Be sure to submit the case study responses by the due date which is end of the week. Also please limit your responses to question to no more than 300 words and APA guidelines, 12 font Times New Roman.
Question# 3
Are insurance claims data valid measures of clinical diagnosis and treatments?
150-200 words
Discussion question #3
What impediments do healthcare leaders face in applying modeling to guide the transformation of the health system?
You will be researching a “Best Practice” in an area of nursing you are interested in. You will describe the best practice and why you chose it. You will also need to summarize the findings of your articles that relate to your best practice. You will need to explain how this best practice is relevant to new nurses and lastly, what is the nurse’s role in evidence-based practice and research. You need to use a minimum of 2 recent (within the last 3 years), peer-reviewed, scholarly articles that you include with your submission. Your paper must be 3-5 pages and follow APA formatting. Please follow the rubric below for paper structure.
The increased use of unlicensed assistive personnel presents both opportunities and challenges for the American health care system. The nurse manager has to deal with the challenge that unlicensed assistive personnel only be used to provide personal care needs or nursing tasks that do not require the skill and judgment of the RN.
1. The nurse manager reviews the national effort to define the scope of practice for unlicensed assistive personnel. In 2007, the American Nurses Association made recommendations for a national and/or state policy for nursing assistive personnel. What are the six actions that should be taken to create a national and/or state policy agenda about the educational preparation of unlicensed assistive personnel and the competencies they should have for safe practice?
2. The need in health care today is for today’s nurses to have highly developed delegation skills in working effectively and efficiently with unlicensed assistive personnel. This is critical to ensure the clients’ needs are met and their safety is not jeopardized. What are the key general principles that the nurse manager needs to review with professional registered nurses in delegating to unlicensed assistive personnel?
In nursing practice, accurate identification and application of research is essential to achieving successful outcomes. The ability to articulate research data and summarize relevant content supports the student’s ability to further develop and synthesize the assignments that constitute the components of the capstone project.
The assignment will be used to develop a written implementation plan.
For this assignment, provide a synopsis of the review of the research literature. Using the “Literature Evaluation Table,” determine the level and strength of the evidence for each of the eight research articles you have selected. The articles should be current (within the last 5 years) and closely relate to the PICOT question developed earlier in this course. The articles may include quantitative research, descriptive analyses, longitudinal studies, or meta-analysis articles. A systematic review may be used to provide background information for the purpose or problem identified in the proposed capstone project.
While APA style 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 assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion
Assignment: 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’s weight. However, children are not just “smaller” adults. Adults and children process and respond to drugs differently in their absorption, distribution, metabolism, and excretion.
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.
To Prepare
· Review the interactive media piece in this week’s Resources and reflect on the types of drugs used to treat pediatric patients with mood disorders( option drugs below)
· Reflect on situations in which children should be prescribed drugs for off-label use.
· Think about strategies to make the off-label use and dosage of drugs safer for children from infancy to adolescence. Consider specific off-label drugs that you think require extra care and attention when used in pediatrics.
Write a 1-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.
Therapy for Pediatric Clients with Mood Disorder
BACKGROUND INFORMATION
The client is an 8-year-old African American male who arrives at the ER with his mother. He is exhibiting signs of depression.
· Client complained of feeling “sad”
· Mother reports that teacher said child is withdrawn from peers in class
· Mother notes decreased appetite and occasional periods of irritation
· Client reached all developmental landmarks at appropriate ages
· Physical exam unremarkable
· Laboratory studies WNL
· Child referred to psychiatry for evaluation
MENTAL STATUS EXAM
Alert & oriented X 3, speech clear, coherent, goal directed, spontaneous. Self-reported mood is “sad”. Affect somewhat blunted, but child smiled appropriately at various points throughout the clinical interview. He denies visual or auditory hallucinations. No delusional or paranoid thought processes noted. Judgment and insight appear to be age-appropriate. He is not endorsing active suicidal ideation, but does admit that he often thinks about himself being dead and what it would be like to be dead.
You administer the Children’s Depression Rating Scale, obtaining a score of 30 (indicating significant depression)
RESOURCES
§ Poznanski, E., & Mokros, H. (1996). Child Depression Rating Scale–Revised. Los Angeles, CA: Western Psychological Services.
