Category: Nursing

Business Environment Analysis for Kelly’s Salon – social media and cloud-based software

Create a 15- to 20-slide presentation on the benefits of using social media and cloud-based software to promote and run a business. Include the following:

Research at least four different social media applications that can be used to promote and/or conduct business.

Explain the rationale and benefits to using them in the workplace, such as why or how they increase productivity.

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Describe the potential risks that a business should be aware of when considering using these tools.

Discuss any additional technology considerations that should be considered before using these types of tools.

Evaluate the benefits of using cloud-based and integrated software solutions to complete business projects, and provide two or three examples. Business Environment Analysis for Kelly’s Salon – social media and cloud-based software.

Discuss new technologies and trends that may impact future business solutions.

Explain how consumer or market changes help drive updates in business workflows and productivity software use.

Discuss ethical implications associated with unsecured financial transactions, the potential leak of personal data, unsolicited communication, or other questionable activities

Provide a summary of your research and conclusions.

Use speaker notes to expand ideas beyond the slide bullet points, and include research supporting your comparisons.

Cite a minimum of four sources, formatted according to APA guidelines.

Click the Assignment Files tab to submit your assignment.

Used with permission from Microsoft.

Overview of Business Environment Analysis for Kelly’s Salon

no plagarism work.

Overview of Business Environment Analysis for Kelly’s Salon

Kelly’s Salon has been in business since 1995 and has
 seen an increase in competition from a variety of competitors, as described in the Case Study.  With the news that a Hair Cuttery is likely to open only five miles away, Kelly, the owner of Kelly’s Salon, 
is concerned and has begun analyzing her situation and what could be done to remain competitive in this changing environment.  
She has recognized that scheduling her employees and her customers is causing her problems, and she thinks she should focus on that first, as it is fundamental to her business.
  Kelly also believes that there must be a technology solution that could help her run her salon, but she has no idea where to start.

You are a Systems Analyst, and Kelly has asked you to help her with determining how she can improve her business.  Kelly has requested, specifically, that you verify and provide added support to her own analysis that has resulted in the identification of a Strategy for Competitive Advantage and a Business Process for Improvement.  This will be the basis for defining business and systems requirements for an IT solution. This Strategy and IT Solution will help to bring Kelly’s Salon into the 21
st
century and take advantage of current technology
.  You will analyze her business environment using Porter’s Five Forces Analysis.  Then, you will use the results of that analysis to explain how it supports Kelly’s Strategy for Competitive Advantage, and the business process that she selected for improvement through the use of technology. Business Environment Analysis for Kelly’s Salon – social media and cloud-based software

It is important to note that a business owner has many areas where improvements can be made, such as:  staff, building facility, supplier agreements, advertising, etc.  There are also many possible solutions that could improve the business strategy and processes.  Since time and costs are involved, the owner should address basic problems first in choosing the strategy and which processes to improve. (Consider a lemonade stand; while it would be nice to have a chair to sit behind a table to serve the lemonade to customers, that is not crucial; however, having lemonade and cups are crucial to the business.)

A second important concept for this class is that, among all the ways that competitive advantage and processes can be improved, the focus is on information technology solutions.  In your role as a Systems Analyst, you will be supporting Kelly’s selected strategy and process for improvement, and proposing an appropriate IT solution.  This work begins with an analysis of Kelly’s Salon using the Five Forces Model.

 

Five Forces Analysis:

You know that Michael Porter’s Five Forces Model is a useful tool for analyzing a business.  The Model is used to help understand the importance of the five competitive forces and determine a strategy to develop and maintain a competitive advantage.  The Five Forces are described and discussed in Chapter 7 of the e-textbook. They are: Business Environment Analysis for Kelly’s Salon – social media and cloud-based software.

Buyer Power

Supplier power

Threat of substitute products or services

Threat of new entrants

Rivalry among existing competitors

Strategy for Competitive Advantage:

After reviewing Porter’s Generic Strategies for competitive advantage, as shown in the table below, Kelly has decided on the 
Cost Leadership Strategy
 because she wants to provide a variety of services at a cost that is lower than her competitors and thereby attract more customers.  She knows that she can offer lower costs than the Hair Cuttery that is opening nearby, but she will need to make some improvements to do that.

Target Scope

Advantage

Low Cost

Product Uniqueness

Broad

(Industry Wide)

Cost Leadership Strategy

Differentiation Strategy

Narrow

(Market Segment)

Focus Strategy

(low cost)

Focus Strategy

(differentiation)

Business Process:

Following a Five Forces Analysis and selection of a strategy for competitive advantage, the next step is to identify a process for improvement that will support the strategy and provide the most benefit, and position the business for future improvements.  While there are several areas in need of improvement, Kelly has decided that 
Customer and Employee Scheduling
 is the most important process to be improved.

In your role as Systems Analyst, Kelly wants you to provide solid justification for the strategy for competitive advantage and the business process that she has selected, and help her determine if an information technology solution can help. Business Environment Analysis for Kelly’s Salon – social media and cloud-based software.

Assignment:  Kelly’s Salon Stage 1:
 
Create a document that includes:

I.            
 Introduction

Brief 
introduction
 providing the background of the case, why you are writing and what is to come in your paper.  This should only be 3-5 sentences.

 

II.          
 Five Forces Analysis

Perform a 
Porter’s Five Forces analysis
 for Kelly’s Salon, addressing each of the five forces in two or three sentences.  For each of the five forces, your analysis should include:

·         Explanation of the force and what it means to Kelly’s Salon

·         Assessment of the force’s impact (Positive, Negative or Neutral) on the business

·         A statement as to whether it should affect Kelly’s strategy for a competitive advantage (yes or no). Business Environment Analysis for Kelly’s Salon – social media and cloud-based software.

You will copy the table below into your paper and use it as the framework for this analysis.

FIVE FORCES ANALYSIS

FORCE

EXPLANATION

(Minimum 2 good sentences)

IMPACT
      
 
(POSITIVE, NEGATIVE, or NEUTRAL)

AFFECT STRATEGY?
 (YES/NO)

BUYER POWER

 

SUPPLIER POWER

 

THREAT OF SUBSTITUTE PRODUCTS OR SERVICES

 

THREAT OF NEW ENTRANTS

 

RIVALRY AMONG EXISTING COMPETITORS

[Note] Do not identify solutions or things that Kelly should do to address the force’s impact. 
 (The idea is to simply identify an assessment of the impact and if the force will affect Kelly’s Salon’s Strategy for Competitive Advantage.)

III.        
Justification of Selected Strategy for Competitive Advantage

·         Explain how Kelly’s selected strategy for competitive advantage – Cost Leadership Strategy — is justified and supported by the Five Forces Analysis.

·         Relate the strategy back to each of Porter’s five forces discussing the impact of the strategy based on your assessment of the force (positive, negative, or neutral). Business Environment Analysis for Kelly’s Salon – social media and cloud-based software.

 

IV.         
Business Process

 

·         Explain how the process Kelly has identified to be improved – Customer and Employee Scheduling — is related to and supports the strategy for competitive advantage Kelly selected.

·         Explain 
generally
 how a technology solution could help improve the process.  (Do not provide any specific solution.)

References:  
Provide 
at least
 one external resource in your paper on an area of your choice.  Note that two or more external resources are required for maximum points.  An external resource is a resource other than those provided in the class or textbook.   Incorporate a properly formatted APA citation in the text of your document.  Then, place an APA style reference page at the end of your document.

Formatting:  
  

 

For academic writing, the writer is expected to write in the third person. In third person, the writer avoids the pronouns I, we, my, and ours. The third person is used to make the writing more objective by taking the individual, the “self,” out of the writing. This method is very helpful for academic writing, a form in which facts, not opinion, drive the tone of the text. Writing in the third person allows the writer to come across as unbiased and thus more informed.

 

·         Write a short concise paper:  2-3 double spaced pages of content; table entries for the Five Forces analysis should be single spaced.

·         Use 
at least
 one external resources with APA formatted citation and reference.

·         Include a title page and a reference page.

·         Compare your work to the Grading Rubric below to be sure you have met content and quality criteria.

·         Submit your paper as a Word document, or a document that can be read in Word. Business Environment Analysis for Kelly’s Salon – social media and cloud-based software.

Personal ethics in making decisions

After reading the articles and viewing the videos in this weeks resources, prepare a paper in which you address the following: Demonstrate your understanding of decision-making.

Evaluate the role that personal ethics plays in making decisions.

Analyze the decision-making techniques that can be applied in different types of organizations.

Select an organization where unethical decision-making resulted in negative consequences.

Using two decision-making techniques, compare and contrast how using the techniques may have resulted in a positive consequence. personal ethics in making decisions.

Support your paper with minimum of three (3) scholarly resources. In addition to these specified resources, other appropriate scholarly resources, including older articles, may be included.

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Length: 5-7 pages not including title and reference pages.

Your paper should demonstrate thoughtful consideration of the ideas and concepts presented in the course and provide new thoughts and insights relating directly to this topic. Your response should reflect scholarly writing and current APA standards. Be sure to adhere to Northcentral University’s Academic Integrity Policy personal ethics in making decisions.

