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  • genetic and ancestry testing Essay

    Genetic and ancestry testing Essay

    SUMMARY

    Is “direct-to-consumer” genetic and ancestry testing wise: Genetic testing, now available and sold directly to consumers (bypassing the involvement of health-care providers), can provide information that is powerfully predictive regarding an individual’s future health status. The issues arising from such genetic/genomic information have been subject to intense scrutiny for several reasons. First, for certain heritable conditions, medical professionals (as well as society), have concerns about stigma/discrimination, and the impacts of such predictive power on the psychological well-being of those found to be at increased risk for such conditions. Second, the revelation of genetic information for one individual in a family provides presumptive information about other ‘‘blood’’ relatives. Such familial or kindred genetic information poses ethical, legal, and social challenges for the management of the information in clinical and research contexts as well as within family units. genetic and ancestry testing Essay. Third, genetic/genomic information is complex, and the health risks associated with the information are often probabilistic and require special care and expertise in interpreting such genetic tests. Finally, genetics and its misuse through eugenics (to the detriment of the most vulnerable members of society in the first half of the 20th century) compel careful thought and justify great caution in assessing the benefits and risks of these evolving technologies. genetic and ancestry testing Essay.

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    Is “direct-to-consumer” genetic and ancestry testing wise: Genetic testing, now available and sold directly to consumers (bypassing the involvement of health-care providers), can provide information that is powerfully predictive regarding an individual’s future health status. The issues arising from such genetic/genomic information have been subject to intense scrutiny for several reasons. First, for certain heritable conditions, medical professionals (as well as society), have concerns about stigma/discrimination, and the impacts of such predictive power on the psychological well-being of those found to be at increased risk for such conditions. Second, the revelation of genetic information for one individual in a family provides presumptive information about other ‘‘blood’’ relatives. Such familial or kindred genetic information poses ethical, legal, and social challenges for the management of the information in clinical and research contexts as well as within family units. Third, genetic/genomic information is complex, and the health risks associated with the information are often probabilistic and require special care and expertise in interpreting such genetic tests. Finally, genetics and its misuse through eugenics (to the detriment of the most vulnerable members of society in the first half of the 20th century) compel careful thought and justify great caution in assessing the benefits and risks of these evolving technologies. genetic and ancestry testing Essay.

    “direct-to-consumer” genetic and ancestry testing DISCUSSION PROMPTS:

    Is “direct-to-consumer” genetic and ancestry testing wise given that it is unaccompanied by the involvement of a trained medical professional or genetic counselor?

    Should a genetically tested family member provide siblings, children, or other family members information regarding detrimental genetic information (carrier status, for example) and when? genetic and ancestry testing Essay.

    Might such testing be used as a prerequisite to marriage, adoption, or IVF embryo implantation?

    “direct-to-consumer” genetic and ancestry testing  READINGS

    Do Your Family Members Have a Right to Your Genetic Code 2016.pdf

    Ethical Legal and Psychosocial Implications of Genetic Testing in Children and Adolescents.pdf

    My Identical Twin Sequenced our Genome 2017.pdf

    The Doyenne of DNA Says – Just Chillax With Your Ex 2017.pdf

    What to keep in mind about your privacy when taking genetics tests like 23andMe or AncestryDNA .pdf. genetic and ancestry testing Essay.

  • Types of Modified Starch: Pregelatinized starch Essay assignment

    Types of Modified Starch: Pregelatinized starch Essay assignment

    It is the simplest starch modification, prepared by cooking. It maintains starch integrity while providing cold water thickening which  is a process that breaks down the intermolecular bonds of starch molecules in the presence of water and heat, allowing the hydrogen bonding sites (the hydroxyl hydrogen and oxygen) to engage more water.

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    Cross-linked starch

    Cross linking is the most important modified form that used in the food industry. It involves replacement of hydrogen bond present between starch chains by stronger, permanent covalent bonds. Distarch phosphate or, adipate are commonly used in cross-linked starch. Cross-linked starches offer acid, heat and shear stability over the native starch. Food with this type of starch processing tends to have longer shelf life. Types of Modified Starch: Pregelatinized starch Essay assignment.

    Oxidized starch

    The processing includes reaction with oxidizing agent such as sodium hypochlorite or peroxide. This type of starch is mainly used as surface sizing agent or coating binder and available in different viscosity grade. Oxidized starches have shorter chain lengths than native starches. It improves whiteness and reduces microbiological content. Oxidized starches are the best thickener for applications requiring gels of low rigidity. This improves adhesion in batters and breading. Types of Modified Starch: Pregelatinized starch Essay assignment.

    It is the simplest starch modification, prepared by cooking. It maintains starch integrity while providing cold water thickening which  is a process that breaks down the intermolecular bonds of starch molecules in the presence of water and heat, allowing the hydrogen bonding sites (the hydroxyl hydrogen and oxygen) to engage more water.

    Cross-linked starch

    Cross linking is the most important modified form that used in the food industry. It involves replacement of hydrogen bond present between starch chains by stronger, permanent covalent bonds. Distarch phosphate or, adipate are commonly used in cross-linked starch. Cross-linked starches offer acid, heat and shear stability over the native starch. Food with this type of starch processing tends to have longer shelf life. Types of Modified Starch: Pregelatinized starch Essay assignment.

    Oxidized starch

    The processing includes reaction with oxidizing agent such as sodium hypochlorite or peroxide. This type of starch is mainly used as surface sizing agent or coating binder and available in different viscosity grade. Oxidized starches have shorter chain lengths than native starches. It improves whiteness and reduces microbiological content. Oxidized starches are the best thickener for applications requiring gels of low rigidity. This improves adhesion in batters and breading. Types of Modified Starch: Pregelatinized starch Essay assignment.

  • Surface culture in school comparison assignment

    Surface culture in school comparison assignment

    Surface culture in school Jornal Entry 1

    In this activity, you’ll explore various aspects of surface culture and customs you have experienced in school.

    Surface culture in school Remember:
     The five suggestions for creating a meaningful journal appear earlier in this section. Please review these suggestions before writing. Especially remember to copy the directions for each step (just the bold print) into your journal before writing …. and then DIVE DEEP!

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    Contrast the surface culture of your most recent educational experience (e.g., high school, another college or university, a trade school) with that of your current school
    . From the following list, choose 
    two
     or more surface-level features where they differ. Then, in a separate paragraph for each feature, explain how the two are different. Surface culture in school comparison assignment. Explain the advantages and/or disadvantages you see in your present higher education culture as compared with your previous educational culture(s).

    Number of students in a class

    Age of students

    Race or ethnicity of students

    Economic class of students

    Courses offered

    Amount of homework

    Popular out-of-school activities

    Teachers’ treatment of students

    Alcohol

    Academic preparation of educators

    In-groups

    Religions

    Clothes

    Food

    Languages spoken

    Dialects spoken

    Sports

    Amount of writing assigned

    Amount of reading assigned

    Drugs

    Architecture of buildings

    Favorite music

    Holidays observed

    Out-groups

    Attendance policy

    Methods of teaching

    Involvement of parents

    Classrooms

    Here’s how your journal entry might begin if you chose “Age of students” and “Teachers’ treatment of students”:

    I graduated from high school last year and the ages of students there ranged from about 14 to 18 years old. Here in college the ages of students range from about 17 or 18 to 50 or even older. In my math class this semester, I have a mother and daughter who are taking the class together. Overall, students here in college seem to average about 10 years older than students in high school. A couple of the olderstudents that I’ve talked with went to college before and dropped out. These returning students seem to be more highly motivated and they take their schoolwork more seriously than the younger students. For example, they hardly ever miss a class and they always turn in their homework. Maybe what I should do is Surface culture in school comparison assignment.

