Professional Roles and Responsibilities

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Professional Roles and Responsibilities

(Professional Roles and Responsibilities)

Family nurse practitioners (FNPs) are graduate-educated, nationally-certified and state licensed advanced practice registered nurses (APRNs) who care for medically stable patients across the lifespan, from infants to geriatric patients.

Share your thoughts

  1. What are the educational requirements to practice as a FNP?
  2. According to the American Association of Colleges of Nursing (AACN), what is the recommended terminal degree to prepare nurse practitioners.
  3. Who determines the scope of practice for FNPs?
  4. Who defines it? Who Credentials and what is the role of a Professional and Political Organization in defining the role?
  5. See rubric

Discussion 3

Much of the ongoing debate over scope-of-practice (SoP) laws that govern the practice of nurse practitioners (NPs) across the country focuses on the cost of and access to health care and on whether these laws legitimately promote patient safety or are simply anticompetitive restrictions on NPs’ ability to compete with physicians. After completing the following CE activity at Medscape https://www.medscape.org/viewarticle/506277_1 ( sign for the free account), please answer the following questions:

Should an NP who is educationally prepared as an acute care NP work in an adult primary care setting?

Is it within the scope for an FNP to diagnose and treat uncomplicated mental health conditions like depression, anxiety, and ADHD?

Are there any restrictions for the FNP to treat patients with mood disorders and to prescribe them antipsychotics or SSRIs ?

Discussion 4:

CS/SB 614 authorizes  an ARNP to prescribe, dispense, administer, or order any drug, which would include controlled substances.

ARNP disciplinary sanctions are added to the bill in s. 456.072, F.S., (Section 5) to mirror a physician’s sanctions for prescribing or dispensing a controlled substance other in the course of professional practice or failing to meet practice standards. Additional acts for which discipline may be taken against an ARNP relating to practicing with controlled substances that are added to the Nurse Practice Act (Section 10) include:

 Presigning blank prescription forms.

 Prescribing a Schedule II for office use.

 Prescribing, dispensing, or administering an amphetamine or sympathomimetic amine drug, except for specified conditions.

 Prescribing, dispensing, or administering certain hormones for muscle-building or athletic performance.

 Promoting or advertising a pharmacy on a prescription form unless the form also states that the prescription may be filled at the pharmacy of your choice.

 Prescribing, dispensing, or administering drugs, including controlled substances, other than in the course of his or her professional practice.

 Prescribing, dispensing, or administering a controlled substance to himself or herself.

 Prescribing, dispensing, or administering laetrile.

 Dispensing a controlled substance listed in Schedule II or Schedule III in violation of the requirements for dispensing practitioners in the Pharmacy Practice Act.

 Promoting or advertising controlled substances.

After reading the following news article http://c-hit.org/2015/04/06/high-prescribing-nurse-surrenders-drug-licenses/

Identify what issues may arise with prescriptive authority of controlled substances and how you may avoid these situations? 

 
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Fibrocystic Breasts: Peer Response

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Fibrocystic Breasts: Peer Response

(Fibrocystic Breasts: Peer Response)

No plagiarism please.

Will need minimum of 150 words for each response, APA Style, double spaced, times new roman, font 12, and and Include: (1 reference for each response within years 2015-2018) with intext citations.

 

Peer resp. #1

Fibrocystic change is categorized as a benign breast problem. Symptoms of fibrocystic change include breast tenderness, swelling, pain, or irregular menstrual cycles (Arslan Solmaz, 2018). Patients can feel lumps in their breasts. Movable lumps filled up with fluid are called cysts. The patients can find their breasts swollen or tender to touch. It happens when breast tissues become firm and rubbery like scar tissues. Fibrocystic change occurs mostly in women of child-bearing age, but they can affect any women (American Cancer Society, 2017). The changes in hormone related to menstruation can cause the lumps to get bigger and tenderer. Therefore, the symptoms are more noticeable just before the menstrual period starts. The patients may also feel a clear or cloudy nipple discharge. Hormonal abnormalities such as an excess of estrogen over progesterone or increased thyroid hormone activity are reported to be the cause of the fibrocystic change (Arslan Solmaz, 2018). A diagnosis is based on symptoms, history, and physical examination. A mammogram, ultrasound, or a biopsy will be needed to rule out cancer.