Comparison of death of a moth and allegory of the cave paper

The Allegory of the cave is an allegory written by Plato with the purpose to represent the way a philosopher gains knowledge. This allegory is a fictional dialogue between Socrates and Glaucon, where Socrates compares the issues appearance vs. reality, education vs. ignorance. There are two types of knowledge represented in this allegory, the one that is told and expected to be believed and accepted; and the one that is learned by a person’s own experiences through life. The writing is organized in a way in which the author tells a story in a sequence of logical events that makes the reader understand better. It wasn’t really clear for me the way he described the scene metaphorically and it was difficult to visualize the scenario to realize the purpose behind it because of the rarity of it. That’s why I went through it so many times, but once I was able to understand what was going on and where the point was, I could see that the way he explained and the fanciful evidence he used was very strong.

Plato writes about Socrates describing a scene where there are chained people in a dark cave. They have been there since their childhood and they can barely move their heads. Behind them, at the distance, there is a blazing fire, and between the fire and the prisoners there is a wall meant for objects to pass. personal ethics in making decisions. Because of their limited vision (lack of movement), those men can only see their own shadow and the shadow of different sculptures that pass over the wall, which are carried by other men they can’t see. One of those prisoners is released and starts walking around the cave. He is very confused by what he sees but finally he realizes that the shadows are just a representation of what is really there. The prisoner is forced to go out of the cave, his eyes begin to adjust to the sun light, and he can’t look at anything more than shadows personal ethics in making decisions.

Week 7 Learning and Motor Disorders in Childhood Essay

“I had a substitute teacher today, so it was not a good day. She thought I was goofing off, but I could not help myself. As much as I tried to hold back, knowing she would freak out, I felt like a volcano. I erupted with a sound, kinda like a bullfrog that lasted for almost 10 minutes. She kept telling me to quiet down, but I could not help myself. Then the physical stretching and flexing of my neck started. She was really mad. Finally, my friend told her about me. It was embarrassing.”

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Samuel, age 9

Learning disorders represent a diagnostic challenge in that many of the features of learning disorders overlap with ADHD. Appropriate diagnosis is essential to proper treatment. Motor disorders can be a source of considerable distress for both the child and their parents. Appropriate diagnosis is required in order to initiate the most appropriate treatment to minimize the impact of these conditions on the child. Learning and Motor Disorders in Childhood Essay.

This week, you work with your group again to develop a Parent Guide for an assigned learning or motor disorder. For your practicum, you examine the practice of voluntary and involuntary commitment of children and adolescents with mental health disorders.

Photo Credit: PT Images

Learning Resources

Note: To access this week’s required library resources, please click on the link to the Course Readings List, found in the Course Materials section of your Syllabus Learning and Motor Disorders in Childhood Essay.

Required Readings

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.

Chapter 4, “Theories of Personality and Psychopathology” (pp. 151–191)

Chapter 31, “Child Psychiatry” (pp. 1181–1205)

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author.

“Neurodevelopmental Disorders”

“Specific Learning Disorder”

“Motor Disorders”

Note: You will access this book from the Walden Library databases.

Murphy, T. K., Lewin, A. B., Storch, E. A., Stock, S. (2013). Practice parameter for the assessment and treatment of children and adolescents with tic disorders. Journal of the American Academy of Child & Adolescent Psychiatry, 52(12), 1341–1359. Retrieved from http://www.jaacap.com/article/S0890-8567(13)00695-3/pdf

McGarvey, E. L., Leon-Verdin, M., Wancheck, T. N., & Bonnie, R. J. (2013). Decisions to initiate involuntary commitment: The role of intensive community services and other factors. Psychiatric Services, 64(2), 120–126. Learning and Motor Disorders in Childhood Essay.

Note: You will access this article from the Walden Library databases.

Kaltiala-Heino, R. (2010). Involuntary commitment and detainment in adolescent psychiatric inpatient care. Social Psychiatry and Psychiatric Epidemiology, 45(8),785–793. doi:10.1007/s00127-009-0116-3

Note: You will access this article from the Walden Library databases.

Lindsey, M. A., Joe, S., Muroff, J., & Ford, B. E. (2010). Social and clinical factors associated with psychiatric emergency service use and civil commitment among African-American youth. General Hospital Psychiatry, 32(3), 300–309. doi:10.1016/j.genhosppsych.2010.01.007

Note: You will access this article from the Walden Library databases.

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

Note: All Stahl resources can be accessed through the Walden Library using the link. This link will take you to a login page for the Walden Library. Once you log in to the library, the Stahl website will appear.

To access information on the following medications, click on The Prescriber’s Guide, 5th Ed. tab on the Stahl Online website and select the appropriate medication Learning and Motor Disorders in Childhood Essay.

Review the following medications:

Tourette syndrome Pervasive developmental disorders

clonidine

haloperidol

pimozide guanfacine

Note: Many of these medications are FDA approved for adults only. Some are FDA approved for disorders in children and adolescents. Many are used “off label” for the disorders examined in this week. As you read the Stahl drug monographs, focus your attention on FDA approvals for children/adolescents (including “ages” for which the medication is approved, if applicable) and further note which drugs are “off label.”

Optional Resources

Thapar, A., Pine, D. S., Leckman, J. F., Scott, S., Snowling, M. J., & Taylor, E. A. (2015). Rutter’s child and adolescent psychiatry (6th ed.). Hoboken, NJ: Wiley Blackwell.

Chapter 47, “Children With Specific Sensory Impairments” (pp. 612–622)

Discussion: Parent Guide

Learning disorders and motor disorders can be difficult for parents to understand. They often have many questions that go unanswered and can create considerable misunderstanding. This misunderstanding can damage the child/parent relationship. The PMHNP can answer questions and provide guidance for the family in order to help reduce the uncertainty of the disorders.

For the Discussion, you will work with your group again to develop a Parent Guide for your assigned disorder.

Learning Objectives

Students will:

Analyze signs and symptoms of learning and motor disorders in childhood

Analyze pathophysiology of learning and motor disorders in childhood

Analyze diagnosis and treatment methods for learning and motor disorders in childhood

Evaluate Parent Guides Learning and Motor Disorders in Childhood Essay.

To Prepare for this Discussion:

Your Instructor will assign you to a group and a disorder by Day 1 of Week 2.

Review the resources concerning your assigned disorder.

Use your group’s Discussion Board to design and develop the Parent Guide before posting to the group wiki. For further guidance, refer to the Accessing Group Discussions instructions below.

Using evidence-based research, design and develop a Parent Guide for your assigned disorder including:

Signs and symptoms

Pathophysiology

How the disorder is diagnosed

Treatment options

Provide a minimum of three academic references.

By Day 5

One designated group member should post the completed Parent Guide to the Discussion.

By Day 7

Respond to at least two other groups’ wikis by providing at least two contributions for improving or including in their Parent Guide and at least two things that you like about their guide.

Submission and Grading Information Week 7 Learning and Motor Disorders in Childhood

Accessing Group Discussions and Wikis Learning and Motor Disorders in Childhood Essay.

To access your group’s discussion, click on the Parent Guide Groups link. Once you have clicked on the link, select your assigned team (e.g., Team A, Team B, Team C, etc.) to access your team’s home page. Select Group Discussion Board under the Group Tools menu to work on your participate in your group’s discussion.

To access your group’s wiki, click on the Parent Guide Groups link. Once you have clicked on the link, select your assigned team (e.g., Team A, Team B, Team C, etc.) to access your team’s home page.

Creating a Wiki Page

Create the first wiki topic page by entering the group’s wiki area and selecting Create Wiki Page. Use the group’s assigned disorder as the name of your wiki. Then add your Parent Guide in the Content text box. You can use the editor functions to format the text and include files, images, web links, multimedia, and mashups. Select Submit when you have completed the wiki page.

Grading Criteria Learning and Motor Disorders in Childhood Essay.

To access your rubric:

Week 7 Parent Guide Discussion Rubric

To access your group discussion / wiki:

Parent Guide Groups

Post to Discussion by Day 5 and Respond by Day 7

To participate in this Discussion:

Parent Guide Groups – Week 7

Assignment 1: Practicum Journal: Voluntary and Involuntary Commitment

PMHNPs may find themselves working in a wide variety of settings—each having their own unique challenges and inherent legal issues. For instance, what do you do in your state of practice when you are providing a therapy/treatment session and a client reports active suicidal ideation? What do you do if you are covering inpatient psychiatric consults and are called to see a patient in the ICU who overdosed on prescription medication requiring intubation? What do you do if you are a PMHNP on an inpatient unit and a client who admitted themselves on a voluntary basis suddenly states that they have decided to sign themselves out of the hospital so that they can go home to kill themselves? These are just some of the legal questions that PMHNPs must know the answers to specific to their state of licensure/practice.

In this Assignment, you investigate your state’s laws concerning voluntary and involuntary commitment. You also analyze a case to determine if the client is eligible for involuntary commitment.

Scenario for Week 7 Case: Week 7 Learning and Motor Disorders in Childhood

You are a PMHNP working in a large intercity hospital. You receive a call from the answering service informing you that a “stat” consult has been ordered by one of the hospitalists in the ICU. Upon arriving in the ICU, you learn that your consult is a 14 year old male who overdosed on approximately 50 Benadryl (diphenhydramine hydrochloride) tablets in an apparent suicide attempt. At the scene, a suicide note was found indicating that he wanted to die because his girlfriend’s parents felt that their daughter was too young to be “dating.” The client stated in the suicide note that he could not “live without her” and decided to take his own life. Although he has been medically stabilized and admitted to the ICU, he has been refusing to talk with the doctors or nurses. The hospital staff was finally able to get in touch with the clients parents (using contact information retrieved from the 14 year old’s cell phone). Unbeknown to the hospital staff, the parents are divorced, and both showed up at the hospital at approximately the same time, each offering their own perspectives on what ought to be done. The client’s father is demanding that the client be hospitalized because of the suicide, but his mother points out that he does not have “physical custody” of the child. The client’s mother demands that the client be discharged to home with her stating that her son’s actions were nothing more than a “stunt” and “an attempt at manipulating the situation that he didn’t like.” The client’s mother then becomes “nasty” and informs you that she works as a member of the clerical staff for the state board of nursing, and if you fail to discharge her child “right now” she will make you “sorry.” How would you proceed?

