Agenda Comparison Grid Assignment Template for Part 1 and Part 2
Opioid Crisis Comprehensive Nursing Paper Sample
Part 1: Agenda Comparison Grid
Use this Agenda Comparison Grid to document information about the population health/healthcare issue you selected and the presidential agendas. By completing this grid, you will develop a more in depth understanding of your selected issue and how you might position it politically based on the presidential agendas.(Opioid Crisis Comprehensive Nursing Paper Sample)
You will use the information in the Part 1: Agenda Comparison Grid to complete the remaining Part 2 and Part 3 of your Assignment.
| Identify the Population Health concern you selected. | Opioid crisis | |
| Describe the Population Health concern you selected. | High opioid medication prescription rates have led to misuse of non-prescription and prescription drugs even with the increased awareness of their highly addictive nature. Opioid addiction affects almost every community in the US, including rural communities. According to the Centers for Disease Control and Prevention (2023), approximately 130 people succumb to opioid overdose or addiction, costing the US health system around $78 billion daily. Additionally, the number of people who died from overdose increased over six times from 1999 to 2021, increasing by 16% from 2020 to 2021. Moreover, over 75% of about 107000 drug overdose deaths involved opioid use in 2021 (Centers for Disease Control and Prevention, 2023).(Opioid Crisis Comprehensive Nursing Paper Sample) | |
| Administration (President Name) | BIDEN | TRUMP |
| Explain how each of the two presidential administrations approached the issue. | President Biden’s administration announced six public health goals during the first month, although the opioid crisis was not one of them. However, Biden recommended the improvement and expansion of the ACA to ensure that more people have access to high-quality and affordable health coverage. As a result, there would be less incentivization to self-treat with opioids. In addition, Biden’s government has promised a federal investment of $125 to prevent, treat, and facilitate recovery for opioid addicts (Krakow et al., 2022).(Opioid Crisis Comprehensive Nursing Paper Sample) | President Trump approved the Support Act restricting providers from updating and writing narcotic prescriptions. Opioid prescriptions were to be electronically monitored, making it difficult for patients to obtain multiple drugs from the providers. Trump also supported reforming opioid prescription laws while allocating more funds to support the opioid crisis. Trump channeled $4.6 billion for over two years toward fighting the opioid crisis through treatment (Fraser, 2019). Specifically, more people would access buprenorphine, a proven medical treatment for opioid addiction.(Opioid Crisis Comprehensive Nursing Paper Sample) |
| Identify the allocations of resources the current and previous presidents dedicated to this issue. | Biden has allocated financial resources to support first responders and healthcare providers to fight opioid crises. For instance, Biden invested $10 billion to provide communities with tools to fight overdose and respond to emergencies.
As part of his Unity Agenda, Biden released the FY 2024 budget requesting Congress to invest $ 46.1 for the National Drug Program Agencies to Fight the opioid epidemic.(Opioid Crisis Comprehensive Nursing Paper Sample) Biden also implemented evidence-education support programs for adolescents on mental health and substance disorders. Through the Opioid Workforce Act of 2019 for Congress, Biden funded the education and training of medical workers to treat additional problems.(Opioid Crisis Comprehensive Nursing Paper Sample) Biden invested in research by funding the National Institute of Health’s Helping End Addiction Long-term (HEAL).(Opioid Crisis Comprehensive Nursing Paper Sample) |
Trump supported the Nation’s History and launched the Opioid Abuse Ending and Drug Supply and Demand Reduction Initiative to address the opioid crisis.(Opioid Crisis Comprehensive Nursing Paper Sample)
He awarded the HSS $9 million to expand prevention, treatment, and access to services for opioid addiction in local and state communities.(Opioid Crisis Comprehensive Nursing Paper Sample) Trump administration also passed the CRIB Act to allow Medicaid to assist mothers and children dependent on opioids. Trump offered $1 billion in addiction prevention grants towards a safer Prescribing Plan to address the crises. |
Part 2: Agenda Comparison Grid Analysis
Using the information you recorded in Part 1: Agenda Comparison Grid, complete the following to document information about the population health/healthcare issue you selected
| Administration | |
| Which administrative agency (like HHS, CDC, FDA, OHSA) would most likely be responsible for helping you address the healthcare issue you selected? Why is this agency the most helpful?
