Discussion # 3 Discuss how your current practice may change in the future as a result of your understanding of one particular Essential. (You may choose the Essential you wish to reflect on.) (Essenti

Discussion # 3

Discuss how your current practice may change in the future as a result of your understanding of one particular Essential. (You may choose the Essential you wish to reflect on.) (Essentials I-IX)

Discussion Rubric

The initial post will be regarding the topic of the week and will be a minimum of 250 words. Make sure you provide appropriate references and utilize APA style. Peer posts will be a minimum of 75-100 words, otherwise will be counted as 0.

Examine Case Study: Pakistani Woman with Delusional Thought Processes. You will be asked to make three decisions concerning the medication to prescribe to this client. Be sure to consider factors that might impact the client’s pharmacokinetic and pharmaco

Week 6: Antipsychotic Therapy

According to the National Alliance on Mental Illness, approximately 100,000 people experience psychosis in the United States each year (NAMI, 2016). In practice, clients may present with delusions, hallucinations, disorganized thinking, disorganized or abnormal motor behavior, as well as other negative symptoms that can be disabling for these individuals. Not only are these symptoms one of the most challenging symptom clusters you will encounter, many are associated with other disorders such as depression, bipolar disorder, and disorders on the schizophrenia spectrum. As a psychiatric mental health nurse practitioner, you must understand the underlying neurobiology of these symptoms to select appropriate therapies and improve outcomes for clients.

This week, as you examine antipsychotic therapies, you explore the assessment and treatment of clients with psychosis and schizophrenia. You also consider ethical and legal implications of these therapies.

Photo Credit: Ingram Publishing/Getty Images

Assignment: Assessing and Treating Clients With Psychosis and Schizophrenia

Psychosis and schizophrenia greatly impact the brain’s normal processes, which interferes with the ability to think clearly. When symptoms of these disorders are uncontrolled, clients may struggle to function in daily life. However, clients often thrive when properly diagnosed and treated under the close supervision of a psychiatric mental health practitioner. For this Assignment, as you examine the client case study in this week’s Learning Resources, consider how you might assess and treat clients presenting with psychosis and schizophrenia.

Learning Objectives

Students will:

·         Assess client factors and history to develop personalized plans of antipsychotic therapy for clients

·         Analyze factors that influence pharmacokinetic and pharmacodynamic processes in clients requiring antipsychotic therapy

·         Evaluate efficacy of treatment plans

·         Analyze ethical and legal implications related to prescribing antipsychotic therapy to clients across the lifespan

Learning Resources

Note: To access this week’s required library resources, please click on the link to the Course Readings List, found in the Course Materials section of your Syllabus.

Required Readings

Note: All Stahl resources can be accessed through the Walden Library using this link. This link will take you to a log-in page for the Walden Library. Once you log into the library, the Stahl website will appear.

Stahl, S. M. (2013). Stahl’s essential psychopharmacology: Neuroscientific basis and practical applications (4th ed.). New York, NY: Cambridge University Press.

To access the following chapters, click on the Essential Psychopharmacology, 4th ed tab on the Stahl Online website and select the appropriate chapter. Be sure to read all sections on the left navigation bar for each chapter.

·         Chapter 4, “Psychosis and Schizophrenia”

·         Chapter 5, “Antipsychotic Agents”

Stahl, S. M. (2014b). The prescriber’s guide (5th ed.). New York, NY: Cambridge University Press.

To access information on the following medications, click on The Prescriber’s Guide, 5th ed tab on the Stahl Online website and select the appropriate medication.

Review the following medications:

  • amisulpride
  • aripiprazole
  • asenapine
  • chlorpromazine
  • clozapine
  • flupenthixol
  • fluphenazine
  • haloperidol
  • iloperidone
  • loxapine
  • lurasidone
  • olanzapine
  • paliperidone
  • perphenazine
  • quetiapine
  • risperidone
  • sulpiride
  • thioridazine
  • thiothixene
  • trifluoperazine
  • ziprasidone

Naber, D., & Lambert, M. (2009). The CATIE and CUtLASS studies in schizophrenia: Results and implications for clinicians. CNS Drugs, 23(8), 649-659. doi:10.2165/00023210-200923080-00002

Note: Retrieved from Walden Library databases.

