Obesity Among Children in the US

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Obesity Among Children in the US

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Obesity Among Children in the US

Description

It is important to know your family health history in order to understand and to be prepared for health issues that you may have in your life. This assignment will give you the opportunity to learn about your family health history, or if you choose, to research a health issue and it’s affected population.

Please read carefully the attached directions and documents for the Family Tree paper. You have a choice between the family health paper and a health topic of your choice. The word number and other technical requirements listed in the directions apply to both choices.

NU 643 Week 11 Assignment 1

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NU 643 Week 11 Assignment 1

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Introduction

It is vital for practitioners specializing in Psychiatric-Mental Health Nurse Practitioners (PMHNP) to possess comprehensive knowledge regarding the various substances that can lead to dependence, encompassing both prescription medications and recreational drugs. Additionally, it is crucial to comprehend the impact of these substances on an individual’s physiological and psychological aspects. The Bluelight Organization is a reliable source of information for anyone seeking knowledge about drug utilization. As per the findings of the Bluelight Organization, Fentanyl is accessible in diverse formulations, including patches for the body, oral tablets, and intranasal sprays (Bluelight, 2023). The site provides comprehensive guidance on the appropriate administration of fentanyl, alongside cautionary information concerning the perils associated with its misuse, encompassing the potential for overdose and fatality. In the course of my academic inquiry, I conducted research on fentanyl, a highly potent synthetic opioid. I contemplated the potential utility of this knowledge within my professional role as a physician specializing in psychiatric mental health nursing practice (PMHNP).

Findings and Reflection

As a Psychiatric Mental Health Nurse Practitioner (PMHNP), I have identified the critical significance of educating patients and their relatives regarding the hazards associated with fentanyl utilization, encompassing the potentiality of an overdose event. Furthermore, patients must be adequately educated by their PMHNPs regarding the numerous treatment options for opioid addiction that are currently accessible(Bachyrycz et al., 2019). PMHNP practitioners must know the symptoms and warning indicators associated with fentanyl overdose. Additionally, they should be responsible for educating clients and their family members about the inherent hazards associated with the utilization of fentanyl. Common indicators of a fentanyl overdose encompass respiratory difficulties, heightened somnolence, cognitive confusion, and constricted pupils. Furthermore, healthcare professionals must comprehensively understand naloxone, a medication utilized to treat opioid addiction. These professionals should actively encourage clients to obtain and maintain access to this medication(Bachyrycz et al., 2019).

Furthermore, psychiatric mental health nurse practitioners (PMHNPs) must effectively identify individuals who may exhibit a heightened susceptibility to opiate utilization and subsequent addiction. Several risk factors have been identified for opioid addiction, including a history of trauma, prior drug use disorders, previously diagnosed psychological disorders, and a family history of addictive behavior (Bachyrycz et al., 2019). Healthcare professionals are responsible for evaluating patients’ potential risk factors and implementing suitable interventions, including cognitive behavioral and medication-assisted therapy.

Additionally, PMHNP physicians must collaborate with other medical professionals, including addiction specialists, to deliver comprehensive therapy to patients with drug use disorders. The integration of multiple disciplines is necessary for therapy due to the intricate nature of addiction as a condition (Bachyrycz et al., 2019). To optimize patient care and treatment outcomes, physicians must engage in interdisciplinary collaboration with healthcare professionals, thereby facilitating the provision of suitable treatment modalities such as inpatient or outpatient therapy and developing individualized care plans that align with patients’ distinct requirements.

Ultimately, PMHNP specialists must possess comprehensive knowledge regarding the potential hazards linked to fentanyl utilization, alongside a clear understanding of the evident indicators and manifestations of an overdose. According to Bachyrycz et al. (2019), it is imperative for healthcare professionals to actively encourage patients and their families to obtain naloxone and receive comprehensive education regarding its associated risks. This proactive approach is crucial in mitigating the potential for harm. In order to optimize the treatment of high-risk patients, healthcare professionals must know the indicative symptoms of opioid addiction (Altekruse et al., 2020). In order to ensure comprehensive treatment for individuals with drug use disorders, it is imperative to establish collaborative partnerships with other healthcare professionals (Bachyrycz et al., 2019). By acquiring a comprehensive comprehension of fentanyl and opiate dependence, PMHNPs possess the potential to optimize patient outcomes while mitigating the hazards linked to the utilization of opioids.

