Client Background Information

· Marge C.

· 41 year old female

· Married

· Husband, Ken works two jobs to make ends meet, so he is not home much. Husband noted that he didn’t know what else to do about his wife’s drinking and that he bought her to the facility out desperation.

· Patient has three children 10, 12 and 16

· Patient was a teacher but she lost her job due to alcohol related reasons

· Patient had a one car alcohol related accident three days earlier. She received minor injuries and was issued a ticket for DUI. Husband, family members and friends determined that they needed to intervene to prevent Marge from harming herself or others.

· An intervention occurred earlier today, culminating in her being brought for treatment.

· Patient will go through a week of detoxification during her first week of treatment.

__________________________________________________________________

· On the sixth day of detoxification

· Patient is experiencing residual physical withdrawal symptoms. Patient is shaky and groggy, has been given a mild sedative to keep her calm during withdrawal.

· Patient is cooperative and still open to treatment. Patient expressed feelings of loneliness and concern for her children.

· Patient is exhibiting sign of depression

__________________________________________________________________

· 15th day of 30-day treatment

· Family sessions scheduled for today. Husband interviewed individually earlier today; the children will be interviewed later this afternoon.

· Patient is showing signs of improvement. Withdrawal symptoms have disappeared, patient no longer takes a sedative.

· Patient continues to exhibit signs of depression.

6

PICOT Question

Student Name

Student Affiliation (For example Department + Institute Name)

Course Name and Number

Instructor Name

Date

1

PICOT Question

Nursing practice problem:

REFERENCES

Abayomi Sorinola, A. B. (2019). Risk Factors of External Ventricular Drain Infection: Proposing a Model for Future Studies. Front Neurol., 226. doi:10.3389/fneur.2019.00226 Ady Thien, S. S. (2020). The National Neuroscience Institute External Ventricular Drain Study: A Pragmatic Multisite Risk-Stratification Pathway to Reduce Ventriculostomy-Related Infection. World Neurosurg., e126-e136. doi:10.1016/j.wneu.2019.11.070 Champey, J. (2018). Strategies to reduce external ventricular drain–related infections: a multicenter retrospective study. JOURNAL OF NEUROSURGERY. doi:https://doi.org/10.3171/2018.1.JNS172486 Humphrey, r. E. (2018). Caring for neurosurgical patients. Nursing Times [online]. Retrieved from https://cdn.ps.emap.com/wp-content/uploads/sites/3/2018/03/180328-Caring-for-neurosurgical-patients-with-external-ventricular-drains.pdf Muralidharan, R. (2015`). External ventricular drains: Management and complications. Surg Neurol Int., S271–S274. doi:10.4103/2152-7806.157620 Paulo, S. (2020). Retaining knowledge of external ventricular drain by nursing professionals. Rev Cuid. doi:https://doi.org/10.15649/cuidarte.784 Pengwei Lu, R. W. (2019). Risk Factors of External Ventricular Drainage-Related Infections: A Retrospective Study of 147 Pediatric Post-tumor Resection Patients in a Single Center. Front Neurol., 1243. doi:10.3389/fneur.2019.01243 Sein Lwin 1, S. W. (2012). External ventricular drain infections: successful implementation of strategies to reduce infection rate. Singapore Med J.

Research Critique Guidelines – Part II

Use this document to organize your essay. Successful completion of this assignment requires that you provide a rationale, include examples, and reference content from the studies in your responses.

Quantitative Studies

Background

1. Summary of studies. Include problem, significance to nursing, purpose, objective, and research question.

How do these two articles support the nurse practice issue you chose?

1. Discuss how these two articles will be used to answer your PICOT question.

2. Describe how the interventions and comparison groups in the articles compare to those identified in your PICOT question.

Method of Study:

1. State the methods of the two articles you are comparing and describe how they are different.

2. Consider the methods you identified in your chosen articles and state one benefit and one limitation of each method.

Results of Study

1. Summarize the key findings of each study in one or two comprehensive paragraphs.

2. What are the implications of the two studies you chose in nursing practice?

Outcomes Comparison

1. What are the anticipated outcomes for your PICOT question?

2. How do the outcomes of your chosen articles compare to your anticipated outcomes?

© 2019. Grand Canyon University. All Rights Reserved.

