Factors that might impact the client’s pharmacokinetic and pharmacodynamic processes

The Assignment

Examine Case Study: A Young Caucasian Girl With ADHD You will be asked to make three decisions concerning the medication to prescribe to this client. Be sure to consider factors that might impact the client’s pharmacokinetic and pharmacodynamic processes.

At each decision point stop to complete the following:

· Decision #1

· 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?

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

Attention Deficit Hyperactivity Disorder A Young Girl With ADHD

A Young Girl With ADHD

BACKGROUND

Katie is an 8 year old Caucasian female who is brought to your office today by her mother & father. They report that they were referred to you by their primary care provider after seeking her advice because Katie’s teacher suggested that she may have ADHD. Katie’s parents reported that their PCP felt that she should be evaluated by psychiatry to determine whether or not she has this condition.

The parents give the PMHNP a copy of a form titled “Conner’s Teacher Rating Scale-Revised”. This scale was filled out by Katie’s teacher and sent home to the parents so that they could share it with their family primary care provider. According to the scoring provided by her teacher, Katie is inattentive, easily distracted, forgets things she already learned, is poor in spelling, reading, and arithmetic. Her attention span is short, and she is noted to only pay attention to things she is interested in. The teacher opined that she lacks interest in school work and is easily distracted. Katie is also noted to start things but never finish them, and seldom follows through on instructions and fails to finish her school work.

Katie’s parents actively deny that Katie has ADHD. “She would be running around like a wild person if she had ADHD” reports her mother. “She is never defiant or has temper outburst” adds her father.

SUBJECTIVE

Katie reports that she doesn’t know what the “big deal” is. She states that school is “OK”- her favorite subjects are “art” and “recess.” She states that she finds her other subjects boring, and sometimes hard because she feels “lost”. She admits that her mind does wander during class to things that she thinks of as more fun. “Sometimes” Katie reports “I will just be thinking about nothing and the teacher will call my name and I don’t know what they were talking about.”

Katie reports that her home life is just fine. She reports that she loves her parents and that they are very good and kind to her. Denies any abuse, denies bullying at school. Offers no other concerns at this time.

MENTAL STATUS EXAM

The client is an 8 year old Caucasian female who appears appropriately developed for her age. Her speech is clear, coherent, and logical. She is appropriately oriented to person, place, time, and event. She is dressed appropriately for the weather and time of year. She demonstrates no noteworthy mannerisms, gestures, or tics. Self-reported mood is euthymic. Affect is bright. Katie denies visual or auditory hallucinations, no delusional or paranoid thought processes readily appreciated. Attention and concentration are grossly intact based on Katie’s attending to the clinical interview and her ability to count backwards from 100 by serial 2’s and 5’s. Insight and judgment appear age appropriate. Katie denies any suicidal or homicidal ideation.

Diagnosis: Attention deficit hyperactivity disorder, predominantly inattentive presentation

RESOURCES

§ Conners, C. K., Sitarenios, G., Parker, J. D. A., & Epstein, J. N. (1998). Revision and restandardization of the Conners’ Teacher Rating Scale (CTRS-R): Factors, structure, reliability, and criterion validity. Journal of Abnormal Child Psychology, 26, 279-291.Decision Point One

Select what the PMHNP should do:

Begin Wellbutrin (bupropion) XL 150 mg orally daily 

Begin Intuniv extended release 1 mg orally at BEDTIME 

Begin Ritalin (methylphenidate) chewable tablets 10 mg orally in the MORNING

Nursing homework help

An ongoing challenge for advanced practice registered nurses (APRNs) has been changing state legislation that allow APRNs to practice to the fullest extent to which they were academically prepared. For this discussion question, contact the Board of Nursing (BON) in your state or access your BON online. Examine laws that govern APRNs in your state. Consider the following: do APRNs in your state have prescriptive authority; is there legislation in place that allows them to practice autonomously; and finally, if a bill has been passed and adopted, which legislator introduced the bill and who were the strongest advocates for the bill? Then post an initial response that addresses the following:

