Tag: Clinical-Nursing

Carrie is a 13-year-old Hispanic female – A young girl with strange behaviors case study

BACKGROUND

Carrie is a 13-year-old Hispanic female who is brought to your office today by her mother and father. They report that they were referred to you by their primary care provider after seeking her advice because Carrie’s behavior has been difficult to manage and they don’t know what to do.

 

SUBJECTIVE

Carrie’s parents report that they have concerns about her behavior, which they describe as sometimes “not normal for a 13-year-old.” They notice that she talks to people who aren’t real. Her behavior is calm and “passive.” Her parents noted that when she was younger, she was irritable at times, but have noticed that this has given way to passivity. Her parents state that they understand that it’s normal for younger children to have “imaginary friends,” but they feel that at Carrie’s age, she should have grown out of these behaviors. Carrie’s parents report that she has friends that are half-cat and half-human, and “spirits” who speak with her “in her head.” She also reports that the people on television know when she is home and that they have certain shows “just for her.” Carrie is a 13-year-old Hispanic female – A young girl with strange behaviors case study.

Carrie’s parents report that they have taken her to her pediatrician who has given her a “clean bill of health.” Carrie’s parents note that they had some early concerns as she was lagging in meeting developmental milestones. Initially, when she first started school, Carrie managed to keep up with her peers in terms of academic performance, but she was noticed by her teachers to be isolative. It was also noted by her teachers and guidance counselor that Carrie’s social skills do not seem to match what they see in other children her age. Initially the school counselor suspected that Carrie may have been suffering from attention deficit hyperactivity disorder (primarily inattentive type), but now is not certain and has recommended a psychiatric evaluation. Her grades were “ok” in school up until last year when she left junior high school, and entered high school, where the academic demands began to increase. Carrie’s teachers had wanted to hold her back a grade, but her parents acknowledge that they were “insistent” that this did not happen. Now they are describing some regrets over this as Carrie seems “more lost than ever” in her schoolwork. Carrie’s mother produced a copy of a paper that Carrie had to submit as a homework assignment. You attempt to read the assignment, but there does not appear to be any clarity to the work, and it can best be described as a hodge-podge of thoughts and ideas. Carrie is a 13-year-old Hispanic female – A young girl with strange behaviors case study.

Carrie’s parents want you to know that although they are concerned about Carrie, they are opposed to giving her medications that would turn her “into a zombie.” Carrie’s mother also confides that her husband’s grandfather spent “a few years in the nut house.” When you probe further, she began crying and said, “He was schizophrenic … what if Carrie is schizophrenic?”

During your interview with Carrie, she seems pleasant, but somewhat distant. When you ask her about her friends at school, she shrugs her shoulders and says, “I don’t really have any. I don’t like those people.” You inquire if she is sad or upset that she doesn’t like them, to which she states “no, why should I be? I guess they would be friends with me if I asked, but I’m not interested. I could make them be my friends if I wanted, but I don’t … but if I wanted them to, all that I have to do is make up my mind that they will be my friend and they would have to.” When you ask Carrie if she believes that she can control the thoughts of others with her mind, she puts her index finger up to her mouth and looks toward the door. “My mom gets upset when I talk about these things. I try not to think about them either because if she is close enough, she could read my thoughts and they upset her. She may think that I’m into witchcraft or something.” Carrie is a 13-year-old Hispanic female – A young girl with strange behaviors case study.

When you ask Carrie about the homework assignment that you read, she explains that her teacher “is just miserable. She doesn’t understand how I think—I think high, she just can’t get it.”

 

OBJECTIVE

The client is a 13-year-old Hispanic female client who appears appropriately developed for her age. She is dressed appropriately for the current weather, and ambulates with a steady upright gait. She does not appear to be demonstrating any noteworthy mannerisms, gestures, or tics. No psychomotor agitation/retardation apparent. Carrie is a 13-year-old Hispanic female – A young girl with strange behaviors case study.

 

MENTAL STATUS EXAM

Carries is alert and oriented × 4 spheres. Her speech is clear, coherent, goal directed, and spontaneous. Carrie self-reports her mood as “good.” However, her affect does appear somewhat constricted. Her eye contact is minimal throughout the clinical interview and at times, Carrie seems preoccupied. Carrie is oriented to person, place, and time. She endorses hearing and seeing strange “things that I talk to. They don’t scare me; they come to see me from another world.” No overt paranoia is appreciated. She does report delusions of reference (she believes that the people on TV play programs “just for her” and at times, television commercials were designed to tell her what to do), as well as other delusional thoughts (as described above). Carrie denies any suicidal or homicidal ideation. Carrie is a 13-year-old Hispanic female – A young girl with strange behaviors case study.

At this point, please discuss any additional diagnostic tests you would perform on Carrie.

Decision Point One

BASED ON THE INFORMATION PROVIDED IN THE SCENARIO ABOVE, WHICH OF THE FOLLOWING DIAGNOSES WOULD THE PSYCHIATRIC/MENTAL HEALTH NURSE PRACTITIONER (PMHNP) GIVE TO CARRIE?

In your write-up of this case, be certain to link specific symptoms presented in the case to DSM–5 criteria to support your diagnosis.

 

 
Early Onset Schizophrenia

 
Schizoaffective Disorder

 
Schizotypal Personality Disorder

 

Decision Point One

 
Early Onset Schizophrenia

Decision Point Two

Refer for psychological testing

RESULTS OF DECISION POINT TWO

 Client returns to clinic in four weeks

 Although there are no specific psychometric tests available for schizophrenia, the consulting psychologist administered a comprehensive psychological battery of tests in order to assess personality and cognitive functioning as well as to identify any underlying intellectual disabilities that could account for the difficulty Carrie is having in school. Tests administered included the Minnesota Multiphasic Personality Inventory; Kaufman Adolescent and Adult Intelligence Test; Rorschach test; Whitaker Index of Schizophrenic Thinking (WIST) test; Wide Range Achievement Test – 4th Edition (WRAT-4); and the Millon Adolescent Clinical Inventory (MACI). The consulting psychologist opined that early-onset schizophrenia was strongly suspected in this client. Carrie is a 13-year-old Hispanic female – A young girl with strange behaviors case study.

