Your patient is a 52-year-old male with a history of smoking and alcohol abuse. He presents to the ED with complaints of “my skin looks yellow, my stomach hurts, and I feel nauseous”. He is taken to CT and a tumor near the pancreas is observed. It appears to be blocking the common bile duct. Develop a plan of care for the patient. Use the attached concept map.

Unit 11 Discussion Medications for Pain Management. 800w. 4 references. Due 11-01-23

1. Why are many parties, including the U.S. Government, concerned about the use of opioids for pain management?

2. Provide input on the following article “America’s opioid crisis: the need for an integrated public health approach” https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7286889/

3. Which mental health disorders are commonly associated with patients who also need pain relief? ——–I believe this is depression and anxiety.
https://www.health.harvard.edu/mind-and-mood/pain-anxiety-and-depression. https://www.healthcentral.com/pain-management/chronic-pain-and-mental-health

4. What is an MME and how is it calculated?

Responses need to address all components of the question, demonstrate critical thinking and analysis and include peer-reviewed journal evidence to support the student’s position.

Please be sure to validate your opinions and ideas with in-text citations and corresponding references in APA format.

Please review the rubric to ensure that your response meets the criteria.

Medications for Pain Management Pain relievers in the opioid class work by binding to specific cells known as opioid receptors in the brain and nervous system. Opioid drugs dull pain perception and heighten pleasure when they bind to opioid receptors within brain cells, activated when the blood reaches the brain. That which makes opiate painkillers so effective also makes them potentially harmful. Many organizations are concerned about opioids because while at lesser dosages, they may make patients sleepy (Townsend et al., 2021). In more significant quantities, they can cause breathing and heart rate slowdowns, resulting in death. Additionally, the pleasurable effects of opioids might make the patients crave more of them, which can be a dangerous spiral into addiction. By taking medications as prescribed, patients can lessen the likelihood of experiencing adverse effects. Patients should inform their healthcare providers of all their drugs and supplements (Mark & Paris, 2019). Significant evidence also links chronic pain to mental health issues and substance dependence. However, the exact nature of the connection, particularly in terms of causation, is sometimes unclear. According to Slawek et al. (2022), pain can increase mental health difficulties such as anxiety, difficulty sleeping, depression, and panic disorders, while stress and depression can make chronic pain severe. Pain can also make it more difficult to sleep. Opioid overdose most commonly causes respiratory depression, which can cause severe consequences or even death. When a patient is close to a potentially harmful threshold, medical professionals look at their daily morphine equivalent doses (MED),which is the sum of the MMEs of all opioids they are likely to take within 24 hours. The Morphine Milligram equivalent (MME) value is the relative potency of a dose of opioids compared to morphine (Dasgupta, This study source was downloaded by 100000769192234 from CourseHero.com on 10-22-2023 14:20:45 GMT -05:00 https://www.coursehero.com/file/184520553/Unit-11-Discussion-Pain-Managementdocx/ 2 2021). MME aims to aid physicians in making safe and appropriate judgments when considering modifications to existing opiate treatment plans. The MME converts multiple different opiate doses into a uniform number based on the strength of morphine using a universal conversion factor defined by the Centers for Disease Control and Prevention (CDC). Every prescription is given in MME daily according to the CDC conversion factor, dosage, and the number of days' worth of medication. Each opiate dose a patient takes per day is converted to milligrams of morphine using a morphine-based conversion factor, and the daily average rate is then used to determine the MME. This study source was downloaded by 100000769192234 from CourseHero.com on 10-22-2023 14:20:45 GMT -05:00 https://www.coursehero.com/file/184520553/Unit-11-Discussion-Pain-Managementdocx/ 3 References Dasgupta, N. (2021). Verbatim MME calculation methods from studies cited in the CDC pain guideline identified from a previous methods review. FDA U.S. Food and Drug Administration. https://doi.org/10.17615/95wd-3150 Mark, T. L., & Parish, W. (2019). Opioid medication discontinuation and risk of adverse opioidrelated health care events. Journal of Substance Abuse Treatment, 101(1), 58-63. https://doi.org/10.1016/j.jsat.2019.05.001 Slawek, D. E., Syed, M., Cunningham, C. O., Zhang, C., Ross, J., Herman, M., Sohler, N., Minami, H., Levin, F. R., Arnsten, J. H., & Starrels, J. L. (2022). Pain catastrophizing and mental health phenotypes in adults with refractory chronic pain: A latent class analysis. Journal of Psychiatric Research, 145(1), 102-110. https://doi.org/10.1016/j.jpsychires.2021.12.001 Townsend, T., Cerda, M., Bohnert, A., Legisetty, P., & Haffajee, R. L. (2021). CDC guideline for opioid prescribing associated with reduced dispensing to certain patients with chronic pain: Study examines the impact of CDC guidelines for opioid prescribing. Health Affairs, 40(11), 1766-1775. https://doi.org/10.1377/hlthaff.2021.00135

