· Identify the technologies required to implement this project and explain why.

To Prepare:Review the concepts of technology application  Reflect on how emerging technologies such as artificial intelligence may help fortify nursing informatics as a specialty by leading to incre

To Prepare:

  • Review the concepts of technology application 
  • Reflect on how emerging technologies such as artificial intelligence may help fortify nursing informatics as a specialty by leading to increased impact on patient outcomes or patient care efficiencies.

The Assignment: (4-5 pages)

In a 4- to 5-page project proposal written to the leadership of your healthcare organization, propose a nursing informatics project for your organization that you advocate to improve patient outcomes or patient-care efficiency. Your project proposal should include the following:

  • Describe the project you propose.
  • Identify the stakeholders impacted by this project.
  • Explain the patient outcome(s) or patient-care efficiencies this project is aimed at improving and explain how this improvement would occur. Be specific and provide examples.
  • Identify the technologies required to implement this project and explain why.
  • Identify the project team (by roles) and explain how you would incorporate the nurse informaticist in the project team.

Rubric

Name: NURS_6051_Module02_Week03_Assignment_Rubric

  • Grid View
  • List View

ExcellentGoodFairPoorIn a 4- to 5-page project proposal written to the leadership of your healthcare organization, propose a nursing informatics project for your organization that you advocate to improve patient outcomes or patient care efficiency. Your project proposal should include the following:

·   Describe the project you propose.

·   Identify the stakeholders impacted by this project.

·   Explain the patient outcome(s) or patient-care efficiencies this project is aimed at improving, and explain how this improvement would occur. Be specific and provide examples.

·   Identify the technologies required to implement this project and explain why.

·   Identify the project team (by roles) and explain how you would incorporate the nurse informaticist in the project team.77 (77%) – 85 (85%)The response accurately and thoroughly describes in detail the project proposed.

The response accurately and clearly identifies the stakeholders impacted by the project proposed.

The response accurately and thoroughly explains in detail the patient outcome(s) or patient-care efficiencies that the project proposed is aimed at improving, including an accurate and detailed explanation, with sufficient supporting evidence of how this improvement would occur.

The response accurately and clearly identifies the technologies required to implement the project proposed with a detailed explanation why.

The response accurately and clearly identifies the project team (by roles) and thoroughly explains in detail how to incorporate the nurse informaticist in the project team.68 (68%) – 76 (76%)The response describes the project proposed.

The response identifies the stakeholders impacted by the project proposed.

The response explains the patient outcome(s) or patient-care efficiencies that the project proposed is aimed at improving, including an explanation, with some supporting evidence of how this improvement would occur.

The response identifies the technologies required to implement the project proposed with an explanation why.

The response identifies the project team (by roles) and explains how to incorporate the nurse informaticist in the project team.60 (60%) – 67 (67%)The response describing the project proposed is vague or inaccurate.

The response identifying the stakeholders impacted by the project proposed is vague or inaccurate.

The response explaining the patient outcome(s) or patient-care efficiencies the project proposed is aimed at improving, including an explanation of how this improvement would occur, is vague or inaccurate, or includes little to no supporting evidence.

The response identifying the technologies required to implement the project proposed with an explanation why is vague or inaccurate.

The response identifying the project team (by roles) and an explanation of how to incorporate the nurse informaticist in the project team is vague or inaccurate.0 (0%) – 59 (59%)The response describing the project proposed is vague and inaccurate, or is missing.

The response identifying the stakeholders impacted by the project proposed is vague and inaccurate, or is missing.

The response explaining the patient outcome(s) or patient-care efficiencies the project proposed is aimed at improving, including an explanation of how this improvement would occur, is vague and inaccurate, includes no supporting evidence, or is missing.

The response identifying the technologies required to implement the project proposed with an explanation why is vague and inaccurate, or is missing.

