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NURS 6521 Assignment: Decision Tree for Neurological and Musculoskeletal

By Day 7 of Week 8

Submit
 your Assignment, started in Week 6.

Reminder:
 The School of Nursing requires that all papers submitted include a title page, introduction, summary, and references. The Sample Paper provided at the Walden Writing Center offers an example of those required elements (available at 
http://writingcenter.waldenu.edu/57.htm
). All papers submitted must use this formatting.

Photo Credit: Getty Images/Science Photo Library RF

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Submission and Grading Information

To submit your completed Assignment for review and grading, do the following:

Please save your Assignment using the naming convention “WK8Assgn+last name+first initial.(extension)” as the name.

Click the 
Week 8 Assignment Rubric 
to review the Grading Criteria for the Assignment.

Click the 
Week 8 Assignment 
You will also be able to “View Rubric” for grading criteria from this area.

Next, from the Attach File area, click on the 
Browse My Computer
Find the document you saved as “WK8Assgn+last name+first initial.(extension)” and click 
Open
. NURS 6521 Assignment: Decision Tree for Neurological and Musculoskeletal

If applicable: From the Plagiarism Tools area, click the checkbox for 
I agree to submit my paper(s) to the Global Reference Database
.

Click on the 
Submit
button to complete your submission.

Grading Criteria

To access your rubric:

Week 8 Assignment Rubric

 

Check Your Assignment Draft for Authenticity

To check your Assignment draft for authenticity:

Submit your Week 8 Assignment draft and review the originality report.

 

Submit Your Assignment by Day 7 of Week 8

To participate in this Assignment:

Week 8 Assignment NURS 6521 Assignment: Decision Tree for Neurological and Musculoskeletal

NURS 6521 Discussion: Decision Making When Treating Psychological Disorders

Psychological disorders, such as depression, bipolar, and anxiety disorders can present several complications for patients of all ages. These disorders affect patients physically and emotionally, potentially impacting judgment, school and/or job performance, and relationships with family and friends. Since these disorders have many drastic effects on patients’ lives, it is important for advanced practice nurses to effectively manage patient care. With patient factors and medical history in mind, it is the advanced practice nurse’s responsibility to ensure the safe and effective diagnosis, treatment, and education of patients with psychological disorders.

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For this Discussion, you will select an interactive media piece to practice decision making when treating patients with psychological disorders. You will recommend the most effective pharmacotherapeutic to treat the psychological disorder presented and examine potential impacts of pharmacotherapeutics on a patient’s pathophysiology.

To Prepare

Review this week’s interactive media pieces and select one to focus on for this Discussion.

Reflect on the decision steps in the interactive media pieces, and consider the potential impacts from the administration of the associated pharmacotherapeutics on the patient’s pathophysiology.

By Day 3 of Week 8

Post
a brief explanation of the psychological disorder presented and the decision steps you applied in completing the interactive media piece for the psychological disorder you selected. Then, explain how the administration of the associated pharmacotherapeutics you recommended may impact the patient’s pathophysiology. How might these potential impacts inform how you would suggest treatment plans for this patient? Be specific and provide examples. NURS 6521 Discussion: Decision Making When Treating Psychological Disorders

By Day 6 of Week 8

Read
 a selection of your colleagues’ responses and 
respond 
to 
at least two
 of your colleagues on 
two different days
 who selected a different interactive media piece on a psychological disorder, and provide recommendations for alternative drug treatments to address the patient’s pathophysiology.

Note:
 For this Discussion, you are required to complete your initial post before you will be able to view and respond to your colleagues’ postings. Begin by clicking on the “Post to Discussion Question” link, and then select “Create Thread” to complete your initial post. Remember, once you click on Submit, you cannot delete or edit your own posts, and you cannot post anonymously. Please check your post carefully before clicking on 
Submit! NURS 6521 Discussion: Decision Making When Treating Psychological Disorders

Submission and Grading Information

Grading Criteria

To access your rubric:

Week 8 Discussion Rubric

 

Post by Day 3 of Week 8 and Respond by Day 6 of Week 8

To Participate in this Discussion:

Week 8 Discussion

NURS 6521 Discussion: Decision Making When Treating Psychological Disorders

NURS 6521 Week 8: Pharmacology for Psychological Disorders

How does an advanced practice nurse determine the best treatment option or pharmacotherapeutic to recommend for patients with psychological disorders?

