Peer response

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Peer Response Instructions

· Please respond to at least 
one peer this week. Your response should be thoughtful, respectful, and substantially add value to the discussion. In your response to a peer, explain how you have grown as a BSN nurse in this session.

Kiersten Echols

Oct 23, 2023 at 1:00 AM

  For this discussion board, I chose to appraise the role and responsibilities of the nurse and members of an interdisciplinary team across multiple healthcare settings in recognition, assessment, and interventions for the management of acute and chronic diseases. The role of the nurse is vital to patient care of acute and chronic diseases in many different ways. The nurse's role in all patient care is to educate the patient, advocate for adequate and ethical care, and be a middleman between the patient and the rest of the patient's care team. The nurses are the ones at the bedside assessing the patient and getting to know them. They then take this vital information to the other members of the care team like case management, specialists, or surgeons to provide adequate and holistic care. Without this information from the bedside, the patient wouldn't be able to be taken care of. The other members are vital to the patient's care by providing specific services that the nurse cannot like surgical intervention or certain medication. This class has shown me through each week's case study how important the interdisciplinary team is to the patient's holistic care of acute and chronic conditions. Going further in my practice I will make it a point to advocate for consulting the appropriate teams for adequate and quality care.  

w8 87

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Discuss the five essential qualities of leadership “will” and at least five strategies the nursing leader can implement to foster willingness and hope among team members.

Expectations

Initial Post:

cite at least 2 US sources in apa format

  • Length: 150 – 250 Words

Cover Letter

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Charmine asseng

 

Contact

[email protected]

 

Professional Summary

A highly motivated student for strengths in MS office suite, Telephone Etiquette, CPR and first aid certified and a quick learner. Also, an analytical critical thinking professional with experience at Asbury Methodist Village. A deadline-driven individual that is a fast learner and uses critical analysis skills to make informed decisions.

 

Skills

· Quick Leaner

· CPR and first aid certified.

· MS Office Suite

· Determined Team Player

· Clear Communication Skills

· Telephone Etiquette

· Detail Oriented

· Strong Interpersonal Skills

· Adaptability

· Quick decision making

· Ability to work under pressure.

 

Experience

InternShip –
July 10 -July 28th, 2017

Asbury Methodist Village, Gaithersburg MD

· I updated patient files, took them to their various daily activities, and photocopied and typed information.

· greeting patients, handling phone calls, preparing medical documents.

· scheduling appointments ensure that appropriate medical forms are signed.

· verify patient’s information and health insurance.

· Served victors by greeting, welcoming, and directing them appropriately.

David’s Bridal- Sep 9th, 2017 ‐ present

Bridal stylist, Rockville MD

· Consistently honor all service and selling vows, outfitting each customer head to toe.

· Sell the gown, headpiece, foundations, shoes, jewelry, etc.; outfit and accessorize the bridal party.

· Educate customers on the David’s Differences; attributes that make David’s Bridal unique.

· Maximize sales and customer satisfaction by providing superior service with every customer visit.

· Maintain David’s Bridal hourly sales productivity.

· Prepare for all upcoming appointments by printing the customers' profile and favorites.

· Know David's Bridal merchandise and build on product knowledge on an ongoing basis.

· Follow up and communicate with customers, following Relationship Management standards.

· Explain services provided by the alterations department to the customer and the importance.

· Support store management in performing responsibilities, including maintaining responsibility, inventory counts, merchandising the sales floor, and completing markdowns.

· Provide an efficient and friendly checkout experience for customers, as needed.

· Maintain housekeeping standards in the store.

· Answer multi-line business phone using the correct David's Bridal greeting and provide information in a professional manner.

Smart brand online- June 2015‐ July 2017

Assistant, Gaithersburg MD

· Helped with time and daily management.

· Scheduling of meetings, correspondence, and note-taking.

· Shipping out items to customers

· Assist customers with any questions they might have.

· Updating paperwork, maintaining documents, and word processing.

· Helping organize and maintain common office areas.

· Maintaining supply inventory

Clinical Experience Shady grove Adventist- January -May 2023

· Help take patient vital signs. 

· Help give patient medications with nurse supervision. 

· Assist patient in using the bathroom and eating. 

· Assist nurse in caring for the patient. 

Nurse Externship Program Adventist Healthcare Shady Grove– June 2023-up till date (Extended)

· A student nurse who is receiving training and following a nurse to develop clinical and critical thinking skills, and how to provide patient care.

· Working alongside the nurse assistant to take vital signs and assist with bedside skills.

