NUR 2868 Political Issues for Nursing

/0 Comments/in /by

NUR 2868 Political Issues for Nursing

CLICK HERE TO ORDER A PLAGIARISM-FREE PAPER

NUR 2868 Political Issues for Nursing

Go to the ANA home page and search for their Advocacy Policy.
Read through the ANA Advocacy Policy’s web pages.

Look at issues at a federal, state, or local level for which
the ANA is advocating change or new policies.

Click here to ORDER an A++ paper from our Verified MASTERS and DOCTORATE WRITERS:

Which one are you most eager to see enacted? Why does it
interest you? How will passage of such legislation affect you or your patients?

Thanks to their frontline role, nurses offer a unique, expert perspective on every aspect of the health care system, and have a key voice in ongoing efforts to improve public health. As the lead organization representing the interests of the nation’s 4 million registered nurses, ANA’s role is to articulate that voice at the highest levels in order to influence health policy.

Our efforts are directed at those responsible for creating the modern U.S. health care environment the policy makers and agencies whose decisions will affect patients and those who care for them. We are dedicated to ensuring that the voice of nursing is heard at all levels where these decisions are made.

Health System Reform

ANA believes every single person, including nurses, should have access to the highest quality and safest care. Health care is a basic human right. For decades, we have used the experience and expertise of our members to fight for that right, and for meaningful health care reform.

The passage of the 2010 Patient Protection and Affordable Care Act (often referred to as the ACA) – and recent high-profile attempts to change it – demonstrates how health care legislation is one of the most important issues facing our leaders today.

Agencies and regulations

While Congress makes the laws, much of the critical federal-level advocacy that ANA carries out is geared towards those whose role it is to interpret, and enforce, legislation that may affect our profession and its members – the numerous agencies of the federal government.

The day-to-day work of agencies such as the Centers for Medicare and Medicaid Services (CMS), Centers of Disease Control (CDC), The Federal Drug Administration (FDA), and Health Resources and Services Administration (HRSA) have a huge impact on all who work in the health care system. It is vital that the voice of nursing is heard during their decision-making processes.

Care Coordination

With the transformation of the health care system well underway, care coordination is now being highlighted by hospitals, health systems, and insurers as a key tool in improving patient health and satisfaction, and controlling health care costs.

ANA is leading the way through a number of initiatives to bring attention to nurses’ essential role in care coordination and to demand payment for these essential services as a distinct component of patient care.

Health Information Technology

Health Information Technology (HIT) has enabled the pursuit of better care coordination, allowing health care providers to quickly capture standardized data, use it to inform patient care, and communicate it to their colleagues across a range of clinical settings.

But with such potential comes a greater level of responsibility for nurses who, thanks to their place on the frontline, are key stakeholders in the implementation of any new practices and procedures. This is why ANA has taken a particular interest HIT and its implications for nurses – both in terms of opportunities and additional workload.

NUR643E Musculoskeletal Exam Guide

/0 Comments/in /by

NUR643E Musculoskeletal Exam Guide

NUR643E Develop  Problem-Focused Exam Involving  Musculoskeletal System And Extremities

DQ1 As an instructor, you are working with a nursing student to develop a problem-focused exam involving the musculoskeletal system and extremities.  Formulate potential questions to support the student in soliciting specific information about the patient related to past history, drugs that may adversely affect the musculoskeletal system, family history, psychosocial profile, and provide rationale.

DQ2 The goal of a complete musculoskeletal assessment is to detect risk factors, potential problems, or musculoskeletal dysfunction early and then to plan appropriate interventions, including teaching health promotion and disease prevention, and implementing treatment measures. By doing so, you can play a signi?cant role in preventing pain and dysfunction in your patients. Describe a plan to provide patient teaching that incorporates health promotion and disease prevention. Provide rationale.

CLICK HERE TO ORDER A PLAGIARISM-FREE PAPER

Technique

In examining the musculoskeletal system it is important to keep the concept of function in mind. Note any gross abnormalities of mechanical function beginning with the initial introduction to the patient. Continue to observe for such problems throughout the interview and the examination.

On a screening examination of a patient who has no musculoskeletal complaints and in whom no gross abnormalities have been noted in the interview and general physical examination, it is adequate to inspect the extremities and trunk for observable abnormalities and to ask the patient to perform a complete active range of motion with each joint or set of joints.

If the patient presents complaints in the musculoskeletal system or if any abnormality has been observed, it is important to do a thorough musculoskeletal examination, not only to delineate the extent of gross abnormalities but also to look closely for subtle anomalies.

