NURS676 discussion 1

NURS676 discussion 1

Unintentional prescription drug abuse is a public health problem that requires the combined efforts of doctors, clients, and pharmacists to detect and eradicate it. An integral part of caring for an individual is helping them avoid or discontinue prescription drugs they are not supposed to be taking. Because of this activity, I now have a broader understanding of recognizing and avoiding improper prescription medicine use. Those in the patient’s position are just as important as doctors and nurses. Clinicians must balance their patients’ valid medical needs with the risks of overuse and its consequences. Monitoring for the non-medical utilization of prescription drugs can be incorporated into regular doctors’ appointments using procedures supported by evidence. I know that I can rely on such methods and resources when applied in the actual world. Medical experts created and tested these, so you know they work. Innovative concepts, methods, advanced technologies, and improvements that have been tried and tested by professionals are necessary for the profession that I have selected.

The client scenarios in the activity are accurate representations of what occurs in real life. Individuals misuse prescription medications for numerous motives; some do so unintentionally, some do so to treat physical discomfort, and still, others do so primarily for the purpose of getting high. Regardless of the cause, our healthcare professionals must equip themselves to handle PMM adequately. As I have witnessed lives wrecked by prescription medication usage, I firmly feel that we must improve our awareness to minimize this abuse. The impact extends beyond the individual to include his loved ones and the community as a whole. I have also observed PMM situations involving young individuals, specifically teenagers. Societal pressure or witnessing a family member who does it may be to blame for this.

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n the Dr Manning in the “Do Not Harm” interactive exercise is a great scenario exercise in
providing adequate patient care regarding pain management and potential for medication misuse.
Pain reporting in general may also be influenced by internal factors such as negative affect, and
contextual factors such as interpersonal trust, expectations of biased physician perceptions and
treatment, or an aversion to certain stigmas associated with pain (Koller et al., 1996; Slade et al.,
2009; Buchman et al., 2016). A patient’s pain is subjective and as healthcare providers we know
that pain is what the patient says or reports, as providers we must ask questions and assess
objectively to aid in finding an intervention. As a provider it is important to be able to identify
prescription medication misuse (PMM) to decrease misuse in patients. The “Do Not Harm”
interactive exercise helped visualize how providers assess and deal with prescribing medications
and the challenges that are involved around it. For example, if you determine a narcotic is needed
it is important to start at a low dose then reassess for effectiveness and determine if that is the
appropriate dose or needs adjustment. The exercise helped me to understand that providers have
a protocol and other tools to help prevent PMM. This exercise helped me to always ask further
questions and ways to use effective communication skills in order to get the answers you need to
determine level and tolerance to pain. For example, the interaction between Dr Manning and
Sargent Franklin, Dr Manning continued to question Sargent Franklin regarding his physical pain
and causative factors that intensify it. Discussing realistic expectations about pain relief it helps
to prepare the patient for challenges that may occur during the recovery period. I’m sure any
provider can see themselves using these techniques in practice, it can create good rapport with
patients and being their advocate during a rough time. To me, adequate care mutuality and
empathy need to exist to care for the patients needs. Effective communication, transparency, and
honesty are needed to form interpersonal skills and relationships between providers and patients
for better patient outcomes.
Which patient(s) from the video do you feel you worked well with, and which patient
situation could you have handled differently? Explain.
I feel I would work well with Sargent Peterson because he is receptive. He seemed very short
answered during the beginning of the conversation but after further questioning began to open
up. After switching from opioids to NSAIDS he did not have any pain. But with further
questioning he verbalized drinking alcohol but not to self-medicate. Sargent Peterson came forth
and stated to reassure Dr Manning he would be willing to give a urine test to show he was not
taking any medications to manage pain prescribed by Dr Manning or anyone else. This ensures
provider and patient trust.
n the Dr Manning in the “Do Not Harm” interactive exercise is a great scenario exercise in
providing adequate patient care regarding pain management and potential for medication misuse.
Pain reporting in general may also be influenced by internal factors such as negative affect, and
contextual factors such as interpersonal trust, expectations of biased physician perceptions and
treatment, or an aversion to certain stigmas associated with pain (Koller et al., 1996; Slade et al.,
2009; Buchman et al., 2016). A patient’s pain is subjective and as healthcare providers we know
that pain is what the patient says or reports, as providers we must ask questions and assess
objectively to aid in finding an intervention. As a provider it is important to be able to identify
prescription medication misuse (PMM) to decrease misuse in patients. The “Do Not Harm”
interactive exercise helped visualize how providers assess and deal with prescribing medications
and the challenges that are involved around it. For example, if you determine a narcotic is needed
it is important to start at a low dose then reassess for effectiveness and determine if that is the
appropriate dose or needs adjustment. The exercise helped me to understand that providers have
a protocol and other tools to help prevent PMM. This exercise helped me to always ask further
questions and ways to use effective communication skills in order to get the answers you need to
determine level and tolerance to pain. For example, the interaction between Dr Manning and
Sargent Franklin, Dr Manning continued to question Sargent Franklin regarding his physical pain
and causative factors that intensify it. Discussing realistic expectations about pain relief it helps
to prepare the patient for challenges that may occur during the recovery period. I’m sure any
provider can see themselves using these techniques in practice, it can create good rapport with
patients and being their advocate during a rough time. To me, adequate care mutuality and
empathy need to exist to care for the patients needs. Effective communication, transparency, and
honesty are needed to form interpersonal skills and relationships between providers and patients
for better patient outcomes.
Which patient(s) from the video do you feel you worked well with, and which patient
situation could you have handled differently? Explain.
I feel I would work well with Sargent Peterson because he is receptive. He seemed very short
answered during the beginning of the conversation but after further questioning began to open
up. After switching from opioids to NSAIDS he did not have any pain. But with further
questioning he verbalized drinking alcohol but not to self-medicate. Sargent Peterson came forth
and stated to reassure Dr Manning he would be willing to give a urine test to show he was not
taking any medications to manage pain prescribed by Dr Manning or anyone else. This ensures
provider and patient trust.

