Category Archives: Nursing

For this assignment, you will develop a Legislative Matrix based upon the specif

For this assignment, you will develop a Legislative Matrix based upon the specific legislators in a residential/geographical legislative district in your state.
You will identify elected six (6) officials from your legislative districts including: 1) local Councilpersons or County Commissioner, 2) Federal House of Representative, 3) Federal Senator, 4) State House of Representative, 5) State Senator, and 6) the Governor.
You will identify the committees each legislator is a member of, and you will discuss any active legislation bills and/or past legislative initiatives he/she is involved individually.
This information will be used to assist in the development of the Legislative Communication assignment next week.

Hello, Review the group powerpoint presentation and provide/ support the argumen

Hello, Review the group powerpoint presentation and provide/ support the arguments about Riverdale, Bronx, New York. The references need to be regarding Riverdale community or New York. Do not use any reference with another State. It must be professional articles. For example, New York newspaper and Census Reporter about Riverdale community.
3 citations and 80% in your own words of explanation.

Guidelines for Article Critique Paper The purpose of this assignment is to intro

Guidelines for Article Critique Paper
The purpose of this assignment is to introduce the student to the body of literature that focuses on preventing medication errors and promoting patient safety. Students are to select from the article listed below. Students will complete a scholarly paper describing patient safety concepts and applying learning objectives that promote medication governance. The body of the paper should be a minimum of 3 pages, not to exceed 5, and must follow APA format. The completed paper will include, in total; title page, double spaced, 1 inch margins, body, pages numbered, header, citations, reference page.
Objectives: The student should be able to address the following in the body of the paper:
1 Review includes purposes of the article.
2 Clear discussion of the article’s importance to medication safety and error prevention.
3 Clear discussion on the nurse’s accountability to reporting errors and keeping patient’s safe.
4 Article’s implications on nursing’s responsibility to promote patient safety and quality care through medication error prevention.
5 Personal opinion of the article is given.
Criteria for Evaluation of Article Critique:
Clarity in organization; introduction, and summary is present
Correct spelling, grammar, punctuation, and sentence structure
APA style is followed
Reference page is included

NURS 1011 Introduction to Nursing Media Assignment The objective of this assignm

NURS 1011
Introduction to Nursing
Media
Assignment
The
objective of this assignment is for you to get a glimpse into the nursing
profession and consider nursing in a deeper way. You will choose one of the movies/documentaries to
watch, and will write an essay answering specific questions (see rubric below).
The
options you may select from are:
● ‘A NURSE I AM’ (available for
free on youtube: https://youtu.be/I-xsf8oZxAU)
● ‘In Case of Emergency’ (email
instructor for free link to video)
● ‘The American Nurse’ (can
rent for $4.99: https://vimeo.com/ondemand/theamericannurse )
● ‘Defining Hope’ (can rent on
YouTube for $2.99 https://www.youtube.com/watch?v=LlpCbt5pdiU)
● Call the Midwife (television
series, available on PBS)
● Vietnam Nurses documentary
(available for free on youtube: https://youtu.be/ie6UxHw3isw)
The
assignment should be typed, double-spaced, in 12-size font. No cover page is
needed. The entire assignment should not exceed three pages. If you use Pages
or another software other than Microsoft Word, save your file as a PDF before
you upload it.
In
complete sentences and paragraph (essay) format, please include the title of
the media presentation, setting (place and time), and main storyline and answer
the following questions:
Status and Roles (answer both)

What was the status of
nurses in the film (were they respected)?

