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

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

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

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Questions:

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

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

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

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

 

NR 601 SAFETY FOR ADULT

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NR 601: SAFETY FOR ADULT

Identify at least two assessments that can be used to determine whether a client is safe in their current living environment.

Discuss results that indicate the client may require additional assistance or a transition in the care environment.

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Describe the NP role in working with the client and family to assist with care transitions.

Identify at least two appropriate referrals for a client who requires a transition in the care environment. How does the NP ensure coordination of care during transitions?

Identify at least two public or private resources that are available for clients with limited resources in your intended practice area.

NR 601: SAFETY FOR ADULT

Recommending an Evidence-Based Practice Change

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Recommending an Evidence-Based Practice Change

Reflect on the four peer-reviewed articles you critically appraised in Module 4, related to your clinical topic of interest and PICOT.

Reflect on your current healthcare organization and think about potential opportunities for evidence-based change, using your topic of interest and PICOT as the basis for your reflection.

Consider the best method of disseminating the results of your presentation to an audience.

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The Assignment: (Evidence-Based Project)

Part 4: Recommending an Evidence-Based Practice Change

Create an 8- to 9-slide narrated PowerPoint presentation in which you do the following:

Briefly describe your healthcare organization, including its culture and readiness for change. (You may opt to keep various elements of this anonymous, such as your company name.) Recommending an Evidence-Based Practice Change

Describe the current problem or opportunity for change. Include in this description the circumstances surrounding the need for change, the scope of the issue, the stakeholders involved, and the risks associated with change implementation in general.

Propose an evidence-based idea for a change in practice using an EBP approach to decision-making. Note that you may find further research needs to be conducted if sufficient evidence is not discovered.

Describe your plan for knowledge transfer of this change, including knowledge creation, dissemination, and organizational adoption and implementation.

Explain how you would disseminate the results of your project to an audience. Provide a rationale for why you selected this dissemination strategy.

Describe the measurable outcomes you hope to achieve with the implementation of this evidence-based change.

Be sure to provide APA citations of the supporting evidence-based peer-reviewed articles you selected to support your thinking.

Add a lessons learned section that includes the following:

A summary of the critical appraisal of the peer-reviewed articles you previously submitted

An explanation about what you learned from completing the Evaluation Table within the Critical Appraisal Tool Worksheet Template (1-3 slides)

Recommending an Evidence-Based Practice Change

Nursing Informatics

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Nursing Informatics

Create a 1-page fact sheet that your healthcare organization could hypothetically use to explain the health or nursing informatics policy/regulation you selected. Your fact sheet should address the following:

Briefly and generally explain the policy or regulation you selected.

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Address the impact of the policy or regulation you selected on system implementation.

Address the impact of the policy or regulation you selected on clinical care, patient/provider interactions, and workflow.

Highlight organizational policies and procedures that are/will be in place at your healthcare organization to address the policy or regulation you selected. Be specific. Research and select one health or nursing informatics policy (within the past 5 years) or regulation for further study.

Nursing Informatics

 

Informatics competences for Nurse Educators and Nurse Leaders

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Informatics competencies for Nurse Educators and Nurse Leaders

This assignment will address informatics competencies for nurse educators and nurse leaders.

  1. Identify a healthcare technology innovation and use current literature to explain how this technology enhances patient outcomes.
  2. Discuss the background of the technology, its impact on quality and safety, and identify ethical and cost considerations related to the use of this technology.
  3. Include any legislative or public policy implications related to the use of this information technology in healthcare. Informatics competencies for Nurse Educators and Nurse Leaders
  4. Analyze how you will use this technology as a graduate-level nurse (either nurse educator or nurse leader, based on your track).

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  5. As a nurse leader, you may be implementing this technology or writing a policy that governs the use of this technology. How will you approach the implementation of this technology or the development of policy?
  6. As a nurse educator, you may be guiding the implementation of this technology and preparing staff for it. How will you teach staff members about this technology, or how will you evaluate the effectiveness of the use of the technology by the staff members based on the education received?
  7. Use the APA 7th edition format for the assignment. It is okay to use the first person in this since you are being asked for your thoughts and opinion.
  8. Include a title page and a reference page.
  9. The paper length should be 6-7 pages without the title and reference page.
  10. No abstract is required for the paper.
  11. Include at least six references, which may be peer-reviewed articles, a respected organizational website, or your textbook.

Informatics competencies for Nurse Educators and Nurse Leaders

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. Benchmark: Electronic Health Record Implementation Paper

In a paper of 1,500–1,750 words, discuss the following:

Consider an opportunity for tracking care improvement. What key information would be needed in the database? Example: Time lapse from medication order documented in the EHR to delivery of medication to the patient for the cardiology service.

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Describe the role informatics plays in the ability to capture this data. What types of project management strategies and methodologies can be implemented to support informatics initiatives and help improve quality within clinical practice?

Discuss which systems and staff members would need to be involved in the design and implementation process. What is the role of the advanced registered nurse in promoting evidence-based practice and leading quality and performance improvement initiatives within this setting?

Outline strategies for implementing the new EHR proposal. Consider communication changes, transitioning to the new EHR, and managing resources (human, fiscal, and health care resources).

Discuss what professional, ethical, and regulatory standards must be incorporated into the design and implementation of the system. Benchmark: Electronic Health Record Implementation Paper

Describe the measures and steps you would take to evaluate the success of the EHR implementation from a staff, setting, and patient perspective to measure effectiveness and ensure continuous quality improvement in practice.

Explain what leadership skills and theories would be needed to facilitate collaboration with the interprofessional team and provide evidence-based, patient-centered care.