Much like assessing or recommending pharmacotherapeutics for other conditions or disorders, as an advanced practice nurse, you may encounter a patient who presents with a psychological disorder. Understanding the guiding principles related to treating patients with psychological disorders as well as the effects of pharmacotherapeutics on a patient’s overall health and well-being is critical for the safe and effective delivery of care.

This week, you examine types of drugs prescribed to patients with psychological disorders. You also examine potential impacts of pharmacotherapeutics used to treat psychological disorders on a patient’s pathophysiology. NURS 6521 Week 8: Pharmacology for Psychological Disorders

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Learning Objectives

Students will:

Evaluate patients for treatment of psychological disorders

Analyze decisions made throughout the diagnosis and treatment of patients with psychological disorders

Analyze impacts of pharmacotherapeutics for psychological disorders on patient pathophysiology

Evaluate patients for treatment of neurological and musculoskeletal disorders

Analyze decisions made throughout the diagnosis and treatment of patients with neurological and musculoskeletal disorders

Justify decisions made throughout the diagnosis and treatment of patients with neurological and musculoskeletal disorders

Learning Resources

Required Readings (click to expand/reduce)

 

Required Media (click to expand/reduce)

 

Discussion: Decision Making When Treating Psychological Disorders

Psychological disorders, such as depression, bipolar, and anxiety disorders can present several complications for patients of all ages. These disorders affect patients physically and emotionally, potentially impacting judgment, school and/or job performance, and relationships with family and friends. NURS 6521 Week 8: Pharmacology for Psychological Disorders. Since these disorders have many drastic effects on patients’ lives, it is important for advanced practice nurses to effectively manage patient care. With patient factors and medical history in mind, it is the advanced practice nurse’s responsibility to ensure the safe and effective diagnosis, treatment, and education of patients with psychological disorders.

Photo Credit: Getty Images/iStockphoto

For this Discussion, you will select an interactive media piece to practice decision making when treating patients with psychological disorders. You will recommend the most effective pharmacotherapeutic to treat the psychological disorder presented and examine potential impacts of pharmacotherapeutics on a patient’s pathophysiology.

To Prepare

Review this week’s interactive media pieces and select one to focus on for this Discussion.

Reflect on the decision steps in the interactive media pieces, and consider the potential impacts from the administration of the associated pharmacotherapeutics on the patient’s pathophysiology. NURS 6521 Week 8: Pharmacology for Psychological Disorders

By Day 3 of Week 8

Post
 a brief explanation of the psychological disorder presented and the decision steps you applied in completing the interactive media piece for the psychological disorder you selected. Then, explain how the administration of the associated pharmacotherapeutics you recommended may impact the patient’s pathophysiology. How might these potential impacts inform how you would suggest treatment plans for this patient? Be specific and provide examples.

By Day 6 of Week 8

Read
 a selection of your colleagues’ responses and 
respond 
to 
at least two
 of your colleagues on 
two different days
who selected a different interactive media piece on a psychological disorder, and provide recommendations for alternative drug treatments to address the patient’s pathophysiology. NURS 6521 Week 8: Pharmacology for Psychological Disorders

Note:
 For this Discussion, you are required to complete your initial post before you will be able to view and respond to your colleagues’ postings. NURS 6521 Week 8: Pharmacology for Psychological Disorders. Begin by clicking on the “Post to Discussion Question” link, and then select “Create Thread” to complete your initial post. Remember, once you click on Submit, you cannot delete or edit your own posts, and you cannot post anonymously. Please check your post carefully before clicking on
Submit!

Submission and Grading Information

Grading Criteria

To access your rubric:

Week 8 Discussion Rubric

 

Post by Day 3 of Week 8 and Respond by Day 6 of Week 8

To Participate in this Discussion:

Week 8 Discussion

 

Assignment: Decision Tree for Neurological and Musculoskeletal

By Day 7 of Week 8

Submit
 your Assignment, started in Week 6.

Reminder:
 The School of Nursing requires that all papers submitted include a title page, introduction, summary, and references. The Sample Paper provided at the Walden Writing Center offers an example of those required elements (available at 
http://writingcenter.waldenu.edu/57.htm
). NURS 6521 Week 8: Pharmacology for Psychological Disorders All papers submitted must use this formatting.

Photo Credit: Getty Images/Science Photo Library RF

Submission and Grading Information

To submit your completed Assignment for review and grading, do the following:

Please save your Assignment using the naming convention “WK8Assgn+last name+first initial.(extension)” as the name.