Treatment for fibrocystic change is necessary if the cysts cause discomfort. Medications include danazol, tamoxifen, hormonal therapies, or vitamin E (Talaei, Moradi, & Rafiei, 2017). The authors also mention that Metformin can help reduce the symptoms of fibrocystic change. Besides that, patients who take Metformin have a reduced mortality rate of cancer due to the medication’s antitumoral properties (Talaei, Moradi, & Rafiei, 2017). Another option is to have the cysts drained to reduce the pressure and pain, but the fluid can build up again (American Cancer Society, 2017). If that happens, the patients can choose surgery to remove the cysts. They can take pain medications such as ibuprofen or acetaminophen for pain relief as well. They need to avoid caffeinated drinks such as coffee, tea, sodas, or chocolate since they can stimulate the symptoms (American Cancer Society, 2017). It is still controversial regarding if fibrocystic change is associated with increased risk of breast cancer, so they need to have a routine mammogram screening to detect cancer early (Arslan Solmaz, 2018).

 

Peer resp. #2

Fibrocystic breast is considered to be a non-proliferative lesion. It generally affects women between the ages of 25 and 50 and rarely affects women under age 20 (Arslan Solmaz, 2018). According to the Center for Disease Control (2018), fibrocystic breasts can have symptoms of feeling lumpy, tender to touch and sore and have cysts that are fluid filled sacs within the breast. Patient education would include that fibrocystic breast disease is usually benign and and may be due to hormonal imbalance. Follow up care would include sonography, mammography and possibly biopsy to ensure that the cysts are not cancerous (Talaei, Moradi and Rafiei, 2017). Treatments can include a fine needle aspiration to drain the cysts, or surgical incision. Over the counter Tylenol and Ibprofen can be used for pain control. Oral contraceptives can be taken for women to lower hormone levels associated with breast changes (Talaei, Moradi and Rafiei, 2017). Self management would include pain management, breast self exams, warm compresses and monitoring any cysts for and change in texture, size and if they are causing further pain.

 
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Artist Management.

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Artist Management.

(Artist Management.)

Question description

Assignment Goal (APA Sytle)

For this course’s capstone project you will apply the skills that you learned throughout the course to create a presentation and timeline that provides an inspirational look at your milestone goals and plan for personal development during your course of study at Full Sail University.

Project Specifications

research and outline the following in order to create a presentation and timeline that provides an inspirational look at your milestone goals and plan for personal development throughout your Mastery Journey:

·  Reflect upon the brainstorming work that was done in developing your Mastery

Journey Framework (week #3 assignment)( I will upload that weeks assignment for you)

·  Begin with your end goal of your course of study in mind and summarize a Mastery Journey goal for each course in your program by providing the course name and at least one insight, skill, or outcome that you would like to gain from that course.

·  In developing your strategies/tactics evaluate the course content, include self study topics, library resources, and online tutorials (e.g. Lynda.com).

·  Research and include at least one Full Sail Library multi-media resource and/or tutorial per course that will assist you with your Mastery Journey.

·  Identify and provide the email/phone contact information for at least 6 industry

leaders that you could interview for a Mastery Journal blog post.

·  Include plans to get involved in your field of interest through clubs and organizations. Include how you will expand upon your PLN by following innovative companies and your heroes.

·  Include how you will get involved with the Full Sail University community (e.g.clubs, industry organizations, nonprofits, etc.) to get “real world” experience. Outline the characteristics of a mentor in your field so that you can set out to find that person.

·  Summarize your Mastery journey timeline key points and include a visual representation of your 12-month timeline depicting your Mastery Journey.

Deliverable Due

Following the specifications above, use any output format you choose (e.g.Keynote, Pages, Word, iMovie, complimentary student version of Prezi.com, etc).

Please note: This presentation does not need to be narrated. Complete a visual representation (image or video) of your 12-month timeline depicting your Mastery Journey. You can use Keynote shapes, tables, or even a timeline DIY resource such as http://www.dipity.com

 
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Perception and Sensation Quiz

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Perception and Sensation Quiz

(Perception and Sensation Quiz)

Devry Psyc110 Chapter 03 PreTest Latest 2015 (All Correct)

Question

1) What is the common name for the taste receptor cells?

taste buds

super tasters

papillae

gustations

2) In 1996, Lindemann proposed a fifth primary receptor that detects which type of taste?

peppery

earthy

vinegary

brothy

3) _____ refers to a rapid series of still pictures that seem to be in motion.

