Post your answers to the following:

• Explain why a developmental assessment of children and adolescents is important.
• Describe two assessment instruments and explain why they are used for children and adolescents but not adults. 
• Describe two treatment options for children and adolescents that may not be used when treating adults.
• Explain the role parents play in assessment and treatment.

• Support your approach with evidence-based literature in APA Format and proper citation, support with at least three references no more than five years old. Include introduction and conclusion.

Assignment:

Roles of Healthcare Professionals

This  assignment will be at least 1500 words or more. Reflect on the roles of  nurses, and other healthcare professionals as the roles of physicians  in the healthcare system moves from one of working in silos to a more  progressive value-based system. Write a paper that discusses in detail  why a value-based system may improve health care in the U. S. and  address the following questions:

• How has current policy transformed the current practice of nurses, physicians, and other healthcare professionals?
• What  distinction can you make between physicians/healthcare providers  working in a fee-for-service system and a value-based care system?
• How do you view shared power between physicians and nurses in your healthcare system? How does it impact care?

Assignment Expectations

Length: 1500-2000 words in length

Structure:  Include a title page and reference page in APA format. These do not  count towards the minimal word amount for this assignment.  Your essay  must include an introduction and a conclusion.

References:  Use the appropriate APA style in-text citations and references for all  resources utilized to answer the questions. A minimum of two (2)  scholarly sources are required for this assignment.

Format: Save your assignment as a Microsoft Word document (.doc or .docx).

A nurse is taking care of an 85-year-old woman in a hospital-based skilled nursing facility. In the report, the nurse is told the patient has not been breathing well for the past 2 days. She has been lethargic, her skin is warm and dry, and she has a decreased urine output. The following laboratory findings were returned from the laboratory immediately after morning report:

Blood Chemistries

• Na: 147
• Cl: 110
• K: 4.0

Arterial Blood Gases

• pH: 7.33
• PCO2: 48
• HCO3: 27
• PO2: 96

Urinalysis

• Urine Specific Gravity: 1.040

Address the following:

1. Identify each of the abnormal laboratory findings in the above results. Specify how they differ from a normal range and identify what condition each abnormality indicates.
2. What specific electrolyte disturbance does the patient have?
3. What clinical manifestations would the nurse expect to see with this electrolyte abnormality presented above?
4. If the patient had an increase in her potassium level, what clinical manifestations would the nurse monitor for?
5. What blood gas abnormality is seen in this patient? Discuss the rationale for your answer.
6. What are the three major mechanisms of pH regulation?

While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center. 

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 not required to submit this assignment to LopesWrite.

Review the Resources and identify a clinical issue of interest that can form the basis of a clinical inquiry.

Based on the clinical issue of interest and using keywords related to the clinical issue of interest, search at least four different databases in the Walden Library to identify at least four relevant peer-reviewed articles related to your clinical issue of interest.******* You should not be using systematic reviews for this assignment, select original research articles.********

Review the results of your peer-reviewed research and reflect on the process of using an unfiltered database to search for peer-reviewed research.

Reflect on the types of research methodologies contained in the four relevant peer-reviewed articles you selected.

Part 2: Identifying Research Methodologies

After reading each of the four peer-reviewed articles you selected, use the Matrix Worksheet template to analyze the methodologies applied in each of the four peer-reviewed articles. Your analysis should include the following:

· The full citation of each peer-reviewed article in APA format.

· A brief (1-paragraph) statement explaining why you chose this peer-reviewed article and/or how it relates to your clinical issue of interest, including a brief explanation of the ethics of research related to your clinical issue of interest.

· A brief (1-2 paragraph) description of the aims of the research of each peer-reviewed article.

· A brief (1-2 paragraph) description of the research methodology used. Be sure to identify if the methodology used was qualitative, quantitative, or a mixed-methods approach. Be specific.

· A brief (1- to 2-paragraph) description of the strengths of each of the research methodologies used, including reliability and validity of how the methodology was applied in each of the peer-reviewed articles you selected.

I want the articles to be on children with mental health disorders taking psychotropic medication and receiving psychotherapy (cognitive behavioral therapy or other therapies)

Throughout your practicum experience, you have been designing and implementing a project. You will now assess that experience. Prior to beginning this paper, discuss the topics below with your preceptor. Include their feedback as well as your own. In a 1,250-1,500 word document, discuss the following topics:

1. What was the focus of your leadership project, the goals you set for yourself, and the AONE competencies you hoped to achieve?
2. How did you discover the need for this project, and how did it fit into the organization’s philosophy and mission?
3. Did you encounter any real or potential barriers during your practicum experience related to your project?
4. Discuss how the outcomes of your project will be measured? Is your project one that is sustainable or is it designed to be a single occurrence?
5. Evaluate the success of your project. If you were not able to implement your project, discuss why. What are the next steps for the project?

Use a minimum of two peer-reviewed resources (published within the last 5 years) as evidence to support your views.

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.