Click the 
Week 8 Assignment Rubric 
to review the Grading Criteria for the Assignment.

Click the 
Week 8 Assignment 
You will also be able to “View Rubric” for grading criteria from this area.

Next, from the Attach File area, click on the 
Browse My Computer
Find the document you saved as “WK8Assgn+last name+first initial.(extension)” and click 
Open
.

If applicable: From the Plagiarism Tools area, click the checkbox for 
I agree to submit my paper(s) to the Global Reference Database
.

Click on the 
Submit
button to complete your submission NURS 6521 Week 8: Pharmacology for Psychological Disorders.

Grading Criteria

To access your rubric:

Week 8 Assignment Rubric

 

Check Your Assignment Draft for Authenticity

To check your Assignment draft for authenticity:

Submit your Week 8 Assignment draft and review the originality report.

 

Submit Your Assignment by Day 7 of Week 8

To participate in this Assignment:

Week 8 Assignment

 

What’s Coming Up in Module 7?

Photo Credit: Getty Images/iStockphoto

In the next module, 
you will examine types of drugs prescribed to address women’s and men’s health, infections, and disorders of the hematologic system. NURS 6521 Week 8: Pharmacology for Psychological Disorders

Next Week

NURS 6521 Week 9 Discussion: Women’s and Men’s Health, Infectious Disease, and Hematologic Disorders

Week 9: Women’s and Men’s Health

As an advanced practice nurse, you will likely encounter many disorders associated with women’s and men’s health, such as hormone deficiencies, cancers, and other functional and structural abnormalities. Disorders such as these not only result in physiological consequences but also psychological consequences, such as embarrassment, guilt, or profound disappointment for patients. For these reasons, the provider-patient relationship must be carefully managed. NURS 6521 Week 9 Discussion: Women’s and Men’s Health, Infectious Disease, and Hematologic Disorders. During evaluations, patients must feel comfortable answering questions so that you, as a key health-care provider, will be able to diagnose and recommend appropriate treatment options. Advanced practice nurses must be able to educate patients on these disorders and help relieve associated stigmas and concerns.

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This week, you examine women’s and men’s health concerns as well as the types of drugs used to treat disorders that affect women’s and men’s health. You also explore how to treat aspects of these disorders on other health systems. NURS 6521 Week 9 Discussion: Women’s and Men’s Health, Infectious Disease, and Hematologic Disorders.

Learning Objectives

Students will:

Evaluate patients for treatment of complex health issues

Evaluate patients for treatment of infections

Evaluate patients for treatment of hematologic disorders

Analyze patient education strategies for the management and treatment of complex comorbidities

Learning Resources

Required Readings (click to expand/reduce)

 

Discussion: Women’s and Men’s Health, Infectious Disease, and Hematologic Disorders

As an advanced practice nurse, you will likely experience patient encounters with complex comorbidities. For example, consider a female patient who is pregnant who also presents with hypertension, diabetes, and has a recent tuberculosis infection. How might the underlying pathophysiology of these conditions affect the pharmacotherapeutics you might recommend to help address your patient’s health needs? What education strategies might you recommend for ensuring positive patient health outcomes?

For this Discussion, you will be assigned a patient case study and will consider how to address the patient’s current drug therapy plans. You will then suggest recommendations on how to revise these drug therapy plans to ensure effective, safe, and quality patient care for positive patient health outcomes. NURS 6521 Week 9 Discussion: Women’s and Men’s Health, Infectious Disease, and Hematologic Disorders.

Photo Credit: Getty Images

To Prepare

Review the Resources for this module and reflect on the different health needs and body systems presented.

Review the complex case asisgned by your Instructor for this Discussion.

Consider how you will practice critical decision making for prescribing appropriate drugs and treatment to address the complex patient health needs in the patient case study you selected. NURS 6521 Week 9 Discussion: Women’s and Men’s Health, Infectious Disease, and Hematologic Disorders.

By Day 3 of Week 9

Post
 a brief description of your patient’s health needs from the patient case study you assigned. Be specific. Then, explain the type of treatment regimen you would recommend for treating your patient, including the choice or pharmacotherapeutics you would recommend and explain why. Be sure to justify your response. Explain a patient education strategy you might recommend for assisting your patient with the management of their health needs. Be specific and provide examples.

You will respond to your colleagues’ posts in Week 10.