ORDER   A PLAGIARISM FREE PAPER   NOW

Explain how the lack of autonomy for APRNs impact patients in rural populations? As a health care professional in an advocacy role, what resources could you utilize to guide you in changing policies that impact APRNS in your state? Include in your discussion the type of stakeholders and collaborative partners you would seek to guide or assist you on this cause. initial 400 APA words, makeup 2 replies to 2 students 200 words each. Nursing homework help

Challenges with sensory issues, social interactions, information processing and executive functioning can affect the post-secondary education and or employment outcomes of young adults with autism

ASSIGNMENT 1—due THURSDAY at 9:00am

 Discuss how challenges with sensory issues, social interactions, information processing and executive functioning can affect the post-secondary education and or employment outcomes of young adults with autism. Discuss strategies to mitigate these common challenges for people with ASD. 

The thread should be 420– words and 3–5 paragraphs in length. THE thread should be supported with at least 2 sources in APA format.

ASSIGNMENT 2 WILL BE ONE REPLY TO THE PROMPT ABOVE—I WILL SEND IT ON WEDNESDAY. IT WILL BE FRIDAY AT 9 am.

ASSIGNMENT 3

Article Review Instructions—DUE SATURDAY 2 PM

You will critically review 1 journal article on autism and COMMUNICATION skills. The article is attached.

If your article is on the topic of communication:

In what way does this article expand your knowledge regarding the language and communication process for children or adolescents with ASD and their families? ? Discuss this knowledge as it specifically relates to 4 of the topics listed below:

a) Receptive/expressive language,

b) Cognitive communication,

c) Social aspects of communication, and

d) Communication modalities.

e) Communicative intent

f) Pragmatic aspects of language

g) Joint attention

The review must be:

· At least 5 pages,

· APA format including:

· Margins,

· Font style and size,

· In-text ditations, and

· Reference list that begins on a separate page.

Page 1 of 1

Assessing, planing, implementing and evaluateing your care for the patient

2200 words essay (Including Intext References )

For this essay, select either 

Essay Case Option 1 (the paediatric case) or 

Essay Case Option 2 (the adult case).

 Review your chosen case and the clinical documents. Using the clinical reasoning cycle you are required to assess, plan, implement and evaluate your care for the patient. After identifying the relevant assessment data you must identify two (2) priority problems for your patient. For each priority problem identified, list two (2) nursing interventions (collaborative/independent) linking to your research of the literature. Include a one to two line rationale for each intervention. Evaluation of your care is essential. 

The 2200 word essay should cover the points below: 

  • Introduction (150 words approx): State an overview of the patient’s condition and identify the TWO priority nursing problems. Give a brief plan for the essay topics.
     
  • For each of your identified priority problems (950 words approx): Briefly explain how it relates to the patient’s assessment data. You will need to draw on your understanding of pathophysiology to explain the link between the problem and the patient’s signs and symptoms. Identify TWO priority nursing interventions to address the problem. Justify the nursing interventions you will implement (explain what is involved in implementing the intervention, why it is suitable, any relevant positive or negative aspects/considerations) and support/justify the use of these interventions with reference to current evidence-based literature. Outline the evaluation criteria/data that would indicate that each intervention is improving or resolving the identified problem.
         
  • Conclusion (150 words approx): Briefly restate the patient’s condition and problems and how the nursing interventions can benefit the patient’s health.
     
  • You need to discuss at least one independent nursing intervention in your essay.
     
  • For any collaborative nursing interventions you must discuss the nursing responsibilities and actions in relation to this collaborative intervention.
     
  • Medications cannot be both of your chosen collaborative interventions for a problem. If a medication is one of your collaborative interventions you must identify an appropriate drug that is likely to be/or has been prescribed by the doctor. You must consider and discuss the nursing responsibilities associated with the medication (action, dose, side effects, prevention and management of same, administration requirements, evaluation).
     

• A minimum 20 references but be cited from valid, contemporary journal articles or books no older than 7 years. 