Stroboscopic motion

The phi phenomenon

The autokinetic effect

The apparent distance hypothesis

4) Which of the following is TRUE about pictorial depth cues?

They require visual cues from both eyes.

They are often referred to as binocular cues.

They require visual cues from only one eye.

Usually they are not needed for perceiving depth in the world.

(Perception and Sensation Quiz)

5) Research suggests that perception may be influenced by all of the following EXCEPT:

culture.

different expectancies.

misinterpretation of perceptual cues.

if someone is right-brained versus left-brained.

6) The use of preexisting knowledge to organize individual features into a unified whole is known as:

precognition.

bottom-up processing.

top-down processing.

perceptual expectancy.

7) In Gestalt theories, the principle of closure refers to the tendency to:

complete incomplete figures.

perceive objects as existing on a background.

perceive events happening close together as related.

perceive similar objects as belonging together.

8) Which of the following is TRUE about depth perception?

It is the ability to see in two dimensions.

It helps one to judge how far away objects are.

It is almost always present in people who were blind from birth and later had their sight restored.

It does not develop until the toddler years.

9) The three aspects to the perception of light are brightness, color, and:

sharpness.

refraction.

reflection.

saturation.

10) Rods are visual sensory receptors responsible for:

visual accommodation.

noncolor sensitivity to low light.

color vision.

focusing images on the retina.

11) A highly saturated red color would contain ________ wavelengths.

only blue

only red

a mixture of different

more red than blue

12) What are the three primary colors of light?

red, blue, green

red, yellow, blue

yellow, green, blue

red, yellow, green

(Perception and Sensation Quiz)

13) Which of the following is TRUE about color blindness?

The most common type is called monochrome color blindness.

When it involves one set of cones, it is an inherited recessive trait.

It is more prevalent among females than males.

It is caused by defective cones in the iris of the eye.

14) Where is the retina located?

in the aqueous humor

at the back of the eye

at the front of the eye

in the brain

15) Terry stepped on a nail while walking around barefoot in her yard one week ago. The spot where the skin was punctured still hurts, reminding her to take it easy on her foot. The soreness Terry is experiencing is known as ________ pain.

pressure

visceral

somatic

gate-control

16) Which of the following statements best explains how the sense of taste works?

Molecules of taste are absorbed through receptors on the roof of the mouth and transmitted to the stomach.

Olfactory bulbs absorb molecules of taste and then send signals to the brain.

Molecules of food fit into receptors on taste buds, and neural signals are fired to the brain.

Molecules of taste are absorbed into the saliva and circulated throughout the blood until they reach the brain.

17) Which mammals have the ability to hear up to 200,000 Hz?

dolphins

dogs

cats

humans

18) People who have difficulty with their hearing are said to be either totally or partially:

hearing impaired.

pitch challenged.

mute.

tone deaf.

19) Nerve hearing impairment can be helped with the use of:

cochlear implants.

ordinary hearing aids.

electrode surgery.

auditory implants.

20) ________ can inhibit the transmission of pain signals in the brain.

Substance P

Synesthesia

Endorphins

Kinesthesia

21) According to gate-control theory:

pain signals must pass through a “gate” located in the brain.

the activity of the spinal gate can be opened by nonpain signals.

a structure in the spinal cord is closed when pain signals enter the spinal cord.

when the spinal gates open farther, there is a greater experience of pain.

22) Motion sickness can be explained by:

an imbalance in the kinesthetic senses.

a type of allergic reaction.

conflict between visual input and other sensory input.

environmental discord.

(Perception and Sensation Quiz)

23) The tendency of the brain to stop attending to constant, unchanging information is known as:

sensory overload.

habituation.

event-related adaptation.

sensory adaptation.

