2023 Peer replies 1 Alberto Polypharmacy is an area of concern for many

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Nursing 2023 Peer replies DB4

Peer replies 1 Alberto Polypharmacy is an area of concern for many 2023 Assignment

Peer replies

1-Alberto :

Polypharmacy is an area of concern for many patients, especially the elderly.  Elderly patients are at a greater risk for adverse drug reactions (ADRs) because of the reduced drug clearance associated with aging and because of metabolic changes (Boris, Cafiero & Smith, 2014).  Some risk factors associated with polypharmacy are potential of drug-drug interactions because it is further increased by use of multiple drugs.  Another risk factor is hip fractures, associated with adverse drug reactions and losing balance or fainting (Boris, Cafiero & Smith, 2014).  Polypharmacy may sometimes lead to “prescribing cascades.”4 Prescribing cascade is said when signs and symptoms (multiple and nonspecific) of an ADR is misinterpreted as a disease and a new treatment/drug therapy is further added to the earlier prescribed treatment to treat the condition (Piere & Farrell, 2012).

       In my practice working with the elderly population, to reduce the incidence of polypharmacy medication, patients are evaluated on a monthly basis.  Additionally, a single drug is be prescribed instead of multiple drugs for the treatment of a single condition, if possible.  Another strategy we use is staring medication with the lower drug dosage and slowly increasing as indicated.

           A strategy that seems to be effective, according to research, is prescribe drugs that can be given once or twice a day instead of prescribing drugs that require to be taken three times a day (Thomas, Liao, & McCliar, 2016).  The reasoning behind this is to lower the risk of forgetting to take the medication or taking the medication together with other drugs.  Another strategy that can be employed is that if the drug taken has no therapeutic beneficial effect or clinical indication it should be eliminated. Unessential drugs should be identified and eliminated prescribed by different health care providers for the same condition/disease (Thomas, Liao, & McCliar, 2016).

2-maceda 

Polypharmacy refers to the effects of taking multiple medications concurrently to manage coexisting health problems, such as diabetes and hypertension (Piere & Farrell, 2014).  Too often, polypharmacy becomes problematic, such as when patients are prescribed too many medications by multiple healthcare providers working independently of each other. Also, drug interactions can occur if no single healthcare provider knows the patient’s complete medication picture. Nurses have a unique opportunity to help identify patients at risk for inappropriate polypharmacy and to educate patients and families about risk reduction. Nurses can use strategies such as patient teaching and consistency in care plan (Piere & Farrell, 2014). 

Some of the risk factors of polypharmacy are age and chronic conditions.  The elderly are more sensitive to the effects of certain drugs, particularly those that affect the central nervous system.  As a consequence, drug classes such as benzodiazepines should be used with caution, and if absolutely necessary, then at a reduced dose to minimize the risk of falls and other adverse events (Thomas, Liao & McCliar, 2016). In addition, age is associated with decreased regulatory functions, therefore anti-hypertensives can more easily result in postural hypotension and opiates in respiratory depression.  Communication barriers often go undetected in health care settings and can have serious effects on the health and safety of patients. Limited literacy skills are one of the strongest predictors of poor health outcomes for patients (Thomas, Liao, & McCliar, 2016).  If the patient is deaf, can’t see or is illiterate there are various strategies the nurse can use for example, advise the patient to bring someone with them to the visit.  Nurses who are responsible for checking patients in should be friendly and helpful. The length and number of forms patients are asked to fill out should be limited.

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2023 Write a 4 5 page evidence based proposal to support the need for a nurse informaticist in an organization who would

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Nursing 2023 Nursing Informatics In Health Care

Write a 4 5 page evidence based proposal to support the need for a nurse informaticist in an organization who would 2023 Assignment

 

Write a 4-5 page evidence-based proposal to support the need for a nurse informaticist in an organization who would focus on improving health care outcomes.

As you begin to prepare this assessment, you are encouraged to complete the Team Perspectives of the Nurse Informaticist activity. Completion of this will help you succeed with the assessment as you explore the nurse informaticist’s role from the different perspectives of the health care team. Completing activities is also a way to demonstrate engagement.

Nurses at the baccalaureate level in all practice areas are involved in nursing informatics through interaction with information management and patient care technologies. Nurses must not only demonstrate knowledge of and skills in health information and patient care technologies, but also how to use these tools at the bedside and organizational levels. Moreover, nurses need to recognize how information gathered from various health information sources can impact decision making at the national and state regulatory levels.

