Then, aggregately analyze and explain the articles for the way in which internal and external factors cause change in workplace behavior. This section should comprise 2 paragraphs using multiple course readings and research to support how different work environments such as teams, virtual work environments, and people influence the workplace and/or how the structure and workplace culture can influence management practices.
Please complete this assignment, orientation is attached.
let me know if you can handle it
Assignment, you will review and apply your understanding of psychopharmacologic treatments for patients with multiple mental health disorders.
1. In 3 or 4 sentences, explain the appropriate drug therapy for a patient who presents with MDD and a history of alcohol abuse ( use an SSRI Sertraline and an alcohol cessation medication naltrexone). Which drugs are contraindicated, if any, and why? Be specific. What is the timeframe that the patient should see resolution of symptoms?
2. List 4 predictors of late onset generalized anxiety disorder.
3. List 4 potential neurobiology causes of psychotic major depression.
4. An episode of major depression is defined as a period of time lasting at least 2 weeks. List at least 5 symptoms required for the episode to occur. Be specific.
5. List 3 classes of drugs, with a corresponding example for each class, that precipitate insomnia. Be specific.
References x 3 to include:
Morgenthaler, T. I., Kapur, V. K., Brown, T. M., Swick, T. J., Alessi, C., Aurora, R. N., Boehlecke, B., Chesson, A. L., Friedman, L., Maganti, R., Owens, J., Pancer, J., & Zak, R. (2007). Practice parameters for the treatment of narcolepsy and other hypersomnias of central origin.
SLEEPLinks to an external site.
, 30(12), 1705–1711. https://j2vjt3dnbra3ps7ll1clb4q2-wpengine.netdna-ssl.com/wp-content/uploads/2017/07/PP_Narcolepsy.pdf
Sateia, M. J., Buysse, D. J., Krystal, A. D., Neubauer, D. N., & Heald, J. L. (2017). Clinical practice guideline for the pharmacologic treatment of chronic insomnia in adults: An American Academy of Sleep Medicine clinical practice guideline.
Journal of Clinical Sleep MedicineLinks to an external site.
, 13(2), 307–349. https://jcsm.aasm.org/doi/pdf/10.5664/jcsm.6470
In this assignment, students will be asked to share information about their EBP Project (from Module Four) with their peers in the online setting. Students will create a visual aid that describes their evidence based practice project (EBPP) and post it to their group discussion board in Module Five. Students will create a brief written introduction about their EBPP to post with their visual aid. Examples of visual aids may include but are not limited to: powerpoint, brochure, handout, etc.
Discussion: PICOT Question
Over the course of the next eight weeks, we will be examining concepts related to nursing research and the translation of evidence to practice. To help you better understand the process, you will be identifying a practice issue for nurse practitioners.
You will develop a PICOT question associated with the issue, find evidence to support a change in practice, and present your recommendations for change to your peers. This week, we will work on helping you refine your area of interest so that you will be able to develop a concise question for next week’s assignment. You are encouraged to use the area of interest you chose for the project in NR500NP and/or NR501NP; however, you may choose a different area if you wish.
Select an issue in nurse practitioner (NP) practice that is of interest to you and in which you would like to see a practice change occur. Conduct a review of literature to see what is currently known about the topic. In 1-2 paragraphs, describe the scope and relevance of the issue and your recommended change. Provide reference support from at least two outside scholarly sources to support your ideas.
Please pick something you can do as a NP in your practice that is patient focused. Your intervention needs to relate to a measurable patient health outcome. Please avoid anything that would require a policy or law change, such as full-practice authority. Burnout and satisfaction surveys also are not appropriate topics as they are not patient centered.
Review this 4-minute video to gain a better understanding of the requirements of a PICOT question. The PICOT question is not a research question, but a quality improvement issue that requires a practice change.
Hello, my name is Dr. Lynch. Hey, I'm an assistant professor a Chamberlain University College of Nursing. Today we're gonna talk about pico questions and best practices in formulating these questions. There are five parts to a pico question. Patient intervention, comparison, outcome in time. The slides subsequently we will discuss each part of this question. The first ingredient for cooking up a pico question is population. Pick a broad topic, drill down, focus down so that then your population is very specific. Type two diabetic female patients age 30 to 40 who consume over 400 g of carbohydrates per day. A bunch more specific population then patients with diabetes intervention. What intervention do you think will make a difference? Is that supported by the scholarly literature? What is being done in clinical practice today? Are there better alternatives? You must use an intervention based on scholarly literature? Remember the definition of scholarly literature is a US based peer reviewed journal article geared for clinicians published in the past five years, or the latest clinical practice guideline. Comparison. So what is the standard of care currently? Patients without the intervention, patients without a condition, patients without risk factor. This part defines another population who will be used as a comparison against the group receiving the intervention. What is your desired outcome? The outcome should relate directly to the intervention and outcomes should be measurable. Time. This is a specific timeframe to demonstrate the outcome. In quality improvement efforts, the timeframe has to be realistic and manageable. Not over years, may not be even over months, but it could be. But it is usually a short timeframe to make an improvement effort. Many students ask what the differences between pico research and quality improvement questions. This chart will help you understand the difference. The pico question used here is in postoperative kidney transplant adults aged 65 to 75, how does a health coach compared with no health coaching affect hospital readmission rates within 90 days of discharge? This is a perfect pico question compared to the research question or QI question that also could be asked about this matter. Here's an example. In real life, you're a nurse practitioner working in a skilled nursing facility, the rate of false as unacceptable. And your care team has come together to discuss what should be done about this. Your pico question is, in elderly patients between age 65.75 residing in a sniff, how do fall prevention programs with risk assessment compared to fall prevention programs without risk assessment effect fall rates within 90 days after the intervention. So you can see how this question will guide how you view the literature on this topic. You will be looking for fall prevention with risk assessment in the scholarly literature to see what has worked in other places. What are the crucial ingredients in an outpatient fall prevention program? The literature holds the key, holds the answer to these questions. If you need further assistance, please contact your instructor directly. You can also contact the librarians at the Chamberlain library who can be accessed through many means, email, chat on real time. This material comes from Malbec and find out overhauled book evidence-based practice in nursing and health care, a guide to best practice, which is a great addition to your library.
