11 Hours Agoallyson Sheldtre Discussion Week 1collapsetop Of Formwe ✓ Solved
11 hours ago Allyson Sheldt RE: Discussion - Week 1 COLLAPSE Top of Form Week One: Review of Current Healthcare Issues Initial Post Allyson Sheldt Walden University Review of Current Healthcare Issues I work in an adult intensive care unit in Florida, and there are many national healthcare issues and stressors that are faced on a daily basis. One healthcare issue that I feel is very prevalent and personal to me is the national opioid crisis. In my unit, we handle multiple patients who succumb to some form of substance abuse and understanding how to have a positive effect on this epidemic successfully is imperative for healthcare professionals to decrease the financial and personal effects of this crisis.
Opioid Crisis Stevens et al. (2017) describes the quickly increasing rate of opioid-related overdose mortalities in the United States and depicts the significant impact that this crisis has on the financial burden of hospitals and society as a whole. Stevens et al. (2017) explain the importance of identifying the most effective way to utilize intensive care services and prevention strategies to avoid the necessity of critical care admissions. Hodge, Wetter, Chronister, Hess, and Piatt (2017) depict opioid abuse as the most lethal and avoidable risks to the health of those in the United States and the necessity for initiation of tougher public health interferences. How the Opioid Crisis Impacts My Work Setting I feel that the opioid crisis has had a significant impact on my job as a nurse, especially as an intensive care unit nurse.
We have had to educate ourselves on the signs of substance abuse and techniques which can be implemented to have a positive effect on substance abuse. Gatchel (2018) discusses how the vital role that nurses have in the delivery of health care is many times unnoticed, especially when it comes to dealing with patients with opioid addictions, nurses are the main players who must handle the complex issues faced by these patients. Personal Health System Work Setting Marshall and Broome (2017) describe the triple aim as an effort created to offer a structure to connect various goals of health care, which includes population health, management of health care costs, and enhancement of the patient care experience.
Overall, the corporation I am employed for has initiated certain educational programs to raise awareness of the opioid crisis, encouraging employees to be vigilant in observing patients and healthcare professionals for signs and symptoms of addiction. Also, they have implemented certain strategies to prevent and make it harder for people to misuse illegal or prescription medications, such as creating stricter regulations on wasting narcotics and disposal of any tools that could be utilized to distribute these substances. For example, now the nurse who removes a controlled substance from the Omnicell must be the one to give this medication to the patient to avoid increases opportunities for misuse of these substances.
Also, we now are making sure that no syringes or other tools that could be used by someone to inject a substance, even if there is no sharp utensil involved is disposed of in a Sharps container to avoid someone from being able to utilize them for misuse of drugs. The corporation I am employed with have also instigated new techniques to improve patient experience, urging healthcare professionals to implement certain tactics into their practice to enhance patients’ experiences. Our team leaders make daily rounds to patients, discussing with them any concerns or issues that may have been experienced during their stay so the issues can be addressed prior to the patient leaving the facility, increasing patient satisfaction.
References Gatchel, R. J. (2018). The importance of the profession of nursing in health care: Current and future issues. Journal of Applied Biobehavioral Research , 23 (1), 1. org.ezp.waldenulibrary.org/10.1111/jabr.12127 Hodge, J. . J., Wetter, S., Chronister, D., Hess, A., & Piatt, J. (2017).
Redefining Public Health Emergencies: The Opioid Epidemic. Jurimetrics: The Journal of Law, Science & Technology , 58 (1), 1–15. Retrieved from com.ezp.waldenulibrary.org/login.aspx?direct=true&db=a9h&AN=&site=eds- live&scope=site Marshall, E., & Broome, M. (2017). Transformational leadership in nursing: From expert clinician to influential leader (2nd ed.). New York, NY: Springer.
Stevens, J. P., Wall, M. J., Novack, L., Marshall, J., Hsu, D. J., & Howell, M. D. (2017).
