Nursing

Describe the functions of the accessory organs of digestion in the digestive process.
Place your order today!
Solution
The Functions of The Accessory Organs of Digestion in The Digestive Process
The digestive process is a complex activity that involves several body organs for the breakdown of food into useful chemicals. The involved organs are known as accessory organs which their main function is to secrete or store substances that are needed for digestion (Chruscik et al., 2021). These accessory organs include the salivary glands, liver, gall bladder, and pancreas. Each one of these organs has a special function that aids in breaking down the food into useful chemicals and nutrients for the ingestion, digestion, and absorption in the body system, as well as secretion of the unwanted waste in the digestion process. To begin with, the saliva glands are responsible for the moistening of the food during the first stage of the digestion process. The saliva contains important enzymes and proteins that aid in the lubrication and chemical breakdown of the food (Sonjaya & Fadlurahman, 2019).
On the other hand, the liver functions as a bile producer, where the secretion of the bile juice into the small intestines assists in the absorption of fats through the emulsification process. Nevertheless, the liver works hand in hand with the gall bladder as it acts as the storage of the bile that is secreted by the liver. The main function of the gall bladder, therefore, is the storage and concentration of the excess bile that is secreted by the liver (Sonjaya & Fadlurahman, 2019). Finally, on the pancreas, the work of this accessory organ is to secrete bicarbonate and digestive enzymes that are crucial in aiding the digestive process within the duodenum area (Chruscik et al., 2021). The main function of the pancreatic juice produced by the pancreas is to buffer the stomach acids, as well as assist in breaking down the proteins, fats, and carbohydrates for absorption within the body system. Therefore, all these accessory organs have a crucial function in assisting the digestive process as required.
References
Chruscik, A., Kauter, K., Whiteside, E., Windus, L., & Open Textbook Library. (2021).
Fundamentals of Anatomy and Physiology.
Sonjaya, I., & Fadlurahman, R. (2019). Learning media for the human digestive system based on
augmented reality. Journal of Physics: Conference Series, 1193(1) doi:http://dx.doi.org/10.1088/1742-6596/1193/1/012035

PUB 655- ASSIGNMENT (1)-Evaluating a Global Health Issue
VERY IMPORTANT-Details
This is a 5 slide PowerPoint presentation. Please include the title and reference slides
For this PowerPoint order – please refer to the following uploads-
Links to the following websites has been uploaded
• Institute for Health Metrics and Evaluation-website link-
• Global Burden of Disease-The Lancet Website
I will leave you to choose any country that you are comfortable with to to write about.
Please follow format for PowerPoint Headings as instructed on the page with the questions ( this is on the question page that was uploaded)
Sources must be published within the last 5 years and appropriate for the assignment criteria and public health content.
Details of the question and the rubric are also uploaded
-Please include introduction, Thesis statement, and conclusion in the powerpoint..
– Sources must be published within the last 5 years. It must be from 2016 and after
– Sources must be appropriate for the assignment criteria and public health content.
– Please do not use blogs as references
-References should be in APA 7th ed.
-Add references to the reference page.
-Add the hyperlink for each reference in APA 7th edition format.
Thank you.
ORDER A PLAGIARISM-FREE PAPER HERE !!
Solution

NRS 433V All Assignments
NRS 433V All Assignments
NRS 433V Week 1 Literature Search: Prevention of Surgical Site Infection
Details:
Conduct a literature search to locate research articles focused on a practice problem of interest. This literature search should include both quantitative and qualitative peer research articles to support your practice problem or issue of interest in 350-750 words.
Identify six peer research articles which will be utilized through the next 5 weeks as reference sources. Create a reference list in which the six articles are listed. Beneath each reference include the article’s abstract. The completed assignment should have a title page and a reference list with abstracts.
Suggestions for locating qualitative and quantitative research articles from credible sources:
Use a library database such as CINAHL Complete for your search.
Using the advanced search page check the box beside “Research Article” in the “Limit Your Results” section.
When setting up the search you can type your topic in the top box, then add quantitative or qualitative as a search term in one of the lower boxes. Research articles often are described as qualitative or quantitative.
To narrow/broaden your search, remove the words qualitative and quantitative and include words that narrow or broaden your main topic. For example: Diabetes and pediatric and dialysis. To determine that research design was used, review the abstract and the methods section of the article. The author will provide a description of data collection using qualitative or quantitative methods.
Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
NRS 433V Week 2 Research Summary and Ethical Considerations
Select either the qualitative or quantitative study method for this assignment. In an essay of 750-1,000 words, summarize the study, explain the ways in which the findings might be used in nursing practice, and address any ethical considerations associated with the conduct of the study.
Refer to Resource Research Summary and Ethical Considerations Guidelines for suggested headings for your paper. Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.
NRS 433V Week 3 Assignment Critical Analysis of Qualitative Study (Part 1)
Introduction to Nursing Research Theory, Design, and Sampling
Prepare a critical analysis of a qualitative study focusing on the problem statement, study purpose, research question, literature review, and theoretical framework. This can be one of the selected articles from your previous literature review or a new peer-reviewed article.
The completed analysis should be 1,000-1,250 words and should connect to your identified practice problem of interest.
Refer to “Research Critique Part 1.” Questions under each heading should be addressed as a narrative, in the structure of a formal paper.
Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.
NRS 433V Week 4 Benchmark Research Critique (Part 2)
Prepare a critical analysis of a quantitative study focusing on protection of human participants, data collection, data management and analysis, problem statement, and interpretation of findings. The quantitative research article can be from your previous literature review or a new peer-reviewed article.
Each study analysis will be 1,000-1,250 words and submitted in one document. As with the assignments in Topics 1-3, this should connect to your identified practice problem of interest.
Refer to the resource entitled “Research Critique Part 2.” Questions under each heading should be addressed as a narrative, in the structure of a formal paper. You are also required to include an Introduction and Conclusion.
Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
You are required to submit this assignment to Turnitin.
Submit the assignment along with an electronic version of the article used for the analysis. If an electronic version is not available, submit a clean unmarked copy of the article.
NRS 433V Week 5 Evidence-Based Practice Presentation Healthcare Associated Infections
NRS 433V Week 5 – Evidence-Based Practice Presentation – Healthcare Associated Infections [12 Slides + Speaker Notes]
This is a CLC assignment.
Choose a nursing problem from your current practice setting, and identify a possible solution to that problem.
Conduct a search of the literature related to this problem.
Analyze and critically appraise evidence-based literature to support the solution to the identified problem. A minimum of (5) articles must be identified. This may include guidelines from the National Guideline Clearinghouse, Joanna Briggs Institute, or a review from the Cochrane Database of Systematic Review.
Prepare a 10-minute (8-10 slides; no larger than 5 MB) PowerPoint presentation related to the problem, evidence appraisal, and practice implications.
Include the following components into the presentation:
Present the nursing practice problem with the PICOT question.
Discuss your appraisal of the literature that addresses the problem.
Present the proposed practice changes from an integration of the findings.
While APA format is not required for the body of this assignment, solid academic writing is expected and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center.
NRS 433V Week 5 Assignment – PICOT Statement
You are to write a PICO question in a word document, individually and submit for week 5.
The PICO statement will provide a framework for your Capstone Project (The project you must complete during your final course in the RN-BSN program of study). You can review the PICO article “Evidence-Based Practice, Step by Step: Asking the Clinical Question” (2010) for help with this.
The PICO question should be written to address the following:
P-Patient population (what are the characteristics of the patient or population or what disease are you interested in)?
I- Intervention (What do you want to do with this patient population-treat/observe/diagnose)?
C- Comparison (What are the alternatives to the intervention placebo, different drug, different nursing intervention)?
O- Outcome (What is the desired effect of the intervention to the patient population)?
T- Timeframe (By when do you want to see results?)

