What are the side effects of fluoxetine?

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A 40 year old woman presents with fatigue. She reports feeling ‘very run down’ for the past three months.  She has no interest in participating in her usual activities and sporting events. She re

A 40 year old woman presents with fatigue. She reports feeling ‘very run down’ for the past three months.  She has no interest in participating in her usual activities and sporting events. She reports sleeping problems and low appetite. She is constantly feeling low and has frequent crying spells.

Her physical examination is normal and thyroid function is normal.

She is diagnosed with major depression and is referred for counseling and started on fluoxetine.

Assignment Questions

  1. What is the mechanism of action of fluoxetine?
  2. Why is fluoxetine the drug of choice?
  3. What are the side effects of fluoxetine?
  4. What are the risks of abruptly discontinuing fluoxetine?

Instructions 

  • Prepare and submit a 3-4 page paper [total] in length (not including APA format).
  • Answer all the questions above.
  • Support your position with examples.
  • Please review the rubric to ensure that your assignment meets criteria.
  • Submit the following documents to the Submit Assignments/Assessments area:
    • Case Study: Antidepressants
 
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Explain the key steps in HIS and other technology implementation planning

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Discussion

Question descriptionThe steps required to ensure success in HIS implementation are critical. Explain the key steps in HIS and other technology implementation planning, and explore the reasons for their importance to the implementation process.

Now, assume you are the information systems manager at a community clinic that currently is completely paper-based. The clinic is planning to implement an EHR system.

List two semi-structured interview questions that you would ask a physician or registered nurse as part of your preparation for the transition. Explain and justify why the selected questions are necessary.

Please follow all requirements and answer each question.

  • Include introduction and conclusion.
  • Please use Peer Reviewed Articles
  • APA format is required and each reference must be cited in the paper.
  • Use headings to organize the content in your work.
  • Please no plagiarism and sources should be 5 years or less.
 
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The purpose of a literature review is to get your reader up to speed on any relevant information so they can understand the purpose of the research

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Week 2 Lit review Directions with Rubric
Assignment 2
Submission: Week 2 Paper – Scientific Perspective of Inquiry

The purpose of a literature review is to get your reader up to speed on any relevant information so they can understand the purpose of the research. This includes background information on the topic and often background information on techniques used. This particular assignment requires 5-7 pages for full credit. Be aware that if you do only the minimum for each section you will not reach the required 15 for the entire paper.

· Lit review or Executive Summary: 5-7 pagers

Writing Style

This is a formal paper which means it needs to be written in the passive voice. It is intended to be read by scholars, not the general public. This is not story time, a blog or a “how to pamphlet.”

You will not:

· Use I, we, your, our, should, anyway, society, anyhow, us, so in your writing

· Use the following phrases or words

· All in all

· When it comes to

· In the long run

· Never the less

· With that being said

· Of major concern

· Worrisome

· Overall health

· Human beings (it is just humans)

· On the other hand

· In today’s society

· Thing

· Being (as a verb)

· In the long run (over time)

· A lot

· Good

· Whopping

· People (they are consumers, patients, victims etc.)

· Huge (large or significant)

· More and more (increasing amounts)

· At the end of the day

· It (Name what IT is)

· Ask the reader questions (this is forbidden)

· Use “according to” (sometimes this is okay but it annoys me so don’t overdo it)

· Excessive use of quotations (this also annoys me)

· Be vague and unscientific

· Have incomplete or run on sentences

· Have grammar mistakes

· Make too large of a leap with information and lack evidence to support your claim

· Have missing or incorrect citations

· Have incorrect information

· Lack fluidity and have illogical sequencing of information

· Use .coms, blogs or Wikipedia as a source

Command of topic

· Using more than one source in a paragraph

· Using one demonstrates you know how to paraphrase and regurgitate someone else’s work

· Using introductory sentence in each paragraph

· Using summarizing sentences in each paragraph

· Using transition sentences that link one concept to another

· All points that are introduced are elaborated on and concluded

· Using examples to support a claim (then cite them)

· Has substance

Citations

In a literature review the writer is contributing very little. They are simply reporting on the literature that already exists. That means that the majority of the paper is comprised of information that is not their own and must be cited. In this section of the paper almost every sentence is cited. The only exceptions are

· Introductory sentences – preview of more detailed information to come and then followed by cited evidence

· Summary sentences – a recap of previously introduced information

This paper requires a minimum of 12 reliable sources.