24) The term ______ refers to stimuli that are below the level of conscious awareness.

absolute threshold

sensory receptor

just noticeable difference

subliminal stimuli

25) The ________ is the lowest level of stimulation that a person can consciously detect 50 percent of the time the stimulation is present.

minimal sensory threshold

difference threshold

just noticeable difference

absolute threshold

 

 
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NR 507 Midterm Exam

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NR 507 Midterm Exam (Version 8 Solutions)

(NR 507 Midterm Exam)

1. Question: Infants are most susceptible to significant losses in total body water because of an infant’s:

2. Question: The drug heparin acts in hemostasis by which processes?

3. Question: Which cells have phagocytic properties similar to monocytes and contract like smooth muscles cells, thereby influencing the glomerular filtration rate?

4. Question: Erythrocyte life span of less than 120 days, ineffective bone marrow response to erythropoietin, and altered iron metabolism describe the pathophysiologic characteristics of which type of anemia?

5. Question: Which blood cell type is elevated at birth but decreases to adult levels during the first year of life?

6. Question: Immunoglobulin E (IgE) is associated with which type of hypersensitivity reaction?

7. Question: Which drug may be prescribed orally for outbreak management of herpes simplex viral (HSV) infections?

8. Question: Which substance has been shown to increase the risk of cancer when used in combination with tobacco smoking?

9. Question: An infant’s hemoglobin must fall below ___ g/dl before signs of pallor, tachycardia, and systolic murmurs occur.

10. Question: How high does the plasma glucose have to be before the threshold for glucose is achieved?

11. Question: Which disorder results in decreased erythrocytes and platelets with changes in leukocytes and has clinical manifestations of pallor, fatigue, petechiae, purpura, bleeding, and fever?

12. Question: Deficiencies in which element can produce depression of both B- and T-cell function?

13. Question: Apoptosis is a(an):

(NR 507 Midterm Exam)

14. Question: The only surface inside the nephron where cells are covered with microvilli to increase the reabsorptive surface area is called the:

15. Question: The coronary ostia are located in the:

16. Question: Causes of hyperkalemia include:

17. Question: Why is nasal congestion a serious threat to young infants?

18. Question: Continuous increases in left ventricular filing pressures result in which disorder?

19. Question: What is the first stage in the infectious process?

20. Question: Which type of immunity is produced by an individual after either natural exposure to the antigen or after immunization against the antigen?

21. Question: What are the abnormalities in cytokines found in children with cystic fibrosis (CF)?

22. Question: What substance stimulates renal hydroxylation in the process of producing vitamin D?

23. Question: When a patient has small, vesicular lesions that last between 10 and 20 days, which sexually transmitted infection is suspected?

24. Question: Which organ is stimulated during the alarm phase of the general adaptation syndrome (GAS)?

25. Question: Which primary characteristic is unique for the immune response?

26. Question: What is the fundamental physiologic manifestation of anemia?

27. Question: Hypersensitivity is best defined as a(an):

28. Question: What is the life span of an erythrocyte (in days)?

29. Question: The risk for respiratory distress syndrome (RDS) decreases for premature infants when they are born between how many weeks of gestation?

30. Question: Research supports the premise that exercise has a probable impact on reducing the risk of which cancer?

(NR 507 Midterm Exam)

31. Question: Which immunoglobulin (Ig) is present in childhood asthma?

32. Question: Causes of hyperkalemia include:

33. Question: An individual is more susceptible to infections of mucous membranes when he or she has a seriously low level of which immunoglobulin antibody?

34. Question: What is the primary site for uncomplicated local gonococci infections in men?

35. Question: Decreased lung compliance means that the lungs are demonstrating which characteristic?

36. Question: Which organism is a common sexually transmitted bacterial infection?

37. Question: The Papanicolaou (Pap) test is used to screen for which cancer?

38. Question: What is the ratio of coronary capillaries to cardiac muscle cells?

39. Question: Which laboratory test is considered adequate for an accurate and reliable diagnosis of gonococcal urethritis in a symptomatic man?

40. Question: What is the role of collagen in the clotting process?

41. Question: Fetal hematopoiesis occurs in which structure?

42. Question: The glomerular filtration rate is directly related to which factor?

43. Question: What is the primary problem resulting from respiratory distress syndrome (RDS) of the newborn?

44. Question: What is the trigone?

45. Question: Which hormone is synthesized and secreted by the kidneys?

46. Question: Which hepatitis virus is known to be sexually transmitted?

47. Question: What is the functional unit of the kidney called?

48. Question: A person with type O blood is considered to be the universal blood donor because type O blood contains which of the following?

