NURS FPX 6026 Assessment 1 Analysis of Position Papers For Vulnerable Populations

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Assessment 1: Analysis of Position Papers for Vulnerable Population
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Student Name
Capella University
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Course Name
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Prof Name
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Mar 26, 2024
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Analysis of Position Papers on Tobacco Use and Health Outcomes
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Tobacco use remains a significant health concern due to its addictive nature, contributing to
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various health issues and potential fatalities. Addressing this issue requires a collaborative,
evidence-based approach that prioritizes patient-centered strategies. This assessment focuses
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on analyzing position papers concerning the health outcomes associated with tobacco use in
both adults and adolescents. Its aim is to delineate supporting and opposing evidence while
identifying knowledge gaps, missing information, and areas of uncertainty.
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Position on Health Outcomes of Tobacco Use in Adults and Adolescents

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Tobacco use, particularly prolonged consumption, stands as a leading cause of mortality

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globally. Various forms of tobacco use, including smoking, vaping, hookah, and e-cigarettes,
lead to adverse health effects. Cigarette smoking, the most prevalent form, significantly
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increases the risk of lung cancer and damages lung physiology. Additionally, tobacco use is
implicated in diseases such as heart attack, stroke, and hypertension due to blood vessel
damage and clot formation. Exposure to secondhand smoke further exacerbates respiratory
problems and cardiovascular diseases.
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The advocated position emphasizes the importance of implementing tobacco cessation plans to
educate and guide adults while integrating tobacco prevention programs into school and college
curricula to deter adolescent tobacco use. This approach assumes the availability of
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community-based tobacco cessation programs with specialized expertise and the enforcement
of early initiation prohibitions through school curricula with strict policies for adolescents.
Role of Inter-professional Team in Reducing Tobacco Use in Adults and Adolescents
Reducing tobacco use in adults and adolescents requires the active involvement of an
inter-professional team to ensure individualized and patient-centered strategies. Various team
members play critical roles, including nicotine screening, identifying co-existing diseases
impacted by tobacco cessation plans, and providing educational services, counseling sessions,
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and psychological support.
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The inter-professional team facilitates connecting tobacco users with community resources to
enhance their confidence in tobacco cessation. For instance, nurses within the team can
educate tobacco users on the harms of tobacco while linking them with support groups and
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community resources. Collaboratively, the team can devise medication therapy plans with
appropriate dosages for effective and safe treatment. However, challenges in inter-professional
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collaboration, such as communication barriers and diverse perspectives, may impede effective
teamwork.
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Evaluation of Supporting Evidence and Identification of Knowledge Gaps
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Several evidence-based studies support the team’s approach, highlighting the effectiveness of
tobacco cessation plans and preventive measures in school curricula. Nicotine replacement
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therapy and school-based tobacco control initiatives have shown promise in reducing tobacco
use. Nonetheless, knowledge gaps exist, particularly concerning the long-term effectiveness of
nicotine replacement therapy and the adherence behavior of young adults and adolescents to
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school-based tobacco control efforts.

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Evaluation of Contrary Evidence and Response to Conflicting Data

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Critics challenge the proposed tobacco control approach, asserting that it is a personal
responsibility rather than a behavior regulated by schools. Some emphasize parental
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responsibility and suggest addressing underlying causes such as mental health issues instead
of solely focusing on tobacco cessation plans. Recognizing diverse perspectives is crucial,
fostering an open environment for constructive debates and shared decision-making.
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Conclusion
Tobacco use poses a significant health threat, impacting outcomes with long-term diseases. The
advocated position supports the implementation of tobacco cessation plans and the integration
of curriculum-based tobacco control in educational institutions. While evidence-based studies
reinforce this approach, conflicting viewpoints underscore personal responsibility and
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addressing underlying causes. Acknowledging these perspectives is essential for effective
strategies in reducing tobacco use and improving health outcomes.
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References
Bade, B. C., & Dela Cruz, C. S. (2020). Lung cancer 2020. Clinics in Chest Medicine, 41(1),
1–24. https://doi.org/10.1016/j.ccm.2019.10.001
Druss, B. G. (2020). Addressing the COVID-19 pandemic in populations with serious mental
illness. JAMA Psychiatry, 77(9). https://doi.org/10.1001/jamapsychiatry.2020.0894
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Fortin, M., Stewart, M., Ngangue, P., Almirall, J., Bélanger, M., Brown, J. B., Couture, M.,
Gallagher, F., Katz, A., Loignon, C., Ryan, B. L., Sampalli, T., Wong, S. T., & Zwarenstein, M.
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(2021). Scaling up patient-centered interdisciplinary care for multimorbidity: A pragmatic
mixed-methods randomized controlled trial. The Annals of Family Medicine, 19(2), 126–134.
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https://doi.org/10.1370/afm.2650
Kim, S. Y., Jang, M., Yoo, S., JeKarl, J., Chung, J. Y., & Cho, S. (2020). School-Based tobacco
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control and smoking in adolescents: Evidence from multilevel analyses. International Journal of
Environmental Research and Public Health, 17(10), 3422.
https://doi.org/10.3390/ijerph17103422
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Kondo, T., Nakano, Y., Adachi, S., & Murohara, T. (2019). Effects of tobacco smoking on
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cardiovascular disease. Circulation Journal, 83(10), 1980–1985.
https://doi.org/10.1253/circj.cj-19-0323
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Manspeaker, S. A., & Hankemeier, D. A. (2019). Challenges to and resources for participation in
inter-professional collaborative practice: Perceptions of collegiate athletic trainers. Journal of
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Athletic Training, 54(1), 106–114. https://doi.org/10.4085/1062-6050-507-17

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Rath, J. M., Pitzer, L., Carnegie, B., Shinaba, M., Vallone, D., Parks, I., Tertzakian, K., Smith, D.,
Stewart-Reid, C., & Hair, E. C. (2019). Building capacity to implement tobacco-free policies in
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college and university settings with underserved populations. Tobacco Prevention & Cessation,
5, 14. https://doi.org/10.18332/tpc/105677
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Schwindt, R., McNelis, A. M., Agley, J., Hudmon, K. S., Lay, K., & Wilgenbusch, B. (2018).
Training future clinicians: An interprofessional approach to treating tobacco use and
dependence. Journal of Interprofessional Care, 33(2), 200–208.
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https://doi.org/10.1080/13561820.2018.1534808
Susanto, A., Hartono, H., Dwi, I., Nurhaeni, A., & Kartono, D. (2020). The role of parents to
prevent early adolescent smoking behavior: A qualitative study on adolescents in Tegal city,
Indonesia correspondence. Systematic Reviews in Pharmacy, 11(7), 71–75.
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https://www.sysrevpharm.org/articles/the-role-of-parents-to-prevent-early-adolescents-smoking-
behavior-a-qualitative-study-on-adolescents-in-tegal-city-indon.pdf
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Assessment 1: Analysis of Position Papers for Vulnerable Population

Position on Health Outcomes of Tobacco Use in Adults and Adolescents

Tobacco use, particularly prolonged consumption, stands as a leading cause of mortality

Role of Inter-professional Team in Reducing Tobacco Use in Adults and Adolescents

school-based tobacco control efforts.

Evaluation of Contrary Evidence and Response to Conflicting Data

Athletic Training, 54(1), 106–114. https://doi.org/10.4085/1062-6050-507-17

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