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.

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.

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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. Assignment: Off-Label Drug Use in Pediatrics

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.

By Day 5 of Week 11

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. The Sample Paper provided at the Walden Writing Center offers an example of those required elements (available at http://writingcenter.waldenu.edu/57.htm). All papers submitted must use this formatting. Assignment: Off-Label Drug Use in Pediatrics

 

 

Please do all questions and answer them in its entirety: Please cite your references

1. How can aging affect nutrition in the older adult?

2.What are some factors that are utilized to determine caloric intake of older adults.?

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3. What are some basic life -sustaining needs of the older adult?

4.What are some health challenges related needs of the older (aging) adult.?

5.What are some laws governing Gerontological Nursing Practice?

6. What are some legal risks in Gerontological Nursing

7.Why are there increased Risk of Adverse Reaction as it relates to Medication Usages in the older Adult.

8.What are some intervention necessary to address threat to safety, life and well-being in the older clients.

9. What are some Impact of Aging on Environment Safety and Function.

10. What are some possible Mental Health issues which Amy affect the older adult? Coloriie Intake For Adults

Answer each prompt using at least 400 words.

Choose someone from a culture that you have always been interested in but is different from your own. This can be an actual person you know, or a classmate. Be objective.

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• Identify specific ways in which your own cultural background and experiences have influenced your perspective when dealing with others from another culture.
•  Discuss the differences and similarities between you and the person you chose for the assignment.
• Explain how you use self-management of your emotions when you are stressed. Is how you manage your emotions different from how the person you chose for the assignment manages?
• Discuss how you would incorporate cultural intelligence in your interactions with the person you chose for the assignment. Nursing homework help

Assignment ExpectationsLength: 1600-1750 words

Nursing Shortage Assignments

3-4 pages APA formatted assignment. USE 4-5 references. Please come up with a PICO question that is about the “NURSING SHORTAGE” and include it in the introduction paragraph.

Start the introduction section here (no header).

PLEASE USE THIS TOPIC FOR THE ASSIGNMENT: NURSING SHORTAGE

Introduction paragraph: NURSING PICO QUESTION NEEDED:_______ (related to nursing shortage)

Problem Identification

Choosing the right topic is important. What gaps in practice have you observed? What do frontline workers/coworkers comment on or think needs to change? This can be the same as your issue identified in week one, or it can be different.

Process for change *Note: Examples could include PDSA or Lewin’s Change Theory

Fully and clearly described the process for the change including the use of a change theory or process*.

Team Member Selection (4-5 people)

Who needs to be included in order to make the project wo rk? Include titles or roles (not names). Consider who can fulfill the roles discussed in the classroom presentation. Nursing Shortage Assignments

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*Who are the primary stakeholders? Include them.

Planning

Aim Statement

What are you trying to accomplish? Why is it important? Who is the target population? When will the project be completed? How will it be carried out? (make sure statement is specific, measurable, achievable, realistic, and timely.)

Outcome Goals

What are some processes and short-term outcome goals that will help you know that you have achieved your overall project aim?  Make sure that these are measurable and realistic. (Include short and long term goals)

Outcome Measures

What tools or measures should be used to determine if the goals were met? What information is provided by these tools? How will the data be analyzed and by whom? (INCLUDE 2)

Recommendations for Change

Describe three possible changes or solutions that address the identified problem. Be specific/detailed. What leads you to believe these will work? Include literature based support.

Benefits

Fully and clearly described the benefits of this project/change to the institution with literature and/or anecdotal evidence.

Conclusion

Summarize the above information in a clear and concise conclusion.

OVERVIEW PLEASE BE SURE TO INCLUDE EACH TOPIC:

*INTRODUCTION with PICO Question

* Problem Identification

* Process for change

*Team Member Selection (4-5 people)

*Aim Statement

*Outcome Goals

*Outcome Measures

*Recommendations for Change

*  Benefits

*Conclusion

Epidemiology, Healthcare Informatics, And Health Promotion

APA format

Parts  2 and 3 have the same questions, however, you must answer with references and different writing always addressing them objectively, that is as if you were different students. Similar responses in wording or references will not be accepted.

