What type of drug should you prescribe based on your patient’s diagnosis? How much of the drug should the patient receive? How often should the drug be administered? When should the drug not be prescribed? Are there individual patient factors that could create complications when taking the drug? Should you be prescribing drugs to this patient?
These are some of the questions you might consider when selecting a treatment plan for a patient. As an advanced practice nurse prescribing drugs, you are held accountable for people’s lives on a daily basis. Patients and their families will often place trust in you because of your position. With this trust comes power and responsibility, as well as an ethical and legal obligation to “do no harm.” It is important that you are aware of current professional, legal, and ethical standards for advanced practice nurses with prescriptive authority. In this Discussion, you explore ethical and legal implications of scenarios and consider how to appropriately respond.
Scenario 1:
As a nurse practitioner, you prescribe medications for your patients. You make an error when prescribing medication to a 5-year-old patient. Rather than dosing him appropriately, you prescribe a dose suitable for an adult.
Scenario 2:
A friend calls and asks you to prescribe a medication for her. You have this autonomy, but you don’t have your friend’s medical history. You write the prescription anyway.
Scenario 3:
You see another nurse practitioner writing a prescription for her husband who is not a patient of the nurse practitioner. The prescription is for a narcotic. You can’t decide whether or not to report the incident.
Scenario 4:
During your lunch break at the hospital, you read a journal article on pharmacoeconomics. You think of a couple of patients who have recently mentioned their financial difficulties. You wonder if some of the expensive drugs you have prescribed are sufficiently managing the patients’ health conditions and improving their quality of life.
To prepare:
- – Review Chapter 1 of the Arcangelo and Peterson text, as well as articles from the American Nurses Association, Anderson and Townsend, the Drug Enforcement Administration, and Philipsend and Soeken.
- – Select one of the four scenarios listed above.
- – Consider the ethical and legal implications of the scenario for all stakeholders involved such as the prescriber, pharmacist, patient, and the patient’s family.
- – Think about two strategies that you, as an advanced practice nurse, would use to guide your ethically and legally responsible decision-making in this scenario.
With these thoughts in mind:
Post an explanation of the ethical and legal implications of the scenario you selected on all stakeholders involved such as the prescriber, pharmacist, patient, and the patient’s family. Describe two strategies that you, as an advanced practice nurse, would use to guide your decision making in this scenario.
– This work should have Introduction and conclusion
– This work should have at 3 to 5current references (Year 2012 and up)
– Use at least 2 references from class Learning Resources
The following Resources are not acceptable:
1. Wikipedia
2. Cdc.gov- nonhealthcare professionals section
3. Webmd.com
4. Mayoclinic.com
Required Readings
**Arcangelo, V. P., Peterson, A. M., Wilbur, V., & Reinhold, J. A. (Eds.). (2017). Pharmacotherapeutics for advanced practice: A practical approach (4th ed.). Ambler, PA: Lippincott Williams & Wilkins.
- Chapter 1, “Issues for the Practitioner in Drug Therapy” (pp. 3–14)
This chapter introduces issues relating to drug therapy such as adverse drug events and medication adherence. It also explores drug safety, the practitioner’s role and responsibilities in prescribing, and prescription writing. - Chapter 59, “The Economics of Pharmacotherapeutics” (pp. 1009-1018)
This chapter analyzes the costs of drug therapy to health care systems and society and explores practice guideline compliance and current issues in medical care. - Chapter 60, “Integrative Approaches to Pharmacotherapy—A Look at Complex Cases” (pp. 1021-1036)
This chapter examines issues in individual patient cases. It explores concepts relating to evaluation, drug selection, patient education, and alternative treatment options.
**Crigger, N., & Holcomb, L. (2008). Improving nurse practitioner practice through rational prescribing. The Journal for Nurse Practitioners, 4(2), 120–125.
Note: Retrieved from the Walden Library databases.
This article explores issues relating to prescription drugs, specifically the frequency in which drugs are prescribed to patients. It also examines factors to consider before beginning drug therapy plans with patients.
