“Captain of the Ship” Project – Obsessive-Compulsive Disorders

/in /by

“Captain of the Ship” Project – Obsessive-Compulsive Disorders
In earlier weeks, you were introduced to the concept of the “captain of the ship.” In this Assignment, you become the “captain of the ship” as you provide treatment recommendations and identify medical management, community support resources, and follow-up plans for a client with an obsessive-compulsive disorder.
Students will:
• Recommend psychopharmacologic treatments based on therapeutic endpoints for clients with obsessive-compulsive disorders “Captain of the Ship” Project – Obsessive-Compulsive Disorders
• Recommend psychotherapy based on therapeutic endpoints for clients with obsessive-compulsive disorders
• Identify medical management needs for clients with obsessive-compulsive disorders
• Identify community support resources for clients with obsessive-compulsive disorders
• Recommend follow-up plans for clients with depression disorders

ORDER A PLAGIARISM FREE PAPER NOW

To prepare for this Assignment:
• Select an adult or older adult client with an obsessive-compulsive disorder you have seen in your practicum.
In 3–4 pages, write a treatment plan for your client in which you do the following:
• Describe the HPI and clinical impression for the client.
• Recommend psychopharmacologic treatments and describe specific and therapeutic endpoints for your psychopharmacologic agent. (This should relate to HPI and clinical impression.)
• Recommend psychotherapy choices (individual, family, and group) and specific therapeutic endpoints for your choices. “Captain of the Ship” Project – Obsessive-Compulsive Disorders.
• Identify medical management needs, including primary care needs, specific to this client.
• Identify community support resources (housing, socioeconomic needs, etc.) and community agencies that are available to assist the client.
• Recommend a plan for follow-up intensity and frequency and collaboration with other providers.

“Captain of the Ship” Project – Obsessive-Compulsive Disorders
In earlier weeks, you were introduced to the concept of the “captain of the ship.” In this Assignment, you become the “captain of the ship” as you provide treatment recommendations and identify medical management, community support resources, and follow-up plans for a client with an obsessive-compulsive disorder.
Students will:
• Recommend psychopharmacologic treatments based on therapeutic endpoints for clients with obsessive-compulsive disorders
• Recommend psychotherapy based on therapeutic endpoints for clients with obsessive-compulsive disorders
• Identify medical management needs for clients with obsessive-compulsive disorders. “Captain of the Ship” Project – Obsessive-Compulsive Disorders.
• Identify community support resources for clients with obsessive-compulsive disorders
• Recommend follow-up plans for clients with depression disorders
To prepare for this Assignment:
• Select an adult or older adult client with an obsessive-compulsive disorder you have seen in your practicum.
In 3–4 pages, write a treatment plan for your client in which you do the following:
• Describe the HPI and clinical impression for the client.
• Recommend psychopharmacologic treatments and describe specific and therapeutic endpoints for your psychopharmacologic agent. (This should relate to HPI and clinical impression.)
• Recommend psychotherapy choices (individual, family, and group) and specific therapeutic endpoints for your choices. “Captain of the Ship” Project – Obsessive-Compulsive Disorders
• Identify medical management needs, including primary care needs, specific to this client.
• Identify community support resources (housing, socioeconomic needs, etc.) and community agencies that are available to assist the client.
• Recommend a plan for follow-up intensity and frequency and collaboration with other providers. “Captain of the Ship” Project – Obsessive-Compulsive Disorders

Practicum: Decision Tree

/in /by

Practicum: Decision Tree
For this Assignment, as you examine the client case study in this week’s Learning Resources, consider how you might assess and treat adult and older adult clients presenting symptoms of a mental health disorder.

Learning Objectives
Students will:
Evaluate clients for treatment of mental health disorders
Analyze decisions made throughout diagnosis and treatment of clients with mental health disorders
Examine Case 2: You will be asked to make three decisions concerning the diagnosis and treatment for this client. Be sure to consider co-morbid physical, as well as mental factors that might impact the client’s diagnosis and treatment. Practicum: Decision Tree

ORDER A PLAGIARISM FREE PAPER NOW

At each Decision Point stop to complete the following:

Decision #1: Differential Diagnosis
Which Decision did you select?
Why did you select this Decision? Support your response with evidence and references to the Learning Resources.
What were you hoping to achieve by making this Decision? Support your response with evidence and references to the Learning Resources. Practicum: Decision Tree
Explain any difference between what you expected to achieve with Decision #1 and the results of the Decision. Why were they different?
Decision #2: Treatment Plan for Psychotherapy
Why did you select this Decision? Support your response with evidence and references to the Learning Resources.
What were you hoping to achieve by making this Decision? Support your response with evidence and references to the Learning Resources.
Explain any difference between what you expected to achieve with Decision #2 and the results of the Decision. Why were they different?
Decision #3: Treatment Plan for Psychopharmacology
Why did you select this Decision? Support your response with evidence and references to the Learning Resources.
What were you hoping to achieve by making this Decision? Support your response with evidence and references to the Learning Resources. Practicum: Decision Tree
Explain any difference between what you expected to achieve with Decision #3 and the results of the decision. Why were they different?
Also include how ethical considerations might impact your treatment plan and communication with clients and their family.

Note: Support your rationale with a minimum of three academic resources. While you may use the course text to support your rationale, it will not count toward the resource requirement. Practicum: Decision Tree

// A young woman with Depression
Case #2
A young woman with Depression

SUBJECTIVE
Stefanie is a 32-year-old female from Puerto Rico who presents to your office today with complaints of difficulty sleeping. You learn that Stefanie can go for a few days with minimal sleep (about 3 hours/night), but does not seem to be fatigued the next day. Stefanie explains that after 3 days with minimal sleep, she “crashes” and has a good night’s sleep. She states that sleep will be “alright” for a few days, even a few weeks, and then she will have a similar issue with sleep.