Learning Objectives Learning and Motor Disorders in Childhood Essay

Students will: Week 7 Learning and Motor Disorders in Childhood

Evaluate clients for voluntary commitment

Evaluate clients for involuntary commitment based on state laws

Recommend actions for supporting parents of clients not eligible for involuntary commitment

Recommend actions for treating clients not eligible for involuntary commitment

To Prepare for this Practicum: Week 7 Learning and Motor Disorders in Childhood

Review the Learning Resources concerning voluntary and involuntary commitment.

Read the Week 7 Scenario in your Learning Resources.

Research your state’s laws concerning voluntary and involuntary commitment.

The Assignment (2–3 pages):

Based on the scenario, would you recommend that the client be voluntarily committed? Why or why not?

Based on the laws in your state, would the client be eligible for involuntary commitment? Explain why or why not.

Did understanding the state laws confirm or challenge your initial recommendation regarding involuntarily committing the client? Explain.

If the client were not eligible for involuntary commitment, explain what actions you may be able to take to support the parents for or against voluntary commitment.

If the client were not eligible for involuntary commitment, explain what initial actions you may be able to take to begin treating the client. Week 7 Learning and Motor Disorders in Childhood

By Day 7

Submit your Learning and Motor Disorders in Childhood 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 “WK7Assgn1+last name+first initial.(extension)” as the name.

Click the Week 7 Assignment 1 Rubric to review the Grading Criteria for the Assignment.

Click the Week 7 Assignment 1 link. 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 button. Find the document you saved as “WK7Assgn1+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. Week 7 Learning and Motor Disorders in Childhood

Click on the Submit button to complete your submission.

Grading Criteria

To access your rubric:

Week 7 Assignment 1 Rubric

Check Your Assignment Draft for Authenticity

To check your Assignment draft for authenticity:

Submit your Week 7 Assignment 1 draft and review the originality report.

Submit Your Assignment by Day 7 Week 7 Learning and Motor Disorders in Childhood

To submit your Assignment:

Week 7 Assignment 1

Assignment 2: Practicum: Week 5 Decision Tree

By Day 7

Submit your Assignment. Refer to Week 5 for additional guidance.

Submission and Grading Information

To submit your completed Learning and Motor Disorders in Childhood Essay Assignment for review and grading, do the following:

Please save your Assignment using the naming convention “WK7Assgn2+last name+first initial.(extension)” as the name. Week 7 Learning and Motor Disorders in Childhood

Click the Week 7 Assignment 2 Rubric to review the Grading Criteria for the Assignment.

Click the Week 7 Assignment 2 link. 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 button. Find the document you saved as “WK7Assgn2+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.

Grading Criteria

To access your rubric:

Week 7 Assignment 2 Rubric

Check Your Assignment Draft for Authenticity

To check your Assignment draft for authenticity:

Submit your Week 7 Assignment 2 draft and review the originality report.

Submit Your Assignment by Day 7 Week 7 Learning and Motor Disorders in Childhood

To submit your Assignment:

Week 7 Assignment 2

Assignment 3: Board Vitals

This week you will be responding to twenty Board Vitals questions that cover a broad review of your Nurse Practitioner program courses up to this point.

These review questions will provide practice that is critical in your preparation for the national certification exam that’s required to certify you to practice as a nurse practitioner. These customized test questions are designed to help you prepare for your Nurse Practitioner certification exam. It is in your best interest to take your time, do your best, and answer each question to the best of your ability Learning and Motor Disorders in Childhood Essay.

You can access Board Vitals through the link sent to you in email or by following the link below:

https://www.boardvitals.com/

By Day 7 Week 7 Learning and Motor Disorders in Childhood

Complete the Board Vitals questions.

Practicum Reminder

Time Logs

You are required to keep a log of the time you spend related to your practicum experience and enter every patient you see each day. You can access your time log from the Welcome Page in your Meditrek account. You track time individually for each patient you work with. Please make sure to continuously input your hours throughout the term.

Making Connections

This week, you worked with your group to develop a Parent Guide for an assigned learning or motor disorder. For your practicum, you examined the practice of voluntary and involuntary commitment of children and adolescents with mental health disorders.

Next week, you will debate the theory that bipolar depression can or cannot be diagnosed in children and adolescents. Learning and Motor Disorders in Childhood Essay.

Nursing practicum journal entry

Nursing journal entry

My practicum setting is shadowing a faculty member. She is a nursing professor and clinical coordinator at the facility. FOLLOW the Rubric as follows:

Journal Entries

Describe a problem, issue, or situation that you have observed during your Practicum Experience not related to your project (no more than a half page) (10 points)

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Using no fewer than three peer-reviewed sources, analyze what you have observed within the context of your specialty using appropriate concepts, principles, and theories, giving special attention to observed events that vary from scholarly literature. (30 points) Nursing journal entry

Explain how the problem, situation, or issue was handled in a manner that is consistent and a manner that is inconsistent with the theory, concepts, and principles detailed in the evidence. (30 points) Nursing practicum journal entry.

Given the various evidence-based approaches that can be used in handling the problem, situation, or issue, formulate a plan for approaching the matter differently. (30 points)

Include references immediately following the content.

Use APA style for your journal entry and references. Nursing journal entry

Note that Faculty may deduct up to 20 points for writing style issues/errors and/or citation- or reference-related APA errors.

Please look below under the week three page break for the format for these journal entries.

Practicum Experience Journal Entries NURS 6600 Nursing journal entry

Week 3 Journal (references should immediately follow the content)

(This journal entry should be 250-300 words not including references)

Issue

Analysis of the Action Nursing journal entry

Alternative Evidence-Based Approach

References Nursing journal entry

The references will immediately follow the journal entry using appropriate APA 6th Ed.

Journal Entry 1 Nursing practicum journal entry.

This week, you complete and submit your first journal entry. Your journal draws from evidence, concepts, and/or theories you have examined in this program, especially those related to your specialization. What have you observed during your Practicum Experience that you would like to analyze through your journal writing?

To prepare: Nursing journal entry

Reflect on your Practicum Experiences in Weeks 1–3.

Think about the evidence, concepts, and/or theories (evidence) learned throughout this program and your specialization.

Analyze a problem, issue, or situation that you have observed during your Practicum Experience.

Using a minimum of three peer-reviewed sources of evidence, consider what you have observed within the context of your specialty using appropriate concepts, principles, and theories. Give special attention to observed events that vary from the scholarly literature.

Determine how the problem, situation, or issue was handled in a manner that is consistent and a manner that is inconsistent with the theory, concepts, and principles detailed in the evidence.

Given the various evidence-based approaches that can be used in handling the observed problem, situation, or issue, think about a plan for approaching the matter differently.

To complete the Time Log and Journal Entry 1:

Confirm all required time log information is entered for Weeks 1–3, as instructed.

In your saved version of the NURS 6600 Practicum Journal document, do the following:

Write a 250- to 300-word journal entry (identified as Journal Entry 1) in which you do the following: Nursing practicum journal entry.

Describe a problem, issue, or situation that you have observed during your Practicum Experience (no more than a half page).

Using no fewer than three peer-reviewed sources of evidence, analyze what you have observed within the context of your specialty using appropriate concepts, principles, and theories. Give special attention to observed events that vary from scholarly literature Nursing practicum journal entry.

Explain how the problem, situation, or issue was handled in a manner that is consistent and a manner that is inconsistent with the theory, concepts, and principles detailed in the evidence.

Given the various evidence-based approaches that can be used in handling the problem, situation, or issue, formulate a plan for approaching the matter differently.

Include references immediately following the content.

Use APA style for your journal entry and references. Nursing practicum journal entry.

Autism Spectrum, Mood Disorders & Early-Onset Schizophrenia Essay Assignment Sample Papers.

According to the Center for Disease and Control and Prevention, approximately 1% of children globally suffer from autism (McPartland, Law & Dawson, 2015 p.124). In the United States only, an estimated figure is given of 1 out of almost 70 births in the country. It is marked as the fastest growing developmental disease increasing at a rate of 119% from 2000 to the year 2014 (McPartland, Law & Dawson, 2015 p.124). Autism related services cost the United States up to approximately 260 billion US dollars annually, at the price of about 2 million US dollars per person (McPartland, Law & Dawson, 2015). The prevalence of autism and its inability to be curbed is attributed to the fact that autism is not preventable or curable. This paper explores several aspects of the disease including its management.

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Developmental disorders

These are a group of psychological conditions that manifest people from childhood, causing impairment in selective parts of the body. The ICD-10 commonly refers to them as Specific Disorders of Psychological Development (Lord et.al, 2012 p.306). These disorders include language, learning, speech, motor, neurodevelopment, and autism. Others that can loosely be classified as developmental impairments include schizophrenia and antisocial behavior (Lord et.al, 2012 p.307). These conditions are present from childhood and depending on the stage of diagnosis, and they improve as the toddler develops. Most of them are diagnosed under the age of 9 when those surrounding a child notice defects or certain inabilities in comparison to children of the same age. Autism Spectrum, Mood Disorders & Early-Onset Schizophrenia Essay Assignment Sample Papers.

