Posts

Learning Objectives

NEEDS CITATION WITH APA SCHOOL REFERENES ABOVE 2013.

There is probably no greater responsibility that the psychiatric mental health nurse practitioner assumes than the responsibility of prescribing medications. While someone can be harmed by psychotherapy, the level and intensity of the harm generally does not come to the same level of harm that can occur from improper prescribing. The PMHNP must understand his/her responsibility both at a state and federal level when it comes to prescribing medications.

In this Practicum Journal Assignment, you will explore the legalities associated with prescribing controlled substances, as well as what a DEA number is, how to obtain one, and, most importantly, how to prescribe controlled substances in your state.

Learning Objectives

Students will:
  • Analyze roles of the Drug Enforcement Administration
  • Analyze PMHNP responsibilities when issued a DEA number
  • Analyze DEA number application procedures
  • Analyze state requirements for safe prescribing and prescription monitoring
  • Analyze PMHNP responsibilities for safe prescribing and prescription monitoring
  • Analyze Schedule II-V drug levels

** Assigned in Week 2 and submitted in Week 4.

To prepare for this Practicum Journal:

  • Review the Learning Resources.

In 2-3 pages:

  • Describe the role of the Drug Enforcement Administration (DEA) as it pertains to the PMHNP.
  • Explain your responsibilities when having a DEA number.
  • Explain how you apply for a DEA number.
  • Explain your state’s requirements for a safe prescribing and prescription monitoring program. Explain your responsibility as a PMHNP to follow these requirements.
  • Provide an example of a drug you may prescribe from each of the Schedule II-V drug levels.

Pamphlet

To prepare for this assignment view the following brief video from the American Medical Association titled, “Health Literacy and Patient Safety: Help Patients Understand.” The video can be accessed through the following link:

https://youtu.be/cGtTZ_vxjyA

Part I: Pamphlet

  1. Develop a pamphlet to inform parents and caregivers about environmental factors that can affect the health of infants.
  2. Use the “Pamphlet Template” document to help you create your pamphlet. Include the following:
  3. Select an environmental factor that poses a threat to the health or safety of infants.
  4. Explain how the environmental factor you selected can potentially affect the health or safety of infants.
  5. Offer recommendations on accident prevention and safety promotion as they relate to the selected environmental factor and the health or safety of infants.
  6. Offer examples, interventions, and suggestions from evidence-based research. A minimum of three scholarly resources are required.
  7. Provide readers with two community resources, a national resource, and a Web-based resource. Include a brief description and contact information for each resource.
  8. In developing your pamphlet, take into consideration the healthcare literacy level of your target audience.

Part II: Pamphlet Sharing Experience

  1. Share the pamphlet you have developed with a parent of an infant child. The parent may be a person from your neighborhood, a parent of an infant from a child-care center in your community, or a parent from another organization, such as a church group with which you have an affiliation.
  2. Provide a written summary of the teaching / learning interaction. Include in your summary:
  3. Demographical information of the parent and child (age, gender, ethnicity, educational level).
  4. Description of parent response to teaching.
  5. Assessment of parent understanding.
  6. Your impressions of the experience; what went well, what can be improved.

Submit Part I and Part II of the Accident Prevention and Safety Promotion for Parents and Caregivers of Infants assignment by the end of Topic 1.

While APA format 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, 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 required to submit this assignment to Turnitin. Please refer to the directions in the Student Success Center.

cannabis

Trace the history of cannabis use in medicine for the treatment and management of illness via nursing scholarly journal articles. Examine your sources for the following information below and describe the following:

1. Who are the stakeholders both in support of and in opposition to medicinal cannabis use?

2. What does current medical/nursing research say regarding the increasing use of medicinal cannabis?

3. What are the policy, legal and future practice implications based on the current prescribed rate of cannabis?

must be minimum 250 words, references must be cited in APA format, and must include minimum of 2 scholarly resources published within the past 5-7 years. 

Diagnosis, Symptom and Illness Management Presentations 

Diagnosis, Symptom and Illness Management Presentations 

Pick a Topic from the list of Diseases discussed weeks 11-15. You are to do a power point presentation using the following headings below. Present a typical patient with this disease process and how they would present to the office and how you would work up, diagnose and treat. Pictures are encouraged. You will be graded on professionalism and content. Slides need to have Voice Over (Your voice giving the presentation on each slide) Max 20 slides and Max 10 Minutes. Upload to Moodle.