Policy Organization and Financing Healthcare- Public Policy
What is a public policy meeting? A meeting held by public or governmental officials to discuss and deal with public problems or issues, communicate and disseminate information, and engage in problem-solving, policy change strategizing and/or decision making. Open public policy meetings are when the public’s business is conducted in open, noticed meetings, where the public, lobbyists and members of the news media have the right to attend, record, broadcast, and in some cases participate in the meeting. An open meeting agenda is usually posted in advance and meeting materials may be made available.
Create a post seeking approval for your public policy meeting. Choose a meeting to view or attend. It must be a public policy body at work and related to health care. If it is a recorded meeting, please make sure it has been posted within the last year. Title the post with your name and the name of the policy meeting.
For example: Smith: Affordable Health Care Policy Meeting. In the body of the post include the title or topic focus of the policy meeting the date and time of the meeting the location of the meeting (if online, include the website). Some websites are:
https://www.c-span.org/ (Links to an external site.) search the video library or the live sessions)
http://www.youtube.com (Links to an external site.) (perform a search for your topic)
Your local government or healthcare organization websites
– Any clinical reference should be about Emergency Department
ORDER A PLAGIARISM-FREE PAPER HERE !!
Solution
Policy Organization and Financing
Name: VNA Press Conference on COVID Nurse Burnout
The aim of writing this thread is to seek approval for my public policy meeting. The meeting was be held on 21st September 2021 at 10.00 AM. The meeting was held online for convenience purposes and also to help save on costs. The link to the meeting https://www.youtube.com/watch?v=-fU9fYAsQn4. Holding the meeting on YouTube help reach a large number of people and also be able to engage with the audience. The aim of the meeting was to discuss nurse burnout, its impacts, and how the issue can be addressed.
Nurse burnout is a phenomenon that is widespread that is usually manifested by a reduction in the nurse’s energy, lack of motivation, emotional exhaustion, and feelings of exhaustion. The meeting will address some of the causes of nurse burnout. These causes include sleep deprivation, long working hours and shifts, stressful environments, emotional strain from patient care, and lack of support from the management. It is crucial to address the issue of nurse burnout because it tends to have a significant impact on the health outcome of the patients and also the wellness of the nurses. Nurse burnout contributes greatly to medical errors, which negatively affect the patients’ health outcomes. Other impacts of nurse burnout include lowering the nurse’s performance level and quality of life and also increases the nurse turnover rate.
References
Bagherian, F., & Hosseini, S. A. (2019). Burnout and job satisfaction in the emergency department staff: a review focusing on emergency physicians. International Journal of Medical Investigation, 8(3), 13-20.

Pick one model/framework (please select one not described in your textbook, here are a few: Leinninger, Purnell, Sager, Galanti, Jeffreys, Spector, Andrews & Boyle) and provide an in-depth analysis:
Your paper should include the following parts:
Title/Cover Page
Introduction: State the model/framework that you have selected, and the reasoning behind your selection
Application: Choose a specific cultural group (any that we have studied in this course) and apply the chosen frameworks to the cultural group. Describe the details of the framework and how your selected cultural group fits into the framework. Did it work well? Why or why not?
Implications: How do you feel using a framework will impact your nursing practice? Will you continue to use a framework in your daily practice? Why or why not?
Conclusion: Wrap up your thoughts and provide a brief summary of your ideas (250-400 words)
Reference page: Provide a minimum of four scholarly sources
Use APA format and clearly define the components listed above. Your paper should be between 4-6 pages, including the reference page and title/cover page. Refer to the OU Library’s APA Style Guide for assistance with formatting your paper. Click the assignment link to compare your work to the rubric before submitting it. Click the same link to submit your assignment.

To prepare:

To further your self-knowledge, you are required to complete the Kiersey Temperament as indicated in this week’s Learning Resources. Consider your leadership style, including your strengths for leading others and include your results from Kiersey Temperament Sorter to describe potential challenges related to your leadership style.
Mentally survey your work environment, or one with which you are familiar, and identify a timely issue/dilemma that requires you to perform the leadership role of moral agent or advocate to improve a situation (e.g., speaking or acting on behalf of a vulnerable patient, the need for appropriate staffing, a colleague being treated unfairly).
What ethical, moral, or legal skills, dispositions, and/or strategies would help you resolve this dilemma? Define the differences between ethical, moral, and legal leadership.
Finally, consider the values and principles that guide the nursing profession; the organization’s mission, vision, and values; the leadership and management competencies addressed in this course; and your own values and reasons for entering the profession. What motivation do you see for taking a stand on an important issue even when it is difficult to do so?

To complete:

Write a 4 page paper (page count does not include title and reference page) that addresses the following:

Introduce the conceptual frameworks of the ethical constructs of ethics, moral, or legal standards and the purpose of the paper.
Consider an ethical, moral, or legal dilemma that you have encountered in your work environment and describe it.
Analyze the moral, ethical, and legal implications utilized in this situation. Describe your role as a moral agent or advocate for this specific issue.
Consider your leadership styles identified by your self-assessment and determine if they act as a barrier or facilitation during this dilemma.

Please paper should have introduction and summary. References should be within the last 5 years. Thank You.

