Alcohol Related Disorders Explain The Diagnostic Criteria For Your As ✓ Solved

Alcohol-Related Disorders · Explain the diagnostic criteria for your assigned substance-related and addictive disorder. · Explain the evidenced-based psychotherapy and psychopharmacologic treatment for your assigned substance-related and addictive disorder. · Describe clinical features that you would expect to observe in a client that may have the substance-related and addictive disorder you were assigned. Align the clinical features with the DSM-5 criteria. · Support your rationale with references to the Learning Resources or other academic resources. References American Nurses Association. (2014). Psychiatric-mental health nursing: Scope and standards of practice (2nd ed.). Washington, DC: Author.

Standard 12 “Leadership†(pages 76-77) Diagnostic And Statistical Manual Of Mental Disorders, Fifth Edition DSM-5 American Psychiatric Association Sadock, B. J., Sadock, V. A., & Ruiz, P. (2014). Kaplan & Sadock’s synopsis of psychiatry: Behavioral sciences/clinical psychiatry (11th ed.). Philadelphia, PA: Wolters Kluwer. · Chapter 20, “Substance Use and Addictive Disorders†(pp.

616–693) Stahl, S. M. (2017). Prescriber’s Guide: Stahl’s Essential Psychopharmacology (6th ed.). New York, NY: Cambridge University Press. Gabbard’s Treatments Of Psychiatric Disorders, Fifth Edition Edited By:Glen O.

Gabbard, M.D Chapter 46, “Alcohol-Related Disorders†Unit 9 Assignment instructions Title: Healthcare Informatics in Primary Care Pediatrics The focus of this assignment is to increase your knowledge and understanding of how informatics, specifically the electronic medical record, improves the pediatric patient health outcomes. Caring for the pediatric patient has unique elements that are not applicable in the adult population. Examples are growth and development surveillance, vaccine records, transitional changes that affect “normal findings†by age group. For example, normal respiratory rate of a newborn is significantly different than a 10 year old. Additionally, pediatric healthcare providers are expected to educate parents through the use of “anticipatory guidance†according to age of the patient.

For this assignment you are expected to analyze the utilization of the EMR that you are using in your clinical practicum and evaluate how this particular EMR system is improving health outcomes. For example, does the EMR that you are using have mechanisms in place that track growth and development which has led to early identification of abnormals? This assignment has three parts. The first part is identifying the recommended pediatric-specific functionalities of the EMR system you are using. The template will guide you through the first part of the assignment by addressing a sample of key functionalities.

Part Two addresses some basic functions that would be recommended in any non-specific EMR. Part Three asks you to discuss how your system is addressing certain outcomes such as safety, collaboration, and the prevention of medication errors. Pediatric-Specific Functionalities of the EMR you are using Is this function available in your EMR? Is a tracking function available such as vaccination history, history of referrals with final reports? Are there built in alerts to the provider such as a missed vaccination?

Allergies? Potential Medication interactions? Is there an area to document and monitor special needs, circumstances, or unique qualities of patient ? Vaccination record Screening performed Routine health maintenance Growth Charts Medication information , dosage, and indications? Medication dosage calculation by weight and age?

Electronic prescribing? Monitoring of a special concern such as a heart murmur? Pediatric -specific norms by age category such as milestones? Current and/or history of labs and any other diagnostics and results Health history or interim health history Medication history Family: Composition Dynamics, Education needs Anticipatory guidance Part two Answer and expand on the following questions in a narrative format: · Is there a mechanism for data sharing with members of the heathcare team? Describe · Is this EMR user friendly?

Describe · Any improvements needed? Describe · Is data organized, easily accessed, easily entered? Describe Part Three Discuss in detail how this EMR system promotes the following (include references and citations if needed): · Safety · Improved health outcomes · Collaboration · Early red flags or other concerns · Prevention of medication errors · Patient satisfaction · Evidence based guidelines Part two Answer the following questions: · Is there a mechanism for data sharing with the heathcare team? · Is this EMR user friendly? · Any improvements needed? · Is data organized, easily accessed, easily entered? Part Three Discuss in detail how this EMR system promotes the following (include references and citations if needed): · Safety · Improved health outcomes · Collaboration · Early red flags or other concerns · Prevention of medication errors · Patient satisfaction · Evidence based guidelines

Paper for above instructions

Alcohol-Related Disorders: An In-Depth Analysis

Diagnostic Criteria

Alcohol-related disorders, classified under Substance-Related and Addictive Disorders in the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5), encompass a range of maladaptive behaviors associated with the consumption of alcohol. A person must meet specific criteria to be diagnosed, including a problematic pattern of alcohol use leading to significant impairment or distress, exemplified by at least two of the following criteria within a 12-month period:
1. Consumption Amount: Alcohol is often consumed in larger amounts or over a longer duration than intended.
2. Unsuccessful Attempts to Control Use: There is a persistent desire or unsuccessful efforts to cut down or control alcohol use.
3. Time Spent: A considerable amount of time is spent in activities necessary to obtain, use, or recover from the effects of alcohol.
4. Cravings: There is a strong desire or urge to use alcohol.
5. Neglect of Major Obligations: Alcohol use results in failure to fulfill major role obligations at work, school, or home.
6. Social or Interpersonal Problems: Continued use despite recurrent social or interpersonal issues caused or exacerbated by alcohol.
7. Giving Up Activities: Important social, occupational, or recreational activities are given up or reduced because of alcohol use.
8. Hazardous Use: Recurrent alcohol use in situations that are physically hazardous.
9. Health Issues: Continued use despite having persistent or recurrent social or interpersonal issues caused by physical or psychological problems.
10. Tolerance: A need for markedly increased amounts of alcohol to achieve the desired effect, or a markedly diminished effect with continued use of the same amount of alcohol.
11. Withdrawal: Symptoms of withdrawal manifest when alcohol use is reduced or discontinued, or alcohol is taken to relieve or avoid withdrawal symptoms (American Psychiatric Association, 2013).

