Journal Entry
See attachments for instructions
SHORT ANSWER
Address the following Short Answer prompts for your Assignment. Be sure to include references to the Learning Resources for this week.
- In 3 or 4 sentences, explain the appropriate drug therapy for a patient who presents with MDD and a history of alcohol abuse. Which drugs are contraindicated, if any, and why? Be specific. What is the timeframe that the patient should see resolution of symptoms?
- List 4 predictors of late onset generalized anxiety disorder.
- List 4 potential neurobiology causes of psychotic major depression.
- 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.
- List 3 classes of drugs, with a corresponding example for each class, that precipitate insomnia. Be specific.
key populations and ethical considerations
Week 3 Key Populations and Ethical Considerations
· Points 50
This week, compose the key population and ethical considerations portion of your research. In this section, address the following:
1. Describe the key populations in your study, both the participants and the researchers.
2. Describe any ethical considerations in relation to recruitment of the participants and your plans to address them.
3. Explain any ethical concerns related to data collection/intervention activities (these can include participants refusing participation or early withdrawal from the study and response to any predicable adverse events) and your plan to address them.
4. Describe the treatment of data, who has access to the research data and the protection of confidential material.
5. Explain any conflicts of interest that may arise if your study were to be implemented.
This section of your research should be 3–4 pages in length, written in APA format with cited references.
Review the rubric for grading criteria.
Points Possible: 50
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Case study respiratory
see attached
Conc of Pathophys week 3 discussion
Week 3 Discussion: Myocardial Infarction (MI) (USLOs 1, 2, 3, 4)
You are the nurse caring for a 48-year Leslie Collins, retired army officer for the United States military, He arrives to the emergency department after experiencing chest pain and shortness of breath. His EKG indicated he had a myocardial infarction (MI). He has a history of hypertension and high cholesterol. He states he used to smoke about 15 years ago, he has no other reported risk factors.
Based on this information, your prior knowledge of this client (refer to medical card from the Collins-Kim family tree interactive), and your knowledge of the pathophysiology of myocardial infarction (MI), respond to the following prompts:
1.
1. Thoroughly explain the pathophysiology of myocardial infarction (MI). Use a
scholarly or
authoritative source to support your answer.
2. Examine each of the following three factors related to this disease process.
Support all three with a scholarly source.
cultural
financial
environmental implications
3. Identify 3-5 priority nursing interventions for the client while in the
emergency department.
4. Describe labs and diagnostic testing you would want to include in client’s plan of care and why. What are critical indicators?
Support with a scholarly source.
5. What members of the interdisciplinary team need to be included for holistic patient-centered care?
Provide a rationale and support with a scholarly source.
Cancer Symptoms and their Management
Cancer treatment is very aggressive in nature. The treatment can lead to symptoms that range from uncomfortable to life-threatening. Complete the Cancer Symptoms Management Table
NUR2870_Module 01_Cancer Symptoms Management Table_v2.docx
Do not forget to include complementary alternative therapy that may help in symptom management.
Weekly Articles & Possible Future Improvements
Think about the articles you have been reading each week.
Were there any recommendations for practice that you thought could be implemented in your clinical practice tomorrow? Next week? Next year? Provide rationale to support your response.
WEEK 7 MSN 5550
Discuss the safety and effectiveness of alternative and complementary medicine for the treatment of specific
illnesses such as cancer, diabetes, and hypertension. Share your opinions about holistic and allopathic care.
Would have any conflicts or concerns supporting a patient who chooses holistic or allopathic medicine?
Word limit 500 words.
Please make sure to provide citations and references (in APA, 7th ed. format)
D. Saa Critical Care Wk 6 Disc
MY NUMBER ASSIGNED WAS 9 WHICH IS: Pelvic fractures – types, s/s, and treatment
Each student will be assigned a number randomly. Whatever your number is, select the corresponding topic below, then post a minimum of 5 bullet points about the topic.
Your bullet points should address key components of the topic, such as what, how, who, & why. This information should not be basic things you learned in Med/Surg, but rather advanced critical care based.
Think about this as a group effort to create a study guide. Use ONLY your textbook, but do not cut & paste from the book.
Then create, find, or borrow a test style question about your topic & post at the bottom of your bullet points. The format needs to be multiple choice or select all that apply. Think NCLEX style.
PART 2:
Take a few minutes and ask 2 people about their personal coping mechanisms for dealing with the stress of working in healthcare during this unique time of Covid. Stress can be physical, emotional, spiritual, or any combination of triggers. Ask a diverse variety of people, don’t forget those in other departs at different points of hierarchy. For example, ask your unit manager, environmental services, volunteers, patients, fellow nurses, etc. Write 2-3 paragraphs on your findings and impressions while respecting the person’s identity.
aswpost1
Respond to what he wrote, be argumentative with the answers, and polite. References, and at least 2 paragraphs.