ORDER A PLAGIARISM FREE PAPER NOW

You learn throughout the assessment process that Stefanie has had this problem for years. She noticed that it began in college and thought it was just because of the workload and academic demands. However, she found that it persisted after college. She also notices that she has periods where she will engage in increased amounts of goal-directed activity. She states that things will just “pile up” at work and she gets this burst of energy to “make everything right.” She states that these bursts will last most of the day. She states that these periods show up probably every 2 to 3 weeks. Practicum: Decision Tree
Stefanie also confesses to problems with being “down in the dumps.” She states that when she has her episodes in which she endeavors to “make everything right,” she feels fantastic and on top of the world. However, when these periods of energy end, she reports that she feels “depressed”—but then states: “well, maybe not depressed, but I definitely feel sad and empty.” She also endorses feelings of fatigue and a decreased ability to concentrate when she is feeling sad. She finally tells you: “I have lived with this for so long, I have to admit that it is finally a relief to tell someone how I feel!”

OBJECTIVE
Stefanie is dressed appropriately to the weather. She has no gait abnormalities. Physical assessment is unremarkable. Gross neurological assessment is within normal limits.

MENTAL STATUS EXAM
Stefanie is alert and oriented × 4 spheres. Her speech is clear, coherent, goal directed, and spontaneous. Self-reported mood is “sad.” Affect does appear consistent with dysphoria. Eye contact is normal. Speech is clear, coherent, and goal directed. She denies visual or auditory hallucinations. No overt evidence of paranoid or delusional thought processes noted. She denies suicidal or homicidal ideation and is future oriented.
At this point, please discuss any additional diagnostic tests you would perform on Stefanie.
Decision Point One Practicum: Decision Tree
BASED ON THE INFORMATION PROVIDED IN THE SCENARIO ABOVE, WHICH OF THE FOLLOWING DIAGNOSES WOULD THE PSYCHIATRIC/MENTAL HEALTH NURSE PRACTITIONER (PMHNP) GIVE TO STEFANIE?
In your write-up of this case, be certain to link specific symptoms presented in the case to DSM–5 criteria to support your diagnosis. Practicum: Decision Tree

Bipolar I, current phase, depressed

Bipolar II, current phase, hypomanic

Cyclothymic disorder

Decision Point One

Bipolar I, current phase, depressed
Bipolar I, current phase, depressed
Decision Point Two
BASED ON THIS DIAGNOSIS, SELECT YOUR CHOICE OF ACTIONS:

Begin Latuda 40 mg orally daily

Lamictal 100 mg orally daily

Begin psychotherapy using a psychodynamic approach

Decision Point One

BipBipolar II, current phase, hypomanic
olar II, current phase, hypomanic
Decision Point Two
BASED ON THIS DIAGNOSIS, SELECT YOUR CHOICE OF ACTIONS:

Begin Lithium 300 mg orally twice a day

Begin Olanzapine 10 mg orally at bedtime

Begin Abilify 10 mg orally daily Practicum: Decision Tree

Cyclothymic disorder

Cyclothymic disorder

Decision Point Two
BASED ON THIS DIAGNOSIS, SELECT YOUR CHOICE OF ACTIONS:

Begin Depakote 250 mg orally three times daily

Begin Abilify 10 mg orally daily

Arrange to see Stefanie every 3 months for routine follow-up Practicum: Decision Tree

A 79 yr old women comes in to a walk in clinic you are working as a NP

/in /by

A 79 yr old women comes in to a walk in clinic you are working as a NP

A 79 yr old women comes into a walk-in clinic you are working as a NP with chief complaint of increased urinary frequency and dysuria. Urinalysis reveals pyuria and positive nitrites. She mentions she has a “bit of kidney trouble-not too bad”. Recent evaluation of renal status is unavailable.

1. What would you consider for therapy?

2. Explain the rationale for therapy as well as considerations that you would include while prescribing this medication.

ORDER A PLAGIARISM-FREE PAPER HERE

3. Considerations should also include drug resistance and how you would assess this patient for possibility of drug resistance  A 79 yr old women comes in to a walk in clinic you are working as a NP .

Please be brief with your answers-do not copy answers from the book-read the case study and answer in your own words-briefly! You are not required to cite as your answers should come from your textbook-it is a demonstration that you understand the content and the case study. A 79 yr old women comes in to a walk in clinic you are working as a NP

Women’s And Men’s Health/Infections And Hematologic Systems.

/in /by

Women’s And Men’s Health/Infections And Hematologic Systems.

As an advanced practice nurse, you will likely experience patient encounters with complex comorbidities. For example, consider a female patient who is pregnant who also presents with hypertension, diabetes, and has a recent tuberculosis infection. How might the underlying pathophysiology of these conditions affect the pharmacotherapeutics you might recommend to help address your patient’s health needs? What education strategies might you recommend for ensuring positive patient health outcomes?

You will be assigned a patient case study and will consider how to address the patient’s current drug therapy plans. You will then suggest recommendations on how to revise these drug therapy plans to ensure effective, safe, and quality patient care for positive patient health outcomes Women’s And Men’s Health/Infections And Hematologic Systems..