Evidence-Based Proposal and Annotated Bibliography on Technology in Nursing
Write a 4-6 page annotated bibliography where you identify peer-reviewed publications that promote the use of a selected technology to enhance quality and safety standards in nursing.
Introduction
Before you begin to develop the assessment you are encouraged to complete the Annotated Bibliography Formative Assessment. Completing this activity will help you succeed with the assessment and counts towards course engagement.
Rapid changes in information technology go hand-in-hand with progress in quality health care delivery, nursing practice, and interdisciplinary team collaboration. The following are only a few examples of how the health care field uses technology to provide care to patients across multiple settings:
Patient monitoring devices.
Robotics.
Electronic medical records.
Data management resources.
Ready access to current science.
Technology is essential to the advancement of the nursing profession, maintaining quality care outcomes, patient safety, and research.
This assessment will give you the opportunity to deepen your knowledge of how technology can enhance quality and safety standards in nursing. You will prepare an annotated bibliography on technology in nursing. A well-prepared annotated bibliography is a comprehensive commentary on the content of scholarly publications and other sources of evidence about a selected nursing-related technology. A bibliography of this type provides a vehicle for workplace discussion to address gaps in nursing practice and to improve patient care outcomes. As nurses become more accountable in their practice, they are being called upon to expand their role of caregiver and advocate to include fostering research and scholarship to advance nursing practice. An annotated bibliography stimulates innovative thinking to find solutions and approaches to effectively and efficiently address these issues.
Preparation
To successfully complete this assessment, perform the following preparatory activities:
Select a single direct or indirect patient care technology that is relevant to your current practice or of interest to you. Direct patient care technologies require an interaction, or direct contact, between the nurse and patient. Nurses use direct patient care technologies every day when delivering care to patients. Electronic thermometers or pulse oximeters are examples of direct patient care technologies. Indirect patient care technologies, on the other hand, are those employed on behalf of the patient. They do not require interaction, or direct contact, between the nurse and patient. A handheld device for patient documentation is an example of an indirect patient care technology. Examples of topics to consider for your annotated bibliography include:
Delivery robots.
Electronic medication administration with barcoding.
Electronic clinical documentation with clinical decision support.
Patient sensor devices/wireless communication solutions.
Real-time location systems.
Telehealth.
Workflow management systems.
Conduct a library search using the various electronic databases available through the Capella University Library.
Consult the BSN Program Library Research Guide for help in identifying scholarly and/or authoritative sources.
Access the NHS Learner Success Lab, linked in the courseroom navigation menu, for additional resources.
Scan the search results related to your chosen technology.
Select four peer-reviewed publications focused on your selected topic that are the most interesting to you.
Evaluate the impact of patient care technologies on desired outcomes.
Analyze current evidence on the impact of a selected patient care technology on patient safety, quality of care, and the interdisciplinary team.
Integrate current evidence about the impact of a selected patient care technology on patient safety, quality of care, and the interdisciplinary team into a recommendation.
Notes
Publications may be research studies or review articles from a professional source. Newspapers, magazines, and blogs are not considered professional sources.
Your selections need to be current—within the last five years.
Annotated Bibliography
Prepare a 4–6 page annotated bibliography in which you identify and describe at least four peer-reviewed publications that promote the use of your selected technology to enhance quality and safety standards in nursing. Be sure that your annotated bibliography includes all of the following elements:
Introduction to the Selected Technology Topic
What is your rationale for selecting this particular technology topic? Why are you interested in this?
What research process did you employ?
Which databases did you use?
Which search terms did you use?
Note: In this section of your bibliography, you may use first-person since you are asked to describe your rationale for selecting the topic and the research strategies you employed. Use third person in the rest of the bibliography, however.
Annotation Elements
For each resource, include the full reference followed by the annotation.
Explain the focus of the research or review article you chose.
Provide a summary overview of the publication.
According to this source, what is the impact of this technology on patient safety and quality of care?
According to this source, what is the relevance of this technology to nursing practice and the work of the interdisciplinary health care team?
Why did you select this publication to write about out of the many possible options? In other words, make the case as to why this resource is important for health care practitioners to read.
Summary of Recommendation
How would you tie together the key learnings from each of the four publications you examined?
What organizational factors influence the selection of a technology in a health care setting? Consider such factors as organizational policies, resources, culture/social norms, commitment, training programs, and/or employee empowerment.
How would you justify the implementation and use of the technology in a health care setting? This is the section where you will justify (prove) that the implementation of the
patient care technology is appropriate or not. The evidence should be cited from the literature that was noted in the annotated bibliography.
Consider the impact of the technology on the health care organization, patientcare/satisfaction, and interdisciplinary team productivity, satisfaction, and retention.
Example Assessment: You may use the following to give you an idea of what a Proficient or higher rating on the scoring guide would look like:
Assessment 3 Example [PDF].
Additional Requirements
Written communication: Ensure written communication is free of errors that detract from the overall message.
Length: 4–6-typed, double-spaced pages.
Number of resources: Cite a minimum of four peer-reviewed publications, not websites.
Font and font size: Use Times New Roman, 12 point.
APA: Follow APA style and formatting guidelines for all bibliographic entries. Refer to Evidence and APA as needed.
Competencies Measured
By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and scoring guide criteria:
Competency 3: Evaluate the impact of patient care technologies on desired outcomes.
Analyze current evidence on the impact of a selected patient care technology on patient safety, quality of care, and the interdisciplinary team.
Integrate current evidence about the impact of a selected patient care technology on patient safety, quality of care, and the interdisciplinary team into a recommendation.
Competency 4: Recommend the use of a technology to enhance quality and safety standards for patients.
Describe organizational factors influencing the selection of a technology in the health care setting.
Justify the implementation and use of a selected technology in a health care setting.
Competency 5: Apply professional, scholarly communication to facilitate use of health information and patient care technologies.
Create a clear, well-organized, and professional annotated bibliography that is generally free from errors in grammar, punctuation, and spelling.
Follow APA style and formatting guidelines for all bibliographic entries.
Evidence-Based Proposal and Annotated Bibliography on Technology in Nursing Scoring Guide
CRITERIA NON-PERFORMANCE BASIC PROFICIENT DISTINGUISHED
Analyze current evidence on the impact of a selected patient care technology on patient safety, quality of care, and the interdisciplinary team. Does not analyze current evidence on the impact of a selected patient care technology on patient safety, quality of care, and the interdisciplinary team. Identifies but does not analyze current evidence on the impact of a selected patient care technology on patient safety, quality of care, and the interdisciplinary team. Analyzes current evidence on the impact of a selected patient care technology on patient safety, quality of care, and the interdisciplinary team. Provides a rigorous, scholarly, and perceptive analysis of current evidence on the impact of a selected patient care technology on patient safety, quality of care, and the interdisciplinary team.
Integrate current evidence about the impact of a selected patient care technology on patient safety, quality of care, and the interdisciplinary team into a recommendation. Does not integrate current evidence about the impact of a selected patient care technology on patient safety, quality of care, and the interdisciplinary team into a recommendation. Integrates some evidence about the impact of a selected patient care technology on patient safety, quality of care, and the interdisciplinary team into a recommendation, but the work lacks detail or is missing critical information. Integrates current evidence about the impact of a selected patient care technology on patient safety, quality of care, and the interdisciplinary team into a recommendation. Integrates well-researched and current evidence about the impact of a selected innovative patient care technology on patient safety, quality of care, and the interdisciplinary team into a recommendation. Provides clear insight into the potential implications of the technology on patient safety and quality of care.
Describe organizational factors influencing the selection of a technology in the health care setting. Does not describe organizational factors influencing the selection of a technology in the health care setting. Identifies but does not fully describe organizational factors influencing the selection of a technology in the health care setting. Describes organizational factors influencing the selection of a technology in the health care setting. Provides a scholarly, comprehensive, and well-researched description of organizational factors influencing the selection of a technology in the health care setting.
