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Develop a 4-6 page position about a specific health care issue as it relates to a target vulnerable population. Include an analysis of existing evidence and position papers to help support your position. Your analysis should also present and respond to one or more opposing viewpoints.
Introduction
Note: Each assessment in this course builds on the work you completed in the previous assessment. Therefore, you must complete the assessments in this course in the order in which they are presented.
Position papers are a method to evaluate the most current evidence and policies related to health care issues. They offer a way for researchers to explore the views of any number of organizations around a topic. This can help you to develop your own position and approach to care around a topic or issue.
This assessment will focus on analyzing position papers about an issue related to addiction, chronicity, emotional and mental health, genetics and genomics, or immunity. Many of these topics are quickly evolving as technology advances, or as we attempt to push past stigmas. For example, technology advances and DNA sequencing provide comprehensive information to allow treatment to become more targeted and effective for the individual. However as a result, nurses must be able to understand and teach patients about the impact of this information. With this great power comes concerns that patient conditions are protected in an ethical and compassionate manner.
Position papers are a way for individuals, groups, and organizations to express their views and intentions toward a specific issue. In health care, many position papers address specific policies, regulations, or other approaches to care. As a master’s-prepared nurse, you should feel empowered to express and advocate for your own views on policy and care matters. This is especially important when it comes to populations you or your organization cares for that are not receiving the quality, type, or amount of care that they require.
An important skill in creating a position paper or policy proposal is the ability to analyze and synthesize others’ views about the population or issue of interest to you. By synthesizing the positive and negative views of an issue, you can become better equipped to strengthen your own arguments and to respond to opposing views in an informed and convincing way.
Preparation
As you prepare to complete this assessment, you may want to think about other related issues to deepen your understanding or broaden your viewpoint. You are encouraged to consider the questions below and discuss them with a fellow learner, a work associate, an interested friend, or a member of your professional community. Note that these questions are for your own development and exploration and do not need to be completed or submitted as part of your assessment.
· What is the vulnerable population that most interests you?
. What is the health issue that is most prevalent or severe in the population?
. How does the health issue impact the daily lives of members of the population?
. How does the care environment in your chosen context impact both the population and the level of care related to the health issue?
. What are the biggest challenges that you would need to overcome to improve the outcomes for the population related to the health issue?
· What is your position on how to best work to improve the care and outcomes that the population is receiving?
. What previously published position papers support your position, or the need to work to improve care and outcomes in general for the population?
. How do these position papers support your assertions?
. How could one or more of the position papers help you to form a treatment plan?
· What previously published position papers contradict your position?
. What, if any, of these differences would make your position stronger if you incorporated them?
. How could you respond to any irreconcilable differences in such a way as to encourage buy-in for your position from those opposed?
Assessment 1 will be based on an analysis of position papers that are relevant to a health care issue related to a vulnerable population. Think about your experience working with vulnerable populations, and the issues related to health care you have observed for those populations. Refer to the resources listed below:
· Guiding Questions: Analysis of Position Papers for Vulnerable Populations [DOC].
· Finding Position Papers.
· Vila Health: Resources for Topical Research.
· Vila Health: Health Challenges in Different Populations.
Scenario
Pretend you are a member of an interprofessional team that is attempting to improve the quality of health care and the outcomes in a vulnerable population. For the first step in your team’s work, you have decided to conduct an analysis of current position papers that address the issue and population you are considering.
In your analysis you will note the team’s initial views on the issue in the population as well as the views across a variety of relevant position papers. You have been tasked with finding the most current standard of care or evidenced-based practice and evaluating both the pros and cons of the issue. For the opposing viewpoints, it is important to discuss how the team could respond to encourage support. This paper will be presented to a committee of relevant stakeholders from your care setting and the community. If it receives enough support, you will be asked to create a new policy that could be enacted to improve the outcomes related to your chosen issue and target population.
