Assignment: Off-Label Drug Use In Pediatrics

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Assignment: Off-Label Drug Use In Pediatrics

The unapproved use of approved drugs, also called off-label use, with children is quite common. This is because pediatric dosage guidelines are typically unavailable, since very few drugs have been specifically researched and tested with children. Assignment: Off-Label Drug Use In Pediatrics

When treating children, prescribers often adjust dosages approved for adults to accommodate a child’s weight. However, children are not just “smaller” adults. Adults and children process and respond to drugs differently in their absorption, distribution, metabolism, and excretion.

Children even respond differently during stages from infancy to adolescence. This poses potential safety concerns when prescribing drugs to pediatric patients. As an advanced practice nurse, you have to be aware of safety implications of the off-label use of drugs with this patient group. Assignment: Off-Label Drug Use In Pediatrics

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To Prepare

· Review the interactive media piece in this week’s Resources and reflect on the types of drugs used to treat pediatric patients with mood disorders.

· Reflect on situations in which children should be prescribed drugs for off-label use.

· Think about strategies to make the off-label use and dosage of drugs safer for children from infancy to adolescence. Consider specific off-label drugs that you think require extra care and attention when used in pediatrics.

Write a 1-page narrative in APA format that addresses the following:

· Explain the circumstances under which children should be prescribed drugs for off-label use. Be specific and provide examples.

· Describe strategies to make the off-label use and dosage of drugs safer for children from infancy to adolescence. Include descriptions and names of off-label drugs that require extra care and attention when used in pediatrics.

Reminder: The College of Nursing requires that all papers submitted include a title page, introduction, summary, and references.

Assignment: Off-Label Drug Use In Pediatrics

 

Benchmark – Electronic Health Record Implementation Paper

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Benchmark – Electronic Health Record Implementation Paper

One way informatics can be especially valuable is in capturing data to inspire improvements and quality change in practice. The Agency for Healthcare Research and Quality (AHRQ) collects data related to adverse events and safety concerns. If you are working within a practice setting to implement a new electronic health record (EHR) system, this is just one of the many considerations your team would need to plan for during the rollout process. Benchmark – Electronic Health Record Implementation Paper

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In a paper of 1,250-1,500 words, address the following questions related to the advanced registered nurse’s role during this type of scenario:

  1. What key information would be needed in the database that would allow you to track opportunities for care improvement?
  2. What role does informatics play in the ability to capture this data?
  3. Which systems and staff members would need to be involved in the design and implementation process and team?
  4. What professional, ethical, and regulatory standards must be incorporated into the design and implementation of the system?
  5. How would the EHR team ensure that all order sets are part of the new record?
  6. How would you communicate the changes, including any kind of transition plan?
  7. What measures and steps would you take to evaluate the success of the EHR implementation from a staff, setting, and patient perspective?
  8. What leadership skills and theories would facilitate collaboration with the interprofessional team and provide evidence-based, patient-centered care? Benchmark – Electronic Health Record Implementation Paper

You are required to cite five to 10 sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and nursing content.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

This benchmark assignment assesses the following programmatic competencies:

2.3:        Develop leadership skills to collaborate on interprofessional teams in the provision of evidence-based, patient-centered care.

5.2:     Apply professional, ethical, and regulatory standards of practice in the provision of safe, effective health care.

Benchmark – Electronic Health Record Implementation Paper

Global Healthcare Comparison Matrix And Narrative Statement

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Global Healthcare Comparison Matrix And Narrative Statement

If you talk about a possible poor health outcome, do you believe that outcome will occur? Do you believe eye contact and personal contact should be avoided? Global Healthcare Comparison Matrix And Narrative Statement

You would have a difficult time practicing as a nurse if you believed these to be true. But they are very real beliefs in some cultures.

Differences in cultural beliefs, subcultures, religion, ethnic customs, dietary customs, language, and a host of other factors contribute to the complex environment that surrounds global healthcare issues. Failure to understand and account for these differences can create a gulf between practitioners and the public they serve.

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In this Assignment, you will examine a global health issue and consider the approach to this issue by the United States and by one other country.

To Prepare:

  • Review the World Health Organization’s (WHO) global health agenda and select one global health issue to focus on for this Assignment.
  • Select at least one additional country to compare to the U.S. for this Assignment.
  • Reflect on how the global health issue you selected is approached in the U.S. and in the additional country you selected.
  • Review and download the Global Health Comparison Matrix provided in the Resources.