· Acquired knowledge in the Peds ed and Med Surg unit by assisting in nursing tasks, helping patients with hygiene and dressing.

· Acquired nursing knowledge and the ability to follow instructions, as well as time management, and communication skills.

 

Education

High school Diploma- Gaithersburg High school

Gaithersburg, MD

Associate DEGREE
GENERAL STUDIES – MONTGOMERY college (expected may 2021)
Rockville, MD

AWARDS

Honor roll, Dean’s List

.

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USING THE WALDEN LIBRARY

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To Prepare:

  • Review the information presented in the Learning Resources for using the Walden Library, searching the databases, and evaluating online resources.
  • Begin searching for a peer-reviewed article that pertains to your practice area and interests you.

Post the following:

Using proper APA formatting, cite the peer-reviewed article you selected that pertains to your practice area and is of particular interest to you and identify the database that you used to search for the article. Explain any difficulties you experienced while searching for this article. Would this database be useful to your colleagues? Explain why or why not. Would you recommend this database? Explain why or why not.

—– A little about me: I am a behavioral health completing my masters in nursing, specializing in Psychiatry, 

Walden University Library. (n.d.). Databases A-Z: NursingLinks to an external site.. Retrieved October 4, 2019 from https://academicguides.waldenu.edu/az.php?s=19981

Nursing homework

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Post a description of experiences or observations about how nurse informaticists and/or data or technology specialists interact with other professionals within your healthcare organization. Suggest at least one strategy on how these interactions might be improved. Be specific and provide examples. Then, explain the impact you believe the continued evolution of nursing informatics as a specialty and/or the continued emergence of new technologies might have on professional interactions.

BY DAY 6 O

& Mastrian, K. G. (2022). 
Nursing informatics and the foundation of knowledge (5th ed.). Jones & Bartlett Learning.

· Chapter 25, “The Art of Caring in Technology-Laden Environments” (pp. 595–607)

· Chapter 26, “Our Expanding Realities” (pp. 611–624)

· Mosier, S., Roberts, W. D., & Englebright, J. (2019). A Systems-Level Method for Developing Nursing Informatics Solutions: 

The Role of Executive LeadershipLinks to an external site.
. 
JONA: The Journal of Nursing Administration, 
49(11), 543-548.

· Ng, Y. C., Alexander, S., & Frith, K. H. (2018). 

Integration of Mobile Health Applications in Health Information Technology InitiativesLinks to an external site.
: Expanding Opportunities for Nurse Participation in Population Health. 
CIN: Computers, Informatics, Nursing, 
36(5), 209-213.

· Sipes, C. (2016). Project management: 

Essential skill of nurse informaticistsLinks to an external site.
. 
Studies in Health Technology and Informatics, 225, 252-256.

discussion #2

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Organizational, Interpersonal, and Group Communication Page 484

You  are the nursing supervisor of an assisted living facility (ALF).  Recently you have received multiple complaints from several residents  about the lack of assistance and care they receive from one of the day  shift nursing assistants (NAs). You are surprised because this NA  received the “Employee of Year” award just last year. As the nursing  supervisor, you must approach and discuss these complaints with the NA.

 Question #1

Nonverbal communication is very powerful.

a) Identify at least four types of nonverbal communication.

b) Describe how your nonverbal behavior should be congruent with your verbal communication in this scenario.

 Question #2

a) Explain how you will communicate effectively with the NA who is a different gender than yourself.

Guidelines:

  1. Initial post: Respond  to the discussion questions posted in Discussion board by Monday  (11:59pm)  must be at least 150 to 200 words in length to earn credit  for the assignment
  2. Peer response: Each Student must respond to at least (2) other students‘ INITIAL post (must be at least 100 words in length by Wednesday (11:59pm) to earn credit for the assignment
  3. The initial and response posts must  each have a minimum of two (2) outside references (i.e., textbook,  medical/nursing resources, etc.) to earn credit for assignment
  4. Cite your references APA 7th 

Nichole

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  • “How has your life been impacted by a personal injury accident (yours, someone in your family, or that of a close friend)? What have you learned from this experience, and how has this accident shaped who you want to be professionally?”

  •  should not exceed 2 pages and should be in PDF format.

Leader vs. Manager

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Explain, with concrete examples, the differences among leadership, management, and followership. Then, discuss the following:

  • At times, do the examples overlap with a nurse acting in all three capacities at the same time?
  • Are two of the three capacities more likely to overlap? If yes, which two capacities?
  • Pick a current local, state, or national political leader and differentiate the leadership and management qualities of the leader. Who are these leaders and followers?