    Explore the one college custom described in the article above with which you feel most uncomfortable.
     Address some or all of all of the following questions: What is the cause of your discomfort? How big a problem do you think this custom will be for you? What additional information do you want to learn about this custom? Where can you find that information? Who could help you feel more comfortable? How do you think other students in your class feel about this custom? For example, if you chose to examine “Choose a major,” your journal entry might begin like this Surface culture in school comparison assignment.

    I’m a little uncomfortable about choosing a major. The truth is I have no idea what career I want to pursue. I just know I have to make a change. I’ve been out of high school for 10 years and I’ve been working construction. I sure don’t want to do that for the rest of my life. The work is physically demanding, and it’s hard on some of the older guys. I don’t want to be 60 years old and having to go up and down a ladder all day. So I know what I don’t want, but not what I do want. I didn’t really have any favorite subjects when I was in high school. I did okay academically, but mostly I enjoyed playing sports. A guy in one of my classes says he wants to be a doctor. His father is a doctor, so he has a really good idea what a doctor’s life is like. My father sells real estate, but I don’t want to do that. He’s never home in the evenings or on weekends, so I didn’t see him much when I was growing up. When I have a family, I want to be around to see my kids grow up. I hope I don’t have to choose a major too soon. If I do, I’ll probably wind up changing it a couple of times. I guess that wouldn’t be so bad except I heard that by switching I could lose some credits and that could make me take longer to graduate. To pick a good major for me, what I need to find out is Surface culture in school comparison assignment.

  • Leading in a Complex, Evolving Environment NURS 514 ESSAY

    Leading in a Complex, Evolving Environment NURS 514 ESSAY

    Leading in a Complex, Evolving Environment NURS 514 Details: 
    The purpose of this assignment is to examine the impact of contemporary challenges in care delivery facing nursing leadership. Select and research a major issue in the delivery of care facing nurse leaders today and write a 1,250-1,500 word paper addressing the following:

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    Explain the issue(s) you have selected. Why is it a problem? What fuels the issue? Who does it impact and what specific impact does it have on patient care?

    Describe an option for addressing the issue from a systems perspective. What entities/interests (stakeholders, organizations, operational systems, political, economic, public, private, patient) must be taken into account and how are they impacted? Be sure to highlight the direct impact the option has on patient care. Leading in a Complex, Evolving Environment NURS 514 ESSAY.

    Discuss the qualities and traits needed of nurse leaders to effectively tackle this issue through the proposed option. Incorporate a leadership theory and AONE Nurse Executive or Manager Competencies in your response.

    Finally, discuss the impact not successfully resolving the issue could have on the future of health care delivery.

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    Integrate five scholarly sources into your paper.

    Prepare this Leading in a Complex, Evolving Environment NURS 514 assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center.

    This Leading in a Complex, Evolving Environment NURS 514 assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. Leading in a Complex, Evolving Environment NURS 514 ESSAY.

    You are required to submit this Leading in a Complex, Evolving Environment NURS 514 assignment to LopesWrite.

    View Rubric

    Due Date:
     Dec 19, 2018 23:59:59       
    Max Points: 
    160

    Leading in a Complex, Evolving Environment NURS 514

     

    1

    Unsatisfactory

    0.00%

    2

    Less than Satisfactory

    80.00%

    3

    Satisfactory

    88.00%

    4

    Good

    92.00%

    5

    Excellent

    100.00%

    70.0 %Content

     

    10.0 %Major Issue is Care Delivery

    An explanation of the issue selected is not included.

    An explanation of the issue selected is incomplete or incorrect.

    An explanation of the issue selected is included but lacks supporting detail.

    An explanation of the issue selected is completed and includes supporting detail.

    An explanation of the issue selected is extremely thorough and includes substantial details.

    70.0 %Content

     Leading in a Complex, Evolving Environment NURS 514 ESSAY.

    20.0 %Option for Addressing the Issue From a Systems Perspective

    A description of potential options for addressing the issue from a systems perspective is not included.

    A description of potential options for addressing the issue from a systems perspective is incomplete or incorrect.

    A description of potential options for addressing the issue from a systems perspective is included but lacks supporting detail.

    A description of potential options for addressing the issue from a systems perspective is completed and includes supporting detail.

    A description of potential options for addressing the issue from a systems perspective is extremely thorough and includes substantial details.

    70.0 %Content

     

    20.0 %Qualities and Traits Needed of Nurse Leaders

    A discussion of the qualities and traits needs of nurse leaders to effectively tackle the issue is not included.

    A discussion of the qualities and traits needs of nurse leaders to effectively tackle the issue is incomplete or incorrect.

    A discussion of the qualities and traits needs of nurse leaders to effectively tackle the issue is included but lacks supporting detail.

    A discussion of the qualities and traits needs of nurse leaders to effectively tackle the issue is completed and includes supporting detail.

    A discussion of the qualities and traits needs of nurse leaders to effectively tackle the issue is extremely thorough and includes substantial details.

    70.0 %Content

     

    20.0 %Impact of Unresolved Issue

    A discussion of the impact not successfully resolving the issue could have on health care delivery is not included.

    A discussion of the impact not successfully resolving the issue could have on health care delivery is incomplete or incorrect.

    A discussion of the impact not successfully resolving the issue could have on health care delivery is included but lacks supporting detail.

    A discussion of the impact not successfully resolving the issue could have on health care delivery is completed and includes supporting detail.

    A discussion of the impact not successfully resolving the issue could have on health care delivery is extremely thorough and includes substantial details.

    20.0 %Organization and Effectiveness

     

    7.0 %Thesis Development and Purpose

    Paper lacks any discernible overall purpose or organizing claim.

    Thesis is insufficiently developed or vague. Purpose is not clear

    Thesis is apparent and appropriate to purpose. Leading in a Complex, Evolving Environment NURS 514 ESSAY

    Thesis is clear and forecasts the development of the paper. Thesis is descriptive and reflective of the arguments and appropriate to the purpose.

    Thesis is comprehensive and contains the essence of the paper. Thesis statement makes the purpose of the paper clear.

    20.0 %Organization and Effectiveness

     

    8.0 %Argument Logic and Construction

    Statement of purpose is not justified by the conclusion. The conclusion does not support the claim made. Argument is incoherent and uses noncredible sources.

    Sufficient justification of claims is lacking. Argument lacks consistent unity. There are obvious flaws in the logic. Some sources have questionable credibility.

    Argument is orderly, but may have a few inconsistencies. The argument presents minimal justification of claims. Argument logically, but not thoroughly, supports the purpose. Sources used are credible. Introduction and conclusion bracket the thesis.

    Argument shows logical progressions. Techniques of argumentation are evident. There is a smooth progression of claims from introduction to conclusion. Most sources are authoritative.

    Clear and convincing argument that presents a persuasive claim in a distinctive and compelling manner. All sources are authoritative.

    20.0 %Organization and Effectiveness

     

    5.0 %Mechanics of Writing (includes spelling, punctuation, grammar, language use)

    Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice or sentence construction is used.

    Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice (register) or word choice are present. Sentence structure is correct but not varied.

    Some mechanical errors or typos are present, but they are not overly distracting to the reader. Correct and varied sentence structure and audience-appropriate language are employed.

    Prose is largely free of mechanical errors, although a few may be present. The writer uses a variety of effective sentence structures and figures of speech.

    Writer is clearly in command of standard, written, academic English.

    Leading in a Complex, Evolving Environment NURS 514 ESSAY

    10.0 %Format

     

    5.0 %Paper Format (Use of appropriate style for the major and assignment)

    Template is not used appropriately or documentation format is rarely followed correctly.

    Template is used, but some elements are missing or mistaken; lack of control with formatting is apparent.

    Template is used, and formatting is correct, although some minor errors may be present.

    Template is fully used; There are virtually no errors in formatting style.

    All format elements are correct.

    5.0 %Documentation of Sources (citations, footnotes, references, bibliography, etc., as appropriate to assignment and style)Leading in a Complex, Evolving Environment NURS 514 ESSAY

    Sources are not documented.

    Documentation of sources is inconsistent or incorrect, as appropriate to assignment and style, with numerous formatting errors.

    Sources are documented, as appropriate to assignment and style, although some formatting errors may be present.

    Sources are documented, as appropriate to assignment and style, and format is mostly correct.

    Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error.

    100 %Total Weightage

  • NURS 514: Organizational Leadership Discussions and Essay Assignment

    NURS 514: Organizational Leadership Discussions and Essay Assignment

    NURS 514: Organizational Leadership: Topic 1 DQ1

    Discuss the shift to value-based health care and its impact on the roles and responsibilities of advanced registered nurses. What major evolving trends in the health care policy and delivery systems will affect your practice in the next 3-5 years, and how do you think advanced registered nurse leaders will continue to influence the direction of health care

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    NURS 514: Organizational Leadership: Topic 1, DQ2

    From your experience, how can developing strong interprofessional relationships increase collaboration and benefit patient outcomes or organizational initiatives into today’s dynamic health care environment? What are some ways you can form an interprofessional team and collaborate with other advanced registered nurse roles in support of organizational initiatives or improved patient outcomes? Make sure to incorporate the Interprofessional Education Collaborative (IPEC) competencies in your response. NURS 514: Organizational Leadership Discussions and Essay Assignment.

    NURS 514: Organizational Leadership Topic 2 DQ 1

    Describe a scenario in which there was a conflict between nurses working in your current or previous work environment. What was the primary cause of the conflict? What conflict resolution strategies would you employ to manage this conflict and promote civility in the workplace and why?

    NURS 514: Organizational Leadership Topic 2 DQ2.

    Compare and contrast servant leadership with another leadership style or theory such as transformational leadership. What are the primary characteristics of each? What appeals to you about them and what strengths and drawbacks do you see with each in terms of influencing organizational culture as a nurse leader? NURS 514: Organizational Leadership Discussions and Essay Assignment.

    NURS 514: Organizational Leadership Topic 3 DQ 1

    Discuss organizational factors that can drive the change within a health care organization. Also, discuss the ethical, social, legal, economic, or political implication of the change within an organization and on the profession of nursing. Integrate a specific example of organizational change you have witnessed in your response

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    NURS 514: Organizational Leadership Topic 3 DQ 2

    You have been selected to serve on a community outreach committee within your state’s nursing organization. The committee includes registered nurses of different specialties. At your first meeting, it becomes evident that not everyone is in agreement with a recent position statement about the role of spiritual care, with some members arguing they will no longer support the committee if the position statement is not revised or reversed. As a nurse leader, how could you draw from change theory to address these concerns and encourage collaboration on the committee

     

    1

    Unsatisfactory

    0.00%

    2

    Less than Satisfactory

    80.00%

    3

    Satisfactory

    88.00%

    4

    Good

    92.00%

    5

    Excellent

    100.00%

    100.0 %Conte

     NURS 514: Organizational Leadership Discussions and Essay Assignment

    5.0 %Driving Forces of EHRS

    A description of the driving forces that related to need for implementing EHRs is not included.

    A description of the driving forces that related to need for implementing EHRs is incomplete or incorrect.

    A description of the driving forces that related to need for implementing EHRs is included, but lacks supporting detail.

    A description of the driving forces that related to need for implementing EHRs is completed and includes supporting detail.

    A description of the driving forces that related to need for implementing EHRs is extremely thorough and includes substantial details.

    5.0 %Key Interprofessional Stakeholders

    Identification of the key interprofessional stakeholders is not included.

    Identification of the key interprofessional stakeholders is incomplete or incorrect.

    Identification of the key interprofessional stakeholders is included, but lacks supporting detail.

    Identification of the key interprofessional stakeholders is completed and includes supporting detail.

    Identification of the key interprofessional stakeholders is extremely thorough and includes substantial details

    10.0 %Change Initiative and Being a Change Advocate

    An outline of how change would be initiated is not included.

    An outline of how change would be initiated is incomplete or incorrect.

    An outline of how change would be initiated is included, but lacks supporting detail.

    An outline of how change would be initiated is completed and includes supporting detail.

    An outline of how change would be initiated is extremely thorough and includes substantial details.

    NURS 514: Organizational Leadership Discussions and Essay Assignment

    5.0 %Impact of the Change on Current Workflows

    A description of how the change will affect current workflows is not included.

    A description of how the change will affect current workflows is incomplete or incorrect.

    A description of how the change will affect current workflows is included, but lacks supporting detail.

    A description of how the change will affect current workflows is completed and includes supporting detail.

    A description of how the change will affect current workflows is extremely thorough and includes substantial details.

    5.0 %Required Resources for Implementation

    Identification of required resources for implementation is not included

    Identification of required resources for implementation is incomplete or incorrect.

    Identification of required resources for implementation is included, but lacks supporting detail.

    Identification of required resources for implementation is completed and includes supporting detail.

    Identification of required resources for implementation is extremely thorough and includes substantial details.

    5.0 %Risks Within Implementation

    A description of potential risks within the implementation plan is not included.

    A description of potential risks within the implementation plan is incomplete or incorrect.

    A description of potential risks within the implementation plan is included but lacks supporting detail.

    A description of potential risks within the implementation plan is completed and includes supporting detail.

    A description of potential risks within the implementation plan is extremely thorough and includes substantial details.

    NURS 514: Organizational Leadership Discussions and Essay Assignment

    5.0 %Potential Barriers

    A description of potential barriers when implementing the change and handling resistance is not included.

    A description of potential barriers when implementing the change and handling resistance is incomplete or incorrect.

    A description of potential barriers when implementing the change and handling resistance is included, but lacks supporting detail.

    A description of potential barriers when implementing the change and handling resistance is completed and includes supporting detail.

    A description of potential barriers when implementing the change and handling resistance is extremely thorough and includes substantial details.

    30.0 %Presentation of Content

    The content lacks a clear point of view and logical sequence of information. Includes little persuasive information. Sequencing of ideas is unclear.

    The content is vague in conveying a point of view and does not create a strong sense of purpose. Includes some persuasive information.

    The presentation slides are generally competent, but ideas may show some inconsistency in organization or in their relationships to each other.

    The content is written with a logical progression of ideas and supporting information exhibiting a unity, coherence, and cohesiveness. Includes persuasive information from reliable sources.