The Word on the Street

For this assignment, I have decided to look into fentanyl. Fentanyl is a powerful opioid produced in a lab and is highly addictive; it is frequently used as a substitute for heroin because its effects are equal to those of heroin, and its cost is much lower. It can be used orally as pills, topically as patches, or inhaled as a nasal spray (Bluelight, 2023). It is possible to use fentanyl without risk when given to you, but misusing the prescription puts you at risk for terrible side effects, including deadly overdoses, because even a minimal amount of the substance can be fatal. Drug traffickers frequently combine fentanyl with other psychoactive substances, which can result in unintended overdoses. According to the National Institute on Drug Abuse (2023), misuse of fentanyl is a significant problem that plays a role in the nearly 70,000 opioid-related deaths that occur yearly in the United States.

The relationship between compassionate language and substance use disorder.

Patients may experience a diminished desire to seek treatment for drug use disorders if exposed to stigmatizing language. The National Institute on Drug Abuse (NIDA) guides appropriate terminology and recommended omissions when discussing the topic of addiction. In order to mitigate stigma and promote a trusting relationship between the practitioner and the client, it is recommended to employ respectful and person-centered language such as “individual with a substance use problem” instead of derogatory terms like “addict” or “junkie” (National Institute on Drug Abuse, 2021). Speaking with compassion can potentially enhance patients’ comfort in seeking assistance, thereby ultimately contributing to improved treatment outcomes.

Reflecting on the Relevance of Compassionate Language

Approaching individuals with substance use disorders in a knowledgeable but nonjudgmental manner may increase treatment outcomes. For example, suppose I avoid using colloquial terms such as “junkie” and “addict” during initial client interactions. In that case, likely, they will promptly discern my commitment to treating their condition with due seriousness. This methodology is expected to enhance patient involvement in therapeutic interventions and mitigate the sense of stigma or judgment experienced by patients. Compassionate language will make establishing trust with the clients simpler, which is essential for treating drug use disorders.

How the information on fentanyl can assist me in becoming a better PMHNP provider

As a PMHNP doctor, knowing fentanyl and the ability to communicate with patients using empathy could make the management of patients struggling with drug use disorders more successful. It is possible that knowing fentanyl can assist PMHNP doctors in the correct administration of the medication, in informing patients and their family members about the risks associated with fentanyl use, and in identifying patients who may be at a higher risk of misusing opioids (Bachyrycz et al., 2019). Compassionate communication can boost patient engagement, cultivate trust, and improve the overall outcome of therapy.

Conclusion

In conclusion, PMHNP practitioners must possess comprehensive knowledge regarding the range of addictive medications, with a specific focus on fentanyl and the impact these substances exert on individuals’ cognitive and physiological aspects. The dissemination of information regarding the potential hazards linked to the utilization of fentanyl is a crucial responsibility for healthcare professionals as it pertains to patients and their respective family members. Engaging in such actions will mitigate the detrimental social perceptions surrounding substance abuse and foster an environment conducive to cultivating trust. Healthcare practitioners can employ the earlier data and terminology to encourage heightened patient involvement, cultivate confidence, and improve therapeutic results.

References

Altekruse, S. F., Cosgrove, C. M., Altekruse, W. C., Jenkins, R. A., & Blanco, C. (2020). Socioeconomic risk factors for fatal opioid overdoses in the United States: Findings from the Mortality Disparities in American Communities Study (MDAC). PLOS ONE, 15(1), e0227966. https://doi.org/10.1371/journal.pone.0227966

Bachyrycz, A., Takeda, M. Y., Wittstrom, K., & Bleske, B. (2019). Opioid overdose response training in pharmacy education: An analysis of students’ perception of naloxone use for opioid overdose prevention. Currents in Pharmacy Teaching and Learning, 11(2), 166-171. https://doi.org/10.1016/j.cptl.2018.11.007

Bluelight. (2023). About us: Forum. Bluelight.org. http://bluelight.org/

National Institute on Drug Abuse. (2021, November 29). Words matter Terms to use and avoid when talking about addiction. National Institute on Drug Abuse.

NU 643 Week 11 Assignment 1

Week 11 Assignment 1: Exploration of Bluelight

Grading Category: Assignments

Overview

  1. Go to BlueLight Discussion Forums.
    • This is a site where addicted individuals share information about drugs of abuse. including the misuse of many prescription drugs.
  2. Browse and research a recreational or prescription drug.
  3. Reflect on your findings in a brief summary (about 1–2 pages long).
  4. What is “the word on the street?”
  5. Did anything about this surprise you?
  6. Now reflect on how this information can assist you at being a better PMHNP provider.
  7. Next, read the following information about rehabilitative language and compassion: Words Matter – Terms to Use and Avoid When Talking About Addiction.
  8. Reflect on how having an educated but non-judgmental perspective toward your patient’s facing substance use disorder could improve outcomes.
  9. Now reflect on how this information can assist you at being a better PMHNP provider.

