The Comprehensive Intervention For Alcohol Use Disorder Paper

Alcoholism is manifested in the inability to manage alcohol consumption and has extensive negative implications on the medical, social, and psychological aspects of a person and their family. Alcohol Use Disorder (AUD) remains one of the most common and chronic global health concerns that impacts the lives of millions of individuals. Described by the inability to maintain abstinence from alcohol or drinking in a limited and responsible manner despite adverse effects, AUD impacts one’s physical health, mental well-being, and social functioning. The National Institute on Alcohol Abuse and Alcoholism (2023) reports that approximately 29.5 million adults in the United States had AUD in 2021. This analysis focuses on a multifaceted approach to intervention in AUD and its relation to leadership, change management, nursing ethics, and policies The Comprehensive Intervention For Alcohol Use Disorder Paper.

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Summary of the Problem

AUD is a long-term disease that is associated with compulsive drinking, the loss of control over alcohol use, and the development of a negative affective state when not consuming alcohol (Yang et al., 2022). It causes numerous health conditions, such as liver disease, cardiovascular complications, and various mental illnesses. AUD is not only a problem of the subject but a social problem that influences families and communities as there is a higher probability of domestic violence, child neglect, and financial difficulties. For instance, families may undergo changes in their everyday lives and also anxiety, besides feeling social intolerance due to the erratic behaviors of a member with AUD. It is also important to note that healthcare costs, crime, and loss of productivity are also borne by the communities affected The Comprehensive Intervention For Alcohol Use Disorder Paper.

Selection of the Problem

This problem was chosen because it is prevalent and has the possibility of seeing a significant improvement through nursing interventions. Managing AUD enhances the nursing profession’s critical values for patient-centered care, health promotion, and disease prevention. Due to the multifaceted nature of the comprehensive approach to managing AUD, there is a possibility of applying and intertwining multiple nursing theories and interventions. Since AUD is widespread and its adverse outcomes are rather dramatic, the urgent necessity of its prevention measures development and future effective prevention interventions to decrease its impacts and enhance the quality of life of patients and their families is substantially evident.

Relevance to Professional Practice

AUD is highly relevant to professional nursing as it involves a comprehensive, patient-centered approach to care provision. Screening and early intervention, as well as ongoing care for those affected by AUD, is performed primarily by nurses. Thus, focusing on this problem can help nurses increase the positive impact on their clients’ health outcomes, improve the quality of the care they deliver, and, consequently, save more money for people regarding their healthcare expenses. In addition, due management of AUD can result in better family functioning and the overall functioning of the community. For example, nurses educate the family on the nature of AUD and how they can assist the family members. Such an approach covers not only the professional care of the patient and treatment of AUD as a disease but psychological and social factors as well The Comprehensive Intervention For Alcohol Use Disorder Paper.

Role of Leadership and Change Management

Leadership plays a central role in the prevention and combating of AUD. Good leaders promote legal reforms, set patient handling benchmarks, and design conditions encouraging treatment. Specchia et al. (2021) explain that special skills like the formulation of leadership strategies, including the vision of the staff and the power of leadership, are crucial for accomplishing several intercessions. For AUD, leadership must embrace and promote understanding and empathy to ensure patients receive and comply with treatment. For instance, leaders can develop interventions that aim to alter the perception of society regarding people with AUD to eliminate the bias, thereby encouraging patients to seek treatment.

Change management strategies are another critical component that deserves significant attention when treating AUD (Barrow et al., 2022). These strategies include creating a sense of urgency, building a coalition, and communicating a clear vision. For example, motivational interviewing will assist in creating awareness of the need for change among patients and increase the likelihood of them accepting a treatment plan (Bischof et al., 2021)The Comprehensive Intervention For Alcohol Use Disorder Paper. Coordinated care is the process through which the several caregivers in the patient’s health management are harmonized to achieve similar objectives. It can also be noted that the continuous evaluation of strategies is equally essential in change management to effectively suit the ever-changing needs of the patients and their families.