Kay, S. R., Fiszbein, A., & Opler, L. A. (1987). The Positive and Negative Syndrome Scale (PANSS) for schizophrenia. Schizophrenia Bulletin, 13(2), 261-276.

Note: Retrieved from Walden Library databases.

Clozapine REMS. (2015). Clozapine REMS: The single shared system for clozapine. Retrieved from https://www.clozapinerems.com/CpmgClozapineUI/rems/pdf/resources/Clozapine_REMS_A_Guide_for_Healthcare_Providers.pdf

Walden University. (2016). ASC success strategies: Studying for and taking a test. Retrieved from http://academicguides.waldenu.edu/ASCsuccess/ASCtesting

Required Media

Laureate Education. (2016j). Case study: Pakistani woman with delusional thought processes [Interactive media file]. Baltimore, MD: Author

Note: This case study will serve as the foundation for this week’s Assignment.

Optional Resources

Chakos, M., Patel, J. K., Rosenheck, R., Glick, I. D., Hammer, M. B., Tapp, A., & … Miller, D. (2011). Concomitant psychotropic medication use during treatment of schizophrenia patients: Longitudinal results from the CATIE study. Clinical Schizophrenia & Related Psychoses, 5(3), 124-134. doi:10.3371/CSRP.5.3.2

Fangfang, S., Stock, E. M., Copeland, L. A., Zeber, J. E., Ahmedani, B. K., & Morissette, S. B. (2014). Polypharmacy with antipsychotic drugs in patients with schizophrenia: Trends in multiple health care systems. American Journal of Health-System Pharmacy, 71(9), 728-738. doi:10.2146/ajhp130471

Lin, L. A., Rosenheck, R., Sugar, C., & Zbrozek, A. (2015). Comparing antipsychotic treatments for schizophrenia: A health state approach. The Psychiatric Quarterly, 86(1), 107-121. doi:10.1007/s11126-014-9326-2

To prepare for this Assignment:

·         Review this week’s Learning Resources. Consider how to assess and treat clients requiring anxiolytic therapy.

The Assignment

Examine Case Study: Pakistani Woman with Delusional Thought Processes. You will be asked to make three decisions concerning the medication to prescribe to this client. Be sure to consider factors that might impact the client’s pharmacokinetic and pharmacodynamic processes.

At each decision point stop to complete the following:

·         Decision #1

o    Which decision did you select?

o    Why did you select this decision? Support your response with evidence and references to the Learning Resources.

o    What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources.

o    Explain any difference between what you expected to achieve with Decision #1 and the results of the decision. Why were they different?

·         Decision #2

o    Why did you select this decision? Support your response with evidence and references to the Learning Resources.

o    What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources.

o    Explain any difference between what you expected to achieve with Decision #2 and the results of the decision. Why were they different?

·         Decision #3

o    Why did you select this decision? Support your response with evidence and references to the Learning Resources.

o    What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources.

o    Explain any difference between what you expected to achieve with Decision #3 and the results of the decision. Why were they different?

Also include how ethical considerations might impact your treatment plan and communication with clients.

Note: Support your rationale with a minimum of three academic resources. While you may use the course text to support your rationale, it will not count toward the resource requirement.

Post#4

Hello i need a good and positive comment related with this argument .A paragraph  with no more  90 words.

2 posts

Re:Topic 2 DQ 1Tammy Wagner

We are a product of our environment.  Everything in our environments affect us, this is called social determinants of health.   We have all seen the disparities in populations and how poverty affects access to healthy foods, safe neighborhoods, and good education.  By applying what we know about social determinants of health we can improve individual health and advance health equity.  By looking at the root cause of illness, we are likely able to influence community health (Centers for Disease Control and Prevention website, 2016).    Despite spending far more on health care than any other nation, the U.S. ranks near the bottom on key health indicators.  This is due to underinvestment in addressing social and behavioral determinants of health.  These are problems that are either caused by behavioral risks or social conditions.  For example, smoking increases incidents of lung cancer, respiratory disease, diabetes, heart disease, and stroke.  An interesting side note; many of the social and behavioral variables linked to disease are involved in the stress response.  Stress experiences produce change in the brain and body that promote illness and disease.  This release of cortisol ( the stress hormone) when stressed can lay the foundation for chronic illness (Adler & Prather, 2015). 

The communicable disease chain begins with the chain of infection.  An infection is an overgrowth of bad bacteria.  There are 6 elements to this chain. 

