Chapter Discussion

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150-200 words

Discussion question #3

What impediments do healthcare leaders face in applying modeling to guide the transformation of the health system?

You will be researching a “Best Practice” in an area of nursing you are interested in.

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You will be researching a “Best Practice” in an area of nursing you are interested in. You will describe the best practice and why you chose it. You will also need to summarize the findings of your articles that relate to your best practice. You will need to explain how this best practice is relevant to new nurses and lastly, what is the nurse’s role in evidence-based practice and research. You need to use a minimum of 2 recent (within the last 3 years), peer-reviewed, scholarly articles that you include with your submission. Your paper must be 3-5 pages and follow APA formatting. Please follow the rubric below for paper structure.

What are the six actions that should be taken to create a national and/or state policy agenda about the educational preparation of unlicensed assistive personnel and the competencies they should have for safe practice?

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The increased use of unlicensed assistive personnel presents both opportunities and challenges for the American health care system. The nurse manager has to deal with the challenge that unlicensed assistive personnel only be used to provide personal care needs or nursing tasks that do not require the skill and judgment of the RN.

1. The nurse manager reviews the national effort to define the scope of practice for unlicensed assistive personnel. In 2007, the American Nurses Association made recommendations for a national and/or state policy for nursing assistive personnel. What are the six actions that should be taken to create a national and/or state policy agenda about the educational preparation of unlicensed assistive personnel and the competencies they should have for safe practice?

2. The need in health care today is for today’s nurses to have highly developed delegation skills in working effectively and efficiently with unlicensed assistive personnel. This is critical to ensure the clients’ needs are met and their safety is not jeopardized. What are the key general principles that the nurse manager needs to review with professional registered nurses in delegating to unlicensed assistive personnel?

For this assignment, provide a synopsis of the review of the research literature.

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In nursing practice, accurate identification and application of research is essential to achieving successful outcomes. The ability to articulate research data and summarize relevant content supports the student’s ability to further develop and synthesize the assignments that constitute the components of the capstone project.

The assignment will be used to develop a written implementation plan.

For this assignment, provide a synopsis of the review of the research literature. Using the “Literature Evaluation Table,” determine the level and strength of the evidence for each of the eight research articles you have selected. The articles should be current (within the last 5 years) and closely relate to the PICOT question developed earlier in this course. The articles may include quantitative research, descriptive analyses, longitudinal studies, or meta-analysis articles. A systematic review may be used to provide background information for the purpose or problem identified in the proposed capstone project.

While APA style is not required for the body of this assignment, solid academic writing is expected, and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion

Off-Label Drug Use in Pediatrics

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Assignment: Off-Label Drug Use in Pediatrics

The unapproved use of approved drugs, also called off-label use, with children is quite common. This is because pediatric dosage guidelines are typically unavailable, since very few drugs have been specifically researched and tested with children.

When treating children, prescribers often adjust dosages approved for adults to accommodate a child’s weight. However, children are not just “smaller” adults. Adults and children process and respond to drugs differently in their absorption, distribution, metabolism, and excretion.

Children even respond differently during stages from infancy to adolescence. This poses potential safety concerns when prescribing drugs to pediatric patients. As an advanced practice nurse, you have to be aware of safety implications of the off-label use of drugs with this patient group.

To Prepare

· Review the interactive media piece in this week’s Resources and reflect on the types of drugs used to treat pediatric patients with mood disorders( option drugs below)

· Reflect on situations in which children should be prescribed drugs for off-label use.

· Think about strategies to make the off-label use and dosage of drugs safer for children from infancy to adolescence. Consider specific off-label drugs that you think require extra care and attention when used in pediatrics.

Write a 1-page narrative in APA format that addresses the following:

· Explain the circumstances under which children should be prescribed drugs for off-label use. Be specific and provide examples.

· Describe strategies to make the off-label use and dosage of drugs safer for children from infancy to adolescence. Include descriptions and names of off-label drugs that require extra care and attention when used in pediatrics.

Therapy for Pediatric Clients with Mood Disorder

BACKGROUND INFORMATION

The client is an 8-year-old African American male who arrives at the ER with his mother. He is exhibiting signs of depression.