  • Use  APA referencing for citing academic literature

URN: QUT19734 | PATIENT: Simmons, Beryl

DOB: 4/10/19XX | Room: Outpatient

Beryl is a 50 year old woman with Hypertension who is

attending a Healthy Heart Workshop at her local

Community Health Centre. Beryl’s blood pressure is

160/95, she is 150cms in height and her weight is 105kg.

Beryl reports that she drinks two to three glasses of wine

per night, eats a lot of take away foods as she’s too busy

with her executive management job to think about cooking.

She is a single mother caring for three school aged children

to always cook. She states that she rarely exercises due to

lack of time. Beryl visited her GP last week after feeling

unwell. Pathology was taken and Beryl’s GP report shows

that her total cholesterol is 6 mmol/L, Low Density

Lipoprotein 3.1 mmol/L and High Density Lipoprotein

0.8mmol/L. The GP commenced Beryl on medications but

she states “I keep forgetting to take them, my life is just so

stressful at the moment. I really don’t have time to be here,

I need to be at work”.

Health history and physical examination skills to the developmental, gender-related, age-specific, and special population needs of the individual patient

Alternative Writing Assignment

Guidelines and Grading Rubric

Purpose

As a family nurse practitioner, you must possess excellent physical assessment skills. This alternative writing assignment mirrors the discussion content of the debriefing session and will allow the student to expand their knowledge of physical health assessment principles specific to the advanced practice role.

Course Outcomes

This assignment is guided by the following Course Outcomes (COs):

1. Apply advanced practice nursing knowledge to collecting health history information and physical examination findings for various patient populations. (PO 1, 2)

2. Differentiate normal and abnormal health history and physical examination findings. (PO 1, 2)

4. Adapt health history and physical examination skills to the developmental, gender-related, age-specific, and special population needs of the individual patient. (PO 1, 2)

The purposes of this assignment are to: (a) identify and articulate advanced assessment health history and physical examination techniques which are relevant to a focused body system (CO 1), (b) differentiate normal and abnormal findings with regard to a disease or condition that impacts the body system (CO 2), and (c) adapt advanced assessment skills if necessary to suit the needs of specific patient populations (CO 4).

NOTEYou are to complete this alternative writing assignment ONLY if you had not participated or do not plan to participate in a debriefing session for the given week.

Due Date: This alternative written assignment is due no later than the Sunday of the week in which you did not attend the weekly debriefing session. For example, if you did not attend a debriefing session for Week 3, this written assignment is due the Sunday at 11:59 p.m. MT of Week 4.

The standard MSN Participation Late Assignment policy applies to this assignment (please see the course syllabus)

Total Points Possible: 25 Points

Requirements:

1. This paper will be graded on the quality of the information, inclusion of evidence-based scholarly resources, use of citations, use of Standard English grammar, and organization based on the required components (see the paper headings and content details below).

2. Submit to the appropriate location in Canvas by 11:59 p.m. MT on Sunday of the week due.

3. The length of the paper is to be no less than 1,500 words, excluding title page and reference list.

4. Create this assignment using Microsoft (MS) Word. You can tell that the document is saved as a MS Word document because it will end in “.docx.”

5. APA format (6th edition) is required in this assignment, explicitly for in-text citations and the reference list. Use 12-point Times New Roman font with 1 inch margins and double spacing. See the APA manual for details regarding proper citation. See resources under Course Resources, “Guidelines for Writing Professional Papers” for further clarification.

6. Organize the headings and content of your paper using the outline below:

a. Identify and briefly discuss the body system selected for the topic of this paper

b. Discuss the physiology (structure and function) of the body system including details about the major organ systems (if applicable)

c. Discuss relevant health history questions (subjective data) pertaining to the body system

d. Discuss an overview of the objective data and expected normal physical examination findings for this body system

e. Discuss special physical assessment examination techniques or procedures specific to assessing this body system

f. Discuss how you might adapt your physical assessment skills or techniques to accommodate each of the following specific populations:

i. Infant/pediatric

ii. Pregnancy

iii. Geriatric

g. Identify one major disease or disease process that may significantly impact this body system

h. Discuss the expected abnormal physical examination findings that may be associated with this disease or disease process

i. Summarize the key points

Preparing the Paper:

1. Select a focused body system from the weekly lesson which corresponds with the week of the written assignment.

2. Carefully read and review the selected body system in your course textbooks.

3. Incorporate at least one scholarly peer-reviewed journal article that relates to the body system. It may be useful to identify an article that relates to a disease that impacts the body system.