Demonstration of Proficiency

By successfully completing this assessment, you will demonstrate your proficiency in the course competencies through the following assessment scoring guide criteria:

  • Competency 1: Describe nurses’ and the interdisciplinary team’s role in informatics with a focus on electronic health information and patient care technology to support decision making.
    • Define nursing informatics and the role of the nurse informaticist.
    • Explain how the nurse collaborates with the interdisciplinary team, including technologists, to improve the quality of patient care.
    • Justify the need for a nurse informaticist in a health care organization.
  • Competency 2: Implement evidence-based strategies to effectively manage protected health information.
    • Explain evidence-based strategies that the nurse and interdisciplinary team can use to effectively manage patients’ protected health information (privacy, security, and confidentiality).
  • Competency 5: Apply professional, scholarly communication to facilitate use of health information and patient care technologies.
    • Follow APA style and formatting guidelines for citations and references.
    • Create a clear, well-organized, and professional proposal that is generally free from errors in grammar, punctuation, and spelling.

Scenario

For this assessment, assume you are a nurse attending a meeting of your state’s nurses’ association. A nurse informaticist conducted a presentation on her role and its impact on positive patient and organizational outcomes in her workplace. You realize that your organization is undergoing many technological changes. You believe this type of role could provide many benefits to your organization.

You decide to pursue proposing a nurse informaticist role in your organization. You speak to your chief nursing officer (CNO) and human resources (HR) manager. These individuals ask you to prepare a 4–5 page evidence-based proposal to support the new role. In this way, they can make an informed decision as to whether the addition of such a role could justify the return on investment (ROI). They need your proposal before an upcoming fiscal meeting.

Preparation

To successfully prepare for this assessment, you will need to complete these preparatory activities:

  • Review assessment resources and activities.
  • Conduct independent research on the nursing knowledge and skills necessary to interact with health information and patient care technology.
    • Focus your research on current resources available through peer-reviewed articles, professional websites, government websites, professional blogs, wiki pages, job boards, et cetera.
    • Consult the BSN Program Library Research Guide for help in identifying scholarly and authoritative sources.
  • Interview peers in your network who are considered information technology experts.
    • Ask them about how information technology advances are impacting patient care at the bedside, at the organizational level, and beyond.

Proposal Format

The Chief Nursing Officer (CNO) and Human Resources (HR) manager have asked you to include the following headings in your proposal and to be sure to address the bullets underneath each heading:

Nursing Informatics and the Nurse Informaticist
  • What is nursing informatics?
  • What is the role of the nurse informaticist?
Nurse Informaticists and Other Health Care Organizations
  • What is the experience of other health care organizations with nurse informaticists?
  • How do these nurse informaticists interact with the rest of the nursing staff and the interdisciplinary team?
Impact of Full Nurse Engagement in Health Care Technology
  • How does fully engaging nurses in health care technology impact:
    • Patient care?
    • Protected health information (security, privacy, and confidentiality)?
    • Workflow?
    • Costs and return on investment?
Opportunities and Challenges
  • What are the opportunities and challenges for nurses and the interdisciplinary team with the addition of a nurse informaticist role?
    • How can the interdisciplinary team collaborate to improve quality care outcomes through technology?
Summary of Recommendations
  • What are 3–4 key takeaways from your proposal about the recommended nurse informaticist role that you want the CNO and the HR manager to remember?
Additional Requirements
  • Written communication: Ensure written communication is free of errors that detract from the overall message.
  • Submission length: 4–5 double-spaced pages, in addition to a title page and references page.
  • Font: Times New Roman, 12 point.
  • Citations and References: Cite a minimum of 3 current scholarly and/or authoritative sources to support your ideas. In addition, cite a minimum of 1 current professional blog or website to support your central ideas. Current means no more than five years old.
  • APA formatting: Be sure to follow APA formatting and style guidelines for citations and references. For an APA refresher, consult the APA Style and Format page on Campus.

Portfolio Prompt: Save your presentation to your ePortfolio. Submissions to the ePortfolio will be part of your final capstone course.

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2023 1 Compare vulnerable populations Describe an example of one of these groups in the

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Nursing 2023 dq3

1 Compare vulnerable populations Describe an example of one of these groups in the 2023 Assignment

1. Compare vulnerable populations. Describe an example of one of these groups in the United States or from another country. Explain why the population is designated as “vulnerable.” Include the number of individuals belonging to this group and the specific challenges or issues involved. Discuss why these populations are unable to advocate for themselves, the ethical issues that must be considered when working with these groups, and how nursing advocacy would be beneficial. 

2. 

How does the community health nurse recognize bias, stereotypes, and implicit bias within the community? How should the nurse address these concepts to ensure health promotion activities are culturally competent? Propose strategies that you can employ to reduce cultural dissonance and bias to deliver culturally competent care. Include an evidence-based article that address the cultural issue. Cite and reference the article in APA format.  

