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Health Assessment

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Assessment of Alcoholic living in a Family Individuals addicted to alcohol are threatened with increased risk of health problems, including liver cirrhosis, cardiovascular diseases, and fetal abnormalities. Additionally, substance abuse can lead to automobile collisions, violence, and injuries. Alcohol can influence worker’s productivity, family problems, or school performance. According to Alcohol Research and Health (2000), “the United States and other countries have expended considerable effort throughout this century to develop and refine effective strategies to limit the negative impact of alcohol” (p. 5). The epidemiological research has also revealed positive correlation between substance abuse and coronary heart disease. The influence on physical health is evident, but there are many other social factors that pose risks to the surrounding communities and families (Alcohol Research and Health, 2000). What is more important is that it creates significant problems within the family in terms lack of understanding and communication. Heavy drinking and substance abuse is a tangible risk factor creating serious consequences for health and, therefore, it is also the main contributor to the global disease expansion. Indeed, alcohol can become the leading cause for over 30 health-related risks and factors. Such risks as disability, disease, and mortality are also among the major problems which are treated by the World Health Organization because of the detrimental influence of alcohol consumption on the overall condition (Rehm, n. d.). Injury and disease conditions for alcohol consumption are the leading underpinning for alcohol-related conditions. In general, there are a range of categories predetermined by alcohol consumption, such as cancer, diabetes, cardiovascular disease, intentional and unintentional injury, cardiovascular disease, and neuropsychiatric disease. There are also research studies related to the analysis of the relation between HIV infection and alcohol consumption “researchers frequently have pointed out that personality characteristics, such as a propensity for risk-taking, sensation-seeking, and sexual compulsivity, may be involved in the risk of HIV infection” (Rehm, n. d.).
Identifying Healthy People 2010 Objectives for Health Problem There are two main goals pursued by Healthy People 2010. The first one involves enhancing life expectancy, and improving the quality of life. The second one is to eliminate health differences between different layers of the population, relying on such factors race and ethnicity, disability, income and social status, education, and sexual orientation. The goal to remove the disparities is not confined to simply reducing these differences. Instead, the gap could be reduced as soon as heath-related behaviors are identified (Davis, 2000). Due to the fact that alcoholic in a family is the focus of discussion, lack of discipline and dependence on alcoholic substances. Apart from progressions in removing the differences, it is also essential to encourage cooperation across sectors and communities, as well as empower people sharing decisions and information on health-related problems. Finally, the influence of prevention activities on the quality of life should also be taken into consideration. Transparent reporting and constant information exchange should be aimed at increasing safety and the quality of the living conditions in various regions. Such an approach can also support the alcohol-addicted individuals to overcome the dependence. Due to the fact that Health People 2010 focus not only health-related reforms in improving the quality of care, but also increased concern with individuals who are confined to drug and substance abuse. A range of organizations and consultancies should take resolute measures for reducing the social circumstances encouraging people consume alcohol and developing psychological programs for individuals to define the main psychological and social reasons for understanding how these individuals could solve their problems and define the actual reasons for consuming and abusing alcohol (Davis, 2000). What is more important is that these problems could be associated with conflicts in families, social problems, employment opportunities, and other factors.
Nursing Intervention Strategies The analysis of these problems could relate to the development of new theoretical frameworks and models to deal with the problem of alcohol consumption. Health Belief theory is one of those model that can define behavioral patterns, leading to alcohol consumption. In particular, Health Belief Model argues that health-related activities depend largely on the occurrence of three categories of factors, such as presence of sufficient motivation, susceptibility to a serious health problem, or disease condition, and, finally, the assumption that a specific health recommendation could contribute to reduction of perceived threat (Rosenstock, Strecher, & Becker, 1988). Within the framework, the severity of the disease can influence the psychological dependence of individual on alcohol. Further, the value of reducing threats also matter when it comes to the impossibility to resist the weaknesses and resort to alcohol as a solution to the problem. The practices of nursing in providing help and assistance to alcohol-addicted individuals should be introduced with the emphasis on social, psychological, and behavioral dimensions. Alcohol problems take responsibilities to opportunistic interventions and screening. Therefore, the emphasis should be placed on brief interventions in healthcare, as well as psychiatric interventions which could solve the problem of alcoholic abuse (Lock & Kaner, 2004). Such a scheme of treating alcoholic is a win-win solution both for healthcare professionals and for those who have problems with substance abuse. On the one hand, professionals will not seem to impose too much attention and assistance to alcohol-addicted individuals who often fail to acknowledge the proof of dependency (Lock & Kaner, 2004). On the other hand, health professionals will be more encouraged to introduce objective measures and recommendations. Apart from interventions designed specifically for a problematic person, the analysis of these approaches should also be considered in a family context. If a child of an alcoholic parent is raised in the family in which parents also abused alcohol, could have potential psychological problems and dependencies. In this respect, the treatment of alcoholics should be carried out in the entire family in which the attention should be given to the analysis of problems, as well as how the surrounding families treat an addicted family member. According to Videbeck (2011), “brief interventions have been effective in producing sustained abstinence or reduced levels of alcohol consumption, thereby decreasing hazardous and harmful drinking in this population” (p. 366). As a result, healthcare professionals should be aware of the vulnerable aspects of an alcohol-addicted individual. As soon as these aspects are taken into consideration, it will be possible to develop an objective and systematic model of treating problematic individuals in a family context.
The Role of the Advanced Practice Nurse as a Case Manager
Apart from direct obligations and responsibilities, nursing professionals should also perform the function of case managers who attach much importance to the contextual environment. For instance, in an alcoholic family, it is important to define the relations and communication, as well as increased awareness of psychological problems leading to substance abuse. According to McDonald, Schreiber, and Davis (2005), “existing roles that might provide care at an advanced practice level to women include the existing acute care nurse practitioners, clinical nurse specialist, and primary health care nurse practitioner roles” (p. 54). In this context, case management is also among the most peculiar characteristics, which are expected from advanced nurse practices according to the nurse frameworks.
Opportunities for widening the responsibilities of nurses, as well as creating new forms of case can reduce the rates of alcohol-addicted individuals. As soon as psychological and social problems have been conceived will be used for managing these aspects and understanding how they can contribute to the increased quality of life and overall social conditions.
In conclusion, including advanced practice and evidence-based research in social psychology could be a valuable addition to the techniques and theoretical frameworks approving the main steps in encountering substance abuse through family and individuals sessions organized regularly. What is more important is that these interventions could also be perceived as the form of assistance and support that problematic individuals lacked while coping with their problems independently. Much concern should also be connected with the issue of funding and implementation of specialized programs for families in which individuals abuse alcohol. This is also of particular concern to other family members who have to face with the problem. Therefore, the task of nurses is to delve deeper into social and psychological profile of the target population.