This may be done in groups of 2 students or individually, both students must have their own voice included in the presentation. The voice of students should be 50/50 divided among the slides. Each student must submit final presentation individually and if done in group, the second person submitting please disregard the Turn it in score as it will say 100% and just add note with submission though Moodle of your partners name. (Group members must have same professor)

Late Assignment Policy

Assignments turned in late will have 1 point taken off for every day assignment is late, after 7 days assignment will get grade of 0. No exceptions

Link on how to do Powerpoint with voice over

https://support.office.com/en-us/article/record-a-slide-show-with-narration-and-slide-timings-0b9502c6-5f6c-40ae-b1e7-e47d8741161c#OfficeVersion=2016-2013

Presentations must include a Slides with the following information.

·       TITLE (slide 1)

·       DESCRIPTION  (Patient information)  (slide 2 etc.. and so on)

·       EPIDEMIOLOGY

·       ETIOLOGY

·       RISK FACTORS

·       ASSOCIATED CONDITIONS

·       HISTORY

·       PHYSICAL EXAM

·       DIFFERENTIAL DIAGNOSIS

·       TESTS

·       TREATMENT

·       PROGNOSIS

·       REFERENCES

sociological imagination

Develop a 6-8 page reflection on your life, applying the sociological imagination and using specific sociological concepts to better understand your life experiences.

While we may not notice, society is constantly changing. For sociologists, social change is the continual change of society’s culture, structure, and institutions over time. Every society experiences change—it is through this change that the norms and understandings in a society become altered. Fashion is a great example of social change, as what we wear is dependent on the culture at the time. One hundred years ago it was not common for women to wear pants. Now it is perfectly acceptable. While most women are in favor of being able to wear pants, social change is sometimes not always welcome by members of a society. Can you think of any groups or organizations in the United States that are actively opposed to some kind of social change?

Most social change is the result of conflict, demographic change, and technology.

  • Conflict and change: Conflict in a society (such as a war or even an election) can create significant change in a society.
  • Demographic change: Changes in the make-up of a population can also affect society. As the makeup of our society in terms of sex, race, age, et cetera, changes, so do many structural and cultural elements of society. How would our society be different if most of the population was under the age of 10? Or over the age of 70?
  • Ideas and Change: Technology is often a driving force behind social change and has brought significant changes to our society. Think back to twenty years ago—how different was society in terms of technology? How did that impact your everyday life? In our current time, our cell phone alarm wakes us up, we check our smart phone, make some coffee in our Keurig, remote start our car, and then use our navigation system to get us to work. This is a significantly different experience than we had twenty years ago.

As you reflect on your life and experiences in Assessment 6, consider how much has changed over the course of your lifetime. What are some major social changes? What do you think had changed for the better? For the worse?

Demonstration of Proficiency

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

  • Competency 3: Explain the significance of social inequality for the individual and society.
    • Explain one’s own educational experience from a sociological perspective.
  • Competency 4: Analyze the influence of culture on both the individual and society.
    • Examine the impact of culture and socialization on one’s own life.
  • Competency 5: Analyze the impact of social change on society and social institutions.
    • Analyze the impact of social structure, social change, and groups on one’s own life.
    • Explain sociological issues that affect one’s own field of study.
    • Analyze the role of technology and media in one’s own life.
  • Competency 6: Compose text that articulates meaning relevant to its purpose and audience.
    • Develop text using organization, structure, and transitions that demonstrate understanding of cohesion between main and subtopics.

For this assessment, reflect on the question, “Who am I?” and conduct a micro-level analysis to explain and analyze your everyday experiences. In doing so, you will look at the impact of social forces on your individual life. Using your sociological imagination requires you to apply many of the concepts, theories, and applicable sociological understandings that you have encountered in the course.

Deliverable

Reflect on your everyday experiences that relate to concepts encountered in this course. For example, have you encountered any element of inequality in your life? Have you encountered any norms? Consider how a sociologist would explain these experiences.