What roles do the nurses
play in the healthcare setting/system for their patients?
Relationships with Patient and
Families
(answer both)
● How do the nurses establish
rapport with their patients and their patients’ families?
● How do the nurse’s individual
characteristics serve the patient population he or she works with?
Reflection (select three questions to address)
● What is one aspect of the
nursing profession that you learned about or had not considered before watching
the film?
● What particular actions or
interactions between nurses and patients in the film stand out in your mind?
Why?
● What were some comments made
either by the narrator or the nurses themselves that struck a chord with you?
Why?
● What is one quality a
nurse(s) in the film possessed that you plan to emulate in your own nursing
career?
● What ethical or spiritual
issues, if any, did the nurses and physicians face in the film?
NURS 1011
Introduction to Nursing
Media
Assignment–Grading Rubric
Essay
Rubric: 20 points total
Points
Readability/
Organization
(4 Points)
Accuracy
and Relevance of Content (8 points)
Effort
(8 points)
Full Points
Typed, double-spaced, in 12-point font. At least 3 paragraphs with
5-6 sentences in each. (1 ½-2 pages long). Response to discussion points was written as complete
sentences with correct spelling and grammar.
Essay addresses all required questions per the instructions. Answers
are relevant to the particular film’s content and demonstrate a thorough
understanding of the central theme/purpose of the film.
Thorough responses to questions with clear reflection and
thoughtfulness put into the writing.
Half Points
2 or more spelling or grammar mistakes. 3 paragraphs, but response
lacking in structure or organization.
Addresses required questions but without a clear relevance and
understanding of the central theme/purpose of the film.
Responses to questions with some effort put into the writing.
No Points
Response not in complete sentences. Multiple grammar or spelling
mistakes. Less than 3 paragraphs.
Not all questions answered/addressed; answers do not demonstrate an
understanding of the film’s central theme/purpose.
No explanations or lacks any concerted effort in the writing. Looks
as if it was rushed; reflection upon the material is not apparent.