References
Alcohol Research and Health (2000). Health Risks and Benefits of Alcohol Consumption. 24(1), 5-11. Retrieved from http://pubs.niaaa.nih.gov/publications/arh24-1/05-11.pdf
Davis, R. M. (2000). Healthy People 2010: Objectives for the United States. BMJ, 320, 818-819.
Lock, C. A., & Kaner, E. F. S. (2004). Implementation of brief alcohol interventions by nurses in primary care: do non-clinical factors influence practice? Family Practice, 21(3). 270-275.
McDonald, M., Schreiber, R., & Davis, L. (2005). Exploring new roles for advanced nursing practice. Canadian Nurses Association. 1-74. Retrieved from https://www.cna-aiic.ca/~/media/cna/page%20content/pdf%20en/2013/07/26/10/23/exploring_new_roles_anp-05_e.pdf
Rehm, J. (n. d.). Risk associated with alcohol use and alcoholism. Action Research and Health, 34(2), Retrieved from http://pubs.niaaa.nih.gov/publications/arh342/135-143.htm
Rosenstock, I. M., Strecher, V. J., & Becker, M. H. (1988). Social learning theory and the health believe model. SOHPE, 15(2), 175-183.
Videbeck, S. L. (2011). Psychiatric-mental health nursing. Philadelphia: Lippincott Williams & Wilkins.

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