Is It An Emergency? – 2025 Is it an emergency Check out First of Its Kind A Health Center in the

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Is It An Emergency? – 2025

 

Is it an emergency?

Check out “First of Its Kind: A Health Center in the ER” (Links to an external site.)

What are your thoughts? Can you find any other emergency rooms that are working to provide prospective patients other less expensive options for medical treatment? If not, why not? Be sure that you have resources to support your post. (Your post should consist of more than – I think that this is a great idea! – You can do it! )

5Advanced Levels Of Clinical Inquiry And Systematic Reviews6052 – 2025 Your quest to purchase a new car begins with an identification of the factors important

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5Advanced Levels Of Clinical Inquiry And Systematic Reviews6052 – 2025

Your quest to purchase a new car begins with an identification of the factors important to you. As you conduct a search of cars that rate high on those factors, you collect evidence and try to understand the extent of that evidence. A report that suggests a certain make and model of automobile has high mileage is encouraging. But who produced that report? How valid is it? How was the data collected, and what was the sample size?

In this Assignment, you will delve deeper into clinical inquiry by closely examining your PICO(T) question. You also begin to analyze the evidence you have collected.

To Prepare:

  • Review the Resources and identify a clinical issue of interest that can form the basis of a clinical inquiry.
  • Develop a PICO(T) question to address the clinical issue of interest you identified in Module 2 for the Assignment. This PICOT question will remain the same for the entire course.
  • Use the key words from the PICO(T) question you developed and search at least four different databases in the Walden Library. Identify at least four relevant systematic reviews or other filtered high-level evidence, which includes meta-analyses, critically-appraised topics (evidence syntheses), critically-appraised individual articles (article synopses). The evidence will not necessarily address all the elements of your PICO(T) question, so select the most important concepts to search and find the best evidence available.
  • Reflect on the process of creating a PICO(T) question and searching for peer-reviewed research.

The Assignment (Evidence-Based Project)

Part 2: Advanced Levels of Clinical Inquiry and Systematic Reviews

Create a 6- to 7-slide PowerPoint presentation in which you do the following:

  • Identify and briefly describe your chosen clinical issue of interest.
  • Describe how you developed a PICO(T) question focused on your chosen clinical issue of interest.
  • Identify the four research databases that you used to conduct your search for the peer-reviewed articles you selected.
  • Provide APA citations of the four relevant peer-reviewed articles at the systematic-reviews level related to your research question. If there are no systematic review level articles or meta-analysis on your topic, then use the highest level of evidence peer reviewed article.
  • Describe the levels of evidence in each of the four peer-reviewed articles you selected, including an explanation of the strengths of using systematic reviews for clinical research. Be specific and provide examples.

Clinical Discharge – 2025 Academic Clinical Discharge Summary Note Academic clinical discharge summary notes provide a unique opportunity to practice

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Clinical Discharge – 2025

  

Academic Clinical Discharge Summary Note

Academic clinical discharge summary notes provide a unique opportunity to practice and demonstrate advanced practice documentation skills, to develop and demonstrate critical thinking and clinical reasoning skills, and to practice identifying acute and chronic problems and formulating a evidence-based plans of care.

Develop an academic clinical discharge summary note based on a hospital patient seen during clinical. The discharge summary note should include the following: ( Acute Care Hospital)

1. Reason for admission: Include the reason for admission, a list of diagnoses in order of acuity, and an ICD-10 diagnosis.

2. List of all procedures: Include all dates, significant findings, and any anesthetics and contrast used during procedures.

3. Complete list of consults during hospitalization: Include any providers or services consulted during stay.

4. Patient’s condition at discharge: Include a physical exam prior to discharge that documents that patient is stable at discharge and has safe disposition and transportation. What diagnostic criteria confirmed the discharge diagnosis?

5. Complete list of discharge medications: Full list with all dosages, frequencies, and quantity of medications prescribed or dispensed.

6. Pending test results for follow up: Complete list of any pathology, cultures, radiology, or other diagnostic tests still pending, and who is responsible for follow-up on final results.