Justify the implementation and use of a selected technology in a health care setting. Does not justify the implementation and use of a selected technology in a health care setting. Explains but does not justify the implementation and use of a selected technology in a health care setting. Justifies the implementation and use of a selected technology in a health care setting. Justifies the implementation and use of a selected technology in a health care setting. Provides an in-depth and well-researched analysis of the impact of the technology on quality care and patient safety.
Create a clear, well-organized, and professional annotated bibliography that is generally free from errors in grammar, punctuation, and spelling. Does not create a clear, well-organized, and professional annotated bibliography that is generally free from errors in grammar, punctuation, and spelling. Provides an annotated bibliography that has errors in grammar, punctuation, and spelling and exhibits a lack of preparation. Creates a clear, well-organized, and professional annotated bibliography that is generally free from errors in grammar, punctuation, and spelling. Creates a clear, well-organized, and professional annotated bibliography that is free from errors in grammar, punctuation, and spelling.
Follow APA style and formatting guidelines for all bibliographic entries. Does not follow APA style and formatting guidelines for citations and references. Partially follows APA style and formatting guidelines for citations and references. Follows APA style and formatting guidelines for all bibliographic entries. Follows APA style and formatting guidelines for citations and references with flawless precision and accuracy.
ORDER A PLAGIARISM-FREE PAPER HERE
Solution
Telehealth
Telehealth uses technology such as digital communications to facilitate the provision of health services, including medical care and health information services. The topic of Telehealth has become significant in today’s healthcare system, due to the increasing physical barriers to healthcare access, especially during the COVID 19 pandemic (Snoswell et al., 2020). The controversies surrounding the safety of integration of information technology in healthcare have significantly impaired the adoption of Telehealth by many providers. Research studies on the issue have produced contradicting findings. It is essential to analyze current literature on the topic to determine whether Telehealth is worth adopting. This paper will conduct an annotated bibliography of studies on the benefits of Telehealth. In the paper, I used articles from the PubMed online database to conduct my research on Telehealth. My search terms and phrases were Telehealth and improving healthcare delivery using Telehealth.
Mataxen, P. A., & Webb, L. D. (2019). Telehealth nursing: More than just a phone call. Nursing2020, 49(4), 11-13. https://doi.org/10.1097/01.nurse.0000553272.16933.4b
The article sought to increase awareness of telehealth and its healthcare benefit. Answering healthcare questions through phone calls has been the norm since the 1970s. Patients call the doctors and nurses for inquiries about medication; pregnant mothers call nurses to seek information on their progression and schedule appointments. However, contrary to tradition, where only telephones were used to exchange health education information, today, the role of information technology in healthcare has become more comprehensive. The article gives evidence of the critical and expanded role telehealth plays in improving healthcare delivery services. In some health care settings, telehealth is employed in remote diagnosis of illnesses, delivery of health information, and guiding nurses in calming agitated patients or dispatching ambulances for emergencies. This article was selected because it provides critical information on how healthcare providers can utilize telehealth to improve the delivery of various healthcare services.
Rutledge, C. M., O’Rourke, J., Mason, A. M., Chike-Harris, K., Behnke, L., Melhado, L., … & Gustin, T. (2021). Telehealth competencies for nursing education and practice: The four P’s of telehealth. Nurse Educator, 46(5), 300. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8395962/
As the campaigns to adopt telehealth intensifies, an equivalent effort to equip providers with the relevant competencies is missing. This is a significant factor in attaining the projected benefits of telehealth. The article seeks to enlighten the critical competencies necessary for providers involved in telehealth implementation. Telehealth is being utilized to improve access to and delivery of healthcare services to individuals who lack access. The outbreak of the pandemic accelerated the adoption of telehealth. So many people could not access healthcare facilities due to restrictions and the congestion experienced in many hospitals. Telehealth became the preferred option. However, care provided through the telehealth approach did not meet the projected standards. This was attributed to knowledge deficiency among providers regarding telehealth planning, preparing, delivering, and performance evaluation. There is, therefore, a need to integrate these aspects of telehealth into the nursing curriculum. The article was selected because it offers critical insight to nurses on the telehealth competencies to improve on to promote attainment of the projected telehealth benefits.
Blandford, A., Wesson, J., Amalberti, R., AlHazme, R., & Allwihan, R. (2020). Opportunities and challenges for telehealth within and beyond the pandemic. The Lancet Global Health, 8(11), e1364-e1365. https://doi.org/10.1016/s2214-109x(20)30362-4
The outbreak of the Covid pandemic has revolutionized everything. The restrictions on travel and the ease of transmission have led to the virus’s rapid spread across the globe. In addition, due to hospital congestion and fear of visiting healthcare facilities with COVID 19 patients, access to care has declined. This article sought to enlighten the benefits of telehealth, especially during the pandemic. Telehealth is the provision of health services remotely while individuals manage their health under the guidance of a nurse or doctor. The doctor or nurse uses digital communications to monitor the patient’s progress. Telehealth has been effective in managing infectious diseases such as Covid 19 as it reduces the risk of spread. Therefore, it promotes the safety of the care providers, especially when there is a limited supply of personal protection resources. It has also promoted better care outcomes, especially in patients with mild conditions, because they are not exposed to other critically ill patients. To facilitate the implementation of telehealth, some hospitals have already introduced robots to monitor and facilitate communications between the patient-doctor.
However, successful implementation of telehealth does not only involve telephones. There is also a need to change the work process to accommodate telehealth and train providers on telehealth systems. This will instill confidence in the patients that the services offered through telehealth are effective. Hospitals should implement policies governing telehealth and install the best software and security installations to ensure data protection of the patients. Hospitals also need to streamline the telehealth process and ensure that patients are well managed and benefit fully from telehealth. In addition, telehealth must be affordable to ensure inclusivity. These strategies will improve the adoption of telehealth, thus paving the way for the realization of projected benefits. The article was selected because it guides healthcare stakeholders in understanding the strategies to improve the realization of the benefits of telehealth.
Rutledge, C. M., & Gustin, T. (2021). Preparing nurses for roles in telehealth: Now is the time. The Online Journal of Issues in Nursing, 26(1). https://doi.org/10.3912/OJIN.Vol26No01Man03
The pandemic rapidly increased the adoption of telehealth while nurses had little training on how to use telehealth to treat patients effectively. Telehealth has suddenly become a priority with the outbreak of the pandemic. The article seeks to provide insight into the role of telehealth in improving patient care and how to maximize these benefits. Nurses are the frontline healthcare providers. Therefore, they have taken an active role in the rapid implementation of telehealth during the pandemic. This initiative has significantly improved care access, especially amidst increasing hospital congestion. However, the major challenge has been inadequate telehealth literacy among nurses.
The national league of nursing had given little priority to telehealth before the pandemic. Therefore, nurse training on telehealth was not part of the curriculum. This indicates that Nurse educators and nursing education programs significantly influence the realization of the benefits of telehealth. They help ensure graduating nurses have adequate telehealth competencies. Nurses’ lack of telehealth skills has also impacted their attitude and perception of telehealth, which significantly influences change resistance. It is clear telehealth is very beneficial in care delivery. It helps monitor patients with conditions such as heart disease and those who lack adequate income to visit hospitals. It is also clear telehealth is not going anywhere. There is, therefore, a need to reduce barriers to benefit maximization. Healthcare organizations need to include nurse training on telehealth as part of the telehealth pre-implementation plan. The article was selected because it guides healthcare stakeholders in deriving maximum benefit from telehealth.
References
Blandford, A., Wesson, J., Amalberti, R., AlHazme, R., & Allwihan, R. (2020). Opportunities and challenges for telehealth within, and beyond, a pandemic. The Lancet Global Health, 8(11), e1364-e1365. https://doi.org/10.1016/s2214-109x(20)30362-4
Mataxen, P. A., & Webb, L. D. (2019). Telehealth nursing: More than just a phone call. Nursing2020, 49(4), 11-13. https://doi.org/10.1097/01.nurse.0000553272.16933.4b
Rutledge, C. M., & Gustin, T. (2021). Preparing nurses for roles in telehealth: Now is the time. The Online Journal of Issues in Nursing, 26(1). https://doi.org/10.3912/OJIN.Vol26No01Man03
Rutledge, C. M., O’Rourke, J., Mason, A. M., Chike-Harris, K., Behnke, L., Melhado, L., … & Gustin, T. (2021). Telehealth competencies for nursing education and practice: The four P’s of telehealth. Nurse Educator, 46(5), 300. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8395962/
Snoswell, C. L., Taylor, M. L., Comans, T. A., Smith, A. C., Gray, L. C., & Caffery, L. J. (2020). Determining if telehealth can reduce health system costs: scoping review. Journal of medical Internet research, 22(10), e17298. https://www.jmir.org/2020/10/e17298/