#3 Surgeon Uses Ministry in Medical Practice
(Health care and religion)
DALLAS–At 83, Carl Smith faced quadruple bypass surgery and the
real possibility that he might not survive.
Within hours on this spring morning, Dr. Daniel Pool would
temporarily bring Smith’s heart to a stop in an attempt to circumvent
its blocked passages.
And to help his patient confront the uncertainty, Pool did something
unusual in his profession: He prayed with him.
The power of healing: Medicine and religion have had their day, and
they haven’t always been able to coexist. But as today’s medical
treatment becomes more holistic, doctors are increasingly taking
spirituality into account.
Source: Ramirez, M. (2013). Altoona Mirror, August 9, 2013.
Many organizations provide educational materials about osteoporosis, physical activity, and other topics pertinent to health promotion for musculoskeletal wellness. Some materials are available in Spanish and other languages, and many of these materials are free.
From the list below select on organization and an intervention that you could implement in your current place of work to promote health development of your patient/client population. State reasons why and the EBP behind your selection.
America on the Move Foundation
https://aom3.americaonthemove.org
American Cancer Society
American Heart Association
Arthritis Foundation
National Institute of Arthritis and Musculoskeletal and Skin Diseases
National Cancer Institute
National Osteoporosis Foundation
Please note the grading rubric for the discussion board.
As a reminder, all discussion posts must be a minimum of 250 words, references must be cited in APA format 7th Edition and must include a minimum of 2 scholarly resources published within the past 5 years.
Introduction and quality of discussion’s Argument
60% of total result
Objectivity of Tone, overall quality & Review of Literature in APA 6th format within past 7 years
10% of total result
Grammar / Writing Skills
7% of total result
Discuss what is happening on a cellular level with the disease process. Be careful to realize that patients have co-morbidities and you may need to discuss the other diseases impact on the pathophysiology and care of the patient. Three (3) resources after 2008 are required along with APA format.
Jane and Jackie, 30 year old twin sisters, adopted when they were two years old, lived mirrored lives to this point. They do everything together, from having a double wedding, living next door to each other, and making any appointments, medical or social together.
Today they made an appointment with their OB/GYN. Information was as follows:
Jane Information: Jackie’s Information:
BP 115/70 BP 165/96
HR 70 HR 96
Resp. 20 Resp, 22
Temp 98.6 Temp 99.2
N/A Normal U/A + Hematuria
+ Proteinuria
Weight No gain Weight +15 pounds
C/O Intermittent Headache C/O Has lower back and stomach
at times relieved with pain at times and is relieved also
Tylenol by Tylenol.
Other: This individual is noted to have
some loss of muscle mass in her
arms and legs and less subcutaneous
tissue overall.
1. At this point, what do your think is the problem with Jackie? Why is this problem co common in women? What test would you request to confirm your diagnosis?
The physician uses the ultrasound to assess Jackie’s back and abdomen. He finds that her kidneys are about 4 times larger than normal and appear to have numerous fluid filled cysts noted. At this point he asks BOTH sisters to see a nephrologist and to be scheduled for MRI’s of the kidneys. The MRI showed that Jackie’s kidneys were indeed larger and filled with cysts. Jane’s kidneys were somewhat larger than normal, and no cysts were present at this time.
2. What problem do you anticipate that Jackie has now? How was it acquired?
3. Why did Jackie gain so much weight over the last year?
4. Why does Jackie have high blood pressure and the UTI?
5. Why were both sisters requested to have this test.
The sisters went to see the nephrologists who requested that they have MRI’s of the brain and an echocardiogram. Jane’s MRI and echocardiogram were normal. Jackie’s brain MRI and echocardiogram were not. Jackie had a cerebral angiogram that followed which confirmed complications of her disease process, an Intracranial aneurysm and Mitral regurgitation. Jackie undergoes a procedure called Coil Embolization Therapy to resolve the aneurysm.
6. What is an Intracranial aneurysm? How does Coil Embolization Therapy resolve the problem.? Please be specific of the procedure.
7. What is Mitral Valve Prolapse and how will it affect Jackie’s health care needs before procedures in the future?
8. What education is needed to be shared with these sisters related to their children having this condition in the future?
Neafsey. P. (2010).Sisters for life:
Case Mysteries in Pathophysiology. Englewood:
Morton Publishing Company
gmt/2015