To perform an examination of the muscles, bones, and joints, use the classic techniques of inspection, palpation, and manipulation. Start by dividing the musculoskeletal system into functional parts. With practice the examiner will establish an order of approach, but for the beginner it is perhaps better to begin distally with the upper extremity, working proximally through the shoulder. Then, beginning with the temporomandibular joint, pass on to the cervical spine, the thoracic spine, the lumbar and sacral spine, and the sacroiliac joints. Finally, in the lower extremity, again begin distally with the foot and proceed proximally through the hip.

Use the opposite side for comparisons: it is easier to spot subtle differences as well as identify symmetrical problems. If there is any question, use your own anatomy as a control.

Glean the maximum information from observation. Concentrating on one area at a time, inspect the area for discoloration (e.g., ecchymoses, redness), soft tissue swelling, bony enlargement, wasting, and deformity (abnormal angulation, subluxation). While noting these changes, attempt to determine whether they are limited to the joint or whether they involve the surrounding structures (e.g., tendons, muscles, bursae).

Observe the patient’s eyes while palpating the joints and the surrounding structures. A patient’s expression of pain depends on many factors. For this reason the verbalization of pain often does not correlate directly with the magnitude of the pain. The most objective indicator of the magnitude of tenderness produced by presence on palpation is involuntary muscle movements about the eyes. Therefore, the examiner should observe the patient’s eyes while palpating the joints and surrounding structures. With practice the examiner will become skilled in evaluating the magnitude of pain produced by the examination and will be able to do a skillful evaluation without producing excessive discomfort to the patient. Note areas of tenderness to pressure, and if possible identify the anatomic structures over which the tenderness is localized.

One should also note areas of enlargement while palpating the joints and surrounding structures. By noting carefully the consistency of the enlargement and its boundaries, one can decide whether this is due to bony widening, thickening of the synovial lining of the joint, soft tissue swelling of the structure surrounding the joint, an effusion into the joint capsule, or nodule formation, which might be located in a tendon sheath, subcutaneous tissue, or other structures about the joint.

While palpating the joints, note areas of increased warmth (heat). A method for doing this that will help even the most inexperienced to perceive subtle increases in heat is to choose the most heat-sensitive portion of the hand (usually the dorsum of the fingers) and, beginning proximally, lightly pass this part of your hand over all portions of the patient’s extremity several times. As you proceed from proximal to distal, the skin temperature gradually cools. If you find an area becoming slightly warmer, this represents increased heat.

Have the patient perform active movements through an entire range of motion for each joint. Defects in function can be most rapidly perceived by having the patient perform active functions with each region of the musculoskeletal system. This reduces examination time and helps the examiner to identify areas in which there is poor function for more careful evaluation.

Manipulate the joint through a passive range of motion only if the patient is unable actively to perform a full range of motion, or if there is obvious pain on active motion. In passively manipulating a joint, note whether there is a reduction in the range of motion, whether there is a pain on motion, and whether crepitus is produced when the joint is moved. Note also whether the joint is stable or whether abnormal movements may be produced.

Upper Extremity

Observe and palpate both hands and wrists, noting areas of color change, enlargement, and temperature change (described elsewhere). Also note deformities if present (contractures, subluxations, abnormal angulations). Look carefully for nail and cuticle abnormalities, atropy of the thenar or hypothenar eminences, and triggering. Triggering in a finger is caused by an inflammatory nodule within a tendon sheath. It is characterized by an inability to extend a finger until a larger than usual force is applied along the flexor tendon sheath and the finger snaps into extension. Ask the patient to make a tight fist with both hands. Ask the patient to grasp a small object such as a finger. If the patient is capable of making a tight fist and grasping a small object with no observable abnormality, then a passive manipulation of the metacarpophalangeal joints and proximal and distal interphalangeal joints need not be made; however, should an abnormality be detected, passive examination of the range of motion of each of the joints should be performed.

Normal range of motion for the fingers:

  • Distal interphalangeal joints (digits 2–5): 0 to 80 degrees of flexion
  • Proximal interphalangeal joints (digits 2–5): 9 to 120 degrees of flexion
  • Interphalangeal joint of the thumb: 35 degrees hyperextension, 90 degrees flexion
  • Metacarpophalangeal joints (digits 3–5): 30 degrees hyperextension, 90 degrees flexion
  • Metacarpophalangeal joint of the thumb: 0 to 70 degrees of flexion

To examine range of motion of the wrist, ask the patient to assume an attitude with the elbows flexed and the forearms parallel to the floor, and then press the palms of the hands and the dorsum of the hands as closely together as possible, producing angulation of the wrist. The wrist can normally be dorsiflexed to 70 degrees and palmar flexions should be possible to approximately 80 or 90 degrees. Ask the patient to deviate the hand ulnarward; this should be possible to 50 to 60 degrees. Finally, ask the patient to deviate both hands radialward; this should be possible to approximately 20 degrees.