Instructions

  • Your paper should be three to five pages in length, excluding the title and reference pages.
  • Include a minimum of four evidence-based practice guidelines or articles.
  • Make sure your paper is conformed to the most recent APA standards.

Please refer to the Grading Rubric for details on how this activity will be graded.

The described expectations meet the passing level of 80 percent. Students are directed to review the Discussion Grading Rubric for criteria that exceed expectations.

Week 11: Learning Materials

Done: View

Readings

  • Stahl, S. (2021). Essential psychopharmacology: Neuroscientific Basis and Practical Applications(5th ed.). Cambridge University Press.
    • Chapter 13, “Impulsivity, Compulsivity, and Addiction”
  • Stahl, S. (2020). Essential psychopharmacology: The prescriber’s guide (7th ed.). Cambridge University Press. (Reference as needed.)
  • Volkon, N., Koob, G., and McLellan, A. (2016). Neurobiological Advances from the Brain Disease Model of Addiction. The New England Journal of Medicine, .

Week 11: Note-taking Tool

The Note-taking Tool Week 11 is a web-based study tool that provides helpful thoughts and questions to help you focus and master the course materials throughout this module. It is important to reference the Note-taking Tools (which are printable and downloadable) as you do your readings each week so that you are prepared for quizzes in this course.

Required Videos

Impulsivity, Compulsivity, Addiction Lecture 1 (23 minutes and 27 seconds)

Impulsivity, Compulsivity, Addiction Lecture 1 Transcript

Impulsivity, Compulsivity, and Addiction, Lecture 2 (7 minutes and 37 seconds)

Impulsivity, Compulsivity, and Addiction, Lecture 2 Transcript

Dopamine and Reward (2:17 minutes)

Dopamine and Reward Video Transcript

Alcohol Withdrawal (0:59 minutes)

Alcohol Withdrawal Video Transcript

Clinical Resources

Required Resources

Clinical Resources

Community Health Needs

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Community Health Needs

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Community Health Needs

Description

l

This is part 3 of an assignment. I will provide the first two parts. You will need to give the 5 articles of evidence and review them. Thanks

Assignment Prompt

This week’s first assignment is STEP 3 – Literature Review and Critical Appraisal.

The student will complete the following items and submit a Word doc to the assignment link.

  1. Literature Review – Provide the key terms used to guide the search for the evidence and provide at least five (5) summaries of research studies to support the evidence.
  2. Critical Appraisal of Literature – Discuss the strengths and weaknesses of the evidence, what is known from the evidence and any gaps in knowledge from the research evidence.

Telemedicine Transitional Care

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Telemedicine Transitional Care

Telemedicine Transitional Care Assignment

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Topic: Telemedicine Transitional Care

Library Assignment #1 – AACN Essentials Paper Due 05/23/2020

The purpose of this assignment is to provide a concise description and appraisal of the American Association of Colleges of Nursing (AACN) Essentials of master’s Education in Nursing. Following APA guideline, provide a brief explanation on each of the essentials reflecting on each essential affects the clinical practice and the author’s interpretation of each essential. Make sure to include a (Title page, abstract, introduction, body, conclusion, and reference page). Please submit it via Turnitin by the end of Week 3. This assignment is 10 points.

Please find that AACN Masters Degree Essentials attachedas a reference.

(AACN Essentials I, II, IV, V, VI, and VIII).

Title Page: Title of article, journal information, and your name and date

1 point

Your score

Abstract: Brief summary of an article (1-2 paragraphs)

1 point

The Problem: (2 or 3 paragraphs)

Is the problem clearly stated?

Is the problem practically important?

What is the purpose of the study?

What is the hypothesis?

Are the key terms defined?

3 points

Review of Literature: (1 -2 paragraphs)

Are the cited sources pertinent to the study?

Is the review too broad or too narrow?

Are the references recent?

Is there any evidence of bias?

2 points

Design and Procedures: (3-4 paragraphs)

What research methodology was used?

Was it a replica study or an original study?

What measurement tools were used?

How were the procedures structures?

Was a pilot study conducted?

What are the variables?

How was sampling performed?

3 points

Telemedicine Transitional Care Assignment

Data analysis and Presentation: (1 – 2 paragraphs)

2 points

How was the data analyzed?

Did findings support the hypothesis and purpose?

Were the weaknesses and problems discussed?

Conclusions and Implications: (2-3 paragraphs)

3 points

Are the conclusions of the study related to the original purpose?

Were the implications discussed?

Whom the results and conclusions will affect?

What recommendations were made at the conclusion?

What is your overall assessment of the study and the article?

