Can identify, retrieve, evaluate and use relevant information and current technologies to advance learning and execute work tasks.
Is an efficient and innovative project planner and problem solver, capable of applying logical and critical thinking to problems across a range of disciplinary settings and has self-management skills that contribute to personal satisfaction and growth.
Can conceive of imaginative and innovative responses to future orientated challenges and research.
Has an understanding of the broad theoretical and technical concepts related to their discipline area, with relevant connections to industry, professional, and regional and Indigenous knowledge
Demonstrates oral, written, and effective listening skills as well as numerical, technical and graphic communication skills in a cross generational environment.
Has a capacity for and understanding of collaboration and co-operation within agreed frameworks, including the demands of inter-generational tolerance, mutual respect for others, conflict resolution and the negotiation of productive outcomes.
Is able to apply equity values, and has a sense of social responsibility, sustainability, and sensitivity to other peoples, cultures and the environment.
Alcoholism is a type of alcohol abuse disorder in which a person engages in serious alcohol drinking resulting in mental and physical health problems for the individual. Some of the symptoms of this disorder includes persistent craving for alcohol, putting alcohol drinking above all responsibilities, experiencing blackouts after drinking and wasting huge amount of resource in drinking alcohol (Mendoza, 2018). It is the most common type of substance abuse witnessed globally and it is the reason for the occurrence of other issues like car crashes, domestic violence, crime and mental health conditions like depression. Drinking in such form lead to many health issues for people. Although alcohol withdrawal is regarded as one of the solution to address chronic drinking, however the issue is that alcohol withdrawal also lead to serious health problems. Some of the event that may accompany alcohol withdrawal includes developments of seizures, delirium, hallucination and mental confusion (Shu, Lin & Chang, 2015).
The issue of alcohol withdrawal has been chosen as the clinical problem because many concerns has been raised regarding the effectiveness of treatment for alcohol withdrawal. Treatment of alcohol withdrawal is regarded as a challenging process because of the interplay of several other factors for the success of the therapy. Nurses also face challenges in managing such patients because of poor knowledge or preparedness to manage complexities in patients with alcohol withdrawal (Berl et al., 2015). Another issue that increases challenges for nurse is that alcohol withdrawal is a condition that has many complex presentations and morbidities. Hence, lack of knowledge related to proper assessment of patients with alcohol withdrawal can negatively influence patient outcome. Alcohol dependence is a problem that leads to 20% of hospital admissions and without knowledge of effective interventions to manage alcohol withdrawal, promoting recovery of affected patients would be difficult (Darling, 2015). Due to the above mentioned challenges, the topic of alcohol withdrawal has been chosen to identify or search for best interventions that can treat alcohol withdrawal and minimise challenges for nurse.
Personal Reflection
Reporting The issue of alcohol withdrawal is an important topic for me because of the high prevalence of alcohol abuse and the need to treat patients coming to hospitals for alcoholism related issues. The main issue in terms of nursing practice is poor outcomes found in patient undergoing treatment for alcohol withdrawal.
Responding I wish to gain more knowledge related to management of alcohol withdrawal because I have personally witnessed the challenges faced by people when they do not received correct treatment in the right team. The research on the topic may help to provide the right treatment in the right time.
Relating I personally feel that as therapies for alcohol withdrawal have not worked for many individual, I think researching for barriers to success of therapy is essential. I also feel that client with alcohol withdrawal have complex symptoms and nurses must take the responsibility to obtain all information to identify patients at risk of withdrawal symptoms
My personal opinion is that challenges in treatment of alcohol withdrawal might have also emerged because treatment procedure focuses only on clinical aspects of care and not individual factors that would affect outcome of treatment. For example, motivation and willingness to quit alcohol might play a direct role in the success of the therapy.
Reconstructing Hence, as the background research on the topic shows that nurse have poor education or knowledge to correctly assess and identify patients at risk of alcohol withdrawal, the plan is to look for research evidence to find best interventions that has worked for people with alcohol withdrawal problem.
Assessment 2b
The main problem is the failure of therapies in treating alcohol withdrawal. Research has shown that many patients experience persistent changes in mood and behaviour during withdrawal thus encouraging patients to relapse to heavy drinking. Hence, poor adherence to therapy is one major issue while caring for patients with alcohol related problem. To resolve the issue, the main aim of the paper is identify best interventions that can improve treatment outcomes while caring for patients with alcohol withdrawal problem.
PICo (Qualitative)
Population Patients with alcohol withdrawal problem
Phenomenon of Interest Poor treatment outcomes
Context Alcohol abuse
Research Question
Which interventions helped to address treatment challenges while treating alcohol withdrawal in patients with alcohol abuse?
