Discussion: Off-Label Drug Use in Pediatrics – 2025 The unapproved use of approved drugs also called off label use with children is quite common

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Discussion: Off-Label Drug Use in Pediatrics – 2025

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

When treating children, prescribers often adjust dosages approved for adults to accommodate a child’s weight. However, children are not just “smaller” adults. Adults and children process and respond to drugs differently in their absorption, distribution, metabolism, and excretion. Children even respond differently during stages from infancy to adolescence. This poses potential safety concerns when prescribing drugs to pediatric patients. As an advanced practice nurse, you have to be aware of safety implications of the off-label use of drugs with this patient group.

To prepare:
  • Review the Bazzano et al. and Mayhew articles in the Learning Resources. Reflect on situations in which children should be prescribed drugs for off-label use.
  • Think about strategies to make the off-label use and dosage of drugs safer for children from infancy to adolescence. Consider specific off-label drugs that you think require extra care and attention when used in pediatrics.

With these thoughts in mind:

By Day 3

Post an explanation of circumstances under which children should be prescribed drugs for off-label use. Then, describe strategies to make the off-label use and dosage of drugs safer for children from infancy to adolescence. Include descriptions and names of off-label drugs that require extra care and attention when used in pediatrics.

CLASS RESOURCES 

Arcangelo,  V. P., Peterson, A. M., Wilbur, V., & Reinhold, J. A. (Eds.).  (2017). Pharmacotherapeutics for advanced  practice: A practical approach (4th ed.). Ambler, PA: Lippincott Williams  & Wilkins.
Review Chapter 4, “Principles of Pharmacotherapy in Pediatrics” (pp. 53-63)
This chapter explores concepts relating to drug selection, administration, and interaction for pediatric patients. It also compares age-related pharmacokinetic differences in children and adults.

Chapter 17, “Ophthalmic Disorders” (pp. 221-243)
This chapter examines the causes, pathophysiology, diagnostic criteria, and drug treatment for four ophthalmic disorders: blepharitis, conjunctivitis, keratoconjunctivitis sicca, and glaucoma. It also explores methods of monitoring patient response to treatment.

Chapter 43, “Attention-Deficit/Hyperactivity Disorder” (pp. 743-756)  
This chapter explains the process of diagnosing Attention-Deficit/Hyperactivity Disorder (ADHD). It also identifies drugs for treating patients with ADHD, including proper dosages, selected adverse events, and special considerations for each drug.

Chapter 51, “Immunizations” (pp. 906-926)  
This chapter explores vaccines that are licensed for use in the United States and provides a recommended vaccination schedule for pediatric patients and adults.

Chapter 52, “Smoking Cessation” (pp. 927-943)  
This chapter examines clinical implications of smoking. It also covers various approaches for aiding patients who are dependent on nicotine but want to stop smoking.

Chapter 54, “Weight Loss” (pp. 945-956)  
This chapter begins by reviewing patient factors that contribute to obesity. It also examines drug therapy for initiating weight loss in patients, as well as alternative non-drug treatments.

Bazzano, A. T, Mangione-Smith, R., Schonlau, M., Suttorp, M. J., & Brook, R. H. (2009). Off-label prescribing to children in the United States outpatient setting. Academic Pediatrics, 9(2), 81–88.
Note: Retrieved from the Walden Library databases.

This study examines the frequency of off-label prescribing to children and explores factors that impact off-label prescribing.

Mayhew, M. (2009). Off-label prescribing. The Journal for Nurse Practitioners, 5(2), 122–123.
Note: Retrieved from the Walden Library databases.

This article reviews the prevalence of off-label prescribing, including its benefits and risks. It also explores issues regarding the safety of off-label prescribing and when it is unavoidable.

