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Sustainable Strategies for the Treatment of Chronic Pain While Reducing Opioid Misuse and Overdose

As the opioid epidemic sweeps the silver states of the United States, it emphasizes the need for healthcare trainees, especially advanced practice nurses, to implement safe and evidence-based techniques to treat chronic pain. Moreover, although opioids can be effective in the right setting, their potential for misuse, dependence, and overdose requires a judicious and multifaceted approach to patient care. Advanced practice nurses specializing in pharmacology must be aware of strategic approaches that enhance pain relief while decreasing adverse effects.

Risk-Benefit Assessment and Patient-Centered Care.

Conducting a comprehensive assessment of the patient’s pain condition, medical history, and risk factors for opioid misuse is an important and necessary first step in the safe management of chronic pain. The Opioid Risk Tool (ORT) as well as the Screener and Opioid Assessment for Patients with Pain-Revised (SOAPP-R) are tools that can help identify high-risk individuals (Butler et al., 2008). Shared decision-making is important: Patients should be informed about both opioid and non-opioid approaches and be involved in choosing the most appropriate treatment approach.

Use of Non-Opioids and Multimodal Pain Management

Doctors suggest multimodal pain management to decrease opioid use. Non-opioid pharmacologic options include acetaminophen, nonsteroidal anti-inflammatory drugs (NSAIDs), antidepressants (i.e., duloxetine), anticonvulsants (i.e., gabapentin), and topical agents (Dowell et al., 2022). The treatment of chronic pain includes non-pharmacologic options like physical therapy, cognitive-behavioral therapy (CBT), acupuncture, and interventional procedures (e.g., nerve blocks), among others.

Opioid Prescribing Practices That Are Safe

Guidance on evidence-based prescribing practices is imperative for patients who need opioids. The Centers for Disease Control and Prevention (CDC) advises initiating treatment with the lowest effective dose of narcotics possible and, when practical, an immediate-release formulation (Dowell et al., 2022). Regular monitoring through urine drug screening, prescription drug monitoring programs (PDMPs), and reassessment of pain and function facilitates early detection of opioid misuse. Co-prescribing naloxone for patients at risk of overdose is also an important harm reduction strategy.

Conclusion

By applying safer chronic pain management strategies, advanced practice nurses are pivotal to combating the opioid epidemic. In the absence of early detection and treatment through multimodal pain approaches and adherence to evidence-based guidelines on opioid prescribing, however, the risk for misuse and overdose becomes exceedingly high.

References

Butler, S. F., Fernandez, K., Benoit, C., Budman, S. H., & Jamison, R. N. (2008). Validation of the revised Screener and Opioid Assessment for Patients with Pain (SOAPP-R). The Journal of Pain, 9(4), 360-372. https://doi.org/10.1016/j.jpain.2007.11.014

Dowell, D., Ragan, K. R., Jones, C. M., Baldwin, G. T., Chou, R., & Paulozzi, L. (2022). CDC clinical practice guideline for prescribing opioids for pain—United States, 2022. MMWR Recommendations and Reports, 71(3), 1–95. https://doi.org/10.15585/mmwr.rr7103a1

With opioid deaths increasing, AMA urges expansion of proven treatment | American Medical Association. https://www.ama-assn.org/press-center/press-releases/opioid-deaths-increasing-ama-urges-expansion-proven-treatment

Create a Reply for a discussion using APA 7 format, and scholarly references no older than 5 years.

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Discussion Post: The Opioid Epidemic and Chronic Pain Management

The problem of opioid drugs in the United States has evolved into a severe epidemic that hurts the well-being of people, their relatives, and society. Thus, the students of advanced nursing practice pharmacology need to determine the stimulant applicability and the issues connected with opioid use in the aspect of chronic pain treatment. It is estimated that millions of Americans experience chronic pain; however, the administration of opioids for chronic pain has brought about the current problem (Olfson et al., 2023). Therefore, the best approach to chronic pain patients should incorporate research-based solutions to ensure that there is minimal compromise of the health of this patient through opioids while, at the same time, providing them with the requisite pain relief that they need.