49. Question: Which hormone is required for water to be reabsorbed in the distal tubule and collecting duct?

50. Question: Low plasma albumin causes edema as a result of a reduction in which pressure?

(NR 507 Midterm Exam)

51. Question: The most common site of metastasis for a patient diagnosed with prostate cancer is which location?

52. Question: How is most of the oxygen in the blood transported?

53. Question: What is the direct action of atrial natriuretic hormone?

54. Question: What is the purpose of the spirometry measurement?

55. Question: Carcinoma in situ is characterized by which changes?

56. Question: If the sinoatrial (SA) node fails, then at what rate (depolarizations per minute) can the atrioventricular (AV) node depolarize?

57. Question: What effects do exercise and body position have on renal blood flow?

58. Question: What is the major concern regarding the treatment of gonococci infections?

59. Question: Innervation of the bladder and internal urethral sphincter is supplied by which nerves?

60. Question: Which congenital heart defects occur in trisomy 13, trisomy 18, and Down syndrome?

 
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Pharmacotherapy for Cardiovascular Disorders

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Discussion: Pharmacotherapy for Cardiovascular Disorders

(Pharmacotherapy for Cardiovascular Disorders)

6521 Discussion

As the leading cause of death in the United States for both men and women, cardiovascular disorders account for 7 million hospitalizations per year (NCSL, 2012). This is the result of the extensive treatment and care that is often required for patients with these disorders. While the incidences of hospitalizations and death are still high, the mortality rate of cardiovascular disorders has been declining since the 1960s (CDC, 2011). Improved treatment options have contributed to this decline, as well as more knowledge on patient risk factors. As an advanced practice nurse, it is your responsibility to recommend appropriate treatment options for patients with cardiovascular disorders. To ensure the safety and effectiveness of drug therapy, advanced practice nurses must consider aspects that might influence pharmacokinetic and pharmacodynamic processes such as medical history, other drugs currently prescribed, and individual patient factors.

Consider the following case studies:

Case Study 1:

Patient AO has a history of obesity and has recently gained 9 pounds. The patient has been diagnosed with hypertension and hyperlipidemia. Drugs currently prescribed include the following:

· Atenolol 12.5 mg daily

· Doxazosin 8 mg daily

· Hydralazine 10 mg qid

· Sertraline 25 mg daily

· Simvastatin 80 mg daily

Case Study 2:

Patient HM has a history of atrial fibrillation and a transient ischemic attack (TIA). The patient has been diagnosed with type 2 diabetes, hypertension, hyperlipidemia and ischemic heart disease. Drugs currently prescribed include the following:

· Warfarin 5 mg daily MWF and 2.5 mg daily T, TH, Sat, Sun

· Aspirin 81 mg daily

· Metformin 1000 mg po bid

· Glyburide 10 mg bid

· Atenolol 100 mg po daily

· Motrin 200 mg 1–3 tablets every 6 hours as needed for pain

Case Study 3:

Patient CB has a history of strokes. The patient has been diagnosed with type 2 diabetes, hypertension, and hyperlipidemia. Drugs currently prescribed include the following:

· Glipizide 10 mg po daily

· HCTZ 25 mg daily

· Atenolol 25 mg po daily

· Hydralazine 25 mg qid

· Simvastatin 80 mg daily

· Verapamil 180 mg CD daily

To prepare:

· Review this week’s media presentation on hypertension and hyperlipidemia, as well as Chapters 19 and 20 of the Arcangelo and Peterson text.

· Select one of the three case studies, as well as one the following factors: genetics, gender, ethnicity, age, or behavior factors.

· Reflect on how the factor you selected might influence the patient’s pharmacokinetic and pharmacodynamic processes.

· Consider how changes in the pharmacokinetic and pharmacodynamic processes might impact the patient’s recommended drug therapy.

· Think about how you might improve the patient’s drug therapy plan based on the pharmacokinetic and pharmacodynamic changes. Reflect on whether you would modify the current drug treatment or provide an alternative treatment option for the patient.