Drugs.com. (2012). Retrieved from http://www.drugs.com/

This website presents a comprehensive review of prescription and over-the-counter drugs including information on common uses and potential side effects. It also provides updates relating to new drugs on the market, support from health professionals, and a drug-drug interactions checker.

medical term – 2025 By the due date assigned you will write 2 reports referring to the departments of Dermatology and Cardiology and use

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medical term – 2025

 

By the due date assigned you will write 2 reports (referring to the departments of Dermatology and Cardiology) and use them as your script for your Week 3 Oral Report. Your writing section for this assignment will include 2 paragraphs for each department.

In order to earn the maximum credit for the written report you need to incorporate at least 10 medical terms for each department (a total of 20 terms for this assignment), using them in a manner that demonstrates your knowledge of their meaning.

  • Include the major or most common diseases or conditions seen in each department.
  • Include at least three of the principal procedures that are relevant to each department.
  • Highlight pertinent laboratory and radiological diagnostic services relevant to each department.
  • Limit your analysis of each department to two paragraphs.

nursing healthcare wk4/dis/ – 2025 Advance Care Planning and Analysis For this assignment make sure you post your initial

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nursing healthcare wk4/dis/ – 2025

  

Advance Care Planning and Analysis

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 and text readings and also use the …………..University Online Library. As in all assignments, cite your sources in your work and provide references for the citations in APA format.

Read the section titled “Reflective Practice: Pants on Fire” from chapter “Health Policy, Politics, and Professional Ethics” (see attached Chapter 15) and address the questions below:

· How do you judge Palin’s quote? [“And who will suffer the most when they ration care? The sick, the elderly, and the disabled, of course. The America I know and love is not one in which my parents or my baby with Down Syndrome will have to stand in front of Obama’s death panel so his bureaucrats can decide, based on a subjective judgment of their level of productivity in society, whether they are worthy of health care. Such a system is downright evil.] Effective strategy to oppose Democrats’ plans for health care reform or unethical scaremongering?

· Reflect on what informs your judgment: commitment to advance care planning, analysis of facts, and/or political party loyalties?

· Is it right for nurses to endorse health reform legislation even if the legislation is not perfect? Does this apply to the recently failed American Health Care Act?

paper help – 2025 Answer only two of the inquiries below 2 A number of medical centers around the United States

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paper help – 2025

Answer only two of the inquiries below.

2. A number of medical centers around the United States now offer “finders’ fees” to physicians for referring patients to researchers who are conducting trials of new drug therapies, the side effects of which are not yet known. 
one researcher, for example, was offering physicians a $350 payment for each referred patient who enrolled in the research project.   Many physicians accept the fees and make the referrals, apparently without suffering pangs of conscience.  Are their actions ethical?

3. From 1940 to 1970, more than 4,000 radiation experiments were performed on tens of thousands of Americans, many of them poor and uneducated, without their informed consent. Examples of alleged incidents: children in a Massachusetts orphanage were fed radioisotopes; 829 pregnant Tennessee women were fed radioactive iron; patients in Rochester, New York were injected with plutonium; cancer patients in Cincinnati received heavy doses of gamma rays.  Not all of these experiments can be attributed to researchers’ ignorance of the harmful effects of radiation; the main purpose of the experiments was to identify those effects rather than to cure the patients. Even so, the researchers do not seem to have thought they were committing a moral offense. Were they?

10. The consciences of the people in the following cases are confused.  As a result, the people cannot decide whether the actions they are contemplating are morally right.  Decide for them and present the rationale for your position.

d. An airline pilot goes for his regular medical checkup.  The doctor discovers that he has developed a heart murmur.  The pilot has only a month to go before he is eligible for retirement.  The doctor knows this and wonders whether, under these unusual circumstances, she is justified in withholding the information about the pilot’s condition. 

MN580 Discussion Board: Pediatric Care/Children and Adolescent Health – 2025 No plagiarism please Will need minimum of 300 words APA Style double spaced times new roman font

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MN580 Discussion Board: Pediatric Care/Children and Adolescent Health – 2025

No plagiarism please.

Will need minimum of 300 words, APA Style, double spaced, times new roman, font 12, and Include: (3 references within years 2015-2018) with intext citations. 

