The Nurse Practice Act is enforced by the BON

/in /by

The Nurse Practice Act is enforced by the BON. Nurses must comply with the law and related rules in order to maintain their licenses. The law describes qualifications for licensure, nursing titles tha

The Nurse Practice Act is enforced by the BON. Nurses must comply with the law and related rules in order to maintain their licenses. The law describes qualifications for licensure, nursing titles that are allowed to be used, scope of practice and actions that can or will happen if the nurse does not follow the nursing law.  These standards are important to our profession because they promote and guide our clinical practice.

Illinois RNs and LPNs are licensed by the Illinois Department of Financial & Professional Regulation. Although Illinois is not a Nurse Compact state, nurses may be licensed by examination or endorsement. Those who have taken the required exam elsewhere may be licensed by “acceptance of exam” even if they are not licensed in another jurisdiction. The state board of nursing is the owner of a nurse’s license, not the nurse.

The standards of practice influence how one should practice as a nurse. There are rules and regulations that must be followed. Working within your scope of practice allows to support patient safety. Violations of this may result in discipline as specified in Section 70-5 of the Act in Illinois.

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

/in /by

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.

Peer-reviewed Nursing journal not older than 5 years or your textbook:

/in /by

Please, post a short response to the following discussion.Use a reference from scholarly literature : Peer-reviewed Nursing journal not older than 5 years or your textbook: Polit, D. E. & Beck, C. T.

Please, post a short response to the following discussion.

Use a reference from scholarly literature : Peer-reviewed Nursing journal not older than 5 years or your textbook:

 Polit, D. E. & Beck, C. T. (2018). Essentials of nursing research: Appraising evidence for nursing practice(9th. ed.). Philadelphia, PA: Wolters Kluwer. 

Nursing researches, evidence-based practice (EBP), and theories can be subject to reviews and readings. Nursing is an ever-changing science and profession, even though nurses based their knowledge on previous studies. Literature review is significant to the research process because it balances the strength of the knowledge obtained and review the previous information obtained. The nursing research process includes the review or creation of concepts and theories (Polit & Beck, 2018). Therefore, a deep reading and investigation of the research allows for either confirmation, or exclusion, of that research. As Bernhofer (2015) expresses, a thorough review of the literature can show that there is no need to change the practice or, in the other hand, it can show that there is a possibility to improve the outcomes desired by changing the practice protocols. A literature review may influence new researches process and practices as it proves the knowledge already obtained is based on strong and appropriate evidences that were not biased.

Describe five considerations when documenting care in parent-child health nursing

/in /by

MATERNAL NEWBORN NURSING Nurse E-Portfolio, you will focus on the role of the parent-child health nurse. Using the E-Portfolio format, answer the following questions. Make sure you spend some time thi

MATERNAL NEWBORN NURSING Nurse E-Portfolio, you will focus on the role of the parent-child health nurse. Using the E-Portfolio format, answer the following questions. Make sure you spend some time thinking about the answers to these questions before writing.

Briefly describe one past experience you may have had in becoming a parent, parenting, or taking care of someone who was having or had a child. Were there any issues or complications? What was done to overcome these?

What do you imagine it will be like being a nurse who takes care women having babies? Is this a goal in your nursing career? If so, why? If not, why?

What do you imagine it will be like being a nurse who takes care of babies or children? Is this a goal in your nursing career? If so, why? If not, why?

Assuming you become a nurse caring for childbearing women or for children, identify two standards that are important for your practice.

What specific legal scope of practice and ethical dimensions must be considered in parent-child health nursing as a nurse caregiver in your state?

Describe five considerations when documenting care in parent-child health nursing

Briefly and generally explain the policy or regulation you selected.

/in /by

To Prepare:Review the Resources on healthcare policy and regulatory/legislative topics related to health and nursing informatics. Consider the role of the nurse informaticist in relation to a healthc

To Prepare:

  • Review the Resources on healthcare policy and regulatory/legislative topics related to health and nursing informatics.
  • Consider the role of the nurse informaticist in relation to a healthcare organization’s compliance with various policies and regulations, such as the Medicare Access and CHIP Reauthorization Act (MACRA).
  • Research and select one health or nursing informatics policy (within the past 5 years) or regulation for further study.

