PRESCRIBING FOR CHILDREN AND ADOLESCENTS

  • Bipolar Disorder or Major Depressive Disorder   
  •         
  • Recommend one FDA-approved drug, one off-label drug, and one nonpharmacological intervention for treating your assigned disorder in children and adolescents.
  • Explain the risk assessment you would use to inform your treatment decision making. What are the risks and benefits of the FDA-approved medicine? What are the risks and benefits of the off-label drug?
  • Explain whether clinical practice guidelines exist for this disorder and, if so, use them to justify your recommendations. If not, explain what information you would need to take into consideration.
  • Support your reasoning with at least three scholarly resources, one each on the FDA-approved drug, the off-label, and a non-medication intervention for the disorder. Attach the PDFs of your sources.

case study fatigue

Please see the attachment for instructions

Nutritional Principles in Nursing

Adeyanju Bello

11/10/23, 2:49 PM NEW

The nurse and the patient must be aware of the interactions between medications and nutrients. The nurse must be able to ensure that the correct dose is given and that no negative interactions occur when showing the drug or explaining how to take it. The patient must comprehend and follow instructions correctly.

Fentanyl is a drug that interacts with nutrition. Fentanyl is used to treat “breakthrough” pain by altering the brain's and nervous system's response to pain. Grapefruit and grapefruit juice should be avoided because they increase the amount of medicine in the body, which can lead to an overabundance of fentanyl.

Warfarin is a blood thinner that prevents blood clots from forming or developing in the blood or blood arteries. Warfarin interacts with foods when you eat a constant amount of vitamin K. Broccoli, spinach, and kale are green, leafy vegetables that can make the drug less effective.

Linezolid is another medication that interacts with nutrition. This drug treats infections (such as pneumonia) and prevents bacteria from growing. If the patient is taking linezolid, tyramine-containing meals should be avoided. Cheese, excessive chocolate, caffeine, yogurt, raisins, bananas, sour cream, and sausage are all examples. The interaction can cause blood pressure to rise dangerously.

The interactions should be explained during client education so that the patient understands the importance of following the medication directions. An important point to remember about fentanyl medication is that increasing the dosage can increase the risk of overdosing and severe side effects (respiratory failure). The takeaway for warfarin is that the vitamin K level must be monitored and consistent for the medication to work correctly—finally, the importance of avoiding tyramine-containing foods while on linezolid should be thoroughly explained.


Amy Sanchez

11/9/23, 11:18 PM 

NEW

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 1: Warfarin and Vitamin K

Interaction: Warfarin is a blood thinner that works by blocking the action of vitamin K, which is needed for blood clotting. Consuming foods high in vitamin K can interfere with the effectiveness of warfarin.

Foods to avoid: Foods high in vitamin K include leafy green vegetables (kale, spinach, cabbage), broccoli, Brussels sprouts, and liver.

Client education: Patients taking warfarin should be advised to maintain a consistent intake of vitamin K-rich foods. They should not completely avoid these foods but rather consume them in moderation to have a consistent balance of vitamin K intake. Regular monitoring of the blood clotting time is crucial in preventing complications.

Interaction 2: Monoamine oxidase inhibitors (MAOIs) and Tyramine

Interaction: MAOIs are used to treat depression, but they can interact with tyramine, a compound found in certain foods. MAOIs block the action of the enzyme that breaks down tyramine, leading to its accumulation, which can cause a sudden increase in blood pressure.

Foods to avoid: Foods high in tyramine include aged cheeses, cured meats (sausages, pepperoni), fermented foods (sauerkraut, soy sauce), and some alcoholic beverages.

Client education: Patients taking MAOIs must be informed about the potential risks of consuming foods high in tyramine, as it can lead to hypertensive crisis. They should be educated on the importance of avoiding these foods, especially during the early stages of MAOI treatment. Awareness of alternative food choices is crucial to ensure a safe diet.

Interaction 3: Calcium and Tetracycline antibiotics

Interaction: Calcium can bind to tetracycline antibiotics in the gastrointestinal tract, forming insoluble complexes that reduce the absorption of the medication.

Foods to avoid: Dairy products (milk, cheese, yogurt), calcium-fortified orange juice, and high-calcium foods like spinach and kale.

Client education: Clients on tetracycline antibiotics should be advised to avoid calcium-rich foods or supplements for several hours before and after taking the medication. It is important to emphasize the significance of adhering to the recommended dosing schedule to ensure optimal absorption and effectiveness of the antibiotics.