Fluidity and Logical Sequencing

The presentation of the information must be logical in the paper as a whole and within in each paragraph. The most general information is written first in the form of introductory sentences and then followed by more detailed and related evidence. Transitions between paragraphs and within paragraphs must also have fluidity. Using choppy sentence structure and not employing transition sentences makes the paper unpleasant to read and comprehension difficult.

 
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nursing modules , health and medicine homework help

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nursing modules , health and medicine homework help

Question description

The modules do not need any introduction. The references should be latest  DO NOT REFERENCES THAT ARE MORE THAN 9 YEARS OLD! gramma should be very good and APA STRUCTURE!
Module 1
Module one looked at the specific rights and responsibilities of the registered nurse in a peri-operative care unit, including from the perspective of keeping the registered nurse and her/his patients/clients physically and emotionally safe. It also raised the issue of legal responsibilities and identified issues specific to perioperative care unit.
write a 350-word paragraph on an issue of safety or of legal responsibility that you explored in some depth as a registered nurse, ensuring it is specifically related to peri-operative care unit.

Module 2
Module two looks specifically at the rights of clients and in more depth the rights of their carers in the process of treatment and recovery. It raises some questions about how the nursing profession views and deals with the rights of the carers and their need for information, particularly in the context of patients/clients who may lack insight into their care needs.
For your assessment:
Write a paragraph of 400 words on your understanding of the dilemma of providing information to carers while considering the confidentiality concerns relating to the patient/client as a registered nurse. Don’t forget to consider the ethical implications in your consideration of the issues.

Module 3
Module three gave you the opportunity to explore how the various people we interact with in the health care environment make meaning of their illness and of their situation. It has also given you the opportunity to reflect on how you relate to that and to make meaning of your own experiences.

For your assessment:
Review and refine your reflection from the activity as for this module to a 350 word paragraph. Reminder “As a registered nurse”
Please provide 5 or more references for each of the modules

 
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Clinical research for the doctor of nursing practice (3rd ed.). Burlington, MA: Jones & Bartlett Learning.

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Reasoning in a Specialty Area
Bring to mind an important practice-related decision you have made recently. How did you approach this decision? What aspects of your specialty expertise informed your decision-making?
Evaluate your decision now in light of the principles of clinical reasoning presented in the Learning Resources this week. What new insights arise about your decision making as you look at it through this lens? What questions emerge as you reflect how you use reasoning in your practice?
In this Discussion, you and your colleagues examine the application of reasoning strategies in your specialty area of practice, particularly as it is connected to your EBP Project question.
To prepare:

  • Consider the definition of clinical      reasoning and how it is distinguished from other terms in the      Simmons article. (see attached file)
  • Bring to mind key characteristics of your      specialty area. Is the concept of clinical reasoning relevant and      sufficient to describe the process you utilize as you      make decisions and solve problems in your area of specialization? Why or      why not? If not, what terminology would be more useful for defining or      characterizing this process?
  • Review the literature to identify at least two specific examples of reasoning strategies used in your specialty area. These may be part of your literature review related to your EBP Project question(s). (see PIICOT Question below      at the end of the page)
  • Reflect on your EBP Project      question(s) (see PIICOT Question below at the end of the page).      Reexamine your project question(s) through this lens of clinical, or      alternately termed, reasoning.

