All posts by : chebby

There are so many nursing specialties that spark my interest, it was difficult to narrow it down and commit to only one. While I really enjoyed working in surgery, my calling and passion have always resonated more with mental health. Family and life experiences have helped equip me to serve others with mental health needs. When it came time to pick a specialty for the MSN program, I had a long debate over public health and mental health specialties. I have really enjoyed working in an outpatient mental health clinic serving a vulnerable population. This is where my crossroads was revealed. After researching and networking, I realized I could use a PMHNP (psychiatric mental health nurse practitioner) degree to serve the public health population. There is a growing demand for mental health and addiction services in vulnerable populations. The revelation that I could do both, confirmed my original desire to pursue an advanced nursing degree in mental health. 

           Obtaining a Master’s Degree will allow me to have a more profound impact on the vulnerable population that I already serve. Master’s level prepared nurses have the ability to identify, apply, and explain why evidence-based standards of practice are important while being involved in the evolution of nursing practice (Laureate Education, 2018). It was difficult to choose between an MSN degree in public health or mental health. Researching the Walden University website to obtain as much information as I could to compare the curriculum and career impact for each option helped clarify which avenue aligns most with my professional mission and vision. The various specialties offered for MSN degrees are very well-defined on Walden’s website with enough information to visualize the future academic and career paths that each program offers (Walden University, 2020). After reviewing the information on the website, I felt confident in my decision to pursue the PMHNP specialty.   

There are many professional organizations available that cater specifically to nurses and mental health professionals. I explored a list geared toward the PMHNP profession on the Vanderbilt School of Nursing (n.d.) site and narrowed it down to one that seemed to best fit my professional goals and vision. While I was very interested in the Foundations of Addiction Nursing (FAN), I found that the organization was too specific to align with my overall career goals. I ultimately decided that the International Society of Psychiatric-Mental Health Nurses (ISPN) would better serve a comprehensive career in mental health. The ISPN website clearly states its mission to promote mental health and support mental health advanced practice nurses. This site provides boundless resources for advanced-practice mental health nurses and students (ISPN, n.d.). Student memberships are available for $35 and include full member benefits, including voting, holding office, and submitting abstracts. Students are required to be enrolled in a graduate program for psychiatric-mental health advanced practice nursing, fill out a membership form, and pay the dues for membership (ISPN, n.d.). I am looking forward to exploring all this organization has to offe(   

(THIS IS REPLY TO AN STUDENT-Please one page-three refences:)

Assignment:

Complete the following case studies using the CSM-1500 and UB-04 forms.   

CSM-1500 form:

Appendix A: Case A-6 Carlos Clemenza pp. 570- 572

Appendix B: Case B-16: Earl Abbot pp. 648- 649

UB-04 form:

Appendix C : Case C-4: Harold Janovich pp. 666-667

                        Case-18: Tyrone Clark pp. 694-695

Assignment Expectations: 

• Length:
  • The amount of information needed for the forms
• Structure:
  • no title or reference page required
  • address each question in a numbered list
• References:
  • no references required

ethical decision, patient experience

Informatics in Healthcare

Beginning in Module 1 of this course you have been researching a healthcare informatics topic of your choice. Present the findings in a recorded presentation between 7 and 12 minutes in length. The presentation should include a PowerPoint and oral presentation of the slides. There is no slide number requirement. Answer all questions thoroughly with the allotted time. PowerPoint allows you to record directly to each slide. Be sure to include a title slide, objective slide, content slides, reference slide in APA format. Use the appropriate APA style in-text citations and references for all resources utilized to answer the questions. Include at least three (3) scholarly sources using APA citations to support your claims. This assignment uses a rubric for scoring. Please review it as part of your assignment preparation and again prior to submission to ensure you have addressed its criteria at the highest level. Use a recording platform of your choice and either upload as an mp4 or share the link directly to the video in the dropbox.