You are required to cite five to 10 sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and nursing content.

Complete the “APA Writing Checklist” to ensure that your paper adheres to APA style and formatting criteria and general guidelines for academic writing. Include the completed checklist as an appendix at the end of your paper.

Prepare this assignment according to the guidelines 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: Electronic Health Record Implementation Paper

Emerging Technology Brief

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Emerging Technology Brief

New health care innovations offer the advanced registered nurse an opportunity to apply emerging technologies in practice to improve quality and patient outcomes. For this assignment, research an emerging health care technology that you think has the potential to overcome current or emerging barriers to care. Emerging Technology Brief

Write a 500-750-word brief. Include the following:

Provide an overview of the emerging technology and its role/function in health care. Consider its potential for improving access to care and promoting patient safety and quality.

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Describe the ethical or legal issues that would accompany the incorporation of the technology.

Explain the nurse’s informatics role with regard to the technology. Provide examples of the roles and job functions.

Outline the role of workflow analysis, human factors, and user-centered design concepts for your chosen technology example.

Refer to the topic Resources for samples and resources to help you construct your brief.

You are required to cite three to five sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and nursing content.

Complete the “APA Writing Checklist” to ensure that your paper adheres to APA style and formatting criteria and general guidelines for academic writing. Include the completed checklist as an appendix at the end of your paper.

Prepare this assignment according to the guidelines 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.

You are required to submit this assignment to Lopes Write. A link to the Lopes Write technical support articles is located in Class Resources if you need assistance.

Emerging Technology Brief

Advanced Pharmacology

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Advanced Pharmacology

Case Study

80-year-old man with a medical history of  high blood pressure, diabetes, chronic back pain and etoh abuse presented to ER level one with right hip pain and right shoulder pain after having a MV Accident 24 hours after intoxication. He has experienced increasingly isolated behaviors after his wife dying from breast cancer 6 months ago. He states that life has changed for him since the death of his spouse of 40 years. Denies any present tobacco or drug use but has been drinking a pint of whisky a day for the last 6 months. He also complained of insomnia and depression. After a complete workup in the ER, labs noted patient had an elevated etoh level of 0.10,  X-ray of the hip showed a right acetabulum fracture and a right clavicle fracture. He walked away from his car after hitting a tree because he did not want to get arrested. Advanced Pharmacology

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Post a description of the patient case based on your experiences, observations, and/or clinical practice from the last 5 years. Then, describe factors that might have influenced pharmacokinetic and pharmacodynamic processes of the patient you identified. Finally, explain details of the personalized plan of care that you would develop based on influencing factors and patient history in your case. Be specific and provide examples.

Advanced Pharmacology

 

Pathology Case Study Paper Assignment-Pharyngitis

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Pathology Case Study Paper Assignment-Pharyngitis

An introductory paragraph should introduce the theme of your paper, including your diagnosis and the body system involved. The introduction should provide the reader with a clear idea of the focus of the paper and what might be expected in the ensuing pages. The introduction can consist of three or four well-worded sentences. Pathology Case Study Paper Assignment-Pharyngitis

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The body of the paper will be divided into three separate sections, each with a clear heading. The sections are:

Symptoms and Diagnosis

The Symptoms and Diagnosis section should focus on the patient. The diagnosis should be clearly stated in the first paragraph of this section. symptoms and test results should be clearly presented and thoroughly explained. Connections should be made between symptoms, tests and the patient’s condition or pathology. A discussion of cost and benefit should be provided to justify the diagnostic test ordered. Provides a range of costs for each test and procedure.

Normal Physiology

The purpose of the Normal Physiology section is to explain normal physiological mechanisms and processes associated with the system involved in your case study. Each paragraph in this section should focus on a physiological principle or process directly related to your case. Paragraphs should include specific details (from credible sources) that support a central idea. Explanations of mechanisms at molecular, cellular, and organ levels should be integrated to illustrate the normal function of the system that is the focus of the case study.

Pathophysiology

The Pathophysiology section will focus on explanations of the disruption of normal molecular, cellular, and organ processes that lead to symptoms of the disease. A strong discussion will explain how changes in cellular function lead to manifestations of disease. The section should NOT focus on treatment, although if medications or treatments are discussed within the context of physiological processes, they may be included.

This paper will be a minimum of 5 and a maximum of 7 pages long, not including title and reference pages, and will be in APA format.

Pathology Case Study Paper Assignment-Pharyngitis

Comprehensive Health Assessment Paper

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Comprehensive Health Assessment Paper

Obtaining periodic health assessments on patients provides an opportunity for health care providers to get a snapshot on the health status and the health risks of their patients. Health assessment is a process involving systematic collection and analysis of health-related information to identify and support beneficial health behaviors and work to direct potentially harmful health behaviors. Comprehensive Health Assessment Paper

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Objectives

  1. Develop interviewing skills to obtain a detailed, comprehensive history and perform a technically correct physical exam.
  2. Identify and prioritize patient health issues, establishing proactive, planned care.
  3. Clearly and succinctly document the pertinent data in a logical, organized format using appropriate medical terminology.

Instructions

  1. Select a client to interview.
  2. Obtain a complete history from the client and perform a complete physical exam (no invasive exam).
  3. Formulate diagnosis and possible treatment plan based on the collected data.
  4. Document the history and the exam using a standard, organized format, including genogram.
  5. Include a reference list for any treatment plan that you select in APA format.

Length: 5-7 pages, not including title or reference pages

At least 5 scholarly references; include a reference list for any treatment plan that you select in APA format.

Comprehensive Health Assessment Paper