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. OFF-LABEL DRUG USE IN PEDIATRICS

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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 the safety implications of the off-label use of drugs with this patient group.

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.
  • Walden University, LLC. (Producer). (2019i). Therapy for pediatric clients with mood disordersLinks to an external site. [Interactive media file]. Baltimore, MD: Author.

OFF-LABEL DRUG USE IN PEDIATRICS

Benchmark – Effective Approaches In Leadership And Management

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Benchmark: Effective Approaches In Leadership And Management

In this assignment, you will be writing a 1,000–1,250-word essay describing the differing approaches of nursing leaders and managers to issues in practice. To complete this assignment, do the following: Benchmark: Effective Approaches In Leadership And Management

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  1. Select an issue from the following list: nursing shortage and nurse turn-over, nurse staffing ratios, unit closures and restructuring, use of contract employees (i.e., registry and travel nurses), continuous quality improvement and patient satisfaction, and magnet designation.
  2. Compare and contrast how you would expect nursing leaders and managers to approach your selected issue. Support your rationale by using the theories, principles, skills, and roles of the leader and manager described in your readings.
  3. Identify the approach that best fits your personal and professional philosophy of nursing and explain why the approach is suited to your personal leadership style.
  4. Identify a possible funding source that addresses your issue. Consider looking at federal, state, and local organizations. For example: There are many grants available through the CDC, HRSA, etc.
  5. Use at least two references other than your text and those provided in the course.

Prepare this assignment according to the APA 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.

Benchmark: Effective Approaches In Leadership And Management

 

Family Health Assessment

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Family Health Assessment

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 affects the family’s health status. What is the impact of these SDOHs 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 a rationale for your reasoning.
  4. Using the model, outline the steps for 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.

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

Family Health Assessment

 

BENCHMARK; – PATIENT SPIRITUAL NEEDS: CASE ANALYSIS

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BENCHMARK; PATIENT SPIRITUAL NEEDS: CASE ANALYSIS

In addition to the topic study materials, use the chart you completed and questions you answered in Topic 3 about “Case Study: Healing and Autonomy” as the basis for your responses in this assignment.

Answer the following questions about a patient’s spiritual needs in light of the Christian worldview:.

  1. In 200–250 words, respond to the following: Should the physician allow Mike to continue making decisions that seem to him to be irrational and harmful to James, or would that mean disrespect for a patient’s autonomy? Explain your rationale.
  2. In 400–500 words, respond to the following: How ought Christians think about sickness and health? How should a Christian think about medical intervention? What should Mike, as a Christian, do? How should he reason about trusting God and treating James in relation to what is truly honoring the principles of beneficence and nonmaleficence in James’s care?
  3. In 200–250 words, respond to the following: How would a spiritual needs assessment help the physician assist Mike in determining appropriate interventions for James and for his family or others involved in his care?

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Remember to support your responses with the topic study materials.

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.

BENCHMARK; PATIENT SPIRITUAL NEEDS: CASE ANALYSIS

Non Traditional Health Care Practices

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Non-traditional Traditional Health practices

Research different popular nontraditional health care practices. Write a 1,000-1,200-word paper exploring nontraditional health care practices and include the following:

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  1. Describe nontraditional health care practices in different cultures. Compare at least three cultures.
  2. Explain the importance of these practices in providing holistic and quality health care.
  3. Identify the nontraditional health care options in your area, and identify the number of people choosing to use them over traditional medical practices. Propose reasons why the number of people using nontraditional health care options is rising.

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

Non-traditional Traditional Health practices

 

Controversy Associated With Dissociative Disorders

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Controversy Associated With Dissociative Disorders

The DSM-5 is a diagnostic tool. It has evolved over the decades, as have the classifications and criteria within its pages. It is used not just for diagnosis, however, but also for billing, access to services, and legal cases. Not all practitioners are in agreement with the content and structure of the DSM-5, and dissociative disorders are one such area. These disorders can be difficult to distinguish and diagnose. There is also controversy in the field over the legitimacy of certain dissociative disorders, such as dissociative identity disorder, which was formerly called multiple personality disorder.