There is no specific cause of these disorders, apart from existing theories that are used to draw scientific hypotheses. The most significant characteristics in play involve genetic composition and environmental factors that disrupt the normal human development process and create abnormalities. According to research on of the theory states that stress or trauma during the early childhood period can cause developmental disorders.

What causes the autism spectrum disorders

The disease was first described in the mid-20th century by a psychiatrist known as Leo Kanner (McPartland & Dawson, 2015 p.127). He stated that autism was an inborn defect without a definite causative factor, and detected in children from as early as a few weeks after birth to three years of age. Recent research attributes the disease to biology, naming hereditary factors and the pre and peri-natal environments as the greatest influencing factors.

Autism spectrum refers to a variety of conditions that are classified as neurodevelopmental disorders in the Diagnostic and Statistical Manual of Mental Disorders (DSM-5). These diseases include Asperger Syndrome, childhood disintegrative disorder, autism, and pervasive development disorder not otherwise specified, abbreviated as PDD-NOS (Lord et.al, 2012 p.308).

Classification of ASD

Previous diagnosis manuals classified Asperger’s Syndrome and Autism as different sub-categories of disorders. However, the latest DSM-V manual includes both as a range of a larger disease depending on its severity (Lauritsen, 2013 p.37). People with both syndromes are categorized under the Autism Spectrum Disorder (ASD). Secondly, the DSM-5 handbook does not emphasize on the aspect of language delay or the exact age when the disease manifests itself (Lauritsen, 2013 p.37). Instead, it is classified as a neurodevelopmental condition whose symptoms occur in the early childhood stage with possible diagnosis at a later date. The DSM- 5 also changed the impairment areas from three to two namely social communication and behavior (Lauritsen, 2013 p.37). Finally, the clinical presentation of the disease currently uses clinical specifiers to describe ASD (Lord et.al, 2012 p.309).

According to scientific study, there are three types of genetic associations of ASD. The first is the familial aggregation of autism common in the siblings of affected ones, and the second category is the genetic combination of other conditions present in the family members of the afflicted children (Lord et.al, 2013 p.4). The third kind of genetic association involves the connection with specific conditions of recognized genetic composition (Yuen et.al, 2015 p.187). Autism Spectrum, Mood Disorders & Early-Onset Schizophrenia Essay Assignment Sample Papers.

How is autism diagnosed

Doctors and physicians diagnose the disease by determining a child’s behavior and growth, and the symptoms are more noticeable from age two (Volkmar, 2014 p.7). For those whose diagnosis is missed by that age, the disease becomes noticeable when parents or educators detect anomalies based on how the children play, socialize, and communicate. Diagnosing adults with ASD is difficult because some of the symptoms usually overlap with those of mental disorders such as ADHD and schizophrenia (Volkmar, 2014 p.9). Autism Spectrum Disorder Essay

Diagnosis in children occurs in two stages namely:

a) General developmental screening

This process occurs during the well-child check-ups stage in growth. Parents are encouraged to visit pediatricians or early childhood health care physicians for checkups. The CDC recommends parents to take their children when they turn 1 or 2 years and maintain regular visits (Schaefer &Mendelsohn, 2013 p.404). Children at high risk are those who portray ASD tendencies, were born premature, and belong to a family of someone affected with ASD (Schaefer &Mendelsohn, 2013 p.404). Guardians are also urged to take their children for screening at an earlier stage if any of the risk factors are mentioned. The toddlers who display growth problems at this stage are referred to the next screening phase. Autism Spectrum Disorder Essay

b) Additional evaluation

In this step, doctors, developmental healthcare physicians, and other health specialties experienced in ADS take part in observing the children. They include a developmental pediatrician, child psychiatrist, psychologist, and a speech pathologist (Schaefer &Mendelsohn, 2013 p.407). The developmental pediatrician has extensive knowledge on child growth, while the psychologist and psychiatrist deal with the brain development aspect. A speech or language pathologist specializes in detecting communication difficulties. The evaluation includes determining the cognitive abilities, language proficiency, and age-appropriate skills for normal daily functioning. In other cases, additional blood and auditory tests will be conducted because ASD has the chance of occurring alongside other learning disorders. Autism Spectrum Disorder Essay

In older children, the disease is diagnosed mostly after they start school. In this setting, the evaluation is conducted by specialists in special education, who refer the children to healthcare professionals. The most prevalent symptom at this stage is socializing and communication difficulties such as body language, facial expressions, and determining the tone of voice (Schaefer &Mendelsohn, 2013). They may also display a difficulty in understanding humor, sarcasm, and figures of speech, and have trouble forming friendships or bonding with their peers Autism Spectrum, Mood Disorders & Early-Onset Schizophrenia Essay Assignment Sample Papers.

In the case of adults, most of them make a personal assessment and visit the appropriate physician for diagnosis or referral for an ADS test. They are evaluated on their social interactions, expression challenges, restricted interests, sensory issues, and repetitive tendencies (Schaefer &Mendelsohn, 2013 p.400). The specialists also assess their growth and development history for accurate diagnosis. In most cases, the physicians also interview close family members or associates. Autism Spectrum Disorder Essay

After the National Survey of Children’s Health (NSCH), Center for Disease Control and Prevention (CDC), and the National Center for Health Statistics (NCHS) published data about the increase in ASD rate in the country; it was essential for the state to determine the reason for this increase (Blumberg et.al, 2013 p.1). A case study was conducted to determine the prevalence of ASD among school going children aged between 6 and 17 in the United States using data collected from the three bodies (Blumberg et.al, 2013 p.1). The results indicated that the primary reason for the increase in ASD cases was due to late diagnosis of children whose condition was previously not recognized (Blumberg et.al, p.1).

 

Week 8 Mood Disorders Essay Assignment Paper

Week 8 Mood Disorders

“School and going out with my friends used to be fun, but not anymore. Mom keeps telling me just to go out and have fun, but I don’t see the point of trying. All my friends are better than I am. I keep having these headaches and just feel worthless. I used to get As and Bs in school, but not anymore. I can’t concentrate at school. I would rather be at home sleeping.” Autism Spectrum, Mood Disorders & Early-Onset Schizophrenia Essay Assignment Sample Papers.

Madison, age 16

Mood disorders can be particularly challenging to address in childhood and adolescence as many parents do not believe it is possible for their child to become depressed or even suicidal. The PMHNP needs to know how to diagnose these conditions and must understand the importance of integrating medication management strategies, with both individual and family therapy to optimize treatment outcomes.

This week, you debate the theory that bipolar depression can or cannot be diagnosed in children and adolescents.

Note:
 To access this week’s required library resources, please click on the link to the Course Readings List, found in the 
Course Materials
section of your Syllabus.

Required Readings

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.

Chapter 31, “Child Psychiatry” (pp. 1226–1253)

American Psychiatric Association. (2013). 
Diagnostic and statistical manual of mental disorders
 (5th ed.). Washington, DC: Author.

“Bipolar and Related Disorders”

“Depressive Disorders”

Note:
 You will access this book from the Walden Library databases.

Zeanah, C. H., Chesher, T., & Boris, N. W. (2016). Practice parameter for the assessment and treatment of children and adolescents with reactive attachment disorder and disinhibited social engagement disorder. 
Journal of the American Academy of Child & Adolescent Psychiatry
, 
55
(11), 990–103. Retrieved from http://www.jaacap.com/article/S0890-8567(16)31183-2/pdf

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

 

Note:
All Stahl resources can be accessed through the Walden Library using the link. This link will take you to a login page for the Walden Library. Once you log in to the library, the Stahl website will appear. Autism Spectrum, Mood Disorders & Early-Onset Schizophrenia Essay Assignment Sample Papers.

 

To access information on the following medications, click on The Prescriber’s Guide, 5th Ed. tab on the Stahl Online website and select the appropriate medication.

Review the following medications:

Seasonal effective disorder

bupropion

Bipolar depression

Bipolar disorder

amoxapine

aripiprazole

armodafinil

asenapine

bupropion

carbamazepine

fluoxetine

iloperidone

lamotrigine

lithium

lurasidone

modafinil

olanzapine

olanzapine-fluoxetine combination

quetiapine

risperidone

sertindole

valproate (divalproex)

ziprasidone

alprazolam (adjunct)

amoxapine

aripiprazole

asenapine

bupropion

carbamazepine

chlorpromazine

clonazepam (adjunct)

cyamemazine

doxepin

fluoxetine

flupenthixol

fluphenazine

gabapentin (adjunct)

haloperidol

iloperidone

lamotrigine

levetiracetam

lithium

lorazepam (adjunct)

loxapine

lurasidone

molindone

olanzapine

olanzapine-fluoxetine combination

oxcarbazepine

paliperidone

perphenazine

pipothiazine

quetiapine

risperidone

sertindole

thiothixene

topiramate (adjunct)

trifluoperazine

valproate (divalproex)

ziprasidone

zonisamide

zotepine

zuclopenthixol

Bipolar maintenance

Depression

aripiprazole

asenapine

carbamazepine

iloperidone

lamotrigine

lithium

lurasidone

olanzapine

olanzapine-fluoxetine combination

quetiapine

risperidone (injectable)

sertindole

valproate (divalproex)

ziprasidone

agomelatine

amisulpride

amitriptyline

amoxapine

amphetamine (d)

amphetamine (d,l)

aripiprazole (adjunct)

asenapine

atomoxetine

bupropion

buspirone (adjunct)

citalopram

clomipramine

cyamemazine

desipramine

desvenlafaxine

dothiepin

doxepin

duloxetine

escitalopram

fluoxetine

flupenthixol

fluvoxamine

iloperidone

imipramine

isocarboxazid

ketamine

lisdexamfetamine

lithium (adjunct)

l-methylfolate (adjunct)

lofepramine

lurasidone

maprotiline

methylphenidate (d)

methylphenidate (d,l)

mianserin

milnacipran

mirtazapine

moclobemide

modafinil (adjunct)

nefazodone

nortriptyline

olanzapine

paroxetine

phenelzine

protriptyline

quetiapine (adjunct)

reboxetine

selegiline

sertindole

sertraline

sulpiride

tianeptine

tranylcypromine

triiodothyronine

trazodone

trimipramine

venlafaxine

vilazodone

vortioxetine

Note:
 Many of these medications are FDA approved for adults only. Some are FDA approved for disorders in children and adolescents. Many are used “off label” for the disorders examined in this week. As you read the Stahl drug monographs, focus your attention on FDA approvals for children/adolescents (including “ages” for which the medication is approved, if applicable) and further note which drugs are “off label.”