Note:
 For this Discussion, you are required to complete your initial post before you will be able to view and respond to your colleagues’ postings. Begin by clicking on the “Post to Discussion Question” link, and then select “Create Thread” to complete your initial post. NURS 6521 Week 9 Discussion: Women’s and Men’s Health, Infectious Disease, and Hematologic Disorders. Remember, once you click on Submit, you cannot delete or edit your own posts, and you cannot post anonymously. Please check your post carefully before clicking on
Submit!

Submission and Grading Information

Grading Criteria

To access your rubric:

Week 9 Discussion Rubric

 

Post by Day 3 of Week 9 and Respond by Day 6 of Week 10

To Participate in this Discussion:

Week 9 Discussion

 

What’s Coming Up in Week 10?

Photo Credit: Getty Images/iStockphoto

Next week, 
you will continue working on your Discussion assigned in Week 9, as you examine the types of drugs used to treat infections and disorders of the hematologic system.

Next Week NURS 6521 Week 9 Discussion: Women’s and Men’s Health, Infectious Disease, and Hematologic Disorders

NURS 6521 Week 10: Infections and Hematologic Systems

Week 10: Infections and Hematologic Systems

Bacterial and viral infections may spread through the direct contact of bodily fluids such as blood or through vectors, who help to spread infections via the blood. When you think of infections and the hematologic system, what comes to mind?

Infectious diseases, such as malaria, dengue, or other hemorrhagic fevers are some examples of infections that impact the hematologic system. However, disorders of the hematologic system, such as anemia or blood clotting factor disorders, can also have a deleterious effect on a patient’s health and well-being NURS 6521 Week 10: Infections and Hematologic Systems. As an advanced practice nurse, you will need to understand the different types of pharmacotherapeutics used to treat infections and disorders of the hematologic system as you work to enhance patient-centered approaches for safe, quality, and effective care.

This week, you will examine infections and hematologic disorders, as well as the types of drugs used to treat aspects of these disorders or health systems.

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Learning Objectives

Students will:

Evaluate patients for treatment of complex health issues

Evaluate patients for treatment of infections. NURS 6521 Week 10: Infections and Hematologic Systems.

Evaluate patients for treatment of hematologic disorders

Analyze patient education strategies for the management and treatment of complex comorbidities

Learning Resources

Required Readings (click to expand/reduce)

 

Required Media (click to expand/reduce)

 

Discussion: Women’s and Men’s Health, Infectious Disease, and Hematologic Disorders

To Prepare

Review the resources for this module and reflect on the different health needs and body systems presented.

Review the complex case asisgned by your Instructor for this Discussion.

Consider how you will practice critical decision making for prescribing appropriate drugs and treatment to address the complex patient health needs in the patient case study you selected. NURS 6521 Week 10: Infections and Hematologic Systems.

Photo Credit: Getty Images

By Day 6 of Week 10

Read
 a selection of your colleagues’ responses from Week 9 and 
respond 
to 
at least two
 of your colleagues on 
two different days
 who were assigned a different patient case study, and provide recommendations for alternative drug treatments to address the patient’s pathophysiology. Be specific and provide examples.

Note:
 For this Discussion, you are required to complete your initial post before you will be able to view and respond to your colleagues’ postings. Begin by clicking on the “Post to Discussion Question” link, and then select “Create Thread” to complete your initial post. Remember, once you click on Submit, you cannot delete or edit your own posts, and you cannot post anonymously. Please check your post carefully before clicking on Submit! NURS 6521 Week 10: Infections and Hematologic Systems

Submission and Grading Information

Grading Criteria

To access your rubric:

Week 9 Discussion Rubric

 

Post by Day 3 of Week 9 and Respond by Day 6 of Week 10

To Participate in this Discussion:

Week 9 Discussion

 

What’s Coming Up in Module 8?

Photo Credit: Getty Images/iStockphoto

In the next module, 
you will examine prescribing drugs and the off-label use of drugs to treat pediatric patients. You will also complete your Final Exam.

Looking Ahead: Final Exam

Please review the Resources and content in the previous modules in preparation for your Final Exam in Module 8.

 

NURS 6521 Week 10: Infections and Hematologic Systems

Off-Label Drug Use in Pediatrics Essay Assignment

Week 11: Pediatrics

Children, like adults, deal with variety of health issues, but they also have issues that are more prevalent within their population. One issue that significantly impacts children is the prescription of drugs for off-label use. As an advanced practice nurse, how do you determine the appropriate use of off-label drugs in pediatrics? Are there certain drugs that should be avoided with pediatric patients?