    The content is written clearly and concisely. Ideas universally progress and relate to each other. The project includes motivating questions and advanced organizers. The project gives the audience a clear sense of the main idea.

    NURS 514: Organizational Leadership Discussions and Essay Assignment

    10.0 %Layout

    The layout is cluttered, confusing, and does not use spacing, headings, and subheadings to enhance the readability. The text is extremely difficult to read with long blocks of text, small point size for fonts, and inappropriate contrasting colors. Poor use of headings, subheadings, indentations, or bold formatting is evident.

    The layout shows some structure, but appears cluttered and busy or distracting with large gaps of white space or a distracting background. Overall readability is difficult due to lengthy paragraphs, too many different fonts, dark or busy background, overuse of bold, or lack of appropriate indentations of text.

    The layout uses horizontal and vertical white space appropriately. Sometimes the fonts are easy to read, but in a few places the use of fonts, italics, bold, long paragraphs, color, or busy background detracts and does not enhance readability.

    The layout background and text complement each other and enable the content to be easily read. The fonts are easy to read and point size varies appropriately for headings and text.

    The layout is visually pleasing and contributes to the overall message with appropriate use of headings, subheadings, and white space. Text is appropriate in length for the target audience and to the point. The background and colors enhance the readability of the text.

    10.0 %Language Use and Audience Awareness (includes sentence construction, word choice, etc.)

    Inappropriate word choice and lack of variety in language use are evident. Writer appears to be unaware of audience. Use of primer prose indicates writer either does not apply figures of speech or uses them inappropriately.

    Some distracting inconsistencies in language choice (register) or word choice are present. The writer exhibits some lack of control in using figures of speech appropriately.

    Language is appropriate to the targeted audience for the most part.

    The writer is clearly aware of audience, uses a variety of appropriate vocabulary for the targeted audience, and uses figures of speech to communicate clearly.

    The writer uses a variety of sentence constructions, figures of speech, and word choice in distinctive and creative ways that are appropriate to purpose, discipline, and scope.

    5.0 %Mechanics of Writing (includes spelling, punctuation, grammar, language use)

    Slide errors are pervasive enough that they impede communication of meaning.

    Frequent and repetitive mechanical errors distract the reader.

    Some mechanical errors or typos are present, but they are not overly distracting to the reader.

    Slides are largely free of mechanical errors, although a few may be present.

    Writer is clearly in control of standard, written, academic English.

    5.0 %Documentation of Sources (citations, footnotes, references, bibliography, etc., as appropriate to assignment and style)

    Sources are not documented.

    Documentation of sources is inconsistent or incorrect, as appropriate to assignment and style, with numerous formatting errors.

    Sources are documented, as appropriate to assignment and style, although some formatting errors may be present.

    Sources are documented, as appropriate to assignment and style, and format is mostly correct.

    Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error.

    100 %Total Weightage
     

     

     

     

     

     

     

    NURS 514: Organizational Leadership Discussions and Essay Assignment

    NURS 514: Organizational Leadership

    EssayLeading in a Complex, Evolving

    Environment

    The purpose of this assignment is to examine the impact of contemporary challenges in care delivery facing nursing leadership. Select and research a major issue in the delivery of care facing nurse leaders today and write a 1,250-1,500 word paper addressing the following:

    Explain the issue(s) you have selected. Why is it a problem? What fuels the issue? Who does it impact and what specific impact does it have on patient care?

    Describe an option for addressing the issue from a systems perspective. What entities/interests (stakeholders, organizations, operational systems, political, economic, public, private, patient) must be taken into account and how are they impacted? Be sure to highlight the direct impact the option has on patient care.

    Discuss the qualities and traits needed of nurse leaders to effectively tackle this issue through the proposed option. Incorporate a leadership theory and AONE Nurse Executive or Manager Competencies in your response. NURS 514: Organizational Leadership Discussions and Essay Assignment.

    Finally, discuss the impact not successfully resolving the issue could have on the future of health care delivery.

    Integrate five scholarly sources into your NURS 514: Organizational Leadership Discussions and Essay Assignment paper.

    Prepare this assignment according to the guidelines 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.

    Leading in a Complex, Evolving Environment 

     

    1

    Unsatisfactory

    0.00%

    2

    Less than Satisfactory

    80.00%

    3

    Satisfactory

    88.00%

    4

    Good

    92.00%

    5

    Excellent

    100.00%

    70.0 %Content

     

    10.0 %Major Issue is Care Delivery

    An explanation of the issue selected is not included.

    An explanation of the issue selected is incomplete or incorrect.

    An explanation of the issue selected is included but lacks supporting detail.

    An explanation of the issue selected is completed and includes supporting detail.

    An explanation of the issue selected is extremely thorough and includes substantial details.

    70.0 %Content

     

    20.0 %Option for Addressing the Issue From a Systems Perspective

    A description of potential options for addressing the issue from a systems perspective is not included.

    A description of potential options for addressing the issue from a systems perspective is incomplete or incorrect.

    A description of potential options for addressing the issue from a systems perspective is included but lacks supporting detail.

    A description of potential options for addressing the issue from a systems perspective is completed and includes supporting detail.

    A description of potential options for addressing the issue from a systems perspective is extremely thorough and includes substantial details.

    70.0 %Content

     NURS 514: Organizational Leadership Discussions and Essay Assignment

    20.0 %Qualities and Traits Needed of Nurse Leaders

    A discussion of the qualities and traits needs of nurse leaders to effectively tackle the issue is not included.

    A discussion of the qualities and traits needs of nurse leaders to effectively tackle the issue is incomplete or incorrect.

    A discussion of the qualities and traits needs of nurse leaders to effectively tackle the issue is included but lacks supporting detail.

    A discussion of the qualities and traits needs of nurse leaders to effectively tackle the issue is completed and includes supporting detail.

    A discussion of the qualities and traits needs of nurse leaders to effectively tackle the issue is extremely thorough and includes substantial details.

    70.0 %Content

     

    20.0 %Impact of Unresolved Issue

    A discussion of the impact not successfully resolving the issue could have on health care delivery is not included.

    A discussion of the impact not successfully resolving the issue could have on health care delivery is incomplete or incorrect.

    A discussion of the impact not successfully resolving the issue could have on health care delivery is included but lacks supporting detail.

    A discussion of the impact not successfully resolving the issue could have on health care delivery is completed and includes supporting detail.

    A discussion of the impact not successfully resolving the issue could have on health care delivery is extremely thorough and includes substantial details.

    20.0 %Organization and Effectiveness

     

    7.0 %Thesis Development and Purpose

    Paper lacks any discernible overall purpose or organizing claim.

    Thesis is insufficiently developed or vague. Purpose is not clear

    Thesis is apparent and appropriate to purpose.

    Thesis is clear and forecasts the development of the paper. Thesis is descriptive and reflective of the arguments and appropriate to the purpose.

    Thesis is comprehensive and contains the essence of the paper. Thesis statement makes the purpose of the paper clear.

    20.0 %Organization and Effectiveness

     

    8.0 %Argument Logic and Construction

    Statement of purpose is not justified by the conclusion. The conclusion does not support the claim made. Argument is incoherent and uses noncredible sources.

    Sufficient justification of claims is lacking. Argument lacks consistent unity. There are obvious flaws in the logic. Some sources have questionable credibility.