The Assignment: (1- to 2-page Global Health Comparison Matrix; 1-page Plan for Social Change)

Part 1: Global Health Comparison Matrix

Focusing on the country you selected and the U.S., complete the Global Health Comparison Matrix. Be sure to address the following:

  • Consider the U.S. national/federal health policies that have been adapted for the global health issue you selected from the WHO global health agenda. Compare these policies to the additional country you selected for study.
  • Explain the strengths and weaknesses of each policy.
  • Explain how the social determinants of health may impact the global health issue you selected. Be specific and provide examples.
  • Using the WHO’s Organization’s global health agenda as well as the results of your own research, analyze how each country’s government addresses cost, quality, and access to the global health issue selected.
  • Explain how the health policy you selected might impact the health of the global population. Be specific and provide examples.
  • Explain how the health policy you selected might impact the role of the nurse in each country.
  • Explain how global health issues impact local healthcare organizations and policies in both countries. Be specific and provide examples. Global Healthcare Comparison Matrix And Narrative Statement

Part 2: A Plan for Social Change

Reflect on the global health policy comparison and analysis you conducted in Part 1 of the Assignment and the impact that global health issues may have on the world, the U.S., your community, as well as your practice as a nurse leader.

In a 1-page response, create a plan for social change that incorporates a global perspective or lens into your local practice and role as a nurse leader.

  • Explain how you would advocate for the incorporation of a global perspective or lens into your local practice and role as a nurse leader.
  • Explain how the incorporation of a global perspective or lens might impact your local practice and role as a nurse leader.
  • Explain how the incorporation of a global perspective or lens into your local practice as a nurse leader represents and contributes to social change. Be specific and provide examples

Global Healthcare Comparison Matrix And Narrative Statement

Pediatric Patient With Mood Disorder

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Pediatric Patient With Mood Disorder

The Assignment: 5 pages

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 patient. Be sure to consider factors that might impact the patient’s pharmacokinetic and pharmacodynamic processes.

At each decision point, you should evaluate all options before selecting your decision and moving throughout the exercise. Before you make your decision, make sure that you have researched each option and that you evaluate the decision that you will select. Be sure to research each option using the primary literature. Pediatric Patient With Mood Disorder

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Introduction to the case (1 page)

  • Briefly explain and summarize the case for this Assignment. Be sure to include the specific patient factors that may impact your decision making when prescribing medication for this patient.

Decision #1 (1 page)

  • Which decision did you select?
  • Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
  • Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
  • What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature).
  • Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples.

Decision #2 (1 page)

  • Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
  • Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
  • What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature).
  • Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples. Pediatric Patient With Mood Disorder

Decision #3 (1 page)

  • Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
  • Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
  • What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature).
  • Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples.

Conclusion (1 page)

Summarize your recommendations on the treatment options you selected for this patient. Be sure to justify your recommendations and support your response with clinically relevant and patient-specific resources, including the primary literature.

Note: Support your rationale with a minimum of five academic resources. While you may use the course text to support your rationale, it will not count toward the resource requirement. You should be utilizing the primary and secondary literature.

Pediatric Patient With Mood Disorder

Bipolar Disorder

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Bipolar Disorder

Examine Case Study: An Asian American Woman. Diagnosis-Bipolar Disorder. You will be asked to make three decisions concerning the medication to prescribe to this patient. Be sure to consider factors that might impact the patient’s pharmacokinetic and pharmacodynamic processes.

At each decision point, you should evaluate all options before selecting your decision and moving throughout the exercise. Before you make your decision, make sure that you have researched each option and that you evaluate the decision that you will select. Be sure to research each option using the primary literature. Bipolar Disorder

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Introduction to the case (1 page)

  • Briefly explain and summarize the case for this      Assignment. Be sure to include the specific patient factors that may      impact your decision making when prescribing medication for this patient.

Decision #1 (1 page)

  • Which decision did you select?
  • Why did you select this decision? Be specific and      support your response with clinically relevant and patient-specific      resources, including the primary literature.
  • Why did you not select the other two options provided      in the exercise? Be specific and support your response with clinically      relevant and patient-specific resources, including the primary literature.
  • What were you hoping to achieve by making this      decision? Support your response with evidence and references to the      Learning Resources (including the primary literature).
  • Explain how ethical considerations may impact your      treatment plan and communication with patients. Be specific and provide      examples.

Decision #2 (1 page)

  • Why did you select this decision? Be specific and      support your response with clinically relevant and patient-specific      resources, including the primary literature.
  • Why did you not select the other two options provided      in the exercise? Be specific and support your response with clinically      relevant and patient-specific resources, including the primary literature.
  • What were you hoping to achieve by making this      decision? Support your response with evidence and references to the      Learning Resources (including the primary literature).
  • Explain how ethical considerations may impact your      treatment plan and communication with patients. Be specific and provide      examples.