1) Minimum  5 full pages (No word count per page)- Follow the 3 x 3 rule: minimum three paragraphs per page

           Part 1: minimum 1 page

           Part 2: minimum 1 page

           Part 3: minimum 1 page

           Part 4: minimum 1 page

           Part 5: minimum 1 page

   Submit 1 document per part

2)¨******APA norms

All paragraphs must be narrative and cited in the text- each paragraph

         Bulleted responses are not accepted

         Don’t write in the first person 

Don’t copy and paste the questions.

Answer the question objectively, do not make introductions to your answers, answer it when you start the paragraph

Submit 1 document per part

3)****************************** It will be verified by Turnitin (Identify the percentage of exact match of writing with any other resource on the internet and academic sources, including universities and data banks)

********************************It will be verified by SafeAssign (Identify the percentage of similarity of writing with any other resource on the internet and academic sources, including universities and data banks)

4) Minimum 3 references (APA format) per part not older than 5 years  (Journals, books) (No websites)

All references must be consistent with the topic-purpose-focus of the parts. Different references are not allowed. Epidemiology, Healthcare Informatics, And Health Promotion

5) Identify your answer with the numbers, according to the question. Start your answer on the same line, not the next

Example:

Q 1. Nursing is XXXXX

Q 2. Health is XXXX

6) You must name the files according to the part you are answering: 

Example:

Part 1.doc 

Part 2.doc

__________________________________________________________________________________

Parts  2 and 3 have the same questions, however, you must answer with references and different writing always addressing them objectively, that is as if you were different students. Similar responses in wording or references will not be accepted.

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Part 1:Epidemiology

1.  Elaborate on the relationship between national wealth and life expectancy.

Part 2: Healthcare Informatics

The ANCC Informatics Nursing board certification 3xamination is a competency based 3xamination that provides a valid and reliable assessment of the entry-level clinical knowledge and skills of registered nurses in the informatics specialty after initial RN licensure. Once you complete eligibility requirements to take the certification 3xamination and successfully pass the 3xam, you are awarded the credential: Registered Nurse-Board Certified (RN-BC).This credential is valid for 5 years. You can continue to use this credential by maintaining your license to practice and meeting the renewal requirements in place at the time of your certification renewal. The Accreditation Board for Specialty Nursing Certification accredits this ANCC certification.Eligibility

• Hold a current, active RN license in a state or territory of the United States or hold the professional, legally recognized equivalent in another country.
• Hold a bachelor’s or higher degree in nursing or a bachelor’s degree in a relevant field.
• Have practiced the equivalent of 2 years full-time as a registered nurse.
• Have completed 30 hours of continuing education in informatics nursing within the last 3 years.
• Meet one of the following practice hour requirements:
• Have practiced a minimum of 2,000 hours in informatics nursing within the last 3 years;
• or
• Have practiced a minimum of 1,000 hours in informatics nursing in the last 3 years and completed a minimum of 12 semester hours of academic credit in informatics courses that are part of a graduate-level informatics nursing program;
• or
• Have completed a graduate program in informatics nursing containing a minimum of 200 hours of faculty-supervised practicum in informatics nursing. Epidemiology, Healthcare Informatics, And Health Promotion

1. Describe nursing informatics as a specialty, its role, education and certification required? a. Why?
Part 3: Healthcare Informatics

The ANCC Informatics Nursing board certification 3xamination is a competency based 3xamination that provides a valid and reliable assessment of the entry-level clinical knowledge and skills of registered nurses in the informatics specialty after initial RN licensure. Once you complete eligibility requirements to take the certification 3xamination and successfully pass the 3xam, you are awarded the credential: Registered Nurse-Board Certified (RN-BC).This credential is valid for 5 years. You can continue to use this credential by maintaining your license to practice and meeting the renewal requirements in place at the time of your certification renewal. The Accreditation Board for Specialty Nursing Certification accredits this ANCC certification.Eligibility

• Hold a current, active RN license in a state or territory of the United States or hold the professional, legally recognized equivalent in another country.
• Hold a bachelor’s or higher degree in nursing or a bachelor’s degree in a relevant field.
• Have practiced the equivalent of 2 years full-time as a registered nurse.
• Have completed 30 hours of continuing education in informatics nursing within the last 3 years.
• Meet one of the following practice hour requirements:
• Have practiced a minimum of 2,000 hours in informatics nursing within the last 3 years;
• or
• Have practiced a minimum of 1,000 hours in informatics nursing in the last 3 years and completed a minimum of 12 semester hours of academic credit in informatics courses that are part of a graduate-level informatics nursing program;
• or
• Have completed a graduate program in informatics nursing containing a minimum of 200 hours of faculty-supervised practicum in informatics nursing.

