Unit 8 Assignment – Clinical: Journal Reflection

Unit 8 Assignment – Clinical: Journal Reflection: You will create 7 entries for your Reflective Journal about a patient encounter. In the 7th entry, you will review the previous 6 entries and evaluate…(A Clinical Journal Reflection)

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Unit 8 Assignment – Clinical: Journal Reflection

You will create 7 entries for your Reflective Journal about a patient encounter. In the 7th entry, you will review the previous 6 entries and evaluate your progress in reflective practice over the course of the term. ?Each journal should be a minimum of 250 words.?

The purpose of this reflective journal is self-reflection regarding the role in the process of self-reflection as a PMHNP provider. Through reflective practice, the student will evaluate their own emotional health and recognize one’s own feelings as well as one’s ability to monitor and manage those feelings.

The point of the exercise is to learn yourself, your triggers, the types of cases you end up getting overly involved with, and those you’d rather refer to someone else. The idea is to be able to personally reflect on your behaviors/thoughts/decisions and how those impact you in the role of PMHNP. (A Clinical Journal Reflection)

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Address the following items: 

• Compare and contrast methadone and buprenorphine. Include mechanism of action, and pros/cons.
• Do you plan or have a desire to work with substance use disorders in an in-depth fashion.

Use the appropriate APA formatting.

All components must be discussed to receive full credit as complete.

Note: Grades of Incomplete on this assignment will result in a clinical failure.

Solution

A Clinical Journal Reflection

Methadone and buprenorphine are highly recommended to help in substance detoxification and promote the overall health outcomes of affected individuals. Methadone works by altering how the nervous system and brain respond to pain, specifically pain associated with withdrawal.

As a result, it blocks the effects of substances such as codeine, heroin, morphine, and opioids (Jordan et al., 2019). On the other hand, buprenorphine replaces opioids that have occupied the brain and bind the receptors to ensure that other opioids do not occupy them. As a result, people under this medication do not crave substances or experience withdrawal symptoms (Jordan et al., 2019).

However, both medications are effective in treating opioid use disorders. They are prescribed to stop symptoms such as nausea, diarrhea, abdominal cramping, anxiety, and insomnia from happening, which makes it easier for them to participate in their treatment fully (Jordan et al., 2019). In this regard, they are both opioids that prevent withdrawal symptoms from interacting with the receptors in the brain.(A Clinical Journal Reflection)

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Nonetheless, they are a few differences in these medications. First, buprenorphine has a unique pharmacologic profile that makes it more preferred in opioid replacement therapy over methadone. It has a ceiling effect which reduces the chances of opioid misuse or severe side effects (Jordan et al., 2019).

In this regard, buprenorphine is preferred because it reduces withdrawal symptoms, lowers the risk of abuse, and tappers addiction. However, it increases dependency among some patients, reducing its effectiveness.

On the contrary, methadone is a full opioid agonist that fully binds with mu-opioid receptors, allowing its effects to be fully felt and increases with the dose. Methadone is preferred due to its affordability (Jordan et al., 2019). As a result, it is a more cost-effective substance abuse alternative to buprenorphine. It also enhances long-term recovery success and improves the social functioning of the patients. However, there is a high risk of increased abuse, leading to increased dependency on the medication.(A Clinical Journal Reflection)

Substance abuse often leads to major social and health problems, including mortality, morbidity, and increased healthcare costs. Therefore, as a PMHNP provider, I am interested in working with substance use disorder in more detail. According to the drug abuse statistics, 9.5 million adults accounting for 3.8% of the overall population, have a substance use disorder, mainly related to marijuana and opioid use disorder (NCDAS, 2021).

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While the number keeps increasing over the years, there is a need to help these individuals live sober life. I will do my best to help these populations reduce the substances’ negative impact on their health outcomes. As a result, they can have more quality lives and be more productive.(A Clinical Journal Reflection)

References

• Jordan, C. J., Cao, J., Newman, A. H., & Xi, Z. (2019). Progress in agonist therapy for substance use disorders: Lessons learned from methadone and buprenorphine. Neuropharmacology, 158, 107609. https://doi.org/10.1016/j.neuropharm.2019.04.015
• NCDAS. (2021, March 28). Drug Abuse Statistics. https://drugabusestatistics.org/

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