Total

15 points

(100%)

Grade

Upon completion. submit your assignment via Turn-it-in.com. Your plagiarism score must be below 20%. If you score higher, please revise your paper and resubmit. The utilization of paraphrasing or quotations with proper in-textcitations will help lower your score. Refer to APA guidelines. 6th edition.

Improved Population Health Discussion

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Improved Population Health Discussion

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Improved Population Health Discussion

Healthcare organizations continually seek to optimize healthcare performance. For years, this approach was a three-pronged one known as the Triple Aim, with efforts focused on improved population health, enhanced patient experience, and lower healthcare costs.

More recently, this approach has evolved to a Quadruple Aim by including a focus on improving the work life of healthcare providers. Each of these measures are impacted by decisions made at the organizational level, and organizations have increasingly turned to EBP to inform and justify these decisions.

To Prepare:

Read the articles by Sikka, Morath, & Leape (2015); Crabtree, Brennan, Davis, & Coyle (2016); and Kim et al. (2016) provided in the Resources.
Reflect on how EBP might impact (or not impact) the Quadruple Aim in healthcare.

Improved Population Health Discussion

Consider the impact that EBP may have on factors impacting these quadruple aim elements, such as preventable medical errors or healthcare delivery.
To Complete:

Write a brief analysis (no longer than 2 pages) of the connection between EBP and the Quadruple Aim.

Your analysis should address how EBP might (or might not) help reach the Quadruple Aim, including each of the four measures of:

Patient experience
Population health
Costs
Work life of healthcare providers

NURS 4455 Quality Of Care

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NURS 4455 Quality Of Care

 

NURS 4455 Quality Of Care

DQ2 For Maximum Score – must respond to all 3 questions.

2. What factors can you control, as a manager, for your staff to provide high-quality care (which factors are internal and which are external)?

3. If an organization is deciding between several quality management programs which would you recommend and why?

How do you define quality of care?
Quality of care is the degree to which health services for individuals and populations increase the likelihood of desired health outcomes. It is based on evidence-based professional knowledge and is critical for achieving universal health coverage.

Why is quality care important?
Overall improving the quality and performance in the healthcare environment can help providers with reliable, cost-effective and sustained healthcare processes and enable them to achieve their goal of improving care delivery and enhancing patient outcomes.

What are examples of quality improvement in healthcare?
The Top Six Examples of Quality Improvement in Healthcare
Pharmacist-led Medication Therapy Management Reduces Total Cost of Care. …
Optimizing Sepsis Care Improves Early Recognition and Outcomes. …
Boosting Readiness and Change Competencies Key to Successfully Reducing Clinical Variation.

What are some quality issues in healthcare?
Six quality issues warrant the attention of healthcare leaders: misdiagnoses, star ratings, socioeconomic adjustment for readmissions, the end of Partnership for Patients programs, Medicaid parity expiration, and Disproportionate Share Hospital cuts

What is a quality initiative in healthcare?
5 IT Must-Haves for Quality Initiatives in Healthcare. … Data is the heart of any quality initiative; it establishes a baseline, determines what changes lead to improvement, allows for performance comparisons, and evaluates procedural changes. IT’s role in improving care quality and patient safety is undeniable.

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Nursing Theory to Guide all Nursing Care

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Nursing Theory to Guide all Nursing Care

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Nursing Theory to Guide all Nursing Care

Nursing Theory to Guide all Nursing Care DQ

All Nursing Care Will Be Guided By Nursing Theory

Is your facility using a particular nursing theory to guide all nursing care? Which one is it? Why was this choice made? How do all nurses incorporate the theory into their care?

Important information for writing discussion questions and participation

Welcome to class

Hello class and welcome to the class and I will be your instructor for this course. This is a -week course and requires a lot of time commitment, organization, and a high level of dedication. Please use the class syllabus to guide you through all the assignments required for the course. I have also attached the classroom policies to this announcement to know your expectations for this course. Please review this document carefully and ask me any questions if you do. You could email me at any time or send me a message via the “message” icon in halo if you need to contact me. I check my email regularly, so you should get a response within 24 hours. If you have not heard from me within 24 hours and need to contact me urgently, please send a follow up text to

I strongly encourage that you do not wait until the very last minute to complete your assignments. Your assignments in weeks 4 and 5 require early planning as you would need to present a teaching plan and interview a community health provider. I advise you look at the requirements for these assignments at the beginning of the course and plan accordingly. I have posted the YouTube link that explains all the class assignments in detail. It is required that you watch this 32-minute video as the assignments from week 3 through 5 require that you follow the instructions to the letter to succeed. Failure to complete these assignments according to instructions might lead to a zero. After watching the video, please schedule a one-on-one with me to discuss your topic for your project by the second week of class. Use this link to schedule a 15-minute session. Please, call me at the time of your appointment on my number. Please note that I will NOT call you.