**Philipsen, N. C., & Soeken, D. (2011). Preparing to blow the whistle: A survival guide for nurses. The Journal for Nurse Practitioners, 7(9), 740–746.
Note: Retrieved from the Walden Library databases.
This article examines issues that nurses encounter when reporting errors in medical settings. It also outlines the role of ethics and the responsibility of nurses to notify all individuals who are impacted by a medical error.
**American Nurses Association. (2001). Code of ethics for nurses with interpretive statements. Nursing World. Retrieved from http://www.nursingworld.org/MainMenuCategories/EthicsStandards/CodeofEthicsforNurses/Code-of-Ethics-For-Nurses.html
This article outlines ethical standards in the nursing profession and identifies nine provisions of care that must be adhered to by all nurses.
**Anderson, P., & Townsend, T. (2010). Medication errors: Don’t let them happen to you. American Nurse Today, 5(3), 23–28. Retrieved from https://americannursetoday.com/medication-errors-dont-let-them-happen-to-you/
This article examines factors that lead to medication errors as well as consequences of these errors on patients and nurses. It also recommends methods for avoiding and eliminating medication errors.
**Drug Enforcement Administration. (n.d.). Mid-level practitioners authorization by state. Retrieved from August 23, 2012, http://www.deadiversion.usdoj.gov/drugreg/practioners/index.html
This website outlines the schedules for controlled substances, including prescriptive authority for each schedule.
**Drugs.com. (2012). Retrieved from http://www.drugs.com/
This website presents a comprehensive review of prescription and over-the-counter drugs including information on common uses and potential side effects. It also provides updates relating to new drugs on the market, support from health professionals, and a drug-drug interactions checker.
**Institute for Safe Medication Practices. (2012). ISMP’s list of error-prone abbreviations, symbols, and dose designations. Retrieved from http://www.ismp.org/Tools/errorproneabbreviations.pdf
This website provides a list of prescription writing abbreviations that might lead to misinterpretation, as well as suggestions for preventing resulting errors.
**Byrne, W. (2011). U.S. nurse practitioner prescribing law: A state-by-state summary. Medscape Nurses. Retrieved from http://www.medscape.com/viewarticle/440315
**Drug Enforcement Administration. (n.d.). Code of federal regulations. Retrieved August 23, 2012, from http://www.deadiversion.usdoj.gov/21cfr/cfr/1300/1300_01.htm
Science homework help
UncategorizedIntroduction
The objective of this assignment is to apply the scientific method to primate observation. As you have learned in your textbook readings and online learning activities, a primate is a lemur, loris, tarsier, monkey, or ape. Examples of primates can be found in your textbook. To meet the assignment objective, you will be writing a report (an essay) about the scientific observation of non-human primates and their behaviors.
Which primate interests you? What primate behaviors interest you? These are questions to ask yourself before getting started.
Plan which non-human primates you want to observe by formulating questions and hypotheses with predictions (more description in this article by Crocket & Ha and in this lab from Kenyon University). Questions frame what you want to know. Hypotheses are the answers to the questions. Predictions are what you expect to see to support or refute the hypotheses. Write this plan down.
Method
Your plan will determine which method you will use to determine if the predictions are true or not. So, how do you observe primates? Primate behaviors can be observed using animal behavioral sampling methods. You can observe behaviors as expressed by individuals or groups, individual behaviors over long or within short bursts of time, or a combination all of the above. There are several methods you can employ to observe primates and they are outlined here and here. Write down what you see, hear, feel, and notice. Taking down data requires organization. Here are some sample datasheets you can use to organize your data: data sheet 1 and data sheet 2 (go to page 29).
Where do you observe primates? There are several live cams of primates living in zoos and sanctuaries, and options for narrated primate videos. Here are a few options:
You could also go to your local zoo. It is not required to go to the zoo for this assignment because it might not be open or feasible to go. If you go to the zoo, find the non-human primates. Observe the non-human primates quietly. Be respectful of their living space and other humans observing with you.