    Argument is orderly, but may have a few inconsistencies. The argument presents minimal justification of claims. Argument logically, but not thoroughly, supports the purpose. Sources used are credible. Introduction and conclusion bracket the thesis.

    Argument shows logical progressions. Techniques of argumentation are evident. There is a smooth progression of claims from introduction to conclusion. Most sources are authoritative.

    Clear and convincing argument that presents a persuasive claim in a distinctive and compelling manner. All sources are authoritative.

    20.0 %Organization and Effectiveness

     

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    5.0 %Mechanics of Writing (includes spelling, punctuation, grammar, language use)

    Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice or sentence construction is used.

    Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice (register) or word choice are present. Sentence structure is correct but not varied.

    Some mechanical errors or typos are present, but they are not overly distracting to the reader. Correct and varied sentence structure and audience-appropriate language are employed.

    Prose is largely free of mechanical errors, although a few may be present. The writer uses a variety of effective sentence structures and figures of speech.

    Writer is clearly in command of standard, written, academic English.

    10.0 %Format

     

    5.0 %Paper Format (Use of appropriate style for the major and assignment)

    Template is not used appropriately or documentation format is rarely followed correctly.

    Template is used, but some elements are missing or mistaken; lack of control with formatting is apparent.

    Template is used, and formatting is correct, although some minor errors may be present.

    Template is fully used; There are virtually no errors in formatting style.

    All format elements are correct.

    5.0 %Documentation of Sources (citations, footnotes, references, bibliography, etc., as appropriate to assignment and style)

    Sources are not documented.

    Documentation of sources is inconsistent or incorrect, as appropriate to assignment and style, with numerous formatting errors.

    Sources are documented, as appropriate to assignment and style, although some formatting errors may be present.

    Sources are documented, as appropriate to assignment and style, and format is mostly correct.

    Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error.

    100 %Total Weightage

    NURS 514: Organizational Leadership Discussions and Essay Assignment

  • Financial Proposal: Allocation of Resources

    Financial Proposal: Allocation of Resources

    Complete the following components below:

    Develop a strategy to request additional resources.

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    Justify an allocation of resources, with examples in details that may include:

    Staff

    Hours Per Patient Day (HPPD)

    Full-Time Equivalents (FTE)

    Skill Mix (How do you determine the amount of staff you already have and how many more you may need?

    Develop a communication plan with information about the concepts of costs to share with staff.

    Develop a plan to interpret cost accounting.

    Justify value-based purchasing. (describe why value-based purchasing is important and justify value-based purchasing)

    *Should be APA formatted

    *Cite 5 scholarly peer-reviewed articles. Financial Proposal: Allocation of Resources.

  • Borderline Personality Disorder Essay Discussion Post

    Borderline Personality Disorder Essay Discussion Post

    Discussion: Treatment of Personality Disorders

    Personality disorders occur in 10–20% of the population. They are difficult to treat as individuals with personality disorders are less likely to seek help than individuals with other mental health disorders. Treatment can be challenging as they do not see their symptoms as painful to themselves or others.

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    In this Discussion, you will explore personality disorders in greater detail and discuss treatment options using evidence-based research.

    Learning Objectives

    Students will:

    Analyze diagnostic criteria for personality disorders

    Analyze evidence-based psychotherapy and psychopharmacologic treatments for personality disorders

    Analyze clinical features of clients with personality disorders

    Align clinical features with DSM-5 criteria.  Borderline Personality Disorder Essay Discussion Post .

    Compare differential diagnostic features of personality disorders

    To prepare for this Borderline Personality Disorder Essay Discussion Post :

    By Day 5 of Week 2, your Instructor will have assigned you a personality disorder, which will be your focus for your initial post for this Borderline Personality Disorder Essay Discussion Post .

    Review the Learning Resources.

    By Day 3

    Post:

    Explain the diagnostic criteria for your assigned personality disorder(Borderline Personality Disorder).

    Explain the evidenced-based psychotherapy and psychopharmacologic treatment for your assigned personality disorder(Borderline Personality Disorder).

    Describe clinical features from a client that led you to believe this client had this disorder(Borderline Personality Disorder). Align the clinical features with the DSM-5 criteria.  Borderline Personality Disorder Essay Discussion Post .

    Support your rationale with references to the Learning Resources or other academic resources.

    By Day 6

    Respond to at least two of your colleagues Borderline Personality Disorder Essay Discussion Post  by comparing the differential diagnostic features of the disorder you were assigned to the diagnostic features of the disorder your colleagues were assigned. What are their similarities and differences? How might you differentiate the two diagnoses?  Borderline Personality Disorder Essay Discussion Post .

  • Maryland Nursing Certification Plan Essay Example

    Maryland Nursing Certification Plan Essay Example

    Assignment: Certification Plan

    1. Describe the PMHNP practice environment for MARLAND state, highlighting restrictions or limitations for practice.

    2. Compare the PMHNP practice environment in MARYLAND State with a neighboring state or a state in which you would like to practice.

    3. Describe a professional and/or clinical practice issue a new PMHNP will need to consider and address with the certification, licensure, credentialing, or relocation process. Maryland Nursing Certification Plan Essay Example.

    4. Develop a checklist for passing the national certification exam, including a detailed timeline that includes academic preparation (study plan), registration, financial preparation, etc

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    Certification Plan                                                                                                   

    Nurse Practitioner is advance practiced registered nurse with higher education to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose illness and disease, prescribe medication and articulate treatment plans. According to the American Association of Nurse Practitioners, a nurse practitioner has a masters or doctoral level education. To practice professional licensure and certification are required in every state (AANP, 2018). They deliver care to patients in need of primary, acute, chronic, and specialty care. In some states, they can independently manage patient care and educate patients and families about illnesses. Maryland Nursing Certification Plan Essay Example.

    PMHNP Practice Environment in Maryland – Maryland Nursing Certification Plan Essay Example

    Licensure laws vary contingent on the state. The Maryland Board of Nursing approves the licensure of nurse practitioners who graduates from an accredited school. To practice as an NP, the NP student must sit for certification after graduating from an accredited school with one of the national credentialing associations (NPAM, 2018). As indicated by Maryland Scope of Practice (2018), preceding full practice authority can be given in Maryland, an NP must have a coordinated shared relationship for 18 months with an NP or a Doctor with a full practice authority. They have a limitation for prescribing schedule II-V controlled element, which can only be done with certification.  NP’s in Maryland has a limitation as medical staff membership. The State law doesn’t indicate Maryland’s necessities for medical staff composition.

                                 PMHNP practice environment in neighboring states

    The state of Virginia and the District of Columbia law have stricter laws than the state of Maryland because in the District of Columbia NPs’ cannot sign disable person placard forms and death certificates while in Virginia NPs’ cannot practice independently. They need a joint agreement with a physician to practice. The state law did not outline if NPs’ can be a primary care provider (Barton Associates, 2018).

       Professional and/or Clinical practice issue a new PMNHP will need to consider and address with the certification, licensure, credentialing, or relocation process.Maryland Nursing Certification Plan Essay Example.

    One of the issues a new NP may be in the part of credentialing which is unique in relation to certification. The credentialing process incorporates the validation of education, licensure, reference checks, and accreditation. In the process of relocation an NPs may be faced with restriction of practice despite the fact they have the same educational qualification base on the state of practice for example DC, Maryland and Virginia all have different scope of practice.