Please, be advised I do NOT accept any assignments by email. If you are having technical issues with uploading an assignment, contact the technical department and inform me of the issue. If you have any issues that would prevent you from getting your assignments to me by the deadline, please inform me to request a possible extension. Note that working fulltime or overtime is no excuse for late assignments. There is a 5%-point deduction for every day your assignment is late. This only applies to approved extensions. Late assignments will not be accepted.

If you think you would be needing accommodations due to any reasons, please contact the appropriate department to request accommodations.

Plagiarism is highly prohibited. Please ensure you are citing your sources correctly using APA 7th edition. All assignments including discussion posts should be formatted in APA with the appropriate spacing, font, margin, and indents. Any papers not well formatted would be returned back to you, hence, I advise you review APA formatting style. I have attached a sample paper in APA format and will also post sample discussion responses in subsequent announcements.

Your initial discussion post should be a minimum of 200 words and response posts should be a minimum of 150 words. Be advised that I grade based on quality and not necessarily the number of words you post. A minimum of TWO references should be used for your initial post. For your response post, you do not need references as personal experiences would count as response posts. If you however cite anything from the literature for your response post, it is required that you cite your reference. You should include a minimum of THREE references for papers in this course. Please note that references should be no more than 5 years old except recommended as a resource for the class. Furthermore, for each discussion board question, you need ONE initial substantive response and TWO substantive responses to either your classmates or your instructor for a total of THREE responses. There are TWO discussion questions each week, hence, you need a total minimum of SIX discussion posts for each week. I usually post a discussion question each week. You could also respond to these as it would count towards your required SIX discussion posts for the week.

I understand this is a lot of information to cover in 5 weeks, however, the Bible says in Philippians 4:13 that we can do all things through Christ that strengthens us. Even in times like this, we are encouraged by God’s word that we have that ability in us to succeed with His strength. I pray that each and every one of you receives strength for this course and life generally as we navigate through this pandemic that is shaking our world today. Relax and enjoy the course!

Hi Class,

Please read through the following information on writing a Discussion question response and participation posts.

Contact me if you have any questions.

Important information on Writing a Discussion Question

  • Your response needs to be a minimum of 150 words (not including your list of references)
  • There needs to be at least TWO references with ONE being a peer reviewed professional journal article.
  • Include in-text citations in your response
  • Do not include quotes—instead summarize and paraphrase the information
  • Follow APA-7th edition
  • Points will be deducted if the above is not followed

Participation –replies to your classmates or instructor

  • A minimum of 6 responses per week, on at least 3 days of the week.
  • Each response needs at least ONE reference with citations—best if it is a peer reviewed journal article
  • Each response needs to be at least 75 words in length (does not include your list of references)
  • Responses need to be substantive by bringing information to the discussion or further enhance the discussion. Responses of “I agree” or “great post” does not count for the word count.
  • Follow APA 7th edition
  • Points will be deducted if the above is not followed
  • Remember to use and follow APA-7th edition for all weekly assignments, discussion questions, and participation points.
  • Here are some helpful links
  • The is a great resource

Safety and infection control measures

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Safety and infection control measures

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Safety and infection control measures

This first reflection should be about observed safety and infection control measures: the nurse recapped needles correctly when giving Heparin I witnessed. Every room he was hands before and after pt even when we left the room he would hand sanitize. Wore gloves when appropriate. He passed medications correctly following the 6 patients’ rights. I followed an PCA (Patient Care Assistant) she followed great hand hygiene. Especially when handing urine specimens and cleaning fecal from a pt who had dementia and alzhmiers.

Steps taken for preservation of human dignity: when the nurse I was shadowing when to check on his pts he would make sure to have the peri area covered to show dignity to the pt. would close the door or bring the curtain around for privacy.

Expectations addressed in orientation related to safety, infection control and human dignity.

How does what you saw and learned compare with what you are learning in your other nursing courses?

Healthcare facilities, whether hospitals or primary care clinics are an area with an elevated risk of disease transmission due to the presence and relative ratio of susceptible individuals. One in ten patients get an infection whilst receiving care[9] yet effective infection prevention and control reduces health care-associated infections by at least 30%[9]. In a healthcare setting, the three components required for infection spread are the following[10]:

Source – places where infectious agents survive (e.g. sinks, hospital equipment, countertops, medical devices).
Environment – patient care areas, sinks, hospital equipment, countertops, medical devices.
People – patients, healthcare workers, or visitors.

Susceptible Person – Someone (Patient, Healthcare Worker, or Visitor) who is not vaccinated or immune to a particular infectious

Safety and infection control measures

disease, or an individual with a compromised immune system / immunodeficient [10].
In addition, susceptibility can be heightened in individuals due to underlying medical conditions, medications, and necessary treatments and procedures that increase the risk of infection (For Example; Surgery).

