Purpose

Screening, Brief Intervention, and Referral to Treatment (SBIRT) is an evidence-based practice intervention used to identify, reduce, and prevent problematic use, abuse, and dependence on substances such as tobacco, alcohol, and illicit drugs. The SBIRT model was incited by an Institute of Medicine (IOM) recommendation that called for community-based screening for health-risk behaviors. The purpose of this assignment is to integrate SBIRT into nursing practice to help stimulate positive change at the individual and population-focused level of care.

Course Outcomes

This assignment enables the student to meet the following Course Outcomes (COs).

• CO3: Plan prevention and population-focused interventions for vulnerable populations using professional clinical judgment and evidence-based practice. (PO4, PO8)
• CO4: Evaluate the delivery of care for individuals, families, aggregates, and communities based on theories and principles of nursing and related disciplines. (PO1)

Due Date

Submit your completed SBIRT presentation by 11:59 p.m. MT Sunday of Week 6.

Points:

225 points

Background information

SBIRT consists of three major components.

1. Screening—A healthcare professional assesses a patient for concerning behaviors using standardized screening tools. Screening can occur in any healthcare setting.

2. Brief Intervention—A healthcare professional engages a patient in a short conversation, providing feedback and advice regarding concerning behaviors.

3. Referral to Treatment—A healthcare professional provides a referral to resources and/or treatment options and additional services available (Substance Abuse and Mental Health Services Administration [SAMHSA], n.d.)

Directions

1. Prior to starting the presentation, you are to read the assigned training.

SBIRT Education. (n.d.). Overview of screening, assessment and brief intervention: A nursing response to the full spectrum of substance abuse retrieved from https://hospitalsbirt.webs.com/nursingsbirt.htm. Here is the direct link: Intervention and Nursing Response article (Links to an external site.)

• Choose “Watch On-Demand Recording”
• Start at minute 9:08/slide 12 and end at 1 hr 27 sec (slide 80)              

Or you may go directly to the YouTube video:

SBIRT Education. (2015, May 10). Overview of SBIRT: A nursing response to the full spectrum of substance use [Video File]. Retrieved from https://www.youtube.com/watch?v=TZvCQUmN8c. Here is the direct link: YouTube Video for Intervention and Nursing Response (Links to an external site.)

Use this BNI checklist for the role play at the end: BNI Checklist (Links to an external site.)    SBIRT Education. (n.d.). Brief negotiated interview checklist [PDF Document]. Retrieved from https://hospitalsbirt.webs.com/nursingsbirt.htm

You are encouraged to review the assignment tutorial found at the end of the Academic Integrity Reminder.

1. Next, choose one addiction or problem to focus on for this assignment from the options below.
   • Alcohol
   • Drug use (addictive prescription or illicit)
     • You must be specific to which drug you are choosing
2. You are required to use one of the problems listed above. Assignments that do not follow the current guidelines or use the required forms or templates will be evaluated for evidence of an academic integrity violation. After the due date, there will be no opportunity for revision or resubmission of assignments that have been uploaded to the submission area. It is your responsibility to submit the correct assignment to the correct submission area.
3. After you have chosen the addiction/problem, you are to research SBIRT training specific to that problem/addiction. Before starting to work on the presentation, it is vital you understand how SBIRT is used with that particular addiction/problem. You must find at least two scholarly resources (other than readings assigned in the course) and one video resource. Search YouTube for one SBIRT training video from a reputable source that shows a provider using SBIRT with a patient. Watch this video so that you understand the steps of SBIRT.
4. You may choose to complete this assignment as a PowerPoint poster or PowerPoint multiple slide presentation. Download the SBIRT PowerPoint poster (Links to an external site.) or slide presentation template (Links to an external site.).
5. Length: The poster should be one page with all boxes on template complete. The slide presentation should be no more than twelve slides, not including the title and references slides.

 

Guidelines

Below are the requirements needed for successful completion of the SBIRT: Screening, Brief Intervention, and Referral to Treatment presentation.

1. Introduction to the problem and/or addiction: Clearly identify the problem, and discuss specific statistics from your community related to this problem. You may use city or county data. For example, if you choose tobacco use, you should find the tobacco use rate in your city or county. **Please note, this is only an example, you must choose from one of the topic options provided in the guidelines above.**
2. Problem description: Utilize one scholarly reference (not assigned in this course) to describe this problem/addiction. Discuss reasons why this may be a problem in your community. Cite all sources.
3. SBIRT description: Utilize at least one scholarly reference different from the one selected for the problem description above, and not assigned in this course, to describe how SBIRT is used with this specific addiction/problem. Identify specific steps and questions that are used.
4. Video: Locate and describe at least one video that demonstrates SBIRT related to the addiction you chose.
5. Citation: Cite all sources.
6. Community resources: Describe at least two available community resources to which you may refer people who have this problem or an increased potential for acquiring this problem. You are to provide the names of these resources and brief descriptions. You may use online resources if community resources are not available.
7. Conclusion/future implications for nursing: Provide a summary of your findings. Discuss the use of SBIRT in nursing practice.
8. References: Provide all references for all sources utilized. Use APA format; however, a hanging indent is not necessary.

