Local Practice Problem Exploration: Cancer.

As we have chosen the same practice problem, to explore, I am curious how your facility (north shore medical center, Miami, Florida) has planned to (or currently has implemented) becoming an Age-Friendly institution?  Many of the interventions you described echo the “4 M” is of the Age-Friendly Institution: Mentation, Mobility, Medications, and What Matters Most.  How have you seen institutions adapting to this framework in anticipation of the needs of cancer patients and survivors? 

– How cancer impacts nurses, healthcare organizations, nursing care, and general health care quality?

– what is the real impact on your community? What is the cost to your local community (Miami, Florida)? 

Just as you sought out stakeholders when considering practice problems at the national level, an ongoing dialogue with stakeholders at your local level is equally important. Get to know your formal and informal leaders. Networking with stakeholders sets into motion a collaborative relationship that is needed to focus on a practice problem with the intention of translating the best available evidence. 

 – Key stakeholders affected by the problem and ones involved in the resolution. In your current practice, what contributes to the alarming rates across the known practice problems? During your journey this week, you’ll also examine the role of stakeholders in change and the role of translation science in influencing patient outcomes across known practice problems. During your readings, you probably noted that there are challenges and barriers to changing practice.    

Instructions:

Use an APA style and a minimum of 200 words. Provide support from a minimum of at least three (3) scholarly sources. The scholarly source needs to be: 1) evidence-based, 2) scholarly in nature, 3) Sources should be no more than five years old (published within the last 5 years), and 4) an in-text citation. citations and references are included when information is summarized/synthesized and/or direct quotes are used, in which APA style standards apply. 

• Textbooks are not considered scholarly sources. 

• Wikipedia, Wikis, .com website, or blogs should not be used. 

*Recommended resources:

The U.S. Burden of Disease Collaborators. (2018). The State of U.S. health, 1990-2016 burden of diseases, injuries, and risk factors among U.S. states. JAMA, 319(14), 1444-1472. https://doi.org/10.1001/jama.2018.0158

White, K. M., Dudley-Brown, S., & Terhaar, M. F. (2016). Translation of evidence into nursing and health care (2nd ed.). Springer Publishing Company.

https://www.medicare.gov/hospitalcompare/cancer-measures.html

Learning Activity

Introduction and Alignment

The PMHNP must be knowledgeable about substances of abuse, including signs and symptoms of abuse, intoxication and withdrawal, and appropriate treatment options. 

Upon completion of this assignment, you should be able to:

• Describe the neuropharmacology of substances of abuse
• Discuss assessment and treatment of substance use disorders

Resources

• Textbook: Sadock, B., Sadock, V.A.,& Ruiz, P.(2015) – Chapter 20
• Textbook: American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author.
• Website: https://www.drugabuse.gov/sites/default/files/files/ClinicalOpiateWithdrawalScale.pdf
• Website: https://www.hopkinsmedicine.org/johns_hopkins_healthcare/downloads/cage%20substance%20screening%20tool.pdf

Instructions

1. Choose a substance of abuse and briefly describe the neuropharmacology of the substance.
2. Write a 3-5 page paper describing clinical and psychological symptoms that clients may experience as a result of using the substance
3. Provide examples of withdrawal presentation for the identified substance.
4. Explain current treatment options. 
5. Use APA formatting throughout the paper, citations/references should be included
6. When you have completed your assignment, save a copy for yourself and submit a copy to your instructor using the Dropbox by the end of the workshop. 

Select here to access the Dropbox.

Assessment Criteria

Criteria

Points

Question answered comprehensively

• Neuropharmacology of substance (10)
• Clinical and psychological symptoms (10)
• Examples of a withdrawal presentation (10)
• Current treatment options (10) 

40

Paper APA formatted, references and citations in correct APA format

5

Writing style/punctuation/grammar, the minimum length of 3 pages

5

Total Points

50