Search Strategy
To search for relevant articles related to interventions for treating alcohol withdrawal, health science and nursing databases such as CINAHL and MedLine was used. The key search terms used to extract relevant research articles included treatment/interventions, patients with alcohol withdrawal symptoms/ people with alcohol withdrawal and treatment adherence/poor adherence/adherence issues. The criteria used for searching articles was to take recently published research literature published between 2009 to 2018 and take only those articles which has patients with alcohol abuse as the sample population. Both primary and secondary research designs were used to complete the search process. The search was first done by reviewing title and abstract and then reviewing full text as per inclusion criteria.
Best Evidence
Best Practice Level of Evidence Study Design In-text Citation in CDU APA 6th Format
To treat severe alcohol withdrawal syndrome by providing adjunctive drug phenobarbital Level 2 Retrospective cohort study design done in patients with a diagnosis of alcohol withdrawal. Gashlin et al. (2015)
To provide nursing education on community hospital’s alcohol withdrawal protocol. Level 2 Retrospective study design Barrett et al. (2016)
Use of dexmedetomidine to treat alcohol withdrawal Level 2 Retrospective case series Frazee et al. (2014)
Findings
Three best practice evidences were found to deal with challenges in treatment patients with alcohol withdrawal symptoms. The study by Gashlin et al. (2015) aimed to investigate about the efficacy of Phenobarbital, a long acting barbiturate for the treatment of alcohol withdrawal compared to treatment with Benzodiazepines. As Benzodiazepines lead to delirium and over-sedation in patient, the study identified bendodiazepines as a safe and effective alternative for the treatment of patients with alcohol withdrawal. However, retrospective study design is one major limitation of the study as it can affect the reliability of the data because of selection bias. Another pharmacological intervention that is found to give promising results include the use of dexmedetomidine as it has been found to be a good alternative in place of benzodiazepines. It is a highly selective alpha alpha adrenergic agonist and it has rapid onset and short duration. It reduces the likelihood of respiratory depression (Frazee et al., 2014). Hence, the drug can be introduced earlier in the treatment for patients with alcohol withdrawal syndrome.
In contrast to the study by Gashlin et al. (2015), the evidence by Barrett et al. (2016) revealed nursing education as an effective practice to improve compliance with treatment. The main advantage of this intervention was that it helped to address challenges experienced while providing treatment such as seizures, delirium and even death. This evidence is considered as a best practice evidence because the research design has two stages. The first part focussed on initial needs assessment and the second part focussed on providing education to nurses. This two process helps to identify knowledge gap of nurses and identify the education needs of nurse. The evidence revealed that nursing education improves compliance to 1-hour assessment for patients with withdrawal syndrome. Hence, the evidence can be used to improve nursing proficiency in complying with hospital protocol related to withdrawal management.
Barrett, J., Jansen, M., Cooper, A., Felbinger, M., & Waters, F. (2016). Embracing a nurse-driven alcohol withdrawal protocol through quality improvement. Journal of addictions nursing, 27(4), 234-240. DOI: 10.1097/JAN.0000000000000142
Berl, K., Collins, M. L., Melson, J., Mooney, R., Muffley, C., & Wright-Glover, A. (2015). Improving Nursing Knowledge of Alcohol Withdrawal: Second Generation Education Strategies. Journal for Nurses in Professional Development, 31(6), 328–332. https://doi.org/10.1097/NND.0000000000000176
Berl, K., Collins, M.L., Melson, J., Mooney, R., Muffley, C. and Wright-Glover, A., 2015. Improving Nursing Knowledge of Alcohol Withdrawal: Second Generation Education Strategies. Journal for nurses in professional development, 31(6), p.328. doi: 10.1097/NND.0000000000000176
Darling, L. (2015). Managing Hospitalized Adults with Alcohol Dependence. Retrieved from: https://digitalcommons.ric.edu/cgi/viewcontent.cgi?article=1114&context=etd
Frazee, E. N., Personett, H. A., Leung, J. G., Nelson, S., Dierkhising, R. A., & Bauer, P. R. (2014). Influence of dexmedetomidine therapy on the management of severe alcohol withdrawal syndrome in critically ill patients. Journal of critical care, 29(2), 298-302. Doi https://dx.doi.org/10.1016/j.jcrc.2013.11.016
Gashlin, L. Z., Groth, C. M., Wiegand, T. J., & Ashley, E. D. (2015). Comparison of alcohol withdrawal outcomes in patients treated with benzodiazepines alone versus adjunctive phenobarbital: a retrospective cohort study. Asia Pacific Journal of Medical Toxicology, 4(1), 31-36. Retrieved from: https://eprints.mums.ac.ir/7875/1/APJMT_Volume%204_Issue%201_Pages%2031-36.pdf
Mendoza, R. L. (2018). Is medical treatment of Alcohol Withdrawal Syndrome a Stag Hunt? Challenges and opportunities in managing risk and uncertainty in addiction cessation. Risk Management and Healthcare Policy, 11, 1–14. https://doi.org/10.2147/RMHP.S144831
Shu, J. E., Lin, A., & Chang, G. (2015). Alcohol withdrawal treatment in the medically hospitalized patient: a pilot study assessing predictors for medical or psychiatric complications. Psychosomatics, 56(5), 547-555. https://doi.org/10.1016/j.psym.2014.12.002
To export a reference to this article please select a referencing stye below:
My Assignment Help. (2021). Weekly Learning And Assignment Guide. Retrieved from https://myassignmenthelp.com/free-samples/nur342-weekly-learning-and-assignment-guide/withdrawal-syndrome-in-critically-ill-patients.html.