Write an essay in which you complete all of the following:

  • Introduction: Introduce yourself and what you plan on discussing in your paper.
  • Culture and Socialization: Examine the impact culture and socialization has had on your life. Include the following when creating this section:
    • How did you develop a sense of self?
    • What agents of socialization had the biggest impact on you? How?
    • How has culture influenced your life?
  • Social Structure and Groups: Analyze the impact of social structure and groups on your life. Include the following:
    • How have various groups (primary, secondary, reference, et cetera) guided your behavior?
    • What statuses have you held? What roles have you played?
    • How have social hierarchies shaped your life choices?
  • Education: Explain your educational experience from a sociological perspective. In doing so, include the following:
    • What major functions has education had for you?
    • How has education been related to your life outcomes?
    • What experiences with inequality have you had in education?
  • Professional Field: Explain sociological issues that affect your field of study or the field you intend to study at this point in your education. Be sure to include any social changes that may impact your field.
  • Technology and Media: Analyze the role technology and media have in your everyday life.
    • What impact have new communication technologies and social media had on your life?
    • What messages have the media and popular culture communicated to you?
    • What role has globalization played in your life?
  • Summary: Briefly describe your experience with this assessment.

Additional Requirements

  • Written communication: Develop text using organization, structure, and transitions that demonstrate understanding of cohesion between main and subtopics. Written communication is free of errors that detract from the overall message. Write in a professional style using references and correct grammar, usage, and mechanics.
  • Sources: Cite at least five scholarly sources.
  • Length: 6–8 pages, not including title and reference pages.
  • Format: Include a title page and reference page. Use in text citations to cite your sources. [Example: Writing becomes better as the child matures (Britton, Thomas, & Miller, 1996).]
  • Font and size: Times New Roman, 12-point.

Safe Prescribing

 Practicum Journal: Safe Prescribing

There is probably no greater responsibility that the psychiatric mental health nurse practitioner (PMHNP) assumes than the responsibility of prescribing medications. While someone can be harmed by psychotherapy, the level and intensity of the harm generally does not come to the same level of harm that can occur from improper prescribing. The PMHNP must understand his/her responsibility both at a state and federal level when it comes to prescribing medications.

In this Practicum Journal Assignment, you will explore the legalities associated with prescribing controlled substances, as well as what a DEA number is, how to obtain one, and, most importantly, how to prescribe controlled substances in your state.

Learning Objectives

· Analyze roles of the Drug Enforcement Administration

· Analyze PMHNP responsibilities when issued a DEA number

· Analyze DEA number application procedures

· Analyze state requirements for safe prescribing and prescription monitoring

· Analyze PMHNP responsibilities for safe prescribing and prescription monitoring

· Analyze Schedule II-V drug levels

                                        ASSIGNMENT

To prepare for this Practicum Journal:

· Review the Learning Resources.

In 2-3 pages:

· Describe the role of the Drug Enforcement Administration (DEA) as it pertains to

the Psychiatric mental health nurse practitioner (PMHNP).

· Explain your responsibilities when having a DEA number.

· Explain how you apply for a DEA number.

· Explain your state’s requirements (TEXAS) for a safe prescribing and prescription monitoring program. Explain your responsibility as a PMHNP to follow these requirements.

· Provide an example of a drug you may prescribe from each of the Schedule II-V drug levels.

N: B PLEASE INCLUDE INTRODUCTION, CONCLUSION AND REFERENCES LESS THAN 5 YEARS OLD

                                                            Learning Resources

Required Readings

Stahl, S. M. (2014). Prescriber’s Guide: Stahl’s Essential Psychopharmacology (5th ed.). New York, NY: Cambridge University Press.

http://ezp.waldenulibrary.org/login?url=http://stahlonline.cambridge.org/ 

To access information on specific medications, click on The Prescriber’s Guide, 5th Ed. tab on the Stahl Online website and select the appropriate medication.

 

Depression

Premenstrual    dysphoric disorder

Seasonal    affective disorder (MDD with Seasonal Variation)

 

agomelatine
amisulpride
amitriptyline
amoxapine
amphetamine (d)
amphetamine (d,l)
aripiprazole (adjunct)
asenapine
atomoxetine
bupropion
buspirone (adjunct)
citalopram
clomipramine
cyamemazine
desipramine
desvenlafaxine
dothiepin
paroxetine
phenelzine
protriptyline

quetiapine (adjunct)
reboxetine
selegiline
sertindole
sertraline
sulpiride
tianeptine
tranylcypromine
triiodothyronine
trazodone
trimipramine
venlafaxine
vilazodone
vortioxetine
doxepin
duloxetine
escitalopram
fluoxetine
flupenthixol
fluvoxamine

iloperidone
imipramine
isocarboxazid
ketamine
lisdexamfetamine
lithium (adjunct)
l-methylfolate (adjunct)
lofepramine
lurasidone
maprotiline
methylphenidate (d)
methylphenidate (d,l)
mianserin
milnacipran
mirtazapine
moclobemide
modafinil (adjunct)
nefazodone
nortriptyline
olanzapine

citalopram
desvenlafaxine
escitalopram
fluoxetine
paroxetine
sertraline
venlafaxine

bupropion

 

Drug Enforcement Administration. (n.d.). Drug schedules. Retrieved June 14, 2016, from https://www.dea.gov/druginfo/ds.shtml 

nursing as a profession

Respond reflective essay nursing profession questions below: Ask a profession or Imagine speaking to nursing profession.