Evidence-Based Psychotherapy and Pharmacologic Treatment

Treatment for alcohol-related disorders typically involves both psychotherapy and pharmacotherapy.

Evidence-Based Psychotherapy

Cognitive Behavioral Therapy (CBT) is one of the most researched and widely used psychotherapeutic approaches. It focuses on identifying and modifying dysfunctional thoughts and behaviors surrounding alcohol use (Kazdin, 2017). Motivational interviewing (MI) is another approach that aims to enhance a person’s intrinsic motivation to change (Miller & Rollnick, 2013). Group therapy programs, such as Alcoholics Anonymous (AA), have also demonstrated effectiveness in providing social support and accountability (Horvath & Barlow, 2016).

Pharmacologic Treatment

Pharmacological options for treating alcohol-related disorders include:
1. Disulfiram (Antabuse): This medication disrupts the metabolism of alcohol and causes unpleasant effects when alcohol is consumed, thereby discouraging use (Stahl, 2017).
2. Naltrexone: An opioid receptor antagonist that reduces cravings and the pleasurable effects of alcohol (Soyka, 2017).
3. Acamprosate: This agent helps restore the balance of neurotransmitters affected by chronic alcohol use, assisting in reducing cravings (Gabbard et al., 2014).

Clinical Features

In individuals diagnosed with alcohol-related disorders, practitioners might observe the following clinical features, aligning them with DSM-5 criteria:
- Increased Tolerance: The client may report a need to consume more alcohol to achieve the same effects, reflecting tolerance.
- Withdrawal Symptoms: When not consuming alcohol, symptoms such as anxiety, tremors, or sweating may indicate withdrawal.
- Unsuccessful Attempts to Control Usage: The client may express feelings of helplessness in managing their alcohol consumption.
- Social Impairment: Evidence of ruined relationships, whether personal or occupational, may be prevalent.
- Continued Use Despite Problems: The individual might recount experiences where their alcohol use has led to persistent physical concerns (such as liver damage) or interpersonal conflicts (American Nurses Association, 2014).

Rationale via Academic Resources

The synthesis above aligns with findings in various academic resources, affirming the categorization of alcohol use disorders and underscoring effective treatment avenues. According to Sadock et al. (2014), metabolic responses to alcohol can activate cravings and withdrawal symptoms, emphasizing the biological underpinnings of addiction that inform treatment strategies. Furthermore, Gabbard et al. (2014) elucidate the importance of integrated approaches to psychotherapy and pharmacotherapy in enhancing patient outcomes.
In essence, the treatment of alcohol-related disorders requires a comprehensive understanding of diagnosis, evidence-based interventions, and the nuanced clinical features that present in affected individuals. Such an informed approach improves patient outcomes and promotes recovery while guiding further research and clinical practices.

References

1. American Nurses Association. (2014). Psychiatric-mental health nursing: Scope and standards of practice (2nd ed.). Washington, DC: Author.
2. American Psychiatric Association. (2013). Diagnostic and Statistical Manual of Mental Disorders (5th ed.). Arlington, VA: American Psychiatric Publishing.
3. Gabbard, G. O., et al. (2014). Gabbard’s Treatments of Psychiatric Disorders (5th ed.). Washington, DC: American Psychiatric Publishing.
4. Horvath, A. O., & Barlow, D. H. (2016). The alliance in the treatment of psychological problems. In The Handbook of Psychotherapy and Counselling (pp. 104-123). Sage.
5. Kazdin, A. E. (2017). Research design in clinical psychology (4th ed.). Boston, MA: Pearson.
6. Miller, W. R., & Rollnick, S. (2013). Motivational interviewing: Helping people change (3rd ed.). New York, NY: Guilford Press.
7. Sadock, B. J., Sadock, V. A., & Ruiz, P. (2014). Kaplan & Sadock’s Synopsis of Psychiatry: Behavioral sciences/clinical psychiatry (11th ed.). Philadelphia, PA: Wolters Kluwer.
8. Soyka, M. (2017). The management of alcohol use disorders. The Lancet, 390(10104), 493-507.
9. Stahl, S. M. (2017). Prescriber’s Guide: Stahl’s Essential Psychopharmacology (6th ed.). New York, NY: Cambridge University Press.
10. World Health Organization. (2020). Global status report on alcohol and health. Geneva: World Health Organization.
This analysis integrates diagnostic criteria, treatment modalities, and applicable clinical features crucial for understanding alcohol-related disorders.