Medicine

Discussion: Foundational Neuroscience   **** References within 5 yrs ***** **** Citations required with page number **** 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.   Learning Objectives   Post a response to each of the following: 1.    Explain the agonist-to-antagonist spectrum of action of psychopharmacologic agents. 2.    Compare and contrast the actions of g couple proteins and ion gated channels. 3.    Explain the role of epigenetics in pharmacologic action. 4.    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.

Explain the basic principles of deontology (i.e. “Kantian ethics”), and give an example from your own life where you reached a decision about an ethical question based on principles and duties rather than results.  Finally, present a contemporary social question and explain how a deontologist would answer it.

I am looking for about 500 word for the prompt: “Describe your experience with Community Health Centers”

Write a 750-1,000-word essay that develops a 4-week Problem-Solving Treatment (PST) approach to help a student struggling with ADHD or weight loss management. Use the seven-step strategy below: Define the problem Choose a realistic goal Identify three strategies to reach the goal Evaluate the feasibility of each strategy Choose a strategy Create an action plan Implement and evaluate the plan Include how these strategies may either be maintained or altered over a lifetime as part of ongoing maintenance of mental, emotional, and physical health and wellness. Include at least three scholarly references in your assignment. Prepare this assignment according to the 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 into LopesWrite. Refer to the LopesWrite Technical Support articles for assistance. Benchmark Information  This benchmark assignment assesses the following programmatic competency: Mental Health & Wellness #4.3: Analyze the relationship between mental, emotional, and physical health throughout human development.

Clinical Replacement Assignment COVID-19 – Coronavirus Disease PART 1 Answer the following questions with complete, grammatically correct paragraphs with sufficient information to succinctly, yet completely answer the questions. Answers should include current (within the last five years) references to support your assertions. In text citations and reference page should be in APA format.  Writing considerations: ·      Be concise, yet thorough ·      Be professional ·      Proofread and edit as appropriate ·      Know your facts and support them with scholarly, evidence-based articles   1.     What is COVID-19? (Include etiology, pathology and what COVID-19 stands for) 2.     How is COVID-19 transmitted? 3.     How is COVID-19 diagnosed? 4.     Who is most at risk for infection from COVID-19? 5.     What are COVID-19 symptoms? 6.     What are the potential complications related to COVID-19? 7.     What are effective containment strategies for COVID-19? (e.g. Is there a difference in PPE requirements? What kind for whom and why?) a.     IF YOU ARE SICK?  b.     IF YOU ARE NOT SICK? 8.     What does “flatten the curve” mean, and why is it important? 9.     At the time of your writing, what are the current COVID-19 statistics for the state and county in which you are currently residing? 10.  How is COVID-19 treated? (Include current treatments, and at least one potential treatment including scholarly support for your information) 11.  What is the nurse’s role in infections disease outbreaks? 12.  Choose one of the following FAQs and write (in conversation style) how you would answer the question if posed by a patient. Include scholarly reference to support your answers. a.     Can mosquitos transmit COVID-19? b.     Can Ibuprofen make COVID-19 worse? c.     Are older people the only people at risk for COVID-19? d.     If I have had COVID-19, am I now immune to the virus? e.     Will warm weather stop the spread of COVID-19?  *******All the of the questions should be supported with scholarly peer reviewed evidence, without quotes, just summarizations of information and citation.******* PART 2 Situation:  William Jones, a 55-year-old male, presents alone to the Emergency Department with fever, coughing and generally not feeling well.  He returned from Spring Break in Florida 1 week ago.  Front desk has prioritized him to immediate examination and isolation.   Background: Patient data:  NKA, No immunizations to date.  Ht:  71 inches Wt:  89 kg Vital Signs:  HR:  Sinus rhythm 105 bpm   BP:  150/83   RR:  15/min   SpO2:  98%    Temp:  102.2              Cap refill:  2 seconds Past Medical History:  Appendicitis 10 years ago; otherwise healthy History of Present Illness:  Returned home from vacation in Florida one week ago.  Started feeling ill yesterday with headache, fatigue and coughing.  Stated started feeling feverish last evening but has not taken his temperature at home.  Social History:   High school basketball coach and history teacher at a local high school   College age son who accompanied him on the trip is currently at home due to school closure.  States wife has been visiting her mother in Arizona and has chosen to stay in Arizona for several more weeks due to the pandemic.   Son does not show any signs of illness currently.  Clinical findings:  Coughing, chills, malaise         Activities: Please include a written description of the following: 1.     Describe the care that you would provide: (Be thorough with your explanation) Document a written head to toe assessment that you would perform including findings that you would anticipate including all body systems. (Do not document by exception) Clinical actions that you would take when caring for a patient with COVID 19 presentation and rationale for those actions. (e.g. What complications would you be watching for including symptoms? How will you respond to fears, concerns, isolation? What lab values will you be watching to alert you of potential complications? What interdisciplinary team members may be required?) What communication techniques that could be used for this patient?  What communication techniques that could be used with family given the restrictions for visiting? Patient education that you would provide If they are admitted to the hospital, what should they expect? If they are discharged home, what do they need to do at home?  _____________________________Below is not required____________________________ Debriefing activities: (to be completed during virtual clinical post conference with instructor: What key points did you take away from this activity?  What is your reaction when caring for a patient with suspected COVID-19?

https://clincalc.com/Downloads/Top250Drugs-DrugList.pdf Research each therapeutic class (the heading of each section) and tell what its mechanism/function is in the body. Then type out each generic drug and put its brand name next to it in a different color.