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This week, you examine the practice of prescribing off-label drugs to children. You also explore strategies for making off-label drug use safer for children from infancy to adolescence, as it is essential that you are prepared to make drug-related decisions for pediatric patients in clinical settings. Off-Label Drug Use in Pediatrics Essay Assignment.

Learning Objectives

Students will:

Evaluate the practice of prescribing off-label drugs to children

Analyze strategies to make the off-label use of drugs safer for children

Identify key terms, concepts, and principles related to prescribing drugs to treat patient disorders

Learning Resources

Required Readings (click to expand/reduce)

 

Required Media (click to expand/reduce)

 

Assignment: Off-Label Drug Use in Pediatrics

The unapproved use of approved drugs, also called off-label use, with children is quite common. This is because pediatric dosage guidelines are typically unavailable, since very few drugs have been specifically researched and tested with children.

When treating children, prescribers often adjust dosages approved for adults to accommodate a child’s weight. However, children are not just “smaller” adults. Adults and children process and respond to drugs differently in their absorption, distribution, metabolism, and excretion. Off-Label Drug Use in Pediatrics Essay Assignment

Photo Credit: Getty Images

Children even respond differently during stages from infancy to adolescence. This poses potential safety concerns when prescribing drugs to pediatric patients. As an advanced practice nurse, you have to be aware of safety implications of the off-label use of drugs with this patient group.

To Prepare

Review the interactive media piece in this week’s Resources and reflect on the types of drugs used to treat pediatric patients with mood disorders. Off-Label Drug Use in Pediatrics Essay Assignment

Reflect on situations in which children should be prescribed drugs for off-label use.

Think about strategies to make the off-label use and dosage of drugs safer for children from infancy to adolescence. Consider specific off-label drugs that you think require extra care and attention when used in pediatrics.

By Day 5 of Week 11

Write 
a 1-page narrative in APA format that addresses the following:

Explain the circumstances under which children should be prescribed drugs for off-label use. Be specific and provide examples.

Describe strategies to make the off-label use and dosage of drugs safer for children from infancy to adolescence. Include descriptions and names of off-label drugs that require extra care and attention when used in pediatrics.

Reminder:
 The School of Nursing requires that all papers submitted include a title page, introduction, summary, and references. The Sample Paper provided at the Walden Writing Center offers an example of those required elements (available at 
http://writingcenter.waldenu.edu/57.htm
). All papers submitted must use this formatting. Off-Label Drug Use in Pediatrics Essay Assignment.

Submission and Grading Information

To submit your completed Assignment for review and grading, do the following:

Please save your Assignment using the naming convention “WK11Assgn+last name+first initial.(extension)” as the name.

Click the 
Week 11 Assignment Rubric 
to review the Grading Criteria for the Assignment.

Click the 
Week 11 Assignment 
You will also be able to “View Rubric” for grading criteria from this area.

Next, from the Attach File area, click on the 
Browse My Computer
Find the document you saved as “WK11Assgn+last name+first initial.(extension)” and click 
Open
. Off-Label Drug Use in Pediatrics Essay Assignment

If applicable: From the Plagiarism Tools area, click the checkbox for 
I agree to submit my paper(s) to the Global Reference Database
.

Click on the 
Submit
button to complete your submission.

Grading Criteria

To access your rubric:

Week 11 Assignment Rubric

 

Check Your Assignment Draft for Authenticity

To check your Assignment draft for authenticity: Off-Label Drug Use in Pediatrics Essay Assignment

Submit your Week 11 Assignment draft and review the originality report.

 

Submit Your Assignment by Day 7 of Week 11

To participate in this Assignment:

Week 11 Assignment

 

Final Exam

This Exam covers the content you have explored throughout this course.

This exam is a test of your knowledge in preparation for your certification exam. 
No outside resources
—including books, notes, websites, or any other type of resource—are to be used to complete this exam. You are not allowed to take screenshots or record the exam questions in any other format while taking the exam. You are expected to 
comply with Walden University’s Code of Conduct
.

Photo Credit: Getty Images/Hero Images

By Day 7 of Week 11

Complete
 the Final Exam. You have 120 minutes to complete the exam. You may only attempt this exam once.