Decision Point Three

Begin Clozapine 100 mg orally daily

Guidance to Student

It is not always necessary to procure a consult with a psychologist. However, psychologists by virtue of their advanced training and licensure are able to conduct comprehensive psychological testing on clients more advanced than those tests that could be conducted by the psychiatric/mental health nurse practitioner. In this case, we would like to know if the poor academic performance was the result of an intellectual disability, versus poor premorbid intellectual functioning that is often seen in schizophrenia. Carrie is a 13-year-old Hispanic female – A young girl with strange behaviors case study.

In terms of treatment decisions, Clozapine is FDA-approved for treatment-resistant schizophrenia. Since the child has not yet been treated with any agent, we have no way of knowing if her schizophrenia is treatment resistant. Additionally, if we were to use Clozapine, the starting dose is approximately 25 mg in adults (perhaps 12.5 mg in a child, depending on body weight). Clozapine 100 mg would most likely cause significant side effects that both the child and parents would find objectionable, thus making compliance an issue.

Although not FDA-approved for use in children, Lurasidone is used as an off-label drug in this population. There are no legal prohibitions against any prescriber using drugs “off-label”; however, attention must be given to the concept of informed consent. When working with children/adolescents, the PMHNP must explain pros/cons, discuss therapeutic endpoints/goals of treatment, etc. The parent/guardian must have all of the information needed to make an informed consent. Therefore, Lurasidone would be the best choice. Additionally, Lurasidone may be the preferred antipsychotic, as it appears to have the least impact on body weight and lipid profile. Carrie is a 13-year-old Hispanic female – A young girl with strange behaviors case study.

Recall that with any antipsychotic medication, you should determine fasting plasma glucose levels, monitor weight and BMI during treatment, as well as blood pressure and fasting triglycerides.

Family interventions are important as well, as they do have a positive benefit on symptom relapse and admission/readmission to the hospital. Family interventions should include teaching about the disease, medications, and anticipatory guidance.

Decision Point One

 
Schizoaffective Disorder

Decision Point Two

Begin Celexa 20 mg orally daily

RESULTS OF DECISION POINT TWO

 Client returns to clinic in four weeks

 Upon return to the office, Carrie’s parents state that she is no different than she was when she was last in your office. Carrie reports that she feels a little bit more “relaxed.” When assessed, Carrie continues to acknowledge auditory hallucinations and delusional thought processes. Carrie is a 13-year-old Hispanic female – A young girl with strange behaviors case study.

Decision Point Three

Add Seroquel 25 mg orally at bedtime

Guidance to Student

At this point, it should be noted that based on the initial presenting symptoms, Carrie’s condition is more consistent with schizophrenia. In order for schizoaffective disorder to be present, in addition to the psychotic features, the patient must meet the criteria for a mood disorder (depression or mania) concurrent with criterion A of schizophrenia. Nothing in the case description leads us to believe that Carrie is experiencing such a mood disorder. Carrie is a 13-year-old Hispanic female – A young girl with strange behaviors case study.

Because of the diagnosis, increasing Celexa would be of minimal therapeutic benefit.

Based on the correct diagnosis of schizophrenia, Seroquel would be appropriate, as it is FDA-approved for treatment of schizophrenia in individuals aged 13 years and older, but not in addition to Celexa.

In this case, reconsideration of the diagnosis would be the most appropriate course of action.

Recall that with any antipsychotic medication, you should determine fasting plasma glucose levels, monitor weight and BMI during treatment, as well as blood pressure and fasting triglycerides. Carrie is a 13-year-old Hispanic female – A young girl with strange behaviors case study.

Decision Point One

 
Schizotypal Personality Disorder

Decision Point Two

Begin cognitive behavioral therapy

RESULTS OF DECISION POINT TWO

 Client returns to clinic in four weeks

 Upon return to the office, Carrie’s parents state that she is no different than she was when she was last in your office. Carrie reports that she enjoys being with her therapist because she is able to control her therapist’s mind, and makes her therapist “say whatever I want.” When assessed, Carrie continues to acknowledge auditory hallucinations and delusional thought processes are still apparent. Carrie is a 13-year-old Hispanic female – A young girl with strange behaviors case study.

Decision Point Three

Reconsider diagnosis

Guidance to Student

Fluphenazine (Prolixin) Decanoate is not an appropriate choice as decanoate preparations should never be used until tolerability of the oral version of the drug has been established (you never want to give someone a depot drug that they are allergic to). Also, Prolixin and other first-generation antipsychotic drugs are generally considered to be second-line agents and should only be used after second-generation antipsychotics have been attempted/failed. Prolixin can also cause significant weight gain and alter lipid profiles significantly. Finally, if this truly were a personality disorder, there are no FDA-approved drugs to treat personality disorders, so Prolixin would probably not be appropriate in the absence of significant behavioral issues. Carrie is a 13-year-old Hispanic female – A young girl with strange behaviors case study.

Since this is neither a mood or anxiety disorder, Sertraline would be ineffective.

The most appropriate choice in this case is to reconsider the diagnosis. Although Carrie has several features that appear to approximate schizotypal personality disorder, the differences are important. For instance, she has delusions of reference, no ideas of reference. She also has more than “odd thinking or speech”—her written work demonstrated disorganized thought processes, much more severe than odd thinking or speech. She does lack close friends or confidants, but at this point, we have no way of knowing if it is because she has discomfort with interpersonal relationships or if it is because her classmates shun her due to her odd behaviors.

Finally, be cautious about making diagnoses of personality disorders in 13-year-old patients. During this time, personality is still forming. Schizotypal personality disorder may ultimately be what is wrong with Carrie, but we do not have enough information at this point. Personality disorders can be diagnosed in early adulthood. Carrie is a 13-year-old Hispanic female – A young girl with strange behaviors case study.

Recall that with any antipsychotic medication, you should determine fasting plasma glucose levels, monitor weight and BMI during treatment, as well as blood pressure and fasting triglycerides.

https://mym.cdn.laureate-media.com/2dett4d/Walden/NURS/6660/09/mm/decision_tree/index.html

 

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. Carrie is a 13-year-old Hispanic female – A young girl with strange behaviors case study.