I was really surprised by my results from the essential self-assessment the 2nd time around. I made sure not to look at the 1st one before I completed it. My score was initially 36 and now is 46. I had significantly more excellent than the very good column than before. Two areas that I have learned a great deal in. I have a better understanding of the use of CIS systems to document interventions related to achieving nurse sensitive outcomes. I also recognize the role that information technology plays in improving patient care outcomes and creating a safe care environment.

Understanding the difference between a CIS system and an EHR is important to understand how each work. Knowing now that a CIS system focuses on management of clinical data and information that allows practitioners and patients to use the date. CIS systems provide the infrastructure to bring all applications together.  The goal of an EHR system is to improve quality and safety of patient care by benefits of improved accuracy and completeness of patient health information.   

“Information technology is the process of searching, organizing and managing data supported by the use of computers” (Hebda et al., 2018). With the use of science to support the use of technology in healthcare, our patients can have safer and better outcomes in care.

As I continue my nursing career, I will use the knowledge I have learned to help provide the best care to my patients. I currently use the CIS system at my current position. But now understanding its use better, I plan to help educate my patients on the ability for them to create an account to manage their health. By receiving recent lab results, vital signs, and physician notes on after care summaries, patients can take better control of their health. They can also use the system to make future Dr. appointments and chat with the practitioners. Using information technology has been something my hospital continues to grow on. I will use information technology more to identify areas in our practice that can benefit from updating our nursing practice. Using our charting system, I can identify areas that nursing practice may be lacking such as IV start success rates. “Technology aids the nurse in the collections, analysis and application of data for decision making” (Chamberlain Lesson 8, 2023) By researching, analyzing, and applying what I’ve learned, I can help our nursing staff enhance performance in delivering of safe patient care.

 

Resources:

Chamberlian University. (2023, September).
Week 8 Lesson: Informatics as a specialty [Lecture Notes].

Week 8: Lesson: Informatics as a Specialty: RN Information Systems in Healthcare-Wells-Kersbergen (instructure.com)

 

Hebda, T., Hunter, K., & Czar, P. (2018). Handbook of Informatics for Nurses & Healthcare Professionals (6th ed.). Pearson Learning Solutions.

https://ambassadored.vitalsource.com/books/9781323903148

 Please go through and fill out the table on Medications affecting Coagulation. 

Introduction

Many organizations work to better local and global communities' quality of life and promote health and safety in times of crisis. As public health and safety advocates, nurses must be cognizant of how such organizations help certain populations. As change agents, nurses must be aware of factors that impact the organization and the services that it offers. Familiarity with these organizations enables the nurse to offer assistance as a volunteer and source of referral.

This assessment provides an opportunity for you gain insight into the mission, vision, and operations of a community services organization.