4. The paper must clearly articulate the relevance of advanced physical assessment skills, techniques, application of advanced practice knowledge, and assessment modification (when necessary) to accommodate for specific patient populations.

5. Provide concluding statements that should summarize key points of the overall assignment content.

6. In-text citations and reference page(s) must be written using proper APA format (6th edition).

CategoryPoints%Description
Application of Knowledge, Analysis, and Clarity1040%Student demonstrates application of course knowledge consistent with the principles of advanced physical assessment; content is specific to the focus topic, organized, and clearly presented.
Adapted Physical Assessment Skills to Special Populations, Disease Process, and Summary1040%Discussed appropriate clinical reasoning and judgment as evidenced by: adaption of physical assessment skills or techniques to accommodate special populations;identified one major disease or disease process and expected examination findings; and summarized key points
Writing Mechanics and Evidence-based Resources520%Paper meets the minimum 1,500 word limit (not including the reference list); Paper is fully supported by evidence from appropriate Evidence-based, peer-reviewed resources published within the last 5 years; In-text citations and full references are provided using proper APA formatting.
Total 25100A quality assignment will meet or exceed all of the above requirements.

Chamberlain College of Nursing NR509 Advanced Physical Assessment

3

Grading Rubric

Assignment CriteriaSatisfactoryUnsatisfactory
10 POINTS0 POINTS
Application of Knowledge, Analysis, and ClarityStudent demonstrates knowledge consistent with the principles of advanced physical assessment; content is specific to the focus topic, organized, and clearly presented.Student did not demonstrate knowledge consistent with the principles of advanced physical assessment; content was missing, unorganized, and unclear.
10 POINTS0 POINTS
Adapted Physical Assessment Skills to Special Populations, Disease Process, and SummaryDiscussed how to adapt physical assessment skills or techniques to accommodate special populations; andidentified one major disease or disease process and expected examination findings; summarized key points.Student did not adapt physical assessment skills or techniques to accommodate special populations; and did notidentify one major disease or disease process and expected examination findings; did not summarize key points.
5 POINTS0 POINTS
Writing Mechanics and Evidence-based ResourcesPaper meets the minimum 1,500 word limit (not including the reference list); Paper is fully supported by evidence from appropriate sources published within the last 5 years; and Evidence-based, peer- reviewed journal article cited; In-text citations and full references are provided.Paper does not meet the minimum 1,500 word limit (not including the reference list)Paper contains no evidence-based practice reference or citation.
Total Possible- Satisfactory = 25 Points25 Points0 Points
NR509 January 20184

Frameworks of the ethical constructs of ethics, moral, or legal standards and the purpose of the paper

Application: Taking a Stand

Effective leaders have a high degree of self-awareness and know how to leverage their strengths in the workplace. Assessments are a valuable tool that professionals can use to learn more about themselves and consider how their temperament and preferences influence their interactions with others.

As you engage in this learning process, it is important to remember that everyone—regardless of temperament type or related preferences—experiences some challenges with regard to leadership. The key to success is being able to recognize and leverage your own strengths while honoring differences among your colleagues.

At some point in your leadership career, you will encounter an ethical or moral dilemma that requires you to take a stand and defend your position.

For this Assignment, you evaluate an issue and consider how you could act as a moral agent or advocate, facilitating the resolution of the issue for a positive outcome.