Please respond to this post! Direction Propose an alternative on-label, off-labe

Please respond to this post!
Direction
Propose an alternative on-label, off-label, or nonpharmacological treatment for the disorders. Justify your suggestions with at least two references to the literature.
Bipolar Disorder in Pregnancy
According to Gooding, Wolford, and Gooding (2021) bipolar disorder is described as a serious mental illness that is characterized by depressive and manic episodes. The main treatment interventions include lithium, mood-stabilizing anticonvulsants, antipsychotics, and psychotherapy. Optimum long-term management is a preventive strategy that combines pharmacological, psychological, and lifestyle approaches from the first episode, with lithium being one of the most effective treatments of both manic and depressive episodes (Gilden et al., 2021). Women who discontinued lithium during pregnancy, were two times the risk for relapse compared to women who continued treatment (Poels et al., 2018). Lithium treatment during pregnancy has been associated with cardiovascular malformations, including Ebstein anomaly, a congenital malformation characterized by an abnormal development of the tricuspid valve and the right ventricle, with highly variable prognosis (Poels et al., 2018). The prevalence in the normal population is estimated to be about 1 per 20,000 live births. And based on data from the Register of Lithium Babies, estimated a fivefold increase in the risk of congenital heart-disease and about a 400-fold increase in the risk of Ebstein anomaly (Poels et al., 2018).
FDA-Approved Medication for Bipolar Disorder
Since the first line treatment for bipolar disorder, Lithium, is teratogenic, I would recommend the FDA-approved drug Lamictal (Lamotrigine). Lamictal is a neuroscience-based nomenclator: glutamate, voltage-gated sodium channel blocker, anticonvulsant, mood stabilizer, and voltage sensitive sodium channel antagonist (Stahl et al., 2021). Data suggests that exposure to lamotrigine is associated with an increase in the risk of oral clefts (Kong et al., 2017). However, teratogenicity was lower in association with lamotrigine than other mood stabilizers. And the risk of malformation among infants who were exposed to lamotrigine as monotherapy was even lower (1.9%) than that reported following an observation of the Australian Pregnancy Registry, which confirmed that lamotrigine was one of the safest AEDs for use in pregnancy (Kong et al., 2017). Resulting in Lamotrigine as the safest mood stabilizer for use during pregnancy (Kong et al., 2017). Risks of Lamotrigine use during pregnancy are increased risk of isolated cleft lip and palate during the first trimester, and reduced plasma concentration levels during pregnancy due to increased fluid volume (Stahl et al., 2021). Benefits of Lamotrigine during pregnancy is the decreased teratogenic risk that other anticonvulsants have, and the prevention of mood cycling during pregnancy.
Non-FDA-Approved Medication for Bipolar Disorder
Aside from recommending Lamotrigine, a non-FDA-approved medication is Iloperidone. Iloperidone is a neuroscience-based nomenclature dopamine and serotonin receptor antagonist, atypical antipsychotic (Stahl et al., 2021). This medication is frequently prescribed for schizophrenia; however, off-labeled use for bipolar disorder is common. The risks associated with pregnancy are abnormal muscle movements and withdrawal symptoms in newborns whose mothers took Iloperidone during the third trimester. When studies were conducted in pregnant rats, Iloperidone was not teratogenic at doses up to 26 times the maximum recommended dose (Stahl et al., 2021). Benefits of Iloperidone are that of decreased risk of mood cycling.
Nonpharmacological Intervention for Bipolar Disorder
Cognitive behavioral therapy (CBT) is a type of psychotherapy aimed to treat mood disorders such as depression (2022). A recent study suggests that both offering CBT in group interventions and sequence analysis of time series data are helpful routes to further explore when improving standard CBT interventions for patients suffering from bipolar disorder (Henken et al., 2020). One randomized controlled trial reported that patients who received 12–14 sessions of CBT were less likely to have depressive episodes and had better social functioning than patients in routine care for 30 months (Naik, 2015).
Clinical Practice Guidelines
Clinical practice guidelines are statements that include recommendations intended to optimize patient care. They are informed by a systematic review of evidence, and an assessment of the benefits and harms of alternative care options (Shah et al., 2017). A pregnant patient should have Lamotrigine recommended, as this is the least teratogenic psychopharmacological intervention for mood stability. Studies have shown that Lamotrigine has the lowest risk to fetus and mother during pregnancy.
References
American Psychological Association. (2022). What is cognitive behavioral therapy? American Psychological Association. Retrieved April 24, 2022, from https://www.apa.org/ptsd-guideline/patients-and-families/cognitive-behavioral
Gilden, J., Poels, E. M. P., Lambrichts, S., Vreeker, A., Boks, M. P. M., Ophoff, R. A., Kahn, R. S., Kamperman, A. M., & Bergink, V. (2021). Bipolar episodes after reproductive events in women with bipolar I disorder, a study of 919 pregnancies. Journal of Affective Disorders, 295, 72–79. https://doi.org/10.1016/j.jad.2021.08.006
Gooding, D. C., Wolford, K., & Gooding, D. C. (2021). Bipolar disorder. Salem Press Encyclopedia of Health.
Henken, H. T., Kupka, R. W., Draisma, S., Lobbestael, J., van den Berg, K., Demacker, S. M. A., & Regeer, E. J. (2020). A cognitive behavioural group therapy for Bipolar Disorder Using Daily Mood Monitoring. Behavioural and Cognitive Psychotherapy, 48(5), 515–529. https://doi.org/10.1017/s1352465820000259
Kong, L., Zhou, T., Wang, B., Gao, Z., & Wang, C. (2017). The risks associated with the use of lamotrigine during pregnancy. International Journal of Psychiatry in Clinical Practice, 22(1), 2–5. https://doi.org/10.1080/13651501.2017.1341986
Naik, S. K. (2015). Management of bipolar disorders in women by Nonpharmacological Methods. Indian Journal of Psychiatry, 57(6), 264. https://doi.org/10.4103/0019-5545.161490
Poels, E. M., Bijma, H. H., Galbally, M., & Bergink, V. (2018). Lithium during pregnancy and after delivery: A Review. International Journal of Bipolar Disorders, 6(1). https://doi.org/10.1186/s40345-018-0135-7
Shah, N., Grover, S., & Rao, G. P. (2017). Clinical practice guidelines for management of bipolar disorder. Indian Journal of Psychiatry, 59(5), 51. https://doi.org/10.4103/0019-5545.196974
Stahl, S. M., Grady, M. M., & Muntner, N. (2021). Stahl’s essential psychopharmacology: Prescriber’s Guide (7th ed.). Cambridge University Press.