|
The National Institute of Health is the most suitable administrative agency to address opioid crises.(Opioid Crisis Comprehensive Nursing Paper Sample)
In 2018, the NIH launched the HEAL (Helping to End Addiction Long-Term) initiative to address the opioid crises (National Institutes of Health, 2023). I chose NIH as it advances scientific research, making it an ideal agency for me to explore the research field in the future. Health professionals learn innovative ways to manage and treat pain through non-pharmacologic treatment for chronic pain through the HEAL initiative. For instance, non-pharmacological practices like physical therapy, cognitive behavioral therapy (CBT), and acupuncture are safe for managing chronic pain. The initiative will also improve the prevention and management of opioid addiction and misuse.(Opioid Crisis Comprehensive Nursing Paper Sample)
|
| How do you think your selected healthcare issue might get on the presidential agenda? How does it stay there? | Regardless of the President in power, there is a need to ensure that Opioid crises are part of the public health agenda for the Nation. One strategy to get the health problem on the President’s agenda is to mobilize the members of the local and state communities about the problem. In this case, the healthcare providers that deal with opioid addiction problems should organize awareness programs that sensitize the community about the problem. The awareness programs should comprise Congressmen and representatives to channel the efforts toward the White House. Secondly, opioid addiction initiatives involving celebrities or sportspersons may be suitable channels for identifying opioid addiction as a public health problem that needs the President’s attention.(Opioid Crisis Comprehensive Nursing Paper Sample) |
| Who would you choose to be the entrepreneur/ champion/sponsor (this can be a celebrity, a legislator, an agency director, or others) of the healthcare issue you selected? An example is Michael J. Fox a champion for Parkinson’s disease. | I would choose Jamie Lee Curtis as a champion for the healthcare problem. Curtis would be an excellent fit since she had experience with opioid addiction. For this reason, She understands the problem well based on her past struggles with opioid addiction. She can participate in treatment and rehabilitation programs to offer guidance and mentorship for people experiencing the problem.(Opioid Crisis Comprehensive Nursing Paper Sample) |
Part 3: Fact Sheet
The legislation agenda for the opioid crisis is an instrumental public health issue that requires immediate concern. The opioid epidemic affects people of all ages, races, and genders, especially among older adults who rely on opioids to cope with chronic illness. In 2021, the number of people who succumbed to opioid overdose was six times the number in 1999. The overdose deaths had a 16% increase from 2020 to 2021. Of the 107000 drug overdose deaths, 75% resulted from opioids in 2021 (Centers for Disease Control and Prevention, 2023).(Opioid Crisis Comprehensive Nursing Paper Sample)
The opioid epidemic has negative economic implications for individuals, families, and the government. In the United States, about 130 individuals succumb to addiction or opioid overdose, costing the healthcare system $78 billion daily (Hernandez et al., 2020). Trump administration spent about $11 billion in 2017-2018FY to address the problem. The current Biden administration released the FY 2024 budget requesting Congress to invest $ 46.1 for the National Drug Program Agencies to fight the opioid epidemic. Besides the economic burdens, OUD leads to social, physical, physiological, and psychological problems for the patients and their families. Long-term use of opioids results in withdrawal symptoms, addiction, and inability to create interpersonal relationships and perform their social responsibilities. The identified OUD problems call for the issue to be included in the agenda for legislation that may devise solutions such as regulation of opioid prescription and initiation of national and local OUD prevention programs to remedy the situation.(Opioid Crisis Comprehensive Nursing Paper Sample)
While the National Institute of Health (NIH) administrative agency launched the HEAL (Helping to End Addiction Long-Term) initiative in 2018 to address the opioid crises, nurses are vital healthcare professionals who should be included in setting the agenda. First, nurses have significant roles in promoting the early detection and prevention of OUD as frontline caregivers. Secondly, the nurses will provide effective prescription monitoring strategies since they can identify patients’ misuse or addiction to opioid use. Notably, nurses advocate and champion policy changes and alternative strategies to manage pain to curb OUD (Edelman & Hemmert, 2019). The nurses will be vital to developing enhanced standards and protocols for writing opioid prescriptions and suitable management strategies.(Opioid Crisis Comprehensive Nursing Paper Sample)
References
Centers for Disease Control and Prevention. (2023). Understanding the Opioid Overdose Epidemic https://www.cdc.gov/opioids/basics/epidemic.html
Fraser, M. R. (2019). A brief history of the Prevention and Public Health Fund: Implications for public health advocates. American Journal of Public Health, 109(4), 572-577. https://doi.org/10.2105/ajph.2018.304926
Krakow, A. R., Talwar, D., Mehta, N. N., Gandhi, J. S., & Flynn, J. M. (2022). Getting the message: The declining trend in opioid prescribing for minor orthopaedic injuries in children and adolescents. JBJS, 104(13), 1166-1171. https://doi.org/10.2106/jbjs.21.01078
National Institutes of Health. (2023). The Helping to End Addiction Long-term Initiative. https://heal.nih.gov/
Edelman, L. S., & Hemmert, R. (2019). Opioid use in long-term care: guidelines and policy recommendations. Journal of gerontological nursing, 45(9), 5-10. https://doi.org/10.3928/00989134-20190813-02
Hernandez, A., Branscum, A. J., Li, J., MacKinnon, N. J., Hincapie, A. L., & Cuadros, D. F. (2020). Epidemiological and geospatial profile of the prescription opioid crisis in Ohio, United States. Scientific reports, 10(1), 4341.
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