Write a brief Introduction why you chose these decisions .
Decision 1
The PMHNP will administer 10 mg of zyprexa orally at bed time and initiate 230mg of invega sustenna through intramuscular, in addition to 156 mg via the same route on day four. A similar dose will be administered within one months’ time. In addition the PMHNP will administer 10mg of Abfility orally at bed time. Expected outcome for this decision is a 25% decrease in the PANSS score (Stahl, 2013). This decision is also expected to alleviate the patient’s psychotic symptoms and achieve normalcy within one month. A slight weight gain is also expected as the drugs are known to increase weight in patients. Because I don’t select the other decisions, the patient is expected to have faster and noticeable changes in psychotic behavior within two weeks of treatment commencement.
Decision 2
At this point the PMHNP will decide to continue with use of medications selected in decision 1 (Stahl, 2013). However the PMHNP will instruct the administering nurse to begin intramuscular injections of 300mg of Abfility and continue with 10 mg of the same drug in the morning. At this point, PANSS is expected to decrease by 50 % although the patient will also have noticeable weight gain due to use of invega sustenna (Stahl 2014). Because I don’t select other decisions, the patient is expected to have less cardiovascular drug toxicities and experience reduced risks for adverse drug reactions between Invega sustenna and Haldol Deaconoate.
Decision 3
The decision at this point is to have the patient continue with Invega Sustenna and provide psychological counseling on the effects of the drugs associated with weight gain. It will be essential to explain to the patient that the weight gain from this drug is minimal in comparison with other drugs (Stahl, 2013). The PMHNP will set an appointment follow up date with the patient after one month duration and refer to the nutritionist and physical activity instructor. The difference between expected outcome in decision 3 and results of the decision is Abfility may not be efficacious for more than a period of 6 months given that it does not bind to D 2 receptors in a similar manner as Invega Sustenna. This will necessitate the PMHNP to change to Abfility Maintena because it is easily tolerated by patients on Abfility.
Because I don’t select the other decisions, the patent will be able to utilize the same drug for the longest possible duration and optimize on their efficacy prior to switching to other types of medication (Stahl, 2013). Since the patient may not have the mental capacity to participate in the decision making process or make autonomous mental health decisions, it is essential to discuss treatment options with the spouse and explain the importance of adherence to treatment (Stein & Giordano, 2015). In addition, the mental health nurse is required to make those decisions which will benefit the patient and also outweigh the risk for adverse health outcomes.
References
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Assignm P
/in Uncategorized /by developerApplication: Part 1 – Developing a Health Advocacy Campaign
To complete:
For the Part 1 application (approximately 3–4 pages of content with a title page and references in APA format) address the following:
Describe your selected population health issue and the population affected by this issue.
Summarize the two advocacy campaigns you researched in this area.
Explain the attributes that made those campaigns effective.
Begin to develop a plan for a health advocacy campaign that seeks to create a new policy or change an existing policy with regard to the issue and population you selected.
Be sure to include in your plan:
A description of the public health issue and proposed policy solution
Specific objectives for the policy you want to be implemented
Begin to substantiate of your proposed campaign by data and evidence.
Be sure to paste the rubric at the end of your paper
Include references
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Assignmen6 19474245
/in Uncategorized /by developerWrite a brief Introduction why you chose these decisions .
Decision 1
The PMHNP will administer 10 mg of zyprexa orally at bed time and initiate 230mg of invega sustenna through intramuscular, in addition to 156 mg via the same route on day four. A similar dose will be administered within one months’ time. In addition the PMHNP will administer 10mg of Abfility orally at bed time. Expected outcome for this decision is a 25% decrease in the PANSS score (Stahl, 2013). This decision is also expected to alleviate the patient’s psychotic symptoms and achieve normalcy within one month. A slight weight gain is also expected as the drugs are known to increase weight in patients. Because I don’t select the other decisions, the patient is expected to have faster and noticeable changes in psychotic behavior within two weeks of treatment commencement.
Decision 2
At this point the PMHNP will decide to continue with use of medications selected in decision 1 (Stahl, 2013). However the PMHNP will instruct the administering nurse to begin intramuscular injections of 300mg of Abfility and continue with 10 mg of the same drug in the morning. At this point, PANSS is expected to decrease by 50 % although the patient will also have noticeable weight gain due to use of invega sustenna (Stahl 2014). Because I don’t select other decisions, the patient is expected to have less cardiovascular drug toxicities and experience reduced risks for adverse drug reactions between Invega sustenna and Haldol Deaconoate.
Decision 3
The decision at this point is to have the patient continue with Invega Sustenna and provide psychological counseling on the effects of the drugs associated with weight gain. It will be essential to explain to the patient that the weight gain from this drug is minimal in comparison with other drugs (Stahl, 2013). The PMHNP will set an appointment follow up date with the patient after one month duration and refer to the nutritionist and physical activity instructor. The difference between expected outcome in decision 3 and results of the decision is Abfility may not be efficacious for more than a period of 6 months given that it does not bind to D 2 receptors in a similar manner as Invega Sustenna. This will necessitate the PMHNP to change to Abfility Maintena because it is easily tolerated by patients on Abfility.
Because I don’t select the other decisions, the patent will be able to utilize the same drug for the longest possible duration and optimize on their efficacy prior to switching to other types of medication (Stahl, 2013). Since the patient may not have the mental capacity to participate in the decision making process or make autonomous mental health decisions, it is essential to discuss treatment options with the spouse and explain the importance of adherence to treatment (Stein & Giordano, 2015). In addition, the mental health nurse is required to make those decisions which will benefit the patient and also outweigh the risk for adverse health outcomes.