ORDER A PLAGIARISM-FREE PAPER HERE

THE CASE STUDY

A 46-year-old, 230lb woman with a family history of breast cancer. She is up to date on yearly mammograms. She has a history of hypertension (HTN). She complains of hot flushing, night sweats, and genitourinary symptoms. She had felt well until 1 month ago and she presented to her gynecologist for her annual gyn examination and to discuss her symptoms. She has a history of ASCUS about 5 years ago on her pap, other than that, Pap smears have been normal. Home medications are Norvasc 10mg qd and HCTZ 25mg qd. Her BP today is 150/90. She has regular monthly menstrual cycles. Her LMP was 1 month ago.

THE QUESTION:

1:  Describe the patient’s health needs from the patient case study you assigned. Be specific.

2: Then, explain the type of treatment regimen you would recommend for treating the patient, including the choice or pharmacotherapeutics you would recommend and explain why. Be sure to justify your response.

3: Explain a patient education strategy you might recommend for assisting the patient with the management of their health needs. Be specific and provide examples. Women’s And Men’s Health/Infections And Hematologic Systems Women’s And Men’s Health/Infections And Hematologic Systems..

Marketing Plan Sample Essay

/in /by

Marketing Plan Sample Essay

Due Date – you have two weeks to work on the assignment, but do not procrastinate.  You will need the full two weeks.  The assignment is due at the end of Week 4.
Student Instructions: Use the marketing template created in Assignment 1 and begin filling in the following information about the organization and products and/or services you will focus on as you develop a complete marketing plan throughout the course. You may need to do research to get answers to the questions below. Be sure the organization and offering you select will 1) remain interesting to you for the duration of the course, and 2) have sufficient information available for you to conduct research and make informed recommendations in your marketing plan Marketing Plan Sample Essay.

ORDER A PLAGIARISM-FREE PAPER HERE

Note – at this point you do not have to fully complete all of the sections, you can continue working on them throughout the course.  For this assignment you will be graded on the Company Profile which must be complete.  The other areas must contain some basic information that you have obtained to date in your research. Marketing Plan Sample Essay

Psychotherapy PowerPoint – 5 Slides

/in /by

Psychotherapy PowerPoint – 5 Slides

Addictive disorders can be particularly challenging for clients. Not only do these disorders typically interfere with a client’s ability to function in daily life, but they also often manifest as negative and sometimes criminal behaviors. Sometime clients with addictive disorders also suffer from other mental health issues, creating even greater struggles for them to overcome. In your role, you have the opportunity to help clients address their addictions and improve outcomes for both the clients and their families.

choose a research article that discusses a therapeutic approach for treating clients, families, or groups with addictive disorders Psychotherapy PowerPoint – 5 Slides.

  • Provide an overview of the article you selected.
    • What population (individual, group, or family) is under consideration?
    • What was the specific intervention that was used? Is this a new intervention or one that was already studied?

      ORDER A PLAGIARISM-FREE PAPER HERE

    • What were the author’s claims?
  • Explain the findings/outcomes of the study in the article. Include whether this will translate into practice with your own clients. If so, how? If not, why?
  • Explain whether the limitations of the study might impact your ability to use the findings/outcomes presented in the article.
  • Use the Notes function of PowerPoint to craft presenter notes to expand upon the content of your slides.
  • Support your response with at least three other peer-reviewed, evidence-based sources. Explain why each of your supporting sources is considered scholarly. Provide references to your sources on your last slide. Be sure to include the article you used as the basis for this Assignment. Psychotherapy PowerPoint – 5 Slides.

NURS 6003 Discussion: Strategies for Addressing Questions

/in /by

NURS 6003 Discussion: Strategies for Addressing Questions

Discussion: Strategies for Addressing Questions
In Module 1, you began building a foundation for your success by considering a network-individuals and teams who can help you to clarify and execute on the vision. A network is most helpful when you are comfortable asking questions. Chances are other members of your network have experienced similar questions and may have helped guide others toward resolutions that can now be helpful.
In this Discussion, focus on the questions you are ready to ask as your journey begins. Keep in mind that sharing questions is often a great way to help others who have similar questions even if they do not realize it! NURS 6003 Discussion: Strategies for Addressing Questions

ORDER A PLAGIARISM FREE PAPER NOW

To prepare:

Reflect on questions or concerns you might have as you begin the MSN program.
Consider the individuals, teams, and departments you previously considered in Module 1 as well as how they may provide support with addressing these questions and concerns.
Rubric Grading:

Excellent Good Fair Poor
Main Posting
45 (45%) – 50 (50%)
Answers all parts of the discussion question(s) expectations with reflective critical analysis and synthesis of knowledge gained from the course readings for the module and current credible sources.

Supported by at least three current, credible sources.

Written clearly and concisely with no grammatical or spelling errors and fully adheres to current APA manual writing rules and style. NURS 6003 Discussion: Strategies for Addressing Questions
40 (40%) – 44 (44%)
Responds to the discussion question(s) and is reflective with critical analysis and synthesis of knowledge gained from the course readings for the module.

At least 75% of post has exceptional depth and breadth.

Supported by at least three credible sources.

Written clearly and concisely with one or no grammatical or spelling errors and fully adheres to current APA manual writing rules and style.
35 (35%) – 39 (39%)
Responds to some of the discussion question(s).

One or two criteria are not addressed or are superficially addressed.

Is somewhat lacking reflection and critical analysis and synthesis.

Somewhat represents knowledge gained from the course readings for the module.

Post is cited with two credible sources.

Written somewhat concisely; may contain more than two spelling or grammatical errors.

Contains some APA formatting errors.
0 (0%) – 34 (34%)
Does not respond to the discussion question(s) adequately.

Lacks depth or superficially addresses criteria.

Lacks reflection and critical analysis and synthesis.

Does not represent knowledge gained from the course readings for the module.