The response identifying the project team (by roles) and an explanation of how to incorporate the nurse informaticist in the project team is vague and inaccurate, or is missing.Written Expression and Formatting – Paragraph Development and Organization:

Paragraphs make clear points that support well developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are carefully focused–neither long and rambling nor short and lacking substance.5 (5%) – 5 (5%)Paragraphs and sentences follow writing standards for flow, continuity, and clarity.4 (4%) – 4 (4%)Paragraphs and sentences follow writing standards for flow, continuity, and clarity 80% of the time.3.5 (3.5%) – 3.5 (3.5%)Paragraphs and sentences follow writing standards for flow, continuity, and clarity 60%- 79% of the time.0 (0%) – 3 (3%)Paragraphs and sentences follow writing standards for flow, continuity, and clarity < 60% of the time.Written Expression and Formatting – English writing standards:

Correct grammar, mechanics, and proper punctuation5 (5%) – 5 (5%)Uses correct grammar, spelling, and punctuation with no errors.4 (4%) – 4 (4%)Contains a few (1-2) grammar, spelling, and punctuation errors.3.5 (3.5%) – 3.5 (3.5%)Contains several (3-4) grammar, spelling, and punctuation errors.0 (0%) – 3 (3%)Contains many (≥ 5) grammar, spelling, and punctuation errors that interfere with the reader’s understanding.Written Expression and Formatting – The paper follows correct APA format for title page, headings, font, spacing, margins, indentations, page numbers, running head, parenthetical/in-text citations, and reference list.5 (5%) – 5 (5%)Uses correct APA format with no errors.4 (4%) – 4 (4%)Contains a few (1-2) APA format errors.3.5 (3.5%) – 3.5 (3.5%)Contains several (3-4) APA format errors.0 (0%) – 3 (3%)Contains many (≥ 5) APA format errors.Total Points: 100

Name: NURS_6051_Module02_Week03_Assignment_Rubric

Describe how you will evaluate the effectiveness of your program. Make sure to include information on what evaluation tool you plan to use (e.g., questionnaire and survey).

For Module 3, conduct a literature search utilizing peer-reviewed journal articles, books, professional organization Web sites and articles, etc., to continue working on your program/intervention plan

For Module 3, conduct a literature search utilizing peer-reviewed journal articles, books, professional organization Web sites and articles, etc., to continue working on your program/intervention plan (which you started in Module 2) and propose appropriate evaluation measures to evaluate effectiveness of your program.

Write a paper (3 pages in length) including a complete workplan that shows your implementation procedures to address the health behavior and describing your methods to evaluate your program/intervention. A workplan sample can be found at http://www.cdc.gov/OralHealth/state_programs/pdf/workplans.pdf

The following items will be assessed in particular:

  1. Use the feedback I gave you in the previous module to refine and update your goal and objectives.
  2. Include a complete workplan with the following components: goals, objectives, activities, data measurement tools, timeframe, responsible person, and measures of success.
  3. Describe how you will evaluate the effectiveness of your program. Make sure to include information on what evaluation tool you plan to use (e.g., questionnaire and survey).
  4. Discuss how you will know if your program or intervention is effective. Refer back to your program goal and objectives.

SLP Assignment Expectations

Assessment and Grading: Your paper will be assessed based on the performance assessment rubric. You can view it under Assessments at the top of the page. Review it before you begin working on the assignment. Your work should also follow these Assignment Expectations.

– to describe this topic or development as clearly and concisely as possible for the specified audience; in other words, to educate your audience about this topic as thoroughly as possible given the space constraints.

Research Paper # 1Due: __________ March 31, 2019______________________3-4 pagesThe writing and researching involved in this essay will give you a better sense of what research is and how and why it is

Research Paper # 1

Due: __________ March 31, 2019______________________

3-4 pages

The writing and researching involved in this essay will give you a better sense of what research is and how and why it is done. The assignment will orient you to the FNC libraries and their various resources, and help you gain a better understanding of different types of writing and publications.  

Paper #1:  Students can also choose a topic from the list of Research Topics provided by the instructor.