The Assignment: (1 page)

Create a 1-page fact sheet that your healthcare organization could hypothetically use to explain the health or nursing informatics policy/regulation you selected. Your fact sheet should address the following:

  • Briefly and generally explain the policy or regulation you selected.
  • Address the impact of the policy or regulation you selected on system implementation.
  • Address the impact of the policy or regulation you selected on clinical care, patient/provider interactions, and workflow.
  • Highlight organizational policies and procedures that are/will be in place at your healthcare organization to address the policy or regulation you selected. Be specific.

Identify personal opportunities for improvement in providing culturally competent care.

/in /by

CO5: Discuss the implications of global nursing for healthcare delivery systems. (PO7)Reflect on the TCN Self-Assessment you completed during Week 2, and determine if your score changed.Perform an Int

CO5: Discuss the implications of global nursing for healthcare delivery systems. (PO7)

Reflect on the TCN Self-Assessment you completed during Week 2, and determine if your score changed.

  • Perform an Internet search, and locate one Global Nursing Opportunity sponsored by a professional organization that utilizes nurses as either paid employees or volunteers. Name the organization, and include a working link. In your own words, share the organization’s mission.
  • Share two contributions you could make to the organization (patients served) based on your current experiences and future career aspirations based on your learning from this course.
  • Identify personal opportunities for improvement in providing culturally competent care.

Health Promotion and Risk Management Needs for Vision and Hearing Disorders

/in /by

focuses on the assessment, nursing process, evidence-based practice and standards used to develop and evaluate a holistic client-centered care plan to include: Brief Overview of Anatomy and Physiolo

 focuses on the assessment, nursing process, evidence-based practice and standards used to develop and evaluate a holistic client-centered care plan to include:

Brief Overview of Anatomy and Physiology of Vision and Hearing Disorders

Common Disorders of Vision and Hearing Disorders

Assessment Required for Vision and Hearing Disorders

Diagnostics and Therapeutic Techniques for Treatment

Health Promotion and Risk Management Needs for Vision and Hearing Disorders

Cultural Considerations for Vision and Hearing Disorders

Holistic Client Centered Care Plan Strategies (include one evidence-based article) for Vision and Hearing Disorders.

Presentations must be in the form of a PowerPoint,

Discuss who would be the champion for the bill/law change from your state advocates (legislators, federal legislators, local or national state nursing organizations)

/in /by

This assignment requires thought about a public policy that is needed or needs to be changed that relates to nursing, health care, or the public.  Policy changes can occur by working with members of

This assignment requires thought about a public policy that is needed or needs to be changed that relates to nursing, health care, or the public.  Policy changes can occur by working with members of your legislature, and state or national nurses associations, to introduce a new bill and/or change to a current law in your state or federal government.

Examples of public policy includes any component of the current legislation governing health care, Medicare Part D, Medicaid, nursing regulation, medication technicians, etc.

In 800-1,000 words, propose a health policy change (that is currently a bill, a law, or may not exist at all) at the state or federal level that you believe needs to change and why.

  1. The policy must NOT be a clinical care policy for individual care. The policy involved may include public or community health, legislative or regulatory, professional organization (nursing-oriented), advanced nursing practice, health plan, or hospital plan.
  2. Include a specific section for the exact wording for the bill or change in wording of the law.
  3. Include the plan for the implementation of your policy development, to lobbying for passage, to next steps after passage.
  4. Discuss who would be the champion for the bill/law change from your state advocates (legislators, federal legislators, local or national state nursing organizations). Are these individuals also influential in making changes occur? Did you vote for the individual in office that you want to help you make this change?

Resources:

  1. Review different pieces of legislation for ideas on wording.
  2. Visit your state’s legislative governmental affairs website site to understand the process your policy change could take if you wanted to introduce to into legislation.

The term “Evidence-Based Practice” (EBP) was fairly new when I was entering nursing school

/in /by

Approx 150-180 words APA format with references and in-text citations response to the discussion below. The term “Evidence-Based Practice” (EBP) was fairly new when I was entering nursing schoo

 Approx 150-180 words APA format with references and in-text citations response to the discussion below. 