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2023 Students are required to participate in scholarly activities outside of clinical practice or

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Nursing 2023 Scholarly Activities

Students are required to participate in scholarly activities outside of clinical practice or 2023 Assignment

 

Students are required to participate in scholarly activities outside of clinical practice or professional practice. Examples of scholarly activities include attending conferences, seminars, journal club, grand rounds, morbidity and mortality meetings, interdisciplinary committees, quality improvement committees, and any other opportunities available at your site, within your community, or nationally.

You are required to post at least one documented scholarly activity by the end of this course. In addition to this submission, you are required to be involved and contribute to interdisciplinary initiatives on a regular basis.

Submit, by way of this assignment, a summary report of the scholarly activity, including who, what, where, when, and any relevant take-home points. Include the appropriate program competencies associated with the scholarly activity as well as future professional goals related to this activity. You may use the “Scholarly Activity Summary” resource to help guide this assignment.

While APA style is not required for the body of this assignment, solid academic writing is expected, and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide

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2023 Select the state where you plan to practice as a nurse practitioner and or nurse

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Nursing 2023 Women’s Health Policies

Select the state where you plan to practice as a nurse practitioner and or nurse 2023 Assignment

Select the state where you plan to practice as a nurse practitioner and/or nurse leader and investigate the state’s policies on access to contraception and abortion for women with insurance and those without. What are the state’s infant and maternal mortality rates? Discuss the possible relationship between these factors. 

Please be sure to adhere to the following: 

discussion posts must be word document, minimum 250 words, 1 page,  references must be cited in APA format (6th), and must include minimum of 2 scholarly resources published within the past 5-7 years. PLAGIARISM FREE. 

A rule of thumb for all DQ responses is the 3-3 rule; 3 paragraphs minimum, 3 sentences per paragraph minimum 

I live in Miami, so I plan to practice here. But if better for you select your state, it is ok for me 

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2023 Start by reading and following these instructions 1 Quickly skim the questions or assignment below

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Nursing 2023 Amish And Jewish

Start by reading and following these instructions 1 Quickly skim the questions or assignment below 2023 Assignment

Start by reading and following these instructions:

1. Quickly skim the questions or assignment below and the assignment rubric to help you focus.

2. Read the required chapter(s) of the textbook and any additional recommended resources. Some answers may require you to do additional research on the Internet or in other reference sources. Choose your sources carefully.

3. Consider the discussions and any insights gained from it.

4. Create your APA formatted essay-style submission, with references, be sure to cite your sources and check your spelling.

Assignment:

Complete the following Case Studies:

  • Amish case study
  • Jewish Case study #1

Write a 3-4 page APA essay, using two scholarly sources in addition to the textbook.

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2023 Phase 1 Asking Questions Evidence based practice begins with asking questions Have you ever wondered

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Nursing 2023 questions

Phase 1 Asking Questions Evidence based practice begins with asking questions Have you ever wondered 2023 Assignment

  

Phase 1: Asking Questions

Evidence based practice begins with asking questions. Have you ever wondered why a certain procedure or process is done a certain way? Have you ever wondered why a certain procedure or process is done instead of a different one? Have you ever wondered if something could be done more efficiently or safer? Have you ever wondered if something more could have been done for your patient before they were discharged? These are all good questions and great places to begin. Phase 1 will be a brainstorming session, you will explore and look at some questions you may have had in the past or some you may have now. Next you will explore your question to see if there is enough evidence to support your question. If you cannot find enough evidence to support your question, you may have just thought of a good research question, however, it might not be the best question for the evidence-based practice project. Remember, EBP is looking at existing evidence and research along with clinical expertise and patient preferences to support our practice, whereas research is a systematic scientific process that leads to new knowledge.

Instructions

Within your group discuss your interest as a nurse. Discuss questions you had or have as a student nurse, write down these questions and ideas. Consider the significance your question has to nursing and the potential impact your project could make.  Research your questions and thoughts. Determine if your question could be a good question for this project. Determine if the issue has been addressed either through research or through EBP projects. You may need to revise your question or develop new questions. Finalize your question and be prepared to explain the rationale behind your question and why it would be a good question for the project.

Resources:

Nursing Research (LoBiondo-Wood & Haber), Chapter 1, pg. 49-50, pg. 389

The Agency for Healthcare Research and Quality, AHRQ: www.ahrq.gov (Links to an external site.)

The National Guideline Clearinghouse, NGC: www.guideline.gov (Links to an external site.)

