Soap Note 1 “ADULT”  Wellness check up (10 points)

Follow the MRU Soap Note Rubric as a guide:

Use APA format and must include mia minimum of 2 Scholarly Citations.

Soap notes will be uploaded to Moodle and put through TURN-It-In (anti-Plagiarism program)

Turn it in’ s Score must be less than 25% or will not be accepted for credit; it must be your own work and in your own words. You can resubmit, Final submission will be accepted if less than 25%. Copy-paste from websites or textbooks will not be accepted or tolerated and will receive a grade of 0 (zero) with no resubmissions allowed.

Assigned psychotropic medication name:
Paliperidone

Psychosis and schizophrenia greatly impact the brain’s normal processes, which interfere with the ability to think clearly. When symptoms of these disorders are uncontrolled, patients may struggle to function in daily life. However, patients often thrive when properly diagnosed and treated under the close supervision of a psychiatric mental health practitioner. For this Assignment, you will develop a study guide for an assigned psychotropic agent for treating patients with Schizophrenia Spectrum and Other Psychotic Disorders. You will share your study guide with your colleagues

· Research your assigned psychotropic medication agent using the Walden Library. Then, develop an organizational scheme for the important information about the medication.

Create a study guide for your assigned psychotropic medication agents. Your study guide should be in the form of an outline with references, and you should incorporate visual elements such as concept maps, charts, diagrams, images, color coding, mnemonics, and/or flashcards. Be creative! It should not be in the format of an APA paper. Your guide should be informed by the 
FDA-approved and Evidenced-Based, Clinical Practice Guidelines Research but also supported by at least three other scholarly resources.

Areas of importance you should address are:

· Title page

· Description of the Psychopharmacological medication agent including brand and generic names and appropriate FDA indication uses

· Any supporting, valid and reliable research for non-FDA uses

· Drug classification

· The medication mechanism of action

· The medication pharmacokinetics

· The medication pharmacodynamics

· Mechanism of Action

· Appropriate dosing, administration route, and any considerations for dosing alterations

· Considerations of use and dosing in specific specialty populations to consider children, adolescents, elderly, pregnancy, suicidal behaviors, etc.

· Definition of Half-life, why half-life is important, and the half-life for your assigned medication 

· Side effects/adverse reaction potentials

· Contraindications for use including significant drug to drug interactions

· Overdose Considerations

· Diagnostics and labs monitoring

· Comorbidities considerations

· Legal and ethical considerations

· Pertinent patient education considerations

Reference Page to include

U.S. Food & Drug Administration. (n.d.). 

Drugs@FDA: FDA-approved drugsLinks to an external site.
.
https://www.accessdata.fda.gov/scripts/cder/daf/index.cfm

Utah State University. (n.d.). 


Creating study guides

Links to an external site.
. https://www.usu.edu/academic-support/test/creating_study_guides

EVIDENCE-BASED PROJECT, PART 1: IDENTIFYING RESEARCH METHODOLOGIES

Is there a difference between “common practice” and “best practice”?

When you first went to work for your current organization, experienced colleagues may have shared with you details about processes and procedures. Perhaps you even attended an orientation session to brief you on these matters. As a “rookie,” you likely kept the nature of your questions to those with answers that would best help you perform your new role.

Over time and with experience, perhaps you recognized aspects of these processes and procedures that you wanted to question further. This is the realm of clinical inquiry.

Clinical inquiry is the practice of asking questions about clinical practice. To continuously improve patient care, all nurses should consistently use clinical inquiry to question why they are doing something the way they are doing it. Do they know why it is done this way, or is it just because we have always done it this way? Is it a common practice or a best practice?

In this Assignment, you will identify clinical areas of interest and inquiry and practice searching for research in support of maintaining or changing these practices. You will also analyze this research to compare research methodologies employed.

To Prepare:

· Review the Resources and identify a clinical issue of interest that can form the basis of a clinical inquiry. Keep in mind that the clinical issue you identify for your research will stay the same for the entire course. 

· Based on the clinical issue of interest and using keywords related to the clinical issue of interest, search at least four different databases in the Walden Library to identify at least four relevant peer-reviewed articles related to your clinical issue of interest. You should not be using systematic reviews for this assignment, select original research articles.

· Review the results of your peer-reviewed research and reflect on the process of using an unfiltered database to search for peer-reviewed research.

· Reflect on the types of research methodologies contained in the four relevant peer-reviewed articles you selected.

Part 1: Identifying Research Methodologies

After reading each of the four peer-reviewed articles you selected, use the Matrix Worksheet template to analyze the methodologies applied in each of the four peer-reviewed articles. Your analysis should include the following:

· The full citation of each peer-reviewed article in APA format.

· A brief (1-paragraph) statement explaining why you chose this peer-reviewed article and/or how it relates to your clinical issue of interest, including a brief explanation of the ethics of research related to your clinical issue of interest.

· A brief (1-2 paragraph) description of the aims of the research of each peer-reviewed article.

· A brief (1-2 paragraph) description of the research methodology used. Be sure to identify if the methodology used was qualitative, quantitative, or a mixed-methods approach. Be specific.

· A brief (1- to 2-paragraph) description of the strengths of each of the research methodologies used, including reliability and validity of how the methodology was applied in each of the peer-reviewed articles you selected.

 

Healthcare spending in the United States has continued to increase over the past several decades at a rate that far exceeds that of other nations. People have seen these increases on everything, from the cost of insurance premiums going up, to the costs of drug prices and office visits increasing. To familiarize yourself with some of the many areas and ways costs and spending are increasing, please review the NHE fact sheet.

• Discuss 1 area that you or someone close to you have seen these increases in costs.
• Examine these increased costs from the perspective of the leader of a healthcare organization. Consider the following:
  • Why do you feel there was an increase in the cost?
  • What, if anything, could have been done to react to the rise in costs and decrease their impact on the organization?
  • What can the organization do to help avoid these increases in the future?