ETHICAL AND LEGAL IMPLICATIONS OF PRESCRIBING DRUGS

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ETHICAL AND LEGAL IMPLICATIONS OF PRESCRIBING DRUGS

Write a 2- to 3-page paper that addresses the following:

Scenario: You see another nurse practitioner writing a prescription for her husband, who is not a patient of the nurse practitioner. The prescription is for a narcotic. You can decide whether or not to report the incident.

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Explain the ethical and legal implications of the scenario you selected on all stakeholders involved, such as the prescriber, pharmacist, patient, and patient family.

Describe strategies to address disclosure and nondisclosure as identified in the scenario you selected. Be sure to reference laws specific to your state.

Explain two strategies that you, as an advanced practice nurse, would use to guide your decision making in this scenario, including whether you would disclose your error. Be sure to justify your explanation.

Explain the process of writing prescriptions, including strategies to minimize medication errors.

Attached are the rubric and weekly learning resource

ETHICAL AND LEGAL IMPLICATIONS OF PRESCRIBING DRUGS

Child Health Case

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Child Health Case

Severely underweight 12-year-old Hispanic girl with underweight parents who has been bullied in school just recently.

Assignment (3 4 pages, not including title and reference pages):

Assignment: Child Health Case:

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Include the following:

An explanation of the health issues and risks that are relevant to the child you were assigned.

Describe additional information you would need in order to further assess his or her weight-related health.

Identify and describe any risks and consider what further information you would need to gain a full understanding of the child health. Think about how you could gather this information in a sensitive fashion.

Considering the parents and caregivers’ potential sensitivities, list at least three specific questions you would ask about the child to gather more information.

Provide at least two strategies you could employ to encourage the parents or caregivers to be proactive about their child health and weight.

Child Health Case

 

NURS 6665 week 3

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NURS 6665 week 3

Panic disorder is the assigned disorder

Recommend one FDA-approved drug, one off-label drug, and one nonpharmacological intervention for treating your assigned disorder in children and adolescents.

Explain the risk assessment you would use to inform your treatment decision making. What are the risks and benefits of the FDA-approved medicine? What are the risks and benefits of the off-label drug?

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Explain whether clinical practice guidelines exist for this disorder and, if so, use them to justify your recommendations. If not, explain what information you would need to take into consideration.

Support your reasoning with at least three scholarly resources, one each on the FDA-approved drug, the off-label, and a non-medication intervention for the disorder. Attach the PDFs of your sources

NURS 6665 week 3

ASTHMA AND STEPWISE MANAGEMENT

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ASTHMA AND STEPWISE MANAGEMENT

Create a 5- to 6-slide PowerPoint presentation that can be used in a staff development meeting on presenting different approaches for implementing the stepwise approach for asthma treatment. Be sure to address the following:

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Describe long-term control and quick relief treatment options for the asthma patient from your practice as well as the impact these drugs might have on your patient.

Explain the stepwise approach to asthma treatment and management for your patient.

Explain how stepwise management assists health care providers and patients in gaining and maintaining control of the disease. Be specific.

ASTHMA AND STEPWISE MANAGEMENT

Depressive Disorders in Adolescents

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Depressive Disorders in Adolescents

For this assignment, you will develop a patient medication guide for treatment of depressive disorders in adolescents. Be sure to use language appropriate for your audience (patient, caregiver, parent, etc.). You will include non-copyright images and/or information tables to make your patient medication guide interesting and appealing. Limit your patient medication guide to 5 pages. You will create this guide as an assignment; therefore, a title page, introduction, conclusion, and reference page are required. You must include a minimum of 3 scholarly supporting resources outside of your course provided resources. Depressive Disorders in Adolescents

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In your patient guide, include discussion on the following:

Depressive disorder causes and symptoms

How depression is diagnosed for the vulnerable population of your choice, why is this population considered vulnerable

Medication treatment options including risk vs benefits; side effects; FDA approvals for the vulnerable population of your choice

Medication considerations of medication examples prescribed (see last bullet item)

What is important to monitor in terms of labs, comorbid medical issues with why important for monitoring

Special Considerations (you must be specific, not general and address at least one for EACH category; you must demonstrate critical thinking beyond basics of HIPPA and informed consent!): legal considerations, ethical considerations, cultural considerations, social determinants of health

Where to follow up in your local community for further information

Provide 3 examples of how to write a proper prescription that you would provide to the patient or transmit to the pharmacy.