7. Complete list of discharge instructions: Full list of directions regarding infection prevention, new medications, and returning to daily activities.

8. Complete list of discharge follow-ups: Full list of any therapies, treatments, referrals, consults, and follow-up appointments. What diagnostic criteria were needed after discharge?

9. Summary: What questions were raised during the hospital stay? Include all explanations and answers to these questions. What questions were raised that required further exploration? What kind of discharge planning did you need? Characterize your patient interaction activities.

10. Overall assessment: Identify health promotions, health education, ethical considerations, geriatric considerations, and expected outcomes.

Incorporate 3-5 peer-reviewed articles in the assessment or plan. (Minimum 1000 words).

Don’t Forget to include all coding including ICD-10, CPT and all others.

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.

Colleagues Response Week 4 – 2025 Assignment Respond to at least two of your colleagues who were assigned a different disorder than you 1

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Colleagues Response Week 4 – 2025

  

Assignment:

Respond to at least two of your colleagues who were assigned a different disorder than you.

1. Compare the differential diagnostic features of the disorder you were assigned (Alcohol-Related Disorders) to the diagnostic features of the disorder your colleagues were assigned.

2. What are their similarities and differences? 

3. How might you differentiate the two diagnoses? 

4.  Support your responses with evidence-based literature with at least two references in each colleague’s response with proper citation in APA Format. 

Colleagues Response # 1

Diagnostic Criteria for Hallucinogen-Related Disorders

 Phencyclidine (PCP) use disorder is characterized by a pattern of use that leads to extreme dysfunction, occurs within 12 months and is manifested by at least two of the following: more PCP is taken or taken for longer than intended; continuous want or inability to control use; much time is spent obtaining, using or recovering from PCP; strong urge to use PCP; PCP use resulting in inability to carry out responsibilities at work, school or home; continuing to use PCP despite persistent dysfunctional social or interpersonal problems secondary to the effects of PCP; abandonment or decreased attendance of activities secondary to PCP use; continuous use despite it being unsafe; continued PCP use despite having a physical or psychological problem caused by PCP; tolerance as evidenced by need for more amount of PCP to reach desired effect and/or a decrease effect when using the same amount (American Psychiatric Association [APA], 2013).  Other Hallucinogen Use Disorder has the same diagnostic criteria as phencyclidine use disorder except the substance is a hallucinogenic other than phencyclidine (APA, 2013).   

Psychotherapy and Psychopharmacologic Treatment for Hallucinogen use disorder

 Hallucinogens can have acute and chronic adverse reactions.  An acute reaction that can occur is intoxication.  When intoxication occurs it causes perceptual and dysfunctional behavioral changes as well as physiological symptoms, such as palpitations, tremors, incoordination, sweating, tachycardia and blurred vision (Sadock, Sadock & Ruiz, 2014).  The initial treatment is called the “talk down” technique; it is when a provider offers reassurance in a calm and supportive tone telling the patient that the symptoms are drug induced and will be over soon (Gabbard, 2014).  If medications are needed in acute intoxication, benzodiazepines can be administered (Gabbard, 2014).  If the patient does not respond to the benzodiazepine, an antipsychotic can be administered (Sadock, Sadock & Ruiz, 2014).  Antipsychotics must be used with caution secondary to their ability to lower the seizure threshold (Gobbard, 2014).  

 A chronic adverse reaction can occur when psychosis or delirium continues from weeks to years after use (Gobbard, 2014).  The continuation of symptoms should alert providers to perform a psychiatric assessment.  Oftentimes, prolonged reactions occur as a result of psychiatric illness, continuous use of hallucinogens or poor premorbid adjustment (Gobbard, 2014).  The pharmacological treatment remains the same for long-term reaction as an acute reaction; antipsychotic drugs (Gobbard, 2014).  