Transmission – The way in which germs are moved to the susceptible person
Touch, including via medical equipment or a susceptible person (For Example; MRSA or VRE)
Sprays or splashes (For Example; Pertussis)
Inhalation of aerosolised particles (For Example; TB or Measles)
Sharps injuries introducing blood-borne pathogens (For Example; HIV, HBV, HCV)
Controlling Infectious Diseases Within Communities
Infection control and prevention is a global issue and there are many protocols and guidelines that can be followed to minimise the spread of infection between people, within a population and globally[2]. Identifying at-risk groups such as children, older people and those with chronic conditions can also help guide relevant strategies to protect these vulnerable groups. The first step when looking at infection control can start at the community level by changing behaviour, including:

Regular hand washing
Appropriate use of Face-masks (Protect from and Prevent spread of Respiratory Infections)
Using insect repellents
Ensuring up-to-date routine vaccinations and participating in immunisation programmes
Taking prescribed medications, such as antibiotics, as directed by health professionals
Social Distancing – avoiding contact with others
Using condoms when having sex, especially with a new partner

Other steps that can be taken to control the spread within communities include environmental measures such as:

Modifying Environments
Surveillance of Diseases
Food Safety
Air Quality
Medical Interventions
As well as simple steps to prevent and control infections, there are biochemical interventions that can be implemented to speed up the recovery process and in some cases prevent viral infections completely.[11] The development of antibiotics, antivirals and vaccinations have been shown to speed up recovery, slow down the progression and in some cases eradicate infectious diseases from entire populations.

Antibiotics
Antibiotics are prescribed for bacterial infections and support the body’s natural defence system to eliminate the disease-causing bacterial agent. They are designed to either kill bacteria or stop them from reproducing, however poor use of antibiotics, over-prescribing and the mutation of bacteria has led the development of resistant bacteria[12]. In these cases, either stronger doses are required or the combination of one or more antibiotics.

Important information for writing discussion questions and participation

Welcome to class

Hello class and welcome to the class and I will be your instructor for this course. This is a -week course and requires a lot of time commitment, organization, and a high level of dedication. Please use the class syllabus to guide you through all the assignments required for the course. I have also attached the classroom policies to this announcement to know your expectations for this course. Please review this document carefully and ask me any questions if you do. You could email me at any time or send me a message via the “message” icon in halo if you need to contact me. I check my email regularly, so you should get a response within 24 hours. If you have not heard from me within 24 hours and need to contact me urgently, please send a follow up text to

I strongly encourage that you do not wait until the very last minute to complete your assignments. Your assignments in weeks 4 and 5 require early planning as you would need to present a teaching plan and interview a community health provider. I advise you look at the requirements for these assignments at the beginning of the course and plan accordingly. I have posted the YouTube link that explains all the class assignments in detail. It is required that you watch this 32-minute video as the assignments from week 3 through 5 require that you follow the instructions to the letter to succeed. Failure to complete these assignments according to instructions might lead to a zero. After watching the video, please schedule a one-on-one with me to discuss your topic for your project by the second week of class. Use this link to schedule a 15-minute session. Please, call me at the time of your appointment on my number. Please note that I will NOT call you.

Please, be advised I do NOT accept any assignments by email. If you are having technical issues with uploading an assignment, contact the technical department and inform me of the issue. If you have any issues that would prevent you from getting your assignments to me by the deadline, please inform me to request a possible extension. Note that working fulltime or overtime is no excuse for late assignments. There is a 5%-point deduction for every day your assignment is late. This only applies to approved extensions. Late assignments will not be accepted.

If you think you would be needing accommodations due to any reasons, please contact the appropriate department to request accommodations.

Plagiarism is highly prohibited. Please ensure you are citing your sources correctly using APA 7th edition. All assignments including discussion posts should be formatted in APA with the appropriate spacing, font, margin, and indents. Any papers not well formatted would be returned back to you, hence, I advise you review APA formatting style. I have attached a sample paper in APA format and will also post sample discussion responses in subsequent announcements.

Your initial discussion post should be a minimum of 200 words and response posts should be a minimum of 150 words. Be advised that I grade based on quality and not necessarily the number of words you post. A minimum of TWO references should be used for your initial post. For your response post, you do not need references as personal experiences would count as response posts. If you however cite anything from the literature for your response post, it is required that you cite your reference. You should include a minimum of THREE references for papers in this course. Please note that references should be no more than 5 years old except recommended as a resource for the class. Furthermore, for each discussion board question, you need ONE initial substantive response and TWO substantive responses to either your classmates or your instructor for a total of THREE responses. There are TWO discussion questions each week, hence, you need a total minimum of SIX discussion posts for each week. I usually post a discussion question each week. You could also respond to these as it would count towards your required SIX discussion posts for the week.