Depressive Disorders in Adolescents

PROMOTING SAFETY AND QUALITY

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PROMOTING SAFETY AND QUALITY

To prepare for this Discussion:
Review the information at the Joint Commission and Centers for Medicare & Medicaid Services websites on the core measures and standards presented in this week Resources.
Consider the nurse role in supporting the organization strategic agenda as it relates to improving clinical outcomes.

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Conduct an Internet search for either a Never Event or a core measure and select one to address in your post.
****Respond to the following:
How has the emphasis on quality of care, patient safety, and clinical care outcomes been impacted by specific standards emanating from TJC and/or CMS? Cite your selected core measure or Never Event in your response.
What is the impact of the nurse role in clinical outcomes for the organization?
Discuss nurse-specific challenges in influencing change in quality improvement.
How does this influence the ability of the organization to achieve its strategic agenda?
Support your response with references from the professional nursing literature.

PROMOTING SAFETY AND QUALITY

Psychopharmacologic treatments for patients with multiple mental health disorders

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Psychopharmacologic treatments for patients with multiple mental health disorders

Consider the potential effects these psychopharmacologic treatments may have on co-existing mental health conditions and/or their potential effects on your patient overall health.

Address the following Short Answer prompts for your Assignment. Be sure to include references to the Learning Resources for this week.

  1. In 3 or 4 sentences, explain the appropriate drug therapy for a patient who presents with MDD and a history of alcohol abuse. Which drugs are contraindicated, if any, and why? Be specific. What is the timeframe that the patient should see resolution of symptoms?
  2. List 4 predictors of late onset generalized anxiety disorder.

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  3. List 4 potential neurobiology causes of psychotic major depression.
  4. An episode of major depression is defined as a period of time lasting at least 2 weeks. List at least 5 symptoms required for the episode to occur. Be specific.
  5. List 3 classes of drugs, with a corresponding example for each class, that precipitate insomnia. Be specific.

Psychopharmacologic treatments for patients with multiple mental health disorders

Module 6: Group Discussion: Clinical Case Study: Antipsychotic Agents

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Module 6: Group Discussion: Clinical Case Study: Antipsychotic Agents

A 19-year-old male student is brought into the clinic by his mother, who has been concerned about her son erratic behavior and strange beliefs. He destroyed a TV because he felt the TV was sending harassing messages to him. In addition, he reports hearing voices telling him that family members are trying to poison his food. As a result, he is not eating. After a diagnosis is made, haloperidol is prescribed at a gradually increasing dose on an outpatient basis. The drug improves the patient positive symptoms but ultimately causes intolerable adverse effects including severe akathisia. Although costlier, lurasidone is then prescribed, which, over the course of several weeks of treatment, improves his symptoms and is tolerated by the patient.

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Questions:

What signs and symptoms would support an initial diagnosis of schizophrenia?

In the treatment of schizophrenia, what benefits do the second-generation antipsychotic drugs offer over the traditional agents such as haloperidol?

In addition to the management of schizophrenia, what other clinical indications warrant consideration of the use of drugs nominally classified as antipsychotics?

Module 6: Group Discussion: Clinical Case Study: Antipsychotic Agents

OFF-LABEL DRUG USE IN PEDIATRICS

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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.

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

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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.

Write a 2-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.

OFF-LABEL DRUG USE IN PEDIATRICS

 

GLOBAL HEALTHCARE COMPARISON MATRIX AND NARRATIVE STATEMENT

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GLOBAL HEALTHCARE COMPARISON MATRIX AND NARRATIVE STATEMENT

To Prepare:

Review the World Health Organization (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. GLOBAL HEALTHCARE COMPARISON MATRIX AND NARRATIVE STATEMENT

Reflect on how the global health issue you selected is approached in the U.S. and in the additional country you selected.

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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 Organization global health agenda as well as the results of your own research, analyze how each country 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