Evidence based psychotherapeutic approach for hallucinogen use disorder is cognitive behavioral therapy (CBT) (McKay, 2020).  It is a widely used approach for many substance use disorders (SUDs).  CBT assists patients with SUDs by helping them change their cognitive beliefs and behaviors that make them susceptible to use (McKay, 2020).  It allows individuals with SUDs to gain more of an understanding of their triggers, behaviors and the reasons for them (McKay, 2020).  It also teaches them effective coping skills and motivates them to believe they have the ability to change (McKay, 2020).

Clinical Features Observed in a client with Hallucinogen use disorder

Expected observations in a client with hallucinogen use disorder include making excuses to use hallucinogens, such as a way to deal with stress; deciding to use hallucinogens instead of going to work or attending other obligations; continuing to use despite failing interpersonal relationships; feeling unwell when not using hallucinogens; an unkempt appearance; increased isolation from family and friends; continued use of hallucinogens despite palpitations and known tachycardia; feeling less effects of hallucinogens when using the same amount and becoming increasingly irritable. These clinical features align with the DSM-5 criteria mentioned above.  

Colleagues Response # 2

Opioid use disorder (OUD) is diagnosed in persons who misuse and abuse opiates to the point that they lose control and continue to use despite continuously incurring significant negative effects and other related problems.  Substance use disorders are complicated psychiatric conditions, and not a moral failing (Sadock, Sadock & Ruiz, 2014).  What turns voluntary use into the obsessive-compulsive use is a change in the structure and neurochemistry of the brain.   It is quite easy to become addicted to opiates as they are the drug of choice given by doctors worldwide for the relief of pain.

Cognitive Behavioral Therapy (CBT) is a psychosocial therapy that has been found to be very effective in treating Substance Use Disorder (SUD) relative to standard drug counseling in promoting abstinence from OUD (Barry et al., 2019).  Methadone is the pharmacological treatment of choice used for detoxing those who suffer with OUD.  Clonidine, Bentyl and Ibuprofen are also used as comfort medications.  Methadone along with Buprenorphine can also be used for maintenance therapy for those requiring medication-assisted therapy to continue with long-term sobriety.  Naloxone or Narcan is used in emergency cases of overdosing.  Naloxone is sprayed into the nostrils to knock the opiate off its receptors thus reversing the effects of the narcotics and restoring consciousness and respirations.

Physical manifestations of those with OUD include itching, dry mouth, facial flushing, and heaviness of extremities hence the nodding effect or the look that they are about to tip over.  Respiratory depression, pupillary constriction, and constipation are also associated with OUD.  Characteristics of those with the disorder involve impaired control, persistent drug-seeking behavior, social impairment, and recurrent substance use may result in a failure to fulfill major role obligations at work, school, or home (American Psychiatric Association, 2013).

Module 5 Assignment – 2025 Start by reading and following these instructions 1 Quickly skim the questions or assignments below

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Module 5 Assignment – 2025

 

Start by reading and following these instructions:

1. Quickly skim the questions or assignments 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 discussion and any insights you gained from it.

4. Create your Assignment submission and be sure to cite your sources, use APA style as required, check your spelling.

Assignment:

Write a 800-1500 word essay addressing each of the following points/questions. Be sure to completely answer all the questions for each bullet point. There should be four sections, one for each bullet below. Separate each section in your paper with a clear heading that allows your professor to know which bullet you are addressing in that section of your paper. Support your ideas with at least three (3) citations in your essay. Make sure to reference the citations using the APA writing style for the essay. The cover page and reference page do not count towards the minimum word amount.

  • Minority groups are present all over the United States. Name at least three minority groups and explain why each is categorized as such. 
  • Within the United States there have been two views toward assimilation: the “melting pot” tradition and the Anglo-conformity view. In your opinion, which view accurately describes the United States today, and why?
  • In 2000, women held 45% of jobs classified as executive, administrative, and managerial. But, in 2011, women held only 16.1% of Fortune 500 board seats, filled only 14.1% of corporate officer positions, and were 7.5% of the country’s top earners. Citing gender stratification in the workplace, in your own opinion why do you think women are being held back from obtaining these top positions?
  • Cultural transmission theorists believe gender identities and behaviors are a gradual process of learning that begins in infancy. It suggests that teachers and other adults shape a child’s behavior by reinforcing responses that are deemed appropriate to the child’s gender role and discouraging inappropriate ones. What is your personal opinion on this theory? Do you believe that the cultural transmission theory will determine who/what a person will be in adulthood? Why?

