NSG6320 Practicum I: Adult Health ,Adults & Gerontology CP02 Essay

NSG6320 Practicum I: Adult Health ,Adults & Gerontology CP02 Essay

My client, a seventy-year-old female walks to the clinic because of concerns about drinking too much. My response to the client is that the National Institute on Alcohol Abuse and Alcoholism (NIAAA) provides the guideline for determining whether a person’s drinking pattern is within the acceptable range of problematic. Drinking patterns are categorized as moderate, binge drinking, or heavy drinking. Thus, I would explain to the client that a drinking pattern of more than three drinks per day or seven in a week for women amounts to heavy drinking (NIAAA, 2021). AJ divulges that she takes 2-3 glasses of wine a day and a martini before dinner. Wine has a higher content of alcohol (12%) than alcohol (5%); hence 2-3 glasses every day is heavy consumption (Zupan et al., 2018). Thus, the client is a heavy drinker.

To determine whether the client has an alcohol use disorder/dependency, I would use the Alcohol Use Disorders Identification Test (AUDIT) for screening. I will first explain the screening test, its purpose, and possible outcomes to the client. The evidence from the screening test is that the client has an alcohol dependency problem.

The client requests if they can take medication to help with the problem. My response is that alcohol use disorder is a combination of biological and psychosocial issues, requiring a combination of medication treatment and psychotherapy. The function of medication is simply for detoxification.Naltrexone and acamprosate are FDA-approved medications for treating alcohol use disorders (Kumar et al., 2020). However, for long-term outcomes, alcohol dependence treatment requires behavioral change, achieved through behavior therapies such as CBT, which helps a person develop coping skills and healthy thinking patterns that promote positive behavioral outcomes. Additionally, the 12 step Alcoholic Anonymous program will also help overcome the addiction.

References

Kumar, A., Sharma, A., Bansal, P. D., Bahetra, M., Gill, H. K., & Kumar, R. A. (2020). A comparative study on the safety and efficacy of naltrexone versus baclofen versus acamprosate in the management of alcohol dependence. Indian Journal of Psychiatry, 6, 650-658. https://doi.10.4103/psychiatry.IndianJPsychiatry_201_19.

NIAAA. (2021). Drinking Levels Defined. Retrieved from NIAAA: https://www.niaaa.nih.gov/alcohol-health/overview-alcohol-consumption/moderate-binge-drinking

Zupan, Z., Pechey, R., & Couturier, D. (2018). Micro-drinking behaviours and consumption of wine in different wine glass sizes: a laboratory study. BMC Psychol, 5, 17. https://doi.org/10.1186/s40359-017-0183-2.

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This is just a discussion post.

A seventy-year-old female patient who is well known to you comes to see you because she feels like she may be drinking “too much” lately. She says she has a martini before dinner and usually 2-3 glasses of wine in the evening.
• What is your response to her?
• What evidence of this do you find?
She also wants to know if there are any medications that can help her with this.
• What is your response?

As in all assignments, cite your sources in your work and provide references for the citations in APA format.

SUO Discussion Rubric (20 Points) – Version 1.2

Course: NSG6320-Practicum I: Adult Health – Adults & Gerontology CP02

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Response	No Submission 0 points	Emerging (F-D: 1-4) 4 points	Satisfactory (C: 5- 6) 6 points	Proficient (B: 7-8) 8 points	Exemplary (A: 9- 10) 10 points	Criterion Score
Quality of Initial Posting	No initial posting exists to evaluate.	The information provided is inaccurate, not	The information provided is accurate, giving a basic	The information provided is accurate, displaying a good	The information provided is accurate, providing an in-	/ 10
		focused on the	understanding of the	understanding of the	depth, well thought-
		assignment’s topic,	topic(s) covered. A	topic(s) covered. A	out understanding
		and/or does not	basic understanding	good understanding	of the topic(s)
		answer the	is when you are able	is when you are able	covered. An in-
		question(s) fully.	to describe the	to explain the terms	depth understanding
		Response	terms and concepts	and topics covered.	provides an analysis
		demonstrates	covered. Despite	Initial posting	of the information,
		incomplete	this basic	demonstrates	synthesizing what is
		understanding of the	understanding,	sincere reflection	learned from the
		topic and/or	initial posting may	and addresses most	course/assigned
		inadequate	not include	aspects of the	readings.
		preparation.	complete	assignment,
			development of all	although all
			aspects of the	concepts may not be
			assignment.	fully developed.

 

Participation

No Submission 0 points

Emerging (F-D: 1-2) 2 points

Satisfactory (C) 3 points

Proficient (B) 4 points

Exemplary (A:) 5 points

Criterion Score

 

Participation	No Submission 0 points	Emerging (F-D: 1-2) 2 points	Satisfactory (C) 3 points	Proficient (B) 4 points	Exemplary (A:) 5 points	Criterion Score
Participation in Discussion	No responses to other classmates were posted in this discussion forum.	May include one or more of the following: *Comments to only one other student’s post. *Comments are not substantive, such as just one line or saying, “Good job” or “I agree. *Comments are off topic.	Comments to two or more classmates’ initial posts but only on one day of the week. Comments are substantive, meaning they reflect and expand on what the other student wrote.	Comments to two or more classmates’ initial posts on more than one day. Comments are substantive, meaning they reflect and expand on what the other student wrote.	Comments to two or more classmates’ initial posts and to the instructor’s comment (if applicable) on two or more days. Responses demonstrate an analysis of peers’ comments, building on previous posts. Comments extend and deepen meaningful conversation and may include a follow-up question.	/ 5

 

 

Writing

No Submission 0 points

Emerging (F-D: 1-2) 2 points

Satisfaction (C) 3 points

Proficient (B) 4 points

Exemplary (A) 5 points

Criterion Score

 

Writing	No Submission 0 points	Emerging (F-D: 1-2) 2 points	Satisfaction (C) 3 points	Proficient (B) 4 points	Exemplary (A) 5 points	Criterion Score
Writing Mechanics (Spelling, Grammar, Citation Style) and Information Literacy	No postings for which to evaluate language and grammar exist.	Numerous issues in any of the following: grammar, mechanics, spelling, use of slang, and incomplete or missing citations and references. If required for the assignment, did not use course, text, and/or outside readings (where relevant) to support work.	Some spelling, grammatical, and/or structural errors are present. Some errors in formatting citations and references are present. If required for the assignment, utilizes sources to support work for initial post but not comments to other students. Sources include course/text readings but outside sources (when relevant) include non- academic/authoritati ve, such as Wikis and .com resources.	Minor errors in grammar, mechanics, or spelling in the initial posting are present.   Minor errors in formatting citations and references may exist. If required for the assignment, utilizes sources to support work for both the initial post and some of the comments to other students. Sources include course and text readings as well as outside sources (when relevant) that are academic and authoritative (e.g., journal articles, other text books, .gov Web sites, professional organization Web sites, cases, statutes, or administrative rules).	Minor to no errors exist in grammar, mechanics, or spelling in both the initial post and comments to others. Formatting of citations and references is correct. If required for the assignment, utilizes sources to support work for both the initial post and the comments to other students. Sources include course and text readings as well as outside sources (when relevant) that are academic and authoritative (e.g., journal articles, other text books, .gov Web sites, professional organization Web sites, cases, statutes, or administrative rules).	/ 5