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n the Dr Manning in the “Do Not Harm” interactive exercise is a great scenario exercise in
providing adequate patient care regarding pain management and potential for medication misuse.
Pain reporting in general may also be influenced by internal factors such as negative affect, and
contextual factors such as interpersonal trust, expectations of biased physician perceptions and
treatment, or an aversion to certain stigmas associated with pain (Koller et al., 1996; Slade et al.,
2009; Buchman et al., 2016). A patient’s pain is subjective and as healthcare providers we know
that pain is what the patient says or reports, as providers we must ask questions and assess
objectively to aid in finding an intervention. As a provider it is important to be able to identify
prescription medication misuse (PMM) to decrease misuse in patients. The “Do Not Harm”
interactive exercise helped visualize how providers assess and deal with prescribing medications
and the challenges that are involved around it. For example, if you determine a narcotic is needed
it is important to start at a low dose then reassess for effectiveness and determine if that is the
appropriate dose or needs adjustment. The exercise helped me to understand that providers have
a protocol and other tools to help prevent PMM. This exercise helped me to always ask further
questions and ways to use effective communication skills in order to get the answers you need to
determine level and tolerance to pain. For example, the interaction between Dr Manning and
Sargent Franklin, Dr Manning continued to question Sargent Franklin regarding his physical pain
and causative factors that intensify it. Discussing realistic expectations about pain relief it helps
to prepare the patient for challenges that may occur during the recovery period. I’m sure any
provider can see themselves using these techniques in practice, it can create good rapport with
patients and being their advocate during a rough time. To me, adequate care mutuality and
empathy need to exist to care for the patients needs. Effective communication, transparency, and
honesty are needed to form interpersonal skills and relationships between providers and patients
for better patient outcomes.
Which patient(s) from the video do you feel you worked well with, and which patient
situation could you have handled differently? Explain.
I feel I would work well with Sargent Peterson because he is receptive. He seemed very short
answered during the beginning of the conversation but after further questioning began to open
up. After switching from opioids to NSAIDS he did not have any pain. But with further
questioning he verbalized drinking alcohol but not to self-medicate. Sargent Peterson came forth
and stated to reassure Dr Manning he would be willing to give a urine test to show he was not
taking any medications to manage pain prescribed by Dr Manning or anyone else. This ensures
provider and patient trust.
n the Dr Manning in the “Do Not Harm” interactive exercise is a great scenario exercise in
providing adequate patient care regarding pain management and potential for medication misuse.
Pain reporting in general may also be influenced by internal factors such as negative affect, and
contextual factors such as interpersonal trust, expectations of biased physician perceptions and
treatment, or an aversion to certain stigmas associated with pain (Koller et al., 1996; Slade et al.,
2009; Buchman et al., 2016). A patient’s pain is subjective and as healthcare providers we know
that pain is what the patient says or reports, as providers we must ask questions and assess
objectively to aid in finding an intervention. As a provider it is important to be able to identify
prescription medication misuse (PMM) to decrease misuse in patients. The “Do Not Harm”
interactive exercise helped visualize how providers assess and deal with prescribing medications
and the challenges that are involved around it. For example, if you determine a narcotic is needed
it is important to start at a low dose then reassess for effectiveness and determine if that is the
appropriate dose or needs adjustment. The exercise helped me to understand that providers have
a protocol and other tools to help prevent PMM. This exercise helped me to always ask further
questions and ways to use effective communication skills in order to get the answers you need to