The term “Evidence-Based Practice” (EBP) was fairly new when I was entering nursing school in 1999. Although it made sense that nursing practice was based on academic research and findings, many nurses have passed down traditions simply based on the notion that “it has always been done this way”. I can remember this new term, and the exciting thought that nursing would be more valued and respected with a greater emphasis on practice based in facts and best outcomes. I became an RN in 2004, and I have worked in the psychiatric field for the majority of my career. The American Psychiatric Nurses Association (APNA) was my chosen healthcare organization website. This can be found at https://www.apna.org/i4a/pages/index.cfm?pageid=1 . Although I was already somewhat familiar with what the website had to offer, I gained a greater understanding and admiration for this site as I dug a little deeper.

The Institute of Medicine’s Roundtable on Evidence-Based Medicine put an emphasis on three major areas: a learning healthcare system, generating evidence to support effective healthcare strategies, and improving public awareness regarding the importance of EBP in healthcare (Melnyk, & Fineout-Overholt, 2018). The APNA website contributes to the IOM’s goal of improving public awareness related to EBP. This is evident in the numerous resources on the website from academic journals, continuing education (conferences and CEU’S), standards of practice updates, and also the ability to find information about academic programs and scholarships. The Journal of the American Psychiatric Nursing Association is a peer-reviewed journal which publishes original research, practice-focused articles, editorials, and interviews. One tab entitled “Reports & Surveys” shares the latest national reports and surveys covering topics related to the future of nursing and nurses’ health.

Although the website is not entirely based in EBP (some tabs are related to the organization and membership) it is clear that its goal is to promote the understanding of psychiatric nursing through the recent solid research. One item available for free via ebook to members (and for sale to non-members) is “Psychiatric-Mental Health Nursing: Scope and Standards of Practice”. This spells out important aspects of psychiatric-mental health nursing- the who, what, when, where, and how of practice- at various levels and in multiple settings. The latest edition was published with the input and expertise of psychiatric nurses from the APNA and the International Society of Psychiatric-Mental Health Nurses (ISPN). Goals established prior to the easy access of the internet are able to be met not only through scholarly articles, but with new styles of sharing information and with a culture of networking to filter out the most relevant, and timely information.

Crabtree, E., Brennan, E., Davis, A., & Coyle, A. (2016). Improving patient care through nursing engagement in evidence-based practice. Worldviews on Evidence-Based Nursing, 13(2), 172–175. doi:10.1111/wvn.12126

https://www.apna.org/i4a/pages/index.cfm?pageid=1

Laureate Education (Producer). (2018). Introduction to Evidence-Based Practice and Research [Video file]. Baltimore, MD: Author.

Melnyk, B. M., & Fineout-Overholt, E. (2018). Evidence-based practice in nursing & healthcare: A guide to best practice (4th ed.). Philadelphia, PA: Wolters Kluwer.

Describe a focused specialty assessment tool you could use to screen the client for this condition.

/in /by

PurposeThis week’s graded topics relate to the following Course Outcomes (COs).CO 1 – Utilize prior knowledge of theories and principles of nursing and related disciplines to explain expected client b

Purpose

This week’s graded topics relate to the following Course Outcomes (COs).

  • CO 1 – Utilize prior knowledge of theories and principles of nursing and related disciplines to explain expected client behaviors, while differentiating between normal findings, variations, and abnormalities. (PO 1)
  • CO 4 – Identify teaching/learning needs from the health history of an individual. (PO 2)

The Assignment

Access to mental health services is a hot topic in U.S. Healthcare. Do you know what resources are available for clients seeking care in your own community? Select one mental health related condition from the list below. Conduct a web search to identify health care services within your community aimed specifically at addressing this condition.

Choose one:

  • Depression
  • Suicidal ideation
  • Opioid addiction

Answer the following questions in your post:

  1. When reviewing a client’s health history and physical examination record, what are some findings (subjective and objective) that may indicate a need for further in-depth assessment for the condition you selected above?
  2. Describe a focused specialty assessment tool you could use to screen the client for this condition.
  3. What resources did you find in your community that address this issue? What type of services do they provide? Were there specific resources or services you were hoping to locate, and could not? Please explain.