100 positive response due 10/27/2022 at 5pm

Theo Chappell Week 9 DiscussionCOLLAPSEMost people with schizophrenia struggle to understand the severity of their symptoms. Some of their ideas about their illness indicate that health professionals should provide more thorough education about their condition (Irawani & Asniar, 2022). Patients with schizophrenia of various ages. The nature of schizophrenia spectrum disorders with onset in middle or late adulthood remains controversial. Our study aimed to determine patients aged 60 and older (Smeets-Janssen et al., 2020).Younger patients with schizophrenia have experienced fewer adverse of the illness than older patients. Antipsychotic use in the elderly is related to severe side effects. (Targum et al., 2017). Careful consideration of comorbidity and polypharmacy is imperative (Behrman, Burgess & Topiwala, 2018). In this discussion, I will discuss schizophrenia in older adults and talk about one FDA-approved drug, one non-FDA-approved “off-label” medication, and one nonpharmacological treatment.The United States Food and Drug Administration has approved the administration of antipsychotic medications in treating schizophrenia in older adult populations in older adults with schizophrenia. In contrast to traditional antipsychotics, Seroquel is an atypical antipsychotic medication that is recommended. Atypical antipsychotics are available in various doses, but the recommended Seroquel dosage for elderly adults with schizophrenia should start from 50 mg at night, which helps also sleep. Seroquel doses will adjust depending on the patient’s condition,An off-label such as lithium has been used in studies to help enhance mood and conduct in some patients but does not have an antipsychotic effect. They are used for the treatment of mania and depression. Lithium is the gold standard therapy for bipolar disorder (BD) but its effectiveness differs widely between individuals., it is also sometimes used to treat schizophrenia (Leucht, Helfer, Dold, Kissling, & McGrath 2015).The nonpharmacological intervention recommended for older adults with schizophrenia is psychosocial therapy. A long history of research has been conducted on psychosocial interventions aiming at enhancing independent functioning and social skills in schizophrenia. These therapies may be particularly beneficial in elderly patients since many fail to respond completely to antipsychotic medications (Cooper et al., 2020). Recent work has evaluated the benefits of a new, combined Cognitive Behavioral, Social Skills Training (CBSST) intervention in groups of older patients with primarily early-onset schizophrenia. Cognitive Behavior Therapy (CBT) combines the Social Skills Training (SST) elements of problem-solving and role-playing with the Cognitive Behavior Therapy (CBT) techniques of thought identification and challenging (Rajji, Mamo, Holden, Granholm, Mulsant 2021).The FDA-approved medicine for treating schizophrenia in older adults is Seroquel. The risks and benefits of Seroquel include the fact that it is an atypical antipsychotic medication that is recommended. Atypical antipsychotics are available in various doses, but the recommended Seroquel dosage for elderly adults with schizophrenia should start from 50 mg at night, which helps also sleep. Seroquel doses will adjust depending on the patient’s condition. The main benefit of Seroquel is that it is an effective antipsychotic medication. The main risks associated with Seroquel use include the fact that it can cause severe side effects, including extrapyramidal symptoms (EPS) and tardive dyskinesia.Lithium is the off-label drug used in studies to help enhance mood and conduct in some patients. The risks and benefits of lithium include the fact that it is the gold standard therapy for bipolar disorder (BD) but its effectiveness differs widely between individuals. Lithium is also sometimes used to treat schizophrenia (Leucht, Helfer, Dold, Kissling, & McGrath 2015). The main benefit of lithium is that it is an effective mood enhancer. The main risks associated with lithium use include the fact that it can cause severe side effects, including gastrointestinal problems, tremors, and kidney problems.Clinical practice guidelines do exist for the treatment of schizophrenia in older adults. The main guideline that exists is the United States Food and Drug Administration’s (FDA) guidance on the use of antipsychotic medications in treating schizophrenia in older adults. The FDA guidance recommends the use of atypical antipsychotic medications, such as Seroquel, in treating schizophrenia in older adults. The main reason for this recommendation is that atypical antipsychotics are less likely to cause severe side effects, such as extrapyramidal symptoms (EPS) and tardive dyskinesia. The FDA guidance also recommends the use of psychosocial therapy as a nonpharmacological intervention for older adults with schizophrenia.ReferencesMaan, J. S., Ershadi, M., Khan, I., & Saadabadi, A. (2021). Quetiapine. In StatPearls [Internet]. StatPearls Publishing.Felthous, A. R. (2018). The pharmacotherapy of clinical aggression in criminal offenders. Rassegna Italiana di Criminologia, (3), 196-206.McCutcheon, R. A., Marques, T. R., & Howes, O. D. (2020). Schizophrenia—an overview. JAMA psychiatry, 77(2), 201-210.Remington, G., Addington, D., Honer, W., Ismail, Z., Raedler, T., & Teehan, M. (2017). Guidelines for the pharmacotherapy of schizophrenia in adults. The Canadian Journal of Psychiatry, 62(9), 604-616.Lally, J., & MacCabe, J. H. (2015). Antipsychotic medication in schizophrenia: a review. British medical bulletin, 114(1), 169-179.Kane, J. M., & Correll, C. U. (2022). Pharmacologic treatment of schizophrenia. Dialogues in clinical neuroscience.