Contains only one or no credible sources. NURS 6003 Discussion: Strategies for Addressing Questions

Not written clearly or concisely.

Contains more than two spelling or grammatical errors.

Does not adhere to current APA manual writing rules and style.
Main Post: Timeliness
10 (10%) – 10 (10%)
Posts main post by day 3.
0 (0%) – 0 (0%)
0 (0%) – 0 (0%)
0 (0%) – 0 (0%)
Does not post by day 3.
First Response
17 (17%) – 18 (18%)
Response exhibits synthesis, critical thinking, and application to practice settings.

Responds fully to questions posed by faculty.

Provides clear, concise opinions and ideas that are supported by at least two scholarly sources.

Demonstrates synthesis and understanding of learning objectives.

Communication is professional and respectful to colleagues.

Responses to faculty questions are fully answered, if posed.

Response is effectively written in standard, edited English.
15 (15%) – 16 (16%)
Response exhibits critical thinking and application to practice settings.

Communication is professional and respectful to colleagues.

Responses to faculty questions are answered, if posed.

Provides clear, concise opinions and ideas that are supported by two or more credible sources.

Response is effectively written in standard, edited English.
13 (13%) – 14 (14%)
Response is on topic and may have some depth.

Responses posted in the discussion may lack effective professional communication.

Responses to faculty questions are somewhat answered, if posed.

Response may lack clear, concise opinions and ideas, and a few or no credible sources are cited.
0 (0%) – 12 (12%)
Response may not be on topic and lacks depth.

Responses posted in the discussion lack effective professional communication.

Responses to faculty questions are missing.

No credible sources are cited.
Second Response
16 (16%) – 17 (17%)
Response exhibits synthesis, critical thinking, and application to practice settings.

Responds fully to questions posed by faculty.

Provides clear, concise opinions and ideas that are supported by at least two scholarly sources.

Demonstrates synthesis and understanding of learning objectives.

Communication is professional and respectful to colleagues.

Responses to faculty questions are fully answered, if posed.

Response is effectively written in standard, edited English.
14 (14%) – 15 (15%)
Response exhibits critical thinking and application to practice settings.

Communication is professional and respectful to colleagues.

Responses to faculty questions are answered, if posed.

Provides clear, concise opinions and ideas that are supported by two or more credible sources.

Response is effectively written in standard, edited English.
12 (12%) – 13 (13%)
Response is on topic and may have some depth.

Responses posted in the discussion may lack effective professional communication.

Responses to faculty questions are somewhat answered, if posed.

Response may lack clear, concise opinions and ideas, and a few or no credible sources are cited.
0 (0%) – 11 (11%)
Response may not be on topic and lacks depth.

Responses posted in the discussion lack effective professional communication.

Responses to faculty questions are missing.

No credible sources are cited.
Participation
5 (5%) – 5 (5%)
Meets requirements for participation by posting on three different days.
0 (0%) – 0 (0%)
0 (0%) – 0 (0%)
0 (0%) – 0 (0%)
Does not meet requirements for participation by posting on 3 different days.
Total Points: 100
Name: NURS_6003_Module02_Week02_Discussion_Rubric

 

 

Professional Networking as an MSN Graduate: Asking Appropriate Questions Aimed at Helping You Achieve Professional Nursing Goals

Just How Important is Networking for the Graduate MSN Nurse Practitioner?

Networking professionally for the MSN graduate nurse practitioner may sound threatening, but it is an important component in the arsenal of the graduate MSN nurse practitioner who wishes to excel in their particular specialty. In order to achieve one’s professional nursing objectives as an MSN nurse practitioner, they have to form long-lasting relationships with other professionals in the field. These associations and relationships may be based on face-to-face interactions or through social media and web interactions across the globe. But irrespective of how the relationship is formed and sustained, the most important thing is to first establish interpersonal compatibility and rapport. Good networking for MSN nurses permits them to investigate the field and build up a solid emotionally supportive network inside the clinical network. Sound networking enables MSN nursing graduates to discover new positions, find new specialities, and offer their insight into the progress of the profession (NurseJournal.org., 2020; ANA, 2015). NURS 6003 Discussion: Strategies for Addressing Questions

Can Networking Begin in School Before Graduation?

For the MSN nurse, networking in nursing school or after graduation assists her to establish networks that may greatly help in not only securing a job, but also in becoming a competent, knowledgeable, and sought after nurse practitioner. In a serious professional field such as nursing, having a solid emotionally supportive network has a major effect on professional development (NurseJournal.org., 2020; ANA, 2015).

ORDER A PLAGIARISM FREE PAPER NOW

Are there Different Shades of Networking that the MSN Nurse Practitioner can Benefit From?

MSN nurse practitioner graduates can utilize various kinds of networking to develop their expert associations. Professional networking will assist the MSN nurse practitioner to form working relationships that consolidate the professional bond among the players (NurseJournal.org., 2020; Khanum et al., 2016).

You may battle to separate between these immense individual associations and recognize who assumes a pertinent job. Key systems mean to create explicit associations with individuals who can help further your characterized profession objectives as an MSN graduate. Professional networking moves you to figure out who can decidedly add to your expert goals. MSN graduate practitioners should rehearse these techniques when looking for work, albeit individual and vital systems networking hold the most guarantee for those craving a lifelong move (NurseJournal.org., 2020; Holland, 2018). NURS 6003 Discussion: Strategies for Addressing Questions

So, What Exactly is this Networking for MSN Nurse Graduates?