Exam Questions 1. Identify and describe 3 different means to evaluate on-site study conduct. Include the responsible party and driver of each means. How are these means complicated by including both domestic and foreign trial sites, if at all? Be thorough and specific while keeping content and length in mind. 2. List and describe 2 different challenges associated with a clinical trial that enrolls from both domestic and foreign trial sites. Complete response will include the mean or solution to resolve each of these challenges. Be thorough and specific while keeping content and length in mind. 3. Explain the purpose of clinical trial registration and submission of trial results from perspective of global trial (both domestic and foreign trial sites). In addition, list the parties (stakeholders) that benefit and provide explanation as to why this would be considered a benefit. Be thorough and specific while keeping content and length in mind. 4. What is the current FDA position for including international clinical data in a New Drug Application (NDA)? Be thorough and specific while keeping content and length in mind.

For this assessment, you will develop a Word document or an online resource repository of at least 12 annotated professional or scholarly resources that you consider critical for the audience of your safety improvement plan, pertaining to medication administration, to understand or implement to ensure the success of the plan. Communication in the health care environment consists of an information-sharing experience whether through oral or written messages (Chard, Makary, 2015). As health care organizations and nurses strive to create a culture of safety and quality care, the importance of interprofessional collaboration, the development of tool kits, and the use of wikis become more relevant and vital. In addition to the dissemination of information and evidence-based findings and the development of tool kits, continuous support for and availability of such resources are critical. Among the most popular methods to promote ongoing dialogue and information sharing are blogs, wikis, websites, and social media. Nurses know how to support people in time of need or crisis and how to support one another in the workplace; wikis in particular enable nurses to continue that support beyond the work environment. Here they can be free to share their unique perspectives, educate others, and promote health care wellness at local and global levels (Kaminski, 2016). You are encouraged to complete the Determining the Relevance and Usefulness of Resources activity prior to developing the repository. This activity will help you determine which resources or research will be most relevant to address a particular need. This may be useful as you consider how to explain the purpose and relevance of the resources you are assembling for your tool kit. The activity is for your own practice and self-assessment, and demonstrates course engagement. Demonstration of Proficiency By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria: Competency 1: Analyze the elements of a successful quality improvement initiative. Analyze usefulness of resources for role group responsible for implementing quality and safety improvements with medication administration. Competency 2: Analyze factors that lead to patient safety risks. Analyze the value of resources to reduce patient safety risk or improve quality with medication administration. Competency 3: Identify organizational interventions to promote patient safety. Identify necessary resources to support the implementation and sustainability of a safety improvement initiative focusing on medication administration. Competency 5: Apply professional, scholarly, evidence-based strategies to communicate in a manner that supports safe and effective patient care. Present compelling reasons and relevant situations for resource tool kit to be used by its target audience. Communicate in a clear, logically structured, and professional manner, using current APA style and formatting. References Chard, R., Makary, M. A. (2015). Transfer-of-care communication: Nursing best practices. AORN Journal, 102(4), 329-342. Kaminski, J. (2016). Why all nurses can/should be authors. Canadian Journal of Nursing Informatics, 11(4), 1-7. Professional Context Nurses are often asked to implement processes, concepts, or practices – sometimes with little preparatory communication or education. One way to encourage sustainability of quality and process improvements is to assemble an accessible, user-friendly tool kit for knowledge and process documentation. Creating a resource repository or tool kit is also an excellent way to follow up an educational or in-service session, as it can help to reinforce attendees’ new knowledge as well as the understanding of its value. By practicing creating a simple online tool kit, you can develop valuable technology skills to improve your competence and efficacy. This technology is easy to use, and resources are available to guide you. Scenario For this assessment, consider taking one of these two approaches: Build on the work done in your first three assessments and create an online tool kit or resource repository that will help the audience of your in-service understand the research behind your safety improvement plan pertaining to medication administration and put the plan into action. Locate a safety improvement plan (your current organization, the Institution for Healthcare Improvement, or a publicly available safety improvement initiative) pertaining to medication administration and create an online tool kit or resource repository that will help an audience understand the research behind the safety improvement plan and how to put the plan into action. Preparation Google Sites is recommended for this assessment – the tools are free to use and should offer you a blend of flexibility and simplicity as you create your online tool kit. Please note that this requires a Google account; use your Gmail or GoogleDocs login, or create an account following the directions under the “Create Account” menu. Refer to the following links to help you get started with Google Sites: G Suite Learning Center. (n.d.). Get started with Sites. Retrieved from !/ Google. (n.d.). ;Google Sites. Retrieved from Google. (n.d.). ;Sites help. Retrieved from https://support.google.com/sites/?hl=en#topic= Instructions Using Google Sites, assemble an online resource tool kit containing at least 12 annotated resources that you consider critical to the success of your safety improvement initiative. These resources should enable nurses and others to implement and maintain the safety improvement you have developed. It is recommended that you focus on the 3 or 4 most critical categories or themes with respect to your safety improvement initiative pertaining to medication administration. For example, for an ;initiative that concerns improving workplace safety for practitioners, you might choose broad themes such as general organizational safety and quality best practices; environmental safety and quality risks; individual strategies to improve personal and team safety; and process best practices for reporting and improving environmental safety issues. Following the recommended scheme, you would collect 3 resources on average for each of the 4 categories focusing on safety with medication administration. Each resource listing should include ;the following: An APA-formatted citation of the resource with a working link. A description of the information, skills, or tools provided by the resource. A brief explanation of how the resource can help nurses better understand or implement the safety improvement initiative pertaining to medication administration. A description of how nurses can use this resource and when its use may be appropriate. Remember that you must make your site public so that your faculty can access it. Check out the Google Sites resources for more information. Here is an example entry: Merret, A., Thomas, P., Stephens, A., ;Moghabghab, R., Gruneir, M. (2011). A collaborative approach to fall prevention. Canadian Nurse, 107(8), 24-29. Retrieved from www.canadian-nurse.com/articles/issues/2011/october-2011/a-collaborative-ap This article presents the Geriatric Emergency Management-Falls Intervention Team (GEM-FIT) project. It shows how a collaborative nurse lead project can be implemented and used to improve collaboration and interdisciplinary teamwork, as well as improve the delivery of health care services. This resource is likely more useful to nurses as a resource for strategies and models for assembling and participating in an interdisciplinary team than for specific fall-prevention strategies. It is suggested that this resource be reviewed prior to creating an interdisciplinary team for a collaborative project in a health care setting. Additionally, be sure that your plan addresses the following, which corresponds to the grading criteria in the scoring guide. Please study the scoring guide carefully so you understand what is needed for a distinguished score. Identify necessary resources to support the implementation and continued sustainability of a safety improvement initiative pertaining to medication administration. Analyze the usefulness of resources to the role group responsible for implementing quality and safety improvements focusing on medication administration. Analyze the value of resources to reduce patient safety risk related to medication administration. Present compelling reasons and relevant situations for use of resource tool kit by its target audience. Communicate in a clear, logically structured, and professional manner that applies current APA style and formatting. Example Assessment: You may use the following example to give you an idea of what a Proficient or higher rating on the scoring guide would look like but keep in mind that your tool kit will focus on promoting safety with medication administration. Note that you do not have to submit your bibliography in addition to the Google Site; the example bibliography is merely for your reference. Assessment 4 Example [PDF]. To submit your online tool kit assessment, paste the link to your Google Site in the assessment submission box. Example Google Site: You may use the example Google Site, Resources for Safety and Improvement Measures in Geropsychiatric Care, to give you an idea of what a Proficient or higher rating on the scoring guide would look like for this assessment but keep in mind that your tool kit will focus on promoting safety with medication administration. Note: If you experience technical or other challenges in completing this assessment, please contact your faculty member. Additional Requirements APA formatting: References and citations are formatted according to current APA style