With these thoughts in mind:

Post an explanation of how the factor you selected might influence the pharmacokinetic and pharmacodynamic processes in the patient from the case study you selected. Then, describe how changes in the processes might impact the patient’s recommended drug therapy. Finally, explain how you might improve the patient’s drug therapy plan.

 
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Applying Critical Thinking In Child Development

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Applying Critical Thinking In Child Development

(Applying Critical Thinking In Child Development)

Assignment ContextFrom the Flaws in Thinking and Scenarios table, you selected a common flaw in thinking when considering child development and one of the scenarios linked with it. In this assignment, you will apply critical thinking to your selection.Assignment InstructionsComplete the following:Identify the flaw you selected and its associated scenario.Write a paper in the following format:

Introduction:

Write an introduction in which you coherently demonstrate clear understanding of the flawed thinking you selected through support from secondary sources.

Body: In 2–3 paragraphs, analyze how using the flawed thinking could impact the scenario you picked. For example, you could select, “My cousin drank wine while she was pregnant and my nephew is fine. It is fine to drink while pregnant.” You would identify this as telling an anecdote and write a single paragraph about why anecdotal evidence is problematic when considering child development. You would then review the empirical literature around what we currently know about the impact of prenatal alcohol consumption and infant and child outcomes with at least 3–5 peer-reviewed academic journal articles.

Conclusion:

Summarize how child development theory and research can be used to analyze the impact of flawed thinking to children’s evolving needs.Please visit the following iGuide pages (links given in the resources) for valuable feedback on how to approach your critical thinking skills:Critical Thinking.Building Skills for Critical Thinking.Other Assignment RequirementsYour paper should meet the following requirements:

Written communication: Use the accepted form and style of the psychological professions, employing grammar, punctuation, and mechanics expected of graduate-level composition and expression.

APA style and formatting: Resources and citations should be formatted according to current APA style and formatting guidelines.

Font and font size: Times New Roman, 12 point.Please refer to the Applying Critical Thinking in Child Development Scoring Guide to ensure you meet the grading criteria for this assignment.

Note: Your instructor may also use the APA Writing Feedback Rubric to provide additional feedback on your academic writing. The writing feedback rubric does not affect your assignment grade, but its feedback may factor into the grading criteria, if professional communication and writing is a course competency. Evaluate your own work using this rubric. Refer to the Learner Guide for instructions on viewing instructor feedback.Learner Guide to APA Writing Feedback Rubric.

 
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Substance Use & the Adolescent

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Application: Case Study Assignment Help– Substance Use and the Adolescent

(Substance Use & the Adolescent)

Over the past decade, cases of substance related disorders have appeared more prevalent in society. From the mental health perspective, research has shown an increase in cases of substance related disorders, particularly with adolescents. This increase has prompted further investigation into adolescent risk and resilience factors, as well as accuracy in diagnosis and appropriate treatment plans. Yet, in cases of adolescent substance use, further investigation is still needed concerning notification rights of parents, legal authorities, and/or case workers.

For this Application, review the client case study in the Learning Resources. Consider the characteristics of the client. Which specific characteristics might you consider important in developing a diagnosis? Consider your rationale for assigning particular diagnoses on the basis of the DSM. Also, think about what other information or people you may need to include in the assessment in order to make an accurate diagnosis.

The Assignment (3–4 pages)

·         A DSM diagnosis of the client in the case study

·         An explanation of your rationale for assigning the diagnosis on the basis of the DSM

·         An explanation of what other information you might need about the client to make an accurate diagnosis

·         A brief description of additional individuals you might include in your assessment and explain why

Support your Application Assignment with specific references to all resources as well as current literature used in its preparation. You are to provide a reference list for all resources, including those in the Learning Resources for this course.

·         American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA: American Psychiatric Publishing.

o    Substance-Related and Addictive Disorders

Paris, J. (2015). The intelligent clinician’s guide to the DSM-5 (2nd ed.). New York, NY: Oxford University Press.

·         Chapter 12, Substance Use, Eating, and Sexual Disorders

Burrow-Sanchez, J. J. (2006). Understanding adolescent substance abuse: Prevalence, risk factors, and clinical implications. Journal of Counseling & Development, 84(3), 283–290. Retrieved from the Walden Library databases.