Observe and palpate both elbows and over the olecranon process, again noting areas of color change and enlargement. Be careful to observe for synovial thickening or effusion both in the joint itself and in the area of the olecranon bursa. Observe for subcutaneous nodules over the olecranon process. Ask the patient to extend both elbows fully and to flex them fully. The position of full extension is designated as 0 degrees, and flexion should be performed well to 160 degrees in the normal state.

The range of motion in the radiohumeral joints is then tested by asking the patient to pronate and supinate both hands fully. In the normal state the palm of the hand should be able to be placed flat on a table in pronation and the dorsum of the hand flat on the table in supination.

The examination of the shoulder is best performed with the patient sitting or standing in such a position that the examiner can move freely about the patient’s body. Range of motion of the shoulder should be examined with and without manual fixation of the shoulder.

The shoulder mechanism is a complicated system where several joints act in concert. The physician should be familiar with the anatomy of the shoulder and of the contiguous structures that act together. These include the glenohumeral joint, the acromioclavicular joint, the sternoclavicular joint, the gliding tissue space between the scapula and thorax, the shoulder capsule or rotator cuff, and the subacromial bursa.

NURS 4465 Population and Community Nursing

/0 Comments/in /by

NURS 4465 Population and Community Nursing

CLICK HERE TO ORDER A PLAGIARISM-FREE PAPER

NURS 4465 Population and Community Nursing

Each person has his or her own personal history; that is, his or her collected experiences. Everything you have ever seen, heard, felt, learned, or experienced has lead to the development of this personal history. Factors that affect this history include your gender, race, age, ethnicity, culture, education, native language, and religion, to name a few. Collectively, these factors create the sum total of who you are as a person. Bias occurs when a person has a tendency towards a particular perspective or ideology (i.e. your personal history); after all, you see the world through your own eyes. To some extent, every person has a natural bias. However, if or when your personal bias interferes with your ability to be unprejudiced or objective – especially in your nursing practice – your biases can become problematic. In this discussion, you will have the opportunity to determine how strong your biases are.You should post your original message by 23:59 PM Wednesday. You should also reply to posts by two of your peers by 23:59 PM, Saturday of Module 3.

NURS 4465 Module 3 Discussion Population and Community Nursing

In the professional nursing practice, nurses must provide unbiased care, even in situations where the person/s being treated have different backgrounds (language, religion, culture, ethnicity, etc.) than you. The first step in overcoming and minimizing personal biases is to recognize them. In this discussion, you will assess your personal biases. Answer the questions honestly and to the best of your ability, noting that there are no right or wrong answers.

Complete the General Awareness and Attitudes Scale Preview the document

The General Awareness and Attitudes Scale is adapted from the Cultural Awareness Scale by Catterson, Cookston, Martinez, & Rew (1998). Answer the question as honestly as possible. There are no right or wrong answers.

Once you complete and score the General Awareness and Attitudes Scale, answer the following questions:

What does the scale say about you?

How strong are your biases?

NOTE: Do NOT post your individual scores. This discussion is not about how you score, but about personal discovery. In other words, the focus of this discussion is about what you learn about yourself. You also do NOT need to share your score with your academic coach.

How can you address these personal biases in your professional nursing practice?

Your original post should consist of complete sentences and should be at least two complete paragraphs but no more than three paragraphs.

NURS 680B

/0 Comments/in /by

NURS 680B

CLICK HERE TO ORDER A PLAGIARISM-FREE PAPER

NURS 680B

A 82-year-old diabetic male reports losing 12 lb

Select one of the following case studies to address. In the subject line of your post, please identify which prompt you are responding to, for example, choice #2 19-year old male.

A 82-year-old diabetic male reports losing 12 lbs. over the last month.

NURS 680B A 82-year-old diabetic male reports losing 12 lb

A mother brings in her pale and fatigued 16 month old son, who was changed to cow’s milk after his first birthday.

For the case you have chosen, post to the discussion:

Discuss what questions you would ask the patient, what physical exam elements you would include, and what further testing you would want to have performed.

In SOAP format, list:

Pertinent positive and negative information

Differential and working diagnosis

Treatment plan, including: pharmacotherapy with complementary and OTC therapy, diagnostics (labs and testing), health education and lifestyle changes, age-appropriate preventive care, and follow-up to this visit.

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.

In your peer replies, please reply to at least one peer who chose a different case study.