Assignment 1: Lab Assignment: Ethical Concerns
Based on the scenarios provided:
Select one scenario, and reflect on the material presented throughout this course.
What necessary information would need to be obtained about the patient through health assessments and diagnostic tests?
Consider how you would respond as an advanced practice nurse. Review evidence-based practice guidelines and ethical considerations applicable to the scenarios you selected.
The Lab Assignment
Write a detailed one-page narrative (not a formal paper) explaining the health assessment information required for a diagnosis of your selected patient (include the scenario number). Explain how you would respond to the scenario as an advanced practice nurse using evidence-based practice guidelines and applying ethical considerations. Justify your response using at least three different references from current evidence-based literature.
Scenario: CASE STUDY 2
A 33-year-old woman with advanced stage breast cancer has been admitted to the emergency room with cardiac arrest. She is not married and her boyfriend accompanies her in the ambulance.
Order you Ethical Concerns Today !

Define critical thinking and evidence-based practice. Discuss what critical thinking in nursing practice entails and explain why it is important. Discuss the role of critical thinking and evidence-based practice as they relate to patient outcomes.
Place your order today!
Solution
Critical Thinking and Evidence-Based Practice
Critical thinking refers to the skillful insight, analysis, synthesis, and assessment of information gathered through experience, observation, communication, and reflection that inform decisions. On the other hand, evidence-based practice (EBP) refers to the meticulous, explicit, and careful utilization of current best existing evidence to inform decisions about patient care and clinical decisions. EBP also entails the incorporation of clinical expertise, critical reasoning, understanding, judgment gained through professional training and experiences to inform clinical decisions (Dang & Dearholt, 2018). Taken together, critical thinking entails a process of problem solving and reasoning where all clinical decisions and judgments are anchored on evidence. This paper will discuss the application of critical thinking in nursing practice and how critical thinking and EBP relate to patient outcomes.
Critical Thinking in Nursing Practice and its Importance
Nursing practice is often challenging and complicated. Nurses always make life-changing decisions when caring for patients with intricate needs. They deal with patients from diverse cultural backgrounds with varying health care needs. They help patients and their families through emotional and stressful experiences and act as authority figures in demanding situations. Addressing these complex situations in nursing practice requires critical thinking to help in making accurate judgments and clinical decision making. According to Liu et al. (2021), critical thinking in nursing entails applying knowledge and experience to recognize patient issues and guide clinical judgments by opting for alternatives, assessing evidence, identifying clinical patterns, and using intuition. It also involves questioning, gathering, scrutiny, synthesis, interpretation, deduction, reasoning, application, creativity, and corroboration of data. The implementation of critical thinking skills in nursing also requires the development of methods and cognitive skills needed in a research investigation, problem-solving, and decision making (Ludin, 2018). In nursing research, critical thinking is applied in study analysis, justification of introduction and conclusion, differentiation of facts and opinions to evaluate the integrity of literature sources, and drawing valid conclusions.
Critical thinking plays essential role in nursing. Nurses are often required to make decisions about patient care and every decision made impacts the outcome of care. Consequently, critical thinking skills are essential in the decision-making process to ensure safe, skillful, and efficient nursing intervention that improves the quality of care (Ludin, 2018). Critical thinking also helps nurses to analyze the patients’ condition and the current treatment, identify changes in patient status, anticipate outcomes, and identify possible concerns. Moreover, critical thinking plays role in logical decision-making and innovative improvement.
The Role of Critical Thinking and Evidence-Based Practice in Patient Outcomes
Critical thinking is employed by nurses in the decision-making and problem-solving processes to improve patient outcomes. Critical thinking is a vital process for effective, safe, and skillful nursing interventions (Ludin, 2018). On the other hand, EBP improves patient outcomes by using the best and most current research to enhance the safety and health of patients while minimizing the overall costs of health care. It also enables nurses to review research to understand the risks or benefits of specific medical and nursing interventions (Dang & Dearholt, 2018). Critical thinking is essential for the knowledge, skills, and processes required in supporting EBP.
Conclusion
Critical thinking and EBP are essential in the provision of patient care. The need for critical thinking and EBP is necessitated by the challenging working environment for nurses characterized by making life-changing decisions, caring for patients with intricate needs, dealing with patients from culturally diverse backgrounds and health care needs, helping patients and their families through emotional and stressful experiences, and acting as an authority figure in demanding situations. Critical thinking is a fundamental element in the implementation of EBP.
References
Dang, D., & Dearholt, S. (2018). Supplemental materials for Johns Hopkins Nursing Evidence-Based Practice: Model and Guidelines. Sigma Theta Tau International.
Liu, M., Lin, Y., Dai, Y., Deng, Y., Chun, X., Lv, Y., & He, F. (2021). A multi-dimensional EBP educational program to improve evidence-based practice and critical thinking of hospital-based nurses: Development, implementation, and preliminary outcomes. Nurse Education in Practice, 52, 102964. https://doi.org/10.1016/j.nepr.2020.102964
Ludin, S. M. (2018). Does good critical thinking equal effective decision-making among critical care nurses? A cross-sectional survey. Intensive and Critical Care Nursing, 44, 1-10. https://doi.org/10.1016/j.iccn.2017.06.002