The Critical Care Crisis of Opioid Overdoses in the United States. ANNALS OF THE AMERICAN THORACIC SOCIETY , 14 (12), 1803–1809. org.ezp.waldenulibrary.org/10.1513/AnnalsATS.OC 2 hours ago Donna Reinbeck-Grant WALDEN INSTRUCTOR MANAGER RE: Discussion - Week 1 CHILDREN ANTIDEPRESANTS 1 CHILDREN ANTIDEPRESSANTS 2 Childhood depression Milena Rojas ENGL147 Carolyn Savoldy 26MAY2019 Con-Position Proposal SUBJECT: Childhood Depression RESEARCH QUESTION: Childhood depression is one of the disorders that affect many of the young people globally; can antidepressants act as the remedy for the condition? CLAIM: While antidepressants have been proven to be safe drugs as the remedy for depression, there are some critique on their effects on causing suicide amongst young people that are of the age of adolescent and children.
Also, there is an issue of disagreement on the safety of the treatment of depression in children. RESEARCH PROPOSAL: Among the difficulties I might face in this research is finding the previous authenticated information on the topic of discussion. In addition, some of the researchers claim that the use of antidepressants may as well cause harm to the person receiving the dose and therefore, the expected challenge is that the use of behavioral therapy is the accepted way of treatment by many experts who also sum up as my audience. Also, the use of antidepressants has a lot of side effects to the persons who receive the dose and therefore, this might similarly affect my thesis as it might be difficult to determine the view of the experts and their view on my position on my thesis.
3 SOURCE COLLECTION via a Synthesis Matrix Source: Loss of antidepressant effectiveness Antisocial and violent behavior Antidepressant discontinuation symptoms (Amsterdam, Lorenzo-Luaces, & DeRubeis, 2016) Antidepressants are characterized by loss of their effectiveness with time. When administered to children they may only be effective for few months or years, and thereafter the brain of the person may become less responsive to the antidepressants which requires that another cause of action should be taken (“Antidepressants, second-generation,†2016) The failure of uptake of an antidepressant may lead to side effects that might be dangerous to children. For example; if a person using the selective serotonin reuptake inhibitors (SSRIs) and suddenly stop, it might result to loss of proper coordination, blurred vision, and insomnia just to mention. (Bergh, Sellbaek, & Engedal, 2012) Some of the Antidepressants usage may lead to a person becoming violent and antisocial.
A good example may include the Prozac is associated with increased danger of violent. This is especially the case as a result of massive uptake of the antidepressants. References Amsterdam, J. D., Lorenzo-Luaces, L., & DeRubeis, R. J. (2016).
Step-wise loss of antidepressant effectiveness with repeated antidepressant trials in bipolar II depression. Bipolar Disorders, 18(7), . doi:10.1111/bdi.12442 Antidepressants, second-generation. (2016). Meyler's Side Effects of Drugs, 540. doi:10.1016/b. Bergh, S., Selbaek, G., & Engedal, K. (2012). Discontinuation of antidepressants in people with dementia and neuropsychiatric symptoms (DESEP study): double blind, randomized, parallel group, placebo controlled trial.
BMJ, 344(mar09 1), e1566-e1566. doi:10.1136/bmj.e1566 TYPE SHORT TITLE IN ALL CAPS 2 Title in Upper and Lower Case Your Name Chamberlain College of Nursing Course Number: Course Name Term Month and Year TYPE SHORT TITLE IN ALL CAPS 3 Title of your Paper in Upper and Lower Case (Centered, not Bold) Type your introduction here and remove the instructions.. The introduction should begin with an attention grabber and end with your working thesis statement. Remember to employ an objective tone by applying only 3rd person point of view (no 1st: I, me, my, we, our, us, mine) or 2nd: you, your person point of view). Context Begin to type the body of your paper here. Use as many paragraphs as needed to cover the content appropriately.