Risks and Benefits of Opioid Use

Opioids are strong pain relievers, and they, therefore, can be useful in managing the chronic pain of patients. However, recreational use is attached to specific dangers, which are addiction, tolerance, dependence, and overdose possibilities. Dowell (2022) has mentioned that opioids are effective only in acute pain, but for chronic pain, more harm is incurred than benefit. Hence, it is important to take over every patient and look for other options for managing the pain before prescribing opioids.

Evidence-Based Strategies for Safe Opioid Use

To reduce the risk of opioid abuse and deaths, advanced practice nurses should follow evidence-based procedures. According to CDC, the following are some of the measures that can be taken;

Comprehensive Patient Assessment: Assess the pain characteristics, comorbidities, extent of expected opioid use, and specific risks of opioid abuse before initiating therapy with opioids. This consists of psychiatric check-ups, such as checking for substance use disorder and other mental health disorders.

Use of Non-Opioid Therapies: The non-pharmacological and non-opioid therapies, including physical therapy, psychological therapy, and other medications like nonsteroidal anti-inflammatory drugs (NSAIDs) or acetaminophen, should be the first-line interventions for chronic pain.

Lowest Effective Dose: When opioids in any form are required, it is advisable to administer the minimum dose just adequate to alleviate the arising pain and for the shortest possible time only (Olfson et al., 2023). Clinically review the evaluation of a patient’s pain and functional status to identify whether opioids should be continued or not.

Patient Education: Provide patients with an understanding of the general dangers associated with opioids that involve the use of these drugs and dependency, overdoses, and the like. Promote proper storage and disposal of opioids to help minimize this problem among other people as much as possible.

Monitoring and Follow-Up: There should be effective prescription and boosting follow-up checks as the patient vessels continue to take opioids regularly (Dowell, 2022). This includes the detection of illicit use of substances through urine tests, the use of prescription drug monitoring programs (PDMPs), and regular assessment of the patient’s pain and general condition. 

Conclusion

Chronic pain is one of the most pressing issues nowadays, and opioids are one of the most problematic substances that need special attention. It is noble for any APN to find ways of providing patients with relief from pain while at the same time minimizing the risks that are associated with opioid use and abuse. Despite the risks that are associated with opioid consumption, it is necessary to prevent the misuse and consumption of opioids concerning patient-centered approaches that will allow attending to people with chronic pain.

References

Dowell, D. (2022). CDC clinical practice guideline for prescribing opioids for pain—United States, 2022. MMWR. Recommendations and reports, 71.  

https://www.cdc.gov/mmwr/volumes/71/rr/rr7103a1.htm?os=www.nbcchicago.com&ref=app

Olfson, M., Waidmann, T., King, M., Pancini, V., & Schoenbaum, M. (2023). Population-based opioid prescribing and overdose deaths in the USA: an observational study. Journal of General Internal Medicine, 38(2), 390-398.    

https://link.springer.com/article/10.1007/s11606-022-07686-z

NRNP-6531

NARCOTICS Anonymous

NARCOTICS Anonymous

My experience: I attended a Narcotics Anonymous meeting and had the opportunity to listen to several individuals share their stories—some who have made progress in overcoming their active addiction. Many spoke about leaving their families for drugs and combining drug use with alcohol. One individual shared how they had become dependent on the drug just to function. The experience was an eye-opener and reminded me of how resilient a person can be.

Objectives After your one-day clinical experience, you will be able to: 1. Identify and briefly describe purpose of the support group and/or services offered to the clients. 2. Identify types of clients, problems and issues discussed, education provided, and role of the group leader. 3. Describe the needs of the group. 4. Explain the effect of substance abuse on the client. 5. The recovery model is an important component of substance abuse treatment. Why is the model so challenging for the client(s)? 6. Describe your experience and/or concerns after having attended the group.

Using the College’s format (APA – 6th edition) for typed written assignments, the assignment is to be 2 pages (not counting title page and reference page and no abstract is needed) and address the objectives stated above. If you used an article, please attach the first page of article to the end of the assignment.