NURS 6630 Weekly Discussions and Assignments
NURS 6630 Week 1 Discussion
Discussion: Foundational Neuroscience
Explain the agonist-to-antagonist spectrum of action of psychopharmacologic agents.
The spectrum of agonists to antagonists describes how substances, either occurring naturally (ligand) or synthetically such as psychopharmacologic agent, effect receptor sites (Stahl, 2008). The agonists are agents can increase an action on the receptor by mimicking a naturally occurring agent (Strange, 2008). An antagonist acts by blocking the receptor site to decrease the action of agents (Strange, 2008). Substances can also be partial agonists, which is an action that ranges between full agonist and full antagonist. Instead of increasing an action to the maximum level or blocking the action completely, it is an action that is somewhere in between the two levels (Strange, 2008). Many psychopharmacologic agents work by acting on G-protein-linked systems and ion-channel systems because these are triggered by neurotransmitters (Stahl, 2008).Nurs 6630 week (1-11) Discussion and Assignments.
ORDER NURS 6630 Weekly Discussions and Assignments Today !
Compare and contrast the actions of g couple proteins and ion gated channels.
G protein-coupled and ion-gated channels are both triggered by neurotransmitters (Stahl, 2008). G protein-coupled receptors (GPCRs) have seven transmembrane alpha helices (Strange, 2008). G proteins have three subunits (alpha, beta, and gamma). Ion-gated channels can be activated by electrical signals and neurotransmitters (Stahl, 2008). Ion-gated channels change the flow of ions, causing an almost-immediate effect and GPCRs take longer to work because they may make changes to cellular function over time (Stahl, 2008).
Explain the role of epigenetics in pharmacologic action.
Epigenetics is the study of gene expression, or which genes are turn off or on (Stahl, 2008). Pharmacologic actions can turn genes on or off to gain a desired effect. Epigenetic regulation of brain functions is important in the etiology of psychiatric disorders (Boks, et al., 2012). Epigenetic mechanisms, such as DNA methylation and histone acetylation, are affected by many pharmaceuticals, including psychiatric drugs (Boks, et al., 2012).
Explain how this information may impact the way you prescribe medications to clients. Include a specific example of a situation or case with a client in which the psychiatric mental health nurse practitioner must be aware of the medication’s action.
Thorough knowledge of how medications work will allow the nurse practitioner to prescribe the best medication for the client. For example, knowing that many anxiolytics work on inotropic receptors and will work very quickly to calm a client in an acute situation rather than prescribing an antidepressant that works on GPCRs and will take much longer to help with an acute episode.Nurs 6630 week (1-11) Discussion and Assignments.
As a psychiatric mental health nurse practitioner, it is essential for you to have a strong background in foundational neuroscience. In order to diagnose and treat clients, you must not only understand the pathophysiology of psychiatric disorders, but also how medications for these disorders impact the central nervous system. These concepts of foundational neuroscience can be challenging to understand. Therefore, this Discussion is designed to encourage you to think through these concepts, develop a rationale for your thinking, and deepen your understanding by interacting with your colleagues.
ORDER NURS 6630 Weekly Discussions and Assignments Today !
NURS 6630 – Psychopharmacologic Approaches to Treatment of Psychopathology Essay Assignment Week 1 Discussion: Foundational Neuroscience.
Required Readings
Note: All Stahl resources can be accessed through the Walden Library using this link. This link will take you to a log-in page for the Walden Library. Once you log into the library, the Stahl website will appear.
Stahl, S. M. (2013). Stahl’s essential psychopharmacology: Neuroscientific basis and practical applications (4th ed.). New York, NY: Cambridge University Press *Preface, pp. ix–x
Note: To access the following chapters, click on the Essential Psychopharmacology, 4th ed tab on the Stahl Online website and select the appropriate chapter. Be sure to read all sections on the left navigation bar for each chapter.
Chapter 1, “Chemical Neurotransmission”
Chapter 2, “Transporters, Receptors, and Enzymes as Targets of Psychopharmacologic Drug Action”
Chapter 3, “Ion Channels as Targets of Psychopharmacologic Drug Action”
Document: Midterm Exam Study Guide (PDF)
Document: Final Exam Study Guide (PDF)
Required Media
Laureate Education (Producer). (2016i). Introduction to psychopharmacology [Video file]. Baltimore, MD: Author.
NURS 6630 – Psychopharmacologic Approaches to Treatment of Psychopathology Essay Week 1 Discussion: Foundational Neuroscience
Note: The approximate length of this media piece is 3 minutes.Nurs 6630 week (1-11) Discussion and Assignments.
Accessible player
ORDER NURS 6630 Weekly Discussions and Assignments Today !
Discussion: Foundational Neuroscience Optional Resources
Laureate Education (Producer). (2009). Pathopharmacology: Disorders of the nervous system: Exploring the human brain [Video file].
Essay Assignment NURS 6630 – Psychopharmacologic Approaches to Treatment of Psychopathology
Baltimore, MD: Author.NURS 6630 – Psychopharmacologic Approaches to Treatment of Psychopathology Essay Assignment
Note: The approximate length of this media piece is 15 minutes.
Dr. Myslinski reviews the structure and function of the human brain. Using human brains, he examines and illustrates the development of the brain and areas impacted by disorders associated with the brain.
Discussion: Foundational Neuroscience Accessible player
Laureate Education (Producer). (2012). Introduction to advanced pharmacology [Video file]. Baltimore, MD: Author.NURS 6630 – Psychopharmacologic Approaches to Treatment of Psychopathology Essay Assignment
Note: The approximate length of this media piece is 8 minutes.
In this media presentation, Dr. Terry Buttaro, associate professor of practice at Simmons School of Nursing and Health Sciences, discusses the importance of pharmacology for the advanced practice nurse.Nurs 6630 week (1-11) Discussion and Assignments.
Accessible player
To prepare for this Discussion:
Review this week’s Learning Resources.
Reflect on concepts of foundational neuroscience.
Assignment: Assessing and Treating Clients With Dementia
The Alzheimer’s Association defines dementia as “a general term for a decline in mental ability severe enough to interfere with daily life” (Alzheimer’s Association, 2016). This term encompasses dozens of cognitive disorders of impaired memory formation, recall, and communication. The care and treatment of clients with dementia is dependent on multiple factors, including the stage of dementia, comorbidities, family support, and even the care setting. In your role, as the psychiatric mental health nurse practitioner, you must be prepared to not only treat clients with these various cognitive disorders, but also the multiple behavioral issues that often accompany them. For this Assignment, as you examine the client case study in this week’s Learning Resources, consider how you might assess and treat clients presenting with dementia.Nurs 6630 week (1-11) Discussion and Assignments.
Reference: Alzheimer’s Association. (2016). What is dementia? Retrieved from http://www.alz.org/what-is-dementia.asp
To prepare for this Assignment:
Review this week’s Learning Resources. Consider how to assess and treat clients requiring therapy for dementia.
The Assignment
Examine Case Study: An Elderly Iranian Man With Alzheimer’s Disease. You will be asked to make three decisions concerning the medication to prescribe to this client. Be sure to consider factors that might impact the client’s pharmacokinetic and pharmacodynamic processes. At each decision point stop to complete the following:
Introduction regarding disease state
High-level summary of patient case
Purpose of the essay statement
Decision #1
What options were listed?
Which decision did you select?
Why did you select this decision? Support your response with evidence and references to the Learning Resources.
Why didn’t you select the other two options?
What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources.Nurs 6630 week (1-11) Discussion and Assignments.
Explain any difference between what you expected to achieve with Decision #1 and the results of the decision. Why were they different?
Decision #2
What options were listed?
What option did you choose?
Why did you select this decision? Support your response with evidence and references to the Learning Resources.
Why didn’t you select the other two options?
What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources.
Explain any difference between what you expected to achieve with Decision #2 and the results of the decision. Why were they different?Nurs 6630 week (1-11) Discussion and Assignments.
Decision #3
What options were listed?
What option did you choose?
Why did you select this decision? Support your response with evidence and references to the Learning Resources.
Why didn’t you select the other two options?
What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources.
Explain any difference between what you expected to achieve with Decision #3 and the results of the decision. Why were they different?
Also include how ethical considerations might impact your treatment plan and communication with clients.
Note : Support your rationale with a minimum of three academic resources. While you may use the course text to support your rationale, it will not count toward the resource requirement.
Note: To access this week’s required library resources, please click on the link to the Course Readings List, found in the Course Materials section of your Syllabus.
References
Stahl, S. M. (2013). Stahl’s essential psychopharmacology: Neuroscientific basis and practical applications (4th ed.). New York, NY: Cambridge University Press.
To access the following chapter, click on the Essential Psychopharmacology, 4th ed tab on the Stahl Online website and select the appropriate chapter. Be sure to read all sections on the left navigation bar for each chapter.
· Chapter 13, “Dementia and Its Treatment”
Stahl, S. M. (2014b). The prescriber’s guide (5th ed.). New York, NY: Cambridge University Press.
To access information on the following medications, click on The Prescriber’s Guide, 5th ed tab on the Stahl Online website and select the appropriate medication.Nurs 6630 week (1-11) Discussion and Assignments.