 

Please complete each initial post in APA format following the Discussion Board 

  • Apply a principle of human growth and development related to appropriate age group (14 y/o)
  • Apply developmental theory related to age group
  • Discuss developmental milestones related to the age
  • Discuss developmental assessment tool related to the age
  • Apply cultural consideration and cultural assessment to presentation

Case Study for Discussion Board:

 Case: A 14-year-old Caucasian female from single-parent family with father present. Father states that “she has always been healthy but I am worried that something is wrong because she doesn’t talk to me anymore.” 

literature question – 2025 5th Entry Creative Nonfiction In the preface to nonfiction p 2803

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literature question – 2025

5th Entry – Creative Nonfiction: In the preface to nonfiction (p. 2803 of your text), the editors tell us that creative nonfiction illustrates that “no direct duplication of reality is possible in language, that all writing is affected by the author’s point of view” (Baym et al, 2014, p. 2803).  Do you think that is true?  Can there such a thing as a truly reliable narrator?  Consider the excerpt from Danticat’s Brother, I’m Dying that you read this week as you prepare a response to this question.  How is this point made (or not) in Danticat’s writing?

Group project. – 2025 Scenario Health Systems Daniel a DNP prepared ED NP identified that patients seen in the

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Group project. – 2025

Scenario: Health Systems: Daniel, a DNP prepared ED NP identified that patients seen in the ED for various reasons had undiagnosed HTN. He observed that the patient’s chief compliant was well addressed but the HTN was not. He has approached the hospital system about the problem and suggested an outpatient clinic adjacent to the ED to address the HTN and other coincidentally found problems. What AP roles, core competencies and support are needed to make this happen?

1- Discuss transformational leadership and how it applies to a RN in the outpatient clinic.

*Discuss applying all or some of the 7 core competencies.

*Most be 2-3 power point slides.

Advocating for New Practice Approaches Through Policy – 2025 Advocating for New Practice Approaches Through Policy I think one s feelings waste themselves in words they ought all to

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Advocating for New Practice Approaches Through Policy – 2025

  

Advocating for New Practice Approaches Through Policy

“I think one’s feelings waste themselves in words; they ought all to be distilled into actions which bring results.”
—Florence Nightingale

Through the policy process, nurses can put their feelings—as well as their experiences and expertise—into actions that create results. In this course, you have been honing your skills for critically assessing evidence with the purpose of improving practice and developing new practice approaches. As a DNP-prepared nurse, you can influence health care outcomes at the population or aggregate level. Leading policy development to address health care concerns is a vital way to achieve this.

For the past several weeks, you have been focusing on a health care issue of interest to you for your EBP Project. For this Discussion, consider how you could lead policy development in support of a proposed evidence-based practice approach that addresses that issue and is designed to promote quality.

Reference: Nursing Schools. (2012). 100 entertaining and inspiring quotes for nurses. Retrieved from http://www.nursingschools.net/blog/2010/06/100-entertaining-inspiring-quotes-for-nurses/

To prepare:

  • Select one of the new practices approaches you      developed for the Week 6 Discussion (See attached file)
  • Review the Ridenour and Trautman (2009) and      Stokowski et al. (2010) articles listed in the Learning Resources. Assess      the strategies for engaging in the policy process.
  • Consider the barriers to using evidence to      affect changes in health care policy discussed in the course text.
  • Brainstorm ideas for leading policy development      related to your suggested practice approach, as well as ideas for      addressing those barriers.

By tomorrow Wednesday 10/10/18 at 12 pm, write a minimum of 550 words essays in APA format with at least 3 references (see attached file) from the list of REQUIRED READINGS below. Include the level one headers as numbered below:

Post a cohesive response that addresses the following:

1) Identify your proposed practice approach in the first line of your posting (See my PIICOT question below).

2) How would you lead policy development for your selected issue?

3) What strategies could you use to overcome barriers you may encounter while engaging policy makers? (Select three or more strategies to focus on in your posting.) 