To prepare:

  • Consider the examples of leadership demonstrated in this week’s media presentation and the other Learning Resources. (Democratic, authoritative, or Laissez-Faire)
  • 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 (Democratic), 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 to 5 page paper (page count does not include title and reference page) that addresses the following:1) Introduce the conceptual frameworks of the ethical constructs of ethics, moral, or legal standards and the purpose of the paper. 1) Consider  an ethical, moral, or legal dilemma that you have encountered in your work environment and describe it. ( an example is ” a Jehovah witness refusing blood even though it is needed to save his or life”)2) Analyze the moral, ethical, and legal implications utilized in this situation. Describe your role as a moral agent or advocate for this specific issue. 3) Consider your leadership styles (Democratic) identified by your self-assessment and determine if they act as a barrier or facilitation during this dilemma.     Required Resources Readings 
  • Marquis, B. L., & Huston, C. J. (2015). Leadership roles and management functions in nursing: Theory and application (8th ed.). Philadelphia, PA: Lippincott, Williams & Wilkins.
    • Chapter 4, “Ethical Issues”



      This chapter examines ethical frameworks for decision making and principles of ethical reasoning. You are also introduced to the ANA Code of Ethics and Professional Standards, MORAL decision-making model, and ethics committees.
    • Chapter 5, “Legal and Legislative Issues”



      Chapter 5 provides an overview of the many legal and legislative issues of which leaders and managers need to be aware. As you read this chapter, keep these issues in mind.
    • Chapter 6, “Patient, Subordinate, and Professional Advocacy”



      Nurses are the best advocates for patients and the profession. This chapter examines more closely the role of becoming an advocate, patient rights, subordinate advocacy, whistle-blowing, professional advocacy, advocacy in legislation and public policy, and media.
  • Cianci, A. M., Hannah, S. T., Roberts, R. P., & Tsakumis, G. T. (2014). The effects of authentic leadership on followers’ ethical decision-making in the face of temptation: An experimental study. The Leadership Quarterly25(3), 581-594. doi:10.1016/j.leaqua.2013.12.001



    Abstract excerpt: The present research investigates the impact of authentic leadership on followers’ morality, operationalized as ethical decision-making, in the face of temptation. This experiment finds that authentic leadership and temptation interacted to affect individuals’ ethical decision-making. Specifically, authentic leadership significantly inhibited individuals’ from making unethical decisions in the face of temptation, whereas followers of neutral or less authentic leaders were more likely to succumb to temptation..
  • Disch, J. (2014). Using Evidence-Based Advocacy to Improve the Nation’s Health. Nurse Leader12(4), 28-31. doi:10.1016/j.mnl.2014.05.003



    Abstract excerpt: Evidence-based practice is 1 of the 5 competencies that the Institute of Medicine has identified for all health professionals. Its intent is to employ evidence-based practice and integrate best research results, clinical expertise, and patient values to make patient care decisions. This article will explore the concept of evidence-based advocacy and describe ways in which one prominent nursing organization, the American Academy of Nursing, uses evidence-based advocacy to positively impact the nation’s health and advance the nursing profession
  • Martin, M. B. (2014). Transcultural Advocacy and Policy in the Workplace: Implications for Nurses in Professional Development. Journal for nurses in professional development30(1), 29-33.  doi: 10.1097/NND.0000000000000027



    Abstract: This article introduces the role of nursing professional development specialists in serving as a resource for both patient and staff advocacy regarding cultural and linguistic matters. The impact of changing demographics, support for civil rights, and established policy related to culture and linguistics is emphasized. An overview of policy at local, state, and national levels is suggested to promote nursing professional development in the interest of culturally and linguistically compliant nursing practice.
  • Woods, M. (2014). Beyond moral distress preserving the ethical integrity of nurses. Nursing Ethics21(2), 127-128.  This guest editorial discusses the difficulties involved in dealing with those sometimes-painful moral problems encountered in practice.  Media 
  • Laureate Education, Inc. (Executive Producer). (2012a). Ethical, moral, and legal leadership. Baltimore, MD: Author.



    Note: The approximate length of this media piece is 8 minutes.



