
  prescription	
  drugs	
  (pills)	
  
	
  
	
  
About	
  RX	
  (prescription	
  drugs)	
  
What	
  I	
  know	
  first-­‐hand	
  
	
  
	
  
About	
  RX	
  (prescription	
  drugs)	
  
America	
  constitutes	
  5%	
  of	
  the	
  worlds	
  population	
  and	
  we	
  use	
  
80%	
  of	
  the	
  opioid	
  supply	
  Manchikanti L, Singh A. Therapeutic Opioids: A Ten-Year Perspective on the Complexities and Complications of the Escalating Use, Abuse, and
Nonmedical Use of Opioids. Pain Physician. 2008; 11. S63-S88.
Why	
  is	
  this	
  so?	
  
	
  
A	
  Community	
  In	
  Pain	
  
What	
  is	
  prescription	
  (Rx)	
  Drug	
  Abuse?	
  
Prescription	
  drug	
  abuse	
  is	
  when	
  someone	
  takes	
  a	
  
medication	
  inappropriately,	
  such	
  as:	
  
	
  
• Without	
  a	
  prescription	
  
• In	
  a	
  way	
  other	
  than	
  as	
  prescribed	
  
• For	
  the	
  “high”	
  elicited	
  
	
  
Commonly	
  Abused	
  Rx	
  Drugs	
  
Opioids—Usually	
  prescribed	
  to	
  	
  
treat	
  pain	
  	
  
	
  
Stimulants—Most	
  often	
  prescribed	
  to	
  treat	
  
ADHD	
  
	
  
Central	
  nervous	
  system	
  (CNS)	
  depressants
—Prescribed	
  to	
  treat	
  anxiety	
  and	
  sleep	
  
disorders	
  
	
  
For	
  more	
  facts,	
  visit	
  PEERx	
  at	
  http://
teens.drugabuse.gov/peerx	
  
	
  
The	
  Problem	
  
Every	
  day	
  in	
  the	
  United	
  States,	
  2,000	
  teenagers	
  abuse	
  
Rx	
  drugs	
  for	
  the	
  	
  
first	
  time.	
  
	
  
Rx	
  drugs	
  are	
  the	
  most	
  abused	
  drug	
  by	
  teens	
  after	
  
alcohol,	
  marijuana,	
  and	
  tobacco.	
  	
  
	
  
	
  
	
  
	
  
	
  
Physical	
  
	
  
Psychological	
  	
  
	
  
Emotional	
  
Consequences	
  to	
  RX	
  drug	
  use/abuse	
  
 
Painkillers	
  
	
  
•  Overdose-­‐	
  Slow,	
  shallow	
  breathing,	
  clammy	
  skin,	
  convulsions,	
  respiratory	
  
depression	
  and	
  arrest	
  (stop	
  breathing),	
  coma,	
  death.	
  
•  Longer	
  Term	
  Effects-­‐	
  Addiction,	
  physical	
  dependence,	
  paranoia,	
  hallucinations,	
  
dementia,	
  severe	
  withdrawal	
  symptoms	
  when	
  teen	
  stops	
  taking	
  the	
  drug,	
  
including	
  deep	
  depression	
  and	
  suicidal	
  thoughts,	
  need	
  to	
  take	
  more	
  of	
  the	
  drug	
  
or	
  a	
  combination	
  of	
  drugs	
  to	
  produce	
  the	
  same	
  high,	
  possibly	
  leading	
  to	
  
overdose,	
  higher	
  risk	
  of	
  graduating	
  to	
  heroin	
  
•  Psychological	
  side	
  effects:	
  anxiety,	
  impaired	
  judgment,	
  inability	
  to	
  concentrate	
  
and	
  learn,	
  apathy,	
  agitation,	
  depression	
  
	
  
effects	
  of	
  RX	
  Abuse	
  
Heroin
Common
PainkillerCommon Painkiller
Our	
  brain	
  can’t	
  tell	
  the	
  difference	
  
 
Depressants	
  
	
  
•  Overdose-­‐Shallow	
  respiration,	
  clammy	
  skin,	
  dilated	
  pupils,	
  weak	
  and	
  rapid	
  
pulse,	
  respiratory	
  depression	
  and	
  arrest	
  (stop	
  breathing),	
  coma	
  and	
  death	
  
•  Long	
  term	
  effects-­‐Addiction,	
  dependence,	
  severe	
  withdrawal	
  symptoms,	
  
need	
  to	
  take	
  larger	
  doses	
  to	
  achieve	
  the	
  same	
  effects	
  
•  Psychological	
  side	
  effects:	
  poor	
  concentration,	
  feelings	
  of	
  confusion,	
  
disorientation,	
  impaired	
  judgment	
  and	
  memory,	
  lowered	
  inhibitions,	
  rage,	
  
hostility,	
  depression,	
  amnesia,	
  paranoia	
  
	
  