Required Readings

White, K. M., Dudley-Brown, S., & Terharr, M. F. (2016). Translation of evidence into nursing and health care practice (2nd ed.). New York, NY: Springer.

  • Chapter      4, “Translation of Evidence to Improve Clinical Outcomes”
  • Chapter      5, “Translation of Evidence for Improving Safety and Quality”
  • Chapter 7, “Translation of Evidence      for Health Policy” (See attached file)

Andermann, A., Pang, T., Newton, J.T., Davis, A., & Panisset, U. (2016). Evidence for health II: Overcoming barriers to using evidence in policy and practice. Health Research Policy and Systems, 14 (17) doi 10.1186/s12961-016-0086-3. (see attached file).

Catallo, C. & Sidani, S. The self-assessment for organizational capacity instrument for evidence-informed health policy: Preliminary reliability and validity of an instrument (2014). Worldviews on Evidence-Based Nursing, 11(1), 35–45. (see attached file).

Malterud, K., Bjelland, K., & Elvbakken, K.T. (Evidence-based medicine – an appropriate tool for evidence-based health policy? A case study from Norway. Health Research Policy and Systems, 14 (15) doi 10.1186/s12961-016-0088-1 (see attached file).

Rehfuess, E.A., Durao, S., Kyamanywa, P., Meerpohl, J. J., Young, T., & Rohwer, A. (2016). An approach for setting evidence-based and stakeholder-informed research priorities in low- and middle-income countries, Policy & Practice, 94, 297–305 doi: http://dx.doi.org/10.2471/BLT.15.162966 (see attached file).

PIICOT Question

In patients in extended intensive care within an urban acute care facility in Eastern United States, how does early mobilization as recommended by National Institute of Health and Care Excellence clinical guidelines on rehabilitation of patients after critical illness impact early transfers from intensive care as measured 6 months post-implementation when compared to the current standard of care including minimal mobilization of patients?

P: Adult patients 

I: in extended intensive care within an urban acute care facility

I: increased mobilization of the patients 

C: minimal mobilization of the patients

O: early transfers of the patients from intensive care

T: 6 months

Due tomorrow 10/10/18 by 12:00 pm noon. Thanks!

Assignment – 2025 In this assignment you will be writing a 1 000 1 250 word essay describing the differing approaches of nursing leaders

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Assignment – 2025

In this assignment, you will be writing a 1,000-1,250-word essay   describing the differing approaches of nursing leaders and managers to   issues in practice. To complete this assignment, do the following:

  1. Select an issue from the following list: nursing shortage and     nurse turn-over, nurse staffing ratios, unit closures and     restructuring, use of contract employees (i.e., registry and travel     nurses), continuous quality improvement and patient satisfaction,     and magnet designation.
  2. Compare and contrast how you would     expect nursing leaders and managers to approach your selected issue.     Support your rationale by using the theories, principles, skills,     and roles of the leader versus manager described in your   readings.
  3. Identify the approach that best fits your personal     and professional philosophy of nursing and explain why the approach     is suited to your personal leadership style.
  4. Identify a     possible funding source that addresses your issue. Consider looking     at federal, state, and local organizations. For example: There are     many grants available through the CDC, HRSA, etc.
  5. Use at     least two references other than your text and those provided in the   course.

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 LopesWrite. Please refer   to the directions in the Student Success Center.

nursing health promotion/discussion/wk5/discussion – 2025 Topic 1 Faith Based Nursing Review Healthy People 2020 Identify objectives that are amenable to parish nurse intervention

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nursing health promotion/discussion/wk5/discussion – 2025

 

Topic 1: Faith-Based Nursing

Review Healthy People 2020. Identify objectives that are amenable to parish nurse intervention.

  • Describe how faith communities can contribute to the accomplishment of these national health objectives and accomplish the goal of improving the health of the public.
  • How can nurses working in the community form partnerships with parish nurses and faith communities?
  • How would such partnerships be beneficial?