Advanced Pharmacology – 2025 Week 5 Endocrine System Disorders and the Treatment of Diabetes The endocrine system includes

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Advanced Pharmacology – 2025

  

Week 5: Endocrine System Disorders and the Treatment of Diabetes

The endocrine system includes eight major glands throughout the body which affect such things as growth and development, metabolism, sexual function, and mood (National Institutes of Health). Some of the most commonly diagnosed endocrine disorders include hypothyroidism, diabetes, and Hashimoto’s disease. Not surprisingly, treating any one endocrine disorder may have effects on other body systems or their functions. As an advanced practice nurse, treating patients who may suffer from endocrine disorders requires an acute understanding of the structure and function of the endocrine system. Additionally, a solid understanding of patient factors and behaviors will assist in developing the best drug therapy plans possible to treat your patients. Some of most commonly diagnosed endocrine disorders include

This week, you differentiate the types of diabetes and examine the impact of diabetes drugs on patients. You also evaluate alternative drug treatments and patient education strategies for diabetes management.

Students will:

· Differentiate types of diabetes

· Evaluate the impact of diabetes drugs on patients

· Evaluate alternative drug treatments and patient education strategies for diabetes management

Rosenthal, L. D., & Burchum, J. R. (2021). Lehne’s pharmacotherapeutics for advanced practice nurses and physician assistants (2nd ed.) St. Louis, MO: Elsevier.

  • Chapter 48, “Drugs for      Diabetes Mellitus” (pp. 397–415)
  • Chapter 49, “Drugs for Thyroid Disorders” (pp.      416–424)

American Diabetes Association. (2018). Pharmacologic approaches to glycemic treatment: Standards of medical care in diabetes—2018. Diabetes Care, 41(Supplement 1), S73–S85. Retrieved from http://care.diabetesjournals.org/content/41/supplement_1/s73.full-text.pdf

This article provides guidance on pharmacologic approaches to glycemic tre Discussion: Diabetes and Drug Treatments

Photo Credit: [Mark Hatfield]/[iStock / Getty Images Plus]/Getty Images

Each year, 1.5 million Americans are diagnosed with diabetes (American Diabetes Association, 2019). If left untreated, diabetic patients are at risk for several alterations, including heart disease, stroke, kidney failure, neuropathy, and blindness. There are various methods for treating diabetes, many of which include some form of drug therapy. The type of diabetes as well as the patient’s behavior factors will impact treatment recommendations.

For this Discussion, you compare types of diabetes, including drug treatments for type 1, type 2, gestational, and juvenile diabetes.

atment as it pertains to treating patients with diabetes. Reflect on the content of this article as you continue to examine potential drug treatments for patients with diabetes.

To Prepare

· Review the Resources for this module and reflect on differences between types of diabetes, including type 1, type 2, gestational, and juvenile diabetes.

· Select one type of diabetes to focus on for this Discussion.

· Consider one type of drug used to treat the type of diabetes you selected, including proper preparation and administration of this drug. Then, reflect on dietary considerations related to treatment.

· Think about the short-term and long-term impact of the diabetes you selected on patients, including effects of drug treatments.

Post a brief explanation of the differences between the types of diabetes, including type 1, type 2, gestational, and juvenile diabetes. Describe one type of drug used to treat the type of diabetes you selected, including proper preparation and administration of this drug. Be sure to include dietary considerations related to treatment. Then, explain the short-term and long-term impact of this type of diabetes on patients. including effects of drug treatments. Be specific and provide examples.