    In this week’s media presentation, expert Terry Buttaro discuss how today’s health care organizations can capitalize on the strengths of nurse leaders to plan for and navigate change effectively. 

Type of qualitative research design utilized to conduct the study

Qualitative Research

Write a fully developed and detailed APA essay addressing each of the following points/questions. 2500 word count; be sure to completely answer all the questions for each question in detail. Separate each section in your paper with a clear heading that allows your professor to know which bullet you are addressing in that section of your paper. Support your ideas with at least one (1) source using citations in your essay. Make sure to cite using the APA writing style for the essay. The cover page and reference page are required. Review the rubric criteria for this assignment.

Conduct a literature search to select a qualitative research study on the topic identified in Module 1. (   The clinical question identified in this section is about chronic neck pain in adults). Conduct an initial critical appraisal of the study. 

Respond to the overview questions for the critical appraisal of qualitative studies, including:

  • What type of qualitative research design was utilized to conduct the study?
  • Are the results valid/trustworthy and credible?
  • How were the participants chosen? 
  • How were accuracy and completeness of data assured? 
  • How plausible/believable are the results? 
  • Are implications of the research stated?
  • May new insights increase sensitivity to others’ needs? 
  • May understandings enhance situational competence?
  • What is the effect on the reader?
  • Are the results plausible and believable? 
  • Is the reader imaginatively drawn to the experience? 
  • What are the results of the study?
  • Does the research approach fit the purpose of the study? 
  • How does the researcher identify the study approach?
  • Are the data collection and analysis techniques appropriate? 
  • Is the significance/importance of the study explicit?
  • Does the literature support a need for the study? 
  • What is the study’s potential contribution? 
  • Is the sampling clear and guided by study needs?
  • Does the researcher control selection of the sample? 
  • Do sample size and composition reflect the study needs? 
  • Is the phenomenon (human experience) clearly identified? 
  • Are data collection procedures clear?
  • Are sources and means of verifying data explicit? 
  • Are researcher roles and activities explained? 
  • Are data analysis procedures described?
  • Does analysis guide directions of sampling when it ends? 
  • Are data management processes described? 
  • What are the reported results (descriptive or interpretation)? 
  • How are specific findings presented?
  • Are the data meanings derived from data described in context? 
  • Does the writing effectively promote understanding? 
  • Will the results help me care for my patients?
  • Are the results relevant to persons in similar situations? 
  • Are the results relevant to patient values and/or circumstances? 
  • How may the results be applied to clinical practice?

Please be sure to answer the questions thoroughly using complete sentences and APA format. Explain responses to yes/no questions in detail by presenting information found in the study to support your response. 

Provide a reference for the article according to APA format and a copy of the article.

Assignment Expectations:

Length: Clearly and fully answer all questions; attach a copy of the article
Structure: Include a title page and reference page in APA format. Your essay must include an introduction and a conclusion.
References: Use appropriate APA style in-text citations and references for all resources utilized to answer the questions. A minimum of one (1) scholarly source for the article is required for this assignment.
Rubric: This assignment uses a rubric for scoring. Please review it as part of your assignment preparation and again prior to submission to ensure you have addressed its criteria at the highest level.

How will you decide which statistical test is most appropriate for the goal of monitoring, tracking, or overseeing operations in your health services organization

As a current or future health care administration leader, how will you decide which statistical test is most appropriate for the goal of monitoring, tracking, or overseeing operations in your health services organization?

Each statistical test is dependent on a given set of research parameters and expectations. As you have examined throughout this course, understanding why and when to use each statistical test is necessary in conducting the tests for process control and comparison. Thus, chi-square tests are useful for table data, ANOVA for a single quantitative dependent variable and categorical independent variables, and ANOM for analysis of mean differences. Regression modeling is useful for determining the influence of independent variables on a quantitative dependent variable.

For this Assignment, review the resources for this week regarding chi-square, ANOVA, ANOM, and regression. Pay particular attention to the examples shown in the textbook.