My experience: I attended a Narcotics Anonymous meeting and had the opportunity to listen to several individuals share their stories—some who have made progress in overcoming their active addiction. Leaving their family for the drugs and also combining the drugs with alcholic. One has become dependent on the drug to function. The experience was an eye opener and it reminds me on how resilient an indicual could be

NR week 6 Reply to Peer 2

The Difference in Language

Abstract

Communicating research through oral presentations in the 21st century may look different from what you have experienced in the past. The rapid surge of technology keeps us on a constant learning curve as to best practices for delivering content and engaging audiences, whether in a classroom, conference, or workplace setting (Buchholz, 2021). When it comes to speaking to the public audience the tone of voice and language differ from speaking to an academic audience versus a professional audience, although the stage fright is the same the approach is significantly different. One must present a powerful presentation filled with confidence, transparency and credibility. Competence in oral presentations is important for medical professionals to communicate an idea to others, including those in the nursing professions. Delivering concise oral presentations is a useful and necessary skill for nurses (Chiang et al, 2022). When writing a speech and presenting it, three components have been identified and the most important ones, the presenter’s self-esteem and confidence, speaking efficacy and oral communication that will transmit to the audience, lastly the quality of the delivered information that will capture the audience.

Keywords Speaking, Public, Professional, Evaluation, Oral presentation

The Difference in Language

When delivering speeches to different audiences, the message needs to be clear and affirmed. There are few differences in audiences such as public versus academic, the language and delivery techniques will differ as a public audience will need simple and accessible language as the message needs to be understood by the audience, making a simple to get the point across will have positive effects. Academic and professional audience the speech is often specialized in a field and the vocabulary uses medical terminology and a specialized language that audiences can relate and understand. The idea that the speaker and the audience can engage in the speech and share ideas as they often share the same thoughts within the field. All public speaking conveys some information for the audience to remember (Usera, 2023).

           Public, academic and professional speeches have the same similarities to clarify however the level of complexity differs. For public audiences the tone and formality of the speech tend to be more conventional and informal as to where a speech delivered to an academic or professional group the tone will be formal and structured through a more serious authoritative tone of voice which will reflect the importance of the topic. Speakers can connect with the audience through engagement and interaction, although both types of speeches goal to interact with the audience are done in different matters. Public speaking is a more freely way of talking through humor, storytelling and laughter the speaker can connect with the audience at a personal level and have them engage. Professional and academic speeches relay on facts, citing sources while encouraging intellectual ideas and discussions and debates, thus having the audience always engage through questions and critical thinking, this will make the speech more formal and professional.

           In conclusion, public, academic and professional speaking feed of the same clear structure when delivering the message. The difference in both lies with the complexity and formality the speaker delivers the speech to the specific audience. In the end the message needs to be bold and clear to leave a lasting effect on the audience. Understanding the audience is paramount to the speaker, the delivery of the speech needs to be credible with information and a transparent straight forward delivery method to engage the audience and succeed in delivering the message.

References

Buchholz, B.S.M.P.M.S. W. (2021). Research for Advanced Practice Nurses (4th ed.). Springer Publishing LLC. https://online.vitalsource.com/books/9780826151339

Chiang, Y. C., Lee, H. C., Chu, T. L., Wu, C. L., & Hsiao, Y. C. (2022). Development and validation of the oral presentation evaluation scale (OPES) for nursing students. BMC medical education, 22(1), 318. https://doi.org/10.1186/s12909-022-03376-w

Usera, D. (2023). Audience Engagement Techniques in Oral Presentations. Business and Professional Communication Quarterly, 0(0). https://doi.org/10.1177/23294906231190575

Nursing Support Group Assignment

Objectives
After your one-day clinical experience, you will be able to:
1. Identify and briefly describe purpose of the support group and/or services offered
to the clients.
2. Identify types of clients, problems and issues discussed, education provided, and
role of the group leader.
3. Describe the needs of the group.
4. Explain the effect of substance abuse on the client.
5. The recovery model is an important component of substance abuse treatment.
Why is the model so challenging for the client(s)?
6. Describe your experience and/or concerns after having attended the group.

Using the College’s format (APA – 6th edition) for typed written assignments, the assignment is to be
2 pages (not counting title page and reference page and no abstract is needed) and
address the objectives stated above. If you used an article, please attach the first page of
article to the end of the assignment.