Nursing Ethics in Intervention Development

Nursing ethics play a significant role in developing interventions for AUD. The principles of autonomy, beneficence, non-maleficence, and justice guide the ethical framework for patient care. Autonomy means ensuring that the patient is well-informed and that treatment decisions are made by the patient (Varkey, 2020). For instance, a patient should receive from a physician all the readily understandable information concerning the treatment possibilities, the dangers it involves, and the gains that could be expected. The principles of beneficence and non-maleficence mean that a nurse should do everything possible to improve patients’ conditions and actively exclude harmful actions. This involves being able to handle the symptoms of withdrawal safely and that the provision of the interventions should not add a toll on the patient’s distress. For instance, when prescribing a patient for withdrawal symptoms, then one needs to know the side effects of the medicine given and should also keep on observing the patient. Justice entails giving equal consideration and treatment to all the patients with no discrimination as per their financial status. This means that regardless of the patient’s location, education, income, occupation, color, or any other factor, they should receive equal care and treatment The Comprehensive Intervention For Alcohol Use Disorder Paper.

Strategies for Communication and Collaboration

Effective communication and collaboration with patients and their families are essential for successful interventions. Involving families in developing the treatment plan strengthens the relationship between the patient’s desires and the treatment requirements, thus improving the specificity of the plan’s execution (Ong et al., 2021). As the literature shows, strategies focus on patient and family engagement as key to enhancing outcomes. For instance, planned and structured family meetings can be held to review accomplishments, emerging issues, and probable modifications to the treatment regimes. Motivational interviewing assists the patient in resolving their decisional conflict on change; it enhances the patients’ treatment adherence. Daily visits and the use of telemedicine maintain constant follow-up, thus keeping the patients active in managing their conditions. In addition, it also allows the inclusion of family members in the therapy sessions about the underlying family factors impacting AUD, hence giving the overall treatment more depth.

Guidance from Nursing Standards and Policies

State board nursing practice standards and organizational policies significantly guide the development of interventions for AUD. The Screening, Brief Intervention, and Referral to Treatment (SBIRT) protocol is vital for early detection and intervention, promoting timely and effective treatment (Thoele et al., 2021). The Affordable Care Act (ACA) has expanded access to substance use disorder treatment, reducing financial barriers and improving patient outcomes (Shoulders et al., 2023)The Comprehensive Intervention For Alcohol Use Disorder Paper. These policies ensure that patients receive the necessary care without prohibitive costs.

Nursing standards also support integrating technology into patient care, facilitating more efficient and effective interventions. For example, Electronic Health Records (EHRs) allow seamless information sharing among healthcare providers, ensuring coordinated and comprehensive care. Additionally, policies have supported the use of telehealth services, recognizing its effectiveness in increasing access to care, especially in underserved areas.

Improvement in Quality of Care, Patient Safety, and Cost Reduction

The intervention to be implemented will increase the quality of care offered to patients, improve their safety, and decrease the costs incurred in healthcare. Much emphasis and effort should be placed on patient education and information concerning AUD and providing access to support groups that enhance the patients’ management and understanding of the condition. Medication also eliminates the features of craving and withdrawal by using drugs such as naltrexone or Acamprosate (National Institute on Alcohol Abuse and Alcoholism, 2020)The Comprehensive Intervention For Alcohol Use Disorder Paper.

Proper referrals and follow-up care help fill the gaps to guarantee that the patients receive constant and consistent support and will not be readmitted to the hospital. Scientific research has established that practical approaches like SBIRT improve patients’ compliance with recommended treatment, thus helping avoid cases of recurrent hospitalization, which endanger patient safety and are costly (Thoele et al., 2021). Moreover, the launch of new telehealth services eliminates the importance of multiple face-to-face consultations, which is beneficial to time and effort from the patient’s side as well as from the side of healthcare providers.