You are to develop a disaster recovery plan for the Vila Health community that w

You are to develop a disaster recovery plan for the Vila Health community that will lessen health disparities and improve access to services after a disaster. There should be a detailed discussion of the
determinants of health and cultural, social, and economic barriers that impact the Vila Health and how
those determinants impact disaster recovery efforts. Refer back to the Vila Health: Disaster Recovery Scenario to understand the Vila Health community. You should apply the MAP-IT (Mobilize, Assess, Plan, Implement, Track) framework to guide the development of your plan.

Prescribed Drugs with CAMs Mr. X, a 42-year-old male presents to your primary ca

Prescribed Drugs with CAMs
Mr. X, a 42-year-old male presents to your primary care practice today complaining of low back pain.
History – Mr. X states that he has had chronic low back pain since he had a skiing accident about 10 years ago. Three days ago, he felt a pulling sensation in his lower back after moving some boxes. The pain intensity increased over the subsequent 24 hours and is now steady, aching in nature, at 3-4 out of 10. Mr. X also has Type2 diabetes, which is well controlled on metformin with a HGA1c of 5.6. He has a history of DVT 4 months ago for which he takes Coumadin, INR is WNL. He is followed by a specialist for this problem. He recently started taking two OTC products; kava kava for what he describes as “anxiety” and CoEnzyme Q10 on the advice of a friend.
Social – Mr. X is a smoker, 1 pack per week for 15 years. No alcohol or drug use. He is employed as an accountant and has medical insurance. He is divorced.
PE/ROS – Complains of low back stiffness and pain on movement with occasional spasms related to moving in certain directions. You note he has mild difficulty getting onto the exam table but gait is normal. He denies weakness/numbness/tingling of legs, no radiation, no change in bowel or bladder habits. BMI 27. All range of motion of the back is decreased by 25%. Straight leg lift is negative bilaterally, DTR intact. All other systems WNL.
Medications:
Metformin 1000mg ER one tab daily – Type II Diabetes controlled
Coumadin 5 mg. daily – Hx of DVT – Controlled
Kava Kava 50 mg. tid – Self-medication for anxiety
CoQ10 – 200 mg. daily. – Self-medication for unknown reason
Provide a diagnosis for the patient and your rationale for the diagnosis
Provide a treatment plan specifically for this patient, pharmacologic and non-pharmacologic.
Comment on the use of OTC products in relation to Mr. X’s current chronic and acute disease diagnoses and medications. Include drug-drug interactions and side effect profiles.
Provide an education plan for Mr. X
Present this Assignment as a PowerPoint presentation with between 12 and 16 slides (not including opening slide and resource slide).
You will use the Narrative notes section of the presentation to include the majority of your evidentiary support of your treatment choices and education of family complete with in-text citations using APA formatting,