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Reflection Scenario Template

 1) Watch the entire scenario. In the scenario assignment, you are asked to reflect on responses to the presented scenario. 

2) Fill out the template attached below

3) Compose the last question on the template reflection in a Word document and be sure to address, at a minimum, the following questions:

*Why do you feel the way you do about the issue presented?

*Of the four responses offered in the scenario, which do you think is the most ethical and why?

*Which ethical theory would you use to support your stance? Why does this theory work?

4)  Support your conclusions with evidence and specific examples from the textbook, including a minimum of one theory of ethics to defend your stance.

Compare and Contrast Britain's and the United States health history and current structure

  

In a 5-6 page Microsoft Word document, compare and contrast Britain’s and the United States health history and current structure, including: Different philosophical approaches to the provision of care Organization Financing Delivery of health services and public health systems Utilize your textbook and other scholarly sources for this assignment help to assist with your research. You may also find the following websites helpful: The Future of Public Health: A History of the Public Health System Overview of Healthcare in the UK

MAP-IT framework is a tool for organizing and gauging societal public health endeavors. Experienced and inexperienced public health workers may use MAP-IT processes to build ans develop a community that is healthy (McKnight, Kretzmann 1996). The MAP-IT approach takes time, effort, and a series of stages to ‘map out’ the journey towards a community’s desired change. Remember that there is no one solution that fit all when it comes to this, therefore, some procedures are needed repetitively. A coalition can use MAP-IT to develop a chronological, organized plan aimed towards a given community’s requirements.

Mobilize

Nursing intervention is developed to establish and enforce park exercise activities in zip code 33127. After looking at the data collected from the community at zip code 33127, it was rather evident that residents, especially on the north side of the zip code, are not even trying to participate in the community’s public parks.

Following the underlying investigation, the nurse intervention determines that a different strategy is required, and it brings together important stakeholders in the postal district 33127 to help nurture an agreement. The Nursing Intervention Task Force will comprise representatives from environmental health, education, and the community public health practitioners. The task force’s mission is to develop and maintain a healthy community in the postal district.

Assess

The task force holds a strategic planning meeting; furthermore, the task force holds data mining on healthy living from exercise. During the assessment, the task force discovered that the rate of chronic diseases reported in the postal district 33127 is alarming, especially among young people in the community. It has been discovered that the lack of physical exercise majorly triggers chronic disease.

Currently, the staffing, skills and information on the importance of healthy living are at our disposal, but where do we go from there? From further deliberation, it is concluded that we would need funding to conduct public awareness campaigns, initiate the building fitness park, and install outdoor exercise equipment.

Plan

During the afternoon of the strategic planning meeting, the task force agreed that installing at least four outdoor fitness equipment in the postal district 33127 should be the priority in addressing the rising chronic illness rate.

Our head decided to contact a community-based organization (CBO) with a long history of dealing with public workout equipment installation and ask them to assist in developing a project plan. If money is approved, the CBO signs a letter of understanding to participate in the project. In addition, the director collaborates with other members of the postal district’s health department and government to draft a plan.

We suggest a pilot program in which exercise equipment is installed in public parks. Some unemployed locals would be trained to assist in the procedures as part of the pilot program. We also decided to keep an eye on the rate of chronic illnesses to determine if it is decreasing. The federal government funds the project due to supporting data being the primary cause.

Implement

The CBO is enthusiastic about the project and is in charge of communicating with locals about the installations and reacting to emerging issues. In addition, the CBO is responsible for overseeing and performing the project’s training and employment aspects.

Our project manager manages the whole project and collaborates with contractors to ensure proper completion. In the parks, equipment such as sit-up benches, dip and leg raise stations, vertical ladders, and rope climbs is erected. In addition, two parks dedicated to workouts are being built. All of this takes place over the course of one and a half years.

Track

The task force keeps track of the project’s development and gathers official and informal data to assess its impact. Since the parks have been improved, the number of cases of chronic illnesses has decreased. Residents say they feel healthier now than they did before the adoption, and there are fewer incidents of heart attacks. Consequently, the inhabitants are pleased with the workout equipment in the parks. The task group understands that they must remain focused and engaged for the program to continue.

Conclusion at https://onlyassignmenthelp.com/custom-writing-service/write-my-assignment-for-me/get-information-technology-assignment-help-from-expert-writers/ 

In the execution of a solution, evaluation and tracking are critical activities. These tasks, which are carried out in phases, offer practitioners various information (McEwan & Bigelow, 1997). For example, the preliminary evaluation aids in the identification of barriers and risks. It is feasible to take early strategies that focus on this knowledge to optimize the advantages of the solution while avoiding the danger of failure (StudyCorgi, 2021). The post-evaluation of results aids in determining the plan’s overall efficiency. The information may be utilized to improve the existing educational program and help design new, more complex ones.