    Checklist for Passing the National Certification Exam

    It is crucial to work towards graduating from the NP program and then proceed with getting certification. The school which the NP student graduate from sending an official transcript to the American Academy of Nurse Practitioners (AANP), or the American Nurses Credentialing Center (ANCC). The student after confirming that the AANP or ANCC have received their transcript can now register for the NP certification exam. Maryland Nursing Certification Plan Essay Example. The student is sent a candidate’s eligibility to Test notice is sent to, and candidates are expected to review the candidate handbook for the exam for relevant information about the application process, testing content, and testing procedures. The student is expected to test during an a120-day window

    My plan is after my final exams in school. I will take time out from my job and read my purple book and practice Board vitals and Pocket prep questions. My aims are to read and understand the purple book and go for a review class with Barkley & Associates.

     

    References

    American Association of Nurse Practitioners. (2018). Nurse Practitioner Credibility. Retrieved from https://www.aanp.org/membership/107-all-about-nps/what-s-an-np-accordion/570-why-nps-are-important. Maryland Nursing Certification Plan Essay Example.

    Barton Associates, (2018). Nurse Practitioner Scope of Practice Laws. Retrieved from https://www.bartonassociates.com/locum-tenens-resources/nurse-practitioner-scope-of-practice-laws/ Maryland Scope of Practice (2018).

    Maryland Scope of Practice Policy: State Profile. Retrieved from http://scopeofpracticepolicy.org/states/md/. Maryland Nursing Certification Plan Essay Example.

    Nurse Practitioner Association in Maryland. (2018). What is a Nurse Practitioner? Retrieved from https://www.npamonline.org/page/4

  • Antisocial Personality Disorder essay research case study example

    Antisocial Personality Disorder essay research case study example

    Assignment : Antisocial Personality Disorder

    For this Assignment, as you examine the client case study in this week’s Learning Resources, consider how you might assess and treat adult and older adult clients presenting symptoms of a mental health disorder.

    Learning Objectives

    Students will:

    Evaluate clients for treatment of mental health disorders

    Analyze decisions made throughout diagnosis and treatment of clients with mental health disorders

    Antisocial Personality Disorder essay research case study example

    THE CASE STUDY

    Antisocial Personality Disorder

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    BACKGROUND

    SUBJECTIVE

    Rhonda is a 32-year-old Hispanic female who presents to your office for her initial appointment. When you ask what brought her to your office, she states: “I’m at the end of my rope, I don’t know what else to do.” She then bursts into tears. Rhonda explains that she has very few friends left, and everyone seems to have “abandoned” her. Rhonda explains that she goes out of her way to help other people, and to be nice to them, but this does not seem to help.

    Rhonda then stands up and begins to pace around your office at times using wild hand gestures to explain the circumstances that led up to her making the appointment with you. She describes the recent breakup with her boyfriend as traumatic and explains “when we first met, he was the best guy in the world. He treated me really well. But he just became a complete monster! Even though he broke off the relationship with me, I was glad to see it end. I hate his guts!” Antisocial Personality Disorder essay research case study example.

    Rhonda explains that her current financial situation is also precarious. She states that she recently purchased an automobile, and is not certain how she is going to pay for it. She states that she had a car that was repossessed last year at that time, and that she borrowed some money from a friend to help pay for the car; the friend later turned around and accused her of theft. “It was my friend’s fault. She told me she would loan me the money and then backed out. I only took the money because she said she would loan it to me … people just can’t go back on their word like that when other people are counting on them.”

    Rhonda reports that she was “always in trouble” as a kid. She states that people were always picking on her, to which she adds: “the other kids my age were just stupid. Antisocial Personality Disorder essay research case study example. They didn’t know how to have fun.” She says “I have always been impulsive, but it’s fun. Sometimes people can be such prudes … you only go around life once, so you have to make the best of it.”

    OBJECTIVE

    Rhonda is currently single. She has no children. Educationally, she had completed two semesters toward her bachelor of arts degree in fine arts. Rhonda currently works as a waitress at a local restaurant. She has held this job for about 2 weeks. Prior to this, Rhonda worked as a housekeeper for a local hotel chain. She states that she was fired from this job because her coworkers were jealous of her and “planted” evidence of her stealing from hotel patrons. She was also arrested for cashing checks under an alias, for which she spent 120 days in jail. Antisocial Personality Disorder essay research case study example.

    Rhonda has a history of multiple incarcerations for offences ranging from larceny to possession of controlled substances to possession of an illegal firearm. She was also arrested several times for fighting and on at least one occasion, used a baseball bat to beat up a girl who she thought was trying to “set her up” with the police.

    MENTAL STATUS EXAM

    Rhonda is alert and oriented × 4 spheres. Her speech is clear, coherent, goal directed, and spontaneous. She reports her mood as “terrible!” Affect is labile and seems to change rapidly with the subject being discussed. Her eye contact is normal, but at times, she appears to stare at you. Rhonda is oriented to person, place, and time. She denies visual/auditory hallucinations, no overt paranoia or delusional thought processes noted. Rhonda denies any suicidal or homicidal ideation. Antisocial Personality Disorder essay research case study example.

    .

    Decision Point One

    1. Diagnosis: Antisocial Personality Disorder

    Decision Point Two

    2.Refer to psychologist for psychological testing

    RESULTS OF DECISION POINT TWO

    – Client returns to clinic in four weeks

    – The psychologist’s report indicates that a comprehensive psychological battery was performed for the purposes of diagnostic clarification. The end result suggested that Rhonda has traits of multiple personality disorders, but scores highest in antisocial personality traits, suggesting antisocial personality disorder. Antisocial Personality Disorder essay research case study example.

    -When Rhonda returns to the office, you review the psychologist’s report with her. Rhonda seems upset, but also states “well, that’s why I am here, to get better … what do I need to do?”

    Decision Point Three

    3. Refer to group-based cognitive behavior therapy

    Guidance to Student

    Referral to a psychologist was appropriate for the purposes of diagnostic clarification. Psychological tests can help tease out the actual personality disorder that Rhonda has. In this case, Rhonda’s symptoms are most consistent with antisocial personality disorder, but as you can see, she has signs/symptoms of other personality disorders.

    Of the available choices, group-based cognitive behavior therapy may be useful in treating individuals with this personality disorder, but all “improvement” in signs/symptoms should be met with great skepticism. Antisocial Personality Disorder essay research case study example.

    Dialectical behavior therapy is ineffective in people with APD.

    Beginning Latuda is not appropriate, as there are currently no FDA-approved medications to treat APD. Also, prescribing medications to someone with antisocial personality disorder could lead to misuse or diversion. Antisocial Personality Disorder essay research case study example.

    The Assignment:

    .

    At each Decision Point, stop to complete the following:

    Decision #1: Antisocial Personality Disorder

    Which Decision did you select?

    o Why did you select this Decision? Support your response with evidence and references to the Learning Resources.

    o What were you hoping to achieve by making this Decision? Support your response with evidence and references to the Learning Resources. Antisocial Personality Disorder essay research case study example.

    o Explain any difference between what you expected to achieve with Decision #1 and the results of the Decision. Why were they different?

    Decision #2: Treatment Plan for Psychotherapy

    o Why did you select this Decision? Support your response with evidence and references to the Learning Resources.

    o What were you hoping to achieve by making this Decision? Support your response with evidence and references to the Learning Resources.

    o Explain any difference between what you expected to achieve with Decision #2 and the results of the Decision. Why were they different?