Please respond to this post! Direction Propose an alternative on-label, off-labe

Please respond to this post!
Direction
Propose an alternative on-label, off-label, or nonpharmacological treatment for the disorders. Justify your
suggestions with at least two references to the literature.
Treatment of Depression in Pregnant Women
Recommended Treatments
The Food and Drug Administration (FDA) does not recommend using any psychotropic medications during pregnancy (Ozkan, 2013). However, the FDA rates the safety of psychotropic medications in pregnancy on a scale from A-D and X. A is considered to have no fetal risks in controlled human studies, and X has a proven fetal risk in humans (Sadock, Sadock, and Ruiz, 2015). Selective Serotonin Reuptake Inhibitors (SSRIs) are frequently used to treat depression in pregnant women. Women that do not continue treatment for depression during pregnancy often relapse, have an increased risk of postpartum depression, or have poor prenatal care resulting in premature birth, low birth weight, and other adverse fetal outcomes. Zoloft (Sertraline) is one of the most used medications in pregnant women and it is rated as a class C drug by the FDA. Studies have shown that SSRIs diffuse through the placenta, enter the cord blood, and remain in the fetus following birth. Heinonen et al (2021) performed a study on nine mothers and seven infants to determine the effects of sertraline on the fetus during pregnancy. Sertraline had low placenta passage and mild adverse effects on the fetus. However, the sertraline concentrations vary between individuals (Heinonen et al., 2021). Heinonen et al (2021) believe it is related to the variability of individuals’ P450-enzyme activity, affecting their hepatic metabolization.
Olanzapine (Zyprexa) is a medication approved by the FDA to treat schizophrenia (Sahoo et al., 2022). Zyprexa is sometimes used off-label for treatment-resistant depression (Flint et al., 2019). It is also rated as a class C drug in pregnant women (Sahoo et al., 2022). Sahoo et al (2022), found that the use of Zyprexa in pregnant women showed comparable rates of pregnancy complications as women in the general population.
Interpersonal therapy (IPT) has been proven to be an effective treatment for depression and can be just as effective as pharmacological therapy. IPT poses no risks to the fetus when pregnant (Ingram et al., 2021). IPT is a low intensity talk therapy. Ingram et al. (2021) found that IPT helped pregnant women identify their triggers for depression, explore relationships, support self-awareness, and have a valuable emotional component.
Clinical practice guidelines for adults with depression suggest psychotherapy or a second-generation antidepressant as first-line treatment options. Sertraline is a second-generation antidepressant, and interpersonal therapy is a recommended form of psychotherapy (Guideline Development Panel, 2021).
It is essential to inform patients of potential medications’ possible risks and benefits. SSRIs, like sertraline. Sertraline can cause nausea, tremors, nervousness, problems sleeping, sexual problems, sweating, agitation, and fatigue. Sertraline can also cause seizures, abnormal bleeding, and withdrawal symptoms, which are less common side effects. Sertraline also has a black box warning of suicide and suicidal ideation (FDA, 2019). Anytime an individual becomes pregnant, they should discuss the additional risks of medications that can occur. Berard et al. (2015) found that using sertraline during pregnancy has an increased risk of atrial/ventricular defects and craniosynostosis. Paulzen et al. (2017) found that sertraline is constantly accessible by the fetus due to its ability to enter the amniotic fluid. However, multiple studies have found that sertraline is relatively safe to use during pregnancy and its concentrations vary among individuals based on their body’s ability to metabolize the drug. I would also inform the patient that sertraline is a first-line treatment for depression and is frequently used during pregnancy. It is also essential to discuss the risk of relapse, suicide, and postpartum depression.
Olanzapine can cause fatigue, weight gain, low blood pressure, dizziness, dry mouth, tremors, extrapyramidal symptoms, liver function abnormalities, muscle stiffness, severe skin conditions, and increased prolactin levels (). Flint et al. (2019) found that Olanzapine caused low birth weight, spontaneous abortions, stillbirths, prematurity, and postmaturity.
References
Bérard, A., Zhao, J. P., & Sheehy, O. (2015). Sertraline use during pregnancy and the risk of major malformations. American journal of obstetrics and gynecology, 212(6), 795.e1–795.e12. https://doi.org/10.1016/j.ajog.2015.01.034
FDA. (2019). Depression Medicines – Food and Drug Administration. U.S. Food and Drug Administration. Retrieved from https://www.fda.gov/media/132665/download
Flint, A. J., Meyers, B. S., & Rothschild, A. J. (2019). Continuing olanzapine with sertraline reduces relapse in psychotic depression. The Brown University Psychopharmacology Update, 30(12), 1.
Guideline Development Panel for the Treatment of Depressive Disorders, American Psychological Association. (2021). Summary of the Clinical Practice Guideline for the Treatment of Depression Across Three Age Cohorts. American Psychologist. Advance online publication. http://dx.doi.org/10.1037/amp0000904
Heinonen, E., Blennow, M., Blomdahl-Wetterholm, M., Hovstadius, M., Nasiell, J., Pohanka, A., Gustafsson, L. L., & Wide, K. (2021). Sertraline concentrations in pregnant women are steady and the drug transfer to their infants is low. European Journal of Clinical Pharmacology, 77(9), 1323–1331. https://doi.org/10.1007/s00228-021-03122-z
Ingram, J., Johnson, D., O’Mahen, H., Law, R., Culpin, I., Kessler, D., Beasant, L., & Evans, J. (2021). ‘Asking for help’: a qualitative interview study exploring the experiences of interpersonal counseling (IPC) compared to low-intensity cognitive behavioral therapy (CBT) for women with depression during pregnancy. BMC Pregnancy and Childbirth, 21(1), 1–8. https://doi.org/10.1186/s12884-021-04247-w
Ozkan, M. (2013). Psychotropic drug use in pregnancy and lactation. Klinik Psikofarmakoloji Bulteni, 23, S55.
Paulzen, M., Goecke, T. W., Stickeler, E., Gruender, G., & Schoretsanitis, G. (2017). Sertraline in pregnancy – Therapeutic drug monitoring in maternal blood, amniotic fluid and cord blood. JOURNAL OF AFFECTIVE DISORDERS, 212, 1–6. https://doi.org/10.1016/j.jad.2017.01.019
Sadock, B. J., Sadock, V. A., & Ruiz, P. (2015). Kaplan & Sadock’s synopsis of psychiatry (11th ed.). Wolters Kluwer.
Sahoo, M., Biswas, H., & Singh, V. (2022). Safety profile and adverse effects of use of olanzapine in pregnancy: A report of two cases. Journal of Family Medicine & Primary Care, 11(1), 350–352. https://doi.org/10.4103/jfmpc.jfmpc_310_21