The care setting, population, and health care issue that you use for this assessment will be used in the other assessments in this course. Consider your choice carefully. There are two main approaches for you to take in selecting the scenario for this assessment:
1. You may use one of the issues and populations presented in the Vila Health: Health Challenges in Different Populations and Vila Health: Resources for Topical Research media pieces. For this approach, you may consider the population in the context of the Vila Health care setting, or translate it into the context in which you currently practice or have had recent experience.
2. You may select a population and issue that is of interest to you and set them in the context of your current or desired future care setting. While you are free to choose any population of interest, the issue you choose should fall within one of the following broad categories:
. Genetics and genomics.
. Sickle cell, asthma, multiple sclerosis, myasthenia gravis.
· Immunity.
. Type 1 diabetes, systemic lupus erythematosus (SLE), congenital neutropenia syndrome.
· Chronicity.
. Arthritis, any type of cancer or lung or heart disease, obesity.
· Addiction.
. Abuse of alcohol, prescription drugs, tobacco, illegal substances.
· Emotion and mental health.
. Post-traumatic stress disorder (PTSD), depression, eating disorders, psychosis.
Note:If you choose the second option, contact the FlexPath faculty for your section to make sure that your chosen issue and population will fit within the topic areas for this course.
Instructions
For this assessment you will develop a position summary and an analysis of relevant position papers on a health care issue in a chosen population. The bullet points below correspond to the grading criteria in the scoring guide. Be sure that your submission addresses all of them. You may also want to read the Analysis of Position Papers for Vulnerable Populations Scoring Guide andGuiding Questions: Analysis of Position Papers for Vulnerable Populations [DOC]to better understand how each grading criterion will be assessed.
· Explain a position with regard to health outcomes for a specific issue in a target population.
· Explain the role of the interprofessional team in facilitating improvements for a specific issue in a target population.
· Evaluate the evidence and positions of others that could support a team’s approach to improving the quality and outcomes of care for a specific issue in a target population.
· Evaluate the evidence and positions of others that are contrary to a team’s approach to improving the quality and outcomes of care for a specific issue in a target population.
· Communicate an initial viewpoint regarding a specific issue in a target population and a synthesis of existing positions in a logically structured and concise manner, writing content clearly with correct use of grammar, punctuation, and spelling.
· Integrate relevant sources to support assertions, correctly formatting citations and references using APA style.
Example Assessment
You may use the assessment example, linked in the Assessment Example section of the Resources, to give you an idea of what a Proficient or higher rating on the scoring guide would look like.
Additional Requirements
· Length of submission: 4-6 double-spaced, typed pages, not including the title and reference pages. Your plan should be succinct yet substantive. No abstract is required.
· Number of references: Cite a minimum of 3-5 sources of scholarly or professional evidence that support your initial position on the issue, as well as a minimum of 2-3 sources of scholarly or professional evidence that express contrary views or opinions. Resources should be no more than five years old.
· APA formatting: TheAPA Style Paper Tutorial [DOCX]will help you in writing and formatting your analysis.
Competencies Measured
By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:
· Competency 1: Design evidence-based advanced nursing care for achieving high-quality population outcomes.
. Evaluate the evidence and positions of others that could support a team’s approach to improving the quality and outcomes of care for a specific issue in a target population.
. Evaluate the evidence and positions of others that are contrary to a team’s approach to improving the quality and outcomes 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.
. Explain the role of the interprofessional team in facilitating improvements for a specific issue in a target population.
· Competency 3: Analyze population health outcomes in terms of their implications for health policy advocacy.
. Explain a position with regard to health outcomes 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 an initial viewpoint regarding a specific issue in a target population and a synthesis of existing positions in a logically structured and concise manner, writing content clearly with correct use of grammar, punctuation, and spelling.
. Integrate relevant sources to support assertions, correctly formatting citations and references using APA style.
