W3 R see attachment : | Nursing

Clinical Requirement:

Week3respondtoastudent-Copy.docx Make a follow-up of a student's weekly discussion and respond with your opinion regarding to her post ------You don't have to post this in APA format necessarily, it's just giving feedback to the student . Review the PICOT questions of two of your peers. Provide substantive feedback and suggestions for improvement.  Erin Coberg     This article reviews screening for alcohol use at primary care visits. With alcohol being a growing problem in the United States, the Preventative Services Task Force was created. Alcohol leads to many health problems and is estimated cost the US an estimated $250billion in healthcare expenses each year. One tool the task force has put out, is to screen for heavy alcohol use during primary care visits. This study utilized a cross sectional analysis of the Nation Ambulatory Medicare Care Survey data. 19,213 visits were identified for sample size. Review included visits that utilized a CAGE, MAST, AUDIT, or TACE screening tool. Data was categorized by sex, race, age, and number of chronic medical issues. Alcohol screening was only documented in 2.6% of visits, with referral to substance abuse specialist occurring in only 0.8% of visits. Patients were more likely to be screened if they were a new patient to the practice. Women had a documented screening more often than men, 57% compared to 42.9%. Patients older than 55 years of age were screened the most often at 33%, while 18-24 years were screened 5.6% of the time. Findings of this study support further research as young Americans are not being screened early to prevent alcoholism later in life. Screening appears to be more prevalent after years of alcohol use where comorbidities may now already exist. Limitations include patients being screened at previous visits or subsequent visits from the survey period. Another limitation includes patients that report abstaining from alcohol use not being screened, therefore excluding them from the survey population. This study provides evidence that screening needs to occur earlier in life to support preventative medicine. Alcohol screening during us primary care visit.pdf Download Alcohol screening during us primary care visit.pdf Chatterton, B., Agnoli, A., Schwarz, E. B., & Fenton, J. J. (2022). Alcohol screening during US Primary Care Visits, 2014–2016.  Journal of General Internal Medicine,  37(15), 3848–3852. https://doi.org/10.1007/s11606-021-07369-1