2

Research Critique Guidelines – Part I

Use this document to organize your essay. Successful completion of this assignment requires that you provide a rationale, include examples, and reference content from the studies in your responses.

Qualitative Studies

Background of Study

1. Summary of studies. Include problem, significance to nursing, purpose, objective, and research question.

How do these two articles support the nurse practice issue you chose?

1. Discuss how these two articles will be used to answer your PICOT question.

2. Describe how the interventions and comparison groups in the articles compare to those identified in your PICOT question.

Method of Study:

1. State the methods of the two articles you are comparing and describe how they are different.

2. Consider the methods you identified in your chosen articles and state one benefit and one limitation of each method.

Results of Study

1. Summarize the key findings of each study in one or two comprehensive paragraphs.

2. What are the implications of the two studies in nursing practice?

Ethical Considerations

1. Discuss two ethical consideration in conducting research.

2. Describe how the researchers in the two articles you choose took these ethical considerations into account while performing their research.

© 2019. Grand Canyon University. All Rights Reserved.

2

Research Critiques and PICOT Question Guidelines –

Final Draft

Use this document to organize the content from your four studies into your final draft.

Quantitative and Quantitative Studies

Nursing Practice Problem and PICOT Question

1. What is your identified nursing practice problem?

2. List your PICOT question, following one of the templated formats reviewed in the course.

Background

1. Summary of studies. Include problem, significance to nursing, purpose, objective, and research question.

How do these four articles support the nurse practice issue you chose?

1. Discuss how these articles will be used to answer your PICOT question.

2. Describe how the interventions and comparison groups in the articles compare to those identified in your PICOT question.

Method of Study:

1. State the methods of the articles you are comparing and describe how they are different.

2. Consider the methods you identified in your chosen articles and state one benefit and one limitation of each method.

Results of Study

1. Summarize the key findings of each of the studies into a comprehensive summary.

2. What are the implications of the four studies you chose in nursing practice?

Ethical Considerations

1. Discuss two ethical consideration in conducting research.

2. Describe how the researchers in the four articles you choose took these ethical considerations into account while performing their research.

Outcomes Comparison

1. What are the anticipated outcomes for your PICOT question?

2. How do the outcomes of the four articles you chose compare to your anticipated outcomes?

Proposed Evidence-Based Practice Change

1. What is the link between the PICOT question, the research articles, and the nursing practice problem you identified?

2. Based on this information, propose an evidence-based practice change for your identified setting.

© 2021. Grand Canyon University. All Rights Reserved.

2

SPP Treatment Plan Template

INSTRUCTIONS and TEMPLATE for Marge’s Treatment Plan

1. Develop a hypothetical treatment plan for Marge (from the course media) as you think it would look at the end of the first year of her course of treatment.

2. Begin with her admission into residential treatment (Counseling Session 1).

3. The plan should include Marge’s course of residential treatment, plans for discharge from residential treatment, and aftercare plans for the next 12 months.

4. The plan should include all aspects of Marge’s life that are related to her recovery and reflect the case management role of the counselor (e.g., counseling/treatment, family, social, vocational, legal, mental health, medical).

Instructions for Scholar Practitioner Project (SPP) Case Study

1. For your SPP, you will prepare a case study of Marge, the client presented in the media throughout the course.

2. Your case study will consist of two sections: A narrative case study section and a treatment plan section.

3. The narrative case study section will be written using the required APA style. You will use this document as a guide for the narrative section of your case study and include at a minimum the 18 elements presented below. The final narrative case study section should be approximately 15–20 pages in length.

4. Your treatment plan section will follow the Treatment Plan Template introduced in your Assignment for Week 5.

5. The timeline for your case study will extend from the client’s admission into residential treatment (Counseling Session 1), proceed through her course of treatment there (Counseling Sessions 2 and 3), and conclude with a discharge plan of her projected long-term treatment extending through the next 12 months.