Carrie is a 13-year-old Hispanic female – A young girl with strange behaviors case study Learning Objectives

Students will:

Evaluate clients for treatment of mental health disorders

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

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. Carrie is a 13-year-old Hispanic female – A young girl with strange behaviors case study.

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.

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? Carrie is a 13-year-old Hispanic female – A young girl with strange behaviors case study.

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?

Decision #3: Treatment Plan for Psychopharmacology

Why did you select this Decision? Support your response with evidence and references to the Learning Resources. Carrie is a 13-year-old Hispanic female – A young girl with strange behaviors case study.

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. Carrie is a 13-year-old Hispanic female – A young girl with strange behaviors case study.

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. Carrie is a 13-year-old Hispanic female – A young girl with strange behaviors case study.

Total Rewards Essay Instructions

Compensation and benefit packages are important tools for attracting, hiring, and retaining employees. The human resources department of larger organizations may set up the benefits package for all employees. As a nurse manager you may be involved in deciding on the types of benefits — the total rewards package — the business or organization will provide the employees. Total Rewards Essay.

ORDER A CUSTOM-WRITTEN PAPER NOW

First, before doing this Total Rewards Essay assignment, please research how to create a total rewards package.

Second, write a 1100 word-proposal for a total rewards package (including salary, benefits, incentive versus merit pay, bonuses, non-financial incentives, health insurances, stock options, and profit sharing) for nursing positions.

Third, provides a rationale for the requests included in the proposal. Total Rewards Essay.

Fourth, includes an introduction that provides sufficient backgrounds on the topic and previews major points.

Fifth, develops a conclusion that opens the discussion for negotiation within leadership.

Sixth, includes six scholarly references and APA formatted. Total Rewards Essay.

Assignment 1: Practicum: Cover Letter, Resume, and Portfolio

For this Assignment, you create a professional cover letter, resume, and portfolio that you can use as you pursue your next professional role.

Cover Letter, Resume, and Portfolio Learning Objectives

Students will:

Create professional cover letters, resumes, and portfolios

To Prepare for the Assignment:

Review the Learning Resources concerning developing your professional cover letter, resume, and portfolio.

Review the Cover Letter, Resume, and Portfolio Assignment Guide

Refer to the Walden University Career Center website for resources to develop your cover letter and resume. With the assistance of the Walden University Career Center website, you can make your cover letter, resume, and portfolio accessible online to your faculty and potential employers. Cover Letter, Resume, and Portfolio.

Your professional cover letter, resume, and portfolio are due by 
Day 7 
of
 Week 10
. It is highly recommended that you begin planning and working on this Assignment as soon as it is viable. The following checklists outline all of the items you should include in your cover letter, resume, and portfolio.

Checklist for Cover Letter (S/U grade)

Your cover letter should be:

Presented and formatted in a professional business manner

Addressed properly

Clear and concise and include:

Content Introduction

Content Body

Content Conclusion

Written in a professional style and include:

Correct spelling, punctuation, and grammar

Clear and accurate sentence structure

Checklist for Resume (S/U) 

Your Resume should be clear, concise, and well-organized and it should also include your:

Name, address, business phone number, and e-mail address (top center of resume)

Profile: 2–3 sentences describing goal and positive attributes/characteristics

Certifications and licensure

Education

Professional experience

Honors/awards

References

Checklist for Portfolio (S/U) Cover Letter, Resume, and Portfolio

Your Portfolio should be clear, concise, and well-organized and it should also include your:

Personal philosophy statement

Self-assessment

Personal goals (short term and long term)

Achievements

Cover letter

Resume

Diplomas for formal education

Letters of recommendation

References (list names, affiliation, and contact information)

Certifications

Certificates of attendance for continuing education

Transcripts

Publications

Oral presentations and/or poster presentations

Cover Letter, Resume, and Portfolio

NURS 6550 Acute Care Midterm and Final Exams Study Guides

NURS 6550 Acute Care Study Guide for Midterm

Psychosocial

Generalized anxiety disorder diagnosis criteria

Treatment of acute panic attacks

What are the medications for initial/first line therapy

Inpatient treatment of depression

What are the therapies for patient’s that won’t eat, take meds, etc.

When is serotonin norepinephrine reuptake inhibitor indicated, when is it contraindicated?

Venlafaxine dosing, when is follow up? What are you monitoring?

Endogenous depression pathophysiology is best described as?

ORDER A CUSTOM-WRITTEN PAPER NOW

Differences between panic attacks and panic disorder?

What are Major Depressive disorder symptoms?

Identify the primary neurotransmitter in PTSD

PTSD diagnosis and treatment, meds (families/common meds)?

Familiarize yourself with the side effects of Lithium

NURS 6550 Acute Care Midterm and Final Exams Study Guides

Common adverse effects of atypical antipsychotics

Mental status changes in elderly… how do you evaluate?

Assessment of Delirium in geriatric patients

Short Confusion Assessment Method (Short CAM): what things are assessed?

Types of dementia, know differences?

Aricept and dosing and patient teaching?

Vascular dementia, what is it?

Management of disinhibition in elderly

Physical findings when death is imminent

Limits of pain medication on dying patient

NURS 6550 Acute Care Midterm and Final Exams Study Guides

Theories about successful aging…familiarize yourself with them

Psychological abuse of elders

Death and the anxiety related to it, who’s at risk?

Age and suicide risk in the different age groups?

Assessing driver safety in elderly

Geriatric Depression Screen

NURS 6550 Acute Care Midterm and Final Exams Study Guides

 

 

EENT

What is acute angle glaucoma?

Familiarize yourself with Cataracts, presentation? TRX?

Chronic uveitis medication management

Gonococcal conjunctivitis presentation and medication management

Viral, allergic, bacterial conjunctivitis: know presentations and trx

Macular degeneration presentation and S&S, trx

NURS 6550 Acute Care Midterm and Final Exams Study Guides

Open angle glaucoma

Metal FB in eye, how do you evaluate and how do you remove?

Penetrating eye injury treatment

Corneal abrasions: eval, presentation, medications, teaching, follow up/referral?