My experience: I attended an Alcoholics Anonymous meeting and had the opportunity to listen to several individuals share their stories—some who have made progress in overcoming alcoholism, someone currently struggling and waiting to be accepted into rehab, and another who is currently experiencing homelessness.

WK1 discussion2 HP 114

PLEASE READ THE ATTACHED FILE. 500 WORDS

NR week 6 Reply to Peer 1

Differences in Language Between Public and Academic/Professional Audiences

      When communicating research findings, the language used must be tailored to effectively reach the intended audience. Speaking to a public audience versus an academic or professional audience requires distinct approaches, though certain techniques remain consistent across contexts (Melo & Bishop, 2020). Understanding these differences is crucial for nursing professionals seeking to bridge the research-practice gap through effective knowledge translation. When addressing a public audience, nursing researchers must prioritize accessibility by using everyday language that avoids jargon and technical terminology. Complex research concepts need to be translated into relatable examples and narratives that connect with listeners’ lived experiences. For instance, rather than discussing “decreased mortality rates associated with early intervention protocols,” a presenter might say, “patients who received early care were more likely to survive and recover faster” (Brownson et al., 2018). The emphasis is on clarity and relevance, helping the public understand why the research matters to their health and wellbeing.

     In contrast, academic and professional audiences expect and understand specialized terminology. Presentations to these groups typically maintain greater technical precision, statistical detail, and methodological rigor. When presenting to fellow nursing professionals, a researcher might specify that “implementation of standardized early warning scoring systems resulted in a statistically significant 27% reduction in ICU admissions.” This precision provides the evidence-based foundation that professional audiences require to evaluate and potentially implement findings in their practice (Shato et al., 2023). Despite these differences, several communication techniques remain similar across audience types. Both contexts benefit from strong storytelling elements that frame the research within a meaningful narrative. For example, beginning a presentation with a compelling patient case study can engage both public and professional audiences by establishing the real world significance of the research question. The difference lies in how the subsequent information is presented with technical detail for professionals or accessible explanations for the public. Another similarity is the importance of visual communication. Effective presenters use visuals strategically for both audience types, though the complexity and information density may be different. A public presentation might feature simplified infographics showing general trends, while a professional presentation would include more detailed data visualizations. However, both benefit from thoughtful visual design that reinforces key messages and maintains audience engagement (Woloshin et al., 2023).

       The growing availability of diverse presentation technologies from webcasting to podcasting has expanded opportunities for reaching both public and professional audiences. This technological evolution requires nurses to develop versatility in their communication approaches, adapting content appropriately while maintaining scientific integrity. As the nursing profession continues to increase the number of doctorally prepared practitioners, the ability to communicate effectively across different contexts becomes increasingly valuable for transforming patient care through the dissemination of evidence-based practices. Understanding these communication differences and similarities helps nursing professionals become more effective knowledge translators, ultimately contributing to reducing the persistent gap between research findings and clinical implementation.

References

Brownson, R. C., Eyler, A. A., Harris, J. K., Moore, J. B., & Tabak, R. G. (2018). Getting the Word Out: New Approaches for Disseminating Public Health Science. Journal of Public Health Management and Practice24(2), 102–111. https://doi.org/10.1097/phh.0000000000000673

Melo, S., & Bishop, S. (2020). Translating healthcare research evidence into practice: The role of linked boundary objects. Social Science & Medicine246, 112731. https://doi.org/10.1016/j.socscimed.2019.112731

Shato, T., Kepper, M. M., McLoughlin, G. M., Tabak, R. G., Glasgow, R. E., & Brownson, R. C. (2023). Designing for Dissemination among Public Health and Clinical Practitioners in the United States. Journal of Clinical and Translational Science, 1–26. https://doi.org/10.1017/cts.2023.695

Woloshin, S., Yang, Y., & Fischhoff, B. (2023). Communicating health information with visual displays. Nature Medicine29(5), 1085–1091. https://doi.org/10.1038/s41591-023-02328-1

Nursing THEO ASSIGNMENT 7

Research assessment 1