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Analysis of Position Papers for Vulnerable Populations
Learner’s Name
Capella University
NURS-FPX6026: Biopsychosocial Concepts for Advanced Nursing Practice II
Instructor’s Name
October 1, 2021
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Analysis of Position Papers for Vulnerable Populations
As a group, veterans present a complicated, vulnerable population for the health care
industry. Reports show that more than half of the U.S. Department of Veterans Affairs’ primary
care patients state that they have pain, several of whom report chronic pain. Patients suffering
from chronic pain often have higher levels of medical utilization, more disability claims,
diminished productivity at work, and a poorer quality of life compared to patients who do not
suffer from chronic pain. Further, it has been observed that the latter present with higher rates of
alcohol and substance use disorders (Lovejoy et al., 2016).
The need for pain management was advocated and discussed in the 1980s and 1990s.
Groups such as the WHO took a stand on how to address pain as a health care issue, particularly
with reference to how cancer and cancer treatment affects patient lives. It was argued that it is
unethical for any patient to be dying in pain, even if the treatment hastens death. This mandate
was initially meant for cancer patients with chronic pain; however, over time, it has been
extended to include chronic noncancer pain as well (Sullivan & Howe, 2013). One of the
treatments recommended at the time was using opioids to manage pain. However, studies have
since confirmed that a significant link exists between prescription opioid treatment and opioid
addiction (Compton et al., 2016; Kolodny et al., 2015; Volkow & McLellan, 2016). Veterans as
a population are particularly vulnerable in this situation given that many of them deal with both
physiological pain and psychological issues including post-traumatic stress disorder and
substance abuse disorder (Sullivan & Howe, 2013). It is then necessary to look for a solution that
allows veterans dealing with pain to manage it effectively and, further, to regulate and control
the use of opioids to minimize the risk of addiction as well as the potentially dangerous side
effects of opioid use.
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Pain Relief Management and the Opioid Crisis
The guidelines issued by the WHO and the Declaration of Montreal issued by the
International Association for the Study of Pain state that if patients suffer from chronic pain, it is
unethical to let them remain in pain (Sullivan & Howe, 2013). However, there is a line that
separates the management of pain and the abuse of medication. Studies have shown that opioids
do provide significant pain relief in modest doses over a short period of treatment. However, the
long-term efficacy of opioids for pain relief management has not been proven to be clinically
significant (Sehgal et al., 2013).
The management of pain to improve quality of life and the possibility of medication
abuse and addiction are two sides of the opioid issue. The position that the American Academy
of Neurology takes on the issue reiterates earlier studies that show that the efficacy of opioid
medication might not extend to a long-term prescription of opioids. The current state of opioid
prescription practices has been associated with significant morbidity and high rates of mortality
(Franklin, 2014). On a similar note, The American Osteopathic Academy of Addiction Medicine
(n.d.) issued a public policy statement on the use of naloxone, an opioid antagonist that blocks
opioid receptor activation and, through this, reverses opioid overdoses by preventing or reversing
respiratory arrest.
The American Society of Addiction Medicine (2016) also suggests a similar course of
action in terms of educating individuals on the use of naloxone. It also encourages those close to
the individual experiencing an opioid overdose to educate themselves on how to detect the onset
of an overdose. The same association presents the rising statistics associated with prescription
opioids and the necessity of raising awareness about the dangers associated with opioids and
educating people on the treatment of an opioid overdose. The American Society of Addiction
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Medicine recommends co-prescribing naloxone with opioids for people who might be at risk of
overdose and educating both the patient and those close to the patient on how to properly use a
naloxone kit.
Ethical Pain Management versus the Possibility of Addiction
The above papers focus on ensuring that the public and individuals prescribed opioids are
made aware of the dangers associated with the use of opioids. The addictive properties of opioids
and the epidemic of opioid overdoses that has spread over the past few decades are indicators of
the severity of the situation (Kolodny et al., 2015). The other side of the argument is that opioid
treatment is a necessity for many in chronic pain. In Sullivan and Howe’s 2013 study on opioid
therapy for chronic pain, the authors recount the history of the opioid crisis. The shift toward the
use of opioids in the treatment of pain was marked by the WHO issuance of guidelines for the
use of opioids in the context of pain relief for cancer patients in 1985 and 1996. This was
eventually extended to noncancer pain as well. The underlying logic at work was that chronic
noncancer pain could be debilitating to the same extent as cancer pain over longer periods of
time and with greater rates of prevalence.