This discussion investigates the steps, requirements, and instructions related to the certification and licensure process of a Psychiatric-Mental Health Nurse Practitioner in Florida. It will also cover aspects of obtaining a DEA license, prescriptive authority, restrictions on controlled substance prescriptive authority, and the Prescription Drug Monitoring Program – E-FORCSE, a collaborative agreement between doctors and nurses specific to Florida.
The Nurse Practice Act of the Florida State Board of Nursing outlines specific requirements to obtain certification and licensure. One requirement is obtaining a Master's Degree or post-master's degree certification recognized by the Florida Board of Nursing with a graduation date before the application submission. Maintaining an active Florida Registered Nurse license for practice within the state is mandatory. Certification application with the Florida Board of Registered Nursing involves applying via the https://floridasnursing.gov website with supporting documents, such as transcripts, evidence of clinical practice hours, completing a background check, which costs $110, and proof of malpractice insurance (Florida Board of Nursing, n.d.). APRNs can only sit for an examination if a third-party certifying organization has comprehensively checked their academic background and established educational standards. After passing the certification exam, the next step is to submit a license application on the licensing board's website. The Florida Board of Nursing evaluates and verifies the form and certification and sends a confirmation letter after approval (Florida Board of Nursing, n.d.).
The Florida Board of Nursing outlines the scope and limitations of psychiatric nursing practice, prescriptive authority, supervision requirements, and inpatient psychiatric services (Benson, 2021). In Florida, psychiatric mental health nurse practitioners can prescribe psychiatric medications to patients independently as long as they fall within their scope of practice. PMHNPs can prescribe controlled substances II-IV, but only under the supervision of a licensed psychiatrist (Kellams & Maye, 2017, p. 136). Florida law mandates PMHNPs to collaborate with a supervising physician for patient diagnosis and treatment. They cannot serve as treating physicians for patients admitted to inpatient psychiatric facilities but can provide consultations and follow-up care post-discharge. A typical collaboration between physicians and PMHNPs in Florida involves comprehensive treatment plans discussing diagnostic assessments, symptom management strategies, and medication management for complex cases (Stone-Gale, 2023). Florida PMHNPs must stay up-to-date with legislative changes to provide safe and appropriate patient care within their scope of practice.
Since October 2020, the Board of Nursing has initiated registration for autonomous APRN practice applications. To be eligible, individuals had to have acquired at least 3000 hours of practice under physician protocol within the last five years, completed three graduate semester hours, possess an unencumbered license, and have a clean record within the past five years (Benson, 2021). Advanced nursing practice is conducted under Florida Statute §464.0123 (3), allowing the nurse to operate independently without physician supervision or supervisory protocol. Unfortunately, it was approved for APRNs practicing in Family Medicine, General Pediatrics, General Internal Medicine, and Certified Nurse Midwives (Stone-Gale, 2023).
A PMHNP in Florida is authorized to prescribe controlled substances under particular schedules. They can prescribe Schedule II controlled substances, drugs with a high potential for abuse and severe dependency, such as stimulants for ADHD, and some opioids for chronic pain management. Schedule III controlled substances with a moderate to low potential for abuse and dependency, such as testosterone, ketamine, and limited combinations of opioids and non-opioid analgesics. Schedule IV controlled substances have a lower potential for abuse and dependency than II, and III and include some medications for anxiety, sleep disorders, and muscle relaxants. To apply for a DEA license, a nurse must have an active Florida license and pay the registration fee of 731$ for three years (Reynolds et al., 2021).
The E-FORCSE system is a prescription monitoring program that allows Florida healthcare professionals and pharmacists to submit and access information related to controlled substance prescriptions. It provides a database for healthcare professionals to review a patient's controlled substance prescription history, countering abuse and diversion. The system enables healthcare professionals to safeguard patients, manage their care more efficiently, and target those who might need assistance for substance misuse (Perez et al., 2017). State and federal regulations govern access to E-FORCSE to protect patient privacy and confidentiality and only authorized healthcare professionals and pharmacists are granted access to the system. It is crucial to have the appropriate credentials and gain practical experience while working under the supervision of a physician. Current Florida regulations require practitioners to comply with predetermined criteria in their field of competence. Because of this, APRNs often have a limited scope of practice, which gets in the way of their efforts to improve patient care.
In the context of the current Florida regulations, attaining the required credentials and gaining practical experience while working under physician supervision is imperative. These regulations often lead to APRNs encountering limitations within their scope of practice, hindering their efforts to enhance patient care. In this dynamic healthcare landscape, it remains utmost for Florida's Advanced Practice Registered Nurses (APRNs) to enthusiastically embrace the concept of prescriptive autonomy. Recognizing their pivotal role in patient care, APRNs can proactively lead the movement toward legislative changes aimed at achieving full practice authority. By skillfully navigating healthcare policies, they can ensure that their contributions are optimized to improve the well-being of the communities they serve (Unruh et al., 2018).
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