References
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Assignment 1 18916895
/in Uncategorized /by developer(Individual)
“Finding Balance”
Week 1
100 points
Introduce yourself to your classmates and to me. Write using first person, such as—Hello class, my name is ME, and I want to tell you a little bit about myself and why I am interested in healthcare administration…
Within the context of your intro, share your perspective on the importance of “finding balance” between the roles of healthcare delivery providers, such as nurses and assorted clinicians in a hospital environment next to the business/financial component that drives variables such as costs, length of stay, discharge protocols, admit/surgical denials, and any others. Further consider that there is (or should be) a synergy among/between patient care providers and bean counters, yet it requires money to keep the beds open and salaries paid—just as it takes the care provided by trained professionals on the units. How effective is writing “policy” on matters such as these?
This first assignment should be at least two pages in length, double spaced, 12 points font, and the title page is not part of the page count. If you cite, be sure to include your sources within the essay, and at the end in a separate Reference List. However, because this assignment is more of an opportunity to opine, sources are not mandatory.
Evaluation Criteria
You will be evaluated on your ability to complete the following tasks according to points designated:
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Assignment 1 19138733
/in Uncategorized /by developerQuantitative Annotated Bibliography
In this week’s discussion question you were asked to consider a potential problem (appropriate to your role option) that you would like to investigate through nursing research. For this assignment you will review current research from South’s Online Library and provide a critical evaluation on that research through an annotated bibliography. An annotated bibliography is a brief summary and analysis of the journal article reviewed. For more information on annotated bibliographies please visit Purdue’s OWL: Purdue Online Writing Lab
A total of two annotated bibliographies are to be submitted (not to exceed one page each). The articles must come from nursing scholarly literature and may not be older than 5 years since publication. Please note that the articles must be research based and reflect a quantitative methodology (review our reading assignments). Web pages, magazines, textbooks, and other books are not acceptable.
Each annotation must address the following critical elements:
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Assignment 1 19149953
/in Uncategorized /by developerInstructions: Please use citation within the paper.
Before beginning work on this assignment, please review the expanded grading rubric for specific instructions relating to content and formatting.
Continuing with the case: Community Blood Center of the Carolinas: Donations, Donations, Donations, Complete a full case analysis incorporating your work from your SWOT analysis this week. Use the following format to complete this assignment.
An introduction
Definition of the problem.
Identification of the stakeholders.
Identification of alternative solutions.
Evaluation of alternative solutions.
Solution chosen and how to implement it with the stakeholders.
Conclusion and reflection of this process.
As in all assignments, cite your sources in your work and provide references for the citations in APA format.
Submission Details:
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Assignment 1 19150543
/in Uncategorized /by developeras agreed
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Assignment 1 19219135
/in Uncategorized /by developerAACN Essentials Paper
PLEASE USE APA STYLE, ATTACHED ARE A SAMPLE PAPER, AND RUBRICS, THIS PAPER WILL GO THRU TURNING, PLEASE NO MORE THAN 15% OF SIMILARITY. ANY QUESTION FEEL FREE TO ASK
QUESTION
The purpose of this assignment is to provide a concise description and appraisal of the American Association of Colleges of Nursing (AACN) Essentials of Master’s Education in Nursing. Following APA guideline , provide a brief explanation on each of the essentials reflecting on each essential affects the clinical practice and the author’s interpretation on each essential. Make sure to include a (Title page, abstract, introduction, body, conclusion, and reference page). Please submit it via Turnitin .
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Assignment 1 19245563
/in Uncategorized /by developerSingle Source Essay
Generating ideas is about observation and discussion. Think about what you do, see, or hear in social settings. Generate ideas on one of the two topics listed below for your Prewriting sheet, which is merely a tool to help you organize, not to turn in. I will get you started.
1. What contributes to the ease of disseminating and accepting fake news?
sensationalism–15 minutes of fame
no publishing standards
absence of other sources of information
2. What’s wrong with the idea of princesses?
makes women dependent
–on men
–on problem solver, i.e. fairy godmother
ubiquitous merchandising
If you need to “borrow” an idea from me or from a classmate, feel free.
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Assignment 1 19388085
/in Uncategorized /by developerRequirements:
– 2-3 page (that means a minimum of 2 full pages and no longer than 3 full pages) paper (in APA format with no direct quotes- all writing must be in your own words) with the following:
1. Topic: Anxiety
2. Attached will be ONE peer-reviewed article in EACH of the above three article types about your topic (so three articles total- One study article, one literature review article, one meta analysis article).
3. For each article, describe the following:
– Purpose of the article
– Format of the article (i.e. length, subheadings, etc.)
– What did you learn about your topic from this kind of article?
4. Finally, address the following:
– Which article seems the most informative about your topic overall?
– Which article was easiest to read? Which was the most difficult?
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Assignment 1 19405313
/in Uncategorized /by developerPART ONE: DUE THURSDAY (APA FORMAT)
Discussion Question:Answer the following questions
Your initial posting should be at least 400 words in length and utilize at least one scholarly source other than the textbook
PART TWO- DUE SUNDAY NIGHT
Three-part APA Paper….Part 1: Reflect on how those experiences from the Discussion Post impact your nursing practice now?Part 2: Discuss what ageing biases you have witnessed &/or perpetrated.Part 3: Create a community education plan to address ageing bias.The assignment should be written in an APA-formatted essay. The essay should be at least 1500 words in length and include at least two scholarly sources other than provided materials.
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