I understand this is a lot of information to cover in 5 weeks, however, the Bible says in Philippians 4:13 that we can do all things through Christ that strengthens us. Even in times like this, we are encouraged by God’s word that we have that ability in us to succeed with His strength. I pray that each and every one of you receives strength for this course and life generally as we navigate through this pandemic that is shaking our world today. Relax and enjoy the course!

Hi Class,

Please read through the following information on writing a Discussion question response and participation posts.

Contact me if you have any questions.

Important information on Writing a Discussion Question

  • Your response needs to be a minimum of 150 words (not including your list of references)
  • There needs to be at least TWO references with ONE being a peer reviewed professional journal article.
  • Include in-text citations in your response
  • Do not include quotes—instead summarize and paraphrase the information
  • Follow APA-7th edition
  • Points will be deducted if the above is not followed

Participation –replies to your classmates or instructor

  • A minimum of 6 responses per week, on at least 3 days of the week.
  • Each response needs at least ONE reference with citations—best if it is a peer reviewed journal article
  • Each response needs to be at least 75 words in length (does not include your list of references)
  • Responses need to be substantive by bringing information to the discussion or further enhance the discussion. Responses of “I agree” or “great post” does not count for the word count.
  • Follow APA 7th edition
  • Points will be deducted if the above is not followed
  • Remember to use and follow APA-7th edition for all weekly assignments, discussion questions, and participation points.
  • Here are some helpful links
  • The is a great resource

NSG 6435: Infectious Diseases in Children

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NSG 6435: Infectious Diseases in Children

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NSG 6435: Infectious Diseases in Children

NSG6435 Practicum III Family Health – Pediatrics

Week 9 Discussion

Infectious Diseases in Children

The discussion assignment provides a forum for discussing relevant topics for this week on the basis of the course competencies covered.

Discussion: NSG 6435 Infectious Diseases in ChildrenFor this assignment, make sure you post your initial response to the Discussion Area by the due date assigned.

To support your work, use your course and textbook readings and the South University Online Library. As in all assignments, cite your sources in your work and provide references for the citations in APA format.

Start reviewing and responding to the postings of your classmates as early in the week as possible. Respond to at least two of your classmates’ initial postings. Participate in the discussion by asking a question, providing a statement of clarification, providing a point of view with a rationale, challenging an aspect of the discussion, or indicating a relationship between two or more lines of reasoning in the discussion. Cite sources in your responses to your classmates. Complete your participation for this assignment by the end of the week.

Discussion: NSG 6435 Infectious Diseases in ChildrenClinical Case Scenario:

An eighteen-month-old child, well-known to your practice, presents with a seven-day history of fever ranging from 101 to 104.7 degrees Fahrenheit. On the fourth day of the fever, the emergency department had performed the following tests:

A blood and urine culture

A complete blood count

A comprehensive metabolic panel

Discussion: NSG 6435 Infectious Diseases in ChildrenThe culture reports were found to be negative.

Today, the vitals of the child are the following:

Temperature: 101.5 degrees Fahrenheit

Heart rate: 120 beats/minute

Respiratory rate: 20 breaths/minute

Blood pressure: 90/40

Discussion: NSG 6435 Infectious Diseases in Children

Discussion: NSG 6435 Infectious Diseases in ChildrenPhysical examination of the child indicates the following positive findings:

Injected conjunctiva

Palmar redness

Magenta-colored lips

Red macula

Excoriating rashes in the diaper area

On the basis of the above information, respond to the following:

What is the CC, VITALS, HPI, ROS, and PE findings of this case?

What labs were order or do you want to order? Why do you want to order those labs?

What are 3 differential diagnoses for this clinical case? Why? What clinical data support your differentials?

What is the most likely diagnosis? Identify the clinical data that supports why you believe this is true and provide a rationale for your answer.

Discussion: NSG 6435 Infectious Diseases in ChildrenAs the Nurse Practitioner caring for the patient, what is the next step in this evaluation? What is your treatment recommendation and education for the patient/family? Why? Anticipatory guidance?

The answers to the questions are to be posted in following the SOAP NOTE FORMAT below. You are to include the headings and subheadings below in your answer:

SUBJECTIVE

CC:

HPI:

ROS:

MEDICAL HISTORY (if available)

OBJECTIVE

VITALS

PHYSICAL EXAM

LABS & DIAGNOSTIC RESULTS

ASSESSMENT

PRIMARY DIAGNOSIS

2 DIFFERENTIAL DIAGNOSIS

PLAN

TREATMENT

EDUCATION

ANTICIPATORY GUIDANCE

NURS 601B

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NURS 601B

Please respond to the discussion prompt.

