Measuring NP for Opioid Use

Posted on: 29th May 2023

Question

You are now employed as an NP in primary care.

Develop three different patient interventions for that one performance measure and how you would specifically implement the intervention and measure the outcomes for that particular performance measure in clinical practice

Improved Patient Outcomes (Level 1 Heading)

Discuss how your selected interventions presented above will result in improved patient outcomes. Use a valid and relevant scholarly source to cite your evidenced-based intervention. Paraphrase the content you are using from your resource and cite correctly.

Cost Savings (Level 1 Heading)

Discuss how your selected interventions presented above will result in cost savings for the practice. Use a valid and relevant scholarly source to cite your evidenced-based intervention. Paraphrase the content you are using from your resource and cite correctly.

Patient Ratings (Level 1 Heading)

Discuss how your selected interventions presented above will result in improved patient ratings. Describe how the selected interventions will increase patient satisfaction. Patient ratings include how satisfied the patients are and how they rate NP performance. Use a valid and relevant scholarly source to cite your evidenced-based intervention. Paraphrase the content you are using from your resource and cite correctly.

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Solution

Measuring NP for Opioid Use

A patient's attempts to control their high blood pressure can be evaluated using the following three methods: Monitoring the patient's blood pressure regularly, analyzing the patient's blood, including measurements of the patient's cholesterol levels, and monitoring the patient's eating and exercise habits. The first stage in creating a quality management performance assessment system is to decide on the measurement criteria. Opiate treatment programs can be leapfrogged using lessons from the healthcare sector's quality improvement efforts.

Measuring the blood pressure of the patient regularly.

Continuous opioid infusion can provide long-term analgesia because it eliminates the peaks and troughs in pain reduction generated by periodic bolus doses. The syringe used for the opioid infusion must have its blood stains analyzed to comply with the medication management guideline. Additional safety measures should be taken by placing labels on the infusion pump and infusion line stating that the patient is undergoing IV opioid infusion (Gupta, 2019). Administering a bolus is much simpler when done with a hands-free system. Medication preparation and delivery in the Butterfly and Rosella intensive care units necessitate additional care and attention.

Analyzing the patient's blood to study cholesterol level

It has been demonstrated in cell models that cholesterol can alter opioid receptor signaling. However, this has not been observed in mice or humans. Cholesterol maintained opioid signaling in two separate ways in human embryonic kidney cells (Daniel, n.d.). There is often a link between cholesterol levels and the anesthetic doses of fentanyl in patient records. There is strong evidence that the concepts stated above can also be applied to human beings, as evidenced by this study.

Monitoring the patient diet and lifestyle

If randomized controlled trials were possible, patient diet and lifestyle could be used to compare the effectiveness of various opioid-related interventions. Opioids for chronic pain caused by illnesses other than cancer should not be given to patients who score highly on a measure developed to determine the risk of opioid dependence (Vargas-Schaffer & Cogan, 2017). Patients can be randomly assigned to either this policy intervention or one that places fewer limitations on the prescription of opioids, and the results can be compared in a randomized controlled trial. Because participants are assigned to similar treatment groups, it gives the most substantial evidence for drawing causal conclusions. This is because the assignment at random is expected to lead to

Improved Patient Outcomes

To help a patient manage their high blood pressure, a nurse practitioner might emphasize the importance of following the treatment guidelines to control the patient's blood pressure. As part of my plan to keep a client engaged and cooperative throughout treatment and maintenance, I will discuss the advantages and disadvantages of implementing my planned intervention. Frequent blood pressure checks of the patient are necessary to assess whether the intervention has the desired effect.

 Cost Savings

When a patient's blood pressure falls or rises, primary care interventions have the potential to enhance their results. This suggests that the money spent on medical care for patients and customers has been saved. However, high blood pressure can severely affect the patient's health, so the patient must be able to keep their blood pressure under check.

Patient Ratings

The three interventions may significantly enhance NP patient satisfaction ratings since patients who recover and reach healthy or normal blood pressure levels will be pleased and grateful for their better health. Patients will be pretty pleased with the NP as a result of this. The patient is more likely to have a favorable view of the NP if they can overcome the patient's health issues with the help of the NP.

Conclusion

To be safe from opioid use disorder, it is reasonable to assume that patients in major randomized controlled trials evaluating different opioid prescribing strategies will have the same risk factors. Future rates may be influenced by treatment regimens offered to the groups rather than changes in the particular characteristics of people. As a result, under a certain approach, each outcome distribution can be regarded as the inverse distribution in the given population.

References

Daniel, M. (n.d.). The effects of Penta-brominated diphenyl Ether (penta-BDE, BDE-99) on human embryonic kidney (HEK293) cells. https://doi.org/10.22215/etd/2017-11813

Gupta, A. (2019). Patterns of laxative prophylaxis for opiod-induced constipation in Veterens with lung cancer initiating Opiod therapy. https://doi.org/10.26226/m.5c5aa89bc19d4b001153f499

Vargas-Schaffer, G., & Cogan, J. (2017). Attitudes toward opioids and risk of misuse/Abuse in patients with chronic Noncancer pain receiving long-term opioid therapy. Pain Medicine, 19(2), 319-327. https://doi.org/10.1093/pm/pnw338

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