The most essential strategy for managing AUD is introducing a combination of physical and psychological treatment recommendations. For patients like Mr. Paul, evidence-based strategies are essential, including pharmacotherapies (e.g., naltrexone and acamprosate). Studies have shown that the use of medication in combination with therapies has a positive impact on AUD patients as they lower the risk of excessive drinking habits and chances of relapse. These drugs are also approved by the FDA, ensuring their influential role along with behavioral therapy through reducing alcohol cravings and supporting abstinence (Mason, 2021). To make Pharmacotherapy effective, Cognitive-Behavioral Therapy (CBT) is essential to improve patient quality and safety and safeguard from long-term cost-effectiveness. Studies have shown that CBT is beneficial because it ensures abstinence, involves high efficacy, and provides family support (Chaudhury et al., 2022).
Interdisciplinary collaboration is another effective strategy for AUD management. For instance, Mr. Paul needs physical, psychological, and social support to overcome his AUD, so it requires expertise in different disciplines, including nurses, counselors, pharmacists, and social workers. Studies have shown that interdisciplinary collaboration effectively improves treatment rates due to shared skills and shared decision-making, allowing patients, families, and healthcare providers to provide enhanced care (Kools et al., 2022). Patient and family education is essential in treatment adherence and effectiveness for more effective intervention.
Studies have shown that families play a significant role in effective treatment outcomes because they are the second most affected after the patient himself (McCrady, 2021). Mr. Paul has strained relations with his spouse and children, CBT therapy, and involvement of family members for cooperation and their mental health. Lastly, it is essential to integrate Electronic Health Records (EHR) in treatment plans for targeted, collaborative, and tracked plans. It will allow the effective monitoring of patients’ health, symptoms, and progress, as supported by evidence from studies (Frimpong et al., 2023). These strategies have been associated with improved health outcomes, patient safety, and cost-effectiveness in treating patients with AUD.
Documentation of Practicum Hours
The two practicum hours are documented to enlist, which states engagement with the patient (Mr. Paul) for developing and implementing targeted strategies to improve health outcomes and reduce costs. The objective of implementing evidence-based pharmacotherapies and CBT was achieved after consultation with Mr Paul. We also agreed upon a collaborative healthcare approach involving Mr. Paul’s family in the treatment plan. The hours have enhanced my understanding of AUD management and the importance of interdisciplinary collaboration and communication.
In conclusion, AUD profoundly impacts individuals like Mr. Paul regarding life quality, safety, and cost. The detrimental effects necessitate evidence-based interventions, collaboration, and adherence to policy standards. Organizations like ANA, SAMHSA, CDC, and policies like MHPAEA and ACA play crucial roles in shaping nursing practice. These organizations and policies improve care quality and ensure cost-effective management of AUD. Implementing strategies like Pharmacotherapies, CBT, and interdisciplinary collaboration, family education is significant as supported by current literature. Lastly, using EHR can significantly enhance the quality of care and safety and reduce costs associated with AUD management.
References
Ahn, S., Choi, Y., Choi, W., Jo, Y. T., Kim, H., Lee, J., & Joo, S. W. (2021). Effects of comorbid alcohol use disorder on the clinical outcomes of first-episode schizophrenia: A nationwide population-based study. Annals of General Psychiatry, 20(1). https://doi.org/10.1186/s12991-021-00353-3
ANA. (n.d.). Code of ethics for nurses. ANA. https://www.nursingworld.org/practice-policy/nursing-excellence/ethics/code-of-ethics-for-nurses/#:~:text=The%20Code%20of%20Ethics%20for%20Nurses%20with%20Interpretive%20Statements%20(The
Boschuetz, N., & German, M. N. (2023). Alcohol use disorder: Recognition, testing, and initial management strategies. Clinical Liver Disease, 22(1)
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