At least 3 citations using APA format

Nursing Informatics – 2025 When you wake in the morning you may reach for your cell phone to reply to a few

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Nursing Informatics – 2025

  

When you wake in the morning, you may reach for your cell phone to reply to a few text or email messages that you missed overnight. On your drive to work, you may stop to refuel your car. Upon your arrival, you might swipe a key card at the door to gain entrance to the facility. And before finally reaching your workstation, you may stop by the cafeteria to purchase a coffee.

From the moment you wake, you are in fact a data-generation machine. Each use of your phone, every transaction you make using a debit or credit card, even your entrance to your place of work, creates data. It begs the question: How much data do you generate each day? Many studies have been conducted on this, and the numbers are staggering: Estimates suggest that nearly 1 million bytes of data are generated every second for every person on earth.

As the volume of data increases, information professionals have looked for ways to use big data—large, complex sets of data that require specialized approaches to use effectively. Big data has the potential for significant rewards—and significant risks—to healthcare. In this Discussion, you will consider these risks and rewards.

Review the Resources and reflect on the web article Big Data Means Big Potential, Challenges for Nurse Execs.

Reflect on your own experience with complex health information access and management and consider potential challenges and risks you may have experienced or observed.

By Day 3 of Week 5

Post a description of at least one potential benefit of using big data as part of a clinical system and explain why. Then, describe at least one potential challenge or risk of using big data as part of a clinical system and explain why. Propose at least one strategy you have experienced, observed, or researched that may effectively mitigate the challenges or risks of using big data you described. Be specific a

Resources provided

McGonigle, D., & Mastrian, K. G. (2017). Nursing informatics and the foundation of knowledge (4th ed.). Burlington, MA: Jones & Bartlett Learning.

Chapter 22, “Data Mining as a Research Tool” (pp. 477-493)

Chapter 24, “Bioinformatics, Biomedical Informatics, and Computational Biology” (pp. 537-551)

Glassman, K. S. (2017). Using data in nursing practice. American Nurse Today, 12(11), 45–47. Retrieved from https://www.americannursetoday.com/wp-content/uploads/2017/11/ant11-Data-1030.pdf

Thew, J. (2016, April 19). Big data means big potential, challenges for nurse execs. Retrieved from https://www.healthleadersmedia.com/nursing/big-data-means-big-potential-challenges-nurse-execs

Wang, Y., Kung, L., & Byrd, T. A. (2018). Big data analytics: Understanding its capabilities and potential benefits for healthcare organizations. Technological Forecasting and Social Change, 126(1), 3–13. 

Required Media

Laureate Education (Executive Producer). (2012). Data, information, knowledge and wisdom continuum [Multimedia file]. Baltimore, MD: Author. Retrieved from http://mym.cdn.laureate-media.com/2dett4d/Walden/NURS/6051/03/mm/continuum/index.html

Laureate Education (Producer). (2018). Health Informatics and Population Health: Analyzing Data for Clinical Success [Video file]. Baltim

Nursing Informatics – 2025 When you wake in the morning you may reach for your cell phone

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Nursing Informatics – 2025

  

When you wake in the morning, you may reach for your cell phone to reply to a few text or email messages that you missed overnight. On your drive to work, you may stop to refuel your car. Upon your arrival, you might swipe a key card at the door to gain entrance to the facility. And before finally reaching your workstation, you may stop by the cafeteria to purchase a coffee.

From the moment you wake, you are in fact a data-generation machine. Each use of your phone, every transaction you make using a debit or credit card, even your entrance to your place of work, creates data. It begs the question: How much data do you generate each day? Many studies have been conducted on this, and the numbers are staggering: Estimates suggest that nearly 1 million bytes of data are generated every second for every person on earth.

As the volume of data increases, information professionals have looked for ways to use big data—large, complex sets of data that require specialized approaches to use effectively. Big data has the potential for significant rewards—and significant risks—to healthcare. In this Discussion, you will consider these risks and rewards.