Preparation

You are interested in expanding your role as a nurse and are considering working in an area where you can help to promote equal opportunity and improve the quality of life within the local or global community. You are aware of several nonprofit organizations and government agencies whose work contributes to this effort in some way. You have particular interest in one of these organizations but would like to know more about its contributions to public health and safety improvements. You would like to report the results of your research in a scholarly paper that you could submit for publication.

Research a local, national, or global nonprofit organization or government agency selected from the 
Assessment 02 Supplement: Community Resources [PDF] 
 Download Assessment 02 Supplement: Community Resources [PDF]resource. Determine how the selected organization or agency contributes to public health and safety improvements, promotes equal opportunity, and improves the quality of life within the community. Submit your findings in a 3–5 page report.

As you begin to prepare this assessment, it would be an excellent choice to complete the Nonprofit Organizations and Community Health activity. Complete this activity to gain insight into promoting equal opportunity and improving the quality of life in a community. The information gained from completing this activity will help you succeed with the assessment.

Note: As you revise your writing, check out the resources listed on the Writing Center's 
Writing Support page.

Instructions

First, select one of the local, national, or global nonprofit organizations or government agencies presented in the 
Assessment 02 Supplement: Community Resources [PDF] 
 Download Assessment 02 Supplement: Community Resources [PDF]resource.

Then research the nonprofit organization or government agency that you selected. Determine how the organization or agency contributes to public health and safety improvements, promotes equal opportunity, and improves the quality of life within the community. Submit your findings in a 3–5 page report structured according to the following specifications:

Document Format and Length

Format your paper using APA style.

· Refer to the 
APA Style Paper Tutorial [DOCX] to help you in writing and formatting your paper. Be sure to include:

· A title page and references page. An abstract is not required.

· Appropriate section headings.

· Your paper should comprise 3–5 pages of content plus title and references pages.

Supporting Evidence

Cite at least three credible sources from peer-reviewed journals or professional industry publications published within the past 5 years that support your research findings.

Graded Requirements

The research requirements, outlined below, correspond to the grading criteria in the assessment scoring guide, so be sure to address each point.

· Explain how the organization's mission and vision enable it to contribute to public health and safety improvements.

· Include examples of ways a local and/or global initiative supports organizational mission and vision and promotes public health and safety.

· Evaluate an organization's ability to promote equal opportunity and improve the quality of life in the community.

· Consider the effects of social, cultural, economic, and physical barriers.

· Assess the impact of funding sources, policy, and legislation on the organization's provision of services.

· Consider the potential implications of funding decisions, policy, and legislation for individuals, families, and aggregates within the community.

· Explain how an organization's work impacts the health and/or safety needs of a local community.

· Consider how nurses might become involved with the organization.

· Organize content so ideas flow logically with smooth transitions; contains few errors in grammar/punctuation, word choice, and spelling.

· Apply APA formatting to in-text citations and references exhibiting nearly flawless adherence to APA format.

· Write with a specific purpose and audience in mind.

· Adhere to scholarly and disciplinary writing standards and APA formatting requirements.

Additional Requirements

Before submitting your paper, proofread it to minimize errors that could distract readers and make it difficult for them to focus on your research findings.

Competencies Measured

By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and scoring guide criteria:

Competency 1: Analyze health risks and health care needs among distinct populations.

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· Explain how an organization's work impacts the health and/or safety needs of a local community.

Competency 2: Propose health promotion strategies to improve the health of populations.

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· Explain how an organization's mission and vision enable it to contribute to public health and safety improvements.

Competency 3: valuate health policies, based on their ability to achieve desired outcomes.

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· Assess the impact of funding sources, policy, and legislation on an organization's service delivery.

Competency 4: Integrate principles of social justice in community health interventions.

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· Evaluate an organization's ability to promote equal opportunity and improve the quality of life in a community.

Competency 5: Apply professional, scholarly communication strategies to lead health promotion and improve population health.

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· Organize content so ideas flow logically with smooth transitions; contains few errors in grammar/punctuation, word choice, and spelling.

· Apply APA formatting to in-text citations and references exhibiting nearly flawless adherence to APA format.