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Assessment 1: Analysis of Position Papers for Vulnerable Populations
Capella University
NURS-FPX6026
Instructor Name
Due Date
Analysis of Position Papers for Vulnerable Populations
Our men and women are currently two of the USA’s biggest at-hazard companies. It is also one of its most willing populations to depend on painkillers. Old and young veterans of each age all complain of chronic aches. With going for walks situations as brutal as they are, veterans are more medically disabled and ill. The prolonged period of pain as a cause for such medical incapacities invites fitness care professionals to cope with pain management. This evaluation will describe veteran control of chronic pain care with the interprofessional company that helps beautify this affected character population and the approach that one of the specialties may also include.
Pain Management
The remedy of pain management has been complicated in the context of veterans for decades. The Department of Veterans Affairs (VA) offers care to veterans in preference. Huge government reform tasks have been instituted to help provide care to veterans who experience chronic aches. Nineteen million type veterans at seventeen thousand and top-notch net websites are supplied with care yearly on the VA (Bastian et al., 2018). Of the diverse veterans, more than a third have problems with pain management, impairing characteristics, and functionality (Bastian et al., 2018). preceding this period, many sufferers tormented by aches had been welcomed with a prescription for an opioid, even though evidence has long existed that elements toward the hazard of higher expenses of addiction.
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Opioid Use Among Veterans
Veterans are very prone to the use of opioids, primarily based on the intense intellectual risk of evaluation. Publish-annoying stress infection is one of the extra not unusual psychiatric issues most vets need to address and can cause the abuse of opioids (Mattocks et al., 2020). The VA and Congress proposed a new law to mitigate the developing populations of veterans afflicted with aches. VA implemented the VA Ache manage Directive within the Stepped Care model of low-diploma care discovered through immoderate-degree, multimodal, and multidisciplinary care (Mattocks et al., 2020). Participation of veterans in a multimodal pain control software is recommended for assertion on opioids and minimising risk factors for addiction.
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Nonpharmacologic Pain Management Strategies
The exchange of remedies for the management of veterans ‘ pain to a multimodal software promotes nonpharmacologic control. There are high-quality exclusive preferences that the veterans can try earlier than the corporations are required to use opioids. The solution is to make corporations aware of the options that exist. The vendors are unaware of the choices and services supplied to the veterans inside the VA (Mattocks et al., 2020). schooling veteran clinicians in nonpharmacologic pain care will help veterans adhere to severe remedies. VA hospitals already include multimodal ache exercise, including acupuncture, chiropractic care, mindfulness, meditation, yoga, and cognitive behavioural treatment (Mattocks et al., 2020). The incorporation of multimodal ache care techniques assists healthcare practitioners in attending to veterans in a holistic approach without exposing them to dependency.
Opioids are prescribed to more than twenty-five per cent of veterans (Mattocks et al., 2020). Nonpharmacologic treatment has been shown to decrease the use of opioids. For instance, prescription opioid use was notably reduced in veteran sufferers who had been travelling to a chiropractor at least weekly for three months (Bastian et al., 2018). Extra proof shows that early cognitive behavioural treatment supports veterans in apprehending and reducing unwanted thoughts and behaviour and lowers bodily and emotional pain related to persistent aches (Bastian et al., 2018). Company and veteran education about nonpharmacologic pain care can lessen opioid use and harm.
Role of the Interprofessional Team
Using interprofessional personnel to help with the usage of nonpharmacological strategies for ache control will help in a good deal of opioid use. Fantastic collaborations among public health and healthcare structures are needed to beautify health priorities (Edmonds et al., 2017). The several gaps in the VA’s nonpharmacological technique of pain management are that facilities in the network health care will not offer the same services or educate the same practices for veterans.
Integrating VA and community health networks may be completed through network fitness clinics, community practitioners, VA practitioners, network educators, possibly medication practitioners, and network health nurses. Community fitness nurses are pivotal in connecting the VA with the network through advocacy and safeguarding the health of willing businesses using know-how in nursing, social, and public fitness sciences (Edmonds et al., 2017).
NURS FPX 6026 Assessment 1 Analysis of Position Papers for Vulnerable Populations
Nurses are beneficial in telling patients about the package within the VA and the network. Public fitness nurses are a result of being able to be assigned to veterans via domestic health, clinics, network training, and others. This allows nurses to collaborate with the dissimilation of professionals to tell veterans about the manipulation of their pain. The advancement of virtual scientific records has restored remarks to patients, centres, and providers of opioid prescribing information (Mattocks et al., 2020). The usage of scientific data minimises the use of opioids amongst the VA and network groups. Combining healthcare systems and fields lets veterans better grasp combined and complete care.
Addiction versus Pain Management
The effect that veteran pain remedy with nonpharmacologic mechanisms and collaboration counteract the picture of moral opioid ache remedy is supported via using trouble, which gadgets the premise on which the trouble that veterans cannot do besides the use of a number of the corporations’ ache redress using opioids exists. Irrespective of opioids’ percentage in the risk of dependency and the coverage, hundreds of pounds are placed on the affected individual. They consider that if the affected person is aware of the potential of opioids, then the healthcare organisations have a responsibility to provide the affected individual with pain relief, even though that is with the use of opioids. Untreated and undertreated pain is the issue. Most unavoidable health hassles worsen as populations become antique and their risk of pain escalates (Dubois et al., 2019).