1. Why did you choose nursing as a profession?

2. What was nursing school like for him or her? Ask them:

a. How they managed and balanced work, family and life and the difficulties.

b. The level of commitment to school required to be successful (hrs. required for studying, social life, workload,etc)

c. What their clinical and lab experiences were like.

d. How they prepared for examinations and the NCLEX.

3. Describe their top three patient memories and why they are memorable.

4. What does the phrase “NurseLife” mean to this nurse?

5. What is the hardest thing about being a nurse?

6. Reflect and discuss what your thoughts are about the interview. Did the interview change your perspective on nursing, on nursing school or life?

Review assignment attachment

Demonstration of Proficiency

Write a 2-3 page paper that explains and defends your view on the issue of whether or not patients with no other treatment options have a moral right to unproven drugs.

Introduction

Many doctors, nurses, medical technicians, and other health care workers are involved in medical research. The field of medicine is not limited to the direct treatment of patients but also involves the continued expansion of medical research. A large part of such research is clinical research, which puts patients into the role of experimental subjects. This raises a number of challenging questions for health care ethics, many of which follow from the fact that physicians, nurses, and others involved in clinical research have a dual role. As researchers, they are committed to generating new knowledge about diseases, developing new treatments and drug therapies, and, in general, helping to improve the welfare of human beings by eliminating or controlling diseases and increasing longevity. However, researchers involved in clinical research must also be committed to the highest quality care for individual patients taking part in research studies. This assessment explores some of the ethical issues that clinical research raises and some of the safeguards in place to protect the interests of patients involved in research.

Demonstration of Proficiency

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

  • Competency 1: Articulate ethical issues in health care.
    • Explain how the principle of informed consent is relevant to these issues.
    • Explain the costs and benefits of offering unapproved experimental drugs to patients.
  • Competency 2: Apply sound ethical thinking related to a health care issue.
    • Identify relevant ethical theories and moral principles.
    • Articulate arguments using examples for and against offering pre-approved drugs to wider pools of patients.
  • Competency 5: Communicate in a manner that is scholarly, professional, and respectful of the diversity, dignity, and integrity of others and is consistent with health care professionals.
    • Exhibit proficiency in clear and effective academic writing skills.

Preparation

When a new drug is undergoing clinical trials to be approved for treatment, it must pass through a number of distinct phases of testing. These phases require rigorous study and evidence to demonstrate the safety and efficacy of new treatments. Passing through these phases and achieving approval takes many years for some trials. Before approval, patients not part of a clinical trial have limited or no access to experimental drugs, even though these drugs could be helpful and potentially save their lives. There are various groups pushing for greater patient access to drugs still in the experimental stage. In recent years, the FDA has made it somewhat easier to receive treatment with experimental drugs, but according to advocacy groups there are still too many restrictions (Munson, 2014).

This leads to a potential quandary when early stages of research on a drug sometimes suggest that the drug could be effective in treating a certain disease. On one hand, offering easier access to early stage trial drugs could help individuals suffering with a medical condition. However, on the other hand, making early access to experimental drugs easier could limit the pool of patients available to participate in clinical trials that establish whether or not the drug is truly effective and safe. This is an important consideration, as the vast majority of experimental drugs turn out to be completely ineffective or could have very dangerous side effects that will only show up over time and across a wider test population.

When completing this assessment, it is important to keep in mind the ethical arguments that are relevant to both views regarding the right to experimental drugs. It may be useful to review the suggested resources and conduct additional independent research while you are planning your assessment submission.

Instructions

Do patients with no other treatment options have a moral right to unproven drugs? Write a paper that explains and defends your view on this issue. In addition to reviewing the suggested resources, you are encouraged to locate additional resources in the Capella library, your public library, or authoritative online sites to provide additional support for your viewpoint. Be sure to weave and cite the resources throughout your work. In your paper, address the following points:

  • Demonstration of Proficiency

    Identify relevant ethical theories and moral principles.