1. Describe nursing informatics as a specialty, its role, education and certification required? a. Why?
 

Part 4: Health promotion

Topic:   Lung Cancer in Smokers

Creation of a health promotion initiative to improve health indicators for “your health problem”. This activity is focusing on your creativity, analysis of facts, organization and leadership qualities. Be concise but comprehensive in your ideas.

MAP-IT stands for:

M Mobilize

A Asses

P Plan

I Implement

T TrackUsing

MAP-IT framework briefly determine how you may:

1. Mobilize resources and stakeholders to take care of the selected health problem in your community, determining mission and vision of the resulted coalition, defining partners, their roles and meeting plans.

2. Asses the problem, including a realistic long-term goal, how you may collect data to determine your needs and priorities logically organized

3. Plan objectives and steps to achieve them. Consider opportunities for interventions with broad reach and impact. How may you measure your progress? What is expected to change, by how much, and by when? Choose objectives that are challenging yet realistic.

4. Implement. Create a detailed work plan that includes concrete action steps assigned to specific people with clear deadlines and/or timelines. Share responsibilities across coalition members but consider having a single point of contact to manage the process to ensure that things get done. Check in with coalition members by using the Coalition Self-Assessment to see if your process is running smoothly. Develop a simple communication plan. Use kick-off events, activities, or campus meetings to showcase your coalition’s accomplishments.

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5. Track. Plan regular evaluations to measure and track your progress over time. Evaluations can help your coalition determine if your plan has been effective in achieving your goals. Be mindful of limitations of self-reported data, data quality, data validity, and reliability. Partnering with a statistician or researcher at your institution can help you conduct a quality evaluation. You can use these basic formulas to calculate baseline, target, and achieved rates for your selected health outcomes.  Epidemiology, Healthcare Informatics, And Health Promotion

 

Part 5: Health promotion

Topic:   Diabetes in elderly men

Creation of a health promotion initiative to improve health indicators for “your health problem”. This activity is focusing on your creativity, analysis of facts, organization and leadership qualities. Be concise but comprehensive in your ideas.

MAP-IT stands for:

M Mobilize

A Asses

P Plan

I Implement

T TrackUsing

MAP-IT framework briefly determine how you may:

1. Mobilize resources and stakeholders to take care of the selected health problem in your community, determining mission and vision of the resulted coalition, defining partners, their roles and meeting plans.

2. Asses the problem, including a realistic long-term goal, how you may collect data to determine your needs and priorities logically organized

3. Plan objectives and steps to achieve them. Consider opportunities for interventions with broad reach and impact. How may you measure your progress? What is expected to change, by how much, and by when? Choose objectives that are challenging yet realistic.

4. Implement. Create a detailed work plan that includes concrete action steps assigned to specific people with clear deadlines and/or timelines. Share responsibilities across coalition members but consider having a single point of contact to manage the process to ensure that things get done. Check in with coalition members by using the Coalition Self-Assessment to see if your process is running smoothly. Develop a simple communication plan. Use kick-off events, activities, or campus meetings to showcase your coalition’s accomplishments.

5. Track. Plan regular evaluations to measure and track your progress over time. Evaluations can help your coalition determine if your plan has been effective in achieving your goals. Be mindful of limitations of self-reported data, data quality, data validity, and reliability. Partnering with a statistician or researcher at your institution can help you conduct a quality evaluation. You can use these basic formulas to calculate baseline, target, and achieved rates for your selected health outcomes.  Epidemiology, Healthcare Informatics, And Health Promotion