The Assignment: (4– pages)

  • Using SPSS and Microsoft Word, complete problems 1 through 10 on pages 367–370 in the Ross textbook. Show all work. Submit both your SPSS and Word files for grading.

Book to use

https://ereader.chegg.com/#/books/9781118603642/cfi/362!/4/4@0.00:0.00

Will send login details through the chat.thank you

Culturally sensitive strategies nurses can use with a population to promote health and wellness

Write for your organization a 3 page impact report regarding the health concerns of a new immigrant population. Describe the population’s health concerns and issues, explain current pharmacological treatments, and explain how culture and traditional practices may affect use of pharmacology. Identify evidence-based strategies for the organization and nursing staff to use to educate the population and promote health and wellness.

By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:

· Competency 1: Apply practice guidelines and standards of evidence-based practice related to pharmacology for safe and effective nursing practice.

. Describe current pharmacological treatment regimens for the health concerns and issues of a population.

· Competency 2: Explain the relationship between quality patient outcomes, patient safety, and the appropriate use of pharmacology and psychopharmacology.

. Explain traditional beliefs and practices of a population with regard to health concerns and issues.

. Explain how the cultural values and traditional practices of a population affect the acceptance and use of pharmacology.

· Competency 3: Apply the principles and practices of cultural competence with regard to pharmacological interventions.

. Identify evidence-based, culturally sensitive strategies an organization can use to educate a population about the appropriate use of pharmacology.

. Identify evidence-based, culturally sensitive strategies nurses can use with a population to promote health and wellness.

· Competency 4: Communicate in a manner that is scholarly, professional, and consistent with expectations of a nursing professional.

. Describe the health concerns and issues for a specific population.

. Write content clearly and logically with correct use of grammar, punctuation, and mechanics.

. Correctly format citations and references using current APA style.

To deepen your understanding, you are encouraged to consider the questions below and discuss them with a fellow learner, a work associate, an interested friend, or a member of your professional community.

· Within your community, are there educational or outreach programs to help specific populations understand health issues and the treatments available?

. How effective are the programs?

. How might professional nurses help such programs be more effective?

Internet Resources

Access the following resources by clicking the links provided. Please note that URLs change frequently. Permissions for the following links have either been granted or deemed appropriate for educational use at the time of course publication.

· Minority Nurse Staff. (2013). Ethnopharmacology: What nurses need to know. Retrieved from http://minoritynurse.com/ethnopharmacology-what-nurses-need-to-know/

· Jeffreys, M. (2008). Dynamics of diversity: Becoming better nurses through diversity awareness. Retrieved from http://www.nsna.org/Portals/0/Skins/NSNA/pdf/Imprint_NovDec08_Feat_Jeffreys.pdf

Assessment Instructions

Imagine the county health department notifies your organization that a large number of immigrants are expected to be resettled in your area. The organization, wanting to be prepared to handle any health concerns of the population, tasks each department with readying for the influx of immigrants. Your supervisor asks you to prepare an impact report on the pharmacological needs of the population that can be shared with other departments.

Preparation

Complete the following as you prepare for your impact report:

1. Choose one of the global areas below as the area from which the population will be coming.

. Sub-Saharan Africa.

. India.

. China.

. Dominican Republic.

. Guatemala.

. Jamaica.

. Bangladesh.

. Saudi Arabia.

. Pakistan.

. Mexico.

· Research the most common health concerns and issues for immigrants from your chosen global area, the pharmacological treatments that will likely be prescribed, and any cultural values or traditional practices that may impact patient outcomes.

Requirements

Once you have identified the population you will be using for this assessment, include the following in your impact report:

· Describe the health concerns and issues for the population.

· Describe current pharmacological treatment regimens for the main health concerns and issues.

· Explain any traditional beliefs and practices associated with the health concerns and issues. Does the population engage in culturally based methods of treating the health concern?

· Explain how cultural values and traditional practices might affect acceptance and use of prescribed pharmacological treatments. Be sure to consider the relationship between quality patient outcomes, patient safety, and the appropriate use of pharmacology.

