Nursing  100 positive reply due tomorrow 1/20/21 due at 10 am with three references

pharm week 8 discussion postAttention-deficet/hyperactivity disorder is a neuropsychiatric disorder affecting 5-11% of children with boys being two to three times more likely to diagnosed (Rosenthal DNP ACNP, Laura & Burchum DNSc APRN BC, Jacqueline, 2020). A diagnosed with ADHD can be made if the symptoms began before the age of seven and have to have been exhibited for at least six months (Rosenthal DNP ACNP, Laura & Burchum DNSc APRN BC, Jacqueline, 2020). There is thought to be a genetic component to ADHD to which I fully agree as my son has ADHD and while I do not have a formal diagnoses of it I have most definitely diagnosed my self and my father. Children typically respond to the medication based on the mechanism of action meaning that it will either cause a release or blockage of norepinephrine, dopamine, and serotonin.In the scenario we were told that it is an eight-year-old girl whose parents were told by her teacher that she felt that she might have ADHD and now the parents have sought out professional help in determining if she does and if so what the corse of treatment would be. We are then asked to choose what medication we feel she should be started on (wellbutrin, intuniv, or ritalin) and I feel she should be started on Ritalin 10mg in the am. During her next follow up it is noted that the teacher feels that her attention has improved for the first part of the day however by the afternoon she is back to being unable to concentrate. It was also noted during the appointment that her pulse was elevated. At this point I felt that it was necessary to change her medication to Ritalin LA and to monitor her heart rate as it is a side effect of taking a stimulant. At her next follow up it was noted that she has been able to remain attentive during the entire school day and that her heart rate has returned to a normal rate. From this point I feel it would be acceptable to continue with the current regimen.Ritalin or methylphenidate works by increasing the release of norepinephrine and dopamine while also preventing the reuptake of the same neurotransmitters. A study was conducted regarding how to properly dose Ritalin and what they noted was that it should be started at 5mg not the 10mg that the scenario suggested and should be given twice a day with increased increments of 5-10mg based on the effectiveness of the medication(Childress et al., 2016). This same study also concluded that children tend to do better and are more compliant with the extended release Ritalin because they do not require a second dose while at school (Childress et al., 2016). It should also be noted that the goal of any medication should be to be on the lowest possible dose while achieving the desired affect. There are times when adding a second medication to the treatment can enhance the affect of Ritalin on in particular is memantine (namenda) a medication that is typically used to treat Alzheimer. What one study found is that memantine is able to improve the symptoms associated with ADHD without adding any adverse side effects (Riahi et al., 2020).ADHD is a condition that can be treated in a multitude of ways with multiple differed medication options and combinations that can be tailored to fit the needs of each individual patients. It is important to make sure that the child is not only on the correct medication but also that they are taking the lowest possible dose. Educating the family regarding dietary restrictions and when the medication should be given is also extremely important.

 
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Nursing  DiscussionD wk 3 (2 different copies)

Discussion Prompt: analyzing policy (2 diff copies)How does U.S. government reimbursement policies for healthcare providers impact the use of telemedicine in your state?ExpectationsInitial Post:Length: A minimum of 250 words, not including referencesCitations: At least one high-level scholarly reference in APA from within the last 5 yearsReadingPatton, Zalon, Ludwick Chaps 5 & 6Additional Required Website Readings:GovTrack.us (2019). S.787—115th Congress: Telehealth Innovation and Improvement Act of 2017.The National Telehealth Policy Resource Center (2019, Oct.). News, Telehealth Policy. Public Health Institute.Telemedicine Regulations in California (2019). Chiron Health.Wicklund, E. (2019). CMS at ATA: Medicare coverage of telehealth will take some time. mHealth Intelligence.American Telemedicine Association (ATA) (2019). Policy updates.  Washington, DC: Author.American Telemedicine Association (ATA) (2019). State of the states report: Coverage and reimbursement. Washington,DC: Author.VIDEOSPeterson, M. (2017, Feb.). What is policy analysis?

 
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Nursing  Nursing Theories

This week, you will develop a PowerPoint presentation reviewing the theories from each module. Please select one theory from each module (1-8) and answer the following questions. You should have two slides per theory:Describe the theoryProvide 3 examples of how the theory applies to current practiceProvide 3 positive patient outcomes resulting from utilizing the theoryExplain 3 benefits to nursing satisfaction when utilizing the theoryDescribe two barriers to using the theory in practice and at least one method for overcoming each barrier (support methods with sources)Support from literature clearly noted throughoutThe PowerPoint presentation should include at least two outside references and the textbook. The presentation should contain 2 to 4 slides per theory, for a total of 16 to 32 slides.

 
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Nursing  week 10 discussion

Reply to the questions below in a one paragraph (four to five sentences) responseBriefly reflect on your pathophysiology experience and address the following questions:How will the knowledge of pathophysiology play into your career role?What aspect of pathophysiology do you feel will be the most important moving forward?

 
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Nursing  ADR

In the Research Paper, you will apply the sources from your Annotated Bibliography (and others you may find after submitting the Annotated Bibliography) to explore the use of alternative dispute resolution (ADR) in healthcare, including options for Bible-based dispute resolution, focusing on the issues raised in using ADR to resolve malpractice claims without, or limiting, litigation.Your paper must examine what options you would recommend for your healthcare facility with support from your research and analysis.The final paper must include at least 5 scholarly sources other than the Reading & Study materials and the Bible, cited in-text and in a reference list. You must also integrate biblical analysis of the topic into the paper.The Research Paper must contain at least 1,500 words and follow current APA format. The title page, abstract, and reference list do not count towards the length requirement.QUESTION :Explore the use of alternative dispute resolution (ADR) in healthcare, including options for Bible-based dispute resolution, focusing on the issues raised in using ADR to resolve malpractice claims without, or limiting, litigation. Your paper must examine what options you would recommend for your healthcare facility with support from your research and analysis.