1.     Infectious agent:  an organism with the ability to cause disease.

2.     Reservoir:  a place where that organism can grow, thrive, and reproduce.  This is also inanimate objects like water, doorknobs, and tabletops. 

3.     Portal of exit:  an exit way for the organism to leave the reservoir.

4.     Mode of transmission:  method of transfer of organism from one place to another.

5.     Portal of entry:  an opening allowing the organism to enter the host.

6.     Host:  a person who cannot resist the organism entering the body, multiplying, and resulting in infection.

The infection will only develop if the chain is unbroken.  This is where the nurse plays a big part, we know how to break the chain.  Hand hygiene is a good place to begin.  Standard precautions are tools a nurse learns, knows, and lives.  Nurses can break the links in the chain.  An organism in a wound can spread to the IV site when doing improper dressing site changes.  A cut in the nurse’s skin can also invite the organism into their system.  Hospitals harbor many organisms; the nurse is the front-line weapon in breaking the links in the chain of infection (Olin, 2012).

In order to understand the kinds of learning opportunities you had or didn’t have, and how they have affected your journey, you first need to compose your story.It is important to understand the lea

In order to understand the kinds of learning opportunities you had or didn’t have, and how they have affected your journey, you first need to compose your story.

It is important to understand the learning opportunities you have had in the past and have now. Many times you may have missed out on opportunities because you did not have the resources you needed or were not aware of your own strengths. Teachers, parents, friends, or fellow students may have helped you along the way. They, too, are important parts of your educational journey. Writing your educational story will help you identify the learning opportunities you had or did not have and how they have affected your journey.

It may be helpful to think about the following points while writing your educational story:

  • Learning opportunities in the past and present
  • Educational challenges you have faced
  • How you overcame the educational challenges
  • Who helped you overcome the educational challenges
  • Missed opportunities, if any

Instructions:

Write your educational story (suggested length of 1–2 pages), in which you do the following:

  • Reflect on the educational challenges you have faced in your learning opportunities.
  • Discuss what you did or plan to do in order to overcome those challenges.

COMMENT JAMELLA

 I NEED A POSITIVE COMMENT BASED IN THIS ARGUMENT..BETWEEN 150-200 WORDS

Evidence-based practice (EBP) provides nurses with a method to use critically appraised and scientifically proven evidence for delivering quality health care to a specific population (Majid, et.al, 2011). The objective of this study was to explore nurses’ awareness of, knowledge of, and attitude toward EBP and factors likely to encourage or create barriers to adoption. In addition, information sources used by nurses and their literature searching skills were also investigated (Majid, et. al, 2011).

Like the textbook says, evidence based practice (EBP) is being used daily in the nursing field on the floor. Every day I see where EBP is used or questioned before decisions are made from many of the nurses. I work on a Med Surg floor, one example of something that we have done based off research recently is a new code caller BERT (behavioral emergency response team). This team consists of three to five people including specific behavioral health trained member and some other code team employees (Betsy, 2014). When code BERT is called it is used to true and not overwhelm the patient but calm them down and deescalate the situation being addressed. These people come to help the situation if the patient gets violent at our hospital then a code grey is called where more members come for “man power” (Betsy, 2014). This is supposed to be done like we would call a rapid response before we would call a code blue to see if we could prevent it from getting to that point.  

                                                                            References 

Betsy, Taylor (2014). Catholic Health Association of the United States. Retrieved from http:www .chausa.org/publications/ health-       world/article/may-1-2014/hospitalsafety  

Majid, S., Foo, S., Luyt, B., Zhang, X., Theng, Y.-L., Chang, Y.-K., & Mokhtar, I. A. (2011). Adopting evidence-based practice in clinical     decision making: nurses’ perceptions,knowledge, and barriers. Journal of the Medical Library Association : JMLA, 99(3), 229–236.   http://doi.org/10.3163/1536-5050.99.3.010

complete 3-4 pages

Note:

I need complete 3-4 pages paper on the following assignment. HALF PAGE LENGTH IS NOT ACCEPTED. Must address the all steps properly.  Must include 3-4 credible references cited in APA.  Must provide 100% original work.

DO NOT PROVIDE THE PREVIOUSLY USED WORK.

DO NOT WRITE QUESTIONS IN ANSWER!