Discuss the differences and similarities between the adult and pediatric preventative care visits. What are the goals of patient education and counseling related to preventive care? Give examples.

NURS 601B Week 6 Discussion APRN Bridge course

Use at least one scholarly source other than your textbook to connect your response to national guidelines and evidence-based research in support of your ideas. This is required. In addition, you may also provide an example case, either from personal experience or from the media, which illustrates and supports your ideas.  All sources must be referenced and cited using correct APA (including a link to the source).

The process of transition of care of adolescents with special health care needs has been recognized as a priority in the past years, especially with the new advances in medical technology that has improved the lives of children with chronic conditions. The prevalence of adolescents between 12 and 18 years with special health care need is 18.4%, a double that of young children.

Health care transition is the process of changing from a pediatric to an adult model of health care. There are significant differences between adult and pediatric health care model, which may affect adherence by young adults with chronic diseases. Pediatric care is family oriented and relies on significant parental involvement in decision making; however, adult care is patient-specific and requires autonomous, independent skills of patients, without many interdisciplinary resources. Health care transition is important for all youth, even if they do not have special needs in order to maximize lifelong functioning and well-being. Although several models have been proposed, it is widely accepted that a well-timed transition from child-oriented to adult-oriented health care is specific to each person, and ideally should occur between the ages of 18 and 21 years.

Position statements by the leading primary care organizations, including the American Academy of Pediatrics in 2002 and 2011, are a step toward addressing this need. In 2002, a consensus statement coauthored by the American Academy of Pediatrics, the American Academy of Family Physicians, and the American College of Physicians-American Society of Internal Medicine was published, stating the importance of supporting and facilitating the transition of adolescents with special health care needs into adulthood. The consensus statement articulated 6 “critical first steps” to ensuring the successful transition to adult-oriented care:

  1. Ensure that all young people with special health care needs have an identified health care professional who attends to the unique challenges of transition and assumes responsibility for current health care, care coordination, and future health care planning.

  2. Identify the core knowledge and skills required to provide developmentally appropriate health care transition services to young people with special health care needs; and to make them part of training and certification requirements for primary care residents and physicians in practice.

  3. Prepare and maintain an up-to-date medical summary that is portable and accessible, providing a common knowledge base for collaboration among health care professionals.

  4. Development of up-to-date and detailed written transition plans, in collaboration with young people and their families.

  5. Ensure that the same standards for primary and preventive health care are applied to adolescents.

  6. Ensure that affordable, comprehensive, and continuous health insurance is available to young people with chronic health conditions throughout adolescence and into adulthood.

After more than a decade of effort, widespread implementation of health care transition systems has not been realized. A recent review revealed that more than half of the adolescents with chronic health conditions report inadequate support and services during their transition to adult health care. Many factors have been recognized as obstacles to a proper transition of care including inadequate planning, poor service coordination, lack of resources, and gaps in education and training. A survey revealed that majority of general internists and pediatricians are not comfortable providing primary care for young adults with chronic illnesses of childhood origin, such as cystic fibrosis and sickle cell disease. Other factors identified are the physical and psychosocial developmental changes that accompany adolescence, some of which adult doctors may not be used to. Together, these challenges contribute to potentially serious health-related consequences including patient disengagement, poor treatment adherence, increased hospitalization rates, and overall detrimental health outcomes.

The role of pediatricians in the process of transition of care is especially important, since we are in frequent contact with the adolescents and build a close relationship with their families. The process begins with the development of a transition policy and its dissemination to all families, to ensure they can understand that transition planning will be part of chronic care management. This plan should be developed with the adolescents and family members, and should be updated in subsequent visits until the patient is ready for implementation in early adulthood. It is important to document the steps to be conducted to meet the identified needs, as well as identifying appropriate adult care resources. Tools we can implement in our practice are the “Transition Youth Registry” to track the progress of each patient in the transition process, and a “Longitudinal Readiness Checklist” to assess the adolescent’s ability for independence and self-management. Other tools can also be found online as part of the “Got Transition” program from the National Health Care Transition Center. Finally, we should ensure an appropriate coordination between pediatric and adult specialties and subspecialties involved in the transition process.

Transition of care should also be part of the didactic curriculum in residency programs. There is lack of training in transition of care at many levels including undergraduate/graduate medical education and maintenance of certification. One third of the programs have not provided any education about transition of care. Recent graduates of pediatric residency programs have also recognized gaps in training to deal with children with chronic illnesses.