    Decision #3: Treatment Plan for Psychopharmacology

    o Why did you select this Decision? Support your response with evidence and references to the Learning Resources.

    o What were you hoping to achieve by making this Decision? Support your response with evidence and references to the Learning Resources. Antisocial Personality Disorder essay research case study example.

    o Explain any difference between what you expected to achieve with Decision #3 and the results of the decision. Why were they different?

    Also include how ethical considerations might impact your treatment plan and communication with clients and their families. Antisocial Personality Disorder essay research case study example.

    Antisocial Personality Disorder essay

    Antisocial personality disorder (ASPD) is a powerlessness to fit in with the social standards that customarily govern numerous parts of a person’s behavior (Sadock, Sadock & Ruiz, 2014). A person with ASPD are often called sociopathy, is a psychological condition in which a person reliably demonstrates no respect for good and bad and disregards the rights and feelings of others. Individuals with the above disorder tend to estrange, unstable, aggressive, control or treat others cruelly or with hard aloofness. They demonstrate no blame or regret for their conduct. Ms. Rhonda is a 32year old Hispanic with no children. In the scenario She presently works at local restaurant as a waitress and in college with two semesters left from graduation. She is alert and oriented × 4. She is well spoken, speech is clear, normal eye contact, goal directed, and spontaneous. She verbalized having a terrible mood. She appears to change discussed subject quickly with a labile affect. She denies any auditory or visual hallucinations, homicidal or suicidal ideation (Laureate Education, 2017a). Antisocial Personality Disorder essay research case study example.

    She is manipulating, exploiting impulsive, others and violated the right of others. She is also irresponsible with her work and finances. According to the American Psychiatric Association (2013), there are four diagnostic criteria for ASPD: Individual with ASPD violate others rights deceitful, impulsive, irritability, aggressiveness, irresponsible, and lack remorse with an onset before 15 years. They must be 18 years old to be diagnoses with ASPD.

                                                         Differential Diagnosis

    It is important to determine which started first, if the patient started abusing drugs before their antisocial behavior began may have behavior caused from the impacts of their drug addiction. Antisocial Personality Disorder essay research case study example.

                                                            Expected Result

    Ms. Rhonda showed behavior indicative of ASPD. She is deceitful with friends. She stated that she has “always been impulsive” which she finds funny (Laureate Education, 2017a). She is consistently irresponsible (her current financial situation risky/ awful). She does not know her car note will be paid for. She stated that her last car was repossessed last year because of her friends, who promised to loan her money but later backed out. Antisocial Personality Disorder essay research case study example. She expresses that she was terminated from a job because her colleagues were envious of her and “planted” proof of her stealing from hotel patrons. She was arrested for cashing checks using fake name, for which she was imprison for 120 days (lack remorse).

    Rhonda has a background of various detainments for offenses running from possession of an unlawful gun to stealing to possession of controlled substances. Antisocial Personality Disorder essay research case study example. She was arrested a few times for combating and on somewhere around one event, utilized a baseball bat to thrash a young lady who she thought was attempting to “set her up” with the police (lack remorse) (Laureate Education, 2017a).

                  Difference Between Expected Result and the Achieved Result

    There is no difference between the expected result and achieved result since Ms. Rhonda exhibited signs and symptoms indicative of ASPD.

                                                          Decision Point Two

                                          Refer to psychologist for psychological testing

    The explanation behind this choice is because diagnosing ASPD is based on psychological evaluation. Patient will be referred to psychologist for psychological testing this will enable the psychologist to even more likely comprehend the patient and her behavior. psychological testing is a procedure of critical thinking in which the psychologist attempts and decide the main components of a patient’s mental or mental health problems, Intellectual Functioning IQ, personality, behavioral or some other component. It is additionally a procedure that aides distinguish a person strength and weakness (Laureate Education, 2017a). Antisocial Personality Disorder essay research case study example.

    Expected Result with this Decision

    There is no different between expected result and the actual result because the psychologist report shows that a thorough psychological battery was performed for the motivations behind diagnostic elucidation. The psychological report stated that although Rhonda had other qualities of multiple personality disorder. She scored highest in antisocial personality disorder test indicating that she has ASPD.

                         Difference between what you expected to achieve with Decision #2

    Rhonda was referred to psychologist so that she can get the best treatment need for her symptoms.  Rhonda has a lots of other personality disorder symptoms. The psychological tests will enable persuade to out the actual personality disorder that Rhonda possess
    .
    Rhonda’s indications are most predictable with reserved ASPD, however as should be obvious, she has signs/side effects of other identity issue (Laureate Education, 2017a).

                                                            Decision Point Three

                                    Refer to group-based cognitive behavior therapy

    Reason for Decision

    There is at present no FDA-approve medication for the treatment of ASPD so prescribing medication to the patient may result to diversion or abuse. Antisocial Personality Disorder essay research case study example. Psychotherapy is effective in the treatment of ASPD. Group-based cognitive behavior has proven to be effective with ASPD.CBT uses cognitive restructuring, exposure, behavior modification, psychoeducation, and skills education.

                                                Expected Result with this Decision.

    Group-based cognitive behavior has proven to be effective with ASPD. Cognitive behavioral relapse prevention theory is linked with successful correctional treatment programs (Davidson, 2008). It focuses on challenging dysfunctional beliefs and teaches the patient tactics, exercises and behavioral experiments to acquire more socially acceptable behavior. It deals with the premise that antisocial behavior is learned, motivated and strengthened within the person and within the environment factors. Antisocial Personality Disorder essay research case study example. There a few cognitive behavioral strategies can be used to acknowledge new cognitive and behavioral techniques to break the sequences of antisocial behavior (Davidson, 2008).

          Difference between Expected Result and the Achieved Result with Decision

    The expected result and achieved result are the same. Ms. Rhonda returned to the clinic showing empathy, compassion, remorseful for her action and demonstrating acceptable social behavior.

                                                          Ethical
    Considerations

    People with ASPD are responsible for an extreme amount of social discomfort, crime, and violence and pose a critical burden to society causing distress to others, to a great extent because of the violations they commit and their antisocial behavior.  Working with ASPD patients can be challenging. ASPD is a mental disorder and requires clinicians to give proper consideration and treatment nonjudgmental (De Brito & Hodgins, 2009). Antisocial Personality Disorder essay research case study example.

     

                                                            References

    Davidson K.M. (2008). Cognitive therapy for personality disorders: a guide for clinicians. Second Edition.  Routledge: Hove

    De Brito S, Hodgins S (2009) Antisocial personality disorder. In: McMurran M, Howard R, editors. Personality, Personality Disorder and Risk of Violence: An Evidence-Based Approach. West Sussex, UK: John Wiley and Sons. Antisocial Personality Disorder essay research case study example.

    Framingham, J. (2016). Types of Psychological Testing.
    Psych Central
    . Retrieved on September 23, 2018, from https://psychcentral.com/lib/types-of-psychological-testing/

    Laureate Education. (2017a). A woman with personality disorder [Interactive media file] Baltimore, MD: Author.

    Sadock, B. J., Sadock, V. A., & Ruiz, P. (2014). Kaplan & Sadock’s synopsis of psychiatry: Behavioral sciences/clinical psychiatry (11th ed.). Philadelphia, PA: Wolters Kluwer. Antisocial Personality Disorder essay research case study example.

