Medical Cannabis

            Medical cannabis-use elicits debate across the country. The stakeholders in support of medical marijuana include patients, clinicians, pharmaceutical industry, and nurses (Andreae et al., 2016). Patients with adverse diseases experience severe symptoms that can be alleviated by medical cannabis. Clinicians and nurses believe that cannabinoid drugs can resolve pain, vomiting, nausea, anxiety, and appetite stimulation. The pharmaceutical industry supports medical marijuana because the approval of the drug presents a business opportunity. However, the federal and some state governments classify the drug as Schedule 1 because it has the potential for dependency (Andreae et al., 2016). Furthermore, religious groups believe that marijuana legalization may lead to misuse of the drug, hence corroding the moral structure of the society.

            The current research regarding medical marijuana indicates that the drug can be used safely and effectively used to improve the quality of life for patients. After evaluating the therapeutic impacts of cannabis, the Institute of Medicine indicated that the drug had significant therapeutic value due to Tetrahydrocannabinol (THC) (National Conference of State Legislatures, 2019). However, their report cautioned against the use of smoked cannabis because it introduces harmful substances into the patient’s body. Studies have found positive impacts of medical marijuana on adverse effects of glaucoma, cancer, HIV/AIDS, and multiple sclerosis (National Conference of State Legislatures, 2019). As such, there is a need to perform further research to support the effective and ethical use of the drug.

             Over the years, individual states have legalized medical marijuana regardless of the federal statute that prohibits it. Currently, thirty-three states have a comprehensive medical cannabis program, while thirteen states allow limited use of the drug (National Conference of State Legislatures, 2019). The trend shows that policies and laws will continue to improve the availability of the drug across the country. Such acceptance across the board may influence the federal government to review its current opposition to marijuana legalization. Moreover, new policies and laws will guide nursing practice in advising and prescribing the drug effectively and safely; without skepticism associated with the current criminalization. Ultimately, future practice is likely to improve as patients access effective, safe, and ethical cannabis.

References

Andreae et al. (2016). Stakeholders’ views on barriers to research on controversial controlled substances. The Journal of Clinical Ethics, 27(4), 308-321.

National Conference of State Legislatures. (2019). State medical marijuana laws. Retrieved  from http://www.ncsl.org/research/health/state-medical-marijuana-laws.aspx. L

2. peer Reply

When it comes to the debate on whether cannabis should be legalized as medicine or not, it affects different stakeholders such as drug dealers, medical practitioners, law enforcement. It also affects the students and citizens in general (Compton,2017). The legalization of Cannabis has a positive impact on citizens since it can cure different diseases. In the case whereby the patients misuse cannabis by overdosing so that they may feel different than that harms their health. In the case of medical practitioners, the legalization of the use of cannabis would have a positive impact since they can conduct research and use the drug appropriately to cure different diseases. In the case of drug dealers, the legalization of cannabis will harm their illegal business since if cannabis can easily be accessed it means the price will go down leading to low income and they lose customers (Unger, 2016). For law enforcement, there is a mixed reaction since they understand both the advantage and disadvantages of cannabis. Though most law enforcers agree that if legalized few people would be abusing the drug.

The medical research shows that there is increased use of cannabis since it has several benefits in terms of improving the health of people. Cannabis helps in stopping the growth of cancer cells in the patient’s body, it also helps in preventing growth in the lungs and brain. It helps in the prevention of Alzheimer’s disease which mainly affects older adults (Compton, 2017). It helps in reducing anxiety among high smokers preventing them from being paranoid. Cannabis helps in the treatment of glaucoma preventing the affected from poor vision and blindness. It also helps in the treatment of arthritis by reducing the pain and inflammation among the affected patients.

Different policies were implemented to cope with the increased use of cannabis. The policies include; implementation of medical cannabis law which ensured that cannabis is strictly used by the affected patients only (Unger, 2016). The policies involve the prohibition of use and possession of cannabis so to assist in reducing the rate at which the drug is consumed especially among the youths.

References

Compton, W. M., Han, B., Hughes, A., Jones, C. M., & Blanco, C. (2017). Use of marijuana for medical purposes among adults in the United States. Jama, 317(2), 209-211.

Unger, J. B., Soto, D. W., & Leventhal, A. (2016). E-cigarette use and subsequent cigarette and marijuana use among Hispanic young adults. Drug and alcohol dependence, 16. Y

In a four-page scholarly paper, address the following:

·  Provide a succinct overview of the model (The Purnell Model for Cultural Competence) and discuss how the selected model or theory addresses the four concepts within the nursing metaparadigm (person, health, nursing, environment).

·  Discuss how the selected model or theory qualifies as a theoretical framework within the profession of nursing, and its use within the profession.

·  Describe how the chosen model or theory can be applied in your future nurse practitioner role.

1.  Length: The paper (excluding the title page and reference page) is no more than four pages in length.

2.  A minimum of four (4) scholarly literature sources must be used from within the last 5 years

3.  APA format

Your literature review submission should include more than just  everyone’s article critiques. See below from the EBP Phase 2  requirements. 

1. Conduct a literature search, record key terms and results.
2. Select research articles of the highest level of evidence.
3. Critique the article and submit to the instructor.
4. Highlight the main points and recommendations from each research article.

This means you need to also be submitting a record of your literature  search with the key terms used and results yielded and the main points  and ideas from each article. This would be a paragraph or two of each  article

my question for this article was 

do the nurse work 12 hours shift make more medication error compared to nurses who work 8 hours shifts? 

The field of nursing has changed over time. In a 750‐1,000 word paper, discuss nursing practice today by addressing the following:

1. Explain how nursing practice has changed over time and how this evolution has changed the scope of practice and the approach to treating the individual.
2. Compare and contrast the differentiated practice competencies between an associate and baccalaureate education in nursing. Explain how scope of practice changes between an associate and baccalaureate nurse.
3. Identify a patient care situation and describe how nursing care, or approaches to decision‐making, differ between the BSN‐prepared nurse and the ADN nurse.
4. Discuss the significance of applying evidence‐based practice to nursing care and explain how the academic preparation of the RN‐BSN nurse supports its application.
5. Discuss how nurses today communicate and collaborate with interdisciplinary teams and how this supports safer and more effective patient outcomes.

You will engage with and interview a nurse leader in person. You should begin thinking about this activity as soon as possible and identify how you will identify and gain access to the interview. You may include photos, graphs, or charts.

1. Choose a nurse leader who holds a leadership nursing position in their organization who have direct reports (they supervise other employees). Examples of this include Director of Nursing, Director, Unit Manager. *You may not be employed in the same facility as your interviewee or shadow during personal work hours* (If special accommodations need to be made, approval by your instructor is required first). 
2. Develop an interview guide before conducting the interview. Identify information that you want to know before the interview and plan clarifying questions. You must include at least one question about technology/informatics.
3. Conduct an interview regarding their professional role in the organization, and a current health care issue that is of interest to you (ethics, conflict management, budget, staffing, culture of safety, “just culture”, career advancement, quality improvement, etc.). Identify the name of the organization and use names of all involved (no anonymity).
4. Prepare a written report of the interview.