Discussion Board 2.1: The Credentialing Process and You
Due: Day 3 and Day 6
After viewing the media piece on the credentialing process, what questions, concerns, etc. do you anticipate encountering?
The Assignment (4-5 pages):
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Developing Organizational Policies and Practices
Add a section to the paper you submitted in Module 1. The new section should address the following:
- Identify and describe at least two competing needs impacting your selected healthcare issue/stressor.
- Describe a relevant policy or practice in your organization that may influence your selected healthcare issue/stressor.
- Critique the policy for ethical considerations, and explain the policy’s strengths and challenges in promoting ethics.
- Recommend one or more policy or practice changes designed to balance the competing needs of resources, workers, and patients, while addressing any ethical shortcomings of the existing policies. Be specific and provide examples.
- Cite evidence that informs the healthcare issue/stressor and/or the policies, and provide two scholarly resources in support of your policy or practice recommendations.
Chapter Eleven: Chemical Dependency: The Crisis of Addiction
Long history of attempting to treat substance abuse.
Whole economies have been founded on drug use.
Alcohol and tobacco in the United States
Volstead Act and ratification of the 18th Amendment
Economic gains and burdens
Is this a reality for an abuser or an addict?
Sociocultural Determinants of Substance Abuse
Set vs. setting
Alcohol and drugs have culturally specific:
Although there are cultural implications, do not stereotype!
Alcohol: Number One Abused Substance
Indirect financial costs
Links to crime
Implication in accidents
Alcohol IS a drug
Embroilment in controversy
Models of Addiction
Behavioral Learning Model
Final Common Pathway
Genetic Predisposition Model
Parental Influence Model
Models of Addiction Cont.
Problem Behavior Model
Definitions of Commonly Used Terms
Chronic, recurrent misuse of chemicals.
One or more of the following occur in a maladaptive pattern during a 12 month period:
Failure to fulfill major role obligations (work, school, or family)
Physical impairment that creates a hazard
Recurrent legal or social problems
Physical reactions include the development of tolerance and withdrawal.
Psychologically, it is the compulsion to use drugs regardless of the negative consequences.
Progressive, potentially fatal, and marked by preoccupation with chemical use.
Preferred by many in the field because it focuses on behavior.
Is used to describe a broad spectrum of problematic compulsions.
Addiction to alcohol.
Definitions of Commonly Used Terms Cont.
Addiction to drugs.
Reciprocal dependency of the addict in need of care and a caretaker’s need to control the addict’s behavior.
Cognitive, behavioral, and physiological symptoms indicating that the individual continues to use the substance despite significant chemical-related problems.
Psychoactive substance that has a direct and significant impact on the processes of the mind with respect to thinking, feeling, and acting.
A person who allows the addict to continue the addiction rather than suffering the full extent of the substance-related consequences.
Definitions of Commonly Used Terms Cont.
Degree to which one is accustomed to taking a certain drug.
Use of a substance with some adverse physical, psychological, social, or legal consequence.
Use of a substance after a period of abstinence.
When more of a substance is needed to achieve the same effect.
The intake of a chemical substance with the intent of altering one’s state of consciousness.
Physical and psychological symptoms as a result of the reduction or cessation of a drug.
Enabling and Codependency
Escape to therapy
Children in Alcoholic Families
The Lost Child
The Family Mascot
Family Rules in Alcoholic Families
Do not talk/do not have problems
Do not trust
Do not feel
Do not behave differently
Do not blame chemical dependency
Do behave as I want
Do be better and more responsible
Do not have fun
Adult Children of Alcoholics (ACOA)
Addiction has a genetic component
Addictive behavior can be learned
ACOA’s tend to marry addicts
Identification and expression of feelings
Effects of childhood roles
Adaptive roles from childhood follow them into adulthood
Alcoholics Anonymous (AA)
Cognitive-Behavioral Therapy (CBT)
Inpatient Treatment: The Minnesota Model
Contingency Management (CM)