Optional Resources Week 8 Mood Disorders

Thapar, A., Pine, D. S., Leckman, J. F., Scott, S., Snowling, M. J., & Taylor, E. A. (2015). 
Rutter’s child and adolescent psychiatry
 (6th ed.). Hoboken, NJ: Wiley Blackwell.

Chapter 62, “Bipolar Disorder in Childhood” (pp. 858–873)

Chapter 63, “Depressive Disorders in Childhood and Adolescence” (pp. 874–892)

Discussion: Pediatric Bipolar Depression Disorder Debate

Some debate in the literature exists specific to whether or not bipolar disorder can be diagnosed in childhood. While some have anecdotally argued that it is not possible for children to develop bipolar disorder (as normal features of childhood confound the diagnosis), other sources argue that pediatric bipolar disorder is a fact Autism Spectrum, Mood Disorders & Early-Onset Schizophrenia Essay Assignment Sample Papers.

In this Discussion, you engage in a debate as to whether pediatric bipolar disorder is possible to diagnose.

Learning Objectives Week 8 Mood Disorders

Students will: Week 8 Mood Disorders

Evaluate diagnosis of pediatric bipolar depression disorder

Analyze consequences to diagnosing/failing to diagnose pediatric bipolar depression disorder

To Prepare for the Discussion: Week 8 Mood Disorders

The instructor will assign you a position for or against the issue of diagnosing pediatric bipolar depression disorder.

Review the Learning Resources concerning the controversy over the diagnosis of pediatric bipolar depression disorder. Week 8 Mood Disorders

Note: 
For this Disc ussion, 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 submit, you cannot delete or edit your own posts and cannot post anonymously. Please check your post carefully before clicking 
Submit
! Mood Disorders Essay Assignment Papers Writing Autism Spectrum, Mood Disorders & Early-Onset Schizophrenia Essay Assignment Sample Papers

By Day 3

Post:

Write “for” or “against” in the subject line of your Discussion post. Mood Disorders Essay Assignment Papers Writing

Based on the position you were assigned, justify whether or not pediatric bipolar depression disorder should be diagnosed.

Support your position with evidence and examples. Week 8 Mood Disorders

By Day 6

Respond to at least two of your colleagues who argued the opposite side as you by countering their argument with evidence. Identify at least two consequences to support your position.  Mood Disorders Essay Assignment Papers Writing

Submission and Grading Information

Grading Criteria

To access your rubric:

Week 8 Discussion Rubric

Post by Day 3 and Respond by Day 6

To participate in this Discussion: Week 8 Mood Disorders

Week 8 Discussion

Assignment: Board Vitals

This week you will be responding to twenty Board Vitals questions that cover a broad review of your Nurse Practitioner program courses up to this point. Mood Disorders Essay Assignment Papers Writing

These review questions will provide practice that is critical in your preparation for the national certification exam that’s required to certify you to practice as a nurse practitioner. These customized test questions are designed to help you prepare for your Nurse Practitioner certification exam. It is in your best interest to take your time, do your best, and answer each question to the best of your ability. Mood Disorders Essay Assignment Papers Writing

You can access Board Vitals through the link sent to you in email or by following the link below:

By Day 7

Complete the Board Vitals questions. Week 8 Mood Disorders

This week, you debated the theory that bipolar depression can or cannot be diagnosed in children and adolescents.

Next week, you will compare evidence-based treatment plans for adults versus children diagnosed with schizophrenia. You analyze the legal and ethical issues involved with forcing clients with early-onset schizophrenia to take medications for the disorder. You also complete a Decision Tree concerning children with psychotic disorders. Autism Spectrum, Mood Disorders & Early-Onset Schizophrenia Essay Assignment Sample Papers

Looking Ahead 1

In Week 9, you will work with our group again to create a new Parent Guide, focusing on feeding, eating, and elimination disorders in childhood.

Looking Ahead 2

You should be working on your cover letter, resume, and portfolio that is due in Week 10.

Week 9 Early-Onset Schizophrenia

“I can’t believe he is speaking to me! I have always liked his music, but now here he is on TV speaking directly to me! When I started following him on social media, he must have seen my profile. I know he loves me. He cannot love that model I saw with him in the picture. She must be the person following me to school. I have not seen her, but I know she is there. She does not want me being with him, but I will be with him. He loves me as much as I love him.”

Kaitlyn, age 17

Early-onset schizophrenia is a rare and severe mental illness in which children interpret reality abnormally. There are a range of problems with cognitive functioning, behavior, and emotions. Perceptions may be distorted and children or their parents may report that they have difficulty distinguishing reality. This is a diagnosis that is difficult to confirm in the early stages.

This week, you compare evidence-based treatment plans for adults versus children diagnosed with schizophrenia. You analyze the legal and ethical issues involved with forcing patients with early-onset schizophrenia to take medications for the disorder. You also complete a Decision Tree concerning children with psychotic disorders. Autism Spectrum, Mood Disorders & Early-Onset Schizophrenia Essay Assignment Sample Papers

 

Learning Resources

Note:
 To access this week’s required library resources, please click on the link to the Course Readings List, found in the 
Course Materials
section of your Syllabus.

Required Readings

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.

Chapter 31, “Child Psychiatry” (pp. 1268–1283)

American Psychiatric Association. (2013). 
Diagnostic and statistical manual of mental disorders
 (5th ed.). Washington, DC: Author.

“Schizophrenia Spectrum and Other Psychotic Disorders”

Note:
 You will access this book from the Walden Library databases.

McClellan, J., & Stock, S. (2013). Practice parameter for the assessment and treatment of children and adolescents with schizophrenia. 
Journal of the American Academy of Child & Adolescent Psychiatry
, 
52
(9), 976–990. Retrieved from http://www.jaacap.com/article/S0890-8567(13)00112-3/pdf

Giles, L. L., & Martini, D. R. (2016). Challenges and promises of pediatric psychopharmacology. 
Academic Pediatrics
,
 16
(6), 508–518. doi:10.1016/j.acap.2016.03.011

Note:
 You will access this article from the Walden Library databases.

Hargrave, T. M., & Arthur, M. E. (2015). Teaching child psychiatric assessment skills: Using pediatric mental health screening tools. 
International Journal of Psychiatry in Medicine
,
 50
(1), 60–72. Retrieved from http://search.proquest.com.ezp.waldenulibrary.org/docview/1702699596?accountid=14872 Autism Spectrum, Mood Disorders & Early-Onset Schizophrenia Essay Assignment Sample Papers

Note:
 You will access this article from the Walden Library databases.

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

 

Note:
 All Stahl resources can be accessed through the Walden Library using the link. This link will take you to a login page for the Walden Library. Once you log in to the library, the Stahl website will appear.

Week 9 Early-Onset Schizophrenia

To access information on the following medications, click on The Prescriber’s Guide, 5th Ed. tab on the Stahl Online website and select the appropriate medication.

Review the following medications: Week 9 Early-Onset Schizophrenia

Schizoaffective disorder

Schizophrenia

amisulpride

aripiprazole

asenapine

carbamazepine (adjunct)

chlorpromazine

clozapine

cyamemazine

flupenthixol

haloperidol

iloperidone

lamotrigine (adjunct)

l-methylfolate (adjunct)

loxapine

lurasidone

mesoridazine

molindone

olanzapine

paliperidone

perospirone

perphenazine

pipothiazine

quetiapine

risperidone

sertindole

sulpiride

thioridazine

thiothixene

trifluoperazine

valproate (divalproex) (adjunct)

ziprasidone

zotepine

zuclopenthixol

amisulpride

aripiprazole

asenapine

carbamazepine (adjunct)

chlorpromazine

clozapine

cyamemazine

flupenthixol

haloperidol

iloperidone

lamotrigine (adjunct)

l-methylfolate (adjunct)

loxapine

lurasidone

mesoridazine

molindone

olanzapine

paliperidone

perospirone

perphenazine

pipothiazine

quetiapine

risperidone

sertindole

sulpiride

thioridazine

thiothixene

trifluoperazine

valproate (divalproex) (adjunct)

ziprasidone

zotepine

zuclopenthixol

Note:
 Many of these medications are FDA approved for adults only. Some are FDA approved for disorders in children and adolescents. Many are used “off label” for the disorders examined in this week. As you read the Stahl drug monographs, focus your attention on FDA approvals for children/adolescents (including “ages” for which the medication is approved, if applicable) and further note which drugs are “off label.” Week 9 Early-Onset Schizophrenia

Required Media

Laureate Education (Producer). (2017b). 
A young girl with strange behaviors 
[Multimedia file]. Baltimore, MD: Author.