Professional networking could be defined as the trading of data or exchange of professionally relevant information among people in the same profession, at their gatherings, and other forums. This is because information will always give the networking professionals an upper hand. They need to keep this information, use it, share it and advance it over the association of (nursing) professionals. Data and information should be overseen, utilized, and advanced like a key resource. Gathering patient data and changing it into helpful information requires a lot of cooperation, systems administration and an emphasis and spotlight on the network of professionals. The MSN nurse practitioners must realize that where individuals or gatherings of individuals collaborate, work together and share their encounters and information for a typical reason, success is usually guaranteed. They share data, talk about their encounters and gain from one another (Khanum et al., 2016; Siemasko, 2016). NURS 6003 Discussion: Strategies for Addressing Questions

References

American Nurses Association [ANA] (2015). Professional networking for nurses. Retrieved 1 March 2020 from https://www.nursingworld.org/resources/individual/networking/

Holland, G. (2018). Why networks are essential for real-time healthcare. Retrieved 1 March 2020 from https://hitconsultant.net/2018/03/26/why-networks-are-essential-for-real-time-healthcare/#.XluC2fmEY0M

Khanum, S., de Souza, M., Naz, N., Marcon Dal Sasso, G.T., Brüggemann, O.M. & Heideman, I.T.S.B. (2016). The use of networking in nursing practice – An integrative review. Societies, 6(22). Doi:10.3390/soc6030022

NurseJournal.org (2020). Professional networking in nursing. Retrieved 1 March 2020 from https://nursejournal.org/articles/networking/

Siemasko, E. (2016). How networking can improve your career in healthcare. Barton Associates. Retrieved 1 March 2020 from https://www.bartonassociates.com/blog/how-networking-can-improve-your-career-in-healthcare

NURS 6003 Discussion: Strategies for Addressing Questions

NURS 6053 week 3 Discussion: Organizational Policies and Practices to Support Healthcare Issues

/in /by

NURS 6053 week 3 Discussion: Organizational Policies and Practices to Support Healthcare Issues

Discussion: Organizational Policies and Practices to Support Healthcare Issues
Quite often, nurse leaders are faced with ethical dilemmas, such as those associated with choices between competing needs and limited resources. Resources are finite, and competition for those resources occurs daily in all organizations.

For example, the use of 12-hour shifts has been a strategy to retain nurses. However, evidence suggests that as nurses work more hours in a shift, they commit more errors. How do effective leaders find a balance between the needs of the organization and the needs of ensuring quality, effective, and safe patient care?

In this Discussion, you will reflect on a national healthcare issue and examine how competing needs may impact the development of polices to address that issue. NURS 6053 week 3 Discussion: Organizational Policies and Practices to Support Healthcare Issues

ORDER A PLAGIARISM FREE PAPER NOW

To Prepare:

Review the Resources and think about the national healthcare issue/stressor you previously selected for study in Module 1.
Reflect on the competing needs in healthcare delivery as they pertain to the national healthcare issue/stressor you previously examined.
By Day 3 of Week 3
Post an explanation of how competing needs, such as the needs of the workforce, resources, and patients, may impact the development of policy. Then, describe any specific competing needs that may impact the national healthcare issue/stressor you selected. What are the impacts, and how might policy address these competing needs? Be specific and provide examples. NURS 6053 week 3 Discussion: Organizational Policies and Practices to Support Healthcare Issues. NURS 6053 week 3 Discussion: Organizational Policies and Practices to Support Healthcare Issues

 

Organizational Policies and Practices to Support Healthcare Issues

How competing needs may impact the development of a policy

Competing needs, such as the needs of patients, workforce, and resources may impact the development of a policy because the competing needs should align with the agenda that policy is advocating for.   For example, a policy addressing adequate nurse staffing is required to meet the patient and workforce needs while minimizing financial cost.  According to Lopez et al (2015), .the effective utilization and deployment of the workforce are of great importance to ensure efficient delivery of healthcare services in terms of quantity, quality, and cost.

Failure effectively deploys and utilizing the workforce to do so might lead to a shortage or oversupply of clinical staff. For example, an oversupply of clinical staff might result in economic inefficiencies along with misallocated resources under the guise of adequate staffing. The shortage of staff is connected with numerous negative impacts, including lower quality and quantity of care because there are few resources to offer the essential services; work overload of the available nurses leading to burnout, eventually compromising patient safety; and longer waiting times as a result of inadequate staff leading to preventable patient deaths (Lopez et al, 2015).

Specific competing needs that may impact workload

A good fit between nursing staff and patients’ needs are specific competing needs that may impact workload as a national healthcare issue Organizations are exploring schemes of ensuring a good balance amid nursing staff expertise and size and patient needs so as to ensure quality and safe care along with outstanding services to patients while ensuring operating costs are sustainable (van den Oetelaar et al, 2016).

van den Oetelaar et al (2016) claim that nursing capacity should be optimally matched to the needs of patients which is achievable through a sensible and fair distribution of nurses in units, leading to a workload that is equally distributed and manageable for the nursing staff. This necessitates a good balance between nursing staff and patients’ needs. One scheme of ensuring an appropriate balance is the managing workload for nursing staff. This assists balance the needed resources with the available resources, which in turn averts additional costs for overstaffing a unit and averts a decline in employee engagement or patient experiences by understaffing a unit. NURS 6053 week 3 Discussion: Organizational Policies and Practices to Support Healthcare Issues

The impacts and how policy might address these competing needs

Workload has an impact on both patient and staff needs as well as an organization’s resources.  High causes burnout which leads to errors and poor patient outcomes. High workload also has an impact on nurse job dissatisfaction and burnout, and the intention of nurses to leave. High nursing staff turnover resulting in increased costs for using temporary employees or training new nurses (van den Oetelaar et al, 2016).

