Social media plays a significant role in the lives of nurses in both their professional and personal lives. Additionally, social media is now considered a mainstream part of the process for recruiting and hiring candidates. Inappropriate or unethical conduct on social media can create legal problems for nurses as well as the field of nursing.

Login to all social media sites in which you engage. Review your profile, pictures and posts. Based on the professional standards of nursing, identify items that would be considered unprofessional and potentially detrimental to your career and that negatively impact the reputation of the nursing field.

In 500-750 words, summarize the findings of your review. Include the following:

1. Describe the posts or conversations in which you have engaged that might be considered inappropriate based on the professional standards of nursing.
2. Discuss why nurses have a responsibility to uphold a standard of conduct consistent with the standards governing the profession of nursing at work and in their personal lives. Include discussion of how personal conduct can violate HIPAA or be considered unethical or unprofessional. Provide an example of each to support your answer.
3. Based on the analysis of your social media, discuss what areas of your social media activity reflect Christian values as they relate to respecting human value and dignity for all individuals. Describe areas of your social media activity that could be improved.

Prepare this assignment according to the 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. Refer to the LopesWrite Technical Support articles for assistance

 

Write a detailed report describing the legal and ethical responsibilities of community service providers and their staff. (Report will include the summary and table of contents for 1200 words)

Include, in your report, the following:

1. Explain why documented policies, procedures and protocols are necessary.
2. List the legislation and regulations and ethical conditions that apply to community service operations.
3. Describe the systems that might be put in place to ensure legal rights of clients are upheld and to make certain cultural, linguistic and religious diversity are responded to appropriately.
4. Explain the actions that should be taken if client rights are not properly upheld.
5. Explain how you can contribute to the improvement of policies and procedures.

Discussion Question

Describe the difference between the Qualitative and Quantitative research; discuss what type of research reveals better outcomes and why?

·       Must address the topic.

·       Rationale must be provided.

·       May list examples from your own nursing practice.

·       150-word minimum/250-word maximum without the references.

·       Minimum of two references (the course textbook must be one of the references) in APA format, must have been published within last 3-5 years.

Please do not copy and paste this is going to be using turniting .

 

Agonist-Antagonist

The use of psychopharmacological agents is to help correct a suspected imbalance of chemicals within our brain, and to do this the medications either enhance, suppress, or help transport with the help of signals and receptors. To help achieve these processes, the medications produce either an agonist or antagonist to achieve the desired response. An agonist action locates target receptors and bind and alter the activity at the receptor to achieve the desired response from the receptor, using affinity and intrinsic efficacy properties (either full or partial) (Berg & Clark, 2018). An Antagonist action does not have any intrinsic efficacy but does have affinity and may not produce a response but will till bind to the target receptor and thus will reduce the available presence and response for target binding of an agonist (Berg & Clark, 2018). By increasing the occupancy at the receptor with additional agonist, it would cause a blocking effect of the antagonist (Berg & Clark, 2018). For referral of maximal response would be a full agonist (which does not always require maximum number of receptors to provide achieved response) and a partial agonist does just that, provide a partial response with the use of all required receptors, if the intrinsic efficacy is greater is another agonist, it will require less occupancy of receptors (Berg & Clark, 2018). Inverse agonist binds to target receptors and provide negative intrinsic efficacy which decreases the activity at that receptor and can vary from either partial (which are weak) or strong agonists (responses) (Berg & Clark, 2018). Competition can exist between different agonists at target receptor sites and can only hold one ligand at each receptor.