Optional Resources

Thapar, A., Pine, D. S., Leckman, J. F., Scott, S., Snowling, M. J., & Taylor, E. A. (2015). 
Rutter’s child and adolescent psychiatry
(6th ed.). Hoboken, NJ: Wiley Blackwell. Autism Spectrum, Mood Disorders & Early-Onset Schizophrenia Essay Assignment Sample Papers

Chapter 57, “Schizophrenia and Psychosis” (pp. 774–794)

Assignment 1: Early Onset Schizophrenia

Children and adolescents with schizophrenia have more difficulty functioning in academic or work settings, and significant impairment usually persists into adulthood. They may have speech or language disorders and in some cases borderline intellectual functioning. These individuals are more likely to complete suicide attempts or die from other accidental causes. Schizophrenia is characterized by positive and negative symptoms. Positive symptoms include hallucinations, delusions, and behavior disturbance. Negative symptoms include blunted affect and attention, apathy, and lack of motivation and social interest.

In this Assignment, you compare treatment plans for adults diagnosed with schizophrenia with treatment plans for children and adolescents diagnosed with schizophrenia. You also consider the legal and ethical issues involved in medicating children diagnosed with schizophrenia.

Learning Objectives

Students will:

Compare evidence-based treatment plans for adults versus children and adolescents diagnosed with schizophrenia

Autism Spectrum, Mood Disorders & Early-Onset Schizophrenia Essay Assignment Sample Papers Analyze legal and ethical issues surrounding the forceful administration of medication to children diagnosed with schizophrenia

Analyze the role of the PMHNP in addressing issues related to the forceful administration of medication to children diagnosed with schizophrenia

To Prepare for this Assignment:

Review the Learning Resources concerning early-onset schizophrenia.

The Assignment (2 pages):

Compare at least two evidence-based treatment plans for adults diagnosed with schizophrenia with evidence-based treatment plans for children and adolescents diagnosed with schizophrenia.

Explain the legal and ethical issues involved with forcing children diagnosed with schizophrenia to take medication for the disorder and how a PMHNP may address those issues.

Note:
 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 provides an example of those required elements (available at http://writingcenter.waldenu.edu/57.htm). All papers submitted must use this formatting.

By Day 7

Submit 
your 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 “WK9Assgn1+last name+first initial.(extension)” as the name.

Click the 
Week 9 Assignment 1 Rubric 
to review the Grading Criteria for the Assignment.

Click the 
Week 9 Assignment 1 
link. 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
button. Find the document you saved as “WK9Assgn1+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
. Week 9 Early-Onset Schizophrenia

Click on the 
Submit
 button to complete your submission.

Grading Criteria

To access your rubric:

Week 9 Assignment 1 Rubric

Check Your Assignment Draft for Authenticity

To check your Assignment draft for authenticity:

Submit your Week 9 Assignment 1 draft and review the originality report.

Submit Your Assignment by Day 7 Week 9 Early-Onset Schizophrenia

To submit your Autism Spectrum, Mood Disorders & Early-Onset Schizophrenia Essay Assignment Sample Papers :

Week 9 Assignment 1

Assignment 2: Practicum: Decision Tree

Childhood psychosis is extremely rare; however, children that present with psychosis must be carefully assessed and evaluated with appropriate interviewing of parent, child, and use of assessment tools.

For this Assignment, as you examine the client case study in this week’s Learning Resources, consider how you might assess and treat clients presenting with early onset schizophrenia.

Learning Objectives Week 9 Early-Onset Schizophrenia

Students will:

Evaluate clients for treatment of mental health disorders

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

The Assignment:

Examine 
Case 3: 
You will be asked to make three decisions concerning the diagnosis and treatment for this client. Be sure to consider co-morbid physical as well as mental factors that might impact the client’s diagnosis and treatment.

At each Decision Point, stop to complete the following:

Decision #1: Differential Diagnosis

Which Decision did you select?

Why did you select this Decision? Support your response with evidence and references to the Learning Resources. Week 9 Early-Onset Schizophrenia

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

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

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

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

Explain any difference between what you expected to achieve with Decision #2 and the results of the Decision. Why were they different? Autism Spectrum, Mood Disorders & Early-Onset Schizophrenia Essay Assignment Sample Papers.

Decision #3: Treatment Plan for Psychopharmacology

Why did you select this Decision? Support your response with evidence and references to the Learning Resources. Week 9 Early-Onset Schizophrenia

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

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.

Note:
 Support your rationale with a minimum of three academic resources. While you may use the course text to support your rationale, it will not count toward the resource requirement.

By Day 7 of Week 10

Submit your Assignment.

Assignment 3: Board Vitals

This week you will be responding to twenty Board Vitals questions that cover a broad review of your Nurse Practitioner program courses up to this point.

These review questions will provide practice that is critical in your preparation for the national certification exam that’s required to certify you to practice as a nurse practitioner. These customized test questions are designed to help you prepare for your Nurse Practitioner certification exam. It is in your best interest to take your time, do your best, and answer each question to the best of your ability Autism Spectrum, Mood Disorders & Early-Onset Schizophrenia Essay Assignment Sample Papers.

You can access Board Vitals through the link sent to you in email or by following the link below:

By Day 7

Complete the Board Vitals questions.

This week, you compared evidence-based treatment plans for adults with evidence-based treatment plans for children diagnosed with schizophrenia. You analyzed the legal and ethical issues involved with forcing patients with early-onset schizophrenia to take medications for the disorder. You also completed a Decision Tree concerning children with psychotic disorders. Autism Spectrum, Mood Disorders & Early-Onset Schizophrenia Essay Assignment Sample Papers.

Gospel Essentials Essay example paper

Gospel Essentials

The Christian worldview involves moral truths, the origin of the universe, what happens after death, salvation, and of course, God and Jesus Christ. God’s existence is one of the biggest controversies today with many people on both sides of the argument. In the following paragraphs, we will expand our knowledge on the Christian worldview and look at the main points of Christianity, such as God, humanity, Jesus, and the restoration of society. Gospel Essentials Essay example paper.

God

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The Bible says that Jesus was born as a human and was sacrificed by His Father to forgive everybody for their sins. For Him to sacrifice everything shows his divine love for all of His children. I believe that God is trustworthy, loving, and merciful. These characteristics are important to Christians because to be a Christian, it means that you have changed on the inside by the presence of God. Scripture states, “For it is with your heart that you believe and are justified, and it is with your mouth that you confess and are saved” (Romans 10:9-10).  Christ lives through you, so you should want to possess these attributes as well. If He died on the cross for you, then it would only make sense that you would try to meet the same characteristics as He did. God has created the Heavens and the earth, sea and land, space and creatures, and lastly, human beings (Genesis 1). He started with Adam and Eve, made in God’s image, to tend to the Garden of Eden, but after the fall of humanity, we have now become sinners.

Humanity

           
 It is human nature to be sinful, but in the Christian worldview, we are created in God’s image as well. Human beings are selfish by nature, but it is up to us to put other people before ourselves. Humans were supposed to live without sin until Satan tempted Adam and Eve and they fell into his trap to go against God’s word. Gospel Essentials Essay example paper. I think that evil comes from temptation, mostly.  There will always be a drive for people to do the things that are not good for them or others, but we must think about the consequences. God still forgave Adam and Eve for what they had done, even though they had basically opened the door to sin.

I believe that everything has a purpose to me, but it may serve a different purpose for somebody else. I think that it is about perspective. Even Christians will not know what exactly the purpose is for everything, so they must trust in God and know that He has a unique path and purpose for everyone. Looking at the world through a Christian perspective, our purpose is to serve God.

Jesus

Jesus is fully God and fully man (Lecture 4). Jesus is God incarnate not just as a man but as a Jew, raised by God after his death (Riches, 2010). God sacrificed His only son, Jesus Christ to die on the cross so that His children could go to Heaven. Jesus lived a sinless life and told stories of the word of God to many people to help them. After He died on the cross, He was resurrected on the third day, which is significant to the Christian worldview because it shows that this faith is not blind and that God really did create human beings in His image.

Restoration

In the Christian worldview, God is the answer to human problems and overcoming human nature. When you accept God, you are putting your faith in His hands and reassuring yourself that He has a plan for you. Having solid faith in Him will only strengthen your bond with him and His grace is what will allow you to be granted into Heaven. He does not have to forgive the sinners of the world, but because He has grace and loves all of His children unconditionally. When you have desire, discipline, and a relationship with God, then that is when you are truly able to see a transformation of yourself. Christians can impact society when they spread the word of God. Gospel Essentials Essay example paper.

Analysis

Romans 3:23 states, “For all have sinned, and come short of the glory of God” (KJV). While this is true, God promises a path of forgiveness for everyone. He is the only true reliable friend that will always care for us and love us unconditionally. God gives Christians guidance for a purpose in their lives, as well as strength and reassurance that everything is in His hands. This changes people’s lives for the better and influences their way of thinking because you put God above everything else. You worship Him over anything else (money, family, yourself, etc.). The Bible gives Christians an end goal: Heaven. Heaven is what Christians look forward to so that they can be with God, forgiven for their sins. Gospel Essentials Essay example paper. What confuses me about Christianity is that there are so many different denominations. Why? Interpretations of the Bible. That is what divides those who believe in God. Some think abortion is murder and some think that it is a human right, some think that same-sex marriage is acceptable and some think that it is a sin, some think that women should not be in a leadership position and some disagree. There are a lot of gray areas that I find confusing, but it is all based on how a specific group interprets the text Gospel Essentials Essay example paper.