There are two aspects to the counterargument presented by supporters of opioid
treatment. The first is that pain as a symptom or consequence of injury or illness can lead to
inferior quality of life, resulting in psychological difficulties and even impeding recovery
(Manjiani et al., 2014). The second aspect is that opioid treatment potentially provides a long-
term solution for chronic pain. This claim is made largely as an extension of the efficacy that
can be seen in short-term studies of opioid treatment (Franklin, 2014).
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However, as there exists very little evidence on the long-term efficacy of opioid
treatment, it becomes problematic that opioid treatment is already in practice to relieve chronic
noncancer pain. In the American Academy of Neurology’s position paper on the use of opioids
for chronic noncancer pain, Franklin (2014) analyzes both the rise of opioids as a treatment as
well as the epidemic of addiction and overdose that came about as a result of the advocacy for
opioid treatment. Aside from the dangers of addiction that individuals face, Franklin also
addresses the significant side effects that opioids present when taken over long durations,
including opioid-induced hyperalgesia, immunosuppression, infertility, and hypogonadism.
Newhouse states that opioid drugs were prescribed to over 400,000 veterans for pain
relief, which correlates to approximately 1.7 million opioid prescriptions (as cited in Snow &
Wynn, 2018). The effort to manage the chronic pain that veterans face, however, presents with
its own unique set of complications, particularly because of how widespread the use of opioid
treatment has become. Baser et al., state that veterans are approximately seven times more likely
to abuse opioids than civilians (as cited in Snow & Wynn, 2018). Further, opioids are more
likely to be prescribed to individuals who have a history of substance abuse and mental health
issues, and this would result in unfavorable or harmful outcomes such as drug abuse or opioid
overdose (Howe & Sullivan, 2014). When considering this with the prevalence of psychological
issues and chronic physiological pain that many veterans present with, it becomes apparent that
long-term treatment with opioids for veterans is not advisable.
Kissin found that 35% of veterans who were admitted to Tuscaloosa Veterans Affairs
Medical Center’s acute inpatient psychiatric unit presented with severe post-traumatic stress
disorder symptoms, coupled with issues such as suicidal ideation and mood disturbances. Kissin
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also found that 25% of these veterans had an underlying case of opioid use disorder (as cited in
Snow & Wynn, 2018). To treat veterans such as these who are comorbid with chronic pain and
behavioral issues, it is necessary to integrate the psychological and the psychiatric into the model
of care to sufficiently address the overall health of the patient (Snow & Wynn, 2018). Such a
model would require physicians, psychologists, and psychiatrists to simultaneously address the
needs of the patient. One of the issues they might encounter is managing the patient’s
prescriptions. Denenberg and Curtis and Hawkins et al. note that opioids are contraindicated for
patients with substance-abuse issues (as cited in Snow & Wynn, 2018); physicians and mental
health specialists would have to come to some resolution to mediate the patient’s need for pain
relief and the patient’s potential for abuse of his or her medication.
Weiss et al. (2014) note that individuals who present with post-traumatic stress disorder
and substance abuse disorder are likely to use opioids to relieve negative emotional states, aid
sleep, or relieve pain. Crowley et al. (2017) suggest that behavioral health should be taken into
consideration while evaluating the overall health of the individual. The purpose of opioid
treatment is to improve the patient’s quality of life with respect to the reduction of pain.
Therefore, there should be a simultaneous push toward counseling to address the overall health
of the individual and not solely focus on pain. This would involve coordination between
counselors and physicians who specialize in pain management to effectively improve the quality
of life for these patients.