Orbital cellulitis: presentation, S&S

Orbital fractures: patho and causes, teaching for post-op/or discharge?

Different types of hearing loss and why they occur

NURS 6550 Acute Care Midterm and Final Exams Study Guides

Acute otitis media: causes, trx, presentation

Vertigo, how do you evaluate and trx?

Epistaxis: causes, trx, what to look for in complications? Infection?

Bacterial sinusitis: treatment, presentation, when you suspect it, what is GOLD standard of dx testing…

Tonsillitis presentation

Epiglottitis presentation

Familiarize yourself with diagnostic studies for evaluation eye conditions in acute situations

Beta adrenergic antagonists: side effects

NURS 6550 Acute Care Midterm and Final Exams Study Guides

Cholinergic mimetics: side effects

Prostaglandin analogs: side effects

Osmotic diuretics: side effects

Bells palsy: S&S, treatment, pain management

Know causes (agents) of tonsil/throat pain

Know epiglottis presentation, causes and treatment

Know cranial nerves and their function

NURS 6550 Acute Care Midterm and Final Exams Study Guides

 

 

Cardiovascular disorders

ACS protocol: low risk vs high risk mi

Contraindications to thrombolytic therapy in stroke and MIs

MONA, what is it an when is it used?

Duke criteria for infective endocarditis, presentation and treatment

NURS 6550 Acute Care Midterm and Final Exams Study Guides

Heart murmurs: physical exams, grades of murmurs

Pericarditis s/sx, dx criteria and treatment

Be familiar with different heart sounds

Treatment and findings for acute anterior wall MI

Monitoring wedge pressures

Presentation and Medications for CHF

Aortic stenosis classic presentation

NURS 6550 Acute Care Midterm and Final Exams Study Guides

Aortic regurgitation classic presentation

Diastolic failure, medication management

Thoracic aneurysm: how do you diagnosis, what is “critical “ presentation, risk factors?

Medications for acute descending aortic aneurysm

Treatment plans for PAD, presentation of PAD

Risk factors for DVT, how do you evaluate and r/o

PE risk factors, who’s at risk?

Hypertensive urgency vs. crisis

Secondary HTN causes

Chronic venous insufficiency treatment

Cardiac rehab

Stroke treatment guidelines, when can you start tPA? When is it contraindicated?

NURS 6550 Acute Care Midterm and Final Exams Study Guides

Coumadin guidelines, how do you monitor, what is the goal? When do you start it?

How to read EKGs, common leads for a MI and consider pericarditis findings…

JNC 8 recommendations, know the recommended trx plans for various stages, when do you intervene

 

 

Respiratory

Intermittently controlled asthma – management, recognize who to d/c, admit, etc.

Mild asthma – management

Rescue therapy in Asthma

COPD – FEV1/FVC ratios, GOLD guidelines, outpt management, be able to STEP the therapy

PE – how to diagnose, risk factors, GOLD standard for testing

NURS 6550 Acute Care Midterm and Final Exams Study Guides

Causes of obstructive shock

ARDS maladaptive physiologic response, diagnostic criteria, THINK PATHO

Septic shock – vent settings

ARDS: what is happening with perfusion and ventilation?

Pulmonary rehab and chronic obstructive pulmonary disease

Spirometric assessment; what do you do?

NURS 6550 Acute Care Midterm and Final Exams Study Guides

Pulmonary fibrosis and what risks are associated with this diagnosis

Pleural effusion: what does each fluid that can be found mean?

Respiratory risk factors for surgery

Pathophysiology of ARDS

GOLD stages of COPD, know what stage is what

Pulmonary function tests, be able to interpret

NURS 6550 Acute Care Midterm and Final Exams Study Guides

X-ray presentations and readings for pneumonia, CHF, COPD

CURB-65 criteria, what does each part mean, what does it stand for…

Pneumonias, types, treatments, causes, organisms

IGRA tests for TB

Labs to check before starting INH

VAP

NURS 6550 Acute Care Midterm and Final Exams Study Guides

Nursing (NURS) 521 Pharmacotherapeutics for Nurse Prescribers Introduction

Nursing 521 Pharmacotherapeutics for Nurse Prescribers
 is a course in a program of study leading to the Master of Nursing degree or the Post Master’s Diploma: Advanced Nursing Practice. NURS 521 is a prerequisite course for NURS 518, NURS 520, NURS 522, NURS 524, NURS 526, NURS 527 and NURS 528. NURS 521 can be taken as an elective course by other Master of Nursing or Master of Health Studies students and by non-program students.

Building on basic knowledge of pharmacology, this course focuses on principles of drug action, pharmacokinetics and pharmacotherapeutics in the context of advanced nursing practice. Common drug classes, indications, and evaluations of outcomes of therapy are presented. The legal and professional issues of prescribing as well as the significance of keeping up-to-date using evidence-based practice are addressed. Nursing (NURS) 521 Pharmacotherapeutics for Nurse Prescribers.

Nursing (NURS) 521 Pharmacotherapeutics for Nurse Prescribers Course Goals

After completing this course, students should be able to:

describe the basic principles of pharmacokinetics and pharmacodynamics, and how these principles may affect prescribing decisions;

demonstrate an understanding of the selection and use of drugs in the management and treatment of disease, including the application of pharmacokinetics and pharmacodynamics to client clinical context and the integration of client social context (age, health status, gender, concomitant therapies, cultural beliefs, financial status, etc) to the selection of drugs of choice;

identify and incorporate special considerations when prescribing for specific populations: pregnancy, breastfeeding, older adults, children and infants, and genetic factors;

evaluate and then apply research findings to the development of evidence-based, comprehensive client pharmaceutical plans of care;

evaluate prescribed drug regimens for safety, clinical efficacy and outcomes, in partnership with the client;

identify and incorporate strategies to address potential barriers to regimen adherence into client assessment and education; Nursing (NURS) 521 Pharmacotherapeutics for Nurse Prescribers.

communicate effectively in order to support, educate, coach and counsel clients in regards to their optimal treatment regimen;

appropriately access antimicrobial guidelines to include community therapies;

describe and analyze the impact of health system resource allocation on drug selection and utilization (pharmacoeconomics);

demonstrate safe evidence-based prescriptive practices and implements ways to reduce potential medication mishaps into personal prescribing practices; Nursing (NURS) 521 Pharmacotherapeutics for Nurse Prescribers.

integrate knowledge of adverse drug reactions and interactions in safe prescribing and appropriately report adverse drug reactions;

understand professional, ethical and legal considerations and responsibilities when prescribing;

describe the current status of prescriptive authority for nurse practitioners in your province/territory;

recognize polypharmacy and takes appropriate interventions to optimize therapy; and

summarize the role of interdisciplinary consultation in optimizing drug therapy.