Case Study Format

Treatment Plan Section

· Treatment plan developed using Treatment Plan Template and attached at end of case study.

Narrative Case Study Section

IDENTIFYING INFORMATION

· Name, age, race/ethnicity, gender, marital status, and any other appropriate information

PRESENTING PROBLEM

· Brief summary of the problem(s) and concerns that brought the client to treatment

· Description of current condition including physical and mental status and attitude on admission

· Who accompanies client and provides collateral information

· Other relevant information

ASSESSMENT

· Description of how initial screening was conducted to validate the existence of a problem and make initial treatment recommendations. Include how information was gathered (e.g., verbal clinical interview, paper-and-pencil assessment instrument) and sources of information (e.g., client, family members).

· Overview of ongoing assessment process to evaluate severity of the addiction, rule out the co-existence of other relevant problems, assist in treatment planning, and monitor progress (e.g., continued more detailed interviews with client and family members, observation, standardized assessment instruments).

ADDICTION HISTORY

· Substance(s) used and/or any addictive behaviors identified

· Age of first use

· Family history of addiction (chemical and/or behavioral)

· Progression of use to current stage

· Average frequency and amount over last six months

· Other signs and symptoms of addictive use (e.g., blackouts, increased tolerance over time, physical withdrawals if use stopped)

· Negative consequences experienced due to use

· Previous attempts to stop on own and/or treatment history

· Level of denial of problem (e.g., none, mild, moderate, severe)

· Level of motivation to change on admission (low, moderate, high)

CO-OCCURRING DISORDERS

· Any other current or past mental disorder or mental health problem

· Signs, symptoms, course of disorder, and other pertinent information necessary to plan treatment

· Past history of treatment or counseling

MEDICAL HISTORY

· Pertinent current or past medical history related to or affected by addiction

· Current medications (in particular psychotropic and/or prescribed addictive medications)

EDUCATIONAL/VOCATIONAL HISTORY

· Education

· Work/career history including problems related to addiction

· Current financial status

LEGAL HISTORY

· Current or past legal problems

· Current status of any existing legal problems

SOCIAL/CULTURAL STATUS

· Socioeconomic status

· Any cultural/ethnic factors influencing addiction and recovery

· Social/leisure activities

FAMILY/RELATIONSHIP STATUS

· Composition of immediate family

· Description of roles identified for each family member

· A explanation of the potential impacts of these roles on family members

· Include family in client’s treatment plan and a minimum of two resources that would be useful to them

MODEL(S) OF ADDICTION

· Model(s) of addiction used to plan treatment approach. Rationale for use and strengths and weaknesses of chosen model(s)

MODEL(S) OF TREATMENT

· Model(s) of treatment used. Rationale for use and strengths and weaknesses of chosen model(s)

MODEL(S) OF CASE MANAGEMENT

· Model(s) of case management used. Rationale for use and strengths and weaknesses of chosen model(s)

THE ROLE OF SPIRITUALITY

· Describe how spirituality could be an important factor in client’s recovery

· Ways in which client’s spiritual needs might be addressed through case management referrals to community 12-step support groups or other spiritual resources

COURSE OF TREATMENT

· Current level of treatment (as defined in Week 4 by the American Society of Addiction Medicine’s Patient Placement Criteria [PPC])

· Projected PPC level(s) of treatment after discharge from residential treatment over the next 12 months and an explanation of why this level(s) would be effective

· Projected levels of treatment over next 12 months

· Response to treatment

· Prognosis for response to treatment over next 12 months

DISCHARGE PLAN

· Summary of treatment recommendations over next 12 months (as reflected in treatment plan)

REFLECTION ON PERSONAL MISSION STATEMENT

· Conclude the case study with a statement of how personal traits, skills, motivations, and experiences you possess might be helpful in pursuing a career as an addiction counselor. How will these factors contribute to your ability to maintain self-awareness and a healthy work/life balance?