 
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Nursing  NLM7

A Culture of Patient Safety

 
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Nursing  Literature Review

While the implementation plan prepares students to apply their research to the problem or issue they have identified for their capstone project change proposal, the literature review enables students to map out and move into the active planning and development stages of the project.A literature review analyzes how current research supports the PICOT, as well as identifies what is known and what is not known in the evidence. Students will use the information from the earlier PICOT Question Paper and Literature Evaluation Table assignments to develop a 750-1,000 word review that includes the following sections:Title pageIntroduction sectionA comparison of research questionsA comparison of sample populationsA comparison of the limitations of the studyA conclusion section, incorporating recommendations for further researchPrepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

 
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Nursing  pharma disc 2

Week 2 DiscussionBased on last week’s reading, you now have an idea of the role of the APRN, and legal/professional issues in prescribing. As a future nurse practitioner, you have the authority, based on your state nurse practice act, to prescribe medications for the patients for whom you will provide care, and the responsibility of prescriptive authority is more than just simply writing a prescription correctly.APA FORMAT 250 WORDSImportant Links:https://www.flsenate.gov/Committees/BillSummaries/2016/html/1424http://ojin.nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/TableofContents/Vol-19-2014/No2-May-2014/Barriers-to-NP-Practice.htmlhttps://floridasnursing.gov/new-legislation-impacting-your-profession/https://www.aanp.org/advocacy/advocacy-resource/position-statements/nurse-practitioner-prescriptive-privilegeDiscuss the role of advanced practice nursing in safe prescribing and 3 prescribing barriers for APRNs:1. You need 1 initial post, and 2 replies to 2 different students.2. A minimum of 2 paragraphs is required for all posts (initials and replies).3. Support all posts with at least 2 cited peer review references within 5 years of publication (references cannot be older than 5 years).4. All posts are to be written in APA 6th edition format as required by the university.

 
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Nursing  Exodus De- Brief

Exodus De- BriefDue on:Please click (the link about  to access the assignment files).AttachmentsDebrief for Exodus World Service_new (1).docx(13.9 KB)

 
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Nursing  Assessment 2 Instructions: Executive Summary

Write an executive summary, 4-5 pages in length, of existing outcome measures related to a performance issue uncovered in your gap analysis that you intend to address.IntroductionNote: Each assessment in this course builds on the work you completed in the previous assessment. Therefore, you must complete the assessments in this course in the order in which they are presented.As a nurse leader, you must be able to access, identify, and describe outcome measures as they relate to safety and quality problems in your organization.This assessment provides an opportunity to examine existing outcome measures, assess their strategic value, and present your findings to executive leaders in a manner that will help you gain their support.Quality and safety are everyone’s responsibility as a team of interprofessional care delivery partners. Together we develop policies that support quality and safe care delivery. As part of the interprofessional team, nurses are leaders in care and thus are responsible and accountable for leading and providing safe quality care.Health care delivery is structured around evidenced-based information. Quality is defined by exploring proven, evidenced-based information. After reviewing and defining evidenced-based information, the interprofessional team applies this knowledge to assess the organization’s or the practice setting’s ability to provide evidenced-based care delivery. When a gap in care is identified, it is important to propose an evidenced-based change and to execute a plan for improved care.Your summary of relevant outcome measures is based on your findings from the quality and safety gap analysis you completed in the previous assessment.PreparationYour analysis of the gap between current and desired performance was the first step toward improving outcomes. You now have the information you need to move forward with proposed changes. Your next step is to focus on existing outcome measures and their relationship to the systemic problem you are addressing. For this assessment, you have been asked to draft a summary of existing outcome measures for your organization’s executive team to raise awareness of the problem and the strategic value of existing measures.Note: Remember that you can submit all or a portion of your draft summary to Smarthinking for feedback before you submit the final version of this assessment. However, be mindful of the turnaround time of 24–48 hours for receiving feedback, if you plan on using this free service.As you prepare to complete this assessment, you may want to think about other related issues to deepen your understanding or broaden your viewpoint. You are encouraged to consider the questions below and discuss them with a fellow learner, a work associate, an interested friend, or a member of your professional community. Note that these questions are for your own development and exploration and do not need to be completed or submitted as part of your assessment.Building stakeholder support is crucial to fostering and sustaining change. Therefore, as you approach this assessment, think about the stakeholders whose support you will need for the change you want to bring about.What information is most essential for both the formal and informal stakeholders to understand about the proposed change?How might you communicate the need for change using just a few sentences (this is often referred to as an “elevator speech”).RequirementsNote: The requirements outlined below correspond to the grading criteria in the Executive Summary Scoring Guide. Be sure that your written analysis addresses each point, at a minimum. You may also want to read the Executive Summary Scoring Guide andGuiding Questions: Executive Summary [DOCX]to better understand how each criterion will be assessed.Composing the Executive SummaryExplain key quality and safety outcomes.Determine the strategic value to an organization of specific outcome measures.Analyze the relationships between a systemic problem in your organization or practice setting and specific quality and safety outcomes.Determine how specific outcome measures support strategic initiatives related to a quality and safety culture.Determine how the leadership team would support the implementation and adoption of proposed practice changes affecting specific outcomes.Writing and Supporting EvidenceWrite clearly and concisely, using correct grammar and mechanics.Integrate relevant and credible sources of evidence to support assertions, correctly formatting citations and references using APA style.

 
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