Module 7 Discussion

Discussion:

Discuss the safety and effectiveness of alternative and complementary medicine for the treatment of specific

illnesses such as cancer, diabetes, and hypertension.  Share your opinions about holistic and allopathic care.

Would have any conflicts or concerns supporting a patient who chooses holistic or allopathic medicine?

Instructions: 

Post your discussion to the Moodle Discussion Forum.  Word limit 500 words.  Support your answers with the literature and provide citations and references in APA format.  Reply to at least two other student posts with a reflection of their response.  

 This assignment is a 6 – 8 page questionnaire regarding addiction, due June 19, 2021, APA format. I am offering $10 per page + $20 for a literature review (total no more than $100…that is my FINAL OFFER). Please DO NOT accept this task if you can not complete it within the time frame allotted.  Please keep in mind as you complete this assignment please answer the questions provided with as much detail as possible, to reflect the requirements and focus of the subject at hand.  I provided a few PowerPoints that can be used, but feel free to use any articles that you find.  PLEASE DO NOT FORGET THE LITERATURE REVIEW. 

 1. Research and Reflection Paper  

Students are required to answer each question listed in the outline below in paragraph form. Suggested length 4-6 pages for Undergraduate students and 6-8 pages for Graduate students (12-point font, double spaced).

1. Discuss why understanding the history and scope of substance abuse and addiction is important?

2. Discuss the term Biopsychosocial-spiritual in terms of assessing and treating those suffering with addiction. 

3. Select three commonly used drugs and discuss how they are used and their dangers and complications to treatment.

4. Discuss the Stages of Change and why this model is used within the addiction field and how it can be applied in other disciplines. 

5. Describe the clinical difference between a mild substance use disorder and a severe substance use disorder and explain the treatment implications.

6. Discuss the key concepts of support groups and how would you incorporate it into treatment plan. 

7. Select one treatment approach designed to address issues related to substance abuse and addiction and discuss its efficacy (pros and cons).

8. Discuss the idea of “Appropriate level of care” and its importance to treatment outcomes. 

*Italicized questions (9-11) apply to Graduate Student only. 

9. Discuss the concept of “Prevention” in substance abuse treatment in terms of target population and outcomes. 

10. Discuss the importance of a “Comprehensive Assessment” in substance abuse treatment. 

11. Complete a literature review regarding current trends in addictions treatment relating to the knowledge base of substance abuse and treatment. 

I NEEDS A COVER LETTER AND NURSING PHILOSOPHY FOR A PROFESSIONAL PORTAFOLIO, BELLOW ARE MORE INFORMATION. THE POSITION IS AS ARNP

 The following are the tags required for your professional portfolio:

COVER LETTER: the one you send as an invitation to consider you as a candidate for work position (ARNP), or research grant recipients as two examples of its use.

https://www.indeed.com/career-advice/cover-letter-samples/nurse-practitioner

http://www.coverletter.us/nurse-practitioner-cover-letter/

NURSING PHILOSOPHY  as your personal statement. It is what it is your hallmark as an Advanced Practitioner.

Example as follow:

Personal statement or philosophy statement relating to your role as an APN

Nursing is an art that can never be defined in one word or way. I remember before I decided to enroll in nursing school, I cared for an old lady through a home health agency. She kept telling me how wonderful I was to her, how patient, compassionate and always willing to assist her with her daily activities. She kept saying it is not about doing it, it is how you do it. She made me realize how much I could enjoy being a nurse and she constantly encouraged me to pursue a career in nursing.

When I enrolled in nursing school, it was not a smooth journey either because it was a very hard and demanding program but I learned a lot. It was then I realized nursing was not all about giving medication and helping someone to the bathroom. I learned about the importance of establishing rapport with a patient as soon as you assume care with them.

I challenged Practical Nursing boards and started working as a LPN before I completed my BSN program and the idea of nursing grew even more. Working as an LPN made me realized at times I may have to provide care to the family member may be a little more than the patient him/herself. I learned daily that nursing is way more than just what you learn in books and school and completing the care plan interventions.

Nursing to me is all about the relationship you establish with your patients, understanding them from their perspective. Asking them what they think is going on with their health or what has been changing in their body. I like to ask, how do you feel? What do you think? Asking these questions to my patients gives me a door to see them in a holistic manner. It helps me as a nurse to understand if their symptoms are just physical or are psychological as well. Someone may be experiencing a lot of life stressor and not eating right, or not drinking a lot of water. As a result they start experiencing a lot of headache. Instead of thinking it is a migraine and heavily medicate them. It is fair to give this person a little does of Tylenol. Encourage them to perform some relaxation exercises, eat well and drink plenty of water. I have come to learn that, food, water and our brains is what makes us or breaks us. If we think positive, we excel and do better in every aspect of our lives including our health. If we think negative them the vice versa will occur.

Another thing I learned from being a nurse is that we should always be reminded that we are advocates for our patients both verbal and nonverbal patients, but we do not have the last say. Most times we know more things related to the healthcare field compared to our patients. Our patients look at us and establish a lot of trust before you decide to do anything to them like giving them medication, sticking a  needle on them, putting them on some times of machine. They establish some kid nog trust. So we should always be willing to educate our patients on what we think is going on with them and why we are doing certain interventions on them. Advocacy also comes with utilizing the ethical principles in our nursing care like autonomy, respect, nonmaleficence, beneficence, and justice

 I currently work as a nurse in the emergency department, prior to that I word in medical surgical, home-health, rehab, and long term acute care. Nursing was not the same in all these areas. I took care of different kinds of patients in their different stages of life. While all was very interesting, I really love working in the Emergency room. The ER is the combination of all in one visit or sometimes in part of the visit. We do a lot of patient teaching, stabilizing, and referrals. We do not necessarily see the same patients every day, and that Is what makes me grow as a nurse. Prior to working in the ER, I never worked with the pediatric population. And I was amazed how wonderful working with all age groups can be. I am always curious and willing to learn more about nursing and wanting to do more for my patients. I decided to enroll in the Family Nurse Practitioner- Doctor of Nursing Practice (DNP) program because I knew the program will give me all what I mentioned and more

The DNP program will not only allow me to earn the knowledge of what will make  me a great family nurse practitioner but also it has a research part that will allow me to research on the current issue related to health care and/ or the nurse practitioner role in the society. As nurse practitioners we see a lot of patients from hospital to home setting and understanding research is vital to improve the care we provide to the communities we serve. Research in nursing is what bring about evidence-based practice which is the best way of practicing our daily nursing activities.