• Discuss your topic and its relationship to your current (or future) practice. Discuss why the topic is important in healthcare informatics. 
• What research have you have found on the topic? Describe how each scholarly article relates to the topic and your current (or future) practice. Describe what conclusions you have drawn based on your research of the topic.
• What ethical or legal issues does this topic present?
• Create a plan for implementing a change (or justify the need for no change). Who needs to be involved? What training programs are needed? Is there a need for on-going training? Discuss how you would evaluate the success of the change (or the continued success of what you are currently doing). What is the cost to implement or maintain this change? Who will be financially responsible? How feasible is this change?
• Finally, identify how changes in public policy and technological advances in the future could impact this topic. What would those changes mean to the healthcare industry?  

Assignment Expectations

Length: Recorded presentation between 7 and 12 minutes in length. The presentation should include a PowerPoint and oral presentation of the slides. There is no slide number requirement. Answer all questions thoroughly with the allotted time. Use a recording platform of your choice and either upload as an mp4 or share the link directly to the video in the dropbox.

Structure: Include a title slide, objective slide, content slides, reference slide in APA format. 

References: Use the appropriate APA style in-text citations and references for all resources utilized to answer the questions. Include at least three (3) scholarly sources to support your claims.

Rubric: This assignment uses a rubric for scoring. Please review it as part of your assignment preparation and again prior to submission to ensure you have addressed its criteria at the highest level.

Format: Save your assignment as an mp4 document (.mp4) or share the link to the recording

File name: Name your saved file according to your first initial, last name, and the module number (for example, “RHall Module 1.mp4”)

Presentation: Use presentation software (ex. PowerPoint, Google Slides) to create a visual presentation. 

 Within your response you’ve shared, “My Nursing Philosophy mainly focuses on understanding the environment of the individual or the group at my care”. Reflecting on this theory and your role as a professional nurse, how have you demonstrated the incorporation of elements taken from this nursing theory? What does this look like and how has it influenced the care that you provide to your patients? 

1 page include at least 1 reference

Week 2 Project – Due

Nov 25, 2020 10:59 PMNSG3039-Information Management and Technology CP02

Change Proposal

In a Microsoft Word document of 4-5 pages formatted in APA style, develop a change proposal for a new technology that will contribute to a safer patient environment.
In your paper address each of the following criteria:

• Describe how the change proposal for the new technology will:
  • impact patient safety.
  • be measured to assess the impact of your change.
  • be communicated to staff and implemented.
• Examine human factors related to change and resistance to change.

On a separate references page, cite all sources using APA format. Helpful APA guides and resources are available in the South University Online Library. Below are guides that are located in the library and can be accessed and downloaded via the South University Online Citation Resources: APA Style page. The American Psychological Association website also provides detailed guidance on formatting, citations, and references at APA Style.
• APA Citation Helper
• APA Citations Quick Sheet
• APA-Style Formatting Guidelines for a Written Essay
• Basic Essay Template

Please note that the title and reference pages should not be included in the total page count of your paper.

Parts of a human heart and its functions?

Attention Wizard Kim: Week 11 finals 

Please be careful with this finals. Please write the reports first before you put the excel .

Week 11 Discussion: Classification and Clustering 2 pages. 

Week 11 Assignment: K-Means Clustering 3 pages APA format 7th ed. 

Addressing healthcare problems that have a large impact on individuals in our society, have been at the forefront of quality improvement initiatives. Identifying these areas of concern can be helpful for DNP prepared nurses to stimulate and create effective change that may be needed. One of the areas of concern identified is Opioid. Opioid use disorder is a national problem in the United States of America.  According to the US Burden of Disease Collaborators (2018), opioid use disorder (OUD) is the number 7 leading cause of morbidity and mortality in the US. As a mental health practitioner, OUD and other substance abuse are common problems I see in my patient population. This national burden is directly related to my daily practice because most of the patient population seen in the clinic are also being prescribed opioids for chronic pain for various reason from other providers.  In rural Tennessee where I practice, the small town is well known for drug abuse and drug overdose.  I have learned from my previous collaborator, to be very careful when prescribing antianxiety medications or any type of control substance, since at the time I was the new provider in the area.