· Identify evidence-based, culturally sensitive strategies the organization can use to educate the population about the correct use of the pharmacology treatments.

· Identify evidence-based, culturally sensitive strategies the nursing staff can employ with the population to promote health and wellness.

Write this assessment as an impact report formatted as other reports of a similar nature in your organization or an organization with which you are familiar. Include a title page and reference page and follow APA guidelines for your in-text citations and references.

Additional Requirements

· Number of pages: 3

· At least 3 current scholarly or professional resources.

· Times New Roman font, 12 point, double-spaced font.

The Singapore Epidemiology of Eye Disease (SEED) study if aspirin associated with diabetic retinopathy

DUE IN 1 hr and 30 mins DUE AT 7:20P.M EST (TODAY).. WILL ATTACH QUESTIONS QUESTIONS. THIS IS A TIMED TEST.

ARTICLE (Is aspirin associated with diabetic retinopathy? The Singapore Epidemiology of Eye Disease (SEED) study)

PROFESSOR SAID CAN USE GUIDE IN EPIDEMIOLOGY IN PUBLIC HEALTH BY ANN ASCHENGRAU 3RD EDITION CH 14

Study Guide for the Article Critique

Reminders:

· Before opening the critique questions 

· As indicated by your teacher, use the guidelines in Chapter 14 of the text as well as information that has been discussed throughout the course to analyze the article.

· The checklist on pg. 365 of the text may help guide you for the critique. 

o Exhibit 14-1 Outline for Critiquing Epidemiologic Studies

· Once you have read the article and are able to articulate answers in your mind for the questions provided on pg. 365 then you may open up 

· You will randomly receive 15 questions about the article to answer. These are short-answered questions and are presented in a “test” format.

o Please make sure your responses meet academic writing standards.

o Responses do not need citations or references

o Each question is worth 5 points

o Partial credit is possible

· You are being given 2 hours to complete the questions and submit them to Blackboard. Please note that once you have opened the critique, the 2-hour time window starts and does not stop. Please be mindful of this and ensure that you are prepared and have time available to complete the critique before opening it.

· Questions that are answered after the 2-hour time window will not be graded.

· It is a relatively short research article to read so please do not feel overwhelmed 

Questions may include the following:

· Ethical concerns

· Effect modifiers

· Strength of association

· Information bias

· Inclusion criteria 

· Exclusion criteria

· Data collection methods

· Statistical test used

· Selection bias

· Statistical significance

· Future implications

· Social change implications

· Research question being asked

· Outcome of interest

· Study limitations

· Study designs

· Representation of the population

Tips for Success:

· It is important to note that research articles are comprised of the following sections:

o Title

o Abstract

o Introduction

o Materials and Methods

o Results

o Conclusions/Discussion

o Bibliography

· Typically, each section you are able to find particular information pertaining to the research question, study design, population, etc.:

o Abstract:

§ Here you would find a short summary of the entire paper. It should include goals and objectives, results, and conclusions. This is usually the last part of the paper to be written.

o Introduction:

§ It provides background on the topic, review of the literature, focus and purpose of the paper, overview of what is contained in the paper, outcome of interest, and the research question being asked.

o Methods:

§ This section describes what the researcher did and how the researcher did it. Within the methods you will be able to determine the population, where they gathered the participants of the study, data collection methods: interview, questionnaire, focus group, etc., statistical tests used, and study design used.

§ In this section you may also be able to gauge selection bias, information bias, inclusion/exclusion criteria, ethical concerns, and the effect modifier.

o Results:

§ This section simply provides the results from the statistical analysis (not an interpretation of the results). This may be displayed through graphs or tables. It will indicate whether the results are considered statistically significant or not.

o Discussion/Conclusion:

§ The discussion goes over what the results mean and why the results may have ended up as they have. The researcher is able to discuss take home messages, interesting observations, future implications, social change implications, what worked, and what did not work. 

In this portion, the reader may be able to gauge bias or ethical concerns that the researcher may have noted