I took a theory class in the spring 2016 when I began my DNP course and I was amazed how all the nursing theories were pretty much what makes modern nursing better today. One of my favorite theories was “the theory of goal attainment” by Dr. Imogene King. This theory talks about the importance of nurses and patients having mutual goals that will improve patients’ health (King & Fawcett, 2012). For example, if a patient comes to the ER with several symptoms, instead of only telling them this is what we are going to do and this is what you are going to do. It is best to say, this is what I think we should do and give them a chance to say what they want done and what they do not want done. This does not mean you should not explain the rationale of your interventions but allow the patients to participate in their own care by making decisions with you. This will make it easier for the both of you because you will not have to struggle trying to do something to a patient that she/he does not like or later get sued because you did something that the patient did not agree to.

The DNP class has also allowed me to learn the importance of cost effectiveness and how nurse practitioners can be more cost effective compared to primary care physicians in providing their care. Learning all this information also allows me later as a nurse practitioner to be a great mentor to staff nurses and student nurse practitioners as well. Encouraging them on the constant use of evidence-based practice during direct patient care. And explain all the whys that they may have so that they feel better and understand what they have to care for the patient(s) in a different way compared to what they are already used to base on the current evidence and research at the time.

Having all that said, I believe nursing is an art that can never be explained in one simple word. The art of nursing is fulling to both patients and nurses themselves. Being a nurse practitioner will allow me to continue to advocate for my patients and do more for them like diagnosing and treating their symptoms in a cost effective manner, adhering to the ethical principle and the holistic approach at all times. I will also continue to learn more about nursing, medicine and all the current evidence based studies to ensure I provide the best care to my patients.

                                            Reference

King, I. M., & Fawcett, J. (2012). Imogene King. interacting systems framework. [electronic resource (video)] :. Athens, OH : FITNE, 2012.

Obesity is a serious threat throughout the United States with two-thirds of its population at risk.  Worldwide, individuals are continuously challenged with being overweight or obese (Wang et al., 2017).  As healthcare evolves, technology has a significant effect and role in preventive care.  Preventive care can be complicated when addressing the national practice problem of obesity.  The advancement of technology in utilizing mobile and wireless platforms can improve the outcome in preventing obesity (Wang et al., 2017).  Although technology seems to be promising, ongoing research is imperative in discovering the effectiveness (Vaz et al., 2018).  Individuals are likely to become more successful with the help of others coupled with the use of technology in losing weight (Hammersly, Jones, & Okely, 2016).

Does the research design answer the research question? Explain your rationale.

Systematic reviews with meta-analysis combines data with an analysis based on a variety of studies.  This research design is based on evaluating data from several studies with similar topics that involve randomized-controlled trials (RCTs) (Ahn & Kang, 2018).  The selected library search was on a systematic review with meta-analysis addressing the intervention of eHealth models to reduce childhood obesity (Hammersly, Jones, & Okely, 2016).

Were the study sample participants representative? Why or why not?

The study sample included eight studies, involving 1,487 parent and child or adolescent dyads.  Three studies consisted of obesity prevention trials and five studies resulted in obesity treatment trials.  Study sample participants were represented but would have benefited greater from a larger study (Hammersly, Jones, & Okely, 2016).

Compare and contrast the study limitations in this study.

Limitations within this study included the sample size that could have involved a larger sample size.  Quality of the interventions were not deemed high and a longer timeframe is warranted (Hammersly, Jones, & Okely, 2016).

Based on this evidence summary, would you consider this systematic review as support for your selected practice problem? Explain your rationale.

After reviewing the evidence summary, this systematic review can be considered as support.  Parts from in-person interventions into eHealth platforms can be successful given a longer time and larger population to study.

References

Ahn, E., & Kang, H. (2018). Introduction to systematic review and meta-analysis. Korean journal of anesthesiology, 71(2), 103–112. https://doi.org/10.4097/kjae.2018.71.2.103

Hammersley, M., Jones, R., & Okely, A. (2016). Parent-focused childhood and adolescent overweight and obesity ehealth interventions: a systematic review and meta-analysis. Journal of Medical Internet Research, 18(7), e203. https://doi.org/10.2196/jmir.5893 (Links to an external site.)

Vaz, C., Suthar, A., Pousti, B., Aye, S., Williams, K., & Zhao, H. (2018). A smartphone app-based lifestyle intervention promotes weight loss-results of a prospective, randomized, controlled clinical trial (RCT). Diabetes, 67(1). https://doi:10.2337/db18-2070-PLinks to an external site.

Wang, Y., Xue, H., Huang, Y., & Zhang, D. (2017). A systematic review of application and effectiveness of mhealth interventions for obesity and diabetes treatment and self-management. Advances in Nutrition, (8), 449-462. https://doi:10.3945/an.116.014100Links to an external site. 

I need a comment for this Discussion Board with at least 2 paragraphs and 3 sourses no later than 5 years.