2023 Discus Topic 2 This is a discussion post about 250 WORDS tittle page not require In

Nursing 2023 Now that you have completed a series of assignments that have led you into…..

Discus Topic 2 This is a discussion post about 250 WORDS tittle page not require In 2023 Assignment

  

Discus Topic 2. 

This is a discussion post, about 250 WORDS, tittle page not require In- text citation is required original work please, scholarly references are required for this assignment, website source strongly preferred.

QUESTION 2

Now that you have completed a series of assignments that have led you into the active project planning and development stage for your project, briefly describe your proposed solution to address the problem, issue, suggestion, initiative, or educational need and how it has changed since you first envisioned it. What led to your current perspective and direction?

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2023 A Explain in your own words the difference between the three paradigms

Nursing 2023 Theoretical Foundations for Nursing

A Explain in your own words the difference between the three paradigms 2023 Assignment

A

Explain, in your own words, the difference between the three paradigms: human needs, interactive, and unitary process. Which of these best fits your philosophy of nursing?

B

Select one of the grand or middle-range nursing theories. How does the theory demonstrate evidence of the utilization of social, behavioral, or bioscience theories?

C

All nursing theories are developed in space and time, and are not value free. Select one nursing theorist and explain the factors that influenced development of the theory (history, scientific paradigm, and personal experiences–mentoring, education, practice, other). Provide reference(s) for your response.

D

Select three theories and compare the definition of person/human being. Comment regarding which definition best fits with your own thinking. 

E

Choose one of the middle-range theories. How could you use this theory to direct care in a nursing unit if you were the manager? Share your results.

F

Choose one of the middle-range theories. What impact would this theory most likely have on your individual practice? Give specific examples.

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2023 Find a study published in a nursing journal in 2010 or earlier that is described

Nursing 2023 Nursing Research

Find a study published in a nursing journal in 2010 or earlier that is described 2023 Assignment

Find a study published in a nursing journal in 2010 or earlier that is described a s a pilot study. Do you think the study really is a pilot study, or do you think this label was used inappropriately? Search forward for a larger subsequent study to evaluate your response.    

Discussion Rubric

The initial post will be regarding the topic of the week and will be a minimum of 250 words. Make sure you provide appropriate references and utilize APA style. 

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2023 one or two paragraph answering this post APA reference and citation This course has brought a new awareness

Nursing 2023 6101

one or two paragraph answering this post APA reference and citation This course has brought a new awareness 2023 Assignment

one or two paragraph answering this post:: APA, reference and citation 

This course has brought a new awareness to formulating researchable problems, using a systematic and scholarly approach that has the power and capability to improve patient outcomes. Through the use of credible scientific, evidence-based research, we as nurses can change the future and develop our research skills further to create new evidence-based changes in not only nursing but in healthcare in general. The experience of developing a possible research proposal on a nursing practice issue has brought a whole new understanding and respect for those individuals who conduct this type of research on a daily basis. The process and efforts involved in the development of a research proposal can be tremendous, and the methodical detail and protocol required take a very disciplined person. However, I am glad I was exposed to the process because I may need to conduct a research project in the future, this class has shown me the process and has decreased my anxiety about the research process.

I learned that there are International Human Research guidelines, protecting human participants in 130 countries around the world. This, however, does not protect human participants in every country, allowing those who wish to conduct unethical and inhumane experiments to continue inflicting harm to their fellow man in the name of “research”. It is very important to maintain ethical standards to prevent violations of human rights and the abuses made in the past when conducting research with human beings. In 1979, the Belmont Commission Report defined few ethical principles for the protection on humans in research serving as guideline for future practice (Rebar, Macnee, Gersch, & McCabe, 2011). Currently, in the participating countries, there are over 1000 laws, regulations, and guidelines on human subject protections that are very specific as to the expectations (Health & Human Services, 2018). Education is the key to reducing unethical practice, by learning and practicing all ethical principles.

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2023 Please answer to this discussion post At least two paragraphs with a minimum of two references APA style

Nursing 2023 Week_13_Disc_Day

Please answer to this discussion post At least two paragraphs with a minimum of two references APA style 2023 Assignment

Please answer to this discussion post. At least two paragraphs with a minimum of two references, APA style and plagiarism. 

