Described the ASAM patient placement criteria for the treatment of substance-related disorders.

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Substance abuse assessments have very different purposes for different populations. For instance, an assessment for treatment of victims will look different from a court-mandated assessment relating to criminal behavior. For another example, an assessment for an adolescent would likely emphasize peer influence more so than it would for an adult. These demographic factors significantly influence the assessment as it relates to treatment planning or other recommendations.

Use the module readings and the Argosy University online library resources to research types of substance abuse assessments for different demographics.

Select three substance abuse assessments for use in this assignment. Your choices should represent three different age populations such as the elderly, adults, adolescents, or children.

Review the American Society of Addiction Medicine (ASAM) patient placement criteria for the treatment of substance-related disorders at the following:

  • Mee-Lee, D. (2005). Overview of the ASAM patient placement criteria, second edition revised (ASAM PPC-2R). Substance Abuse & Mental Health Services Administration (SAMHSA). Retrieved fromhttps://www1.maine.gov/dhhs/oms/provider/pnmi/documents/ASAM-presentation-Dr-Lee.pdf
  • Substance Abuse and Mental Health Services Administration, Center for Substance Abuse Treatment. (2001). KAP KEYS Based on TIP 13: The role and current status of patient placement criteria in the treatment of substance use disorders. Retrieved fromhttp://integratedrecovery.org/wp-content/uploads/2010/08/TIP13-KAP.Keys_.pdf

Complete the following:

  1. Describe the ASAM patient placement criteria for the treatment of substance-related disorders.
  2. Describe the three selected types of substance abuse assessments that you might use. Be sure that your choices represent three different age populations such as the elderly, adults, adolescents, or children.
  3. Compare and contrast the information being collected in each of the three assessments and describe the areas of concern. Ask, for example, does it include client presentation and functioning, current use and history, high-risk behavior, first exposure, consequences of addiction, culture, life skills, work, vocation, education, health, recreation, or spirituality? Present the comparison of the four types of substance abuse assessments in a table.
  4. Explain special considerations, including ethical issues, which would apply to the different populations selected.
  5. Evaluate the importance of having assessment tools for clients in each developmental life stage.

Create an 8–10 slide PowerPoint presentation to present your findings to other substance abuse counselors. Include the table comparing the three types of substance abuse assessments. Apply APA standards to citation of sources in your slides. Use the speaker notes in the slide show to further discuss the topics on each slide. In addition, make sure you have a title slide and a slide with references (in APA format).

Course Project Grading Criteria and Rubric 

 

Assignment 1 Grading Criteria
Maximum Points
Described the ASAM patient placement criteria for the treatment of substance-related disorders.
32
Described three assessments, each representing a different age population.
48
Compared and contrasted the information collected from each of the three assessments and identified the areas for concern.
68
Explained the special issues to be considered, which apply to the different populations selected.
52
Evaluated the importance of having assessment tools for clients in each developmental life stage.
36
Presentation Components:Organization (16)

Style (8)

Usage and Mechanics (16)

APA Elements (24)
64
Total:
300

In what area did the organization display a less than desirable quality of performance (financial, operational, clinical)?

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Identify a healthcare organization that has been significantly impacted due to low quality organizational performance in one or more areas.

Write a 700- to 1,000-word paper that integrates standards of the field and ethical principles into the problem solving process by including the following aspects:

•In what area did the organization display a less than desirable quality of performance (financial, operational, clinical)? •From what you read, what type of organizational culture seemed to exist? •What strategic planning efforts would you put into place as the leader, to help reorganize? •What performance measurement tools would you use? •Who would be your stakeholders in the reorganization efforts?

Include a minimum of three peer-reviewed references, not including the textbook.

Part 2:

Write a 400- to 600-word paper and include the following:

You are the business manager of a fifteen-physician group practice in family medicine that has proposed to open a satellite clinic on the periphery of its current market area in order to increase the number of families that it serves. The clinic will be located in an area of somewhat older, rundown homes that seem to be undergoing slow but steady gentrification. The clinic initially will be staffed with three physicians and has a maximum capacity of ten doctors.

One of your responsibilities under the strategic plan to create the clinic is to establish a modest program for keeping track of the factors and variables that might affect the success of the clinic. Prepare a list of ten quality indicators ( 5 financial and 5 operational) that you purpose to monitor, including the sources you will use to gather the necessary data. For each one of the metrics, indicate the directions in which they might change and the adjustments in the plan for the new clinic that would be necessary.