 
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fundamental

Using the NUR2115 Module 01 Written Assignment template, determine your strengths and weaknesses for each role. You must have specific examples of strengths and weaknesses for each role. Describe at least two strategies for how you can overcome each weakness.

 
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ENGLISH

Part 1: (150 words) Imagine that you are unable to attend complete an assignment because of a family emergency. Write an email to a friend telling him or her about the entire incident and why you will not be able to do your work. Relate the incident in the casual register, using simple words, slang, jargon or dialect—the “insider” language you speak among friends and the type of language McWhorter discusses in the video above. If you speak English as a second language, you might mix your two languages even to the extent of using a few made-up or combination words. Let your sentences be incomplete, your grammar incorrect, your word choice colorful or even mildly offensive. Just make it sound like you might really write this way to your friend. In other words, keep it real.Part 2: (150 words) Using the same story you related above, now rewrite the incident as an email to your instructor in the formal register. Your goal in this email is to maintain credibility with your instructor while asking for her to accept your excuse. This means you must carefully decide which details of the story you include and which details you omit. Remember, communicating with your instructor should be done in the formal register only, and you should use the conventions of professional communication. You will also need to include your name, student ID number, and course and section number, just as if you were sending a “real” email message.  Clickhereto read a little about how to write a professional email message.

 
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clinic simulation

you will complete the Research Clinic simulation from the perspective of Dr. Richard Sowers, the Principal Investigator (PI), and then reflect on the experience.Go to the following website:https://ori.hhs.gov/the-research-clinic

 
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nursing fundamentals, delivering Client Centered Care

Locate one peer-reviewed evidence-based article that describes a “best practice” being used in delivering client-centered care and promoting health. It can be for any client across the lifespan. Discuss the best practice and give two reasons why this practice is important and “best”  and how it affects care and the promotion of health. Provide the reference for the article (use APA Editorial format).

 
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Psychotherapy

Reflection notes: What would you do differently in a similar patient evaluation? Reflect on one social determinant of health according to the HealthyPeople 2030 (you will need to research) as applied to this case in the realm of psychiatry and mental health. As a future advanced provider, what are one health promotion activity and one patient education consideration for this patient for improving health disparities and inequities in the realm of psychiatry and mental health? Demonstrate your critical thinking.

 
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Weekly Article Summary 2

Find and read a nursing scholarly article that relates to your clinical practice and is found in a peer-reviewed journal. Follow the instructions for the format in course textbook and write a 1-page summary.The weekly article summary assignment starts from Module 1 through Module 6. Each article summary is due in its following module. For example, Article Summary 1 must be submitted by 11:59 PM ET Sunday in Module 2, and Article Summary 6 must be submitted by 11:59 PM ET Sunday in Module 7.Submission Instructions:Must be a research article.Write a 1-page summary using an outline of the steps of the research process, discuss the study type, purpose, and research question(s).The summary is to be clear and concise and students will lose points for improper grammar, punctuation and misspelling.The summary should be formatted per current APA and 1 page in length, excluding the title, abstract and references page.Incorporate a minimum of 2 current (published within last five years) scholarly journal articles or primary legal sources (statutes, court opinions) within your work.