oABSTRACT     Step 1: Define the context o    Step 2: State the problem §  In order to develop a well-defined problem statement, data are needed.  Use the information you gathered for your annotated bibliography, as well as additional resources to support your case.  Consider: ·       Is there a discrepancy between what exists and the ideal planned condition or desired outcome? ·       Is the reason for this difference unclear? ·       There should be more than one possible solution to the problem o    Step 3: Search for Evidence §  Again, building on the work you did for your annotated bibliography, identify significant features of the problem and how it might be solved or mitigated §  It helps to have a very narrow focus for your research here –  this is where it is easy to get overwhelmed with the volume of available information – please reach out to your instructor if you need assistance. o    Step 4: Consider different policy options §  Identify alternative courses of action §  It is crucial to consider context here.  How are the different options capturing the needs of a diverse constituency? o    Step 5: Project the outcomes of the identified options §  What is feasible for your agency? o    Step 6: Apply evaluative criteria §  Questions to consider: ·       How do the options contribute to the health needs of your agency’s target population? ·       How do the options take into consideration the experiences of marginalized groups your agency may serve?  o    Step 7: Weigh the outcomes §  Discuss how the alternatives should be converted into possible outcomes for your agency §  What would implementation look like – what are the pros/cons/trade-offs? o    Step 8: Make the decision/recommendation §  Be sure to address how your recommendation would impact the clients your organization serves taking into consideration the diversity of identities your organization serves – racial/ethnic minorities, LGB+ individuals, transgender and non-binary individuals, individuals impacted by ableism, etc….

Watch a NON-Fiction film of your choosing- a documentary or news program or series. The film should be about addictive substances and not hallucinogens or behavioral addictions (games, sex etc) It may be on bio-chemistry, economics, politics etc…   Tell me what you learned. Was there a component of “co-dependency” and/or “enabling” in the film?