Treatment options
1)Zoloft 25 mg orally daily, 2) Paxil 25 mg orally daily, 3) Wellbutrin 75 mg orally BID
Resources for reference ( 3 + references)
Rosenthal, L. D., & Burchum, J. R. (2018). Lehne’s pharmacotherapeutics for advanced practice providers. St. Louis, MO: Elsevier.
· Chapter 8, “Drug Therapy in Pediatric Patients” (pp. 65—67)
Corny, J., Lebel, D., Bailey, B., & Bussieres, J. (2015). Unlicensed and off-label drug use in children before and after pediatric governmental initiatives. The Journal of Pediatric Pharmacology and Therapeutics, 20(4), 316–328. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4557722/
This article highlights pediatric governmental initiatives to prevent unlicensed and off-label drug use in children. Review these initiatives and guidelines and how they might impact your practice as an advanced practice nurse.
Panther, S. G., Knotts, A. M., Odom-Maryon, T., Daratha, K., Woo, T., & Klein, T. A. (2017). Off-label prescribing trends for ADHD medications in very young children. The Journal of Pediatric Pharmacology and Therapeutics, 22(6), 423–429. doi:10.5863/1551-6776-22.6.423
This study examines the frequency of off-label prescribing to children and explores factors that impact off-label prescribing. This study also examines off-label prescribing to children with ADHD.
Required Media (click to expand/reduce)
Laureate Education (Producer). (2019i). Therapy for pediatric clients with mood disorders [Interactive media file]. Baltimore, MD: Author.
Describe one of the safety committees your organization uses and how it reduces risk within your organization. Who are the general members of the group, how often do they meet, and is there a regulatory requirement that they report or publish notes? Is this a good use of the staff’s time or would another method that still addresses the safety goal of this group be more efficient? (2 paragraphs).
The Occupational Safety and Health Administration (OSHA), the Centers for Medicaid and Medicare Services (CMS), and the Joint Commission (JC) require that health care organizations maintain risk management programs to address infection control. Detail three measures that your health care organization (or any health care organization) could implement, beyond what is currently in practice, to support the delivery of safe health care services and avoid the spread of infection (e.g., placing hand washing devices at all of the public entrances of the health care facility). Support your response with a minimum of two peer-reviewed references (2 paragraphs)
Discussion Question:
Using the Tool Kit in the learning materials, describe from the set of criteria you will use to guide and determine the prioritization process upon community health assessment analysis.
Your initial posting should be 400 words in length and utilize at least one scholarly source other than the textbook.
Discussion Question:
Using the Tool Kit in the learning materials, describe from the set of criteria you will use to guide and determine the prioritization process upon community health assessment analysis.
Your initial posting should be 400 words in length and utilize at least one scholarly source other than the textbook.
Hi,
need 2-3 paragraph. choose from option A or B and please address all asked questions:
Answer with an initial post to one of the questions sets below. Make sure you note in your post if you are responding to Option A or Option B. You must respond to classmate’s postings in both Option A and Option B.
Option A: Clinical Decision Support Systems
Clinical decision support systems (CDSS) are used to help guide clinical decisions for care. At the high end, CDSS’s can facilitate diagnosis of conditions. Most of us see a CDSS in terms of ‘hard stops’ in the charting where until certain things are documented you cannot proceed in the charting.
Option B: Data Mining
Data mining is used to find relationships between variables that one might not have considered previously. For example, you run a data search to compare the incidence of nosocomial infections rates on a particular unit against those that had surgery a minimum of one day prior. This might show a correlation between infection rates of a particular group (say, appendectomies) with a specific OR (or surgeon, or team, etc.). Perhaps the nosocomial infection rates of appendectomies was 24% when they used operating room 3. The data tells you to examine that OR, look for reasons why the incidence of infections was higher in that room. Data mining looks retrospectively at the correlation between two variables that might not have been identified otherwise.
In your responses to two other students’ posts, discuss the impact data mining or CDSS might have on clinical practice or share another response that you may have about a student’s posting.
Your responses should consist of complete sentences and should be at least 1 paragraph but no more than 3 paragraphs.
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