Decision #3 (1 page)

  • Why did you select this decision? Be specific and      support your response with clinically relevant and patient-specific      resources, including the primary literature.
  • Why did you not select the other two options provided      in the exercise? Be specific and support your response with clinically      relevant and patient-specific resources, including the primary literature.
  • What were you hoping to achieve by making this      decision? Support your response with evidence and references to the      Learning Resources (including the primary literature).
  • Explain how ethical considerations may impact your      treatment plan and communication with patients. Be specific and provide      examples. Bipolar Disorder

Conclusion (1 page)

  • Summarize your recommendations on the treatment options      you selected for this patient. Be sure to justify your recommendations and      support your response with clinically relevant and patient-specific      resources, including the primary literature.

Note: Support your rationale with a minimum of five academic resources. While you may use the course text to support your rationale, it will not count toward the resource requirement. You should be utilizing the primary and secondary literature.

Bipolar Disorder

Family Assessment Part 2

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Family Assessment Part 2

Refer back to the interview and evaluation you conducted in the Topic 2 Family Health Assessment assignment. Identify the social determinates of health (SDOH) contributing to the family’s health status. In a 750-1,000 word paper, create a plan of action to incorporate health promotion strategies for this family. Include the following:

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  1. Describe the SDOH that affect the family health status. What is the impact of these SDOH on the family? Discuss why these factors are prevalent for this family.
  2. Based on the information gathered through the family health assessment, recommend age-appropriate screenings for each family member. Provide support and rationale for your suggestions.
  3. Choose a health model to assist in creating a plan of action. Describe the model selected. Discuss the reasons why this health model is the best choice for this family. Provide rationale for your reasoning.
  4. Using the model, outline the steps for a family-centered health promotion. Include strategies for communication.

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.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

Family Assessment Part 2

Diabetes And Drug Treatments

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Diabetes And Drug Treatments

Each year, 1.5 million Americans are diagnosed with diabetes (American Diabetes Association, 2019). If left untreated, diabetic patients are at risk for several alterations, including heart disease, stroke, kidney failure, neuropathy, and blindness. There are various methods for treating diabetes, many of which include some form of drug therapy. The type of diabetes as well as the patient’s behavior factors will impact treatment recommendations. Diabetes And Drug Treatments

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For this Discussion, you compare types of diabetes, including drug treatments for type 1, type 2, gestational, and juvenile diabetes.

Reference: American Diabetes Association. (2019). Statistics about diabetes. Retrieved from http://diabetes.org/diabetes-basics/statistics/

To Prepare
  • Review the Resources for this module and reflect on differences between types of diabetes, including type 1, type 2, gestational, and juvenile diabetes.
  • Select one type of diabetes to focus on for this Discussion.
  • Consider one type of drug used to treat the type of diabetes you selected, including proper preparation and administration of this drug. Then, reflect on dietary considerations related to treatment.
  • Think about the short-term and long-term impact of the diabetes you selected on patients, including effects of drug treatments.

Post a brief explanation of the differences between the types of diabetes, including type 1, type 2, gestational, and juvenile diabetes. Describe one type of drug used to treat the type of diabetes you selected, including proper preparation and administration of this drug. Be sure to include dietary considerations related to treatment. Then, explain the short-term and long-term impact of this type of diabetes on patients. including effects of drug treatments. Be specific and provide examples.

Read a selection of your colleagues’ responses and respond to at least two of your colleagues on two different days who selected a different type of diabetes than you did. Provide recommendations for alternative drug treatments and patient education strategies for treatment and management.

Diabetes And Drug Treatments

Child Abuse And Maltreatment

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Child Abuse And Maltreatment

Child abuse and maltreatment in children of school-age years. School age years is described as from 6 to 12 years of age. The types of abuse commonly seen among children of school age years are: Neglect, physical abuse, psychological abuse, and sexual abuse. The warning signs and physical and emotional assessment findings that the nurse may see that could indicate child abuse are: The child looks unkempt, he is fearful, unhappy, and withdrawn, he does not go to school or is always late at school and sleeps while the class is going on and is uninterested at his surroundings, he is small for age and there are bruises and fractures at different stages of healing, and the care takers explanations are twisted. (Shaw 2018) Child Abuse And Maltreatment

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Different cultural health practices that can be misidentified as child abuse is rebuking a child when he does something wrong, flogging or spanking a child to correct disobedience, or even female circumcision as the people that practice it believe it will cub promiscuity, others are like sending children to sell or fetch water. While this holds sway in some countries, it is regarded as child abuse in orders. (Jenni 2018) Child Abuse And Maltreatment