	
  
Effects	
  of	
  RX	
  Abuse	
  
 
	
  
Stimulants	
  
	
  
•  Overdose-­‐	
  Agitation,	
  increase	
  in	
  body	
  temperature,	
  hallucinations,	
  heart	
  
failure,	
  nervousness,	
  convulsions	
  and	
  death	
  
•  Long	
  term	
  effects-­‐	
  Addiction,	
  high	
  fever,	
  convulsions,	
  heart	
  failure,	
  overdose,	
  
paranoia,	
  aggressiveness,	
  extreme	
  anorexia,	
  thinking	
  problems,	
  visual	
  and	
  
auditory	
  hallucinations,	
  delusions,	
  panic,	
  suicidal	
  tendencies,	
  severe	
  dental	
  
problems	
  
•  Psychological	
  side	
  effects:	
  restlessness,	
  delusions,	
  hostility,	
  irritability,	
  
insomnia,	
  anxiety,	
  agitation,	
  nightmares	
  
	
  
effect	
  of	
  Rx	
  Abuse	
  
 
	
  
Over	
  the	
  Counter	
  Drugs	
  
	
  
•  Long	
  term	
  effects-­‐	
  Addiction,	
  insomnia,	
  panic	
  attacks,	
  psychosis,	
  high-­‐blood	
  
pressure,	
  damage	
  to	
  nerves,	
  muscles	
  and	
  tissues	
  in	
  large	
  intestine,	
  coma	
  
•  Psychological	
  side	
  effects:	
  impaired	
  judgment,	
  restlessness,	
  euphoria,	
  cold	
  
flashes,	
  dizziness,	
  diarrhea	
  
Effects	
  of	
  RX	
  Use	
  
Time	
  release	
  medications	
  are	
  designed	
  to	
  release	
  the	
  medication	
  slowly	
  in	
  
the	
  system	
  over	
  a	
  period	
  of	
  time.	
  	
  If	
  a	
  pill	
  is	
  crushed	
  then	
  all	
  of	
  the	
  
medication	
  will	
  be	
  released	
  all	
  at	
  one	
  time	
  and	
  can	
  cause	
  an	
  overdose	
  and	
  
even	
  death.	
  	
  	
  
Time	
  Release	
  Meds	
  
Do	
  you	
  know	
  of	
  anyone	
  who	
  has	
  overdosed	
  on	
  
prescription	
  drugs?	
  
•  	
  Drug	
  overdose	
  was	
  the	
  leading	
  cause	
  of	
  injury	
  death	
  in	
  2012.	
  Among	
  people	
  
25	
  to	
  64	
  years	
  old	
  drug	
  overdose	
  caused	
  more	
  deaths	
  than	
  motor	
  vehicle	
  
traffic	
  crashes.	
  
•  	
  Teen	
  admissions	
  to	
  treatment	
  facilities	
  for	
  addiction	
  to	
  prescription	
  pain	
  
relievers	
  increased	
  by	
  300%	
  since	
  the	
  mid-­‐1990s.	
  Average	
  age	
  for	
  first	
  time	
  
users	
  is	
  now	
  13	
  to	
  14.	
  
•  A	
  2013	
  survey	
  in	
  NM	
  found	
  that	
  12.3%	
  of	
  high	
  school	
  students	
  and	
  7.8%	
  
of	
  middle	
  school	
  students	
  had	
  used	
  prescription	
  drugs	
  not	
  prescribed	
  to	
  
them.	
  
•  Today,	
  New	
  Mexico	
  leads	
  the	
  nation	
  as	
  the	
  #3	
  state	
  of	
  deaths	
  due	
  to	
  drug	
  
overdose.	
  	
  
	
  
Why	
  should	
  you	
  care?	
  
Taos	
  Co.	
  High	
  School	
  Students	
  2013	
  
Drug	
  Overdose	
  Deaths	
  Rates	
  2013	
  
Call	
  911	
  
Call	
  the	
  24/7	
  poison	
  control	
  line	
  1-­‐800-­‐222-­‐1222	
  
Narcan/Naloxone	
  
	
  
What	
  to	
  do	
  in	
  case	
  of	
  an	
  overdose	
  
•  Only	
  take	
  medications	
  that	
  are	
  prescribed	
  to	
  you	
  
	
  
•  Follow	
  your	
  doctors	
  instructions	
  when	
  taking	
  medication	
  
	
  
•  Dispose	
  of	
  any	
  unused	
  medication	
  
	
  
