Running head: FINAL PROJECT: INTEGRATIVE REVIEW OF THE LITERATURE1Final Project: Integrative Review of the LiteratureNUR 440Southern New Hampshire UniversityApril 21st, 2019
FINAL PROJECT: INTEGRATIVE REVIEW OF THE LITERATURE2Final Project: Integrative Review of the LiteratureAbstractAims and objectivesThe aim and objective of the integrative review is to assess the disparities faced by persons with addiction to methamphetamines. The research question “In terminally ill patients needing hospice services, does methamphetamine addiction and use decrease accessibility to services compared to those who are not addicted in the last six months of life?” was utilized. BackgroundIt is estimated that worldwide there are 35 million stimulant users with increases in production of methamphetamine (MA) in particular. (Darke, Duflou, & Kaye, 2016). Case reports and various studies have shown an increase in cardiac disease processes and death not usually seen in younger adults. Reports have shown MA to be associated with cardiovascular disease caused by systemic hypertension including cardiomegaly, left ventricular hypertrophy, accelerated atherosclerotic coronary artery disease, ischemic heart disease, hypertensive heart disease, and arrythmias. (Darke, Duflou, & Kaye, 2016). The current number one cause of death in the United States is heart disease and the need for hospice services to assist patients and families at the end of life has become an important part of the healthcare continuum. The literature review also addresses ethical issues that can lead to disparities in accessing appropriate healthcare including hospice care when addiction is linked all terminal illnesses.MethodsKeywords and phrases: hospice, methamphetamine addiction, end of life addiction, methamphetamine use and cardiac disease, MA related death, and addiction and disparities in healthcare. A systematic literature review was conducted utilizing keywords searching CINAHL
FINAL PROJECT: INTEGRATIVE REVIEW OF THE LITERATURE3database and Google internet browser. 415 articles found in CINAHL were filtered and a total of 5 articles were selected. 10 articles matching keywords were located in Google search. Articles were further filtered for relevance to the research question and 7 articles remain for this literaturereview.ResultsThe results of the search resulted in reliable studies and case studies the supported the research question. The articles utilized a variety of designs, software, databases, and case study information to validate the information provided. An association was shown between MA use and development of cardiovascular disease that resulted in advanced disease for a younger population as well as death caused from cardiovascular disease in the same population. It was noted in several of the articles that disparities in care have an ethical component with healthcare providers stigmatizing MA users and making judgements about the care substance abuse sufferers should receive. Minimal research study was found on the topic of end of life hospice
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