By Day tomorrow 09/04/18 12 by 10 pm, write a minimum of 550 words in APA format with at least 3 references from the list of required resources below. Include the level one headers as numbered below:
Post a cohesive scholarly response that addresses the following:
1) How are reasoning strategies most often applied in your specialty area? Provide at least two specific examples supported by the literature.
2) How can you apply reasoning strategies to the refinement of your EBP Project question(s)? (see PIICOT Question below at the end of the page)
Required Readings
Terry, A. J. (2018). Clinical research for the doctor of nursing practice (3rd ed.). Burlington, MA: Jones & Bartlett Learning.

  • Chapter      1, “The Importance of Research in the Doctor of Nursing Practice Degree”
    Read pages 12-18 beginning with “The DNP Graduate with an Aggregate Focus”      (see attached File)
    In this section of Chapter 1, the author explains relationship between the      DNP clinician, the research process, and developing an effective      evidence-based practice. The author also discusses facilitating change in      practice based on critically appraised and validated evidence. In      addition, Carper’s four essential patterns of “knowing” in nursing and      Rosswurm and Larrabee’s six-phase model for reviewing research are      highlighted.
 
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Professional nursing organization

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Professional nursing organization

Choose a professional nursing organization that relates to the nursing profession or your clinical practice area. Assuming that you are the chairperson of membership for the organization, create a full-page flyer designed to recruit new members to the professional organization. In your flyer, include:

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  1. The function of the organization, as well as its mission and vision.
  2. Potential advantages of membership in the organization.
  3. Provide resource information for new members, including contact information, membership requirements, and organizational endorsements (i.e., what other members or other organizations are saying about the selected organization).
  4. Create a topic for an upcoming meeting that would appeal to your target audience.

While APA format is not required for the body of this assignment, solid academic writing is expected, and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

This Professional nursing organization  assignment uses a rubric. Students should review the rubric prior to beginning the assignment to become familiar with the criteria and expectations for successful completion.

 
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Creswell, J. W.    (2013).   Research design: Qualitative, quantitative, and mixed methods approaches.   Sage.     9781452226101

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Use assignments 3 & 7 to complete assignment 8: 

Assignment 8

Using the information described in assignment 3 & 7 to create a chart to provide a visual graphic of how the variables or criteria align with the selected theory in response to the research question.

Submit chart using points of emphasis above. 1 or 2 pages.

On a separate document use the information from assignments 3,7, &8 to complete assignment 9: Assignment 9

ollowing the Prospectus description for the Background of the Problem in the Doctoral Project Manual, use the criteria and information from previous activities to draft your Background of the Problem. Use your Research Question as your focus for the discussion. Clearly identify key issues, challenges, disparities, or discrepancies relevant to your problem. 

Submit paper of your discussion using points of emphasis above. 2 to 3 pages.

References:

Book  American Psychological Association    (2010).   Publication manual of the American Psychological Association .   (6th Edition).   Washington, D.C.

Book
 Creswell, J. W.    (2013).   Research design: Qualitative, quantitative, and mixed methods approaches.   Sage.     9781452226101

he Teenage YearsInstructions
Pretend that you are a psychologist who is meeting with a client concerned about her 14-year-old. Your client tells you that she is not sure what to expect, now that her child is becoming a teenager. She asks you, “What is going to happen to my child biologically, psychologically, and socially over the next few years?” She also wants to know how she can build a strong relationship with her teenage child and better cope during these many developments.
Write a 2-3 page paper addressing your client’s questions and concerns. Be sure to cite the unit readings and/or outside sources to support your facts and statements. Include both in-text citations and a reference page, in APA format.

 
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Paste the SPSS output of the t test.

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t Tests

See the Resources area for links to resources that you will use for this assignment:

  • You will complete this assignment using the DAA Template.
  • Read the SPSS Data Analysis Report Guidelines for a more complete understanding of the DAA Template and how to format and organize your assignment.
  • Refer to the IBM SPSS Step-By-Step Guide: t Tests for additional information on using SPSS for this assignment.
  • If necessary, review the Copy/Export Output Instructions to refresh your memory on how to perform these tasks. As with your previous assignments, your submission should be in narrative format with supporting statistical output (table and graphs) integrated into the narrative in the appropriate places (not all at the end of the document).