OUD impacts nurses as it requires a multifaceted approach involving various interdisciplinary members where a nurse may take a leadership position in the patient’s care (Eckart et al., 2020). As a profession, nursing science advances knowledge to recognize, prevent, and treat OUD (Eckart et al., 2020). Health care organizations serve as the umbrella to support multidisciplinary teams in treating OUD. Last but not least, quality of care could be affected by prescriber practices, social stigma, and lack of resources that correlate to OUD (Eckart et al., 2020).

A couple of crucial national stakeholders come to mind with OUD: the Centers for Disease Control and Prevention (CDC) and Drug Enforcement Agency (DEA). The CDC plays a significant role in providing OUD guidance for the public, including clinicians and patients. The DEA plays another vital role in monitoring and regulating prescribers plus controlled substance prescriptions. Micro level stakeholders impacted by the resolution of this issue include patients, as well as community members who have day to day interactions with the patients.

At this time, there is a clinical practice guideline (CPG) issued by the CDC.  Clinicians in primary care have found that managing chronic pain can be a daunting task; therefore, the CDC has issued a CPG on prescribing treatment for chronic pain (Dowell, Haegerich, & Chou, 2016). Using a systematic review to assess benefits, risks, values, preferences, and costs, the CDC has issued 12 recommendations to clinicians when prescribing opioids (Dowell et al., 2016). The recommendations advise that clinicians avoid prescribing opioids if possible, take a stepwise dose approach if prescribing opioids is unavoidable, establish goals of treatment with patients before prescribing, and closely monitor patients for response to treatment; the recommendations also include avoiding concurrent use of other opioids or benzodiazepines, in addition to providing medication assisted treatment for OUD (Dowell et a., 2016).

The CPG provided the CDC has been a mainstay to patient education in my practice. My collaborating physician and I rarely issue opioid prescriptions. We often encounter frustrated patients when they are refused opioid prescriptions after having been given opioids from the emergent care setting; this is a time-consuming issue faced frequently in may primary care clinics (Tong et al., 2019). To improve patient safety and satisfaction, counseling is important to de-escalate patient frustrations and help them perceive the potential harms to opioid use.

I need a comment for this post at least 2 paragraphs and 2 sources no later than 5 years. 

• Meiner, S. E., & Yeager, J. J. (2019).
  • Chapter 21
    Chapter_021.pptx
  • Chapter 22
    Chapter_022.pptx
  • Chapter 23
    Chapter_023.pptx
  • Chapter 24
    Chapter_024.pptx
  • Chapter 25
    Chapter_025.pptx

Watch

None.

Supplemental Materials & Resources

• Visit the CINAHL Complete under the A-to-Z Databases on the University Library’s website and locate the articles below:
  1. Wolf, L. A., Perhats, C., Delao, A. M., Altair, M., Moon, M. D., Clark, P. R. & Zavotsky, K. E. (2016). “It’s a burden to carry.” Describing moral distress in emergency nursing. Journal of Emergency Nursing, 41(1) 37-46.
  2. Johnstone, M. J. (2011). Nursing ethics and informed consent. Australian Nursing Journal, 19(5), 29-30.
• Moral Distress, Moral Courage (Links to an external site.)
  Savel, R. H. & Munro, C. L. (2015). Moral distress, moral courage. American Journal of Critical Care, 24(4), 276-278. doi: 10.4037/ajcc2015738 at http://ajcc.aacnjournals.org/content/24/4/276.full.pdf+html

• Describe major changes that occurs on the neurological system associated to age. Include changes on central nervous system and peripheral nervous system.
• Define delirium and dementia, specified similarities and differences and describe causes for each one.

Submission Instructions:

• Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources

Your assignment will be graded according to the grading rubric.