Escobar, J. I., & Vega, W. A. (2006). Cultural issues and psychiatric diagnosis: Providing a general background for considering substance use diagnoses. Addiction, 101(Suppl), 40–47. Retrieved from the Walden Library databases.

Gloria, A. M., & Peregoy, J. J. (1996). Counseling Latino alcohol and other substance users/abusers: Cultural considerations for counselors. Journal of Substance Abuse Treatment, 13(2), 119–126. Retrieved from the Walden Library databases.

Helwig, A. A., & Holicky, R. (1994). Substance abuse in persons with disabilities: Treatment considerations. Journal of Counseling & Development, 72(3), 227–233. Retrieved from the Walden Library databases.

Schinke, S. P., Orlandi, M. A., Botvin, G. J., Gilchrist, L. D., Trimble, J. E., & Locklear, V. S. (1988). Preventing substance abuse among American-Indian adolescents: A bicultural competence skills approach. Journal of Counseling Psychology, 35(1), 87–90.
Retrieved from the Walden Library databases.

Baker, T. B., Breslau, N., Covey, L., & Shiffman, S. (2012). DSM criteria for tobacco use disorder and tobacco withdrawal: a critique and proposed revisions for DSM-5. Addiction, 107(2), 263–275. Retrieved from the Walden Library databases.

Doughty, J. D., & Hunt, B. (1999). Counseling clients with dual disorders: Information for rehabilitation counselors. Journal of Applied Rehabilitation Counseling, 30(3), 3–10. Retrieved from the Walden Library databases.

Jones, K., Gill, C., & Ray, S. (2012). Review of the Proposed DSM-5 Substance Use Disorder. Journal Of Addictions & Offender Counseling, 33(2), 115–123. Retrieved from the Walden Library databases.

 

http://Slutske, W., Ellingson, J., Richmond-Rakerd, L., Zhu, G., & Martin, N. (2013). Shared genetic vulnerability for disordered gambling and alcohol use disorder in men and women: evidence from a national community-based Australian Twin Study. Twin Research And Human Genetics: The Official Journal Of The International Society For Twin Studies, 16(2), 525–534. Retrieved from the Walden Library databases. (Application: Case Study Assignment Help– Substance Use and the Adolescent)

 
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Prescription Order Management System

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Prescription Order Management System

(Prescription Order Management System)

Question description

To process a prescription order, RPS needs to know about the patients, the nursing home, and the nursing home unit where each patient resides. Each nursing home has at least one, but possibly many, units. A patient is assigned to a specific unit. An order consists of one or more prescriptions, each for one specific drug and one specific patient. An order, therefore, consists of prescriptions for more than one patient. Careful tracking and record keeping is crucial. In addition, each patient has multiple prescriptions, and one pharmacist fills each order.

  1. Based on the above information, create an entity-relationship diagram that shows the data storage requirements for the system using Visio or its open source alternative software. Add six (6) attributes to each data entity and show minimum and maximum cardinality. Note: The graphically depicted solution may not exceed one (1) page per diagram.
  2. Then, create a domain model class for the same information using Visio or its open source alternative software. Include six (6) attributes for each class and show minimum and maximum multiplicity. Note: The graphically depicted solution may not exceed one (1) page per diagram.

There are several points in the order-fulfillment process at which information must be recorded in the system. Case manifests must be printed at the start of each shift. Because a prescription may take a long time to be used completely, information must be entered into the system each time a medication is sent, noting the quantity sent and which pharmacist filled the prescription for that shift.

Prescriptions contain basic information such as ID number, original date of order, drug, unit of dosage (pill, teaspoon, suppository), size of dosage, frequency of dosage, and special instructions (take with food, take before meals). There are several types of prescriptions, each with unique characteristics. Some orders are for a single, one-time-use prescription. Some orders are for a number of dosages. Some orders are for a certain time period. Information about the prescription order must be maintained. An order occurs when the nursing home phones in the needed prescriptions. Because prescriptions may last for an extended period of time, a prescription is a separate entity from the order itself. The system records which employee accepted and entered the original order.