Audience: Students new to your major who have a curiosity or research interest in this particular topic but no prior specialized knowledge of the topic; your English 3311 teacher

Length: at least 2 4 pages, not counting references page

There are two basic tasks to fulfill in this paper:

–  to describe this topic or development as clearly and concisely as possible for the specified audience; in other words, to educate your audience about this topic as thoroughly as possible given the space constraints.

–  to make a compelling, specific, and explicitcase explaining obvious and not-so-obvious reasons this development is important to the world outside your major.

It may help you to think in terms of a little role-playing to imagine how this assignment might match real-world expectations: You are doing research or making something closely related to this topic. Your company, department, or division needs funds to begin 

Identify at least two methods to assess/measure smoking behaviors among adolescents in your community.

According to Mokdad & Remington (2010), “health behaviors are a leading cause of illness and death in the United States” (p. 1). Reflecting on this statement, write a paper (3 pages) discussing th

According to Mokdad & Remington (2010), “health behaviors are a leading cause of illness and death in the United States” (p. 1). Reflecting on this statement, write a paper (3 pages) discussing the importance of being able to measure health behaviors and describing methods to assess health behaviors in a target population.

The following items in particular will be assessed:

  1. Discuss reasons for measuring health behaviors.
  2. Identify at least two methods to assess/measure smoking behaviors among adolescents in your community.
  3. In your opinion, do you agree or disagree that measurement of health behavior is useful for program planning. Defend your position by providing empirical evidence.

Assignment Expectations

Assessment and Grading: Your paper will be assessed based on the performance assessment rubric. You can view it under Assessments at the top of the page. Review it before you begin working on the assignment. Your work should also follow these Assignment Expectations.

Research Proposal DraftBy the due date assigned, write a 2 page paper addressing the sections below of the research proposal.MethodologyExtraneous Variables (and plan for how controlled). Instruments

Research Proposal DraftBy the due date assigned, write a 2 page paper addressing the sections below of the research proposal.MethodologyExtraneous Variables (and plan for how controlled). Instruments

Research Proposal Draft

By the due date assigned, write a 2 page paper addressing the sections below of the research proposal.

Methodology

  • Extraneous Variables (and plan for how controlled).
  • Instruments: Description, validity, and reliability estimates, which have been performed (on a pre-established measure). Include plans for testing validity and reliability of generating your own instrument(s).
  • Description of the Intervention
  • Data Collection Procedures

 Search and locate an existing instrument that will be used to address your research question. Post the title of the instrument selected and the level of measurement on the tool. Next, post a description of the type of scale used in the instrument. Include a brief discussion of data collection procedures that will be presented in your proposal. 

 Submission Details:

I am doing my research on vaccination for kids under 5 years old and in India and Switzerland please let me know how much it will be to do the paper by end of tomorrow.

  • Post your assignment to the Submissions Area.

Write a paper (1,500 words) that describes how a nursing middle-range theory can be applied to Nursing Staffing Shortages. The paper should include the following:

Write a paper (1,500 words) that describes how a nursing middle-range theory can be applied to Nursing Staffing Shortages. The paper should include the following:1.A brief summary of the problem. (Nur

Write a paper (1,500 words) that describes how a nursing middle-range theory can be applied to Nursing Staffing Shortages. The paper should include the following:

1.A brief summary of the problem. (Nursing staffing shortage).

2.A description of a middle-range theory that could be applied to the problem. Is this middle-range theory appropriate to your identified problem?

3.A brief discussion of the middle-range theory’s origins.

4.A discussion of how the middle-range theory has been previously applied.

5.A discussion of the application of the middle-range theory to the identified problem. 

6.How would nursing practice change by incorporating this theory?

STRICT APA FORMAT AND NO PLAGIARISM PLEASE

PLEASE ADDRESS EACH QUESTION STEP BY STEP.

