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Implementation of a transition of care program
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Recommended: Implementation of a transition of care program
The intervention that I am proposing is a transition of care flow process from the acute inpatient levels of care to the outpatient level of care for patients with alcohol use disorder (P-AUD). The AIM of my intervention includes two main elements increase outpatient access to addiction treatment for P-AUD and to promote continuity of care through the use of a standardize intra-facity clinical referral process flow definition, design, and implementation.
The Joint Commission identified care transitions as one of the most vulnerable areas in patients treatment, outcomes, and quality. Standardized care transition designs support communication, increases patient and healthcare provider’s level of accountability, facilitates health by decreasing
The Iowa model is the research translation model that was developed by Marita G. Titler, PhD, RN. The Iowa model depicts the importance of a holistic approach to the entire health care system spanning from the provider to the patient, and the supporting infrastructure; all of which utilize the latest research to guide and shape what is known as “best practice.” The Iowa model is designed in such a way that it aids the NP through engagement in problem identification and solution development as it relates to incorporating evidence findings into practice.
McGovern, M. P., PhD, & Carroll, K. M., PhD. (2003). Evidence- base Practices for Substance Use Disorders. Psychiatric Clinics of North America. Retrieved from http://www.dartmouth.edu/~dcare/pdfs/fp/McGovernMark-Evidence-BasedPractices.pdf
Doctors Peter Johnson and John Chappel believe that AA is not considered self-help and by contributing to the 12-step process as doctors the program experience will be enhanced. Self-help programs are considered to be a form of therapy used to better oneself without scientific research supporting the success rate and usually attended without a physician’s input. The support shown for programs like AA is attributed to the abundant success rate they found when a doctor takes some minimal preparation for the patient. These preparations include such tasks as locating the closest meeting and the type of meeting the patient would prefer. The person who is suffering normally takes on these tasks; if discouraged at this point faith in the program may be ceased. They state in the article, ”AA is more important over the long term than professional treatment.” (Johnson, Chappel.1994) The article shows effective guidelines for professionals in the treatment of addiction. We know that AA predates the American Medical Associations’ ruling that alcohol addiction (along with other addictions) is a disease. We know from experience, either personal or second-hand, that addiction can not be cured without intervention of some kind – with the help of a professional and others’ suffering it can. Is that enough of a scientific approach to rely on a group-help program? – Dr. Jarlais does not think so.
Overcoming an addiction to alcohol can be a long and bumpy road. Many people feel that it is impossible to overcome an alcohol addiction. Many people feel that is it easier to be an addict than to be a recovering addict. However, recovering from alcoholism is possible if one is ready to seek the help and support they need on their road to recovery. Recovery is taking the time to regain one’s normal mind, health and strength. Recovery is process. It takes time to stop the alcohol cravings and pressure to drink. For most, rehab and professional help is needed, while others can stop drinking on their own. Recovery never ends. After rehab, professional help or quitting on your own, many people still need help staying sober. A lot of time, recovering
A person that realizes his problem with alcohol has made an important step towards recovery. Next, they must choose the way in which he rehabilitates himself. One option is one-on-one counseling with a psychologist, alcohol counselor, etc. From the point, alternatives like group meetings or medication may be suggested. Also, a serious alcohol-dependency problem may need special attention in a recovery center. Another option is completely being independent in the sobering process. Often times these alternatives are used in a combination or in a series for more effectiveness.
..., Watson, and Westley Planned Change Model consists of seven phases which the change is planned, implemented, and the evaluated (Yoder-Wise, 2011). The outcome of this issue is an ongoing process; the need has been submitted to the nurse practice council which has submitted the issue to the hospital policy board for implementation into policy (T. personal communication, April 2, 2014).
Together, traditional substance abuse services and harm reduction approaches can be incorporated to provide a comprehensive sequence of care—from safer substance use to reduced use to maintaining total abstinence.
"Understanding Alcohol Use Disorders and Their Treatment." Http://www.apa.org. American Psychological Association, n.d. Web. 13 Nov. 2013. http://www.apa.org/helpcenter/alcohol-disorders.aspx
Arias, M.D., A. J., & Kranzler, M.D, H. R. (n.d). Treatment of co-occurring alcohol and other drug Use disorders. Retrieved from http://pubs.niaaa.nih.gov/publications/arh312/155-167.htm
Autism is a neurodevelopmental disorder that effects the brains development. It is characterized by affecting communication, cognition and social interaction. The spectrum of the disorders ranges from a mild condition called Asperger’s syndrome to a more severe form, which severely impairer’s development. The Office of Communications and Public Liaison states that the disorder affects one and eighty-eight children, however ASD effects boys more frequently than girls (Office of Communications and Public Liaison, 2013). ASD emerges in all age, ethnic and socioeconomic groups. The significant varied character and severity of the disorder is why ASD is considered a spectrum that poses a broad range of symptoms.
When we view substance use disorders, alcohol is the most widely used drug within the United States and 11 percent of workers have drinking problems (Frone, 2006). Over 20 million people used illegal substances in 2006 and 7 million people abused prescribed medications. Of the 18 million drug abusers, 18 years or older in 2006, 13.4 million (74.9 %) were employed full or part time (SAMHSA, OSA). These addiction problems have an expenditure of $276 billion dollars per year with most of this cost from loss of productivity and health care (H. Harwood, D. Fountain, and G. Livermore, 1992).
...y therapy in the treatment of alcohol-related problems: A review of behavioural family therapy, family systems theraphy and treatment matching research. Alcoholism Treatment Quarterly, (17)3, 13-23.
Moore, R. D., Bone, L. R., Geller, G., Mamon, J. A., Stokes, E. J., & Levine, D. M. (1989). Prevalence, detection, and treatment of alcoholism in hospitalized patients. JAMA: the journal of the American Medical Association, 261(3), 403-407.
Nobody denies that every client and situation is unique, but there is a general layout out of a treatment plan that can be used thought out the facility to ensure success for the client. The first step in the treatment plan is to screen clients to determine if he/she meets the criteria of the facilities drug, or alcohol program. The facility will use the standard CAGE, of the Substance Abuse Subtitle Screening Inventory questioner as a screening tool. These two screening tools are consist of few questions and require only short answers to determine (American Society of Addiction Medicine, 2012). These tools are easy to use and can be done by any qualified staff according to the ASAM. If more through information is needed then the client will go under an assessment.
Drug and alcohol abuse has become a worldwide epidemic within today’s society. The battle against drugs and alcohol is not going to diminish. Therefore, we as a society need to work together to address these problems while incorporating successful treatment plans and services for these individuals. The addiction to these substances does not only effect oneself, but can also have profound consequences for the children and families.