  • Explain how the principle of informed consent is relevant to the issue.
  • Explain the costs and benefits of making unproven, unapproved experimental drugs widely available to patients. Consider the costs and benefits not only to the individual patients who take these drugs but also potential costs and benefits to other patients.
  • Explain arguments using examples for and against offering pre-approved drugs to wider pools of patients.
  • Support your view using ethical theories or moral principles (or both) that you find most relevant to the issue.

Additional Requirements

  • Written communication: Written communication is free of errors that detract from the overall message.
  • APA formatting: Resources and citations are formatted according to current APA style and formatting guidelines.
  • Length: 2–3 typed, double-spaced pages.
  • Font and font size: Times New Roman, 12 point.

nursing incivility

To Be or Not to be civil? That is the Question!

View these two videos for examples of classroom and nursing incivility:

  1. Video presentation for example Incivility in the classroom: http://www.youtube.com/watch?v=z3LDJHl8PoQ
  2. Video presentation for examples of incivility in nursing

https://www.youtube.com/watch?v=Wz1xkj-SDZE

https://www.youtube.com/watch?v=NujWmw8z7sg

Assignment:

Now that you have discovered what incivility is, let’s review therapeutic communication techniques by viewing the video link on the study.com website:

http://study.com/academy/lesson/therapeutic-communication-definition-goals-types-principles.html

Choose one scholarly, peer-reviewed   on incivility in the nursing workplace or the classroom. Write a one to two-page summary, using APA 6th edition writing mechanics, of your article. Add three of your personal thoughts or insights (in a few sentences) at the end of your summary. It could be something you have experienced at school or work or saw happen in a classroom or work situation. Finally, give some thought as to how you would manage this situation (remember therapeutic communication techniques): Would you feel comfortable reporting these uncivil actions?; who would you report it to?; if the situation happened to you, would you use productive confrontation to address the person who was uncivil?; if you have been uncivil, what are your plans to change your behaviors?; and what therapeutic communication techniques would be best to use in this situation? You can add anything else you might like to address concerning incivility. Please in-text cite your reference/s and add them to a reference list at the end of the paper in APA 6th format.

Hopefully, you will be able to help advocate for courteous behaviors from here on out in your career. It is critical that we all RESPECT each other!

Additional resources to review (optional):

Weber Shandwick article web link: http://www.webershandwick.com/uploads/news/files/Civility_2010_SocialMediaImplications.pdf

References:

Merriam-Webster Dictionary. (2017). Incivility. Retrieved from https://www.merriam-webster.com/dictionary/incivility

Weber Shandwick. (2010). Civility 2010: Social media implications. Retrieved from: http://www.webershandwick.com/uploads/news/files/Civility_2010_SocialMediaImplications.pdf

This assignment should be 3-4 pages, including the Title and Reference Page, in APA format (including your citations and references).

Submit your completed assignment by following the directions linked below. Please check the Course Calendar for specific due dates.

Save your assignment as a Microsoft Word document. (Mac users, please remember to append the “.docx” extension to the filename.) The name of the file should be your first initial and last name, followed by an underscore and the name of the assignment, and an underscore and the date. An example is shown below:

Jstudent_exampleproblem_101504

Need Help? Click here for complete drop box instructions.

Grading Rubric

Module 1 Written Assignment – To Be or Not to Be Civil? That is the Question!

Scoring Rubric:

Criteria

Points

Submitted a one page summary with three of your personal thoughts or insights

10

Write another page with your thoughts as to how you would manage this situation (Remember therapeutic communication techniques):

8

Discusses the following

  1. Would you feel comfortable reporting these uncivil actions?
  2. Who would you report it to?
  3. If the situation happened to you, would you use productive confrontation to address the person who was uncivil?
  4. If you have been uncivil, what are your plans to change your behaviors?
  5. What therapeutic communication techniques would be best to use in this situation?

10

Included TWO web resources. Followed APA format.

2

Total

30

PMHNP practice agreements

Analyze Texas state PMHNP practice agreements

Analyze physician collaboration issues

Analyze barriers to PMHNP independent practice

Create plans for addressing Texas state PMHNP practice issues

Review practice agreements in Texas.

Identify at least two physician collaboration issues in Texas.

Briefly describe the practice agreements for PMHNPs in Texas.

Explain the two physician collaboration issues that you identified.

Explain what you think are the barriers to PMHNPs practicing independently in Texas.

Outline a plan for how you might address PMHNP practice issues in Texas