 

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Pathopysiology Assignment-2 slides of power point only

1. U tube video link on power point2.

 2 Slides  power point. only.

3. Pictures and be creative

4. Please use Advanced pathophysiology

5. Power point samples attached

1. Keep it simple and make sure that the content that your are covering demonstrates to me that you understand the impact of the pathophysiological process that you are trying to educate your ‘patient about”. As a Nurse Practitioner you will on a daily basis be explaining complex diseases for your patients and it is imperative that you educate the patient with the underlying cause, outcomes and impact on their lives using the foundation pathophysiology as your guide.

BEFORE SUBMITTING the make absolutely certain that your that your work contains:

1. Some information of interest about the disorder could historical facts
2. A description of the manifestations of the disorder with an explanation as to the cause of these manifestations (MAKE SURE THAT YOUR EXPLANATION OF THE CAUSE OF THE MANIFESTATIONS IS PRESENTED USING PATHO TO EXPLAIN WHY!!!).
3. A description of the abnormal diagnostic testing with a discussion of the causes of the abnormal test results (MAKE SURE THAT THE CAUSES OF THE ABNORMAL DIAGNOSTIC TESTING IS PRESENTED USING PATHO TO EXPLAIN WHY!!!)

A discussion of the treatment plan and/alternative therapies with potential expectations of the treatment plan etc.

1. A discussion of the specific information patients who have the selected disorder need to know (make sure this is evidence-based information where applicable)

 

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Create a Power Point Presentation to discuss the following

Sgt. Eddie Johns leaned back against the chair in the outpatient orthopedic clinic. His head was killing him! He wasn’t sure which was worse, the “morning after” headache or not being able to sleep at night. At least when he had a few beers under his belt so he could catch a few hours of sleep. It had been like this since he was air evacuated back stateside from Afghanistan after the roadside bomb went off. He was thankful that he had only broken his leg in a couple of places and gotten a bad bump on the head. They called that traumatic brain injury but he didn’t know what that was and really didn’t believe them anyway. He was still thinking just fine. His friend Joe wasn’t so lucky! How was Joe going to learn to walk on those artificial legs? He was still in the hospital in Washington, DC. That was pretty far from his home. Eddie wished he could visit Joe. They had been in the same platoon for 9 months. But, Eddie was glad that he had been able to come back to his own home town for outpatient treatment. It took an hour to get here but at least he could see his girl almost every day. Sure he had moved back in with his mom but it was easier to have someone to help him get around and cook for him. It was a bummer that he couldn’t work right now. He guessed it didn’t matter much since he really didn’t have a job to go back to. He had been replaced at the plant. They said they would find something for him to do once he could get around more easily. Eddie sure hoped the doc would take the pins out of his leg today and give him a clearance to work.

• How would the use of the Roy Adaptation Model assist the nurse in planning the continuation of care for Sgt. Johns?
• Describe the influence of Roy’s Theory in guiding the nurse’s actions in promoting Sgt. Johns adjusted self-concept.
• From the perspective of the Roy Adaptation Model, why is it important for the nurse to listen to Sgt. Johns’ “story” in his own words and not just base her interactions on information from the chart, fellow colleagues, or his family?
• Based on Neuman System’s Model, identify at least 4 stressors from the case study. Create a plan of care based on Neuman Systems Model for Sgt. Johns. 

Your PowerPoint should include at least 1 outside reference and your book. The presentation should be 10 to 15 slides in length.

 

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In this assignment, you will select a program, quality improvement initiative, or other project from your place of employment. Assume you are presenting this program to the board for approval of funding. Write an executive summary (850-1,000 words) to present to the board, from which they will make their decision to fund your program or project. The summary should include:

1. The purpose of the program or project.
2. The target population or audience.
3. The benefits of the program or project
4. The cost or budget justification.
5. The basis upon which the program or project will be evaluated.

Share your written proposal with your manager, supervisor or other colleague in a formal leadership position within a health care organization. Request their feedback using the following questions as prompts:

1. Do you believe the proposal would be approved if formally proposed?
2. What are some strengths and weaknesses of the proposal?

Submit the written proposal along with the “Executive Summary Feedback Form.”

Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

 

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Think about a client with schizophrenia that you know about from personal, work or clinical experience, or from news media or other sources. Describe the individual.

• What are the positive and/or negative symptoms?
• What are the person’s struggles? What treatments have been tried and failed? What works?
• If you were that person, what would you like to tell your nurse about yourself, your needs, and your fears?

Please provide evidence from professional sources to support your information. Include examples of your prior experience with a client who was having a problem with delusions and/or hallucinations.

 

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