(Prescription Order Management System)

The system has basic data about all drugs. Each drug has generic information such as name, chemical, and manufacturer. More detailed information for each type of dosage, such as the size of the pill, is also kept. A single drug may have many different sizes and types.

Information about the fulfillment of orders must also be maintained. For example, on a prescription for a number of pills, the system must keep a record of each time a pill or number of pills is dispensed. A record is maintained of which pharmacist fulfilled the order. Assume all prescriptions are dispensed only as needed for a 12-hour shift.

  1. Develop an activity diagram for each use case related to entering new orders, creating case manifests, and fulfilling orders using Visio or its open source alternative software (at least three (3) total diagrams). Note: The graphically depicted solution may not exceed one (1) page per diagram.
  2. Develop a system sequence diagram for each use case using Visio or its open source alternative software. Note: The graphically depicted solution may not exceed one (1) page per diagram.
  3. Develop a state machine diagram for an order using Visio or its open source alternative software. Note: The graphically depicted solution may not exceed one (1) page per diagram.
  4. Design a three-layer architecture using Visio or its open source alternative software for this new system. Note: The graphically depicted solution may not exceed one (1) page per diagram.

The RPS system has users who process orders in the Reliable offices and users who place orders and monitor order information in the nursing homes.

  1. Design two (2) separate menu hierarchies, one (1) for Reliable employees and one (1) for nursing home employees.
  2. Write out the steps of the dialog between the user and the system for the use case Place new order for nursing home employees.
  3. Review the input form you created for collecting orders from the nursing homes. Identify all of the input controls necessary to ensure the prescriptions are correct. Recommend other procedures or controls to ensure that there are no mistakes with prescriptions.
  4. Create a work breakdown structure of your proposed plan. Write a memo to the senior executive team at RPS that includes a summary of the created system and three (3) recommendations for future changes / improvements to the system.

Your assignment must follow these formatting requirements:

  • Be typed, double spaced, using Times New Roman font (size 12), with one-inch margins on all sides; citations and references must follow APA or school-specific format. Check with your professor for any additional instructions.
  • Include a cover page containing the title of the assignment, the student’s name, the professor’s name, the course title, and the date. The cover page and the reference page are not included in the required assignment page length.
  • Include charts or diagrams created in Visio or Dia. The completed diagrams / charts must be imported into the Word document before the paper is submitted.
 
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Nursing Healthcare Wk2/Dis

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Part 1

In 2008, the Institute of Medicine partnered with the Robert Wood Johnson Foundation to not only assess, but also respond to the need of nursing profession transformation. Their report titled the “Future of Nursing: Leading Change, Advancing Health” set a path for advancing the responsibilities or role of nurses in the United States. The report proposes eight recommendations: a nurse ought to practice to the full extent of his or her education and training; and a nurse should attain higher levels of training plus education through improved educational system that enhances seamless educational progression. Thirdly, nurses ought to be full partners with other healthcare practitioners in redesigning the United States healthcare practice. Finally, there is need for better data collection plus improved information infrastructure for effective workforce planning as well as policy making (RWJF & IOM, 2010).

Since 2010, various states across United States have established coalition to help realize the recommendations of the Institute of Medicine and the Robert Wood Johnson Foundation report. One such action coalition is the Florida Action Coalition. This coalition, headquartered at the Florida Nursing Working Center, conducted a statewide study whose findings were used as a foundation for a training program of promoting nursing leadership. The coalition also established a program for emerging nurse leaders to provide a 90 day learning experience through group and individual coaching, online courses as well as webinars. The Florida Action Coalition’s website features graduates who are linked with new organizations searching for nurse leaders join their boards. So far, 18 out of 26 graduates of the initiative are working on policy making boards and other agencies. Finally, the coalition has partnered with the Florida Blue- a component of the Blue Cross and Blue Shield Association-to strengthen its ability to not only sustain itself, but also for statewide health improvement (FAC, 2018).

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Part 2

you did a good job in researching and developing your response.  You stated, ” the coalition has partnered with the Florida Blue- a component of the Blue Cross and Blue Shield Association-to strengthen its ability to not only sustain itself, but also for statewide health improvement.”  What initiatives has Florida developed to help sustain itself and to improve health statewide?

 
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