  • Safe Prescribing DEA PMHNP essay assignment example

    Safe Prescribing DEA PMHNP essay assignment example

    Assignment : Safe Prescribing

    1. Describe the role of the Drug Enforcement Administration (DEA) as it pertains to the PMHNP.

    2. Explain your responsibilities when having a DEA number.

    3. Explain how you apply for a DEA number.

    4. Explain MARYLAND state’s requirements for a safe prescribing and prescription monitoring program. Explain your responsibility as a PMHNP to follow these requirements. Safe Prescribing DEA PMHNP essay assignment example.

    5. Provide an example of a drug you may prescribe from each of the Schedule II-V drug levels.

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    Safe Prescribing

    The Food and Drug Administration oversees the Drug Enforcement Administration. Drug Enforcement Administration (DEA) was founded in 1973 for the enforcement of controlled substances. The DEA protect the safety of the public within the United States. They help to make sure that drugs are not misused for an illicit purpose. In the US there are over 6 million prescription drug abusers (DEA, n.d.). Controlled substances are categorized into five schedules which are schedule I, II, III IV and V.   Schedule I have the highest potential for abuse and as the schedule number gets higher the potential for abuse gets lower. Safe Prescribing DEA PMHNP essay assignment example.

    Describe the role of the Drug Enforcement Administration (DEA) as it pertains to the PMHNP                                                    

    A nurse practitioner that is board certified and caring for patient must be licensed and DEA certified to prescribe control substance. The DEA work with practitioners to prevent drugs diversion for an illicit purpose. The DEA work with state professional licensing boards, local and state law enforcement authorities to guarantee controlled substances are prescribed, administered and distributed for authentic medical reasons, according to the federal and state laws. Safe Prescribing DEA PMHNP essay assignment example.

    The DEA can investigate practitioner at any time if there is any suspicion of violations of federal or state law. At any time, there is a violation, the state board withdraws the practitioner license, and the DEA will make sure that the practitioner voluntarily surrenders their DEA registration. A lack of compliance requires corrective action, for example, administrative action or in extraordinary cases, civil, or criminal act. These actions are taken to stop the practitioner the ability to divert or abusing controlled substances and protect the health and safety of the public. Safe Prescribing DEA PMHNP essay assignment example.

    T
    he PMNHP responsibilities when having a DEA number

    As a practitioner, it is important to proper prescribe, administer, and distribute controlled substances because can affect patients’ health and the safety of the public. Practitioners must prescribe substance-controlled medication as authorized by the state in which they practice. Safe Prescribing DEA PMHNP essay assignment example. The practitioner acts only within the scope of employment in the institution where they work. The practitioner prescribes medication under the employer registration and is assigns a specific internal code as authorized by their employer (DEA, n.d.).

    As a practitioner, it is essential to keep all prescription blanks in a safe place. It is crucial to writing out the exact amount of prescription to prevent altercations of the prescription order. Prescription blanks should not be used as notes. It is significant to assist the pharmacist when they call to verify the prescription order. It is important not to sign a blank prescription pad in advance and use a tamper-resistant prescription pad. Safe Prescribing DEA PMHNP essay assignment example. The practitioner should be careful not to be manipulated by drug-abuser. Drugs diversion may result in drug overdose, drug- related emergency room visits, drug addictions and death. All suspicious prescription activities should be reported to the nearest DEA office immediately.

                                              Explain how you apply for a DEA number

    A practitioner is required by their state and DEA to apply for a DEA number by registering using DEA form 224. It can be done online or hard copy or mailed. The phone is 1-800-882-9539, and the online websites are www.DEAdiversion.usdoj.gov. and cost about $700 (DEA, n.d.).

    An active license for the state of practice is required. The online registration consists of six-part which are Personal/ business information, Activity, state license, background information, payment, and confirmation. It is crucial to know that the application fees are not refundable. Safe Prescribing DEA PMHNP essay assignment example. For online application take note of the registration ID number and call after three business days to verify if the application has been approved.

    Anybody who purposely or intentionally furnishes false or deceitful data in the form is liable to a term of detainment of not over four years, and a fine under Title 18 of not more than $250,000, or both (DEA, n.d.).

    Explain your state’s requirements for a safe prescribing and prescription monitoring

         program. Explain your responsibility as a PMHNP to follow these requirements.

    All practitioner in Maryland must be registered with Prescription Drug Monitoring Program. It helps the state to monitor prevent diversion of substance medication. As a practitioner is mandatory to follow the requirement of the state to prevent any civil or criminal charge or suspension of license. A nurse practitioner must comply with the state law of Health Occupations Article, §12-505, Annotated Code of Maryland, record the order of the prescription drug on the patient’s chart, permit the division of drug control to enter and review the practitioner office at any time. Safe Prescribing DEA PMHNP essay assignment example. A practitioner is required to stamp all schedule III, IV, V prescription with the letter “C’ in a red link (MBON, 2017). Only starter dosages or samples medication without charges, furnish the patient with a written prescription order. A practitioner should maintain two separate records one for schedule II medication and the other for other prescription and keep records for five years. The practitioner can prepare and distribute a starter dosage of any drug they want as authorized and record it in the patient chart. Safe Prescribing DEA PMHNP essay assignment example.

    Provide an example of a drug you may prescribe from each of the Schedule II-V drug levels.

    The Schedule II drug levels have a high possibility for abuse which may lead to severe physical or psychological dependence. There is no federal time limit to numbers of drugs prescribed. Safe Prescribing DEA PMHNP essay assignment example. An oral order can be given in an emergency situation. Examples of Schedule II narcotics are hydromorphone, oxycodone and methylphenidate (Gabay, 2013).

    Schedule III-Substances have a lesser potential for abuse than schedule I or II with moderate physical and psychological dependence. Example is buprenorphine (Gabay, 2013).

      Schedule IV- is a controlled substance with a little potential for abuse than schedule I, II and III. Example is Tramadol, Ambien and clonazepam
    (Gabay, 2013).

       Schedule V as the lowest potential for abuse of all and it contain limited number of certain narcotics. Example Lyrica and Robitussin AC
    (Gabay, 2013). Safe Prescribing DEA PMHNP essay assignment example.

     

    References

    Drug Enforcement Administration (n.d.). Drug Scheduling. Retrieved on September 23, 2018.https://www.dea.gov/drug-scheduling

    Gabay, M. (2013). Federal Controlled Substances Act: Controlled Substances Prescriptions. Hospital Pharmacy, 48(8), 644–645. Retrieved on September 23, 2018   https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3847977/. Safe Prescribing DEA PMHNP essay assignment example.

    Maryland Board of Nursing (2017). Division of State Documents. Retrieved on September 23, 2018.
    https://mbon.maryland.gov/Pages/advanced-practice-index.aspx

    Stahl, S. M. (2014).
    Prescriber’s Guide: Stahl’s Essential Psychopharmacology
    (5th ed.). New York, NY: Cambridge University Press.

    Sadock, B. J., Sadock, V. A., & Ruiz, P. (2014). Kaplan & Sadock’s synopsis of psychiatry: Behavioral sciences/clinical psychiatry (11th ed.). Philadelphia, PA: Wolters Kluwer. Safe Prescribing DEA PMHNP essay assignment example.