Application of Technology and Community Resources

Management of AUD depends critically on community resources and technology. Electronic Health Records (EHRs) provide coordinated treatment by helping healthcare professionals to share information. Using mobile health applications also allows one to track Bricker’s development and leave reminders and information tools on alcohol use disorder. Bricker can participate in the process and keep being supported by virtual and telehealth services. Bricker’s participation in local and online peer-support groups allows him to be integrated with others with the same illness. Giving Mr. Bricker chances to go to instructional seminars on stress management, healthy living, and relapse avoidance gives him the tools he needs for rehabilitation. Offering psychological services addresses Thomas’s psychological component of his drinking and supports him during his recovery. Support groups and instructional seminars are among the community options that help patients with the tools required for rehabilitation. Linking patients with nearby mental health facilities and instructional initiatives improves their ability to control AUD correctly (Castillo, 2020)The Comprehensive Intervention For Alcohol Use Disorder Paper. Furthermore, community resources can provide social support systems vital for preserving long-term sobriety and avoiding relapse.

Conclusion

The comprehensive intervention for AUD includes a multifaceted approach involving leadership, change management, nursing ethics, and policy standards. The intervention aims to improve the quality of care, enhance patient safety, and reduce healthcare costs by integrating educational resources, family therapy, mobile health applications, and community support. Adhering to nursing standards and leveraging technology and community resources will ensure the intervention’s success and sustainability. Continuous evaluation and adjustment of the intervention will be necessary to meet the evolving needs of patients and their families, ensuring long-term success in managing AUD.

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References

Barrow, J. M., Toney-Butler, T. J., & Annamaraju, P. (2022, September 18). Change management. PubMed; StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK459380/

Bischof, G., Bischof, A., & Rumpf, H.-J. (2021). Motivational interviewing: An evidence-based approach for use in medical practice. Deutsches Aerzteblatt Online, 118(7), 109–115. https://doi.org/10.3238/arztebl.m2021.0014

Castillo, E. G. (2020). Community interventions to promote mental health and social equity. Current Psychiatry Reports, 21(5), 1–14. https://doi.org/10.1007/s11920-019-1017-0

National Institute on Alcohol Abuse and Alcoholism. (2023). Alcohol use disorder (AUD) in the United States: Age groups and demographic characteristics. Www.niaaa.nih.gov. https://www.niaaa.nih.gov/alcohols-effects-health/alcohol-topics/alcohol-facts-and-statistics/alcohol-use-disorder-aud-united-states-age-groups-and-demographic-characteristics

Ong, H., Fernandez, P., & Lim, H. (2021). Family engagement as part of managing patients with mental illness in primary care. Singapore Medical Journal, 62(5), 213-219. https://doi.org/10.11622/smedj.2021057 The Comprehensive Intervention For Alcohol Use Disorder Paper

Shoulders, A., Andrews, C. M., Westlake, M. A., Abraham, A. J., & Grogan, C. M. (2023). Changes in Medicaid fee-for-service benefit design for substance use disorder treatment during the opioid crisis, 2014 to 2021. JAMA Health Forum, 4(8), e232502. https://doi.org/10.1001/jamahealthforum.2023.2502

Specchia, M. L., Cozzolino, M. R., Carini, E., Di Pilla, A., Galletti, C., Ricciardi, W., & Damiani, G. (2021). Leadership styles and nurses’ job satisfaction. Results of a systematic review. International Journal of Environmental Research and Public Health, 18(4), 1552. https://doi.org/10.3390/ijerph18041552

Thoele, K., Moffat, L., Konicek, S., Lam-Chi, M., Newkirk, E., Fulton, J., & Newhouse, R. (2021). Strategies to promote the implementation of screening, brief intervention, and referral to treatment (SBIRT) in healthcare settings: A scoping review. Substance Abuse Treatment, Prevention, and Policy, 16(1). https://doi.org/10.1186/s13011-021-00380-z

Varkey, B. (2020). Principles of clinical ethics and their application to practice. Medical Principles and Practice, 30(1), 17–28. https://doi.org/10.1159/000509119

Yang, W., Singla, R., Maheshwari, O., Fontaine, C. J., & Gil-Mohapel, J. (2022). Alcohol use disorder: Neurobiology and therapeutics. Biomedicines, 10(5), 1192. https://doi.org/10.3390/biomedicines1005119 The Comprehensive Intervention For Alcohol Use Disorder Paper