Submission and Grading Information

Complete the Exam by Day 7 of Week 11

To Complete this Exam:

Week 11 Exam

 

Module in Review

In this module,
 you evaluated the practice and circumstances of prescribing off-label drugs to children and analyzed the strategies used to make their use and dosage safer for children. After you have completed the Discussion and the Final Exam for this week, you have finished the course. Congratulations! 
Please complete the Course Evaluation form and submit by Day 7.

Congratulations! After you have finished all of the assignments for this week, you have completed the course. Please submit your Course Evaluation by Day 7. Off-Label Drug Use in Pediatrics Essay Assignment

Influencing Social Change for psychiatric mental health

Individuals with psychiatric mental health disorders are frequently stigmatized not only by society as a whole, but also by their friends, family, and sometimes healthcare providers. In your role, however, you have the opportunity to become a social change agent for these individuals. For this Discussion, consider how you might make a positive impact for your clients and advocate for social change within your own community.

Learning Objectives

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Students will: Apply strategies to become a social change agent for psychiatric mental health

Required Readings

Angermeyer, M. C., Matschinger, H., & Schomerus, G. (2013). Attitudes towards psychiatric treatment and people with mental illness: Changes over two decades. The British Journal of Psychiatry, 203(2), 146–151. Retrieved from http://bjp.rcpsych.org/content/203/2/146.full Influencing Social Change for psychiatric mental health

Bui, Q. (2012). Antidepressants for agitation and psychosis in patients with dementia. American Family Physician, 85(1), 20–22. Retrieved from http://www.aafp.org/journals/afp.html

Note: Retrieved from from the Walden Library databases.

Dingfelder, S. F. (2009). Stigma: Alive and well. American Psychological Association, 40(6), 56. Retrieved from http://www.apa.org/monitor/2009/06/stigma.aspx Influencing Social Change for psychiatric mental health

Jenkins, J. H. (2012). The anthropology of psychopharmacology: Commentary on contributions to the analysis of pharmaceutical self and imaginary. Culture, Medicine and Psychiatry, 36(1), 78–79. doi:10.1007/s11013-012-9248-0

Note: Retrieved from from the Walden Library databases.

Price, L. H. (2010). Violence in America: Is psychopharmacology the answer? Brown University Psychopharmacology Update, 21(5), 5. Retrieved from http://onlinelibrary.wiley.com/journal/10.1002/(ISSN)1556-7532

Note: Retrieved from from the Walden Library databases.

To prepare for this Discussion:

Reflect on how you might influence social change for psychiatric mental health.

Question

An explanation of how you, as a nurse practitioner, might become a social change agent for psychiatric mental health. Include how you might advocate for change within your own community Influencing Social Change for psychiatric mental health

Locates medical mnemonic essay

CASE STUDY 1

Clay is a 7-year-old male who presents in your office with complaints of right thigh pain and a limp. The pain began approximately 1 week ago and has progressively worsened. There is no history of trauma.analysis of your assigned case by responding to the following:

What additional questions will you ask?

Has the case addressed the LOCATES mnemonic? If not, what else do you need to ask? What additional history will you need? (Think FMH, allergies, meds and so forth, that might be pertinent in arriving to your differential diagnoses).

What additional examinations or diagnostic tests, if any will you conduct?

What are your differential diagnoses? What historical and physical exam features support your rationales? Provide at least 3 differentials.

What is your most likely diagnosis and why? locates medical mnemonic essay.

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How will you treat this child?

Provide medication treatment and symptomatic care.

Provide correct medication dosage. Use the knowledge you learned from this week’s and previous weeks’ readings as well as what you have learned from pharmacology to help you with this area locates medical mnemonic essay.

Patient Education, Health Promotion & Anticipatory guidance:

Explain strategies for educating parents on their child’s disorder and reducing any concerns/fears presented in the case study.

Include any socio-cultural barriers that might impact the treatment and management plans.

Health Promotion:

What immunizations should this child have had?

Based on the child’s age, when is the next well visit?

At the next well visit, what are the next set of immunizations?

What additional anticipatory guidance should be provided today?

The Primary Diagnosis is Leg Calve Perthes Disease

The other three are is Juvenile rheumatiod arthritis, slipped capital femoral epiphysis, and osteomyelitis.