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Veteran Addiction Risk Management
Treatment for aches in veterans is complicated because they are at risk of developing intellectual troubles. The ones diagnosed pose a greater risk of being addicted to the affected character. Possibility strategies should be genuine despite such risks, so long as the affected character is given proper thanks to make an option. The affected man or woman is responsible for their opioid. Fitness care professionals should regularly educate themselves on the prevention techniques of dependency as a priority (Dubois et al., 2019). affected character training of veterans, due to their higher risk of addiction, physical and mental, is indispensable. The fitness care agency may determine the affected man or woman’s perception; if remarkable, the patients are distinct because of the accountable character.
NURS FPX 6026 Assessment 1 Analysis of Position Papers for Vulnerable Populations
Because veteran patients are clinically knowledgeable, healthcare businesses must treat the pain of the affected man or woman; this includes the use of opioid drugs within the treatment if required. Healthcare organisations have a moral responsibility to assist in relieving pain, the aches, and suffering that accompany them (Stokes, 2018). Healthcare gadgets need to provide the most care to aching sufferers. Nurses are placed to anticipate that pain is as severe as the affected person tells them, and on every occasion, they tell them that they revel in it (Stokes, 2018). Nurses are ethically placed to manage affected characters’ pain on every occasion, and they can do so through pain management. Nurses are obligated to offer knowledgeable preference-making strategies for the affected individual to grasp the opportunity of opioid management. Still, ultimately, under this type of mentality, the threat of drug dependence falls on the patient.
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Interdisciplinary Approach to Pain
This possible management method minimised the healthcare tool’s role in the opioid catastrophe. This contrary attitude could be what introduced us to this opioid trouble in the first place. This reasoning falters whilst the results are already in motion, and the variety of times opioid abuse increases yearly. Opioids produce nurse diversion, opioid abuse through the use of patients, and scepticism regarding the long-term usefulness (Dubois et al., 2019). Ache management for veterans wants to be finished through the lens of a set approach of nonpharmacologic restoration strategies. This role permits the implementation of numerous interventions that can be attempted and located to be useful for veteran pain management. With the valuable resource of incorporating an interdisciplinary enterprise, there may be extra teamwork in treating the affected person as a person with precise pain needs.
Conclusion
Veterans are commonly dealt with for chronic pain issues, given the physically and psychologically stressful nature of their work. The veteran population is also regarded as vulnerable, given the high prevalence of mental health diagnoses among them. Healthcare providers often prescribe opioids to manage a veteran’s chronic pain issues. Despite research highlighting the risks opioids pose to individuals prone to addiction, there must be stringent controls to limit their prescription and use. This aligns with the themes explored in NURS FPX 6026 Assessment 1 Analysis of Position Papers for Vulnerable Populations, emphasising the need for safe and effective care strategies for at-risk groups like veterans.
The use of persistent pain management methods beyond medication can be especially valuable in reducing the risk of dependence. Multimodal pain control is most effective when implemented by a multidisciplinary team. Providing veterans with the opportunity for pain consultation places decision-making power in their hands. This solution respects the role of healthcare providers and emphasises patient education, acknowledging that a mentally sound individual may choose opioids when necessary. However, such reasoning has contributed to the current opioid epidemic. Enhanced pain management strategies must be thoroughly applied to reduce the risk of addiction among veterans to the lowest possible level.
References
Bastian, L. A. MD, MPH, Heapy A., PhD, Becker W. C., MD, Sandbrink F., MD, Atkins D., MD, Kerns R. D., PhD, Understanding Pain and Pain Treatment for Veterans: Responding to the Federal Pain Research Strategy, Pain Medicine, Volume 19, Issue suppl_1, September
2018, Pages S1–S4, https://doi.org/10.1093/pm/pny143
Dubois, M. Y., Gallagher, R. M., & Lippe, P. M. (2019). Pain Medicine Position Paper. The American Academy of Pain Medicine. Retrieved August 3, 2022, from
https://citeseerx.ist.psu.edu/viewdoc/download?doi=10.1.1.465.4319&rep=rep1&type=pf
Edmonds, J. K., Campbell, L. A., & Gilder, R. E. (2017). Public health nursing practice in the
Affordable Care Act era: A national survey. Public Health Nursing, 34(1), 50-58.
Mattocks, K., Rosen, M. I., Sellinger, J., Ngo, T., Brummett, B., Higgins, D. M., Reznik, T. E.,
Holtzheimer, P., Semiatin, A. M., Stapley, T., & Martino, S. (2020). Pain Care in the
Department of Veterans Affairs: Understanding How a Cultural Shift in Pain Care
Impacts Provider Decisions and Collaboration. Pain medicine (Malden, Mass.), 21(5),
970–977. https://doi.org/10.1093/pm/pnz 341
Stokes, L. (2019). ANA position statement: The ethical responsibility to manage pain and the
suffering it causes. Online Journal of Issues in Nursing, 24(1) 1–6.
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