Reflection

           
Christianity is the belief of the Father, the Son, and the Holy Ghost based on the teachings of Jesus, as written in the Bible. However, I am Agnostic, so since I cannot prove or disprove any of the claims made in the Bible (Cosby, 1938), I choose not to associate with a religion at all. I prove things scientifically, whereas Christians use their faith (and some say facts) to support their decisions. Similarly, I do wish to make a difference in the world and be of service, just in different ways. I would rather serve my community or country over one God that I am unsure of. Maybe that will change one day, but I do not want to put blind faith (at least blind faith for me into somebody that I am unsure of. Gospel Essentials Essay example paper. I have tried to go to church and learn the word of God, but I simply cannot seem to get it through my head. I do think that there is a higher purpose for us all, but I cannot really know what that is yet. Also, in the case of our origins, we know that the universe started off as this little speck of matter, but what caused that speck to transform into the world as we know it now is the real question. We might not ever really know the absolute truth, and everybody has their own theories, but I think that everybody can agree that there had to be a catalyst (scientific or religious) to spark the change in our universe. However, Christians believe that God created the Heavens and Earth, but Atheists believe in a scientific “Big Bang” as their reasoning to how our universe came about Gospel Essentials Essay example paper. I question Christianity a lot, but I cannot deny that it is a paramount part of the world. It has introduced specific morals into our society and has truly made some people genuinely better and happier. Gospel Essentials Essay example paper.

Conclusion

           
God created humanity in His image and wished for them to rule over the earth and live sinless lives. The first humans had other ideas though. After Adam and Eve opened the door to sin, the rest of us had to deal with the consequences. Since then, everybody has had it in their nature to be a sinner. God sacrificed His Son, Jesus Christ, to repair what had been done so that His children could go to Heaven. When one accepts God into their heart and repents for their sins, then they can be granted the gift of eternal life with God in Heaven v.

References

Cosby, P. I. (1938). The effect of Christianity on society: as evidence for the supernatural character of the Bible. 
Bibliotheca Sacra
, 
95
(377), 113-119.
https://lopes.idm.oclc.org/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=rfh&AN=ATLA0001528263&site=eds-live&scope=site

Riches, J. (2010). Seeking the identity of Jesus. 
Journal For The Study Of The New Testament
, 
32
(3), 347-362. doi:10.1177/0142064X09357678.
https://lopes.idm.oclc.org/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=rfh&AN=ATLA0001773416&site=eds-live&scope=site
 Gospel Essentials Essay example paper

Pediatric Clients With Mood Disorders Therapy Decision Tree Case Study: African American Child Suffering From Depression

Assessing and Treating Pediatric Clients With Mood Disorders

Therapy for Pediatric Clients With Mood Disorders

Case Study: An African American Child Suffering From Depression

Mood disorders can impact every facet of a child’s life, making the most basic activities difficult for clients and their families. This was the case for 13-year-old Kara, who was struggling at home and at school. For more than 8 years, Kara suffered from temper tantrums, impulsiveness, inappropriate behavior, difficulty in judgment, and sleep issues. As a psychiatric mental health nurse practitioner working with pediatric clients, you must be able to assess whether these symptoms are caused by psychological, social, or underlying growth and development issues. You must then be able recommend appropriate therapies.

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This week, as you examine antidepressant therapies, you explore the assessment and treatment of pediatric clients with mood disorders. You also consider ethical and legal implications of these therapies.

Case Study: An African American Child Suffering From Depression

When pediatric clients present with mood disorders, the process of assessing, diagnosing, and treating them can be quite complex. Children not only present with different signs and symptoms than adult clients with the same disorders, but they also metabolize medications much differently. As a result, psychiatric mental health nurse practitioners must exercise caution when prescribing psychotropic medications to these clients. For this Assignment, as you examine the client case study in this week’s Learning Resources, consider how you might assess and treat pediatric clients presenting with mood disorders.NURS 6630 – Psychopharmacologic Approaches to Treatment of Psychopathology Essay Assignment Pediatric Clients With Mood Disorders Therapy Decision Tree Case Study: African American Child Suffering From Depression

Note: This Case Study: An African American Child Suffering From Depression Assignment is the first of 10 assignments that are based on interactive client case studies. For these assignments, you will be required to make decisions about how to assess and treat clients. Each of your decisions will have a consequence. Some consequences will be insignificant, and others may be life altering. You are not expected to make the “right” decision every time; in fact, some scenarios may not have a “right” decision. You are, however, expected to learn from each decision you make and demonstrate the ability to weigh risks versus benefits to prescribe appropriate treatments for clients.

NURS 6630 – Psychopharmacologic Approaches to Treatment of Psychopathology Essay Assignment Pediatric Clients With Mood Disorders Therapy Decision Tree Case Study: African American Child Suffering From Depression

Case Study: An African American Child Suffering From Depression Required Readings

Note: All Stahl resources can be accessed through the Walden Library using this link. This link will take you to a log-in page for the Walden Library. Once you log into the library, the Stahl website will appear.

Stahl, S. M. (2013). Stahl’s essential psychopharmacology: Neuroscientific basis and practical applications (4th ed.). New York, NY: Cambridge University Press.

Note: To access the following chapters, click on the Essential Psychopharmacology, 4th ed tab on the Stahl Online website and select the appropriate chapter. Be sure to read all sections on the left navigation bar for each chapter.

Chapter 6, “Mood Disorders”

Chapter 7, “Antidepressants”

Stahl, S. M. (2014b). The prescriber’s guide (5th ed.). New York, NY: Cambridge University Press.

Note: To access the following medications, click on the The Prescriber’s Guide, 5th ed tab on the Stahl Online website and select the appropriate chapter. Be sure to read all sections on the left navigation bar for each chapter. Pediatric Clients With Mood Disorders Therapy Decision Tree Case Study: African American Child Suffering From Depression.

Review the following medications:

amitriptyline

bupropion

amitriptylinebupropioncitalopramclomipraminedesipraminedesvenlafaxinedoxepinduloxetineescitalopramfluoxetinefluvoxamine

imipramine

ketamine

mirtazapine

nortriptyline

paroxetine

selegiline

sertraline

trazodone

venlafaxine

vilazodone

vortioxetine

citalopram

clomipramine

Case Study: An African American Child Suffering From Depression

Magellan Health, Inc. (2013). Appropriate use of psychotropic drugs in children and adolescents: A clinical monograph. Retrieved from http://www.magellanhealth.com/media/445492/magellan-psychotropicdrugs-0203141.pdf

Rao, U. (2013). Biomarkers in pediatric depression. Depression & Anxiety, 30(9), 787–791. doi:10.1002/da.22171 Pediatric Clients With Mood Disorders Therapy Decision Tree Case Study: African American Child Suffering From Depression

Note: Retrieved from Walden Library databases.

Vitiello, B. (2012). Principles in using psychotropic medication in children and adolescents. In J. M. Rey (Ed.), IACAPAP e-Textbook of Child and Adolescent Mental Health. Geneva: International Association for Child and Adolescent Psychiatry and Allied Professions. Retrieved from http://iacapap.org/wp-content/uploads/A.7-PSYCHOPHARMACOLOGY-072012.pdf

Poznanski, E., & Mokros, H. (1996). Child Depression Rating Scale–Revised. Los Angeles, CA: Western Psychological Services.

Note: Retrieved from Walden Library databases.

Case Study: An African American Child Suffering From Depression Required Media

Laureate Education (2016e). Case study: An African American child suffering from depression [Interactive media file]. Baltimore, MD: Author.

Note: This case study will serve as the foundation for this week’s Assignment.

Case Study: An African American Child Suffering From Depression Optional Resources

El Marroun, H., White, T., Verhulst, F., & Tiemeier, H. (2014). Maternal use of antidepressant or anxiolytic medication during pregnancy and childhood neurodevelopmental outcomes: A systematic review. European Child & Adolescent Psychiatry, 23(10), 973–992. doi:10.1007/s00787-014-0558-3

Gordon, M. S., & Melvin, G. A. (2014). Do antidepressants make children and adolescents suicidal? Journal of Pediatrics and Child Health, 50(11), 847–854. doi:10.1111/jpc.12655

Seedat, S. (2014)NURS 6630 – Psychopharmacologic Approaches to Treatment of Psychopathology Essay Assignment . Controversies in the use of antidepressants in children and adolescents: A decade since the storm and where do we stand now? Journal of Child & Adolescent Mental Health, 26(2), iii–v. doi:10.2989/17280583.2014.938497

To prepare for this Case Study: An African American Child Suffering From Depression Assignment:

Review this week’s Learning Resources. Consider how to assess and treat pediatric clients requiring antidepressant therapy. Pediatric Clients With Mood Disorders Therapy Decision Tree Case Study: African American Child Suffering From Depression

The Case Study: An African American Child Suffering From Depression Assignment

Examine Case Study: An African American Child Suffering From Depression. You will be asked to make three decisions concerning the medication to prescribe to this client. Be sure to consider factors that might impact the client’s pharmacokinetic and pharmacodynamic processes.

At each decision point stop to complete the following:NURS 6630 – Psychopharmacologic Approaches to Treatment of Psychopathology Essay Assignment

Decision #1

Which decision did you select?