Review the following medications:
For insomnia
donepezil
galantamine
memantine
rivastigmine
Bui, Q. (2012). Antidepressants for agitation and psychosis in patients with dementia. American Family Physician, 85(1), 20–22. Retrieved from http://www.aafp.org/journals/afp.html
Note: Retrieved from from the Walden Library databases.
Meltzer, H. Y., Mills, R., Revell, S., Williams, H., Johnson, A., Bahr, D., & Friedman, J. H. (2010). Pimavanserin, a serotonin receptor inverse agonist for the treatment of Parkinson’s disease psychosis. Neuropsychopharmacology, 35, 881–891. Retrieved from http://www.nature.com/npp/journal/v35/n4/pdf/npp2009176a.pdf
Required Media
Laureate Education. (2016h). Case study: An elderly Iranian man with Alzheimer’s disease [Interactive media file]. Baltimore, MD: Author.
BACKGROUND
Mr. Akkad is a 76 year old Iranian male who is brought to your office by his eldest son for “strange behavior.” Mr. Akkad was seen by his family physician who ruled out any organic basis for Mr. Akkad’s behavior. All laboratory and diagnostic imaging tests (including CT-scan of the head) were normal.
According to his son, he has been demonstrating some strange thoughts and behaviors for the past two years, but things seem to be getting worse. Per the client’s son, the family noticed that Mr. Akkad’s personality began to change a few years ago. He began to lose interest in religious activities with the family and became more “critical” of everyone. They also noticed that things he used to take seriously had become a source of “amusement” and “ridicule.”
Over the course of the past two years, the family has noticed that Mr. Akkad has been forgetting things. His son also reports that sometimes he has difficult “finding the right words” in a conversation and then will shift to an entirely different line of conversation.
SUBJECTIVE
During the clinical interview, Mr. Akkad is pleasant, cooperative and seems to enjoy speaking with you. You notice some confabulation during various aspects of memory testing, so the PMHNP performs a Mini-Mental State Exam. Mr. Akkad scores 18 out of 30 with primary deficits in orientation, registration, attention & calculation, and recall. The score suggests moderate dementia.Nurs 6630 week (1-11) Discussion and Assignments.
MENTAL STATUS EXAM
Mr. Akkad is 76 year old Iranian male who is cooperative with today’s clinical interview. His eye contact is poor. Speech is clear, coherent, but tangential at times. He makes no unusual motor movements and demonstrates no tic. Self-reported mood is euthymic. Affect however is restricted. He denies visual or auditory hallucinations. No delusional or paranoid thought processes noted. He is alert and oriented to person, partially oriented to place, but is disoriented to time and event [he reports that he thought he was coming to lunch but “wound up here”- referring to your office, at which point he begins to laugh]. Insight and judgment are impaired. Impulse control is also impaired as evidenced by Mr. Akkad’s standing up during the clinical interview and walking towards the door. When the PMHNP asked where he was going, he stated that he did not know. Mr. Akkad denies suicidal or homicidal ideation.
Diagnosis: Major neurocognitive disorder due to Alzheimer’s disease (presumptive)
NURS 6630 Week 2 Assignment
Assessing and Treating Pediatric Clients With Mood Disorders
Therapy for Pediatric Clients With Mood Disorders
Case Study: An African American Child Suffering From Depression
Mood disorders can impact every facet of a child’s life, making the most basic activities difficult for clients and their families. This was the case for 13-year-old Kara, who was struggling at home and at school. For more than 8 years, Kara suffered from temper tantrums, impulsiveness, inappropriate behavior, difficulty in judgment, and sleep issues. As a psychiatric mental health nurse practitioner working with pediatric clients, you must be able to assess whether these symptoms are caused by psychological, social, or underlying growth and development issues. You must then be able recommend appropriate therapies.Nurs 6630 week (1-11) Discussion and Assignments.
This week, as you examine antidepressant therapies, you explore the assessment and treatment of pediatric clients with mood disorders. You also consider ethical and legal implications of these therapies.Nurs 6630 week (1-11) Discussion and Assignments.
ORDER NURS 6630 Weekly Discussions and Assignments Today !
Case Study: An African American Child Suffering From Depression
When pediatric clients present with mood disorders, the process of assessing, diagnosing, and treating them can be quite complex. Children not only present with different signs and symptoms than adult clients with the same disorders, but they also metabolize medications much differently. As a result, psychiatric mental health nurse practitioners must exercise caution when prescribing psychotropic medications to these clients. For this Assignment, as you examine the client case study in this week’s Learning Resources, consider how you might assess and treat pediatric clients presenting with mood disorders.NURS 6630 – Psychopharmacologic Approaches to Treatment of Psychopathology Essay Assignment
Note: This Case Study: An African American Child Suffering From Depression Assignment is the first of 10 assignments that are based on interactive client case studies. For these assignments, you will be required to make decisions about how to assess and treat clients. Each of your decisions will have a consequence. Some consequences will be insignificant, and others may be life altering. You are not expected to make the “right” decision every time; in fact, some scenarios may not have a “right” decision. You are, however, expected to learn from each decision you make and demonstrate the ability to weigh risks versus benefits to prescribe appropriate treatments for clients.Nurs 6630 week (1-11) Discussion and Assignments.
NURS 6630 – Psychopharmacologic Approaches to Treatment of Psychopathology Essay Assignment
Case Study: An African American Child Suffering From Depression Required Readings
Note: All Stahl resources can be accessed through the Walden Library using this link. This link will take you to a log-in page for the Walden Library. Once you log into the library, the Stahl website will appear.
Stahl, S. M. (2013). Stahl’s essential psychopharmacology: Neuroscientific basis and practical applications (4th ed.). New York, NY: Cambridge University Press.Nurs 6630 week (1-11) Discussion and Assignments.
Note: To access the following chapters, click on the Essential Psychopharmacology, 4th ed tab on the Stahl Online website and select the appropriate chapter. Be sure to read all sections on the left navigation bar for each chapter.
Chapter 6, “Mood Disorders”
Chapter 7, “Antidepressants”
Stahl, S. M. (2014b). The prescriber’s guide (5th ed.). New York, NY: Cambridge University Press.
Note: To access the following medications, click on the The Prescriber’s Guide, 5th ed tab on the Stahl Online website and select the appropriate chapter. Be sure to read all sections on the left navigation bar for each chapter.
Review the following medications:
amitriptyline
bupropion
amitriptyline
bupropioncital
opramclomipramine
desipramine
desvenlafaxine
doxepin
dulox
etine escitalopram
fluoxetine
fluvoxamine
imipramine
ketamine
mirtazapine
nortriptyline
paroxetine
selegiline
sertraline
trazodone
venlafaxine
vilazodone
vortioxetine
citalopram
clomipramine
Case Study: An African American Child Suffering From Depression
Magellan Health, Inc. (2013). Appropriate use of psychotropic drugs in children and adolescents: A clinical monograph. Retrieved from http://www.magellanhealth.com/media/445492/magellan-psychotropicdrugs-0203141.pdf
Rao, U. (2013). Biomarkers in pediatric depression. Depression & Anxiety, 30(9), 787–791. doi:10.1002/da.22171
Note: Retrieved from Walden Library databases.Nurs 6630 week (1-11) Discussion and Assignments.
Vitiello, B. (2012). Principles in using psychotropic medication in children and adolescents. In J. M. Rey (Ed.), IACAPAP e-Textbook of Child and Adolescent Mental Health. Geneva: International Association for Child and Adolescent Psychiatry and Allied Professions. Retrieved from http://iacapap.org/wp-content/uploads/A.7-PSYCHOPHARMACOLOGY-072012.pdf
Poznanski, E., & Mokros, H. (1996). Child Depression Rating Scale–Revised. Los Angeles, CA: Western Psychological Services.
Note: Retrieved from Walden Library databases.
Case Study: An African American Child Suffering From Depression Required Media
Laureate Education (2016e). Case study: An African American child suffering from depression [Interactive media file]. Baltimore, MD: Author.
Note: This case study will serve as the foundation for this week’s Assignment.
Case Study: An African American Child Suffering From Depression Optional Resources
El Marroun, H., White, T., Verhulst, F., & Tiemeier, H. (2014). Maternal use of antidepressant or anxiolytic medication during pregnancy and childhood neurodevelopmental outcomes: A systematic review. European Child & Adolescent Psychiatry, 23(10), 973–992. doi:10.1007/s00787-014-0558-3
Gordon, M. S., & Melvin, G. A. (2014). Do antidepressants make children and adolescents suicidal? Journal of Pediatrics and Child Health, 50(11), 847–854. doi:10.1111/jpc.12655
Seedat, S. (2014)NURS 6630 – Psychopharmacologic Approaches to Treatment of Psychopathology Essay Assignment . Controversies in the use of antidepressants in children and adolescents: A decade since the storm and where do we stand now? Journal of Child & Adolescent Mental Health, 26(2), iii–v. doi:10.2989/17280583.2014.938497
To prepare for this Case Study: An African American Child Suffering From Depression Assignment:
Review this week’s Learning Resources. Consider how to assess and treat pediatric clients requiring antidepressant therapy.
The Case Study: An African American Child Suffering From Depression Assignment
Examine Case Study: An African American Child Suffering From Depression. You will be asked to make three decisions concerning the medication to prescribe to this client. Be sure to consider factors that might impact the client’s pharmacokinetic and pharmacodynamic processes.
At each decision point stop to complete the following:NURS 6630 – Psychopharmacologic Approaches to Treatment of Psychopathology Essay Assignment
Decision #1
Which decision did you select?
Why did you select this decision? Support your response with evidence and references to the Learning Resources.
What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources.