"Weekly Learning And Assignment Guide." My Assignment Help, 2021, https://myassignmenthelp.com/free-samples/nur342-weekly-learning-and-assignment-guide/withdrawal-syndrome-in-critically-ill-patients.html.
My Assignment Help (2021) Weekly Learning And Assignment Guide [Online]. Available from: https://myassignmenthelp.com/free-samples/nur342-weekly-learning-and-assignment-guide/withdrawal-syndrome-in-critically-ill-patients.html
[Accessed 21 April 2021].
My Assignment Help. 'Weekly Learning And Assignment Guide' (My Assignment Help, 2021) <https://myassignmenthelp.com/free-samples/nur342-weekly-learning-and-assignment-guide/withdrawal-syndrome-in-critically-ill-patients.html> accessed 21 April 2021.
My Assignment Help. Weekly Learning And Assignment Guide [Internet]. My Assignment Help. 2021 [cited 21 April 2021]. Available from: https://myassignmenthelp.com/free-samples/nur342-weekly-learning-and-assignment-guide/withdrawal-syndrome-in-critically-ill-patients.html.
MyAssignmenthelp.com comprises of team of Phd experts who can aid in any mathematical assignment. They help students create strong mathematical fundamentals.Through well crafted assignments, they inculcate analytical and logical skills in students. The expert team strongly believes that great maths solver cant be formed under assignment pressure and tight deadlines.
Answer List at least ten ways to climb the corporate ladder. Consider roadblocks that may prevent one from climbing the corporate ladder Return on investment (ROI) is a term used to measures the performance of a business. To climb the corporate ladder successfully one has to be resilient even when the organization's environment seems contrary due to the economic downturn. Planning ahead that is having a business plan is vital since one will ...
Read MoreAnswer Synopsis Through this article, the author tried to show the impact of participation of employees in deliberate or strategic change on some set of factors that is related to the execution of change in the organisation. Through this article, it has been shown that participation helps in reducing the organisational resistance towards the strategic change implementation and creates a high level of emotional obligation and commitment of emp...
Read MoreAnswer: Introduction Human resource development can be stated as one of the factor which directly drives the factor of any organization. Human resource is one of the working area of the organization which focus on the working of the organization (Brewster and Hegewisch, 2017). The concept of the HRM can be considered as a systematic and strategic approach which is related to the managing of the people. The HRM approach can be stated to be dir...
Read MoreAnswer: Introduction A business plan is considered to be one of the basic steps in developing a business. The entrepreneurs need to chalk out the strategies before starting the business. Such strategies are formally documented in the form of business plans. It is needless to mention that different businesses have different business plans because of the variations in the business model, offering, marketing and operational strategies and value ...
Read MoreAnswer: CPU: CPU stands for central processing unit which denotes to an electronic circuit capable of fetching input commands or instructions from memory unit. Logic and arithmetic operation care performed by the CPU and it also stored the data back to the memory device. As the name implies it is the central unit of the whole system and installed in a dedicated socket on motherboard along with a fan. As shown in the diagram CPU is comp...
Read MoreJust share requirement and get customized Solution.
Orders
Overall Rating
Experts
Our writers make sure that all orders are submitted, prior to the deadline.
Using reliable plagiarism detection software, Turnitin.com.We only provide customized 100 percent original papers.
Feel free to contact our assignment writing services any time via phone, email or live chat. If you are unable to calculate word count online, ask our customer executives.
Our writers can provide you professional writing assistance on any subject at any level.
Our best price guarantee ensures that the features we offer cannot be matched by any of the competitors.
Get all your documents checked for plagiarism or duplicacy with us.
Get different kinds of essays typed in minutes with clicks.
Calculate your semester grades and cumulative GPa with our GPA Calculator.
Balance any chemical equation in minutes just by entering the formula.
Calculate the number of words and number of pages of all your academic documents.
Our Mission Client Satisfaction
Not Graded yet. The assignment was proper and exactly as required. It was provided on time and thank you and it was a great experience.
Australia
Thank you for your hard work!Thank you for your hard work!Thank you for your hard work!Thank you for your hard work!Thank you for your hard work!Thank you for your hard work!Thank you for your hard work!Thank you for your hard work!Thank you for your...
Australia
Thank you for your hard work!Thank you for your hard work!Thank you for your hard work!Thank you for your hard work!Thank you for your hard work!Thank you for your hard work!Thank you for your hard work!Thank you for your hard work!Thank you for your...
Australia
Nice work and deliver on time. The work is professional and plagiarism free. Thank you.
Australia