•  Keep	
  your	
  medication	
  in	
  it’s	
  original	
  container	
  
	
  
•  Read	
  and	
  follow	
  warning	
  signs	
  on	
  all	
  prescriptions	
  
	
  
•  Do	
  not	
  mix	
  prescription	
  drugs	
  or	
  OTC	
  drugs	
  with	
  alcohol	
  or	
  other	
  illegal	
  drugs	
  
	
  
•  Avoid	
  driving	
  when	
  taking	
  medications	
  that	
  indicate	
  so	
  
	
  
What	
  can	
  you	
  do	
  to	
  protect	
  yourself	
  
Local	
  Drop	
  Box	
  
Questa & Taos
Police Dept.
Taos	
  Alive	
  	
  
575-­‐779-­‐6853	
  
info@taosalive.org	
  
www.taosalive.com	
  
	
  
Holy	
  Cross	
  Hospital	
  Outreach	
   	
   	
  Tri	
  County	
  Community	
  Services	
  	
  
	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  737-­‐3373	
   	
   	
   	
  	
  	
  	
  	
  	
  	
  	
  	
  24	
  hour	
  line	
  at	
  758-­‐1125	
  
	
  
	
  
Taos/Picuris	
  Indian	
  Health	
  Services	
   	
   	
  Taos	
  Pueblo	
  Police	
  Department	
  	
  
	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  Pharmacy	
  758-­‐4224 	
   	
   	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  758-­‐8645	
  
	
  
	
  
For	
  Further	
  Information	
  

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Media Literacy Rx Drug Abuse