Explain any difference between what you expected to achieve with Decision #1 and the results of the decision. Why were they different?
Decision #2
NURS 6630 – Psychopharmacologic Approaches to Treatment of Psychopathology Essay Assignment
Why did you select this decision? Support your response with evidence and references to the Learning Resources.
What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources.
Explain any difference between what you expected to achieve with Decision #2 and the results of the decision. Why were they different?
Decision #3
Why did you select this decision? Support your response with evidence and references to the Learning Resources.
What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources.
Explain any difference between what you expected to achieve with Decision #3 and the results of the decision. Why were they different?
Also include how ethical considerations might impact your treatment plan and communication with clients.
BACKGROUND INFORMATION
The client is an 8-year-old African American male who arrives at the ER with his mother. He is exhibiting signs of depression.
Client complained of feeling “sad”
Mother reports that teacher said child is withdrawn from peers in class
Mother notes decreased appetite and occasional periods of irritation
Client reached all developmental landmarks at appropriate ages
Physical exam unremarkable
Laboratory studies WNL
Child referred to psychiatry for evaluation
Client seen by Psychiatric Nurse Practitioner
MENTAL STATUS EXAM
Alert & oriented X 3, speech clear, coherent, goal directed, spontaneous. Self-reported mood is “sad”. Affect somewhat blunted, but child smiled appropriately at various points throughout the clinical interview. He denies visual or auditory hallucinations. No delusional or paranoid thought processes noted. Judgment and insight appear to be age-appropriate. He is not endorsing active suicidal ideation, but does admit that he often thinks about himself being dead and what it would be like to be dead.Nurs 6630 week (1-11) Discussion and Assignments.
The PMHNP administers the Children’s Depression Rating Scale, obtaining a score of 30 (indicating significant depression)
Case Study: An African American Child Suffering From Depression RESOURCES
§ Poznanski, E., & Mokros, H. (1996). Child Depression Rating Scale–Revised. Los Angeles, CA: Western Psychological Services.
Decision Point One
Select what the PMHNP should do:
Begin Zoloft 25 mg orally daily
Begin Paxil 10 mg orally daily
Begin Wellbutrin 75 mg orally BID
Case Study of the above client
Decision Point One
I selected Zoloft 25 mg orally daily
RESULTS OF DECISION POINT ONE
Client returns to clinic in four weeks
No change in depressive symptoms at all
Decision Point Two
Increase dose to 50 mg orally daily
RESULTS OF DECISION POINT TWO
Client returns to clinic in four weeks
Depressive symptoms decrease by 50%. Cleint tolerating well
Decision Point Three
Maintain current dose
Guidance to Student
At this point, sufficient symptom reduction has been achieved. This is considered a “response” to therapy. Can continue with current dose for additional 4 week to see if any further reductions in depressive symptoms are noted. An increase in dose may be warranted since this is not “full” remission- Discuss pros/cons of increasing drug dose with client at this time and empower the client to be part of the decision. There is no indication that the drug therapy should be changed to an SNRI at this point as the client is clearly responding to this therapy.Nurs 6630 week (1-11) Discussion and Assignments.
SAMPLE DECISION TREE ASSIGNMENT
An Elderly Iranian Man with Alzheimer’s
Alzheimer’s condition is a neurodegenerative disease that begins slowly and worsens over a long period of time. The condition has been associated with almost 70% of all dementia cases in the world. The most prevalent early symptoms entail the absence of memory concerning recent events. As the condition progresses, other symptoms such as language difficulties, mood swings, disorientation, behavioral issues, lack of self-care management, and disorientation may occur (Houmani et al., 2018). In a gradual manner, all the bodily functions will be lost resulting in eventual death. As much as the disease’s life expectancy varies, the typical expectancy does not go beyond nine years after diagnosis. Importantly, the disease does not have a cure but it could be managed to ensure that the quality of life of patients suffering from it is improved.Nurs 6630 week (1-11) Discussion and Assignments.
The case study for the present assignment entails the examination and treatment of an elderly Iranian man who displays strange behaviors according to his son. Mr. Akan has lost interest in things that erstwhile interested him. Further, the client has been forgetting things and his subjective test revealed confabulation during mental health testing process. Mr. Akad also has restricted affect and impaired impulse and judgment. A mini-mental state examination reveals that Mr. Akad suffers from major neurocognitive disorder caused by presumptive Alzheimer’s disease. This paper describes the assessment outcomes and treatment options for an elderly Iranian man, who has been diagnosed with Alzheimer’s. The condition can be treated with pharmacological interventions, which are dependent on among other factors dosage, proper selection of drug, and time of use, and administration route.
NURS 6630 Week 3 Assignment: Assessing and Treating Adult and Geriatric Clients With Mood Disorders
Case Study: An Elderly Hispanic Man With Major Depressive Disorder
Needs to be 6-8 pages, & total references, but 3 need to be Academic References. Apa Format. Please Read the case study and choose one of the medications below and answer the questions below. The instructor states its ok if we don’t choose the best medication for the patient just as long as we answer the questions and state why we chose the medication and why we did not choose the others.Nurs 6630 week (1-11) Discussion and Assignments.
Assignment: Assessing and Treating Adult and Geriatric Clients With Mood Disorders
Advances in genetics and epigenetics have changed the traditional understanding of mood disorders, resulting in new evidence-based practices. In your role as a psychiatric mental health nurse practitioner, it is essential for you to continually educate yourself on new findings and best practices in the field. For this Assignment, you consider best practices for assessing and treating adult and geriatric clients presenting with mood disorders.
Case Study: An Elderly Hispanic Man With Major Depressive Disorder Required Readings
Note: All Stahl resources can be accessed through the Walden Library using this link. This link will take you to a log-in page for the Walden Library. Once you log into the library, the Stahl website will appear.NURS 6630 – Psychopharmacologic Approaches to Treatment of Psychopathology Essay Assignment
Stahl, S. M. (2013). Stahl’s essential psychopharmacology: Neuroscientific basis and practical applications (4th ed.). New York, NY: Cambridge University Press.
Note: To access the following chapters, click on the Essential Psychopharmacology, 4th ed tab on the Stahl Online website and select the appropriate chapter. Be sure to read all sections on the left navigation bar for each chapter.
Chapter 6, “Mood Disorders”
Stahl, S. M. (2014b). The prescriber’s guide (5th ed.). New York, NY: Cambridge University Press.
Note: To access the following medications, click on the The Prescriber’s Guide, 5th ed tab on the Stahl Online website and select the appropriate medication.
ORDER NURS 6630 Weekly Discussions and Assignments Today !
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author.
Note: Retrieved from Walden Library databases.
Montgomery, S. A., & Asberg, M. (1979). A new depression scale designed to be sensitive to change. British Journal of Psychiatry, 134, 382-389. Retrieved from https://www.researchgate.net/profile/Marie_Asberg/publication/22697065_A_New_Depression_Scale_Designed_to_be_Sensitive_to_Change/links/09e41513f85c708fee000000.pdf
Case Study: An Elderly Hispanic Man With Major Depressive Disorder Required Media
Laureate Education. (2016g). Case study: An elderly Hispanic man with major depressive disorder [Interactive media file]. Baltimore, MD: Author.
Note: This case study will serve as the foundation for this week’s Assignment.
To prepare for this Assignment
Review this week’s Learning Resources. Consider how to assess and treat adult and geriatric clients requiring antidepressant therapy.
The Case Study: An Elderly Hispanic Man With Major Depressive Disorder Assignment
Examine Case Study: An Elderly Hispanic Man With Major Depressive Disorder. You will be asked to make three decisions concerning the medication to prescribe to this client. Be sure to consider factors that might impact the client’s pharmacokinetic and pharmacodynamic processes.
At each decision point stop to complete the following:
At each decision point stop to complete the following:
Decision #1
Which decision did you select?
Why did you select this decision? Support your response with evidence and references to the Learning Resources.
What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources.
Explain any difference between what you expected to achieve with Decision #1 and the results of the decision. Why were they different?
Decision #2
Why did you select this decision? Support your response with evidence and references to the Learning Resources.
What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources.
Explain any difference between what you expected to achieve with Decision #2 and the results of the decision. Why were they different?
Decision #3
Why did you select this decision? Support your response with evidence and references to the Learning Resources
What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources
Explain any difference between what you expected to achieve with Decision #3 and the results of the decision. Why were they different?Nurs 6630 week (1-11) Discussion and Assignments
Also include how ethical considerations might impact your treatment plan and communication with clients.
Case Study: An Elderly Hispanic Man With Major Depressive Disorder
BACKGROUND INFORMATION
The client is a 32-year-old Hispanic American male who came to the United States when he was in high school with his father. His mother died back in Mexico when he was in school. He presents today to the PMHNPs office for an initial appointment for complaints of depression. The client was referred by his PCP afte