A policy might address these competing needs by ensuring an optimal nurse to patient ratio which can improve nurse staffing in organizations and improved care outcomes for patients. The policy can outline a particular nurse to patient ratio depending on the type of unit within a healthcare facility.  For instance, the ratio for a surgical and medical unit can be 5: 1, meaning one nurse will be assigned to five patients at most, while in the intensive unit ratio can be 2:1.  As suggested by Livanos (2015), having a staffing policy in a facility can improve the working conditions for the nursing staff as well as the superiority and safety of care.  In turn, costs of adhering to the ratios can be offset by, less need for training new nurses or temporary nurses and reduced turnover of the nursing staff. NURS 6053 week 3 Discussion: Organizational Policies and Practices to Support Healthcare Issues

 

References

Livanos, N. (2018). A Broadening Coalition: Patient Safety Enters the Nurse-To-Patient Ration Debate. Journal of Nursing Regulation, 9(1), 68-70.

Lopes, M., Almeida, A., & Almada-Lobo, B. (2015). Handling healthcare workforce planning with care: where do we stand? Human Resources for Health13:38.

van den Oetelaar, van Stel, H., Van Rhenen W, et al. (2016).  Balancing nurses’ workload in hospital wards: study protocol of developing a method to manage workload. BMJ Open, 6 (11), e012148. NURS 6053 week 3 Discussion: Organizational Policies and Practices to Support Healthcare Issues

NURS 6053 week 2 Assignment: Analysis of a Pertinent Healthcare Issue

/in /by

NURS 6053 week 2 Assignment: Analysis of a Pertinent Healthcare Issue

Upskilling of the Healthcare Workforce: A Pertinent National Healthcare Issue Affecting Healthcare Organizations in the United States

There are many national healthcare stressors or issues affecting and impacting healthcare organizations all over the United States. All of them require addressing, although some are more urgent than others. The healthcare issue chosen in this case and one of the most significant stressors at the moment is the issue of upskilling of healthcare professionals. In this context, these would be the nurses working within the healthcare organization. According to Ross (2019), upskilling is the process of retraining employees so that they can acquire new skills for them to continue practicing in their field with ease NURS 6053 week 2 Assignment: Analysis of a Pertinent Healthcare Issue. Recent developments (particularly technological) within and around healthcare have necessitated the requirement that workers such as nurses possess skillsets that are upgraded. As a matter of fact, upskilling was identified as one of the six important healthcare issues in 2019 by PwC Health Research Institute (Ross, 2019). Currently, whole healthcare workforces are threatened with redundancy by technologies such as artificial intelligence (AI) if they do not upskill. This includes nurses, who have traditionally not been involved with technology in the course of delivering nursing care (Teague, 2019). NURS 6053 week 2 Assignment: Analysis of a Pertinent Healthcare Issue

ORDER A PLAGIARISM FREE PAPER NOW

The impact to my healthcare organization of upskilling as a healthcare issue is immense. This is because emerging healthcare technologies are becoming more and more mandatory in diagnostics, therapeutics, and nursing care. Nurses are therefore finding themselves short of skills to deliver quality patient care. This makes the organization set aside resources to retrain and upgrade the skills of its nurses so that they can cope with the emerging technological changes. This, however, is an inevitably resource-intensive undertaking fir the organization. In my organization, for instance, the policy makers have already had to set aside funds for training of the nurses and other healthcare staff on the use of the recently introduced EHR. NURS 6053 week 2 Assignment: Analysis of a Pertinent Healthcare Issue. Already, upskilling is happening in the healthcare sector with the now standard requirement for electronic health records or EHR. That said, the hallmark of upskilling in healthcare is predicted to be artificial intelligence-assisted telehealth interventions (Teague, 2019).

Some of the Areas of Concern

Healthcare organizations must invest in the abilities of their workforce if they are to have a competitive advantage over their peers. Not doing so will of course render the organization unable to compete effectively in an ever-changing healthcare marketplace. For instance, AI is more and more used in healthcare at the moment. What this means is that rising sophistication of emerging medical technologies is driving the need for upskilled health workers (Ross, 2019). The advent of digital therapeutics is the other area of concern. This is the treatment of disease using healthcare technologies to complement or replace traditional methods in disease management. The reality is that the clinical validation of these digital therapeutics products and connected medical devices is already being done by the Food and Drug Administration or FDA (Siwicki, 2019). This is an indicator of the urgency with which upskilling of healthcare staff like nurses should be treated. NURS 6053 week 2 Assignment: Analysis of a Pertinent Healthcare Issue.

Two Articles on the Upskilling of Healthcare Workers as a Healthcare Issue of Concern

            Rimmer (2018) has posited that doctors have to undergo additional training in order to be successful at using emerging healthcare technologies. This particular article addresses doctors as the healthcare workers of concern, but it has been chosen because the very same situation is true for the nurses. This article talks of a report that states that training is needed by doctors in areas such as artificial intelligence algorithms, genomics, and digital literacy. As mentioned above, that is the same treatment that nurse practitioners should also receive. The article goes ahead to stress that training is a must for healthcare staff in order to cope with emerging healthcare technologies. NURS 6053 week 2 Assignment: Analysis of a Pertinent Healthcare Issue

Fralic (2013) on her part observes that the American healthcare system is undergoing change that is radical and monumental. She states, correctly, that with change there is need to re-strategise and re-organize to deliver quality healthcare. To do this, upskilling is a must to keep up with healthcare technologies. In other organizations in the healthcare sector, the same situation portends. They, too, are adopting the same approach of retraining to upskill nurses, doctors, and other health workers so that they can cope with the recent technological changes and continue to offer quality and safe patient care.