Conclusion

The management of chronic pain with long-term opioid treatment involves significant
risk and does not have clinically significant evidence to support its use. Veterans present a
complicated population because many of them deal with mental health issues such as post-
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traumatic stress disorder and substance abuse disorder as well as chronic pain. An analysis of
policies of various institutions and position papers on the use of opioids for pain management
brings into focus the severity of the opioid crisis. Most position papers take the stance that long-
term opioid treatment would not be advisable given the lack of evidence to support it. Further,
the abundance of public policy statements that advocate educating individuals on the use of
naloxone, an opioid antagonist, indicates the severity of the crisis in the present context. One
effective response to the existing crisis might be to simultaneously provide counseling along
with opioid treatment to address the individual’s overall health. The comorbidity of behavioral
issues and chronic pain in veterans indicates that they are a particularly vulnerable population,
with a high risk of addiction and prescription drug misuse. Therefore, to provide efficient,
holistic care, it is necessary to evaluate the efficacy of long-term opioid treatment and the
guidelines associated with it.
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References

American Society of Addiction Medicine. (2016). Use of naloxone for the prevention of opioid
overdose deaths. https://www.asam.org/advocacy/find-a-policy-statement/view-policy-
statement/public-policy-statements/2014/08/28/use-of-naloxone-for-the-prevention-of-
drug-overdose-
deaths#:~:text=Naloxone%20is%20a%20remarkably%20effective,at%20the%20proper
%20low%20dosage.
Compton, W. M., Jones, C. M., & Baldwin, G. T. (2016). Relationship between nonmedical
prescription-opioid use and heroin use. The New England Journal of Medicine, 374(2),
154–163. https://www.nejm.org/doi/full/10.1056/nejmra1508490
Crowley, R., Kirschner, N., Dunn, A. S., & Bornstein, S. S. (2017). Health and public policy to
facilitate effective prevention and treatment of substance use disorders involving illicit
and prescription drugs: An American College of Physicians position paper. Annals of
Internal Medicine, 166(10), 733–736. https://doi.org/10.7326/M16-2953
Franklin, G. M. (2014). Opioids for chronic noncancer pain: A position paper of the American
Academy of Neurology. Neurology, 83(14), 1277–1284.
https://doi.org/10.1212/WNL.0000000000000839
Howe, C. Q., & Sullivan, M. D. (2014). The missing ‘P’ in pain management: How the current
opioid epidemic highlights the need for psychiatric services in chronic pain care. General
Hospital Psychiatry, 36(1), 99–104. https://doi.org/10.1016/j.genhosppsych.2013.10.003
Kolodny, A., Courtwright, D. T., Hwang, C. S., Kreiner, P., Eadie, J. L., Clark, T. W., &
Alexander, G. C. (2015). The prescription opioid and heroin crisis: A public health
approach to an epidemic of addiction. Annual Review of Public Health, 36(1), 559–574.
https://doi.org/10.1146/annurev-publhealth-031914-122957
https://www.asam.org/advocacy/find-a-policy-statement/view-policy-statement/public-policy-statements/2014/08/28/use-of-naloxone-for-the-prevention-of-drug-overdose-deaths#:~:text=Naloxone%20is%20a%20remarkably%20effective,at%20the%20proper%20low%20dosage
https://www.asam.org/advocacy/find-a-policy-statement/view-policy-statement/public-policy-statements/2014/08/28/use-of-naloxone-for-the-prevention-of-drug-overdose-deaths#:~:text=Naloxone%20is%20a%20remarkably%20effective,at%20the%20proper%20low%20dosage
https://www.asam.org/advocacy/find-a-policy-statement/view-policy-statement/public-policy-statements/2014/08/28/use-of-naloxone-for-the-prevention-of-drug-overdose-deaths#:~:text=Naloxone%20is%20a%20remarkably%20effective,at%20the%20proper%20low%20dosage
https://www.asam.org/advocacy/find-a-policy-statement/view-policy-statement/public-policy-statements/2014/08/28/use-of-naloxone-for-the-prevention-of-drug-overdose-deaths#:~:text=Naloxone%20is%20a%20remarkably%20effective,at%20the%20proper%20low%20dosage
https://www.asam.org/advocacy/find-a-policy-statement/view-policy-statement/public-policy-statements/2014/08/28/use-of-naloxone-for-the-prevention-of-drug-overdose-deaths#:~:text=Naloxone%20is%20a%20remarkably%20effective,at%20the%20proper%20low%20dosage
https://www.nejm.org/doi/full/10.1056/nejmra1508490
https://doi.org/10.7326/M16-2953
https://doi.org/10.1212/WNL.0000000000000839
https://doi.org/10.1016/j.genhosppsych.2013.10.003
https://doi.org/10.1146/annurev-publhealth-031914-122957
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Lovejoy, T. I., Dobscha, S. K., Turk, D. C., Weimer, M. B., & Morasco, B. J. (2016). Correlates
of prescription opioid therapy in veterans with chronic pain and history of substance use
disorder. Journal of Rehabilitation Research and Development, 53(1), 25–36.