Nursing (NURS) 521 Pharmacotherapeutics for Nurse Prescribers

Nursing (NURS) 521 Pharmacotherapeutics for Nurse Prescribers Course Materials

Online Materials

Introduction: Provides essential information about the course design and materials.

Schedule: Outlines the timing of course activities.

Units: There are eight units in this course.

Assessment: Outlines the assignments/evaluation procedure of the course.

Reference: Listing of required readings and websites included in the course.

Nursing (NURS) 521 Pharmacotherapeutics for Nurse Prescribers

Textbook

Arcangelo, V., Peterson, A., Wilber, V. & Reinhold, J. (2017). 
Pharmacotherapeutics for Advanced Practice,
 4
th
 edition. Philadelphia: Wolters Kluwer.

Nursing (NURS) 521 Pharmacotherapeutics for Nurse Prescribers Course Structure

The course includes Internet access to health-related websites around the world, participation in email, and computer conferencing with students from across the country. Students are expected to connect to an Internet Service Provider at their own expense.

Nursing (NURS) 521 Pharmacotherapeutics for Nurse Prescribers Technical Requirements

Computer System

In order to successfully complete this course, you must own or have ready access to certain computer hardware and software programs. For complete and up-to-date information on the minimum computer requirements required to complete the graduate nursing courses, visit the 
Centre for Nursing and Health Studies
 technical site.

Course Outline

Unit 1: Pharmacotherapeutics and the Nurse Prescriber

Unit 1 covers the ethical, legal and professional issues relating to pharmacotherapy and the nurse prescriber. Unit 1 also explore skills and information on effective prescription writing and rational drug selection.

Unit 2: Principles of Pharmacotherapeutics

Unit 2 covers the main principles of pharmacokinetics and pharmacodynamics, in other words, how drugs work and what they do to the body. Understanding these phenomena aid the nurse prescriber to select appropriate drugs, anticipate onset and duration of action, drug interactions and what follow up is required to ensure safety. Nursing (NURS) 521 Pharmacotherapeutics for Nurse Prescribers.

 Unit 3: Drugs for the Cardiovascular and Renal Systems 

This unit focuses on medications used in the secondary and tertiary stages of cardiac and renal care, utilizing recommendations from Canadian clinical practice guidelines.

Unit 4: Drugs for the Eyes, Ears and the Hematological System 

Unit 4 explores the pharmacological treatment of ear and eye conditions. Anticoagulation and the anemias are discussed. All topics are viewed with a view to formulations that are applicable to the age and capacity of the individual as well as by the clinical practice guidelines. Nursing (NURS) 521 Pharmacotherapeutics for Nurse Prescribers,

Unit 5: Drugs for Infections and the Integumentary System

This unit reviews microbiological principles as it pertains to the treatment of infections. Antibiotic stewardship is emphasized. The management of infectious and non-infectious dermatological conditions are discussed.

Unit 6: Drugs for the Endocrine System

This unit focuses on prescribing for the management of diabetes mellitus, hypothyroidism and osteoporosis utilizing current clinical practice guidelines. Nursing (NURS) 521 Pharmacotherapeutics for Nurse Prescribers.

Unit 7: Drugs for the Pulmonary and Gastrointestinal Systems

Unit 7 reviews pharmacotherapy for acute and chronic pulmonary diseases as well as medications used for common gastrointestinal conditions.

Unit 8: Drugs for the Nervous System and for the Control of Pain and Inflammation

Pharmacotherapies for neuropsychiatric disorders and other neurological conditions are reviewed in this unit. The treatment of pain and inflammation are also discussed.

Unit 9: Drugs for the Genitourinary System and Reproductive Systems

Drugs affecting the urinary system for both men and women are discussed. Contraception and hormone replacement therapies are reviewed.

Unit 10: Vaccines, Nutritional and Alternative Therapies, and Drugs for Substance Abuse

Unit 10 focuses on vaccines, pharmaco-nutritional therapies, complimentary and alternative pharmacotherapies and supplements, and medications used to treat alcohol and nicotine addiction
. Nursing (NURS) 521 Pharmacotherapeutics for Nurse Prescribers.

Nursing (NURS) 521 Pharmacotherapeutics for Nurse Prescribers Assessment Structure

Conference Participation

10%

Assignment #1 Case Study

20%

Exam 1

25%

Assignment #2 Case Study

20%

Exam 2

25%

Total

100%

To be eligible to receive a passing grade for NURS 521, you must achieve a minimum mark of 65% (6.5/10) on conference participation, a minimum average mark of 65% (26/40) on the two written assignments, and a minimum average mark of 70% (35/50) on the two examinations.

Conference Participation (10%)

Feedback regarding conference participation will be ongoing. Quality of input (not quantity) is the goal. Feedback will focus on the student’s ability to provide organized and scholarly contributions that reflect analysis and synthesis of the material presented. Nursing (NURS) 521 Pharmacotherapeutics for Nurse Prescribers.

Assignment 1 & 2: Case Studies (20% each)

A case studies are used to demonstrate and utilize rational drug selection principles in the context of patient-centered care. Nursing (NURS) 521 Pharmacotherapeutics for Nurse Prescribers.

Exam 1 & 2 (25% each)

The course includes two multiple-choice exams. Nursing (NURS) 521 Pharmacotherapeutics for Nurse Prescribers

Nursing assignment help online does not easily avail itself nowadays. Why? Nursing writing proves to be rather complex, and it entails lots of analytical skills and in-depth research. Nursing assignments usually go beyond the classroom scope, and they entail real hospital experience. This aspect makes nursing assignments and papers rather complex. The good news is that we have professional writers who have demonstrated experience in the most complex nursing papers including care plans and capstone for nursing trainees.