The reporting mechanism in my state Kentucky and the nurse responsibilities related to the reporting of suspected child abuse is that if it is suspected a child is being abused or neglected, contact is made to Kentucky’s Statewide Child Abuse Hotline Number 1 877 597 2331 to make a report. One can also go online to the Child Reporting System Monday-Friday between the hours of 8:00 am and 4:30 pm (EST) to make a report. And the nurse is a mandated child abuse reporter. This means that she is legally obliged to: make a report as soon as possible to Child Protection if she believes on a reasonable ground that a child is being abused. (Daro 2019)

References

Samuels, B. (2019). Reflections: Protective factor frameworks and public policy. In D. Daro, A. C. Donnelly, L. A. Huang, & N. J. Powell (Eds.), Advances in child abuse prevention knowledge: The perspective of new leadership (pp. 225–226). Switzerland: Springer International Publishing.

Respond to the above post with 200-300 words APA format with references sin supporting the discussions.

Child Abuse And Maltreatment

 

 

 

Endocrine System Disorders And The Treatment Of Diabetes

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Endocrine System Disorders And The Treatment Of Diabetes

The endocrine system includes eight major glands throughout the body which affect such things as growth and development, metabolism, sexual function, and mood (National Institutes of Health). Some of the most commonly diagnosed endocrine disorders include hypothyroidism, diabetes, and Hashimoto’s disease. Not surprisingly, treating any one endocrine disorder may have effects on other body systems or their functions. As an advanced practice nurse, treating patients who may suffer from endocrine disorders requires an acute understanding of the structure and function of the endocrine system. Additionally, a solid understanding of patient factors and behaviors will assist in developing the best drug therapy plans possible to treat your patients. Some of most commonly diagnosed endocrine disorders include Endocrine System Disorders And The Treatment Of Diabetes

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This week, you differentiate the types of diabetes and examine the impact of diabetes drugs on patients. You also evaluate alternative drug treatments and patient education strategies for diabetes management.

Reference: National Institutes of Health. (n. d.). National Institute of Diabetes and Digestive and Kidney Disorders. Endocrine diseases. Retrieved July 3, 2019 from https://www.niddk.nih.gov/health-information/endocrine-diseases

Learning Objectives

Students will:

  • Differentiate types of diabetes
  • Evaluate the impact of diabetes drugs on patients
  • Evaluate alternative drug treatments and patient education strategies for diabetes management

Discussion: Diabetes and Drug Treatments

Each year, 1.5 million Americans are diagnosed with diabetes (American Diabetes Association, 2019). If left untreated, diabetic patients are at risk for several alterations, including heart disease, stroke, kidney failure, neuropathy, and blindness. There are various methods for treating diabetes, many of which include some form of drug therapy. The type of diabetes as well as the patient’s behavior factors will impact treatment recommendations.

For this Discussion, you compare types of diabetes, including drug treatments for type 1, type 2, gestational, and juvenile diabetes.

Reference: American Diabetes Association. (2019). Statistics about diabetes. Retrieved from http://diabetes.org/diabetes-basics/statistics/ Endocrine System Disorders And The Treatment Of Diabetes

To Prepare
  • Review the Resources for this module and reflect on differences between types of diabetes, including type 1, type 2, gestational, and juvenile diabetes.
  • Select one type of diabetes to focus on for this Discussion.
  • Consider one type of drug used to treat the type of diabetes you selected, including proper preparation and administration of this drug. Then, reflect on dietary considerations related to treatment.
  • Think about the short-term and long-term impact of the diabetes you selected on patients, including effects of drug treatments.

Post a brief explanation of the differences between the types of diabetes, including type 1, type 2, gestational, and juvenile diabetes. Describe one type of drug used to treat the type of diabetes you selected, including proper preparation and administration of this drug. Be sure to include dietary considerations related to treatment. Then, explain the short-term and long-term impact of this type of diabetes on patients. including effects of drug treatments. Be specific and provide examples. Atleast 4 reffereneces needed

Endocrine System Disorders And The Treatment Of Diabetes

 

NURS 6051: Transforming Nursing And Healthcare Through Technology

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NURS 6051: Transforming Nursing And Healthcare Through Technology

Week 6 Discussion: Healthcare Information Technology Trends

Post a brief description of general healthcare technology trends, particularly related to data/information you have observed in use in your healthcare organization or nursing practice. Describe any potential challenges or risks that may be inherent in the technologies associated with these trends you described. Then, describe at least one potential benefit and one potential risk associated with data safety, legislation, and patient care for the technologies you described.

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Next, explain which healthcare technology trends you believe are most promising for impacting healthcare technology in nursing practice and explain why. Describe whether this promise will contribute to improvements in patient care outcomes, efficiencies, or data management. Be specific and provide examples.

NURS 6051: Transforming Nursing And Healthcare Through Technology