Once you’ve spent time observing primates, take the observations and data collections and write a report about your findings. Be sure to include the following information points:
Notice that this assignment requires you to observe non-human primates (lemurs, lorises, tarsiers, monkeys, or apes). You may do so through videos or at the zoo. This is more than just analyzing what you read in a book or website about primates. Observations of humans or animals that are not primates for this assignment will not count for credit.
Here is the most common question for Essay 2.
Format
All work must be addressed in essay format. It is recommended to format the paper with the following as headings to make sure they are addressed in the paper: introduction/hypothesis, materials & methods, results, discussion/limitations/future projects. Tables, figures, and descriptive ways of explaining data are encouraged.
This assignment must be written using a word processing program and saved either as .doc or .docx. ASA format is required. All information must be cited in ASA in the text and at the end of the paper. It is expected that at least one reference from the course is used, such as the textbook or lab book.
Ethical And Legal Implications Of Prescribing Drugs
UncategorizedWhat type of drug should you prescribe based on your patient’s diagnosis? How much of the drug should the patient receive? How often should the drug be administered? When should the drug not be prescribed? Are there individual patient factors that could create complications when taking the drug? Should you be prescribing drugs to this patient?
These are some of the questions you might consider when selecting a treatment plan for a patient. As an advanced practice nurse prescribing drugs, you are held accountable for people’s lives on a daily basis. Patients and their families will often place trust in you because of your position. With this trust comes power and responsibility, as well as an ethical and legal obligation to “do no harm.” It is important that you are aware of current professional, legal, and ethical standards for advanced practice nurses with prescriptive authority. In this Discussion, you explore ethical and legal implications of scenarios and consider how to appropriately respond.
Scenario 1:
As a nurse practitioner, you prescribe medications for your patients. You make an error when prescribing medication to a 5-year-old patient. Rather than dosing him appropriately, you prescribe a dose suitable for an adult.
Scenario 2:
A friend calls and asks you to prescribe a medication for her. You have this autonomy, but you don’t have your friend’s medical history. You write the prescription anyway.
Scenario 3:
You see another nurse practitioner writing a prescription for her husband who is not a patient of the nurse practitioner. The prescription is for a narcotic. You can’t decide whether or not to report the incident.
Scenario 4:
During your lunch break at the hospital, you read a journal article on pharmacoeconomics. You think of a couple of patients who have recently mentioned their financial difficulties. You wonder if some of the expensive drugs you have prescribed are sufficiently managing the patients’ health conditions and improving their quality of life.
To prepare:
With these thoughts in mind:
Post an explanation of the ethical and legal implications of the scenario you selected on all stakeholders involved such as the prescriber, pharmacist, patient, and the patient’s family. Describe two strategies that you, as an advanced practice nurse, would use to guide your decision making in this scenario.
– This work should have Introduction and conclusion
– This work should have at 3 to 5current references (Year 2012 and up)
– Use at least 2 references from class Learning Resources
The following Resources are not acceptable:
1. Wikipedia
2. Cdc.gov- nonhealthcare professionals section
3. Webmd.com
4. Mayoclinic.com
Required Readings
**Arcangelo, V. P., Peterson, A. M., Wilbur, V., & Reinhold, J. A. (Eds.). (2017). Pharmacotherapeutics for advanced practice: A practical approach (4th ed.). Ambler, PA: Lippincott Williams & Wilkins.
This chapter introduces issues relating to drug therapy such as adverse drug events and medication adherence. It also explores drug safety, the practitioner’s role and responsibilities in prescribing, and prescription writing.
This chapter analyzes the costs of drug therapy to health care systems and society and explores practice guideline compliance and current issues in medical care.
This chapter examines issues in individual patient cases. It explores concepts relating to evaluation, drug selection, patient education, and alternative treatment options.
**Crigger, N., & Holcomb, L. (2008). Improving nurse practitioner practice through rational prescribing. The Journal for Nurse Practitioners, 4(2), 120–125.