Take care to iintegrate standards of the field and ethical principles into the problem solving process.

Include a minimum of two peer-reviewed references, not including the textbook.

HOW DOES THE RN SUPPORT THE PATIENT’S DECISION WHEN THE BELIEFS OF THE PATIENT ARE CONTRARY THEIR OWN?

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HOW DOES THE RN SUPPORT THE PATIENT’S DECISION WHEN THE BELIEFS OF THE PATIENT ARE CONTRARY THEIR OWN?

Scenario: Michael, a 35-year-old was brought via ambulance to the emergency department after collapsing on the street. He was diagnosed with appendicitis and the surgical team was alerted to the potential surgery. The physician prepared to obtain informed consent and began discussing the simple effective surgery and the treatment with the patient. The RN was present at the bedside. The patient stated he did not want surgery. Based upon his beliefs as a Christian Scientist, it is against his practices. He requested a Christian Science practitioner. The patient rated his pain as 9 on 0-10 verbal pain scale so the RN prepared the narcotic analgesic to relieve the patient’s pain. The patient declined the medication. The RN believes the patient should accept the pain medication and have the surgery thinking “If it were me I would proceed with the surgery and treatments proposed by the surgeon.” The surgeon can be heard speaking to a colleague about how to go about changing the patient’s decision.

How does the RN support the patient’s decision when the beliefs of the patient are contrary their own? List at least three actions (with supporting rationales) the RN would perform to ensure the delivery of culturally sensitive care.

APA style REF as well as no older than 5 yr ref. No more than a page.

Journal Articles

  • Smith, L. (2013).  Reaching for cultural competence.  Nursing, 43(6), 30-38.

Visit the following websites:

  • National Center for Complementary and Alternative Medicine , full site on complementary and alternative medicine by the US government

Anaphylactic Shock

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Discussion 2: Anaphylactic Shock

 

The treatment of anaphylactic shock varies depending on a patient’s physiological response to the alteration. Immediate medical intervention and emergency room visits are vital for some patients, while others can be treated through basic outpatient care.

 

Consider the January 2012 report of a 6-year-old girl who went to her school nurse complaining of hives and shortness of breath. Since the school did not have any medication under her name to use for treatment and was not equipped to handle her condition, she was sent to an emergency room where she was pronounced dead. This situation has raised numerous questions about the progression of allergic reactions, how to treat students with severe allergies, how to treat students who develop allergic reactions for the first time, and the availability of epinephrine in schools. If you were the nurse at the girl’s school, how would you have handled the situation? How do you know when it is appropriate to treat patients yourself and when to refer them to emergency care?

 

To prepare:

 

  • Review “Anaphylactic Shock” in Chapter 23 of the Huether and McCance text, “Distributive Shock” in Chapter 10 of the McPhee and Hammer text, and the Jacobsen and Gratton article in the Learning Resources.
  • Identify the multisystem physiologic progression that occurs in anaphylactic shock. Think about how these multisystem events can occur in a very short period of time.
  • Consider when you should refer patients to emergency care versus treating as an outpatient.
  • Select two patient factors different from the one you selected in this week’s first Discussion: genetics, gender, ethnicity, age, or behavior. Reflect on how the factors you .selected might impact the process of anaphylactic shock.Post 1 page paper on an explanation of the physiological progression that occurs in anaphylactic shock. Then, describe the circumstances under which you would refer patients for emergency care versus treating as an outpatient. Finally, explain how the patient factors you selected might impact the process of anaphylactic shock.

     

    References/ RESOURCES

 

  • Huether, S. E., & McCance, K. L. (2012). Understanding pathophysiology (Laureate custom ed.). St. Louis, MO: Mosby.
    • Chapter 23, “Alterations of Cardiovascular Function 

 

  • McPhee, S. J., & Hammer, G. D. (2012). Pathophysiology of disease: An introduction to clinical medicine (Laureate Education, Inc., custom ed.). New York, NY: McGraw-Hill Medical.
  • Chapter 10, “Cardiovascular Disorders: Heart Disease”
  • Jacobsen, R. C., & Gratton, M. C. (2011). A case of unrecognized prehospital anaphylactic shock.Prehospital Emergency Care,15(1), 61–66.Retrieved from the Walden Library databases.