G Protein Couple and Ion Gated Channels

Neurotransmitter receptors have two responses, rapid and slow. The rapid response is facilitated with the use of ion gated channels and happens within milliseconds and is referred to as an ionotropic receptor (Berk, Lodish, & Zipursky, 2000). Ion gated channels are responsible for the electrical excitation of neurons by facilitating the conversion of ion flux from chemical signals to across the membrane that are responsible for memory and attention (Li, Liu, & Wong, 2014). Ion gated channel allow specific ions to pass through the membrane to bind a ligand (Li, Liu, & Wong, 2014). The slow post synaptic response is facilitated with the use of G protein couple receptors that indirectly monitor the opening and closing of ion channels which occur at slower rates over seconds to minutes and is considered a metabotropic receptor (Berk, Lodish, & Zipursky, 2000).  G coupled proteins are responsible for the psychological responses to hormones as well as neurotransmitters (Kobilka, Rassmussen, & Rosenbaum, 2014). Interactions between g protein coupled receptors and ion gated channels involve different dopamine receptors including D5-GABAa, D1-NMDA, and D2-AMPA (Li, Liu, & Wong, 2014). G protein coupled receptors bind ligand and activates the membrane protein that interacts with ion channel (Li, Liu, & Wong, 2014).

Epigenetics

Epigenetics refers to the change that can be made to alter gene expression activity without making any changes to the sequencing of DNA by outside factors, and has been found to be passed on to future generations (Weinhold, 2006). Epigenetics can be done with a few processes, one of them being methylation which will delete one of the two alleles present on a gene (Weinhold, 2006). Although it may seem that this could be helpful in ridding of certain conditions, it has been found that it can also predispose the affected population with other medical and mental health concerns (Weinhold, 2006). Changes to genes may be caused by different factors, including chemical and environmental. One study by Michael Skinner at the University of Washington exposed pregnant rats to high levels of methoxychlor (insecticide) and fungicide vinclozolin and found that in male pups born from the affected mothers, they showed that for the next four generations there was decreased sperm production and infertility due to the exposure of chemicals and changes to gene expression (Weinhold, 2006).

Medication Prescription Awareness

It is important for a prescriber to be aware of the short-term and long-term goals of medication prescribing to patients. One thing to consider is the effects within the body, and how that certain medication is going to be beneficial or possibly harmful in the present or future. Opioids are a good example of a medication that can have good effects, with increased tolerance, and possibly detrimental consequences. Many patients with pain management issues end up having to take an opioid for pain relief, however, tolerance to opioids can happen quickly, and this unfortunately will lead to addiction however that is not the primary concern. A primary concern with prescribing opioids and the increased tolerance quickly achieved, the resort would be to increase the pain medication to achieve pain relief. This however can lead to consequential effects such as respiratory depression, coma, and possibly even death (Christie & Morgan, 2011). Over prescribing, or adding an additional opioid or other type of medication such as a benzodiazepine could increase the risk for injury therefore the prescriber must ensure that medications being prescribed will not do harm versus good.

References:

Berg, K. A., & Clarke, W. P. (2018). Making sense of pharmacology: Inverse agonism and functional selectivity. International Journal of Neuropsychopharmacology, 21(10), 962-977. doi:10.1093/ijnp/pyy071

Berk, A., Lodish, H., & Zipursky, S. (2000). Molecular Cell Biology 4th edition. ., .: W H Freeman &.

Kobilka, B. K., Rasmussen, S. G., & Rosenbaum, D. M. (2009, May 21). The structure and function of g-protein-coupled receptors. Retrieved March 11, 2021, from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3967846/

Li, S., Liu, F., & Wong, A. H. (2014, May 9). Ligand-gated ion channel interacting proteins and their role in neuroprotection. Retrieved March 11, 2021, from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4023026/

Weinhold, B. (2006, March). Epigenetics: The science of change. Retrieved March 11, 2021, from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1392256/

 

• Use the following question to focus your thought on what is dying like in the United States today excluding the unique circumstances of Covid. What does dying mean for you or for someone dear to you? What would make the experience meaningful for you-can death be meaningful?  (For your discussion think about the location, age, and reasons most people die today. Does advances in medical technology that impact chronic illnesses influence the dying process? Shat is the difference between death and dying? Identify characteristics of what a good death might be for yourself. Include characteristics that are related to your culture.)