Each diagnosis needs to be in its own paragraph explaiing similarities in symptoms and why they would be ruled out locates medical mnemonic essay

PRough Draft Qualitative Research Critique and Ethical Considerations Essay Example

Rough Draft Qualitative Research Critique and Ethical Considerations

Write a critical appraisal that demonstrates comprehension of two qualitative research studies. Use the “Research Critique Guidelines – Part 1” document to organize your essay. Successful completion of this assignment requires that you provide rationale, include examples, and reference content from the studies in your responses.

Use the practice problem and two qualitative, peer-reviewed research article you identified in the Topic 1 assignment to complete this assignment.

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In a 1,000–1,250 word essay, summarize two qualitative studies, explain the ways in which the findings might be used in nursing practice, and address ethical considerations associated with the conduct of the study. Rough Draft Qualitative Research Critique and Ethical Considerations Essay Example.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

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. Refer to the
LopesWrite Technical Support articles
for assistance.

 

Research Critique Guidelines – Part I

Qualitative Studies

Background of Study

Summary of studies. Include problem, significance to nursing, purpose, objective, and research question.

How do these two articles support the nurse practice issue you chose?

Discuss how these two articles will be used to answer your PICOT question.

Describe how the interventions and comparison groups in the articles compare to those identified in your PICOT question.

Method of Study:

State the methods of the two articles you are comparing and describe how they are different.

Consider the methods you identified in your chosen articles and state one benefit and one limitation of each method. Rough Draft Qualitative Research Critique and Ethical Considerations Essay Example

Results of Study

Summarize the key findings of each study in one or two comprehensive paragraphs.

What are the implications of the two studies in nursing practice?

Ethical Considerations

Discuss two ethical consideration in conducting research.

Describe how the researchers in the two articles you choose took these ethical considerations into account while performing their research. Rough Draft Qualitative Research Critique and Ethical Considerations Essay Example.

Pre-Screening for Medicaid Health Policy Paper essay example

Abstract

Over the last six years there has been more debate about our health care system than any other political issue. The reason for this is because the United States has a very broken system. Many individuals have brought forward ideas to help improve the system but there had been no cure all. Due to the fact that there are so many options when it comes to insurance it seems as those who cannot afford or do not work for an employer who offers insurance coverage the only other option is Medicaid. A better system does need to be put in place, the first step to that better system is to do mandatory drug screening for all individuals who apply for state aided coverage. Especially after the ACA expansion mandate.

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The ACA has had many questions surrounding who should qualify for state aid, and at what point does the government refuse care. The specific area of the ACA that addresses issues surrounding Medicaid and who qualifies has had much back lash. So much so that it has been called into question as to whether it is constitutional or not. The ACA Medicaid expansion mandate states that and “mandates non-poor persons to purchase medical insurance if they are not otherwise adequately covered. The federal government will subsidize these purchases for persons with incomes of 100 to 400% of the federal poverty level” (Cohen, 2012). The mandate also “requires that state Medicaid plans, starting in 2014, cover all persons under 65 years of age with individual or family incomes up to 133% of the federal poverty level” (Cohen, 2012). Many people question why it is fair for individuals to receive free state/ federal aid while others are taxed if they opt out of coverage for the year. Many wonder how the government can make the people pay for something that should be optional, especially if some people are getting free medical care. The other side of this argument is focused on poverty level individuals that qualify for Medicaid but use drugs such as heroine and abuse prescription drugs. These individuals use the system to get free health care for their methadone maintenance and access to free opioids. Essentially tax payers are funding legal drug use. For many people in the United States this is a preposterous theory and are shocked this passed any part of the law-making process. The questions remain, why are drug users allowed access to free care, are drug seekers being punished, and why does Medicaid cover “legal” drug use.

Some ides that come to mind helping with the issues at hand include: lock-in program, drug screening prior to acceptance into the Medicaid program, and not allow for methadone maintenance be covered by Medicaid. “Lock-In programs, common to all Medicaid and some commercial insurance plans, typically function by creating a prescription gatekeeper for beneficiaries who are deemed to have potential for misuse of their prescription benefits based on their prescription and medical services utilization history” (Keast, 2015). This allows anyone who were to slip through the cracks during drug screening to be watched. These people would be monitored for when they see a doctor, how often they are asking for opioid medications, and if they go to see other doctors asking for the same prescription. In a way it deters and limits polypharmacy. Pre-Screening for Medicaid Health Policy Paper essay example. I also feel drug screenings would play a huge role in deterring those who only use the system for free care and allow extra money for the purchase of drugs. If individuals have to pay for their health care they may choose to allocate money into their family’s needs rather than place it in the bottomless pit of drug use. Lastly, I feel methadone clinics should not be an option for care with those who strictly have Medicaid. By allowing this we allow those to get free drugs essentially. Methadone allows for heroin addicts to use under a medical premise in order to stop using heroine. This is great in theory, but there is no limit to how long you are treated at the clinic. Most individuals go to the clinic three times a week and are able to feel the same high but “under medical care”.

