• Develop a 2-4 page policy proposal that seeks to improve the outcomes for your chosen health care issue and target population.
    Introduction

    • Competency 1: Design evidence-based advanced nursing care for achieving high-quality population outcomes. 
      • Propose a policy and guidelines that will lead to improved outcomes and quality of care for a specific issue in a target population.
    • Competency 2: Evaluate the efficiency and effectiveness of interprofessional interventions in achieving desired population health outcomes. 
      • Analyze the potential for an interprofessional approach to implementing a proposed policy to increase the efficiency or effectiveness of the care setting to achieve high-quality outcomes.
    • Competency 3: Analyze population health outcomes in terms of their implications for health policy advocacy. 
      • Advocate the need for a proposed policy in the context of current outcomes and quality of care for a specific issue in a target population.
    • Competency 4: Communicate effectively with diverse audiences, in an appropriate form and style, consistent with organizational, professional, and scholarly standards. 
      • Communicate in a professional and persuasive manner, writing content clearly and logically with correct use of grammar, punctuation, and spelling.
      • Integrate relevant sources to support assertions, correctly formatting citations and references using current APA style.

Running head: BIOPSYCHOSOCIAL POPULATION HEALTH POLICY PROPOSAL 1

Copyright ©2018 Capella University. Copy and distribution of this document are prohibited.

Biopsychosocial Population Health Policy Proposal

Learner’s Name

Capella University

Biopsychosocial Concepts for Advanced Nursing Practice II

Biopsychosocial Population Health Policy Proposal

November, 2018

BIOPSYCHOSOCIAL POPULATION HEALTH POLICY PROPOSAL 2

Copyright ©2018 Capella University. Copy and distribution of this document are prohibited.

Biopsychosocial Population Health Policy Proposal

The health care industry has come to acknowledge the rise of the opioid crisis over the

past two decades. However, this does not take away from the necessity of pain relief for patients

suffering from chronic pain, who are most often prescribed opioid treatment. Opioid treatment

does show promise in short-term trials (Sehgal, Colson, & Smith, 2013), but long-term

treatments carry with them significant risk of addiction, adverse side effects, and prescription

drug abuse (Franklin, 2014). The issue of opioid abuse and addiction is further complicated by

the comorbidity of mental health problems in patients. In this context, veterans are a particularly

vulnerable population because they often present with chronic noncancer pain while being

comorbid with mental health issues such as post-traumatic stress disorder or substance abuse

disorder (Sullivan & Howe, 2013). Given this vulnerability, it is necessary to take steps to

prevent or reduce the potential for addiction or medication abuse among veterans who are

prescribed long-term opioid treatment.

Substance Abuse among U.S. Veterans: A Brief Retrospective

Opioids came to be used in the treatment of chronic pain in cancer patients as a result of

two WHO guidelines that were issued in 1985 and 1996 (Sullivan & Howe, 2013). Eventually,

the treatment was extended to chronic noncancer pain and suggested as a safe, non-addictive

method of treating pain. However, this claim was extrapolated from short-term opioid treatment

studies. The issue then becomes primarily about the lack of evidence to support the safe long-

term use of opioids. Opioids carry a significant risk of addiction and an array of unpleasant side

effects (Franklin, 2014). Further, opioids also complicate matters of mental health. Opioids can

relieve pain and produce a feeling of euphoria in patients. This physical relief could

inadvertently soothe the psychologi

1

Vulnerable Population Health Policy Proposal

Kyla Hoag

NURS-FPX6026: Biopsychosocial Concepts for Advanced Nursing Practice 2

Capella University

Kathryn Sheppard

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2

Need for Policy

The homeless is an example of a vulnerable population and they face an assortment of

healthcare challenges, both physical and mental. The homeless population is susceptible to many

physical health related problems such as chronic pain, impaired mobility, impaired hearing or

vision, and obesity. “Chronic pain is thought to be common among homeless people, in part due

to frequent injuries and the high prevalence of concurrent health conditions” (Hwang et. al.,

2011, p. 1). For many people with chronic pain, common pain relief methods are ineffective, and

opioids are used an alternative. It is easy for this population to end up addicted to opioids and

other substances because of chronic pain. Homelessness causes a lack of stability, which can lead

to drug addiction. The homeless population often self-medicates with street drugs, and they use

substances to numb the pain and stressors that comes with living on the street. “According to the

National Coalition for the Homeless, substance abuse is more prevalent in people who are

homeless than in those who are not” (Mosel, 2022). It can be challenging for homeless people to

stop using substances because they have smaller support networks. They also typically do not

have easy access to traditional recovery programs, detox centers, and rehab programs. It is then

crucial to look for a solution that will allow the homeless population to effectively manage their

chronic health conditions such as pain or mental health issues, and to most importantly get them

into a safe environment, where they do not have access to substances to continue feeding their

addiction.

Proposed Policy

The proposed policy I will be discussing is an interdisciplinary pain rehabilitation

program. The interdisciplinary approach to institutional and community problems occurs when

members of different disciplines work inter-dependently (as opposed to the term “multi-

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ADDICTION.

ABUSE OF ALCOHOL, HOMELESSNESS PRESCRIPTION DRUGS, TOBACCO, ILLEGAL SUBSTANCES.

· Develop a 2-4 page policy proposal that seeks to improve the outcomes for your chosen health care issue and target population.

Introduction

·

·
Note: Cost and access to care continue to be main concerns for patients and providers. As technology improves our ability to care for and improve outcomes in patients with chronic and complex illnesses, questions of cost and access become increasingly important. As a master’s-prepared nurse, you must be able to develop policies that will ensure the delivery of care that is effective and can be provided in an ethical and equitable manner. As a master’s-prepared nurse, you have a valuable viewpoint and voice with which to advocate for policy developments.

· As a nurse leader and health care practitioner, often on the front lines of helping individuals and populations, you are able to articulate and advocate for the patient more than any other professional group in health care. This is especially true of populations that may be underserved, underrepresented, or are otherwise lacking a voice. By advocating for and developing policies, you are able to help drive improvements in outcomes for specific populations.

· The policies you advocate for could be internal ones (just within a specific department or health care setting) that ensure quality care and compliance. Or they could be external policies (local, state, or federal) that may have more wide-ranging effects on best practices and regulations. Professional Context As a master’s-prepared nurse, you have a valuable viewpoint and voice with which to advocate for policy developments.

· As a nurse leader and health care practitioner, often on the front lines of helping individuals and populations, you are able to articulate and advocate for the patient more than any other professional group in health care. This is especially true of populations that may be underserved, underrepresented, or are otherwise lacking a voice. By advocating for and developing policies, you are able to help drive improvements in outcomes for specific populations. The policies you advocate for could be internal ones (just within a specific department or health care setting) that ensure quality care and compliance. Or they could be external policies (local, state, or federal) that may have more wide-ranging effects on best practices and regulations.

·

·
Scenario The analysis of position papers that your interprofessional team presented to the committee has convinced them that it would be worth the time and effort to develop a new policy to address your specific issue in the target population. To that end, your interprofessional team has been asked to submit a policy proposal that outlines a specific approach to improving the outcomes for your