Assignment

The Connection between Diabetes and Suburban Sprawl

Consider the multidisciplinary interactions of biological and social sciences as presented in Chapter 2 of Global Public Health. With this in mind, perform an analysis of the information delivered in this episode about the connection between diabetes and suburban sprawl, as discussed in the text.

Episode One – http://www.youtube.com/watch?v=7ttyE7ZnupY

Watch the video and look at the suggestions there for improving health in your own community. Once you are satisfied with your review of the episode, write an essay in complete 3-4 pages that addresses the following questions:

1.      Begin by summarizing the episode in 100 words or less.

2.      Relate the information from this episode to what you learned in Chapters 1 and 2 of your textbook, Global Public Health. What specific public health disciplines mentioned in Chapter 2 of your textbook are related to the information presented in the video and why?

3.      Critique the information. Do you feel that the information presented is valid and easy to understand?

4.      What information does the episode offer about public health problems? Consider, for example: whether it provides details on how public health can be characterized and measured; and whether it describes common hazards and afflictions affecting modern Americans and American communities.

5.      What information does the episode offer about the nature of communities? Consider whether it provides details on how communities may be altered to improve public health.

6.      What information was missing from the episode? How could the content be improved? What would you like to see in future episodes?

Formatting Instructions:

·         Write a complete 3-4 pagespaper, not including the title and reference pages, which are required.

·         The paper must be formatted correctly using APA style. Remember, all research material used in your paper must be paraphrased and include an in-text citation.

·         Must include 3-4 credible references. Be sure you utilize your text appropriately as a reference and cite at least one other credible external reference such as a website or journal article to support your proposed resolution of the case.

COMMENT 2

   The three most important elements of Hamric’s definition of Advance Nursing Practice are research skills, collaboration, and ethical decision-making skills.

    Research skills are proven by the ability to be the intervention nurse in a research study. This includes knowing the goals and purpose of the study, being a part of the research team, helping to design the evidence-based intervention content, providing the content and continuing the patient relationship according to the objectives of the study, and using evidence-based literature to influence the designer intervention for the advantage of  their patient. Collaboration is validated by partnerships and application of other health care team supporters to control care for patient’s benefit. Ethical Decision-Making skills are proven by planning informed consent documents, detecting possible zones for ethical concerns stressing the patient care during study application, and reporting concerns management.

Reference

Hamric A, Hanson C, Tracy M, O’Grady E. Advanced Practice Nursing: An Integrative Approach. Elsevier Saunders; 5th ed.

DISCUSSION APA 7th format 300-350 words—ok if a little shorter Please do not accept if you are not familiar with nursing and informatics. =this must make sense Post a description of experiences or o

DISCUSSION

APA 7th format

300-350 words—ok if a little shorter

Please do not accept if you are not familiar with nursing and informatics. =this must make sense

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. (nursing informaticists and pharmacy/pharmacists?-just an idea)

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.

I attached this week’s references you can use. If you choose articles, then please last 5 years and from scholarly journals

miss professor

Those are some examples of what i need, you can do it better if you consider, i dont really know the price, i will pay you for documents, i need differents clinical notes and one soap note relating with one note

Information Systems Paper

Information Systems Paper (graded)

See attachment for complete understanding

The assignment requires that you:

  1. select a topic related to information systems in healthcare from the list provided in the guidelines,
  2. research and analyze the topic, and
  3. describe how you will apply your newly acquired knowledge to your nursing practice.

The Topic  for my paper is:

 Electronic Health Records

 Things to Avoid in Your PaperIn order to help you be successful, here is a list of the things I find often that will cost you points:

  1. DO NOT USE I, we, you, let’s, our, us…… The paper is written in 3rd person.  This means we have to use things like….. “In the opinion of this writer, ….”  or  “This author is very interested ……..”
  2. DO NOT USE questions within the paper, either.
  3. USE THE APA TEMPLATE as the starting point for your paper.  This already has the title page template, the running headers and page numbers, and more already set up for you.  If you don’t use the template, you’ll need to very detailed and astute when you format.
  4. After the title page, the first available line on page #2 starts with a header, centered, not bold.
  5. USE SECTION HEADINGS within the body of the paper.  This is a requirement for proper APA formatting.
  6. DO NOT make this paper an article review. 
  7. Follow the structure discussed in the assignment.
  8. Do NOT make the paper shorter or longer than stated in the assignment as this would cost points, as well.