·  Client complained of feeling “sad”

·  Mother reports that teacher said child is withdrawn from peers in class

·  Mother notes decreased appetite and occasional periods of irritation

·  Client reached all developmental landmarks at appropriate ages

·  Physical exam unremarkable

·  Laboratory studies WNL

·  Child referred to psychiatry for evaluation

 

MENTAL STATUS EXAM

Alert & oriented X 3, speech clear, coherent, goal directed, spontaneous. Self-reported mood is “sad”. Affect somewhat blunted, but child smiled appropriately at various points throughout the clinical interview. He denies visual or auditory hallucinations. No delusional or paranoid thought processes noted. Judgment and insight appear to be age-appropriate. He is not endorsing active suicidal ideation, but does admit that he often thinks about himself being dead and what it would be like to be dead.

You administer the Children’s Depression Rating Scale, obtaining a score of 30 (indicating significant depression)

 

RESOURCES

§ Poznanski, E., & Mokros, H. (1996). Child Depression Rating Scale–Revised. Los Angeles, CA: Western Psychological Services.

Treatment options

1)Zoloft 25 mg orally daily, 2) Paxil 25 mg orally daily, 3) Wellbutrin 75 mg orally BID

Resources for reference ( 3 + references)

Rosenthal, L. D., & Burchum, J. R. (2018). Lehne’s pharmacotherapeutics for advanced practice providers. St. Louis, MO: Elsevier.

· Chapter 8, “Drug Therapy in Pediatric Patients” (pp. 65—67)

Corny, J., Lebel, D., Bailey, B., & Bussieres, J. (2015). Unlicensed and off-label drug use in children before and after pediatric governmental initiatives. The Journal of Pediatric Pharmacology and Therapeutics, 20(4), 316–328. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4557722/

This article highlights pediatric governmental initiatives to prevent unlicensed and off-label drug use in children. Review these initiatives and guidelines and how they might impact your practice as an advanced practice nurse.

Panther, S. G., Knotts, A. M., Odom-Maryon, T., Daratha, K., Woo, T., & Klein, T. A. (2017). Off-label prescribing trends for ADHD medications in very young children. The Journal of Pediatric Pharmacology and Therapeutics, 22(6), 423–429. doi:10.5863/1551-6776-22.6.423

This study examines the frequency of off-label prescribing to children and explores factors that impact off-label prescribing. This study also examines off-label prescribing to children with ADHD.

Required Media (click to expand/reduce)

Laureate Education (Producer). (2019i). Therapy for pediatric clients with mood disorders [Interactive media file]. Baltimore, MD: Author.

Describe one of the safety committees your organization uses and how it reduces risk within your organization.

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Describe one of the safety committees your organization uses and how it reduces risk within your organization. Who are the general members of the group, how often do they meet, and is there a regulatory requirement that they report or publish notes? Is this a good use of the staff’s time or would another method that still addresses the safety goal of this group be more efficient? (2 paragraphs).

The Occupational Safety and Health Administration (OSHA), the Centers for Medicaid and Medicare Services (CMS), and the Joint Commission (JC) require that health care organizations maintain risk management programs to address infection control. Detail three measures that your health care organization (or any health care organization) could implement, beyond what is currently in practice, to support the delivery of safe health care services and avoid the spread of infection (e.g., placing hand washing devices at all of the public entrances of the health care facility). Support your response with a minimum of two peer-reviewed references (2 paragraphs)

Using the Tool Kit in the learning materials, describe from the set of criteria you will use to guide and determine the prioritization process upon community health assessment analysis.

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Discussion Question:

Using the Tool Kit in the learning materials, describe from the set of criteria you will use to guide and determine the prioritization process upon community health assessment analysis.

Your initial posting should be 400 words in length and utilize at least one scholarly source other than the textbook.

Clinical Decision Support Systems Or Data Mining

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Hi,

need 2-3 paragraph. choose from option A or B and please address all asked questions:

Answer with an initial post to one of the questions sets below. Make sure you note in your post if you are responding to Option A or Option B. You must respond to classmate’s postings in both Option A and Option B.

