Clinical Question – Formulate a clinical question using the PICOT format.
P: Patient Population
I: Intervention or area on Interest
C: Comparison intervention or group
O: Outcome
T: Time
Ex: “In acute care hospitals (patient population), how does having a rapid response team (intervention) compared with not having a response team (comparison) affect the number of cardiac arrests (outcome) during a three-month period (time)?”
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:
Write a 1-page narrative in APA format that addresses the following:
This Discussion has 2 parts:
I chose to discuss- Option 1
News media has a significant influence on American citizens' lives. People rely a lot on the information received from the media, even though it may be partially accurate. In contrast with traditional news media, when things were much more straightforward, transparent, and honest, nowadays, there is so much unclear information out there that creates a vague and contradictory image of the government and politics. Since the traditional news media started to be owned by different corporations and organizations, the news has been shaped to favor a particular political party. It is acceptable that citizens have different political opinions because we are not the same, but when there is misleading and misinformation from news media, that is a serious problem. It does not help our society; contradictory, it promotes confusion and hostility among citizens.
Most people need more time or skills to research facts, and they place significant trust and confidence in the news media to relay accurate information. I agree that citizens are uninformed about the government's standing and wait until a major issue shakes our society to voice their concerns or opinions. In 2018, Greenberg and Page stated,” individual Americans do not care a great deal about politics and are rather poorly informed, unstable in their views, and not much interested in the political process “(p. 10). Citizens are tired and frustrated with political uniformity, discouraging them from participating in the political process. But how can we change this? It is very complex. More restrictions and legal sanctions must be imposed on news channels and stations that report fake news. In addition, citizens must be accurately informed about the facts affecting our society and the political leaders' involvement in governance so they can make well-informed voting decisions.
References:
Greenberg, E. S. & Page, B. I. (2018). The Struggle for Democracy, 2018 Elections and Updates Edition. (12th ed.). Pearson.
American Press Institute. Retrieved from:
www.americanpressinstitute.org
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Learning Activity Content
1.
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Health Promotion in Practice
Since the time of Florence Nightingale, nurses have recognized that they address the spiritual needs of their patients, but this still remains one of the most nebulous aspects of nursing care. When asked about providing spiritual care, most nurses know that they “do it,” but they have difficulty describing what “it” is. Even though major nursing and health care organizations emphasize the importance of nurses addressing the spiritual needs of patients, assessment questions are usually limited to obtaining information about a patient’s religious affiliation. Similarly, interventions often focus on initiating referrals to chaplains or other spiritual advisors for patients who have a religious affiliation. This approach may be adequate for some patient care situations, but it does not necessarily address the need for a spiritual connectedness that all humans experience. This chapter focuses on relatively simple actions that nurses can incorporate as an integral part of usual nursing care to identify and address the spiritual needs of their patients.
It is important to become comfortable discussing spiritual needs of patients because all humans have spiritual needs even though they may not identify with a religion.
Let us consider the following scenario:
You are a nurse manager working in a Catholic hospital, and you have been told by some of your nurses that the 'new hire RN' feels uncomfortable discussing religion with their patient because they do not have any religious affiliation.
Discuss how you would, as the MANAGER of the unit, address their discomfort, and ensure they still feel a part of the team even if their religious affiliations are not the same as that of the institution.
Key points to remember in your discussion are that many spiritual practices individuals engage in can be adopted to multiple scenarios and it is important to develop an inquisitive and open-minded approach when you listen to patients and colleagues talk about their religious practices.
Please remember for discussion posts: the initial post must be uploaded by the WEDNESDAY of the week and two replies to your peers by Saturday at 2359.
Please note the grading rubric for the discussion board.
As a reminder, all discussion posts must be a minimum of 250 words, references must be cited in APA format 7th Edition and must include a minimum of 2 scholarly resources published within the past 5 years.
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Advanced Psychopharmacology and Health Promotion
Unit 3 Ion Channels. Discussion and peer response. 1300w. APA. 4 references total due 9-15-23.
Review the link. https://youtu.be/VPJG_hy72m8
Initial Response
Unit 3 discussion APA. 800W.
Instructions:
1. Compare and contrast the two different major classes of ion channels.
2. Explain the difference between full agonists, partial agonists, antagonists, inverse agonists.
3. Responses need to address all components of the question, demonstrate critical thinking and analysis and include peer-reviewed journal evidence to support the student’s position.
