NRNP 6541 Primary Care Of Adolescents And Children

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NRNP 6541: Primary Care Of Adolescents And Children

Journal Entry (2–3 pages):

  • Explain what has most excited and/or concerned you throughout your pediatric clinical experience.
  • Discuss how your personal definition of family and family roles has changed or stayed the same.
  • How has your understanding of family and family roles influenced your assessment of children and their families?

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  • Explain how your understanding of culture (both the culture of the provider and that of the child and his or her family) has changed and how it may have influenced the assessments you conducted during your practicum.
  • Assess how you did with accomplishing the goals and objectives you developed in Week 1 for the practicum experience.
  • Based on your practicum experience, refine your existing goals and/or develop new ones for your continued education and professional practice. Be sure to consider the NAPNAP Position Statement on Age Parameters for Pediatric Nurse Practitioner Practice.
  • Use the title page and references according to APA.

NRNP 6541: Primary Care Of Adolescents And Children

Implementing Electronic Health Records

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Implementing Electronic Health Records

In this writing assignment, you will be writing a one- to two-page paper explaining the implementation of electronic health records.

Step 1: Reflect on your involvement with the implementation of electronic health records (EHRs) in the clinical setting (either as a practicing nurse or as a student in the clinical setting).

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If you have not used an EHR, think about how you might implement an EHR in your practice setting. Answer the questions in Step 2 using this hypothetical EHR system.

Step 2: Address the following topics in your paper:

  • Explain at least three functional considerations to consider when implementing an EHR.
  • Explain the regulatory considerations for implementing EHRs.
  • Explain interoperability. Why is interoperability important?
  • Explain the integrity of the data. Why is data integrity important?
  • Explain why the security of data is important when implementing an EHR.
  • Explain the legal concerns surrounding the implementation of EHRs.

Cite any sources in APA format, 7th edition, with the link to the websites used.

Implementing Electronic Health Records

OFF-LABEL DRUG USE IN PEDIATRICS

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OFF-LABEL DRUG USE IN PEDIATRICS

Resouces to Use:

For your narrative:

  • Explain the circumstances under which children should be prescribed drugs for off-label use. Be specific, and provide examples. OFF-LABEL DRUG USE IN PEDIATRICS
  • Explain strategies to make 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. (Be Specific)

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.
  • 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

Health Care Delivery

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Health Care Delivery

Health care in the United States is changing. A paradigm shift is occurring as more and more health care organizations are reorganizing existing business models from inpatient to outpatient services. That being said, you have been tasked with developing a proposal for the development of a health care facility that is designed to meet rapidly changing health care needs. Within your proposal, you are required to research and discuss the following:

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  • The type of facility you are recommending and the rationale behind your recommendation. For example, if you chose an ambulatory care facility, explain the reasons why this type of facility would be recommended over another type.
  • The type of health care delivery and services that are provided at the facility.
  • The type of staff that will work in the facility. Specify the position categories and/or titles for these positions, and include the credentials or licensures required by these positions in the state in which you live and where your proposed facility would be located.

Note: You should include a minimum of 3 references, properly cited in APA format.

Health Care Delivery

The Patient Centered Medical Home Model

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The Patient-Centered Medical Home Model

Week 7 Discussion: The Patient-Centered Medical Home Model

Step 1: The patient-centered medical home (PCMH) model, also known as a health home, is a health care delivery model designed to improve access to care, increase quality, and reduce costs.  Familiarize yourself with the PCMH model. Use these websites or research them on your own. The Patient-Centered Medical Home Model

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Step 2: For this discussion, select one of the health care delivery settings discussed in the assigned reading (e.g. home health/hospice, long term care, the VA system, retail/nursing clinics, community health centers) and consider ways in which the setting could incorporate aspects of the PCMH model.  Specifically, address access, quality, and cost. Finally, discuss the nurse’s role in advocating for these changes. If possible, share your own experiences and example of this model (or related principles).

Step 3: Read other students’ posts and respond to at least two of them by Friday at 11:59 pm MT.

Cite any sources in 7th. ed APA format.

Select Reply to join the discussion.  See rubric for grading details. You can find this by clicking the three dots to the top right of this thread.

Response Posts: In your responses to your classmates, contribute to the discussion with your own original professional opinions or interpretation of the course materials. Peer Responses do not require research for this course, so you do not need to include a reference and citation. If you choose to include research, APA formatting points will not be deducted for errors.

The Patient-Centered Medical Home Model

Health Promotion Part 2

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Health Promotion Part 2

This is a continuation of the health promotion program proposal, part one, which you submitted previously. Please approach this assignment as an opportunity to integrate instructor feedback from Part I and expand on ideas adhering to the components of the MAP-IT strategy. Include the necessary levels of detail you feel appropriate to assure stakeholder buy-in. Health Promotion Part 2

Directions

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You have already completed steps 1–4. Make sure you revise this initial submission according to your instructor’s comments.

1. Describe the health problem. Using data and statistics supports your claim that the issue you selected is a problem. What specifically will you address in your proposed health promotion program?

Be sure your proposed outcome is realistic and measurable.

2. Describe the vulnerable population and setting. What are the risk factors that make this a vulnerable population? Use evidence to support the risk factors you have identified.

3. Provide a review of literature from scholarly journals on evidence-based interventions that address the problem. After completing a library search related to effective interventions for your chosen health promotion activity, you will write a review that evaluates the strengths and weaknesses of all the sources you have found. You might consult research texts for information on how to write a review of the literature found in your search.