  • 1. By     Taos  Alive  
  • 2. Every  day,  we  are  bombarded  with   information  and  images  from  a  wide  variety  of   media,  including:      
  • 3. Age  of  Information  &  Misinformation  
  • 4. Media  and  Us   When faulty information motivates a decision that affects our health, the consequences can be far more serious
  • 5.
  • 6. 1.  Who paid for this media message? Why? 2.  Who is the “target audience”? What words, images or sounds suggest this? 3.  What is the text (story) of the message? 4.  What is the subtext (hidden message)? 5.  What lifestyles, values and points of view are represented? 6.  What part of the story is not being told? Deconstructing Media
  • 8.
  • 9.
  • 10.
  • 11.
  • 12.
  • 13.
  • 14.   Disclaimers  in  TV  commercials  :   Why?     Do  you  think  disclaimers  tell  you   all  the  side  effects?     Does  the  doctor?   TV  commercials  
  • 17.
  • 18. Teen  Marketing   Rx drugs advertised to teens on the web : Insomnia ED Acne
  • 19. What  I  heard  about  prescription  drugs  (pills)       About  RX  (prescription  drugs)  
  • 20. What  I  know  first-­‐hand       About  RX  (prescription  drugs)  
  • 21. America  constitutes  5%  of  the  worlds  population  and  we  use   80%  of  the  opioid  supply  Manchikanti L, Singh A. Therapeutic Opioids: A Ten-Year Perspective on the Complexities and Complications of the Escalating Use, Abuse, and Nonmedical Use of Opioids. Pain Physician. 2008; 11. S63-S88.
  • 22. Why  is  this  so?     A  Community  In  Pain  
  • 23. What  is  prescription  (Rx)  Drug  Abuse?   Prescription  drug  abuse  is  when  someone  takes  a   medication  inappropriately,  such  as:     • Without  a  prescription   • In  a  way  other  than  as  prescribed   • For  the  “high”  elicited    
  • 24. Commonly  Abused  Rx  Drugs   Opioids—Usually  prescribed  to     treat  pain       Stimulants—Most  often  prescribed  to  treat   ADHD     Central  nervous  system  (CNS)  depressants —Prescribed  to  treat  anxiety  and  sleep   disorders     For  more  facts,  visit  PEERx  at  http:// teens.drugabuse.gov/peerx    
  • 25. The  Problem   Every  day  in  the  United  States,  2,000  teenagers  abuse   Rx  drugs  for  the     first  time.     Rx  drugs  are  the  most  abused  drug  by  teens  after   alcohol,  marijuana,  and  tobacco.              
  • 26. Physical     Psychological       Emotional   Consequences  to  RX  drug  use/abuse  
  • 27.   Painkillers     •  Overdose-­‐  Slow,  shallow  breathing,  clammy  skin,  convulsions,  respiratory   depression  and  arrest  (stop  breathing),  coma,  death.   •  Longer  Term  Effects-­‐  Addiction,  physical  dependence,  paranoia,  hallucinations,   dementia,  severe  withdrawal  symptoms  when  teen  stops  taking  the  drug,   including  deep  depression  and  suicidal  thoughts,  need  to  take  more  of  the  drug   or  a  combination  of  drugs  to  produce  the  same  high,  possibly  leading  to   overdose,  higher  risk  of  graduating  to  heroin   •  Psychological  side  effects:  anxiety,  impaired  judgment,  inability  to  concentrate   and  learn,  apathy,  agitation,  depression     effects  of  RX  Abuse  
  • 28. Heroin Common PainkillerCommon Painkiller Our  brain  can’t  tell  the  difference  
  • 29.   Depressants     •  Overdose-­‐Shallow  respiration,  clammy  skin,  dilated  pupils,  weak  and  rapid   pulse,  respiratory  depression  and  arrest  (stop  breathing),  coma  and  death   •  Long  term  effects-­‐Addiction,  dependence,  severe  withdrawal  symptoms,   need  to  take  larger  doses  to  achieve  the  same  effects   •  Psychological  side  effects:  poor  concentration,  feelings  of  confusion,   disorientation,  impaired  judgment  and  memory,  lowered  inhibitions,  rage,   hostility,  depression,  amnesia,  paranoia       Effects  of  RX  Abuse  
  • 30.     Stimulants     •  Overdose-­‐  Agitation,  increase  in  body  temperature,  hallucinations,  heart   failure,  nervousness,  convulsions  and  death   •  Long  term  effects-­‐  Addiction,  high  fever,  convulsions,  heart  failure,  overdose,   paranoia,  aggressiveness,  extreme  anorexia,  thinking  problems,  visual  and   auditory  hallucinations,  delusions,  panic,  suicidal  tendencies,  severe  dental   problems   •  Psychological  side  effects:  restlessness,  delusions,  hostility,  irritability,   insomnia,  anxiety,  agitation,  nightmares     effect  of  Rx  Abuse  
  • 31.     Over  the  Counter  Drugs     •  Long  term  effects-­‐  Addiction,  insomnia,  panic  attacks,  psychosis,  high-­‐blood   pressure,  damage  to  nerves,  muscles  and  tissues  in  large  intestine,  coma   •  Psychological  side  effects:  impaired  judgment,  restlessness,  euphoria,  cold   flashes,  dizziness,  diarrhea   Effects  of  RX  Use  
  • 32. Time  release  medications  are  designed  to  release  the  medication  slowly  in   the  system  over  a  period  of  time.    If  a  pill  is  crushed  then  all  of  the   medication  will  be  released  all  at  one  time  and  can  cause  an  overdose  and   even  death.       Time  Release  Meds  
  • 33.
  • 34. Do  you  know  of  anyone  who  has  overdosed  on   prescription  drugs?   •   Drug  overdose  was  the  leading  cause  of  injury  death  in  2012.  Among  people   25  to  64  years  old  drug  overdose  caused  more  deaths  than  motor  vehicle   traffic  crashes.   •   Teen  admissions  to  treatment  facilities  for  addiction  to  prescription  pain   relievers  increased  by  300%  since  the  mid-­‐1990s.  Average  age  for  first  time   users  is  now  13  to  14.   •  A  2013  survey  in  NM  found  that  12.3%  of  high  school  students  and  7.8%   of  middle  school  students  had  used  prescription  drugs  not  prescribed  to   them.   •  Today,  New  Mexico  leads  the  nation  as  the  #3  state  of  deaths  due  to  drug   overdose.       Why  should  you  care?  
  • 35. Taos  Co.  High  School  Students  2013  
  • 36. Drug  Overdose  Deaths  Rates  2013  
  • 37. Call  911   Call  the  24/7  poison  control  line  1-­‐800-­‐222-­‐1222   Narcan/Naloxone     What  to  do  in  case  of  an  overdose  
  • 38.
  • 39. •  Only  take  medications  that  are  prescribed  to  you     •  Follow  your  doctors  instructions  when  taking  medication     •  Dispose  of  any  unused  medication     •  Keep  your  medication  in  it’s  original  container     •  Read  and  follow  warning  signs  on  all  prescriptions     •  Do  not  mix  prescription  drugs  or  OTC  drugs  with  alcohol  or  other  illegal  drugs     •  Avoid  driving  when  taking  medications  that  indicate  so     What  can  you  do  to  protect  yourself  
  • 40. Local  Drop  Box   Questa & Taos Police Dept.
  • 41. Taos  Alive     575-­‐779-­‐6853   info@taosalive.org   www.taosalive.com     Holy  Cross  Hospital  Outreach      Tri  County  Community  Services                                            737-­‐3373                        24  hour  line  at  758-­‐1125       Taos/Picuris  Indian  Health  Services      Taos  Pueblo  Police  Department                                  Pharmacy  758-­‐4224                                                758-­‐8645       For  Further  Information