Option A: Clinical Decision Support Systems

Clinical decision support systems (CDSS) are used to help guide clinical decisions for care. At the high end, CDSS’s can facilitate diagnosis of conditions. Most of us see a CDSS in terms of ‘hard stops’ in the charting where until certain things are documented you cannot proceed in the charting.

  1. Describe how a CDSS is used at your facility.
  2. Explain how a CDSS might be useful in supporting high quality, safe patient care.
  3. If your clinical area does not use a CDSS, describe how one could be used in practice.
  4. Find one peer-reviewed article to use in your response and cite it using APA format.

Option B: Data Mining

Data mining is used to find relationships between variables that one might not have considered previously. For example, you run a data search to compare the incidence of nosocomial infections rates on a particular unit against those that had surgery a minimum of one day prior. This might show a correlation between infection rates of a particular group (say, appendectomies) with a specific OR (or surgeon, or team, etc.). Perhaps the nosocomial infection rates of appendectomies was 24% when they used operating room 3. The data tells you to examine that OR, look for reasons why the incidence of infections was higher in that room. Data mining looks retrospectively at the correlation between two variables that might not have been identified otherwise.

  1. If you were able to perform a data mining search in your current setting, what topic or issue would you select? Keep in mind that data mining can ONLY happen if the topics or variables are electronically stored so when you identify your data mining topic, you need to state how the data is stored and accessed.
  2. Would you narrow it to a specific population and cross reference another variable such as a nursing intervention or would you widen the search to look for hidden trends?
  3. What other issues would need to be considered when looking at data mining trends for future practice?
  4. Find one peer-reviewed article to use in your response and cite it using APA format.

In your responses to two other students’ posts, discuss the impact data mining or CDSS might have on clinical practice or share another response that you may have about a student’s posting.

Your responses should consist of complete sentences and should be at least 1 paragraph but no more than 3 paragraphs.

Nursing Care Plan

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Make a table : for the two Mental health Condition  1.depression 2. Anxiety  – fill in Medication – Side effects

2. Make a care plan for Depression and Anxiety

Care plan should include: Diagnosis, Risk, Intervention and Evaluation   in a table fomart

magine there has been some concern in the community about how to deal with the problem. You’ve been asked to talk about what happens to the brain when people become addicted.

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Imagine you have been asked by your local church, synagogue, scouting group, sports team or some other community organization, to give a 15-20 minute talk about addiction. Imagine there has been some concern in the community about how to deal with the problem. You’ve been asked to talk about what happens to the brain when people become addicted.

Your presentation may be in any of the following forms:

  • Powerpoint presentation with notes (10 slides minimum, APA format)
  • 3-5 page paper (APA format)
  • Other presentation formats (must be approved by the instructor by the middle of the week)

Your paper should:

  • Be three to four pages long.
  • Double spaced.
  • One inch margins.
  • 12 point font, Times New Roman.
  • You should add citations in the body of the paper and include a reference page at the end of the paper.
  • Your paper should reflect not only your opinion but also your familiarity with the material from the course.
  • Your PowerPoint presentation must include citations and references in each slide (as appropriate) and a references slide at the end of the presentation.
  • Your presentation should reflect not only your opinion but also your familiarity with the material from the course.
  • Pay attention to your formatting and professionalism of the presentation.
  • Alternative presentations must include citations and a reference page and should be professional in appearance.