4. Select an appropriate health promotion/disease prevention theoretical framework or conceptual model that would best serve as the framework guiding the proposal. Provide rationale for your selection, which includes discussion of the concepts of the selected model For this assignment, add criteria 5-8 as detailed below:

5. Propose a health promotion program using an evidence-based intervention found in your literature search to address the problem in the selected population/setting. Include a thorough discussion of the specifics of this intervention, which include the resources necessary, those involved, and feasibility for a nurse in an advanced role. Be certain to include a timeline. (2 to 4 paragraphs). (You may use bullets if appropriate.).

6. Thoroughly describe the intended outcomes. Describe the outcomes in detail in accordance with the SMART goal approach. (1 paragraph).

7. Provide a detailed plan for evaluation for each outcome. (1 paragraph).

8. Thoroughly describe possible barriers/challenges to implementing the proposed project, as well as strategies to address these barriers/challenges. (1 paragraph).

9. Conclude the paper with a conclusion paragraph. Don’t type the word “conclusion.”. Here, you will share your insights about this strategy and your expectations regarding achieving your goals. (1 paragraph).

Health Promotion Part 2

 

Pathophysiology Assignment Paper

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Pathophysiology Assignment Paper

The gastrointestinal (GI) tract is the body’s entry point for nutrients, including fluids and electrolytes needed to sustain life. Disorders of the GI tract are often grouped into the following categories: alteration of digestive function, absorptive function, immunologic function, and neuroendocrine function.

What are the stimuli to the multiple substances that control gastric acid secretion? What risks result from having strong acidity in the stomach?

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What is the pathophysiology of Helicobacter pylori?

The liver is a complex organ with many contributions to homeostasis that are often not appreciated until liver function declines. The liver has the capacity to rebound and regenerate after a variety of acute chemically or virally induced insults, but it is vulnerable to chronic chemical or infectious damage.

What blood tests are appropriate for a patient with a suspected acute liver injury?

Explain the rationale for ordering these tests, and patterns of results that you might see in a patient with acute HAV infection.

Pathophysiology Assignment Paper

Musculoskeletal Function

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Musculoskeletal Function

G.J. is a 71-year-old overweight woman who presents to the Family Practice Clinic for the first time complaining of a long history of bilateral knee discomfort that becomes worse when it rains and usually feels better when the weather is warm and dry. “My arthritis hasn’t improved a bit this summer though,” she states. Discomfort in the left knee is greater than in the right knee. She has also suffered from low back pain for many years, but recently it has become worse. She is having difficulty using the stairs in her home. The patient had recently visited a rheumatologist who tried a variety of NSAIDs to help her with pain control. The medications gave her mild relief but also caused significant and intolerable stomach discomfort. Her pain was alleviated with oxycodone. However, when she showed increasing tolerance and began insisting on higher doses of the medication, the physician told her that she may need surgery and that he could not prescribe more oxycodone for her. She is now seeking medical care at the Family Practice Clinic. Her knees started to get significantly more painful after she gained 20 pounds during the past nine months. Her joints are most stiff when she has been sitting or lying for some time and they tend to “loosen up” with activity. The patient has always been worried about osteoporosis because several family members have been diagnosed with the disease. However, nonclinical manifestations of osteoporosis have developed. Musculoskeletal Function

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Case Study 1 Questions:
Define osteoarthritis and explain the differences with osteoarthrosis.
List and analyze the risk factors that are presented in the case that contribute to the diagnosis of osteoarthritis.
Specify the main differences between osteoarthritis and rheumatoid arthritis, and make sure to include clinical manifestations, major characteristics, joints usually affected, and diagnostic methods.
Describe the different treatment alternatives available, including non-pharmacological and pharmacological that you consider are appropriate for this patient and why.
How would you handle the patient’s concern about osteoporosis? Describe the interventions and education you would provide to her regarding osteoporosis.
500 words, 2 cited sources, APA format

Musculoskeletal Function

 

Neurological Function

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Neurological Function

H.M. is a 67-year-old female who recently retired from being a school teacher for the last 40 years. Her husband died 2 years ago due to complications from a CVA. Past medical history includes hypertension controlled with Olmesartan 20 mg by mouth once a day. Family history is not contributing. Last annual visits with PCP had normal results. She lives by herself, but her children live close to her and usually visit her two or three times a week. Her daughter started noticing that her mother was having problems focusing when talking to her. She is not keeping things at home as she used to, and often she is repeating and asking the same question several times. Yesterday, she had issues remembering her way home from the grocery store.

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Case Study 2 Questions:
Name the most common risk factors for Alzheimer’s disease.
Name and describe the similarities and differences between Alzheimer’s disease, vascular dementia, dementia with Lewy bodies, and frontotemporal dementia.
Define and describe explicit and implicit memory.
Describe the diagnosis criteria developed for Alzheimer’s disease by the National Institute of Aging and the Alzheimer’s Association.
What would be the best pharmacological and non-pharmacological therapeutic approaches for H.M.?
500 words, 2 cited sources, APA format

Neurological Function

Evidence-Based Practice Implementation Plan

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Evidence-Based Practice Implementation Plan

Summative Assessment: Evidence-Based Practice Implementation Plan

Assessment Deliverable

Create a 1,000- to 1,500-word implementation plan on how you plan to implement the evidence-based solution for medication reconciliation.

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Your implementation plan should include the following:

    • Plan for change management and select change theory to frame your project
    • Your goals
    • How will you gain support from your leadership team?
    • How do you plan on engaging your team?
    • Type of education provided to participants and staff on the evidence-based intervention and practice change
    • Timeline for the change
    • The means you will use to measure your outcome toward your goals
    • Description of your plan for sustainability
    • Provide a conclusion that summarizes the content of your paper.

Evidence-Based Practice Implementation Plan