 
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Acid base balance

Discuss One of the following using the criteria above(click to access).1. Discuss what you have learned related to thebody’s response to heat (#1_Take awaylearning)2. Describe what you believe your responseshould be as a lay person to give assistance(#2 _Lay person’s assistance)3. The body can only handle a certain amount ofheat, and if that degree is extended, the bodymay end up closing down. Explain why this isso (#3 Body’s response to heat)4. Respond to the diagram below titled HeatDangers. Provide one quote from the textbookor Web to support your thinking (#4_ Heat-Dangers)StreamCoursesCalendar

 
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Discussion 250 words. Make sure you provide 2 references and utilize APA style.. . Discussion Rubric

Discuss what is a culture of health and wellness? How can you build a culture of health and wellness? Why does it make sense to pursue a culture of health and wellness?

 
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Policy proposal 2

Write a 4-6 page policy proposal and practice guidelines for improving quality and performance associated with the benchmark metric underperformance you advocated for improving in Assessment 1.IntroductionIn advocating for institutional policy changes related to local, state, or federal health care laws or policies, health leaders must be able to develop and present clear and well-written policy and practice guideline proposals that will enable a team, a unit, or an organization as a whole to resolve relevant performance issues and bring about improvements in the quality and safety of health care. This assessment offers you an opportunity to take the lead in proposing such changes.As a master’s-level health care practitioner, you have a valuable viewpoint and voice on policy development, both inside and outside your care setting. Developing policy for internal purposes can be a valuable process toward quality and safety improvement, as well as ensuring compliance with various health care regulatory pressures. This assessment offers you an opportunity to take the lead in proposing such changes.InstructionsPropose an organizational policy and practice guidelines that you believe will lead to an improvement in quality and performance associated with the benchmark underperformance you advocated for improving in Assessment 1. Be precise, professional, and persuasive in demonstrating the merit of your proposed actions.RequirementsThe policy proposal requirements outlined below correspond to the scoring guide criteria, so be sure to address each main point. Read the performance-level descriptions for each criterion to see how your work will be assessed. In addition, be sure to note the requirements for document format and length and for supporting evidence.Explain the need for creating a policy and practice guidelines to address a shortfall in meeting a benchmark metric prescribed by local, state, or federal health care policies or laws.What is the current benchmark for the organization and the numeric score for the underperformance?How is the benchmark underperformance potentially affecting the provision of quality care or the operations of the organization?What are the potential repercussions of not making any changes?What evidence supports your conclusions?Summarize your proposed organizational policy and practice guidelines.Identify applicable local, state, or federal health care policy or law that prescribes relevant performance benchmarks that your policy proposal addresses.Keep your audience in mind when creating this summary.Analyze the potential effects of environmental factors on your recommended practice guidelines.What regulatory considerations could affect your recommended guidelines?What resources could affect your recommended guidelines (staffing, financial, and logistical considerations, or support services)?Explain ethical, evidence-based practice guidelines to improve targeted benchmark performance and the impact the proposed changes will have on the targeted group.What does the evidence-based literature suggest are potential strategies to improve performance for your targeted benchmark?How would these strategies ensure performance improvement or compliance with applicable local, state, or federal health care policy or law?How can you ensure that these strategies are ethical and culturally inclusive in their application?What is the direct impact of these changes on the stakeholders’ work setting and job requirements?Explain why particular stakeholders and groups must be involved in further development and implementation of your proposed policy and practice guidelines.Why is it important to engage these stakeholders and groups?How can their participation produce a stronger policy and facilitate its implementation?Present strategies for collaborating with the stakeholder group to implement your proposed policy and practice guidelines.What role will the stakeholder group play in implementing your proposal?Why is the stakeholder group and their collaboration important for successful implementation?Organize content so ideas flow logically with smooth transitions.Proofread your proposal, before you submit it, to minimize errors that could distract readers and make it more difficult for them to focus on the substance of your proposal.Use paraphrasing and summarization to represent ideas from external sources.Be sure to apply correct APA formatting to source citations and references.Policy Proposal Format and LengthIt may be helpful to use a template or format for your proposal that is used in your current organization. The risk management or quality department could be a good resource for finding an appropriate template or format. If you are not currently in practice, or your organization does not have these resources, many appropriate templates are freely available on the Internet.Your policy should be succinct (about one paragraph). Overall, your proposal should be 4–6 pages in length.Supporting EvidenceCite 3–5 references to relevant research, case studies, or best practices to support your analysis and recommendations.

 
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