You will analyze the following variables in the grades.sav data set:

  • gender
  • gpa

Step 1: Write Section 1 of the DAA.

  • Provide the context of the grades.sav data set.
  • Include a definition of the specified variables (predictor, outcome) and corresponding scales of measurement.
  • Specify the sample size of the data set.

Step 2: Write Section 2 of the DAA.

  • Analyze the assumptions of the t test.
  • Paste the SPSS histogram output for gpa and discuss your visual interpretations.
  • Paste SPSS descriptives output showing skewness and kurtosis values for gpa and interpret them.
  • Paste SPSS output for the Shapiro-Wilk test of gpa and interpret it.
  • Report the results of the Levene test and interpret it.
  • Summarize whether or not the assumptions of the t test are met.

Step 3: Write Section 3 of the DAA.

  • Specify a research question related to gender and gpa.
  • Articulate the null hypothesis and alternative hypothesis.
  • Specify the alpha level.

Step 4: Write Section 4 of the DAA.

  • Paste the SPSS output of the t test.
  • Report the results of the SPSS output using proper APA guidelines (refer to the Unit 8 Introduction and the “Results” example from the Warner text in Chapter 5). Include the following:
    • t.
    • Degrees of freedom.
    • p value.
    • Effect size.
    • Interpretation of effect size.
    • Means and standard deviations for each group.
    • Mean difference.
    • 95% confidence interval of the difference of sample means.
  • Interpret the results against the null hypothesis.

Step 5: Write Section 5 of the DAA.

  • Discuss the implications of this t test as it relates to the research question.
  • Conclude with an analysis of the strengths and limitations of the t test.

Submit your DAA Template as an attached Word document in the assignment area.

 
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ntegrating Pharmacotherapy in Treatment

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Discussion—Integrating Pharmacotherapy in Treatment

While numerous psychotherapeutic methods for treating substance abuse are available, some patients also utilize pharmacotherapy to assist them in their recovery.
Using the module readings, Argosy University online library resources, and other scholarly resources from the Internet, evaluate the integration of pharmacotherapy in the treatment of substance use disorders. Then, respond to the following questions:

  • What are the costs and benefits of combining pharmacotherapy with psychotherapy in the treatment of substance use disorders?
  • How does abstinence apply to those users who are taking replacement therapy such as methadone maintenance or nicotine replacement treatments?
  • What counseling theories will work best alongside pharmacotherapies for substance use disorders?

Write your initial response in approximately 300–400 words. Apply APA standards to citation of sources.

 
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Healthcare Providers

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Healthcare Providers

Question description

Select two health care service providers.

Write a 700- to 900 -word paper that discusses the health care service providers selected and the products and support they provide.

Providers of Service Options:

  • Preventive care or public health
  • Ambulatory or primary care
  • Subacute or long-term care
  • Acute care
  • Auxiliary services
  • Rehabilitative services
  • End-of-life care
  • Mental health services
  • Emergency management or disaster preparedness
  • Dental services
  • Military and veteran services
  • Indian health services

Include the following in your paper:

  • Identify the selected health care service provider.
  • Identify two services and products they provide to help with quality of care.

Cite at least 1 peer-reviewed or scholarly reference and your textbook to support your information.

Select two health care service providers.

Write a 700- to 900 -word paper that discusses the health care service providers selected and the products and support they provide.

Providers of Service Options:

  • Preventive care or public health
  • Ambulatory or primary care
  • Subacute or long-term care
  • Acute care
  • Auxiliary services
  • Rehabilitative services
  • End-of-life care
  • Mental health services
  • Emergency management or disaster preparedness
  • Dental services
  • Military and veteran services
  • Indian health services

Include the following in your paper:

  • Identify the selected health care service provider.
  • Identify two services and products they provide to help with quality of care.

Cite at least 1 peer-reviewed or scholarly reference and your textbook to support your information.

 
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