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2025 Discussion Question You are a DNP graduate who is functioning in an education position in a large teaching medical
by adminEducator 2025
Discussion Question: You are a DNP graduate who is functioning in an education position in a large teaching medical center that is university-affiliated. You are concerned that the IV catheter insertion technique and orientation program currently being used with new registered nurses is not as effective as other methods. How would you perform a systematic review of the evidence on this subject? How would you design a new clinical practice guideline for the facility once the systematic review is complete? 350 words references
Nursing Assignment Help 2025
2025 Comment about Generalized anxiety disorder and major depressive disorder neurobiology and rationale to support
by adminNeurobiology And Rationale. 2025
Comment about Generalized anxiety disorder and major depressive disorder neurobiology and rationale, to support your diagnoses, medications, and overall plan. should be a minimum of 200 words, scholarly written, APA formatted, and referenced. Refer to the APA Publication Manual 7th ed. A minimum of 2 references are required. *(This was the medication and plan, for a patient with a diagnosis of Generalized anxiety disorder and major depressive disorder). Patient will continue Wellbutrin XL 300mg 1 tablet PO daily. Wellbutrin (bupropion) is an norepinephrine and dopamine reuptake inhibitor (NDRI) antidepressant used in the treatment of depression (Fava et al., 2005). Bupropion works by inhibiting the reuptake of both dopamine and norepinephrine (Nam et al., 2017). It is the only antidepressant available with a dual effect on norepinephrine (NE) and dopamine (DA) neuro-transmitter systems (Fava et al., 2005). The therapeutic effect of bupropion is due to the antidepressant activity of three metabolites: hydroxybupropion, threohydrobupropion, and erythrohydrobupropion (Fava et al., 2005). The most common side effects of bupropion include headache, dry mouth, nausea, insomnia, constipation, and dizziness (Fava et al., 2005). Bupropion XL is a once a day formulation with the goal to further improve tolerability and compliance (Fava et al., 2005). Will add Lexapro 5mg 1 tablet PO daily as adjunctive therapy. Lexapro (escitalopram) is a selective serotonin reuptake inhibitor (SSRI) that works to inhibit serotonin transporters from reuptaking serotonin which results in an increase in serotonin levels at synapses (Nam et al., 2017). This enhances the activity of serotonin in the central nervous system (Nam et al., 2017). The most common side effects of Escitalopram include insomnia, nausea, excessive sweating, fatigue/somnolence, and decreased libido (Kirino, 2012). Combining Bupropion with Lexapro is an augmentation strategy that is used to target an efficient therapeutic effect with minimal SSRI induced side effects such as weight gain, sexual disfunction, and emotional detachment (Nam et al., 2017). The patient will continue to attend cognitive behavioral therapy (CBT) with her therapist. The goal of using CBT in conjunction with medication management is to bring about beneficial change in the patient’s mood and way of living her life (Hofmann et al., 2012. The approach of CBT is to work collaboratively with the patient to modify patterns of thinking and behavior (Hofmann et al., 2012). Follow-up An appointment was made for four weeks for follow-up evaluation. M.M. verbalizes understanding of plan of care and agreeable to plan. Patient advised she may contact the office with questions and concerns as needed prior to appointment. Reference Fava, M., Rush, A., Thase, M. E., Clayton, A., Stahl, S. M., Pradko, J. F., & Johnston, J. (2005). 15 years of clinical experience with bupropion hcl. The Primary Care Companion to The Journal of Clinical Psychiatry , 07 (03), 106–113. Retrieved January 21, 2022, from https://doi.org/10.4088/pcc.v07n0305 Hofmann, S. G., Asnaani, A., Vonk, I. J., Sawyer, A. T., & Fang, A. (2012). The efficacy of cognitive behavioral therapy: A review of meta-analyses. Cognitive Therapy and Research , 36 (5), 427–440. Retrieved January 21, 2022, from https://doi.org/10.1007/s10608-012-9476-1 Kirino, E. (2012). Escitalopram for the management of major depressive disorder: A review of its efficacy, safety, and patient acceptability. Patient Preference and Adherence , 853. Retrieved January 21, 2022, from https://doi.org/10.2147/ppa.s22495