Submission Instructions:

  • Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources.

good nurse legal/ethical

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attached; book is the good nurse, there is also a movie and documentary online

Unit 7 Discussion Peer Response. Medications for Psychosis and Schizophrenia Related Disorders 600W. APA. 4 references due 10-20-23.

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Advanced Psychopharmacology and Health Promotion

Unit 7 Discussion
Peer Response. Medications for Psychosis and Schizophrenia Related Disorders 600W. APA. 4 references due 10-20-23.

Instructions:

Please read and respond to at least two of your peers' initial postings. You may want to consider the following questions in your responses to your peers:

· Compare and contrast your initial posting with those of your peers.  

· How are they similar or how are they different?

· What information can you add that would help support the responses of your peers?

· Ask your peers a question for clarification about their post.

· What most interests you about their responses? 

Please be sure to validate your opinions and ideas with citations and references in APA format.

JS1

Which antipsychotics are considered first-generation, and why are they used less often than second-generation antipsychotics? Are second-generation antipsychotics more effective?

The first-generation antipsychotic (FGA) medications include chlorpromazine, fluphenazine, droperidol, loxapine, haloperidol, pimozide, perphenazine, thioridazine, prochlorperazine, thiothixene, and trifluoperazine. FGA drugs exert their therapeutic effects by antagonizing dopamine (D2) receptors, specifically addressing the positive symptoms associated with schizophrenia. According to Chokhawala & Stevens, 2023), first-generation antipsychotics are considerably more likely to elicit extrapyramidal movements (i.e., tardive dyskinesia) than second-generation and are thus used less commonly. Second-generation antipsychotic (SGA) medicines have antagonistic effects on the D2 receptor but are often called serotonin-dopamine antagonists. There is also some evidence to suggest that antipsychotics of the second generation provide better symptom management than those of the first generation (Chokhawala & Stevens, 2023). The efficacy of second-generation antipsychotics in addressing the negative symptoms of schizophrenia surpasses that of first-generation antipsychotics, while also demonstrating use in managing the positive symptoms of the disorder.

Compare and contrast the following conditions: Tardive Dyskinesia, Acute Dystonia, Athetosis, and Tics.

Tardive dyskinesia (TD) is a collection of involuntary, repeated movements resulting from disrupting or blocking dopamine receptors. Involuntary motions may range from akathisia and dystonia to buccolingual stereotypy and myoclonus to chorea and tics (Paudel et al., 2023). There is currently no therapy available for TD. However, there are a variety of therapy methods available for reducing symptoms. While other drugs may also contribute to TD, conventional antipsychotics are the most common culprits. Paudel et al. (2023) provide a cautious estimate that around 5% of individuals experience TD annually when on conventional antipsychotics. Statistically speaking, older people have a far greater incidence rate.

Tardive dyskinesia, athetosis, acute dystonia, and tics are all instances of involuntary movements, as stated by Paudel et al. (2023). Repetitive muscular contractions, known as tics, often affect only one part of the body and are sometimes suppressed. Acute dystonia is characterized by sustained, repeated muscular contractions typically triggered by an intentional activity. Slow, writhing motions are characteristic of athetosis, often affecting the arms and hands.

References

Chokhawala, K., & Stevens, L. (2023). Antipsychotic medications. In StatPearls [Internet]. StatPearls Publishing. 
https://www.ncbi.nlm.nih.gov/books/NBK519503
Links to an external site.

Paudel, S., Donovan, A. L., Petriceks, A., Vyas, C. M., Van Alphen, M. U., & Stern, T. A. (2023). Drug-Induced Abnormal Involuntary Movements: Prevalence and Treatment. The Primary Care Companion for CNS Disorders, 25(3), 47041. 
https://www.psychiatrist.com/pcc/effects/drug-induced-abnormal-involuntary-movements-prevalence-and-treatment/
Links to an external site.

SY-2

Which antipsychotics are considered first-generation and why are they used less often than second-generation antipsychotics? Are second-generation antipsychotics more effective?

Both first-generation antipsychotics and second-generation antipsychotics are used for the treatment of psychiatric disorders such as schizophrenia. First-generation antipsychotics, also known as typical antipsychotics, such as phenothiazines (perphenazine, prochlorperazine), and butyrophenones (haloperidol) are classified by their chemical structure (Chokhawala, 2023). Whereas second-generation antipsychotics also known as atypical antipsychotics such as risperidone, olanzapine, quetiapine, aripiprazole, and clozapine are classified based on pharmacological proprieties (Chokhawala, 2023).