Estimated time to complete: 4 hours

Rubric

PS101 Unit 4 Assessment – Midterm ProjectPS101 Unit 4 Assessment – Midterm ProjectCriteriaRatingsPtsThis criterion is linked to a Learning OutcomeContentPS101-CO1; PS101-CO327.0 ptsLevel 5Expresses content knowledge with the assignment purpose in a complete, organized, clear, professional, and culturally respectful manner.24.0 ptsLevel 4Expresses content knowledge with the assignment purpose in a complete, organized, clear, professional, and culturally respectful manner with minor weaknesses in one or more of the areas.22.0 ptsLevel 3Partially expresses content knowledge with the assignment purpose. Expresses ideas in a complete, organized, clear, professional, and culturally respectful manner with weaknesses in this area.19.0 ptsLevel 2Partially expresses content knowledge with the assignment purpose. Ideas are partially expressed in an organized, professional, and culturally respectful manner with major weaknesses in these areas.16.0 ptsLevel 1Expresses limited content knowledge with the assignment purpose. Ideas are not expressed in a complete, organized, clear, professional, and/or culturally respectful manner.0.0 ptsLevel 0The assignment was not completed or there are no constructed concepts that demonstrate analytically skills and no evidences to support the content does not align to the assignment instructions27.0 pts
This criterion is linked to a Learning OutcomeAnalysisPRICE-P27.0 ptsLevel 5Constructs concepts related to course content, demonstrating strong analytical skills with strong evidence to support professional and personal subject knowledge through details, supporting evidence, and idea differentiation.24.0 ptsLevel 4Constructs concepts related to course content, demonstrating strong analytical skills with evidence to support professional and personal subject knowledge through details, supporting evidence, and idea differentiation.22.0 ptsLevel 3Constructs concepts related to course content, demonstrating analytical skills with some evidence to support professional and personal subject knowledge through details, supporting evidence, and idea differentiation.19.0 ptsLevel 2Constructs concepts related to course content, demonstrating weak analytical skills with minimal evidence to support professional and personal subject knowledge through details, supporting evidence, and idea differentiation.16.0 ptsLevel 1Constructs concepts related to course content, demonstrating inadequate evidence of analytical skills. There is minimal or no evidence to support professional and personal subject knowledge through details, supporting evidence, and idea differentiation.0.0 ptsLevel 0The assignment was not completed or there was no evidence of constructed concepts that are supported by professional and personal subject knowledge through details, supporting evidence, and idea differentiation.27.0 pts
This criterion is linked to a Learning OutcomeTechnology18.0 ptsLevel 5Manipulates multiple technological resources to effectively implement all assignment requirements.16.0 ptsLevel 4Manipulates multiple technological resources to effectively implement most assignment requirements.14.0 ptsLevel 3Manipulates multiple technological resources to effectively implement some assignment requirements.13.0 ptsLevel 2Manipulates multiple technological resources for some assignment requirements.11.0 ptsLevel 1Manipulates technological resources to minimally meet some assignment requirements.0.0 ptsLevel 0The assignment was not completed or difficulties with technological manipulation were evident. The assignment submitted does not meet requirements.18.0 pts
This criterion is linked to a Learning OutcomeWriting13.5 ptsLevel 5The assignment exhibits an excellent command of written English language conventions. The assignment has no errors in mechanics, grammar, or spelling.12.0 ptsLevel 4The assignment exhibits a good command of written English language conventions. The assignment has no errors in mechanics or spelling  with minor grammatical errors that impair the flow of communication.10.0 ptsLevel 3The assignment exhibits a basic command of written English language conventions. The assignment has minor errors in mechanics, grammar, or spelling that impact the flow of communication9.0 ptsLevel 2The assignment exhibits a  limited command of written English language conventions. The assignment has frequent errors in mechanics, grammar, or spelling that impede the flow of communication.7.0 ptsLevel 1The assignment exhibits little command of written English language conventions. The assignment has errors in mechanics, grammar, or spelling that cause the reader to stop and reread parts of the writing to discern meaning.0.0 ptsLevel 0The assignment does not demonstrate command of written English language conventions. The assignment has multiple errors in mechanics, grammar, or spelling that cause the reader difficulty discerning the meaning.13.5 pts
This criterion is linked to a Learning OutcomeAPAPRICE-I4.5 ptsLevel 5In-text citations of sources and references in proper APA style are included with no errors.4.0 ptsLevel 4In-text citations of sources and references in proper APA style are included but have 1-2 minor APA errors.3.0 ptsLevel 3In-text citations of sources and references in proper APA style are included but have 3 – 4 minor APA errors.2.0 ptsLevel 2In-text citations of sources and references in proper APA style are included but have more than 4 errors.1.0 ptsLevel 1The errors demonstrate a limited understanding of in-text citation and reference requirements0.0 ptsLevel 0There are no in-text citations AND/OR references.4.5 pts