We offer you the best nursing assignment help online

Onlinenursingpapers.com guarantees all nursing trainees of exceptional nursing assignment help in a nursing dissertation, nursing thesis, nursing term papers, nursing essays, nursing capstone projects, and patient care plans. If you are looking for the best help in your nursing assignment, contact our professional nursing writers for assistance that you will not regret.

ORDER A CUSTOM-WRITTEN PAPER NOW

Why use our nursing writing services?

There are several companies offering nursing assignment help online services. However, onlinenursingpapers.com has proven to be the best of all these. All the recruited nursing writers in this Company are taken through a thorough and intense recruitment process to ensure that we have the best team of all. Some of the qualities that our writers must portray are:

Knowledge in popular nursing topics

We are aware that a nurse has to be very qualified to develop a coherent and well-argued paper. During the recruitment process, we test the knowledge of our writers on the popular nursing topics to ensure that every writer focuses on the topics that they understand clearly.

University Grades

We are aware that grades are the most important aspects of the life of nursing students. For this reason, we ensure that our writers are all top performers in order to offer excellent Nursing Assignment Help Online. All our nursing writers are qualified in this field, and they have completed their Ph.D., and MA classed with exceptional grades.

 

Experience in nursing academic writing

Besides being elites, we ensure that our writers have a thorough understanding of what is needed for nursing academic writing including the structure of such a paper, and how to reference the same. All of the professional nursing writers at the Company has at least five years of academic writing experience.

Plagiarism Free

A quality academic paper should incorporate original ideas. Plagiarism is a serious issue for us for us to recruit a writer, they must pass a thorough anti-plagiarism test.

Why we are the preferred nursing writing company

When you consult the services of our company in nursing essay papers, you will have the guarantee of:

100% plagiarism-free and originality

A quality nursing essay that is in line with the requirements of your school

A professional paper that makes use of authoritative sources with proper referencing

Use of proper formatting and clear grammar

A paper that is well-argued to guarantee you an A-pass

Timely submission

100% guarantee of satisfaction

Get in touch with our support team for the best help in your 
nursing assignment writing
. You can also check our testimonials section to see what our clients have to say about us and you will surely get Nursing Assignment Help Online from us.

Improve the Grades of Your Nursing Papers? Studying nursing is one of the most beautiful dreams that anybody can have. However, most of these dreams are cut short with the brutal reality that writing nursing papers is not exactly a piece of cake. The complex nature of nursing papers directly correlates to the career out of it.

In hospital settings, nurses have the most difficult and the most demanding responsibilities. These responsibilities ensure that the requirements placed upon nursing students to write nursing papers and do nursing assignments are extremely taxing. These harsh realities and the need to actualize a dream make it understandable for a nursing student to desire to indulge an online nursing essay writing service so as to ensure that they are managing the workload.

ORDER A CUSTOM-WRITTEN PAPER NOW

In the event that you also realize that you are lots of things to attend to and that your time is premium, kindly seek our assistance so that you can complete your nursing research paper assignment on time. Indeed, you are not alone in such a predicament and there will be more people in a similar situation in the years to come. For this reason, make sure to stop a Competent Research Writers and have your nursing research paper needs handled expertly.

How to Improve the Grades of Your Nursing Papers from Us

It is very easy to get your nursing research paper done by us. All you have to do is make an order, furnish us with all the details regarding your nursing paper assignment, and leave the rest to us. After carefully considering your instructions, we will dive into our database and fish a writer that is expertly qualified for your paper. Just so you know, we have writers from all levels of nursing and healthcare education. And as such, all you orders from college, undergraduate to doctorate will be eruditely handled and you will Improve the Grades of Your Nursing Papers.

After allocation of writers, they will first of all create an outline of the assignment for you to approve. This gives you as a student unparalleled advantages as compared to your peers who will use other online nursing assignment help services as you will know beforehand what your paper will entail.  Through the services that we offer, a nursing student can become molded into a complete nursing professional.  Also, we will ensure that you have samples of all the nursing areas by your graduation time.

Versatile Nursing Research Papers

As already mentioned, our writer database boasts of versatility in all the areas of nursing. Yes, it goes without saying that all of them are extremely qualified and uniquely suited to your nursing paper needs. However, we ensure that we pair only the most suitably qualified nursing writer with your order. What is even more, in addition to the educational background, we have writers who are specifically suited to a particularly nursing assignment topic. For instance, there are those writers that specifically write the following:

Nurse’s Role in Breaking the Spread of Communicable Diseases

Primary Healthcare

Family Health Nursing

The Role of Understaffing in Causing Medication Errors;

Geriatrics

Nurse Practitioners Essays

Sport Therapy

Mental Health and Psychiatry

Extremely Fast Online Nursing Essays Help

Nursing Surgery Papers

Nursing Fundamentals

Health and Human Ecology

Community Health

The above are just a few of the areas that have specialized writes from us. Therefore, what we are telling you is that do not be put off by the complexity and “unusualness” of your paper.  Our highly qualified and topic-specialized writers will hack your nursing paper-however hard it is. How to Improve the Grades of Your Nursing Papers? Use onlinenursingpapers.com

Our Nursing Paper Writers are the Best, So Worry Not

Quite simply, we have the best writers in the nursing essay writing business. Whilst several people and agencies have prioritized quantitative hiring process, we care about you and your nursing career. Consequently, we institute one of the stringiest measures during our hiring process. This allows us to make sure that only the most qualified candidates work for us.  From background checks on their academic qualifications to limiting their locations to native English speaking countries such as USA nursing writers, UK nursing writers, and Canada Nursing Writers. We also hire Australia Nursing Writers, and you primarily influence our hiring decisions. In addition, at Online Nursing Essays, we make certain that our writers pass all the formatting styles such as APA, MLA, Chicago, and Harvard among others. Improve the Grades of Your Nursing Papers.

How much will your nursing assignment cost?