https://doi.org/10.1682/JRRD.2014.10.0230
Manjiani, D., Paul, D. B., Kunnumpurath, S., Kaye, A. D., & Vadivelu, N. (2014). Availability
and utilization of opioids for pain management: Global issues. Ochsner Journal, 14(2),
208–215. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4052588/
Sehgal, N., Colson, J., & Smith, H. S. (2013). Chronic pain treatment with opioid analgesics:
Benefits versus harms of long-term therapy. Expert Review of Neurotherapeutics, 13(11),
1201–1220. https://doi.org/10.1586/14737175.2013.846517
Snow, R., & Wynn, S. T. (2018). Managing opioid use disorder and co-occurring posttraumatic
stress disorder among veterans. Journal of Psychosocial Nursing and Mental Health
Services, 56(6), 36–42. https://doi.org/10.3928/02793695-20180212-03
Sullivan, M. D., & Howe, C. Q. (2013). Opioid therapy for chronic pain in the US: promises and
perils. Pain, 154(Suppl 1), S94–100.
https://ncbi.nlm.nih.gov/pmc/articles/PMC4204477/
The American Osteopathic Academy of Addiction Medicine. (n.d.). Naloxone public policy
statement: The use of naloxone for the prevention of opioid overdose deaths.
https://www.aoaam.org/resources/Documents/AOAAM_NALOXONE_POLICY_2015.p
df
https://doi.org/10.1682/JRRD.2014.10.0230
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4052588/
https://doi.org/10.1586/14737175.2013.846517
https://doi.org/10.3928/02793695-20180212-03
https://ncbi.nlm.nih.gov/pmc/articles/PMC4204477/
https://www.aoaam.org/resources/Documents/AOAAM_NALOXONE_POLICY_2015.pdf
https://www.aoaam.org/resources/Documents/AOAAM_NALOXONE_POLICY_2015.pdf
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Volkow, N. D., & McLellan, A. T. (2016). Opioid abuse in chronic pain — misconceptions and
mitigation strategies. The New England Journal of Medicine, 374(13), 1253–1263.
https://doi.org/10.1056/NEJMra1507771
Weiss, R. D., Potter, J. S., Griffin, M. L., McHugh, R. K., Haller, D., Jacobs, P., Rosen, K. D.
(2014). Reasons for opioid use among patients with dependence on prescription opioids:
The role of chronic pain. Journal of Substance Abuse Treatment, 47(2), 140–145.
https://doi.org/10.1016/j.jsat.2014.03.004
https://doi.org/10.1056/NEJMra1507771
https://doi.org/10.1016/j.jsat.2014.03.004
Pain Relief Management and the Opioid Crisis
Ethical Pain Management versus the Possibility of Addiction
Conclusion
Vila Health: Health Challenges in Different Populations
My Questions
Question:
Do you think Carl’s situation is one you would be interested in investigating further for this course? Think about
what other considerations you would have to keep in mind if you were trying to help other veterans living in
urban areas.
My Answer:
yes
Question:
Do you think Kevin’s issue is one you would be interested in investigating further for this course? Think about
what other considerations you would have to keep in mind if you were trying to help other GLBTQ youth in rural
areas.