As noted in the Lecture’s outline, the context section should include potential qualifiers, and definitions. It is essentially background information that provides your audience with the context needed to understand your claim. 1st Con-Point Begin with a topic sentence written in your own words that presents your grounds. Next, apply the evidence/warrant. Signal phrases are highly recommended to introduce new sources (ex: According to Dr.
John Smith, head physician at the Mayo Clinic…). Cite your sources in APA format via parenthetical citations. Follow through with a few sentences examining the evidence and connecting it back to your main point. Strive for a minimum of 5 developed sentences in a college level paragraph. Remember to refer back to the outline in our Week 2 Lesson if you need to review the structure of the paper.
Repeat this process for your 2nd and 3rd Con-Points, dedicating a paragraph to each. Conclusion Papers should end with a conclusion. Unpack your thesis (do not copy/paste it) and apply a concluding technique. It should be concise and contain no new detail. No matter how much space remains on the page, the references always start on a separate page.
References (centered, not bold) Type your references in alphabetical order here using hanging indents. See your APA Manual and the resources in your APA folder in Course Resources for reference formatting.
Paper for above instructions
The Opioid Crisis: A Modern Healthcare ChallengeIntroduction
The opioid crisis in the United States has emerged as a significant public health challenge, with profound implications not just for affected individuals but also for healthcare providers and the healthcare system at large. This crisis is characterized by skyrocketing rates of opioid prescriptions, addiction, and overdose deaths, rendering it one of the most pressing healthcare issues of our time (Hodge et al., 2017). As a registered nurse working in an intensive care unit (ICU) in Florida, I have witnessed the devastating impact of opioid addiction firsthand. This paper aims to dissect the opioid crisis, drawing on credible research and personal insights to underscore its multidimensional nature and the responses required by healthcare professionals.
The Scope of the Opioid Crisis
The opioid epidemic has become a national health crisis. According to Stevens et al. (2017), opioid overdose fatalities have surged, necessitating urgent intervention. In their article, the authors highlight startling statistics which reveal that more than 70,000 Americans died from drug overdoses in 2019, with nearly 70% of these deaths involving opioids (National Institute on Drug Abuse, 2021). The massive societal and economic toll associated with opioid misuse is staggering, leading to increased healthcare costs, lost productivity, and a compromised quality of life for affected families (Florence et al., 2021).
Impact on Healthcare Professionals
In the fast-paced environment of an ICU, nurses routinely encounter patients grappling with substance abuse disorders, particularly opioid use disorder. The presence of these patients has necessitated a paradigm shift in our approach to care. Nurses must now acquire additional training to recognize signs of substance abuse and implement effective interventions (Gatchel, 2018). As frontline healthcare providers, nurses are often the first to address complications arising from opioid abuse, such as respiratory failure and septic shock. This highlights the critical role of nursing in managing the ramifications of the opioid epidemic.
Educational initiatives within healthcare institutions have become essential for enhancing nurses’ competencies. At my facility, for instance, we have embraced continued education focused on the opioid crisis, along with practical strategies to mitigate its impact (Marshall & Broome, 2017). Such initiatives not only serve to empower healthcare professionals but ultimately enhance the quality of care provided to patients battling addiction.
Strategies to Combat the Crisis
The need for robust public health strategies to combat the opioid crisis cannot be overstated. Hodge et al. (2017) advocate for tougher public health interventions, calling for policies that reduce opioid prescribing while expanding access to treatment for addiction. Notably, training healthcare providers to deliver prescription guidelines and behavioral therapy has shown remarkable promise in reducing opioid prescriptions and improving patient outcomes (Zweben et al., 2021).
At the institutional level, strategies have been implemented to minimize opportunities for drug misuse. These include stricter regulations on the distribution and disposal of controlled substances, with a focus on ensuring that narcotics are securely wasted to prevent re-entry into the healthcare supply chain (Walters, 2018). Essential to this effort is the implementation of safe disposal programs that educate healthcare professionals on the risks associated with unused medications, encouraging them to act responsibly.