Nursing Assignment Help 2025
2025 APA format 1 Minimum 5 full pages No word count per page Follow the
by adminNursing Theor: Personal Philosophy Of Nursing Reflection And Pathophysiology (Due 20 Hours) 2025
APA format 1) Minimum 5 full pages (No word count per page)- Follow the 3 x 3 rule: minimum three paragraphs per page Part 1: minimum 3 pages Part 2: minimum 2 pages Submit 1 document per part 2)¨******APA norms All paragraphs must be narrative and cited in the text- each paragraph Bulleted responses are not accepted Don’t write in the first person Don’t copy and paste the questions. Answer the question objectively, do not make introductions to your answers, answer it when you start the paragraph Submit 1 document per part 3)****************************** It will be verified by Turnitin ( Identify the percentage of exact match of writing with any other resource on the internet and academic sources, including universities and data banks) ********************************It will be verified by SafeAssign ( Identify the percentage of similarity of writing with any other resource on the internet and academic sources, including universities and data banks) 4) Minimum 4 references (APA format) per part not older than 5 years (Journals, books) (No websites) All references must be consistent with the topic-purpose-focus of the parts. Different references are not allowed. 5) Identify your answer with the numbers, according to the question. Start your answer on the same line, not the next Example: Q 1. Nursing is XXXXX Q 2. Health is XXXX 6) You must name the files according to the part you are answering: Example: Part 1.doc Part 2.doc ________________________________________________________________ Part 1: Nursing Theory Purpose: Defines, describe and explain your beliefs about the four concepts of the nursing metaparadigm and their inter-relationship to one another as they guide your current nursing practice. There are no right or wrong thoughts, feelings, or beliefs; these represent your own philosophical beliefs. 1. Introduction & brief description (1/2 page) (Write the purpose, do not copy or paste the described purpose) a. Identifies the purpose and include: b.The factors influencing the development of the personal nursing philosophy. 2. Define, describe and explain your thoughts, feelings, and beliefs about: (1 page) (Write in the first person) a. Person/client b. Environment c. Health d. Nursing 3. Identification and a brief description of a nursing theory found to be the most compatible with your personal nursing philosophy ( Dorothea Orem’s self-care theory). Also: (1 page) (Write in the first person) a. Discuss the core components of the theory b. How it reflects the student’s personal philosophies. 4. Conclusion (1/2 page) Part 2: Pathophysiology Case Study L.L. is a 67-year-old male who has been diagnosed with BPH. He is having difficulty with urination. He is currently on Cozaar 100 mg for HTN and his BP is well controlled. He is taking no other medications. The doctor has recommended medication for his BPH, but he would like to try a herbal supplement before taking a prescription medication. 1. Would you recommend a herbal supplement in L.L’s case? 2. What herbal supplement would he take? 3. What is the recommended dosage? 4. What are possible side effects of the herbal supplement? 5. What warnings should you give L.L. before he starts the herbal supplement.
Nursing Assignment Help 2025
2025 Using the ISBARR form attached in this drop box think of a situation from school
by adminPn II 2025
Using the ISBARR form attached in this drop box, think of a situation from school clinical or a medical situation you’ve observed when the MD needed to be informed of a change in patient condition. Fill out each section of the ISBARR form with the information you, as the nurse providing care for this patient, would report to the MD. Provide at least 1 reference and citation for this assignment. Make an initial post by Tuesday before class, and respond to two other student’s posts by Saturday with substantial details that demonstrate an understanding of the concepts, and critical thinking. Remember that your posts must exhibit appropriate writing mechanics including using proper language, cordiality, and proper grammar and punctuation. At least 1 reference and 1 citation are required for each response post.
Nursing Assignment Help 2025