Please be sure to validate your opinions and ideas with in-text citations and corresponding references in APA format.
Peer Response
section APA 500W.
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:
1. Compare and contrast your initial posting with those of your peers.
2. How are they similar or how are they different?
3. What information can you add that would help support the responses of your peers?
4. Ask your peers a question for clarification about their post.
5. What most interests you about their responses?
Please be sure to validate your opinions and ideas with citations and references in APA format.
Complete your week 2 required discussion prompt.
Purpose: Analyze and apply critical thinking skills in the psychopathology of mental health patients and provide treatment and health promotion while applying evidence-based research.
Scenario:
Kel is a 42-year-old certified public accountant (CPA) who dreams each year that she will board a cruise ship the day after Tax Day and go somewhere, anywhere, except Portsmouth, Virginia. Each year the dream, like the ocean, ebbs and flows, but this year she is not even going to think about such a “ridiculous idea.” In fact, she does not even have the energy to dream; getting out of bed and preparing to go to work is simply too labor intensive.
Each evening Kel retires to bed with a lack of energy to complete her normal tasks such as readying her clothes for work and making a lunch. She lacks the energy to shop in the evening; consequently, she eats mostly crackers and canned soup. She is not hungry, and her scale reflects this. She has lost 15 pounds over the last 2 months. She does not attend to her makeup or clothes; she finds both too taxing. The clothes she selects are drab and not ironed. At work she makes no effort to talk with her co-workers and does not initiate new contacts with clients. The normal work of filing taxes and writing reports, which she used to enjoy, are overwhelming, and she feels too disorganized to complete them. Telephone calls and e-mail messages from friends are ignored. Attendance at work is spotty.
Sue, her sister, becomes alarmed with Kel’s unanswered telephone calls and e-mails. Worried, she decides to visit her sister at home. She finds the apartment unclean and in disarray. Kel is unkempt, disheveled, and looks sad. Her voice is monotone and flat. Kel tells Sue that she feels “sad and hopeless. Nothing is ever going to change. I am a bad person and I can’t even do my work right. Although I sleep for many hours, I am still tired all the time.” Sue is alarmed at the changes in her sister and arranges for Kel to visit a health care worker at the medical clinic.
Questions:
Remember to answer these questions from your textbooks and NP guidelines. At all times, explain your answers.
Describe the presenting problems.
Generate a primary and differential diagnosis using the DSM5 and ICD 10 codes.
Formulate and prioritize a treatment plan.
Identify and discuss appropriate screening instruments for a patient who has suicidal ideation.
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Is your clinical change project highly significant to nursing? Does the project encompass
the core graduate nursing competencies of patient-centered care, social equity, cultural
appropriateness, evidence-based practice, health promotion, and disease prevention?
Why?
More than 300 words. The question is asking about your previous writing.
Pls read your previous writings.
https://www.sweetstudy.com/thread/473292317
https://www.sweetstudy.com/thread/473883197
https://www.sweetstudy.com/thread/473172845
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1. Paper Topic
Discussion Topic
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Submit your paper topic in this discussion board. Argue the significance of the chosen issue in improving global public health. You need to select a community/state within a low/middle income (developing) country afflicted by the selected global public health problem.
Each topic should be supported by two studies from peer-reviewed journals.
Word limit 350, APA in-text citation and reference list required.
When student submitted the previous topic comments professor did
Good attempt! But more work is required, you need to cite 2 studies from a chosen country in Africa – please select one country only, example Nigeria and all articles should be focused on that community. For the paper you need 5 studies from the same country on the same topic. For each study you will review – Purpose, methods, results and recommendations.
Please submit your articles and citations – this needs to be re-done, I will re-grade.
This is too broad and what are your variable. This is not a study and also looks like a copy paste – you need to write in your own words.
Here is a suggested topic and paper:
https://www.tandfonline.com/doi/abs/10.1080/19443994.2013.734677
Effect of ritualistic bathing on water quality of Ganga river in India.
See if you can find similar studies that explore the impact of independent variable (bathing) on dependent variable (water quality)
You need total 5 such studies.
All the Best,
Dr. Puri
2. Literature Review Assignment
Choose one articles on your chosen topic for this assignment. The review should include following components: study purpose, study methods – characteristics of the participants, study design, data-collection procedures, instruments used, and study results.
Page length: 1 page. DO not attach the document, the review should be visible in the discussion board to the reader.
References required: APA7 – in-text and reference list.
Provide a link for the selected study!
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