An 80-year-old woman with a past medical history of type 2 diabetes mellitus, asthma, and recurrent urinary tract infections presented to our clinic complaining of decreased appetite and weight loss. The patient lost 17 lb over the past 6 months. She also reported a poor appetite and nausea. She denied history of rectal bleeding and melena. A 2011 colonoscopy had previously revealed an adenomatous polyp.

Physical examination. The patient was in no distress and had no oral lesions. There was no abdominal tenderness or palpable masses.

Laboratory tests. An evaluation revealed hemoglobin 10 g/dL, hematocrit 33%, and mean corpuscular volume of 65 fL. Her white blood cell count was 7.4 mmol/L and platelets were 399 x 109/L. Urinalysis showed red blood cells, trace blood, and a few bacteria. The urine culture showed no growth. Her hemoglobin A1c count was at 6.5%.

Subsequent laboratory test results revealed an iron serum level of 22 mg/dL, total iron-building capacity 218 g/dL, ferritin 697.8 ng/mL, thyroid-stimulating hormone (TSH) 2.22 nIU/L, vitamin B12 311 pg/mL, and a folate level of 4.8 ng/mL.

Radiology. A CT scan of the abdomen and pelvis showed a mass in the upper pole of the left kidney (Figure).

Discussion. Weight loss is common in older adults. It occurs in 15% to 20% of older patients. It is associated with functional decline, frailty, and increased mortality.1-3 Clinicians should review weight trends at every office visit. Although it is not abnormal for the patient’s weight to steadily decline with age, the acceptable rate of weight loss is approximately 0.1 kg to 0.2 kg per year.4 Clinically, significant weight loss in the older adult is defined as a decrease of ≥5% of usual body weight over a 6- to 12-month period.4 If the healthcare provider observes such weight loss, further investigation is warranted.

It is difficult to determine the cause of weight loss in older patients who have multiple medical and psychosocial challenges. Malignancy, chronic disease, depression, cognitive impairment, poor oral health, low income, and medication side effects are a few of the common reasons older adults lose weight.

There are no guidelines available to assist clinicians in the workup of these complex patients. Evaluation usually consists of a through history, physical examination, and laboratory tests, including a complete blood count, comprehensive metabolic panel, urinalysis, sedimentation rate, and TSH.

The clinician’s knowledge of the patient and family is also useful in determining whether or not further studies are appropriate. In the above patient, her physician did not suspect depression or cognitive impairment. Her chronic medical problems were well-controlled. The patient had 2 daughters—both nurses—who provided close observation and care to the patient. In light of the patient’s history of adenomatous polyps, anemia, and microscopic hematuria, colonic or genitourinary malignancy were high in the differential. Therefore, a CT scan of the abdomen and pelvis seemed to be the best, first imaging test to pursue.

Outcome of the case. The patient was referred to urology for evaluation, and underwent hand assisted laparoscopic nephrectomy of her left kidney. Pathology revealed clear cell renal cell carcinoma confined to the capsule. The patient had an uneventful postoperatively course. One month later, the patient was doing very well and had gained 7 lb.

References:

1.Gaddey HL, Holder K. Unintentional weight loss in older adults.
Am Fam Physician. 2014;89(9):718-722.

2.Stajkovic S, Aitken EM, Holroyd-Leduc J. Unintentional weight loss in older adults. CMAJ. 2011;183(4):443-449.

3.Robertson RG, Montagnini M. Geriatric failure to thrive. Am Fam Physician. 2004; 70(2): 343-350.

4.Smith KL, Greenwood C, Payette H, et al. An approach to the nonpharmacologic and pharmacologic management of unintentional weight loss among older adults. Geriatrics Aging. 2007;10(2):91-98.

Obesity Among Children in the US

/0 Comments/in /by

Obesity Among Children in the US

CLICK HERE TO ORDER A PLAGIARISM-FREE PAPER

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

/0 Comments/in /by

NU 643 Week 11 Assignment 1

CLICK HERE TO ORDER A PLAGIARISM-FREE PAPER

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

/0 Comments/in /by

Community Health Needs

CLICK HERE TO ORDER A PLAGIARISM-FREE PAPER

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

/0 Comments/in /by

Telemedicine Transitional Care

Telemedicine Transitional Care Assignment

CLICK HERE TO ORDER A PLAGIARISM-FREE PAPER

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

/0 Comments/in /by

Improved Population Health Discussion

CLICK HERE TO ORDER A PLAGIARISM-FREE PAPER

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

Nursing Theory to Guide all Nursing Care

/0 Comments/in /by

Nursing Theory to Guide all Nursing Care

CLICK HERE TO ORDER A PLAGIARISM-FREE PAPER

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