-In 1997, two drugs, bromfenac and troglitazone, prompted the Food and Drug Administration (FDA) to begin a cycle of yearly conferences to review issues of drug – induced liver injury (DILI). This was after the two drugs had shown serious fatal liver toxicity. Drug application reviewers were the first invitees to the conference in 1999. Academic consultants and pharmaceutical industry were later involved in 2001. As a result, FDA released a guidance entitled: “Guidance for Industry Drug-Induced Liver Injury: Premarketing Clinical Evaluation” (Senior 2014). This presentation was a rational approach was meant to assist in assessment of liver safety in clinical trials.

FDA identified DILI as a key area of focus in a joint effort to broaden the industry’s knowledge in liver toxicity. Since the guideline in 2009, DILI has been the main cause of most drug marketing withdrawals. FDA proposes standard non-clinical toxicity as the cornerstone for preventing hepatotoxicity in humans despite their predictive power being unsatisfactory (Senior 2014). As such, new tests with improved sensitivity and specificity are needed are required to predict hepatotoxicity in clinics.

The guidance describes observations needed to evaluate indicators of hepatotoxic potential. According to Senior (2014), these observations include detection, reaffirmation and examining of liver test abnormalities. The industry then does close evaluation excluding other possible caused of liver toxicity. Lastly, the FDA guidance requires the industry to those affected. This largely involves supportive care till return to baseline status or normality. FDA also makes specific recommendations in the presentation on why some people are more susceptible to DILI. It proposes the use and evaluation of Hy’s Law cases that are discovered through clinical examination. 

Reference

Senior, J. R. (2014). Evolution of the Food and Drug Administration approach to liver safety  assessment for new drugs: current status and challenges. Drug safety, 37(1), 9-17.

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2023 Please respond to the discussion below with a minimum of two paragraphs with two references

Nursing 2023 Week14_Disc_Suze

Please respond to the discussion below with a minimum of two paragraphs with two references 2023 Assignment

Please respond to the discussion below with a minimum of two paragraphs with two references, APA Style and no plagiarism. 

-Nsaids are a commonly used drug that can be bought over the counter without a prescription. NSAIDS are used for patients that have chronic pain, stroke, atherosclerosis and postoperatively this medication is used very commonly. Like all medications Nsaids have risks and benefits. One major risk is bleeding. It is important for patients who are going for surgery to stop this medication the morning of surgery to prevent the risk of bleeding during surgery.  NSAIDS are also contraindicated when taking lithium. NSAIDs are known to increase the effects of lithium can can lead to lithium toxicity when taken together. NSAIDs when combined with certain medications can be very dangerous. Nsaids are commonly taken by most people not only geriatrics but also younger population take nsaids for migraine and for menstrual cramps. 

Some benefits of Nsaids is that it is easily accessible OYTC and that is very affordable for most people. NSAIDS are very effective for mild to moderate pain. Possible negative side effects include liver and kidney damage, nausea, vomiting and neuropathy. NSAIDs have also been used in combination with chemotherapy drugs in treatment of some cancer. This is now being dispelled and scientists are finding that NSAIDs don’t have any ant cancer causing properties and have now been contraindicated for patients on chemotherapy, the benefits don’t outweigh the cons of taking this drug. Stronger opioids are preferred when treating cancer pain.  One benefit of taking an NSAID is that is is not habit forming and there is very low risk of becoming addicted to this medication in comparison to opioids/ narcotics which are extremely addictive and have higher risk of overdose. 

Reference

Cosmo, G. D., & Congedo, E. (2015). The Use of NSAIDs in the Postoperative Period: Advantage and Disadvantages. J Anesth Crit Care Open Access3(4), 00107.

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2023 Please respond to this post with a minimum of two paragraphs with

Nursing 2023 Week_13_Disc_Sand

Please respond to this post with a minimum of two paragraphs with 2023 Assignment

Please respond to this post with a minimum of two paragraphs with two references, APA style, and no plagiarism. 

-FDA approach for liver safety for new drugs

The food and drug administration initiated a sequence of annual meetings to deal with issues of drug induced liver injury. This was due to approval of two drugs troglitazone and bromfenac that led to significant lethal liver toxicity. In the meetings reviewers of new drugs are invited to the meetings and the meetings are opened to pharmaceutical industry, academic consultants to industry, and food and drug administration (Senior, 2014).. The slides shown in the meetings are posted on the internet and availed to the American association for the study of the liver diseases. This has raised awareness on new drugs that result to liver injury.