Strategies to Address the Organizational Impact of Upskilling

Since the reality of upskilling in healthcare organizations is inevitable, it is essential to develop strategies that aim at addressing the organizational impact of this issue. Three strategies are especially helpful. First, the organization needs to introduce new technologies gradually to allow for adaptation and training. Second, upskilling should be made a policy initiative that features in the organization’s goals. Third and last, upskilling should be properly budgeted for like any other expense if it is to succeed (Fralic, 2013; Rimmer, 2018; Teague, 2019). Under no circumstances should upskilling be considered as an afterthought. These strategies impact my organization positively in that they are geared towards giving the organization a competitive advantage. On the negative side, however, budgeting means that this strategy will consume resources that the organization must set aside.

References

Fralic, M.F. (2013). Upskilling for new-era healthcare: Lessons from high impact readings. Nurse Leader, 11(4). http://dx.doi.org/10.1016/j.mnl.2013.05.008

Rimmer, A. (2018). Upskill doctors to make the most of new medical technologies, report says. BMJ, 361(k2861). Doi: 10.1136/bmj.k2861

Ross, J.R. (2019). Upskilling could be an ideal treatment for healthcare’s employment woes. Retrieved 4 March 2020 from https://www.cardiovascularbusiness.com/topics/healthcare-economics/upskilling-could-be-ideal-rx-healthcares-employment-woes

Siwicki, B. (2019). Here are 6 major issues facing healthcare in 2019, according to PwC. Healthcare ITNews. Retrieved 4 March 2020 from https://www.healthcareitnews.com/news/here-are-6-major-issues-facing-healthcare-2019-according-pwc

Teague, T. (2019). Will healthcare employees need to be upskilled or reskilled as technology advances? Retrieved 4 March 2020 from https://www.whatisbluesky.com/blog/will-healthcare-employees-need-to-be-upskilled-or-reskilled-as-technology-advances

 

Assignment: Analysis of a Pertinent Healthcare Issue
The Quadruple Aim provides broad categories of goals to pursue to maintain and improve healthcare. Within each goal are many issues that, if addressed successfully, may have a positive impact on outcomes. For example, healthcare leaders are being tasked to shift from an emphasis on disease management often provided in an acute care setting to health promotion and disease prevention delivered in primary care settings. Efforts in this area can have significant positive impacts by reducing the need for primary healthcare and by reducing the stress on the healthcare system. NURS 6053 week 2 Assignment: Analysis of a Pertinent Healthcare Issue

ORDER A PLAGIARISM FREE PAPER NOW

Changes in the industry only serve to stress what has always been true; namely, that the healthcare field has always faced significant challenges, and that goals to improve healthcare will always involve multiple stakeholders. This should not seem surprising given the circumstances. Indeed, when a growing population needs care, there are factors involved such as the demands of providing that care and the rising costs associated with healthcare. Generally, it is not surprising that the field of healthcare is an industry facing multifaceted issues that evolve over time.

In this module’s Discussion, you reviewed some healthcare issues/stressors and selected one for further review. For this Assignment, you will consider in more detail the healthcare issue/stressor you selected. You will also review research that addresses the issue/stressor and write a white paper to your organization’s leadership that addresses the issue/stressor you selected. NURS 6053 week 2 Assignment: Analysis of a Pertinent Healthcare Issue

To Prepare:

Review the national healthcare issues/stressors presented in the Resources and reflect on the national healthcare issue/stressor you selected for study.
Reflect on the feedback you received from your colleagues on your Discussion post for the national healthcare issue/stressor you selected.
Identify and review two additional scholarly resources (not included in the Resources for this module) that focus on change strategies implemented by healthcare organizations to address your selected national healthcare issue/stressor.
The Assignment (3-4 Pages):

Analysis of a Pertinent Healthcare Issue

Develop a 3- to 4-page paper, written to your organization’s leadership team, addressing your selected national healthcare issue/stressor and how it is impacting your work setting. Be sure to address the following:

Describe the national healthcare issue/stressor you selected and its impact on your organization. Use organizational data to quantify the impact (if necessary, seek assistance from leadership or appropriate stakeholders in your organization).
Provide a brief summary of the two articles you reviewed from outside resources on the national healthcare issue/stressor. Explain how the healthcare issue/stressor is being addressed in other organizations.
Summarize the strategies used to address the organizational impact of national healthcare issues/stressors presented in the scholarly resources you selected. Explain how they may impact your organization both positively and negatively. Be specific and provide examples. NURS 6053 week 2 Assignment: Analysis of a Pertinent Healthcare Issue

Pharmacokinetic (PK) and Pharmacodynamic (PD) Processes Age Influence Cardiovascular Disease (CVD) patient Essay

/in /by

Pharmacokinetic (PK) and Pharmacodynamic (PD) Processes Age Influence Cardiovascular Disease (CVD) patient Essay

The Influence of Age on the Pharmacokinetic (PK) and Pharmacodynamic (PD) Processes in the patient with Cardiovascular Disease (CVD)

In common layman’s language, cardiovascular disease is what is referred to as heart disease. It includes several disease conditions that affect the heart itself and the vessels originating from or supplying it. Most of these conditions forming cardiovascular disease are brought about by the cumulative deposition of fatty occlusive plaques in the inner walls of the blood vessels, especially arteries. This process is known as atherosclerosis. Conditions such as myocardial infarction (heart attack), angina, arrhythmia, and coronary artery disease (CAD) all fall under cardiovascular disease (Hammer & McPhee, 2018; Huether & McCance, 2017). Because atherosclerosis becomes worse with age, most cardiovascular disease understandably affects older persons (Brenes-Salazar et al., 2015). As a result, it is them that are mostly on cardiovascular medication. However, there are age-related alterations in these older persons that significantly affect the pharmacokinetics and pharmacodynamics of the cardiovascular medications that they are given. This Pharmacokinetic (PK) and Pharmacodynamic (PD) Processes Age Influence Cardiovascular Disease (CVD) patient Essay paper looks at these changes and their impact on the drug therapy of these older cardiovascular patients.