determine level and tolerance to pain. For example, the interaction between Dr Manning and
Sargent Franklin, Dr Manning continued to question Sargent Franklin regarding his physical pain
and causative factors that intensify it. Discussing realistic expectations about pain relief it helps
to prepare the patient for challenges that may occur during the recovery period. I’m sure any
provider can see themselves using these techniques in practice, it can create good rapport with
patients and being their advocate during a rough time. To me, adequate care mutuality and
empathy need to exist to care for the patients needs. Effective communication, transparency, and
honesty are needed to form interpersonal skills and relationships between providers and patients
for better patient outcomes.
Which patient(s) from the video do you feel you worked well with, and which patient
situation could you have handled differently? Explain.
I feel I would work well with Sargent Peterson because he is receptive. He seemed very short
answered during the beginning of the conversation but after further questioning began to open
up. After switching from opioids to NSAIDS he did not have any pain. But with further
questioning he verbalized drinking alcohol but not to self-medicate. Sargent Peterson came forth
and stated to reassure Dr Manning he would be willing to give a urine test to show he was not
taking any medications to manage pain prescribed by Dr Manning or anyone else. This ensures
provider and patient trust.
n the Dr Manning in the “Do Not Harm” interactive exercise is a great scenario exercise in
providing adequate patient care regarding pain management and potential for medication misuse.
Pain reporting in general may also be influenced by internal factors such as negative affect, and
contextual factors such as interpersonal trust, expectations of biased physician perceptions and
treatment, or an aversion to certain stigmas associated with pain (Koller et al., 1996; Slade et al.,
2009; Buchman et al., 2016). A patient’s pain is subjective and as healthcare providers we know
that pain is what the patient says or reports, as providers we must ask questions and assess
objectively to aid in finding an intervention. As a provider it is important to be able to identify
prescription medication misuse (PMM) to decrease misuse in patients. The “Do Not Harm”
interactive exercise helped visualize how providers assess and deal with prescribing medications
and the challenges that are involved around it. For example, if you determine a narcotic is needed
it is important to start at a low dose then reassess for effectiveness and determine if that is the
appropriate dose or needs adjustment. The exercise helped me to understand that providers have
a protocol and other tools to help prevent PMM. This exercise helped me to always ask further
questions and ways to use effective communication skills in order to get the answers you need to
determine level and tolerance to pain. For example, the interaction between Dr Manning and
Sargent Franklin, Dr Manning continued to question Sargent Franklin regarding his physical pain
and causative factors that intensify it. Discussing realistic expectations about pain relief it helps
to prepare the patient for challenges that may occur during the recovery period. I’m sure any
provider can see themselves using these techniques in practice, it can create good rapport with
patients and being their advocate during a rough time. To me, adequate care mutuality and
empathy need to exist to care for the patients needs. Effective communication, transparency, and
honesty are needed to form interpersonal skills and relationships between providers and patients
for better patient outcomes.
Which patient(s) from the video do you feel you worked well with, and which patient
situation could you have handled differently? Explain.
I feel I would work well with Sargent Peterson because he is receptive. He seemed very short
answered during the beginning of the conversation but after further questioning began to open
up. After switching from opioids to NSAIDS he did not have any pain. But with further
questioning he verbalized drinking alcohol but not to self-medicate. Sargent Peterson came forth
and stated to reassure Dr Manning he would be willing to give a urine test to show he was not
taking any medications to manage pain prescribed by Dr Manning or anyone else. This ensures
provider and patient trust.