Community Action Plan Complete your Module 3 Assignment by the end of Week 3. In

Community Action Plan
Complete your Module 3 Assignment by the end of Week 3.
Infectious disease and public health physician Thomas R. Frieden said, “I loved clinical practice, but in public health, you can impact more than one person at a time. The whole society is your patient” (Frieden as cited in Quintana, 2017). Besides our aging population, the prevalence of chronic health issues, and environmental factors impacting public health, even patients leaving clinical settings often need follow-up support and additional care. As Hilary Clinton insightfully connected community to education – “It takes a village.” – so, too, must community members come together to support public health.
In this assignment, you will identify a community health issue or need, gather information and input from your interprofessional team and a political representative, and develop and share a plan of action to address the issue or need.
Step 1. Identify
Identify an important healthcare need or issue relevant to your hypothetical patient and to the patient’s community or your own community. Research and record data as evidence of the need or issue.
Step 2. Research
Conduct research on needed and available resources to improve the healthcare need or issue in the community. Rely on evidence-based strategies when reviewing information, materials, organizations, agencies, and actions to address the healthcare need or issue.
Step 3. Propose
Propose a specific action to address and improve the status of the healthcare need or issue. Identify desired outcomes, stakeholders, actions, resources, and a timeline for implementation.
Step 4. Collaborate
Schedule a meeting (virtual or in-person) and meet with your interprofessional team (synchronously if possible) to present your proposal draft. Solicit input to strengthen the proposal. Discuss potential organizations or agencies to support the plan, including political organizations or individuals. Modify your plan according to input you receive from your team.
Step 5. Present
Schedule a meeting and present your plan to a political figure or representative of a political organization either in person or electronically. Solicit support and input for improvement of the plan.
Step 6. Revise
Revise your plan as needed.
Step 7. Share
Prepare a slide presentation with a title slide, at least 8 content slides, and a reference slide to facilitate sharing your final plan with your interprofessional team and other stakeholders. Schedule a live virtual meeting, inviting your interprofessional team members, political connection/representative, at least one representative from your workplace, and representatives from any organizations or agencies who could support the initiative. Conduct a live virtual meeting in which you share your plan. Record the meeting, including a closing question-and-answer session. (Be sure to inform participants the session is being recorded.)
Step 8. Evaluate
Prepare and ask participants to complete a short questionnaire to evaluate the quality of the meeting and the merits of the plan.
Step 9. Submit
Submit the following:
Organized details and notes from the team meeting and meeting with political representative,
A 10-slide presentation with a references slide,
Email or other mode of invitation for the final virtual meeting,
Link to recording of final virtual meeting,
Evaluation questionnaire, and
Brief analysis of evaluation responses.