Responses

/in /by

 In response to your peers, offer any advice and feedback to address your peers’ progress and concerns. 

capstone final

/in /by

Clinical Journal 6

/in /by

As a BSN prepared nurse, you will be an advocate for the community, please reflect on your answers for the following questions.

1. How do we get the public to engage more in their health maintenance or preventive services?

2. What community resources I found are most accessible for the community of Miami-Dade County to seek preventive care?

APA Format 7th edition

3-1 Discussion: Peer Support Activity—Final Project Resource Allocation

/in /by

Begin your initial post with a one-sentence summary of your proposal topic. Then, give a brief explanation of the resources required in implementation of your program, such as qualified staff, information management systems, other technology and equipment, and financial resources. Also explain your plan for accessing and assigning available resources in the most economical way to achieve your program’s future goals. Give an update on your progress and any concerns you have encountered as you draft this section of your program proposal. This discussion will help you complete Milestone Three, which is due in Module Four.
 

Lesson 15 and 17

/in /by

The student nurses are preparing a presentation for the
community health rotation. It is critical for nurses and
student nurses to understanding the concept of the
community as client is a prerequisite for effective
service at every level of community nursing practice. A
major component of the presentation is to describe
a community needs assessment.
1. What are the characteristics of a healthy
community?
2. What is meant by the concept of community as
client?
3. What are the three dimensions of the community
as client?

  1. Answers must:
    • Be 100 words or more
    • Use the standard English grammar and spelling
    • References are cited (if necessary)

paragraph

/in /by

 

Review the PP presentation, in 300 words describe your leadership style or choose a
real-world leader from any field or industry that you find interesting or admire. Explain,
why you choose this leader and what characteristics make him/her a great leader.
Include 2- 3 references.

nursing

/in /by

SOAP note about Premature Adrenarche

/in /by

Discuss a pediatric patient, black female, 5 years old that comes to the office with her mom who is concerning about her daughter having pubic hair and body odor. 

455Intervention Presentation on Diabetes Part 2

/in /by

This is a Collaborative Learning Community (CLC) assignment.

Collaborate with your group from Topic 2 to develop a presentation using your instructor-approved article on a specific intervention or new treatment tool for the management of diabetes in the aging/elderly population or children. The article must be published within the last 5 years and relevant to nursing practice.

Create a 12-15-slide PowerPoint presentation (not including the title and references slides) on the study’s findings and how they can be used by nurses as an intervention. Include speaker notes for each slide and additional slides for the title page and references.

Include the following:

  1. Describe, using the PICO(T) question format, the specific population and intervention or treatment tool used in the article.
  2. Summarize the PICO(T) outcome evaluated by your selected article. The research presented must include pathophysiological findings that are current, thorough, and relevant to nursing practice.
  3. Provide a description of how the treatment tool or intervention can be integrated into nursing practice. Provide evidence to support your discussion. Reflect how the treatment tool or intervention will affect nursing practice and the disease process.
  4. Explain why psychological, cultural, and spiritual aspects are important to consider for the patient population which your article reviews. Describe how support can be offered in these respective areas as part of a plan of care for the patient. Provide examples.
  5. You are required to cite a minimum of three sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and relevant to nursing practice.

Refer to the resource, “Creating Effective PowerPoint Presentations,” located in the Student Success Center, for additional guidance on completing this assignment in the appropriate style.

While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting 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. 

You are required to submit this assignment to LopesWrite. A link to the LopesWrite technical support articles is located in Class Resources if you need assistance.

Create a Reply for a discussion using APA 7 format, and scholarly references no older than 5 years.

/in /by

Please ensure that the Reply includes more than 200 words with scholarly articles, and the plagiarism level must remain below 20%.

Antipsychotics: Common Adverse Effects and Safety Implications in the Clinical Setting

Antipsychotic drugs, especially first-generation or typical antipsychotics, have been relevant to the treatment of psychiatric disorders including schizophrenia for many years. Though effective at alleviating positive symptoms — like hallucinations and delusions — their use is often marred by a wide variety of adverse effects. Being aware of these effects is essential to advanced practice providers who are providing safe, patient-centered care. The primary mechanism of action of typical antipsychotics is dopamine D2 receptor antagonism, which accounts for both the therapeutic and adverse effects of the medications (Rosenthal & Burchum, 2021).
Extrapyramidal symptoms (EPS) are among the most common and well-established adverse effects of typical antipsychotics. They include acute dystonia, parkinsonism, akathisia, and tardive dyskinesia (Rosenthal & Burchum, 2021). Acute dystonia, characterized by sustained involuntary muscle contractions, and parkinsonism, characterized by rigidity and bradykinesia, usually develop in the first few days to weeks of treatment. A side effect of long-term use is tardive dyskinesia, which is usually irreversible, and is marked by abnormal, involuntary muscle movements, primarily of the tongue, face (Muench & Hamer, 2020). Well understood, the risk of EPS necessitates routine monitoring and prompt identification, with agents such as benztropine or diphenhydramine for symptomatic control.
A second problem with typical antipsychotics is neuroleptic malignant syndrome (NMS), a rare, but life-threatening, condition characterized by hyperthermia, muscle rigidity, altered mental status, and autonomic instability. According to Rosenthal and Burchum (2021), whether or not to intervene, and the need for supportive care in the meantime, are vital to preventing serious sequela.

Cardiovascular effects, such as orthostatic hypotension and QT prolongation, are other important risks associated with antipsychotic medications, especially with haloperidol and chlorpromazine (Rosenthal & Burchum, 2021). These effects require baseline and ongoing ECG monitoring in at-risk populations. Moreover, anticholinergic side effects, including dry mouth, constipation, urinary retention, and blurred vision are known to interfere with adherence and quality of life[1, 2].
On top of these risks, individualising treatment is important. Medication selection should be guided by the patient-specific factors (age, comorbidities, and prior response to treatments). Additionally, patient education has a key function in enhancing adherences and surveying early signs of negative consequences. Educating patients regarding the need to report muscle stiffness, abnormal movements, or sudden fever will prevent Journal of Advanced Nursing 5 complications, and help achieve better therapeutic outcomes (Muench & Hamer, 2020; Correll et al., 2021).
To wrap this up, the usual antipsychotics are still an obligatory device in the psychiatric seat, however there should be a trade-off between the utilization of the earlier. Preventive measures through active and continuous vigilance, individualized healthcare provision, and educating the patient to secure the best outcome while ensuring safety should be taken into consideration.

References

Correll, C. U., Solmi, M., Croatto, G., Schneider, L., Rohani-Montez, S. C., Fairley, L., & Kishimoto, T. (2021). Mortality risk associated with antipsychotic drug use in children and young people: A systematic review and meta-analysis of observational studies. JAMA Psychiatry, 78(5), 519–530. https://doi.org/10.1001/jamapsychiatry.2021.0030

Muench, J., & Hamer, A. M. (2020). Adverse effects of antipsychotic medications. American Family Physician, 101(3), 169–177. Retrieved from https://www.aafp.org/pubs/afp/issues/2020/0201/p169.html

Rosenthal, L. D., & Burchum, J. R. (2021). Lehne’s pharmacotherapeutics for advanced practice providers (2nd ed.). Elsevie