My Answer:
Yes
Question:
Do you think Delia’s issue is one you would be interested in investigating further for this course? Think about
what other considerations you would have to keep in mind if you were trying to help other elderly members of
the community who are receiving home health care.
My Answer:
Yes

Running head: ANALYSIS OF POSITION PAPERS FOR VULNERABLE POPULATIONS 1
NAME
ANALYSIS OF POSITION PAPERS FOR VULNERABLE POPULATIONS
UNIVERSITY
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ANALYSIS OF POSITION PAPERS FOR VULNERABLE POPULATIONS2
Abstract
The purpose of this paper is to review the current position papers on the stated health issue of
psychosis. As indicated in the requirement scenario, the paper will be disclosing the following
key elements; explaining a position concerning health outcomes for a specific issue in a target
population, explaining the role of the inter-professional team in facilitating improvements for a
specific issue in a target population, evaluating the evidence and positions of others that could
support a team’s approach to improving the quality and outcomes of care for a specific issue in a
target population, evaluating the evidence and positions of others that are contrary to a team’s
approach to improving the quality and outcomes of care for a specific issue in a target
population. The targeted population will be youngsters and teenagers in the United States who
had their first episodes.
I hereby conclude that this paper is original and is not plagiarized in any way other than the
sources used and properly cited with a reference list at the end of this paper.
Keywords; position paper, analysis, opposition, health care issue, targeted population,
psychosis, issues, teenagers, etc.
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ANALYSIS OF POSITION PAPERS FOR VULNERABLE POPULATIONS3
ANALYSIS OF POSITION PAPERS FOR VULNERABLE POPULATIONS
Introduction
Psychosis is an emerging leading health care issue in youngsters and teenage groups. Recent
research shows that about 0.64% to 1% of the U.S. population suffers from this specific
healthcare issue that targets the young aged individuals more than it does the older ones.
Psychosis is different from schizophrenia because one is just a symptom of mental illness
whereas the other is a mental illness in itself. Psychosis is one of the symptoms of schizophrenia,
in this health problem an individual suffers from faint hallucinations that cut the person off from
reality. In this paper, we will be discussing the position analysis of this particular health care
issue among the targeted population that is youngsters in the United States of America (Fusar‐
Poli, McGorry, & Kane, 2017).
Health Outcomes for a Specific Issue In a Target Population
Young people with mental wellbeing surrender that are set in underserved domains are
dependably made plans to be feeble people in our clinical administration structure. This is for the
most part given limited resources, a mistake of enlistment to there being an issue, and financing
for help. Various adults with mental prosperity issues were not fittingly dissected or broke down
at all as a youth. The inescapability of late diagnosing is an essential spot in underserved masses.
This consistently happens in light of continued with boisterousness identified with passionate
prosperity illness. According to the Centers for Disease Control and Prevention (CDC), authentic
ends and medicines for adolescents at a young age are essential in the productive consequence of
adapting to mental insecurity. As energetic characters build up a great deal it is basic to offer
mediation to productive outcomes. Powerless underserved networks consistently don’t have the
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ANALYSIS OF POSITION PAPERS FOR VULNERABLE POPULATIONS4
necessary resources to secure these necessary interventions. As for psychosis, the current
position paper on similar issues and psychosis itself shows that such mental issues are more
prevalent in individuals between the age “16-22” and this targeted critical population found more
in the U.S than in any other country. The position regarding this issue is that “the targeted
population is yet the most vulnerable and would be because of the growing emotional and mental
constraints of the country or the residing area”, however, possible opposing views are that
psychosis may happen to have a predominant explanation as per older literature or it might be the
same as schizophrenia (Sterzer, Adams, Fletcher, Frith, Lawrie, Muckli, & Corlett, 2018).