PLEASE READ THE QUESTION CAREFULLY. THANK YOU

Mr. D. is 47 years old and was diagnosed with colon cancer 2 years ago. He had not gone to the doctor until he was in severe pain. Mr. D. does not like doctors or hospitals. When diagnosed he decided

Mr. D. is 47 years old and was diagnosed with colon cancer 2 years ago. He had not gone to the doctor until he was in severe pain. Mr. D. does not like doctors or hospitals. When diagnosed he decided

Mr. D. is 47 years old and was diagnosed with colon cancer 2 years ago. He had not gone to the doctor until he was in severe pain. Mr. D. does not like doctors or hospitals. When diagnosed he decided to have surgery even though he did not want it. He did it only because he thought it would ease his pain. He refused the radiation and chemotherapy that his doctor thought was needed after surgery. His wife was very upset because she knew that if he had the follow up treatment his chances of survival would improve. She is a breast cancer survivor of 8 years. Mr. D.’s cancer has now spread to his pancreas and his pain has returned. It is so severe that he is not able to work any longer as a landscaper for the city. He loved his job and misses not having the life he was used to. The doctor believes that chemotherapy might still be of some value to extend his life as Mr. D. refuses further surgery. They have three children with two living at home. One child is 10 years old and the other is 14. The 10 year old has asthma and lately he has been having many more acute attacks. The 14 year old has been acting out and Mrs. D. thinks she is taking drugs. Mrs. D. works only part-time as a secretary and would rather not have to work full-time. Mr. D.’s insurance has been covering the family’s medical expenses. You have been asked to case manage this client and his family.In this Laboratory assignment you will be focusing on the following:

  1. Case management – Develop an initial assessment as the first step to a case management plan. What issues will need to be considered to manage this case? Focus on what resources he might need now that he is not working. Consider what other health care personnel will be important resources. How will his medical expenses be paid?
  2. Transitional Care – What type of transitional care might be needed? Will he need to go back to the hospital? What other healthcare facilities might be helpful?
  3. Palliative Care – What approach should be taken to manage his pain? What types of pain management methods might work? In what ways can Mr. D. achieve “quality of life”?
  4. Therapeutic Communication – Focus on engagement. What are his concerns and worries?
  5. Family Support – What support and resources can you provide this family? What role can the wife play that will be helpful. What resources and care might be provided for the children?

Ms. J. is 73 years old with severe end stage renal disease. She lives alone. Ms. J. never married but had several long term relationships. She has one brother who lives across the country. She retired from her teaching assistant job four years ago because she just became too sick and the dialysis treatments were difficult to schedule around work. Ms. J. has always had “kidney” issues. She was born with one kidney which functioned moderately well most of her life. At one point she considered a transplant but because she is a “woman of faith” she felt that she should live with what she was given. When her kidney started to badly malfunction she did not consider a transplant because she did not think she had the finances to pursue it. So she went with what was available to her, dialysis. She now has limited income and must handle her medical care with care. She has wonderful neighbors who try to help her as much as they can. Ms. J. has become more severely ill over the last two weeks and she is not able to do much for herself now. When they can her neighbors come in and bring her food and one helps her shower. Ms. J. knows that she is soon to pass but would rather stay in her home with her beloved dog until that happens. You are a hospice nurse who was asked by Ms. J.’s doctor to visit her at home and assess her situation.

In this Laboratory assignment you will be focusing on the following:

1.Case management – Develop a plan of action. What issues will need to be considered to manage this case? Focus on what resources she might need now? Consider what other health care personnel will be important resources. How will her medical expenses be paid?

2.End of Life Care – How will you handle her desire to stay at home given her current resources? What legal and ethical issues must be considered? What support systems and care does she need now at end of her life? How will her spiritual needs be met? How can you assist Ms. J. in achieving “quality of life”?

Identify interdisciplinary health professionals important to include in the health promotion. What is their role? Why is their involvement significant?

Due Date: Mar 02, 2019 23:59:59       Max Points: 160Details:This is a Collaborative Learning Community (CLC) assignment.An important role of nursing is to provide health promotion and disease pr

Due Date: Mar 02, 2019 23:59:59       Max Points: 160

Details:

This is a Collaborative Learning Community (CLC) assignment.

