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Barriers to Medical Cannabis Use for Children with Complex Medical Needs…
Barriers to Medical Cannabis Use for Children with Complex Medical Needs
Therapeutic Benefits
Survey of parents are using CBD as a treatment for their children with treatment-resistant epilepsy (Porter & Jacobson, 2013)
80% Reduction in Seizure Frequency
Increased Alertness
Better Mood
Increase Sleep
Clinical Trial Studies (Tzadok et al.,2016)
89% reported seizure reduction
CBD is a receptor antagonist that modulates the cannabinoid system and mediates neurotransmission
CBD regulates other cerebral neurotransmitters and receptors
CBD has anti-inflammatory properties in the CNS
CBD has anti-oxidant properties, attracting negative chemicals in the body and removing them
Dravet Syndrome Case (Maa & Figi, 2014)
Dravet Syndrome: treatment resistant seizure disorder
Reduced seizure frequency from 50 convulsions a day to 2-3 per month
Affect lasting 20 months
Successfully weaned from other anti-epileptic drugs
CBD (Grotenhermen, Muller-Vahl, 2016).
Antidepressant
Antipsychotic
Anti-Anxiety
Neuroprotective
Anti-tumoral
Anti-inflammatory
Reduces Blood Pressure
Aid in substance abuse mental disorders
Negative Health-Effects
Regular Cannabis in Youth (Hall, 2015)
Doubles the risks of early school-leaving
Cognitive impairment in adulthood
Psychoses in adulthood
Highly associated with the use of other illicit drugs
risk of chronic bronchitis
Health (Hall, 2015)
small risk of fatal overdose
increasing cardiovascular fatalities
unpleasant experiences such as anxiety
dysphoria and paranoia
cognitive impairment
attention
memory
Inability to drive a motor vehicle
Using while pregnant
Low birth weight of babies
childhood cancers
Risk of myocardial infraction
Barriers
Parents
Parents relocate families (i.e. Colorado) to access Cannabis
High stress and fear of sudden unexplained death in epilepsy pushes parents to try anything
Parents may mistake available science for proof and try to extract their own compounds from the whole plant instead of waiting for something regulated on the market
May use CBD and prematurely wean off other medications causing more harm to the child than good
Lack of physician support can be frustrating
Money/ Cost
Cannabis is not covered by most mainstream insurance companies which requires parents to pay out of pocket
Government
With legalization should have come more investments in initiatives to help improve delivery and access to medical cannabis
Despite their efforts there is a large gap between evidence-based practices in health care, government research and actual care practices
Legalization was not enough to benefit complex medical clients
Less focus on recreational use and more on medical
Acknowledging the areas that need improvement/attention
OHIP Coverage of Cannabis for medical use
Research
Research focused on medical applications
Research focused on therapeutic benefits rather than risks as most current research is more focused on risks
Looking specifically at CBD
Research into cannabis-engineered medications
Epidiolex
Focusing on mainstream medical uses
Providing results that transfer to physicians medical practices
Physicians/ Health Care
There is a need for innovation and cannabis is a great place to start
Increasing access to cannabis products
Increasing prescribing practices
Physicians require more education on the best practice and top science behind cannabis
Increase access to cannabis products
Pharmacies and big city centres should have regulated suppliers to it is easier to access
Unsure of prescribing practices
Other Perspectives
Objective
Doctors
Focused on the facts
Firmly rooted in science
Government
Focused on their "truth"
Focused on research and "facts"
Subjective
Clinicans
Focused on how people perceive and impose meaning
Conflicted between seeing beyond the individual to passionately seeking out a (sometimes biased) solution
Families
Focused on the individual
Let someones perceptive dictate purpose in the world
Have a biased towards the individuals outcome