Understanding the Substance and Treatment Options for PMHNP Providers

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THIS IS NOT A TRADITIONAL P A P E ER. IT IS A BLOG/PRESENTATION THAT IS 1500-2000 WORDS!!
THIS IS NOT A TRADITIONAL P A P E ER. IT IS A BLOG/PRESENTATION THAT IS 1500-2000 WORDS!!
THIS IS NOT A TRADITIONAL P A P E ER. IT IS A BLOG/PRESENTATION THAT IS 1500-2000 WORDS!!
PLEASE FOLLOW RUBRIC IN ATTACHED FILES!!
PLEASE FOLLOW RUBRIC IN ATTACHED FILES!!
PLEASE FOLLOW RUBRIC IN ATTACHED FILES!!
In this Blog, you will have the opportunity to teach your peers about a specific substance use and/or addiction/impulse control disorder. A Blog is a conversational, informal written piece on a topic. Your faculty will assign you a particular illness and the approved treatment for the illness to create a presentation to share with your peers.
Construct a Blog post, not to exceed 1,500–2,000 words, written for a PMHNP provider audience to post in the Discussion area.
Although you are not required to respond to colleagues, collegial discussion is welcome. Also, it will be important for you to read your peers’ Blog posts in order to learn about all of the medications on the assigned list.
illness and the approved treatment for the illness –
Alcohol Use Disorder

Acamprosate
Naltrexone
Disulfiram
Phenobarbital (seizure control due to alcohol withdrawal)
Chlordiazepoxide

Post your Blog response by doing the following:
Identify the substance or addiction with discussion on pertinent diagnostic criteria for the use disorder.
Identify the street names of the substance for the use disorder.
Describe how someone can use or abuse the substance (oral, smoke, IV, etc.).
Describe the symptoms of someone under the influence of this substance.
Describe the symptoms of someone under the withdrawal of this substance.
After describing the substance, discuss the treatment recommendations by doing the following:
Identify the first-line treatment options.
Identify the FDA-approved medications for the substance.
Note: If there are no FDA-approved medications, describe any evidenced-based, clinically acceptable off-label medications to treat the illness.
Identify the proposed mechanisms of action for the medication to treat the illness.
Describe the common side effects of the medication.
Describe how the patient should take the medication.
Identify any baseline and/or ongoing tests and assessment(s) needed when taking the medication.
Describe the non-pharmacologic intervention recommendations.
This Assignment requires a minimum of three (3) peer-reviewed, evidence-based scholarly references outside of course Learning Resources.
Note: You will need to include the APA formatting citation of all references used with a Reference list.

 

Struggling with where to start this assignment? Follow this guide to tackle your assignment easily!

Step-by-Step Guide to Structuring Your Blog Post

Step 1: Introduction

  • Begin with an introduction to alcohol use disorder (AUD).
  • Provide an overview of the disorder and its significance in mental health practice.
  • Identify the purpose of the blog, which is to inform PMHNP providers about the diagnosis, symptoms, treatment, and management of AUD.

Step 2: Overview of Alcohol Use Disorder

  • Discuss the diagnostic criteria for alcohol use disorder.
    • Reference DSM-5 criteria for AUD (recurrent use, cravings, tolerance, withdrawal, etc.)
  • Identify the street names of alcohol (e.g., booze, hooch, spirits) and any slang that may be used in different communities.

Step 3: Use and Abuse of Alcohol

  • Describe how alcohol can be used or abused (oral consumption, binge drinking, etc.).
  • Include the risks associated with misuse (e.g., alcohol poisoning, long-term health effects).
  • Explain common signs of intoxication (e.g., slurred speech, impaired coordination, euphoria).

Step 4: Alcohol Withdrawal Symptoms

  • Describe the symptoms someone may experience during alcohol withdrawal, including:
    • Mild to severe symptoms like tremors, anxiety, seizures, and delirium tremens (DTs).
  • Discuss the timeline of withdrawal symptoms and the potential health risks if not managed appropriately.

Step 5: Treatment Recommendations for Alcohol Use Disorder

  • First-Line Treatment Options:
    • Explain the evidence-based first-line treatments for AUD, including both pharmacologic and non-pharmacologic options.
  • FDA-Approved Medications:
    • Acamprosate:
      • Mechanism of action: Modulates glutamate transmission, helping to maintain abstinence.
      • Side effects: Diarrhea, nausea, and dizziness.
      • How to take: Oral, typically three times daily after meals.
      • Monitoring: Renal function, as acamprosate is contraindicated in severe renal impairment.
    • Naltrexone:
      • Mechanism of action: Blocks opioid receptors to reduce alcohol cravings and the euphoric effects of alcohol.
      • Side effects: Nausea, headache, and liver toxicity.
      • How to take: Oral (daily) or injectable (monthly).
      • Monitoring: Liver function tests, especially for long-term use.
    • Disulfiram:
      • Mechanism of action: Inhibits aldehyde dehydrogenase, causing unpleasant reactions when alcohol is consumed.
      • Side effects: Drowsiness, metallic taste, and possible liver toxicity.
      • How to take: Oral, typically once a day.
      • Monitoring: Liver function tests and close monitoring for signs of toxicity.
    • Phenobarbital (for alcohol withdrawal seizures):
      • Mechanism of action: Barbiturate that stabilizes neural activity and prevents seizures during withdrawal.
      • Side effects: Drowsiness, dizziness, and respiratory depression.
      • How to take: Oral or IV for acute withdrawal management.
      • Monitoring: Respiratory and cardiovascular monitoring during acute withdrawal.
    • Chlordiazepoxide:
      • Mechanism of action: Benzodiazepine used to manage alcohol withdrawal symptoms, preventing seizures and DTs.
      • Side effects: Sedation, dizziness, and dependency.
      • How to take: Oral, tapered as symptoms improve.
      • Monitoring: Monitor for sedation, respiratory function, and withdrawal symptoms.

Step 6: Non-Pharmacologic Interventions

  • Discuss therapeutic approaches such as cognitive-behavioral therapy (CBT), motivational interviewing, and 12-step programs.
  • Emphasize the importance of long-term management, social support, and relapse prevention strategies.

Step 7: Additional Information

  • Monitoring and Assessment:
    • Assess for potential drug interactions, comorbidities (e.g., liver disease, psychiatric disorders), and alcohol dependence severity.
  • Patient Education:
    • Discuss the importance of educating patients about the effects of alcohol, the risks of non-adherence to medications, and strategies to avoid relapse.

Step 8: Conclusion

  • Summarize the key points covered in the blog.
  • Encourage PMHNP providers to consider a comprehensive approach to managing AUD, integrating both pharmacologic and non-pharmacologic strategies.

Step 9: Cite Your Sources

  • Use at least three peer-reviewed, evidence-based sources to support your discussion on AUD treatment.
  • Make sure the references are current and relevant to nursing practice.
  • Format citations in APA style.

This step-by-step guide will ensure that you create a comprehensive and informative blog post on alcohol use disorder, tailored for PMHNP providers.

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