The food and drug administration also developed a program called eDISH meaning evaluation of Drug Induced Serious Hepatotoxicity which is useful in examining drug induced liver injury in clinical trial subjects. This has been useful as the food and drug administration has been able to curb hepatotoxicity (Senior, 2014). The food and drug administration however is yet to find a suitable and best way of estimating the probability that a drug in question actually caused the given liver injury. The food and drug administration also carries a yearly educational conference on drug induced liver injury for the food and drug administration reviewers.

Reference

 Senior, J. R. (2014). Evolution of the Food and Drug Administration approach to liver safety assessment for new drugs: current status and challenges. Drug safety, 37(1), 9-17.

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2023 Please reply to this post with a minimum of two paragraphs with two

Nursing 2023 Week14_Disc_Yuri

Please reply to this post with a minimum of two paragraphs with two 2023 Assignment

Please reply to this post with a minimum of two paragraphs with two references, APA Style, and no plagiarism. 

-The management of acute and chronic pain often includes opioid therapy. In both the acute and chronic pain settings, however, opioids have several disadvantages including risk of nausea and vomiting, somnolence, constipation, respiratory depression, androgen deficiency, physical dependence, and tolerance. Opioid medications also carry a risk of abuse or addiction by either the patient or non-medical users. For these reasons, consideration of non-opioid strategies for pain management is beneficial. While opioids will certainly continue to have a place in pain management despite their disadvantages, the use of non-opioid medication options may limit the amount of opioid necessary or even result in improved pain control. In fact, given that the majority of both acute and chronic pain is thought to be complex and multi factorial, a multi modal analgesic approach is ideal for management. Acetaminophen is typically considered first-line therapy for chronic pain conditions, including osteoarthritis (OA) and chronic pain associated with total knee arthroplasty. However, many times patients are treated inappropriately with opioids instead.

Acetaminophen is considered first-line treatment for many pain conditions because of its safety advantages. Compared with other analgesics available, acetaminophen is associated with very few adverse events and is considered safe to use chronically. Healthcare providers strive to “first do no harm.  Therefore, for most chronic pain conditions, a trial of acetaminophen should be used and monitored for effect before initiating other analgesics, including opioids. However, acetaminophen is not without risks. Safety concerns associated with acetaminophen include serious liver damage if ingestion is greater than the recommended total daily dose of 4,000 mg. Long-term high doses of acetaminophen and accidental overdose from inadvertently consuming multiple acetaminophen products are the leading causes of acute liver failure in the U. S. For this reason it is important that the patients who are utilizing acetaminophen chronically for pain are educated on proper dosing and administration, and are aware of any other acetaminophen-containing products they may use. The disadvantage of acetaminophen is that it often cannot provide a sufficient analgesic effect and does not exert a specific anti-inflammatory effect, causing many patients to discontinue or switch therapies.

REFERENCES

Dowell D, Haegerich TM, Chou R. CDC guideline for prescribing opioids for chronic pain United States, 2016. MMWR Recomm Rep. 2016; 65(1):1-49.

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2023 NURSING In this assignment you will select a program quality improvement initiative or other project from your

Nursing 2023 Executive Summary( NURSING)

NURSING In this assignment you will select a program quality improvement initiative or other project from your 2023 Assignment

 NURSING

In this assignment, you will select a program, quality improvement initiative, or other project from your place of employment. Assume you are presenting this program to the board for approval of funding. Write an executive summary (850-1,000 words) to present to the board, from which they will make their decision to fund your program or project. The summary should include:

  1. The purpose of the program or project.
  2. The target population or audience.
  3. The benefits of the program or project
  4. The cost or budget justification.
  5. The basis upon which the program or project will be evaluated.

Share your written proposal with your manager, supervisor or other colleague in a formal leadership position within a health care organization. Request their feedback using the following questions as prompts:

  1. Do you believe the proposal would be approved if formally proposed?
  2. What are some strengths and weaknesses of the proposal?

Submit the written proposal along with the “Executive Summary Feedback Form.”

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

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to Turnitin. Please refer to the directions in the Student Success Center.

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2023 1 What challenges have you encountered in working with patients with mental health issues How do you feel

Nursing 2023 Discussion Questions

1 What challenges have you encountered in working with patients with mental health issues How do you feel 2023 Assignment

 

1.  What challenges have you encountered in working with patients with mental health issues? How do you feel these challenges will be different in a community health setting?  Would it be easier or more difficult and why?

2.  Discuss scenarios in which the community health nurses might encounter ethical issues related to mental health.  Give some examples and explain.

 APA format, word document, Arial 12 font

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