In this Assignment, you will examine the controversy surrounding dissociative disorders. You will also explore clinical, ethical, and legal considerations pertinent to working with patients with these disorders.

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To Prepare

  • Review this week’s Learning Resources on dissociative disorders.
  • Use the Walden Library to investigate the controversy regarding dissociative disorders. Locate at least three scholarly articles that you can use to support your Assignment.

The Assignment (2–3 pages)

  • Explain the controversy that surrounds dissociative disorders.
  • Explain your professional beliefs about dissociative disorders, supporting your rationale with at least three scholarly references from the literature.
  • Explain strategies for maintaining the therapeutic relationship with a client who may present with a dissociative disorder.
  • Finally, explain ethical and legal considerations related to dissociative disorders that you need to bring to your practice and why they are important.

Controversy Associated With Dissociative Disorders

Benchmark – Diversity In Health Care Essay

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Benchmark: Diversity In Health Care Essay

Diversity has a significant influence on health care. Studying transcultural health care helps health professionals understand different cultures in order to provide holistic and individualized health care. Review the Purnell Model for Cultural Competence, including the theory, framework, and 12 domains. Write a 750–1,000-word paper exploring the Purnell Model for Cultural Competence. Include the following:

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  1. Explain culturally sensitive care and its application within health care.
  2. Explain the theory and organizational framework of the Purnell Model and discuss its relevance to transcultural health care.
  3. Describe Purnell’s 12 domains of culture, and assess how each of these domains plays an active role in the diversity of health care in your specific field.
  4. Discuss how this model can be applied when working with different cultures in order to become a more culturally competent health care provider.
  5. Cite at least three references, including the course textbook.

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 competency:

BS Health Sciences

1.1 Explain culturally sensitive care and its application within health care.

Benchmark: Diversity In Health Care Essay

 

Benchmark – Electronic Health Record Implementation Paper

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Benchmark: Electronic Health Record Implementation Paper

One way informatics can be especially valuable is by 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 in 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.

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

1. What key information would be needed in the database that would allow you to track opportunities for care improvement?

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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?

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

 

Benchmark – Diversity In Health Care Essay

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Benchmark: Diversity In Health Care Essay

Diversity has a significant influence on health care. Studying transcultural health care helps health professionals understand different cultures in order to provide holistic and individualized health care. Review the Purnell Model for Cultural Competence, including the theory, framework, and 12 domains. Write a 750–1,000-wword paper exploring the Purnell Model for Cultural Competence. Include the following:

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  1. Explain the theory and organizational framework of the Purnell Model and discuss its relevance to transcultural health care.
  2. Describe Purnell’s 12 domains of culture, and assess how each of these domains plays an active role in the diversity of health care in your specific field.
  3. Discuss how this model can be applied when working with different cultures in order to become a more culturally competent health care provider.
  4. Cite at least three references, including the course textbook.

Prepare this assignment according to the APA 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.

Benchmark: Diversity In Health Care Essay

Healthcare Informatics In Primary Care Pediatrics

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Healthcare Informatics In Primary Care Pediatrics

The focus of this assignment is to increase your knowledge and understanding of how informatics, specifically the electronic medical record, improves pediatric patient health outcomes. Caring for the pediatric patient has unique elements that are not applicable in the adult population. Examples are growth and development surveillance, vaccine records, and transitional changes that affect “normal findings” by age group. For example, the normal respiratory rate of a newborn is significantly different from that of a 10-year-old. Additionally, pediatric healthcare providers are expected to educate parents with “anticipatory guidance” according to the age of the patient. For this assignment, you are expected to analyze the utilization of the EMR that you are using in your clinical practicum and evaluate how this particular EMR system is improving health outcomes. For example, does the EMR that you are using have mechanisms in place that track growth and development, which has led to early identification of abnormals?

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This assignment has three parts. The first part is identifying the recommended pediatric-specific functionalities of the EMR system you are using. The template will guide you through the first part of the assignment by addressing a sample of key functionalities.

Part 2 addresses some basic functions that would be recommended in any non-specific EMR.

Part 3 asks you to discuss how your system is addressing certain outcomes, such as safety, collaboration, and the prevention of medication errors.

Healthcare Informatics In Primary Care Pediatrics