(Links to an external site.)The Joanna Briggs Institute: www.joannabriggs.org (Links to an external site.)

Sigma Theta Tau International, STTI: www.nursingsociety.org (Links to an external site.)

(Links to an external site.)Patty Hanks Shelton School of Nursing, PHSSN: library resources

Once you have found a good clinical question you will put that question in the PICO Question format. The PICO(T) model is the most commonly used model to frame EBP clinical questions. The PICO model helps to focus your question and research to enable you to find relevant research and evidence that can be applied to nursing practice. Please take some time to review the PICO(T) model and some examples.

P: Patient Population/Patient condition
I: Intervention
C: Comparison
O: Outcome
T: Time

Click on the link below for a resource for developing PICOT questions and examples:

PICO Guide (Links to an external site.)

please find me three questions and explain as instruction above. ” my class is nursing resarch and theory

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2023 Realtors rely on detailed property appraisals conducted using appraisal tools to assign market values to houses and other properties These values

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Nursing 2023 Critical Appraisal Of Research

Realtors rely on detailed property appraisals conducted using appraisal tools to assign market values to houses and other properties These values 2023 Assignment

Realtors rely on detailed property appraisals—conducted using appraisal tools—to assign market values to houses and other properties. These values are then presented to buyers and sellers to set prices and initiate offers. 

Research appraisal is not that different. The critical appraisal process utilizes formal appraisal tools to assess the results of research to determine value to the context at hand. Evidence-based practitioners often present these findings to make the case for specific courses of action.

In this Assignment, you will use an appraisal tool to conduct a critical appraisal of published research. You will then present the results of your efforts.

To Prepare:

  • Review the Resources and consider the importance of critically appraising research evidence.
  • Reflect on the four peer-reviewed articles you selected in Module 2 and analyzed in Module 3. 
  • Review and download the Critical Appraisal Tool Worksheet Template provided in the Resources.

The Assignment (Evidence-Based Project)

Part 4A: Critical Appraisal of Research

Conduct a critical appraisal of the four peer-reviewed articles you selected and analyzed by completing the Evaluation Table within the Critical Appraisal Tool Worksheet Template.

Part 4B: Critical Appraisal of Research

Based on your appraisal, in a 1-2-page critical appraisal, suggest a best practice that emerges from the research you reviewed. Briefly explain the best practice, justifying your proposal with APA citations of the research.

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2023 Instructions In this final assignment you will develop a paper that reviews some of the main topics covered

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Nursing 2023 Information Management systems

Instructions In this final assignment you will develop a paper that reviews some of the main topics covered 2023 Assignment

 

Instructions

In this final assignment, you will develop a paper that reviews some of the main topics covered in the course. Compose an essay to address the elements listed below.

  • Identify the components of an information system (IS) using the five-component framework, and provide a brief summary of each.
  • Explain Porter’s five forces model.
  • Management IS (MIS) incorporate software and hardware technologies to provide useful information for decision-making. Explain each of the following IS, and use at least one example in each to support your discussion:
    •  a collaboration information system,
    •  a database management system,
    •  a content management system,
    •  a knowledge management/expert system,
    •  a customer relationship management system,
    •  an enterprise resource planning system,
    •  a social media IS,
    •  a business intelligence/decision support system, and
    •  an enterprise IS.
  • Identify and discuss one technical and one human safeguard to protect against IS security threats.
  • There are several processes that can be used to develop IS and applications such as systems development life cycle (SDLC) and scrum (agile development). Provide a brief description of SDLC and scrum, and then discuss at least one similarity and one difference between SDLC and scrum
  • Sum up your paper by discussing the importance of MIS.

Your paper must be at least three pages in length (not counting the title and reference pages), and you must use at least two resources. Be sure to cite all sources used in APA format, and format your essay in APA style.

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2023 To prepare for this Assignment Review this week s Learning Resources Consider how to

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Nursing 2023 Assignment: Assessing And Treating Adult And Geriatric Clients With Mood Disorders

To prepare for this Assignment Review this week s Learning Resources Consider how to 2023 Assignment

 

To prepare for this Assignment:

  • Review this week’s Learning Resources. Consider how to assess and treat adult and geriatric clients requiring antidepressant therapy.

The Assignment

Examine Case Study: An Elderly Hispanic Man With Major Depressive Disorder. You will be asked to make three decisions concerning the medication to prescribe to this client. Be sure to consider factors that might impact the client’s pharmacokinetic and pharmacodynamic processes.

  • At each decision point stop to complete the following:
    • Decision #1
      • 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?
    • Decision #2
      • 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
      • 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 #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.

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.

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