An important role of nursing is to provide health promotion and disease prevention. Review the 2020 Topics and Objectives on the Healthy People website. Choose a topic of interest that you would like to address, in conjunction with a population at-risk for the associated topic. Submit the topic and associated group to your instructor for approval.

Create a 3 slide PowerPoint presentation for your topic and focus group. Include speaker notes and citations for each slide, and create a slide at the end for References.

Address the following:

  1. Identify interdisciplinary health professionals important to include in the health promotion. What is their role? Why is their involvement significant?

Cite at least three peer-reviewed or scholarly sources to complete this assignment. Sources should be published within the last 5 years and appropriate for the assignment criteria and public health content.

Refer to the resource, “Creating Effective PowerPoint Presentations,” located in the Student Success Center, for additional guidance on completing this assignment in the appropriate style.

While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

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 LopesWrite. Please refer to the directions in the Student Success Center.

CLC – Health Promotion and Community Resource Teaching Project   1Unsatisfactory0.00%2Less than Satisfactory75.00%3Satisfactory79.00%4Good89.00%5Excellent100.00%100.0 %Content 10.0 %Approved Topic, Associated Population and Health DisparityTopic and associated population selected is not approved; topic and associated population are not relevant to the scope of the assignment. Topic and associated population are omitted.Approved topic and associated population are partially presented. It is unclear how the topic adversely affects the selected population. Health disparities are partially described, or are not relevant to selected population. There are significant inaccuracies.Approved topic and associated population are summarized. A general correlation of how the topic adversely affects the selected population is presented. Relevant health disparities are summarized. There are some inaccuracies. More evidence or rationale is needed for support.Approved topic and associated population are described. A correlation of how the topic adversely affects the selected population is established and discussed. Relevant health disparities are discussed. There are minor inaccuracies. Some evidence or rationale is needed for support.Approved topic and associated population are thoroughly described. A strong correlation of how the topic adversely affects the selected population is established and discussed in detail. Relevant health disparities are clearly presented and discussed. Strong evidence and compelling rationale is offered for support.10.0 %Evidence-Based Approaches to Optimize Health for PopulationEvidence-based approaches to optimize health for this population are not presented.Evidence-based approaches to optimize health for this population are partially presented; some approaches presented are not evidence-based, or are not relevant for this population. Explanation of how these approaches minimize health disparity is incomplete, or are not relevant for the affected population. There are significant inaccuracies.Evidence-based approaches to optimize health for this population are summarized; it is unclear how some approaches presented are relevant for this population. A general explanation of how these approaches minimize health disparity is presented. There are some inaccuracies. More evidence or rationale is needed for support.Evidence-based approaches to optimize health for this population are discussed. Explanation of how these approaches minimize health disparity is presented. Some evidence or rationale is needed for support.Evidence-based approaches to optimize health for this population are discussed, and approaches are accurately represented and highly relevant to the population. Explanation of how these approaches minimize health disparity is well-developed. Strong evidence and rationale are provided throughout. An understanding of the importance of evidence-based approaches in the optimization of health for an at-risk population is demonstrated.10.0 %Proposal for Health Education for Family-Centered Health PromotionA proposal for health education for a family-centered health promotion to address the issue for the target population is omitted. The proposal is not supported by evidence-based practice.A proposal for health education for a family-centered health promotion to address the issue for the target population is partially presented. The proposal is not entirely relevant to the target population. The proposal requires more support relevant to evidence-based practice. There are significant inaccuracies.A proposal for health education for a family-centered health promotion to address the issue for the target population is presented. It is generally supported by evidence-based practice; there are some inaccuracies, or some areas need more support using evidence-based practice. Overall, the proposal is relevant to the target population. A proposal for health education for a family-centered health promotion to address the issue for the target population is presented. It is supported by evidence-based practice and relevant to the target population. There are minor inaccuracies.A well-developed proposal for health education for a family-centered health promotion to address the issue for the target population is presented. It is strongly supported by evidence-based practice and highly relevant to the target population. The ability to apply evidence-based practice to health education for a target population is clearly demonstrated.5.0 %Resources and Organizations for Proposed Education PlanResources and organizations to support the proposed education plan are omitted.One health-related organization for the selected topic is presented. The profile is incomplete, or it is unclear how the organization is relevant to