ORDER A PLAGIARISM FREE PAPER NOW

How Age Influences the Pharmacokinetic and Pharmacodynamic Processes in Older Cardiovascular Patients on Medication

In older persons, the pharmacokinetics and pharmacodynamics of cardiovascular medications are altered significantly. This is especially true for particular medications. Pharmacokinetics refers to how the body processes the drug after it is administered. It involves absorption, distribution, metabolism, and excretion (ADME). Pharmacodynamics, on the other hand, is what the drug does to the body or its mechanism of action (Brenes-Salazar et al., 2015; Katzung, 2018). Since most of the cardiovascular medications are taken orally, gastrointestinal changes that occur with old age will affect their absorption (PK). For instance, in older patients with heart failure and accumulation of fluid in the body, oral furosemide is not properly absorbed because of fluid in the intestinal mucosa. Another example is digoxin. This cardiac drug is given as per the lean body weight. However, lean body weight is known to decrease with old age. Because of this, dose adjustment of the medication is necessary in older patients (Brenes-Salazar et al., 2015).

Changes in metabolism also occur with aging of the liver. Efficacy of the cytochrome isoenzymes therefore reduces. Therefore, drugs such as atorvastatin that depend on this pathway for their hepatic first pass metabolism are bound to accumulate in the bodies of older patients. Lower dosages are therefore mandatory in old age (Brenes-Salazar et al., 2015) Pharmacokinetic (PK) and Pharmacodynamic (PD) Processes Age Influence Cardiovascular Disease (CVD) patient Essay.

How Changes in Pharmacokinetics and Pharmacodynamics Impact the Older Patient’s Drug Therapy

The main impact of the changes in these processes is the change in doses. For instance, in the case of oral furosemide, a slightly higher daily dose may be needed in order to achieve the same plasma concentrations (poor absorption). In the case of digoxin and atorvastatin, a reduction in dosage is required because of a lower lean body weight and ageing of the liver (slowing down of the metabolic hepatic CYP450 isoenzymes).

Improving the Patient’s Drug Care Plan

The older patient will only get drugs that are absolutely necessary. This avoidance of polypharmacy is to allow the aged liver time to work at a less stressful pace. Medications whose dosages require reduction will be reduced (like digoxin and atorvastatin), while those that need increasing (like furosemide) will be increased to achieve the optimum plasma concentrations. I would make these recommended improvements because drug efficacy and effectiveness are dependent on proper dosing and an appreciation of PK Pharmacokinetic (PK) and Pharmacodynamic (PD) Processes Age Influence Cardiovascular Disease (CVD) patient Essay.

References

Brenes-Salazar, J.A., Alshawabkeh, L., Schmader, K.E., Hanlon, J.T. & Forman, D.E. (2015). Clinical pharmacology relevant to older adults with cardiovascular disease. Journal of Geriatric Cardiology, 12(3), 192–195. Doi: 10.11909/j.issn.1671-5411.2015.03.018

Hammer, D.G., & McPhee, S.J. (Eds). (2018). Pathophysiology of disease: An introduction to clinical medicine, 8th ed. New York, NY: McGraw-Hill Education.

Huether, S.E. & McCance, K.L. (2017). Understanding pathophysiology, 6th ed. St. Louis, MO: Elsevier, Inc.

Katzung, B.G. (Ed) (2018). Basic and clinical pharmacology, 14th ed. New York, NY: McGraw-Hill Education.

 

As an advanced practice nurse, it is your responsibility to recommend appropriate treatment options for patients with cardiovascular disorders. To ensure the safety and effectiveness of drug therapy, advanced practice nurses must consider aspects that might influence pharmacokinetic and pharmacodynamic processes such as medical history, other drugs currently prescribed, and individual patient factors. Pharmacokinetic (PK) and Pharmacodynamic (PD) Processes Age Influence Cardiovascular Disease (CVD) patient Essay.

Write a 2- to 3-page paper that addresses the following:
•Explain how the factor you selected might influence the pharmacokinetic and pharmacodynamic processes in the patient from the case study you were assigned.
•Describe how changes in the processes might impact the patient’s recommended drug therapy. Be specific and provide examples.
•Explain how you might improve the patient’s drug therapy plan and explain why you would make these recommended improvements.

RUBRIC:

-Explain how the factor you selected might influence the pharmacokinetic and pharmacodynamic processes in the patient from the case study you were assigned.

-Describe how changes in the processes might impact the patient\’s recommended drug therapy. Be specific and provide examples.

-Explain how you might improve the patient\’s drug therapy plan, and explain why you would make these recommended improvements.

-Written Expression and Formatting – Paragraph Development and Organization:
Paragraphs make clear points that support well developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are carefully focused–neither long and rambling nor short and lacking substance.

-Written Expression and Formatting – English writing standards:
Correct grammar, mechanics, and proper punctuation–

-Written Expression and Formatting – The paper follows correct APA format for title page, headings, font, spacing, margins, indentations, page numbers, running head, parenthetical/in-text citations, and reference list Pharmacokinetic (PK) and Pharmacodynamic (PD) Processes Age Influence Cardiovascular Disease (CVD) patient Essay