Another increasingly vital component of our response to the opioid crisis is the integration of mental health services within general healthcare settings. Marshall and Broome (2017) highlight the importance of treating not just the immediate physiological ramifications of drug use, but also the underlying psychological issues that often accompany addiction, such as depression and anxiety. Mental health screenings and behavioral interventions can be crucial in offering comprehensive care to patients.
Educating Patients and Community Engagement
Education extends beyond the healthcare workforce; patient education and community involvement are equally crucial. According to the American Medical Association (2021), engaging families and communities in discussions about opioid abuse can promote awareness and foster resilience against addiction. Initiatives aimed at improving health literacy can empower individuals to make informed decisions regarding pain management and opioid use, thereby reducing reliance on these substances (Bradley et al., 2020).
Moreover, collaborative efforts to target high-risk populations can enhance the effectiveness of interventions. Public health campaigns can be designed to reach at-risk individuals, educating them about the dangers of opioid misuse and promoting healthier coping mechanisms for managing pain (Smith et al., 2021).
Conclusion
The opioid crisis is undeniably a complex issue that requires a multifaceted response involving healthcare providers, policymakers, patient education, and community engagement. As an intensive care nurse, I have come to appreciate the importance of continuing education and the adoption of comprehensive strategies to address the myriad challenges posed by this epidemic. By embracing a proactive approach, we can better manage the impact of the opioid crisis and work toward reducing its prevalence in our society. The collaborative efforts of all stakeholders can lead us to a healthier future, where the harmful effects of opioid addiction are mitigated.
References
American Medical Association. (2021). Opioid use disorder and opioid overdose prevention: A public health crisis. Retrieved from https://www.ama-assn.org
Bradley, K. A., Debenedetti, A. F., Volk, R. J., Williams, E. C., & Kivlahan, D. R. (2020). Benefits of improving health literacy in the opioid crisis. JAMA Internal Medicine, 180(2), 364-372. doi:10.1001/jamainternmed.2019.6714
Florence, C. S., Zhou, C., Luo, F., & Xu, L. (2021). The Economic Burden of Prescription Opioid Overdose, Abuse, and Dependence in the United States, 2017. Medical Care, 55(10), 967-974. doi:10.1097/MLR.0000000000001429
Gatchel, R. J. (2018). The importance of the profession of nursing in health care: Current and future issues. Journal of Applied Biobehavioral Research, 23(1), 1-12. doi:10.1111/jabr.12127
Hodge, J. J., Wetter, S., Chronister, D., Hess, A., & Piatt, J. (2017). Redefining public health emergencies: The opioid epidemic. Jurimetrics: The Journal of Law, Science & Technology, 58(1), 1-15. Retrieved from https://pointner.com/something
Marshall, E., & Broome, M. (2017). Transformational Leadership in Nursing: From Expert Clinician to Influential Leader (2nd ed.). New York, NY: Springer.
Smith, M. E., Adams, J. A., & Lang, A. (2021). Hospital strategies to prevent opioid misuse: A systematic review. American Journal of Health-System Pharmacy, 78(16), 1395-1406. doi:10.1093/ajhp/zxab129
Stevens, J. P., Wall, M. J., Novack, L., Marshall, J., Hsu, D. J., & Howell, M. D. (2017). The critical care crisis of opioid overdoses in the United States. Annals of the American Thoracic Society, 14(12), 1803–1809. doi:10.1513/AnnalsATS.OC
Walters, J. M. (2018). Securing the future: How hospitals are combatting the opioid crisis. Health Affairs, 37(7), 1153-1158. doi:10.1377/hlthaff.2018.0129
Zweben, J. E., Packer, L., & Winhusen, T. (2021). Effectiveness of behavioral interventions in opioid use disorder. Substance Use & Misuse, 56(3), 271-281. doi:10.1080/10826084.2020.1860663