the focus topic. Two resources (national or local) are presented. It is unclear how the resources are supposed to be used, or how the resources are relevant to the focus topic.A general profile for a health-related organization relevant to the selected topic is summarized. Two relevant resources (national or local) are presented, and there is a general explanation for how the resources are supposed to be used by the patient or provider.A general profile for a health-related organization relevant to the selected topic is presented. Two relevant resources (national or local) are presented, and there is an explanation for how the resources are supposed to be used by the patient or provider. A general profile for a health-related organization relevant to the selected topic is well presented. Two relevant resources (national or local) are presented, and there is a clear explanation for how the resources are supposed to be used by the patient or provider. 5.0 %Interdisciplinary Health Professional InvolvementInterdisciplinary health professionals important to the health promotion are not included.At least one significant interdisciplinary health professional is presented. It is unclear how the professional important to the health promotion, and what the role of the professional would be. Support for the suggested member is needed.Some significant interdisciplinary health professionals are presented. A summary of their role and importance to the health promotion is provided. Some support for the suggested members is needed.Key interdisciplinary health professionals are presented A discussion of their role and importance to the health promotion is provided. All significant interdisciplinary health professionals are presented. A clear discussion of their role and importance to the health promotion is provided.40.0 %Presentation of ContentThe content lacks a clear point of view and logical sequence of information. Includes little persuasive information. Sequencing of ideas is unclear.The content is vague in conveying a point of view and does not create a strong sense of purpose. Includes some persuasive information.The presentation slides are generally competent, but ideas may show some inconsistency in organization or in their relationships to each other.The content is written with a logical progression of ideas and supporting information exhibiting a unity, coherence, and cohesiveness. Includes persuasive information from reliable sources.The content is written clearly and concisely. Ideas universally progress and relate to each other. The project includes motivating questions and advanced organizers. The project gives the audience a clear sense of the main idea.5.0 %LayoutThe layout is cluttered, confusing, and does not use spacing, headings, and subheadings to enhance the readability. The text is extremely difficult to read with long blocks of text, small point size for fonts, and inappropriate contrasting colors. Poor use of headings, subheadings, indentations, or bold formatting is evident.The layout shows some structure, but appears cluttered and busy or distracting with large gaps of white space or a distracting background. Overall readability is difficult due to lengthy paragraphs, too many different fonts, dark or busy background, overuse of bold, or lack of appropriate indentations of text.The layout uses horizontal and vertical white space appropriately. Sometimes the fonts are easy to read, but in a few places the use of fonts, italics, bold, long paragraphs, color, or busy background detracts and does not enhance readability. The layout background and text complement each other and enable the content to be easily read. The fonts are easy to read and point size varies appropriately for headings and text.The layout is visually pleasing and contributes to the overall message with appropriate use of headings, subheadings, and white space. Text is appropriate in length for the target audience and to the point. The background and colors enhance the readability of the text.5.0 %Language Use and Audience Awareness (includes sentence construction, word choice, etc.)Inappropriate word choice and lack of variety in language use are evident. Writer appears to be unaware of audience. Use of primer prose indicates writer either does not apply figures of speech or uses them inappropriately.Some distracting inconsistencies in language choice (register) or word choice are present. The writer exhibits some lack of control in using figures of speech appropriately. Language is appropriate to the targeted audience for the most part.The writer is clearly aware of audience, uses a variety of appropriate vocabulary for the targeted audience, and uses figures of speech to communicate clearly.The writer uses a variety of sentence constructions, figures of speech, and word choice in distinctive and creative ways that are appropriate to purpose, discipline, and scope.5.0 %Mechanics of Writing (includes spelling, punctuation, grammar, language use)Slide errors are pervasive enough that they impede communication of meaning.Frequent and repetitive mechanical errors distract the reader.Some mechanical errors or typos are present, but they are not overly distracting to the reader.Slides are largely free of mechanical errors, although a few may be present.Writer is clearly in control of standard, written, academic English.5.0 %Documentation of Sources (citations, footnotes, references, bibliography, etc., as appropriate to assignment and style)Sources are not documented.Documentation of sources is inconsistent or incorrect, as appropriate to assignment and style, with numerous formatting errors.Sources are documented, as appropriate to assignment and style, although some formatting errors may be present.Sources are documented, as appropriate to assignment and style, and format is mostly correct. Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error.100 %Total Weightage

§ Explain any difference between what you expected to achieve with Decision #3 and the results of the decision. Why were they different?