Well, we realize that you are a student and that sometimes money may not be readily available or while you may have it, there are other uses that are equally important. Having said that, the deadline that you will choose will essentially determine what you will pay us for our nursing paper services. If you choose a couple of hours to the deadline, the price will be significantly different in comparison to if you were to choose a few days away from the deadline. As such, it would be in your best interest to buy your nursing paper in time so as to get the highest quality within cheap means.

What about nursing dissertations and theses?

Like we said, we have writers from different educational levels. There are doctorate graduates amongst them. For this sole reason, it doesn’t matter whether your paper is a college nursing paper or a nursing dissertation. Our writers will handle it properly without much ado to you. Indeed, we allow them to do what is commonly referred to us Progressive Delivery in academic parlance. With this, you will have greater control. We will also ensure that the final dissertation that you get is tailored to your exact desires. Do you want to Improve the Grades of Your Nursing Papers? Just get in touch.

How to Approach Nursing Research Paper Writing is one of the Holy Grail as far as students are concerned. Whereas it is one of the most important aspects of one’s nursing educational journey, nursing research has proven that a majority of students do not know or understand the processes and nitty-gritties involved in writing a nursing research paper. However, such students need not to worry as writing a nursing research paper does not entail any magic wand. All one is required to comprehend is a few basic things that involve the organization of their thoughts. And most importantly time. For this reason, we have outlined certain basic steps here below that can guide a student when they are doing their research papers or custom research essays.

ORDER A CUSTOM-WRITTEN PAPER NOW

Begin in Earnest

One of the most fundamental principles of doing a research paper or custom essay involves starting early. With regard to the former, you should start working on it as soon as the semester commences. By capitalizing on the time that you will have at your disposal, you will be able to organize your work in such a manner that you will meet your deadline. Indeed, early start also enables you to find the right materials for the research paper; otherwise, you will struggle to identify and consequently get appropriate materials. Moreover, leaving it late before starting means that you will have to compete with deadlines from other assignments too. If that happens, it will put you under tremendous pressure, especially if you do not know How to Approach Nursing Research Paper Writing.

Choose your nursing research paper topic

Selecting a research topic is the next stage in writing your research paper. Ensure that you understand all the instructions and guidelines. You will do this by understanding the length of the research paper, the kind of resources required by the lecturer, the subject matter and so on. Most importantly, you should elect to do a topic that rouses you even if that topic is not the easiest amongst many.  Additionally, one of the greatly committed sins that you can do is selecting a topic that is too broad for your research paper. In other words, narrow down your research paper election to a specific aspect. This will then permit you to us focused keywords as you conduct your research.

Do some background reading

Most of the topics that you will choose for your research paper will be unfamiliar to you. In this case, consider undertaking some background reading so as to acquaint yourself with your research paper topic. To do this, consult subject handbooks as well as encyclopedias since they possess concise overviews of your research paper topic. Further, the two resources may refer you to relevant expositions of your research paper topic.

Conduct research on your topic

After the above, you need to verify that your chosen research paper topic has sufficient as well as relevant quality sources that satisfy the assignment’s requirements. Essentially, this implies that one needs to ensure that there are enough scholarly journals for the topic. This demands that you become adept at searching for such sources online or even using your local library for the same. How to Approach Nursing Research Paper Writing.

Preparing an outline

After having done all the above, the next step requires that you map out the approach that you will adopt by creating an outline that is replete with detailed sentences. As is the case with all research papers, the very first thing that you need to do is compose a thesis statement. The statement is perhaps the most significant thing that your research paper has. As such ensure that your craft it carefully. As already mentioned, it clearly states the subject of the paper that you are going to write as well as your primary approach towards the same.  It literally controls all the information that will appear in your research paper.  Also, you will need to arrange and rearrange the notes that you will have written until such a time that your paper flows logically. You can then use this as the basis of the outline that will guide your research paper.

Writing and cleaning a rough draft of you research paper

A rough draft is necessary for you as you will use it to strive for ideas for your research paper topic. Let the outline as well as some organized notes guide your draft writing process. At this stage, issues such as typographical errors and misspellings should not worry you. In writing a rough draft, you want to gauge if your ideas are flowing logically. Also, if the resource materials for the topic are sufficient.

Make all the required adjustments until such a time that you will confirm that your ideas as presented in the paper are logical. Also ensure that the flow is concise. However, it is perfectly okay for you to review certain sections in pursuit of perfection to show that you know How to Approach Nursing Research Paper Writing.

Writing references for you research paper

Ensure that you have all the necessary information for your publications. These include author(s) name, year of publication, city of publication, pages etc. The sources will then be complied into a reference list (also known as bibliography). This list involves all the sources and/ or publications that you will have employed in writing your research paper. For you to compile this list, you ought to clearly follow the rules as given in various style manuals. In these manuals, the most frequently used being MLA, Chicago, Harvard and APA. Further, the style guides will also ensure that they demonstrated to you proper citation of the sources so as to avoid plagiarism. Should you chose to use onlinenursingessays.com, we will offer the bibliography listing services. Additionally,  we give citations for your research paper for free.

Proofreading your research paper

Nobody wants to read a research paper that is riddled with glaring grammatical errors. In most cases, you will commit these errors as you write your paper as your thought process is pre-occupied by the desire to ensure that your ideas flow logically. In the process of doing this, there are certain grammar mistakes that you will commit. Thus, proofreading will enable you to focus on your research paper’s format and not its content. To do this, you need to have a thesaurus, a dictionary and even a grammar book with you. This ensures that your research paper is grammatically sound on all angles.

Remove Plagiarism

Plagiarism is the incorporation of one’s work into your arguments without acknowledging them.  This attracts serious consequences such as failure of the research paper or discontinuation of the course. At onlinenursingpapers.com, we ensure that we run your research paper through several plagiarism software to totally ensure the originality of your paper. How to Approach Nursing Research Paper Writing.

Custom Nursing Research Paper has become premium. Thus, essay writing Companies with a specific focus on nursing are a great resource for a nursing student who needs some quick help with their nursing assignment. One of the leading professional nursing essay writing Companies is onlinenursingpapers.com. We offer quality and timely papers on all popular nursing topics, feel free to contact every time you need a Custom Nursing Research Paper.