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

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

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

Decision #2

NURS 6630 – Psychopharmacologic Approaches to Treatment of Psychopathology Essay Assignment

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

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

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

Decision #3

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

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

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. Pediatric Clients With Mood Disorders Therapy Decision Tree Case Study: African American Child Suffering From Depression

BACKGROUND INFORMATION

The client is an 8-year-old African American male who arrives at the ER with his mother. He is exhibiting signs of depression.

Client complained of feeling “sad”

Mother reports that teacher said child is withdrawn from peers in class

Mother notes decreased appetite and occasional periods of irritation

Client reached all developmental landmarks at appropriate ages

Physical exam unremarkable

Laboratory studies WNL

Child referred to psychiatry for evaluation

Client seen by Psychiatric Nurse Practitioner

MENTAL STATUS EXAM

Alert & oriented X 3, speech clear, coherent, goal directed, spontaneous. Self-reported mood is “sad”. Affect somewhat blunted, but child smiled appropriately at various points throughout the clinical interview. He denies visual or auditory hallucinations. No delusional or paranoid thought processes noted. Judgment and insight appear to be age-appropriate. He is not endorsing active suicidal ideation, but does admit that he often thinks about himself being dead and what it would be like to be dead. Pediatric Clients With Mood Disorders Therapy Decision Tree Case Study: African American Child Suffering From Depression

The PMHNP administers the Children’s Depression Rating Scale, obtaining a score of 30 (indicating significant depression)

Case Study: An African American Child Suffering From Depression RESOURCES

§ Poznanski, E., & Mokros, H. (1996). Child Depression Rating Scale–Revised. Los Angeles, CA: Western Psychological Services.

Decision Point One

Select what the PMHNP should do:

Begin Zoloft 25 mg orally daily

Begin Paxil 10 mg orally daily

Begin Wellbutrin 75 mg orally BID

Case Study of the above client

Decision Point One

I selected Zoloft 25 mg orally daily

RESULTS OF DECISION POINT ONE

Client returns to clinic in four weeks

No change in depressive symptoms at all

Decision Point Two

Increase dose to 50 mg orally daily

RESULTS OF DECISION POINT TWO

Client returns to clinic in four weeks

Depressive symptoms decrease by 50%. Cleint tolerating well

Decision Point Three

Maintain current dose

Guidance to Student

At this point, sufficient symptom reduction has been achieved. This is considered a “response” to therapy. Can continue with current dose for additional 4 week to see if any further reductions in depressive symptoms are noted. An increase in dose may be warranted since this is not “full” remission- Discuss pros/cons of increasing drug dose with client at this time and empower the client to be part of the decision. There is no indication that the drug therapy should be changed to an SNRI at this point as the client is clearly responding to this therapy. Pediatric Clients With Mood Disorders Therapy Decision Tree Case Study: African American Child Suffering From Depression

NSG 6330 Week 10 Discussion Prophylactic Hysterectomy

Prophylactic Hysterectomy

This discussion assignment provides a forum for discussing relevant topics for this week based on the course competencies covered .For this assignment, make sure you post your initial response to the Discussion Area by the due date assigned NSG 6330 Week 10 Discussion Prophylactic Hysterectomy.

To support your work, use your course textbook readings and the South University Online Library .As in all assignments, cite your sources in your work and provide references for the citations in APA format .

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Start reviewing and responding to the postings of your classmates as early in the week as possible .Respond to at least two of your classmates’ initial postings .Participate in the discussion by asking a question, providing a statement of clarification, providing a point of view with a rationale, challenging an aspect of the discussion, or indicating a relationship between two or more lines of reasoning in the discussion NSG 6330 Week 10 Discussion Prophylactic Hysterectomy. Cite resources in your responses to other classmates .Complete your participation for this assignment by the end of the week .

For this assignment, you will review and reflect on the Prophylactic Hysterectomy article .This article can be applied to healthcare providers in the primary care and specialty settings .Discussion of the article is based on the course objectives and weekly content, which emphasize the core learning objectives for an evidence-based primary care curriculum .Throughout your nurse practitioner program, discussions are used to promote the development of clinical reasoning through the use of ongoing assessments and diagnostic skills, and to develop patient care plans that are grounded in the latest clinical guidelines and evidence-based practice NSG 6330 Week 10 Discussion Prophylactic Hysterectomy.

Discuss any “take-away” thoughts from the article .

What are the ethical dilemmas to consider with prophylactic surgeries?

Discuss the screenings/interventions/options/education that you would provide to a patient that has a strong family history of ovarian cancer .What if the patient has no health insurance? What resources could you offer to assist the patient? NSG 6330 Week 10 Discussion Prophylactic Hysterectomy.

NSG 6330 Week 9 Discussion Hormone Replacement Therapy

Hormone Replacement Therapy

This discussion assignment provides a forum for discussing relevant topics for this week based on the course competencies covered .For this assignment, make sure you post your initial response to the Discussion Area by the due date assigned NSG 6330 Week 9 Discussion Hormone Replacement Therapy.

To support your work, use your course textbook readings and the South University Online Library .As in all assignments, cite your sources in your work and provide references for the citations in APA format .

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Start reviewing and responding to the postings of your classmates as early in the week as possible .Respond to at least two of your classmates’ initial postings .Participate in the discussion by asking a question, providing a statement of clarification, providing a point of view with a rationale, challenging an aspect of the discussion, or indicating a relationship between two or more lines of reasoning in the discussion NSG 6330 Week 9 Discussion Hormone Replacement Therapy. Cite resources in your responses to other classmates .Complete your participation for this assignment by the end of the week .

For this assignment, you will review the latest evidence based guidelines as they pertain to the case below .Discussion of the case is based on the course objectives and weekly content, which emphasize the core learning objectives for an evidence-based primary care curriculum .Throughout your nurse practitioner program, case study discussions are used to promote the development of clinical reasoning through the use of ongoing assessments and diagnostic skills, and to develop patient care plans that are grounded in the latest clinical guidelines and evidence-based practice NSG 6330 Week 9 Discussion Hormone Replacement Therapy.

Ms .Martin is a 55-year-old woman who has been on HRT for 4 years .HRT was prescribed because Ms .Martin was experiencing vasomotor symptoms associated with menopause .Her last mammogram was 2 years ago and last pap was 5 years ago .Ms .Martin made an appointment with her nurse practitioner to discuss discontinuing HRT after hearing and reading news reports about the dangers associated with the medication .Except for the HRT, Ms .Martin is taking no medication other than a daily vitamin .She had a tubal ligation after the birth of her third child but has had no other surgeries or history of any medical conditions .Her father had cardiovascular disease and died of a myocardial infarction at 77 years of age .Her mother was diagnosed with breast cancer at 81 years of age .Ms .Martin does not smoke and rarely drinks alcohol .She likes to work in her garden but is not involved in a formal exercise program .She has gained about 10 pounds since menopause NSG 6330 Week 9 Discussion Hormone Replacement Therapy.

What evidence-based information will you provide to Ms .Martin regarding her concerns of HRT? Discuss the advantages and risks associated with HRT .

What are your recommendations for Ms .Martin? Will you recommend continuing or discontinuing HRT and why?

What alternative treatments for menopausal symptoms will you discuss with Ms .Martin?

Discuss the recommended screening tests, using the latest evidence based guidelines that Ms .Martin should have .

What health promotion, maintenance, and prevention education would be important to provide to Ms .Martin? NSG 6330 Week 9 Discussion Hormone Replacement Therapy

NSG 6330 iHuman Case Study – Rachael Hardy

This discussion assignment provides a forum for discussing relevant topics for this week based on the course competencies covered .For this assignment, make sure you post your initial response to the Discussion Area by the due date assigned .

To support your work, use your course textbook readings and the South University Online Library .As in all assignments, cite your sources in your work and provide references for the citations in APA format NSG 6330 iHuman Case Study – Rachael Hardy.

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Start reviewing and responding to the postings of your classmates as early in the week as possible .Respond to at least two of your classmates’ initial postings .Participate in the discussion by asking a question, providing a statement of clarification, providing a point of view with a rationale, challenging an aspect of the discussion, or indicating a relationship between two or more lines of reasoning in the discussion .Cite resources in your responses to other classmates .Complete your participation for this assignment by the end of the week NSG 6330 iHuman Case Study – Rachael Hardy.

For this assignment, you will complete an iHuman case study based on the course objectives and weekly content .The iHuman cases emphasize core learning objectives for an evidence-based primary care curriculum .Throughout your nurse practitioner program, you will use the iHuman case studies to promote the development of clinical reasoning through the use of ongoing assessments and diagnostic skills, and to develop patient care plans that are grounded in the latest clinical guidelines and evidence-based practice .

The iHuman assignments are highly interactive and a dynamic way to enhance your learning .Material from the iHuman cases may be present in the quizzes, the midterm exam, and the final exam . NSG 6330 iHuman Case Study – Rachael Hardy.

Click here for information on how to access and navigate NSG 6330 iHuman Case Study – Rachael Hardy

This week, complete the iHuman case titled ”Rachael Hardy” .

After completing your iHuman Case Study, answer the following questions using the latest evidenced based guidelines:

Discuss the questions that would be important to include when interviewing a patient with this issue .

Describe the clinical findings that may be present in a patient with this issue .

Are there any diagnostic studies that should be ordered on this patient? Why?

List the primary diagnosis and three differential diagnoses for this patient .Explain your reasoning for each .

Discuss your management plan for this patient, including pharmacologic therapies, tests, patient education, referrals, and follow-ups . NSG 6330 iHuman Case Study – Rachael Hardy.