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 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 positive symptoms but ultimately causes intolerable adverse effects including severe akathisia. Although costlier, 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

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.

When treating children, prescribers often adjust dosages approved for adults to accommodate a child weight. However, children are not just smaller adults. Adults and children process and respond to drugs differently in their absorption, distribution, metabolism, and excretion.

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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.

Write a 2-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.

OFF-LABEL DRUG USE IN PEDIATRICS

 

GLOBAL HEALTHCARE COMPARISON MATRIX AND NARRATIVE STATEMENT

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GLOBAL HEALTHCARE COMPARISON MATRIX AND NARRATIVE STATEMENT

To Prepare:

Review the World Health Organization (WHO) global health agenda and select one global health issue to focus on for this Assignment.

Select at least one additional country to compare to the U.S. for this Assignment. GLOBAL HEALTHCARE COMPARISON MATRIX AND NARRATIVE STATEMENT

Reflect on how the global health issue you selected is approached in the U.S. and in the additional country you selected.

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Review and download the Global Health Comparison Matrix provided in the Resources.

The Assignment: (1- to 2-page Global Health Comparison Matrix; 1-page Plan for Social Change)

Part 1: Global Health Comparison Matrix

Focusing on the country you selected and the U.S., complete the Global Health Comparison Matrix. Be sure to address the following:

Consider the U.S. national/federal health policies that have been adapted for the global health issue you selected from the WHO global health agenda. Compare these policies to the additional country you selected for study.

Explain the strengths and weaknesses of each policy.

Explain how the social determinants of health may impact the global health issue you selected. Be specific and provide examples.

Using the WHO Organization global health agenda as well as the results of your own research, analyze how each country government addresses cost, quality, and access to the global health issue selected.

Explain how the health policy you selected might impact the health of the global population. Be specific and provide examples.

Explain how the health policy you selected might impact the role of the nurse in each country.

Explain how global health issues impact local healthcare organizations and policies in both countries. Be specific and provide examples. GLOBAL HEALTHCARE COMPARISON MATRIX AND NARRATIVE STATEMENT

Part 2: A Plan for Social Change

Reflect on the global health policy comparison and analysis you conducted in Part 1 of the Assignment and the impact that global health issues may have on the world, the U.S., your community, as well as your practice as a nurse leader.

In a 1-page response, create a plan for social change that incorporates a global perspective or lens into your local practice and role as a nurse leader.

Explain how you would advocate for the incorporation of a global perspective or lens into your local practice and role as a nurse leader.

Explain how the incorporation of a global perspective or lens might impact your local practice and role as a nurse leader.

Explain how the incorporation of a global perspective or lens into your local practice as a nurse leader represents and contributes to social change. Be specific and provide examples.

GLOBAL HEALTHCARE COMPARISON MATRIX AND NARRATIVE STATEMENT

 

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. Recommending an Evidence-Based Practice Change

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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.)

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 lesson 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

LAB ASSIGNMENT: ETHICAL CONCERNS

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LAB ASSIGNMENT: ETHICAL CONCERNS

CASE STUDY 1

The parents of a 16-year-old male is seen for his required physical examination before starting sports. His parents are opposed to him receiving any vaccines.

CASE STUDY 2

A 33-year-old woman with advanced stage breast cancer has been admitted to the emergency room with cardiac arrest. She is not married and her boyfriend accompanies her in the ambulance.

Select one scenario from above, and reflect on the material presented throughout this course.

What necessary information would need to be obtained about the patient through health assessments and diagnostic tests?

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Consider how you would respond as an advanced practice nurse. Review evidence-based practice guidelines and ethical considerations applicable to the scenarios you selected.

The Lab Assignment

Write a detailed one-page narrative (not a formal paper) explaining the health assessment information required for a diagnosis of your selected patient (include the scenario number). Explain how you would respond to the scenario as an advanced practice nurse using evidence-based practice guidelines and applying ethical considerations. Justify your response using at least three different references from current evidence-based literature.

LAB ASSIGNMENT: ETHICAL CONCERNS

Nursing Infomatics

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Nursing Infomatics

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 Infomatics

Informatics competences for Nurse Educators and Nurse Leaders

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Informatics competences for Nurse Educators and Nurse Leaders

This assignment will address informatics competences 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 competences 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 policy that governs the use of this technology. How will you approach the implementation of this technology or development of policy?
  6. As a Nurse Educator you may be guiding implementation of this technology in preparing staff for the technology. How will you teach staff members about this technology or how will you evaluate the effectiveness of use of the technology by the staff members based on the education received?
  7. Use APA 7th edition format for the assignment. It is okay to use first person in this since you are being asked for your thoughts and opinion.
  8. Include title page and reference page.
  9. 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 competences for Nurse Educators and Nurse Leaders

 

Benchmark – Electronic Health Record Implementation Paper

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Benchmark – Electronic Health Record Implementation Paper

Assessment Description

One-way informatics can be especially valuable is in 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 within 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

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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.

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

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? Benchmark – Electronic Health Record Implementation Paper

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.

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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.

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

Explain the nurse’s informatics role in 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.

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 c/o 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 life has changed for him since the death of his spouse of 40 years. Denies any present tobacco or drug use but drinks 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.

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Post a description of the patient case from 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