REFERENCES

StudyCorgi. (2021) MAP-IT Model: Evaluation of Plan Effectiveness. Retrieved 21 June 2022, from https://studycorgi.com/map-it-model-evaluation-of-plan-effectiveness/

McEwan, K., & Bigelow, A. (1997). Using a logic model to focus health services on population health goals. Canadian Journal of Program Evaluation 12(1): 167-174.

McKnight, J. L., & Kretzmann, J. P. (1996) Mapping Community Capacity. Onlyassignmenthelp.com The Asset-Based Community Development Institute, Institute for Policy Research, Northwestern University.

BUILDING A HEALTH HISTORY

please see attached

literature search

Module 06 Content

1.

Top of Form

Using at least 4 current (within the past 5 years), relevant, peer-reviewed resources, create a literature review that does the following:

· Describes the project's topic, resources reviewed, and conclusions of each article.

· Summarizes the principal findings of the research and their relevance to the project's proposed outcomes.

This paper should be at least 2 pages in length and include a cover page and reference page with links to all researched articles. Be sure to use APA format.


Scoring Rubric

·
Student uses at least 4 peer-reviewed, relevant sources for research related to the chosen topic. – 10

·
Student has a well-developed, comprehensive review of the literature researched for the project. – 15


Total 25

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MSN5300 WEEK 4

 

 Identify 5 research articles and write a brief summary of the ethical approaches used in the research studies

Please include 400 words in your initial post and two scholarly references . Please refer to the discussion rubric. Also check for plagiarism and artificial intelligence(AI) .The work must be in your own words.Attached you can find the rubric to do the assigment

MBTI

Personal Review of Management and Leadership in Nursing

This assignment comprises of writing a paper which covers the six main learning outcomes of this course. Using your textbook and the results of your personality test, you will answer the question prompts below in narrative form (no Q & A and no bulleted lists). Please follow all the APA 7th edition rules.

Instructions:

1. Take the 

Myers-Briggs Type IndicatorLinks to an external site.
 assessment to examine your individual strengths and experiences in preparation for assuming management and leadership roles.

https://www.16personalities.com/free-personality-test

2. Write 5-6 pages using the headings and corresponding prompts below, which you should used in your paper:

I.
Leadership and Management Theory

· How can you apply a leadership and management theory to achieve high quality nursing care for your patients and collaborate effectively with your health care team? Identify the citation(s) for the leadership or management theory you chose in answering this question.

· Are you more of a leader or a manager? Please explain why you feel this way. In view of your results of the personality test, how can you strengthen aspects of your personality to grow more in leadership or in management? Which competencies do you need to strengthen to become the leader or manager you want to become?

II.
Change Theory

· How do you deal with change at your practice setting? What personality traits would you utilize to promote change in your facility and how did you decide which traits you would use? Are there traits that you would not agree with and why do you think they appear?

III.
Communication Style

· What did you learn about yourself taking the personality test? Which type of communicator are you? What are areas that you can strengthen to be more effective? To be more therapeutic? What are some barriers to effective communication styles which you have observed in yourself? Note: You may need to read between the lines in the results, as your communication style is not measured directly.

IV.
Performance Improvement and Quality Improvement

· How can you manage both performance improvement and quality improvement at the same time? Answer this using your understanding of your results of the personality test and your textbook/lectures about leadership and management.

· How can you apply the principles of performance improvement and/or quality improvement into your practice? Choose one principle and explain how you can implement it at your workplace.

V.
Evidence-based Practice and Improvement

· Evidence-based practice (EBP) has been emphasized all throughout your BSN program. How does EBP relate to achieving desirable performance outcomes and quality improvement?

VI.
Supervision Style

· Compare and contrast effective and ineffective supervision styles which you have observed in your workplace. When doing so, make sure to apply principles of delegation, authority, responsibility, and accountability.

3. Your paper should be

. a total of 5-6 pages of the body (not including the cover and reference page)

. sourced with two (2) scholarly references within the last five years.

. written in the formatting and citation style of 

APA, 7th editionLinks to an external site.

· Be sure to 

meet with a writing tutorLinks to an external site.
 after you have an outline/paper to ensure a quality submission.

· Follow the 

template


 Download template
carefully, as it is already pre-formatted in APA for you.

How to apply ?

Please see the attachment for the instructions