Review the Resources and reflect on the web article Big Data Means Big Potential, Challenges for Nurse Execs.

Reflect on your own experience with complex health information access and management and consider potential challenges and risks you may have experienced or observed.

By Day 3 of Week 5

Post a description of at least one potential benefit of using big data as part of a clinical system and explain why. Then, describe at least one potential challenge or risk of using big data as part of a clinical system and explain why. Propose at least one strategy you have experienced, observed, or researched that may effectively mitigate the challenges or risks of using big data you described. Be specific a

Resources provided

McGonigle, D., & Mastrian, K. G. (2017). Nursing informatics and the foundation of knowledge (4th ed.). Burlington, MA: Jones & Bartlett Learning.

Chapter 22, “Data Mining as a Research Tool” (pp. 477-493)

Chapter 24, “Bioinformatics, Biomedical Informatics, and Computational Biology” (pp. 537-551)

Glassman, K. S. (2017). Using data in nursing practice. American Nurse Today, 12(11), 45–47. Retrieved from https://www.americannursetoday.com/wp-content/uploads/2017/11/ant11-Data-1030.pdf

Thew, J. (2016, April 19). Big data means big potential, challenges for nurse execs. Retrieved from https://www.healthleadersmedia.com/nursing/big-data-means-big-potential-challenges-nurse-execs

Wang, Y., Kung, L., & Byrd, T. A. (2018). Big data analytics: Understanding its capabilities and potential benefits for healthcare organizations. Technological Forecasting and Social Change, 126(1), 3–13. 

Required Media

Laureate Education (Executive Producer). (2012). Data, information, knowledge and wisdom continuum [Multimedia file]. Baltimore, MD: Author. Retrieved from http://mym.cdn.laureate-media.com/2dett4d/Walden/NURS/6051/03/mm/continuum/index.html

Laureate Education (Producer). (2018). Health Informatics and Population Health: Analyzing Data for Clinical Success [Video file]. Baltim

Pediatric Patient With Mood Disorder – 2025 The Assignment 5 pages Examine Case Study An African American Child Suffering From Depression You will be

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Pediatric Patient With Mood Disorder – 2025

 

The Assignment: 5 pages

Examine Case Study: An African American Child Suffering From Depression. You will be asked to make three decisions concerning the medication to prescribe to this patient. Be sure to consider factors that might impact the patient’s pharmacokinetic and pharmacodynamic processes.

At each decision point, you should evaluate all options before selecting your decision and moving throughout the exercise. Before you make your decision, make sure that you have researched each option and that you evaluate the decision that you will select. Be sure to research each option using the primary literature.

Introduction to the case (1 page)

  • Briefly explain and summarize the case for this Assignment. Be sure to include the specific patient factors that may impact your decision making when prescribing medication for this patient.

Decision #1 (1 page)

  • Which decision did you select?
  • Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
  • Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
  • What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature).
  • Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples.

Decision #2 (1 page)

  • Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
  • Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
  • What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature).
  • Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples.

Decision #3 (1 page)

  • Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
  • Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
  • What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature).
  • Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples.

Conclusion (1 page)

Summarize your recommendations on the treatment options you selected for this patient. Be sure to justify your recommendations and support your response with clinically relevant and patient-specific resources, including the primary literature.

Note: Support your rationale with a minimum of five academic resources. While you may use the course text to support your rationale, it will not count toward the resource requirement. You should be utilizing the primary and secondary literature.

Research Final – 2025 Research Methods for the Behavioral Sciences Pay attention to the descriptions and examples of linear and

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Research Final – 2025

Research Methods for the Behavioral Sciences. Pay attention to the descriptions and examples of linear and nonlinear relationships, positive and negative linear relationships, and curvilinear relationships.
Consider how these relationships are determined and what impact each type of relationship may have on a researcher’s ability to make predictions.
Using the Walden Library, select and review two or three articles on criminal recidivism, violent crime, or domestic violence in which the variables have positive and negative linear relationships.
Consider the implications if the variables had a curvilinear relationship instead.