First-generation antipsychotics tend to be used less often than second-generation antipsychotics due to their long list of adverse effects that include extrapyramidal side effects, anticholinergic side effects (dry mouth, urinary retention, constipation), prolonged QT intervals, sedation, as well as the rare but fatal neuroleptic malignancy syndrome (Chokhawala, 2023). In comparison, second-generation antipsychotics have a decreased risk of extrapyramidal side effects but are associated with weight gain and metabolic syndrome, therefore patients should be monitored for diabetes, dyslipidemia, and weight gain (Chokhawala, 2023). Although second-generation antipsychotics tend to be the drug of choice when it comes to treating psychiatric disorders, and this is mainly due to the less severe side effects, this does not necessarily indicate that it is more effective. A study done by Fabrazzo et al. (2022) showed that second-generation antipsychotics showed no clear evidence of their effectiveness on cognitive deficit, however, it did prove to be more effective than first-generation antipsychotics in treating negative symptoms, relapse-free survival, and hospitalization rate.

                                                                                                                                  

Compare and contrast the following conditions: Tardive Dyskinesia, Acute Dystonia, Athetosis, and Tics.

 Tardive Dyskinesia 
(TD) is a disorder characterized by repetitive movement such as facial and tongue movement, tongue protrusion, facial grimacing, chewing, and quick, jerking limb movements. These movements are involuntary and can range in severity (slight tremor to full body movement) thus, making daily function difficult. Its main cause is long-term use of antipsychotics, and this disorder tends to be irreversible (Bergman & Soares-Weiser, 2018).

Acute Dystonia is a neurological symptom characterized by muscle contractions that cause repetitive movements by arms, legs, neck, face, or abnormal posture (Stahl, 2022). The cause of this reaction is due to a dopaminergic-cholinergic imbalance in the basal ganglia (Lewis, 2023). Early intervention can prevent the onset and development of dystonia and neurological damage and treatments include benzodiazepines, baclofen, muscle relaxants, and dopamine depletes (VMAT-2 inhibitors) (Bledsoe et al., 2020).

Akathisia and Tics syndromes are seen in patients treated with D2 blockers and are characterized by inner restlessness and mental unease (Stahl, 2022). Akathisia is a neuropsychiatric syndrome characterized by the inability to remain still and it typically involves the lower extremity (Patel, 2023). Tics on the other hand such as Tourette syndrome are neurodevelopmental disorders characterized by motions, noise, and words and are involuntary (Jones, 2023).

  

References

Bergman, H., & Soares-Weiser, K. (2018). Anticholinergic medication for antipsychotic-induced tardive dyskinesia. 
Cochrane Database of Systematic Reviews, 
2018(1). https://doi.org/10.1002/14651858.cd000204.pub2

Bledsoe, I. O., Viser, A. C., & San Luciano, M. (2020). Treatment of dystonia: Medications, neurotoxins, neuromodulation, and rehabilitation. 
Neurotherapeutics, 
17(4), 1622–1644. https://doi.org/10.1007/s13311-020-00944-0

 Chokhawala, K. (2023, February 26). 
Antipsychotic medications. StatPearls – NCBI Bookshelf. 
https://www.ncbi.nlm.nih.gov/books/NBK519503/Links to an external site.

Fabrazzo, M., Cipolla, S., Camerlengo, A., Perris, F., & Catapano, F. (2022). Second-Generation Antipsychotics’ Effectiveness and Tolerability: A Review of Real-World Studies in Patients with Schizophrenia and Related Disorders. 
Journal of Clinical Medicine, 
11(15), 4530. https://doi.org/10.3390/jcm11154530

Jones, K. S. (2023, May 8). 
Tourette syndrome and other TIC disorders. StatPearls – NCBI Bookshelf. https://www.ncbi.nlm.nih.gov/books/NBK499958/

Lewis, K. (2023, May 1). 
Dystonic reactions. StatPearls – NCBI Bookshelf. https://www.ncbi.nlm.nih.gov/books/NBK531466/#:~:text=An%20acute%20dystonic%20reaction%20is,to%20abnormal%20movements%20or%20postures.

Stahl, S. M. (2021). 
Stahl’s essential psychopharmacology: Neuroscientific basis and practical application (5th ed.).

Patel, J. (2023, July 24). 
Akathisia. StatPearls – NCBI Bookshelf. https://www.ncbi.nlm.nih.gov/books/NBK519543/#:~:text=Akathisia%20is%20defined%20as%20an,usually%20involves%20the%20lower%20extremities.