The Role of the Inter-Professional Team In Facilitating Improvements
The issue of psychosis tends to be emerging in teenagers; however, it can be facilitated by the
help of an inter-professional team in facilitating improvements. The role of the inter-professional
team in facilitating improvements in the case of psychosis in teenagers and young age children
can prove to be very helpful. Positive team attitude, training, development and improvement,
reward system, and effective communication can be very facilitating while addressing the health
care issue in a vulnerable population. In addition to this, the vulnerable population is also the one
who requires facilitation so that the cases of psychosis can be addressed carefully in professional
hands to deal with it. The team might face challenging behavior from the targeted population
because we have already read that in psychosis the candidate does not know how to differentiate
reality from delusions.The team might also face challenges related to suffering individual’s
prediction that psychosis is a disease instead of a symptom.
Evaluate the Evidence and Positions That Could Support
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ANALYSIS OF POSITION PAPERS FOR VULNERABLE POPULATIONS5
A position paper written under “young people’s mental health” in 2011 made position statements
regarding similar mental issues, some of which are as follows; “Mental ill-health is the number
one health issue facing young Australians. Mental disorders are more prevalent for young people
aged 16-24 than any other age group, and affect 26 percent of young Australians in any year”,
and that youngsters are affected by their surroundings the most while addressing a related mental
issue such as psychosis and tend to seek support from their family members at first. This is
consistent with the position made at the start of the paper that the targeted population is yet the
most vulnerable and would be because of the growing emotional and mental constraints of the
country or the residing area (Davies, Cipriani, Ioannidis, Radua, Stahl, Provenzani, & Fusar‐Poli,
2018).
Evaluate the Evidence and Positions That Are Contrary
Evidence that was found through thorough research was that psychosis may also include the loss
of socialization and motivation which might be depicted as symptoms of psychosis itself.This
might be concurrent with the declaration that psychosis actually may happen to have a
predominant explanation as per older literature or it might be the same as schizophrenia.
Contrary to the position that I have stated, a recent study shows that people get psychosis due to
unidentified reasons and it is not certain whether or not factors causing such a loose related to the
surroundings.
Communicate & Synthesis of the Health Issue
The initial viewpoint of psychosis among the teens is that they start to hear, feel, and believe
things that are not real, and they cannot figure what is real and what isn’t. The current positions
as already discussed and compared earlier are;
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ANALYSIS OF POSITION PAPERS FOR VULNERABLE POPULATIONS6
1. The targeted population is yet the most vulnerable and would be because of the growing
emotional and mental constraints of the country or the residing area.
2. Psychosis may happen to have a predominant explanation as per older literature or it
might be the same as schizophrenia.
3. Mental ill-health is the number one health issue facing young Australians. Mental
disorders are more prevalent for young people aged 16-24 than any other age group and
affect 26 percent of young Australians in any year.
4. Psychosis may also include the loss of socialization and motivation which might be
depicted as symptoms of psychosis itself (Radua, Ramella‐Cravaro, Ioannidis,
Reichenberg, Phiphopthatsanee, Amir, & McGuire, 2018).
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ANALYSIS OF POSITION PAPERS FOR VULNERABLE POPULATIONS7
References
Fusar‐Poli, P., McGorry, P. D., & Kane, J. M. (2017). Improving outcomes of first‐episode
psychosis: an overview. World Psychiatry, 16(3), 251-265.
Sterzer, P., Adams, R. A., Fletcher, P., Frith, C., Lawrie, S. M., Muckli, L., … & Corlett, P. R.
(2018). The predictive coding account of psychosis. Biological psychiatry, 84(9), 634-
643.
Davies, C., Cipriani, A., Ioannidis, J. P., Radua, J., Stahl, D., Provenzano, U., … & Fusar‐Poli, P.
(2018). Lack of evidence to favor specific preventive interventions in psychosis: a
network meta‐analysis. World Psychiatry, 17(2), 196-209.
Radua, J., Ramella‐Cravaro, V., Ioannidis, J. P., Reichenberg, A., Phiphopthatsanee, N., Amir,
T., … & McGuire, P. (2018). What causes psychosis? An umbrella review of risk and
protective factors. World Psychiatry, 17(1), 49-66.
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