Nursing Week 2: Therapy for Pediatric Clients With Mood DisordersMood disorders can impact every facet of a child’s life, making the most basic activities difficult for clients and their families.

Nursing 

Week 2: Therapy for Pediatric Clients With Mood Disorders

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.

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.

Photo Credit: GettyLicense_185239711.jpg

Assignment: Assessing and Treating Pediatric Clients With Mood Disorders

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.

Note: This 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.

Learning Objectives

Students will:

· Assess client factors and history to develop personalized plans of antidepressant therapy for pediatric clients

· Analyze factors that influence pharmacokinetic and pharmacodynamic processes in pediatric clients requiring antidepressant therapy

· Evaluate efficacy of treatment plans

· Analyze ethical and legal implications related to prescribing antidepressant therapy to pediatric clients

Learning Resources

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.

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.

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
  • citalopram
  • clomipramine
  • desipramine
  • desvenlafaxine
  • doxepin
  • duloxetine
  • escitalopram
  • fluoxetine
  • fluvoxamine
  • imipramine
  • ketamine
  • mirtazapine
  • nortriptyline
  • paroxetine
  • selegiline
  • sertraline
  • trazodone
  • venlafaxine
  • vilazodone
  • vortioxetine

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.

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.

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.

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). 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 Assignment:

· Review this week’s Learning Resources. Consider how to assess and treat pediatric clients requiring antidepressant therapy.

The 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:

o 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?

o 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?

o 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.

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.

What is the mean waiting time to see a healthcare professional?

( Attachment below for the patient satisfaction )You have done an initial survey of patient satisfaction, and the CEO has asked you to explain how the data will be analyzed, using this initial data.

 ( Attachment below for the patient satisfaction )

You have done an initial survey of patient satisfaction, and the CEO has asked you to explain how the data will be analyzed, using this initial data.

Given the variety of complaints coming from both employees and patients, it is critical for everyone to understand the importance of conducting the survey and obtaining solid data.

Instructions

You are to create an agenda for the training and a memo with bullet points to present the statistical analysis of the initial data. The memo should include an explanation of each of the statistical results. In particular, you should be able to explain what the results mean to the facility.

Determine the percentages of the following:

Percent who responded with a 5 (Great) on “Overall impression of the visit”

Percent who responded with a 2 (Fair) or 1 (Poor) on “Overall impression of the visit”

Percent who responded with a 5 (Great) on “Willingness to return”

Percent who responded with less than 5 on “Willingness to return”

In the area of “Facility and Convenience,” which indicator had the highest percentage of 5 (Great) responses? Which had the lowest?

In the area of “Staff,” which indicator had the highest percentage of 5 (Great) responses? Which had the lowest?

What is the mean waiting time in the reception area?

What is the mean waiting time to see a healthcare professional?

Microsoft Word has many memo templates. In your memo, be sure to address each statistical analysis and what it means to the facility. Why ask these questions? How could the data be used for quality improvement?

NOTE – APA formatting, and proper grammar, punctuation, and form required.

An agenda can set the tone for a meeting. It is an important tool to ensure meetings are staying on track and meeting all of the objectives. (Create a detailed meeting agenda for a meeting you will hold with your supervisor and fellow department heads discussing your findings (Hint: Microsoft Word has many agenda templates).

Make sure to include the following in the agenda:

Explain each statistical example

How that data would be used

The majority of the agenda should be focused on data analysis and its use in QI (Quality Improvement) plans