A few major difficulties I see with implementing these three policies include: Drug users not applying funds to health care after denial for Medicaid due to failure to pass drug screen, not having in-network doctors communicate about visits from flagged patients, plans being put in place to help those who are using, and methadone clinics allowing users to treat at the clinic because it is safer than using street heroine. “Effective January 2008, state Medicaid plans may reimburse for screening and brief intervention for alcohol and drug misuse…. State Medicaid implemented Healthcare Common Procedure Code System codes and pay for screening and brief intervention” (Fussell, 2011). This means appointments will be covered as long as intervention is complete and steps are taken to become drug free. The road block for denial is hard too because of the fact that “Medicaid eligibility status each month was determined from each state’s Medicaid Management Information System. Pre-Screening for Medicaid Health Policy Paper essay example. A client was considered eligible in any month if enrolled for 15 or more days” (Deck, 2009). In-network clinics can be difficult when it comes to communication between one or more facilities. Without the cooperation of all doctors that accept Medicaid it would be hard to follow when and where a person sees a doctor. By the time the information goes back to billing it is likely that the individual would have already seen multiple doctors and filled prescriptions with all of them. At that point notification could be sent to an individual’s home stating they owe back pay for doctors’ visits and medication. It’s likely these letters would be ignored, and the opioids would be obtained in another fashion. The last problem lies with methadone clinics. It is hard to turn someone away knowing if they leave the clinic to get a “fix” they may not be alive the next day. Heroine is a very aggressive drug and it can easily be over dose on. It is even more dangerous when it is in its solids state known as “black tar”. This type of heroine is normally shot up using a needle and putting it straight into the vein. Methadone clinics do save lives, but it does not in any way stop the addiction. Individuals just keep coming back for their free fix costing the average tax papers dollars to go down the drain. Pre-Screening for Medicaid Health Policy Paper essay example.

While there are many issues surround the state of the ACA there is no catch all solution to fix everything. There are steps that can be taken to ensure better care for each American. The ACA expansion mandate allowed for more individuals to qualify for free Medicaid programs which in turned allowed for the system to be used more than the prior years by thoughs who may not have qualified. To bring down the cost for tax payers it is imperative that we stop offering free methadone clinics to those on Medicaid., ensure all in network doctors are able to view notes to avoid polypharmacy, and lock down opioid use. Lastly, deny individuals who cannot pass a drug test the use of state and federally funded programs such as Medicaid. It is not fair to law abiding citizens that they are taxed for not having insurance but those who break the law get free health coverage with no penalty Pre-Screening for Medicaid Health Policy Paper essay example.

 

References

Cohen, I. G., & Blumstein, J. F., L.L.B. (2012). The constitutionality of the ACA’s Medicaid-expansion mandate.
 The New England Journal of Medicine, 366
(2), 103-4. Retrieved from https://nuls.idm.oclc.org/login?url=https://search-proquest-com.nuls.idm.oclc.org/docview/915675314?accountid=25320

Deck, Wiitala, McFarland, Campbell, Mullooly, Krupski, & McCarty. (2009). Medicaid Coverage, Methadone Maintenance, and Felony Arrests: Outcomes of Opiate Treatment in Two States. 
Journal of Addictive Diseases,
 
28
(2), 89-102.

Fussell, H. E., Rieckmann, T. R., & Quick, M. B. (2011). Medicaid reimbursement for screening and brief intervention for substance misuse.
 Psychiatric Services, 62
(3), 306-9. Retrieved from https://nuls.idm.oclc.org/login?url=https://search-proquest-com.nuls.idm.oclc.org/docview/862454265?accountid=25320

Keast, S., Nesser, N., & Farmer, K. (2015). Strategies aimed at controlling misuse and abuse of opioid prescription medications in a state Medicaid program: A policymaker’s perspective. 
The American Journal of Drug and Alcohol Abuse,
 
41
(1), 1-6. Pre-Screening for Medicaid Health Policy Paper essay example