Why you should hire us for your 
Custom Nursing Research Paper needs

Qualified Nursing Writers

At onlinenursingpapers.com, we have a great team of nursing writers who are qualified to deliver comprehensive help in your assignment on popular nursing topics. We are, therefore, the leading Custom Nursing Research Paper writing Company.

ORDER NOW

Experience in popular nursing topics

All our Custom Nursing Research Paper writers have great experience and hold high qualifications. They have also specialized in the leading nursing topics. These include illness prevention/health promotion, patient safety, and nursing ethics. In addition, they also handle palliative care, perioperative nursing, geriatrics, and psychiatric nursing. They are also experts in pain management, and critical nursing care, among other topics. Whichever topic you wish to have for your nursing essay, we have you covered.

Nursing writing service available 24/7

Are you in need of a term paper, research paper, thesis, essay, or dissertation? Worry not because the nursing writers at guarantee you of a well-argued and well-structured paper promptly. You can access these writers anytime 24/7 to ensure that we always beat the deadline and at the same time deliver a quality Custom Nursing Research Paper.

Plagiarism free nursing papers

We have been in the writing industry for a long time now. During this period, we have done papers for students from different institutions across the globe. We are, therefore, confident that we have mastered what onlinenursingpapers.com different schools require and their writing formats. For this reason, we can guarantee that we will deliver custom papers with a full plagiarism report. Our papers will also have proper referencing at no additional costs.

Guaranteed Pass

We follow a strict writer recruitment plan whereby only top-notch Ph.D. and Masters Students are allowed to handle the nursing articles. Further, the Company offers free revision services, all with the goal of ensuring that the final paper delivered is fully in line with your requirements. Therefore, you have the guarantee of getting an A-pass.

Fast Turnaround

It is true that assignments tend to be too demanding and time-consuming. Sometimes you might find yourself in a tight fix and unable to perform other important activities such as family matters, classwork, or work. A perfect and complete nursing paper will require you to perform lots of research.  This implies that you will need to commit a lot of your time. The main commitment to our nursing writing service is to ensure that we help you meet every deadline. Onlinenursingpapers.com is a leading nursing writing Company because we have very qualified writers who are well-positioned to write quality nursing papers even within the shortest time limit.

We deliver a great presentation, and you can be sure that we will be accessible for consultation 24/7 for exceptional services. You have the freedom to select from our many nursing topics, or you can request to have your topic for sampling. Either way, we guarantee you a high-quality and well-developed Custom Nursing Research Paper that will be timely delivered.

Our Guarantee

Onlinenursingpapers.com is committed to filling the gap of time and resources that are usually common in nursing papers. By so doing, you will be able to juggle through studies and other non-related activities with ease. You can also be sure that all our papers will be complete, of high-quality, and plagiarism-free, all at a very affordable price. Get in touch with the support team today and enjoy unique and quality Custom Nursing Research Paper services.

Custom nursing essays have become indispensable to you as a nursing student. It takes a lot of time and skill to write nursing essays, hence the need to seek Custom Nursing Essays Writing Help. It is very important that a nursing essay writer portrays a deep understanding of the topic in question, have sharp analytics expertise, and also great writing skills. However, there are moments that you will not have enough time to write a quality paper for yourself. In such situations, you can make use of our custom nursing essay writing help with the guarantee that you will ace that test.

ORDER HERE

How to write quality nursing papers

Understand Paper requirements

For you to write a high-quality nursing essay, it is crucial that you first get a thorough understanding of what the instructor requires of you and the standards of the school or seek Custom Nursing Essays Writing Help. Every nursing school tends to have its unique requirements when it comes to formatting, referencing style, length of the essay, and the manner of presentation. Every instructor will also have their unique requirements, which you will need to meet for you to score good grades.

Good Referencing

Each nursing paper will have its unique standard of referencing to which you will be required to adhere. The style that is most common is the Harvard style. However, be sure to understand what your instructor requires of you to ensure that your paper is perfect. You will also be required to add a bibliography page at the end of your essay that is in line with the referencing style that you are using.  in case of any challenges, just get Custom Nursing Essays Writing Help from us and you will love our work.

Authoritative Sources and Quality Literature

For an essay to be a good one, it has to make use of the work of authors that command great authority in the industry. To come up with a nursing paper that is well-argued and developed, there are certain books and authors that you will have to quote and name. Ensure that you include them in your essay for it to stand out. Our Custom Nursing Essays Writing Help provides this.

Good Grammar

It goes without saying that any assignment, nursing or otherwise, that makes use of excellent grammar is irresistible. If you give your instructor an easy time while reading your work, then there are high chances that you will receive more marks. Make use of correct syntax, intelligible language, and cohesive sentences, and you are guaranteed of a direct A-pass

We understand that it is not always that you will have enough time to deliver a quality nursing paper. It is during such times that the custom nursing essay writing help developed by professional nursing writers comes in handy.

Why Order a Nursing Essay Paper from Us?

We are a professional essay writing company with a specific focus on nursing and offering Custom Nursing Essays Writing Help. We can guarantee you of:

Quality nursing essays from qualified nursing writer
s

Our Company recruits professional nursing writers who with great experience in all popular topics in nursing.

Timely delivery and fast turnaround

Our writers have a great typing speed, and we can assure you that you will always receive your papers promptly.

Affordable rates that meet your budget

We offer friendly service rates, and you will not have to break a bank to have your nursing essay completed.

Custom nursing essays on popular nursing topics

We often receive orders for fresh and current topics

 
24/7 Support

You will always be able to access our support team in case of any queries or issues that need addressing whenever you need Custom Nursing Essays Writing Help. It is our joy to help you pass your nursing papers and be better-positioned for the job market.

Free Plagiarism Report

We check all our nursing essays using a plagiarism checker before submitting it to you to ensure that it is 100% original.

Guaranteed A-pass Grade

All our nursing papers are well-argued, and they are worth the highest possible grade.

Get in touch with our support team today for Custom Nursing Essays Writing Help and receive our custom nursing essays at friendly rates.