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Discussion Prompt 1 (Complete the Do No Harm interactive in Week 1 first.)

Reflect on your experience as Dr. Manning in the Do No Harm interactive exercise. How did this exercise affect your understanding of how to identify and prevent prescription medication misuse? What tools and techniques did you learn? Can you see yourself realistically using any of them in your practice? Why or why not?

In the Dr Manning in the “Do Not Harm” interactive exercise is a great scenario exercise in providing adequate patient care regarding pain management and potential for medication misuse. Pain reporting in general may also be influenced by internal factors such as negative affect, and contextual factors such as interpersonal trust, expectations of biased physician perceptions and treatment, or an aversion to certain stigmas associated with pain (Koller et al., 1996; Slade et al., 2009; Buchman et al., 2016). A patient’s pain is subjective and as healthcare providers we know that pain is what the patient says or reports, as providers we must ask questions and assess objectively to aid in finding an intervention. As a provider it is important to be able to identify prescription medication misuse (PMM) to decrease misuse in patients. The “Do Not Harm” interactive exercise helped visualize how providers assess and deal with prescribing medications and the challenges that are involved around it. For example, if you determine a narcotic is needed it is important to start at a low dose then reassess for effectiveness and determine if that is the appropriate dose or needs adjustment. The exercise helped me to understand that providers have a protocol and other tools to help prevent PMM. This exercise helped me to always ask further questions and ways to use effective communication skills in order to get the answers you need to determine level and tolerance to pain. For example, the interaction between Dr Manning and Sargent Franklin, Dr Manning continued to question Sargent Franklin regarding his physical pain and causative factors that intensify it. Discussing realistic expectations about pain relief it helps to prepare the patient for challenges that may occur during the recovery period. I’m sure any provider can see themselves using these techniques in practice, it can create good rapport with patients and being their advocate during a rough time. To me, adequate care mutuality and empathy need to exist to care for the patients needs. Effective communication, transparency, and honesty are needed to form interpersonal skills and relationships between providers and patients for better patient outcomes.

Which patient(s) from the video do you feel you worked well with, and which patient situation could you have handled differently? Explain.

I feel I would work well with Sargent Peterson because he is receptive. He seemed very short answered during the beginning of the conversation but after further questioning began to open up. After switching from opioids to NSAIDS he did not have any pain. But with further questioning he verbalized drinking alcohol but not to self-medicate. Sargent Peterson came forth and stated to reassure Dr Manning he would be willing to give a urine test to show he was not taking any medications to manage pain prescribed by Dr Manning or anyone else. This ensures provider and patient trust.

How realistic do you think these patient situations are? In your experience, have you seen a need for increased vigilance in PMM? Explain.
Situations regarding PMM are realistic and happen more often than you think. In situations like these it is important to do and initial urine screen, random and/or yearly urine test to monitor misuse. Patients can be using prescription drugs even if they are not prescribed by a MD. PMM has been a problem for many years, but changes are being made to decrease PMM. For example, providers should use tools given to help decrease PMM such as the CURES software. The database is used to see what scheduled medications patients have been recently prescribed with date, quantity and pharmacy. It is an effective tool to determine patients’ usage especially in the addiction medicine setting. For example, if a patient is on maintenance medications or if they have been to several facilities to get narcotic drugs. In California, CURES (Controlled Substance Utilization Review and Evaluation System) is a database to monitor scheduled drugs reported to all pharmacies and dispensing of certain scheduled drugs. It is an effective tool to help decrease PMM.

Discussion 2

The Ca Board of Registered Nursing provides and explanation of standardized procedure requirement for Nurse Practitioner Practice and list standardized P&P which include education, Training, certification, and diagnosing. In community-based health care services, care is given and directed by advanced practice nurses. Outpatient, ambulatory, or primary care in nature, these nurse-managed health centers serve specific populations for health and disease management under independent practice (without physician supervision). The implementation of advanced practice nursing roles in the emergency and critical care settings improves patient outcomes. The transformation of healthcare delivery through effective utilization of the workforce may alleviate the impending rise in demand for health services (Woo et al., 2017). According to the American Academy of Ambulatory Care Nursing (2021), nursing procedures are developed and reviewed for latest evidence guidance for the APRN to use in practice. As literature provides some examples of APRNs in independent roles, I think they highlight collaborative care for the APRN and physician if EBP is referenced just the same. We also have evidence that the quality of care is similar to that of a physician.