Bold Voices - May 2014 - (Page 9)

AT THE BEDSIDE Effective Screening and Counseling for Alcohol Use M any patients don't discuss their alcohol use with healthcare professionals, according to a new report from the CDC. "Alcohol Screening and Counseling: An Effective but Underused Health Service," in Vital Signs, published by the Centers for Disease Control and Prevention (CDC), Atlanta, indicates only one in six adults talks to a physician, nurse or other healthcare professional about alcohol use. The report is based on a national survey of 166,753 adults, as noted in a related article in The Daily Briefing. Although most are not alcoholics, at least 38 million adults in the U.S. drink excessively, leading to about 88,000 deaths and costing the economy $224 billion each year; however, "alcohol screening and brief counseling can reduce drinking" 25 percent, and talking is the first step. "Drinking alcohol has a lot more risks than many people realize," CDC Director Thomas Frieden says in the article, which explains that in addition to an "increased risk for alcohol-related injuries, drinking is linked to chronic diseases such as cirrhosis of the liver, pancreatitis, high blood pressure, sexually transmitted infections, mental health disorders, and cancers." Frieden advises, "In the same way we screen patients for high cholesterol and high blood pressure, we should be screening for excess alcohol use and responding effectively." Since 2004, the U.S. Preventive Services Task Force, Rockville, Md., has asked healthcare professionals to talk to adults about their drinking habits, and the Affordable Care Act requires new health insurance plans to cover alcohol screenings without a copayment, the article adds. Most People Who Need Palliative Care Don't Receive It Palliative care: Misunderstanding what it is and what it covers contributes to a worldwide lack. A pproximately 3 million people worldwide received palliative care in 2011, leaving 17 million who needed it (90 percent) without this care. "WHO: Expand Global Access to Palliative Care," in FierceHealthcare, states that most of those who require palliative care live in low- and middle-income countries, but most who receive it live in higherincome countries. The World Health Organization's (WHO's) new report "Global Atlas of Palliative Care at the End of Life" states that of the millions of people who need palliative care, one-third have cancer while others have progressive illnesses and chronic diseases, such as drug-resistant tuberculosis or HIV. One reason that access is blocked is a misunderstanding about what palliative care is and what it covers: chronic as well as lifethreatening conditions. Therefore, the WHO report notes, there is a lack of clearly defined policies on the need for palliative care at various stages of life. The report adds that other barriers include lack of definition of palliative care in the healthcare system; lack of clinical standards, clinical guidelines and protocols; lack of national strategies; and lack of education. Pain control in palliative care is also a troubling issue. Opioids, in particular, are difficult to come by worldwide, leaving up to 80 percent of patients who require them without access, particularly in lower-income parts of the world. 9 AACN BOLD VOICES MAY 2014 Drinking alcohol has many more risks than people realize. http://www.cdc.gov/vitalsigns/alcohol-screening-counseling/index.html http://www.cdc.gov/vitalsigns/alcohol-screening-counseling/index.html http://www.advisory.com/daily-briefing/2014/01/10/cdc-doctors-are-ignoring-americas-drinking-problem http://www.uspreventiveservicestaskforce.org/ http://www.fiercehealthcare.com/story/who-expand-global-access-palliative-care/2014-01-30?utm_medium=nl&utm_source=internal http://www.who.int/nmh/Global_Atlas_of_Palliative_Care.pdf http://www.who.int/nmh/Global_Atlas_of_Palliative_Care.pdf

Table of Contents for the Digital Edition of Bold Voices - May 2014

Another Angle
Pres Note Teaser: What Were We Thinking
Come for the Day. Learn for a Lifetime.
How AACN CSI Academy Changed My Practice
Healthcare Professionals Smoke Less Than General Population
Sleep-Deprived Nurses May Regret Clinical Decisions
Detecting Abuse When Kids Have Fractures
Effective Screening and Counseling for Alcohol Use
Most People Who Need Palliative Care Don’t Receive It
Interruptions Are Dangerous
AACN Community Steps Forward on Early Mobility
Awards
Satisfied and Engaged Staff Improve Patient Satisfaction
Involve Nurses When Developing Healthcare Technology
Nurses Concerned About Nursing’s Future
How Does This Year’s Flu Compare to Previous Trends?
Fewer Hospital Opportunities for Nursing Graduates
Excessive Crying as a Preemie, Behavioral Problems Later
Hand Amputees Can Feel Objects With New Prostheses
In Our Journals
Certification Capsules
New Editions of ‘AACN Essentials’ Textbooks
New at NTI 2014: Editorial Consults
Call for Nominations: AACN Board, Nominating Committee
Experience a Wasatch Mountain High This Summer at REACH
Thrive at NTI: 10 Tips for the Best Experience
Letters
Transitions
President’s Note

Bold Voices - May 2014

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