Note: Retrieved from the Walden Library databases.
This article explores issues relating to prescription drugs, specifically the frequency in which drugs are prescribed to patients. It also examines factors to consider before beginning drug therapy plans with patients.
**Philipsen, N. C., & Soeken, D. (2011). Preparing to blow the whistle: A survival guide for nurses. The Journal for Nurse Practitioners, 7(9), 740–746.
Note: Retrieved from the Walden Library databases.
This article examines issues that nurses encounter when reporting errors in medical settings. It also outlines the role of ethics and the responsibility of nurses to notify all individuals who are impacted by a medical error.
**American Nurses Association. (2001). Code of ethics for nurses with interpretive statements. Nursing World. Retrieved from http://www.nursingworld.org/MainMenuCategories/EthicsStandards/CodeofEthicsforNurses/Code-of-Ethics-For-Nurses.html
This article outlines ethical standards in the nursing profession and identifies nine provisions of care that must be adhered to by all nurses.
**Anderson, P., & Townsend, T. (2010). Medication errors: Don’t let them happen to you. American Nurse Today, 5(3), 23–28. Retrieved from https://americannursetoday.com/medication-errors-dont-let-them-happen-to-you/
This article examines factors that lead to medication errors as well as consequences of these errors on patients and nurses. It also recommends methods for avoiding and eliminating medication errors.
**Drug Enforcement Administration. (n.d.). Mid-level practitioners authorization by state. Retrieved from August 23, 2012, http://www.deadiversion.usdoj.gov/drugreg/practioners/index.html
This website outlines the schedules for controlled substances, including prescriptive authority for each schedule.
**Drugs.com. (2012). Retrieved from http://www.drugs.com/
This website presents a comprehensive review of prescription and over-the-counter drugs including information on common uses and potential side effects. It also provides updates relating to new drugs on the market, support from health professionals, and a drug-drug interactions checker.
**Institute for Safe Medication Practices. (2012). ISMP’s list of error-prone abbreviations, symbols, and dose designations. Retrieved from http://www.ismp.org/Tools/errorproneabbreviations.pdf
This website provides a list of prescription writing abbreviations that might lead to misinterpretation, as well as suggestions for preventing resulting errors.
**Byrne, W. (2011). U.S. nurse practitioner prescribing law: A state-by-state summary. Medscape Nurses. Retrieved from http://www.medscape.com/viewarticle/440315
**Drug Enforcement Administration. (n.d.). Code of federal regulations. Retrieved August 23, 2012, from http://www.deadiversion.usdoj.gov/21cfr/cfr/1300/1300_01.htm
ANALYZE THE EVALUATION OF THE EFFICACY OF USING TELEHEALTH IN THE MENTAL DISORDERS.
UncategorizedThe advancement in technology has led to the introduction of methods for enhancing the health care. E-health has been used to enhance the health care and addressing the mental disorders issue through the use of online therapy. This discussion will analyze the evaluation of the efficacy of using telehealth in the mental disorders. It will also look at the integration of the evidence based practices in the telehealth sector. The professional issues that might be encountered and the benefits of the delivery methods will also be summarized in this discussion.
Telehealth has been an effective method of addressing the mild, moderate and the severe mental health disorders. This is because, through the use of evidence based online therapy, many disorders such as depression and anxiety have been addressed through the use of online platform website which contain information on standard diagnosis and treatment. It also reduces the patients’ and the providers’ costs and increases the system coverage areas (Gros et. al, 2013). The evidence based treatment practices can be integrated into the telehealth trend through the use of cognitive behavioral therapy and online therapy where the patients’ thoughts are changed through acts such as storytelling and helping them to live in independence.
From the interactive assignment, he population targeted are the youths aged between 18-35 years. Being a clinical psychologist, I will use telehealth to address the psychological disorders faced by the clients. It will be appropriate to use telehealth platforms such as telephone, texts and virtual clinics because the youth in the modern generation are well versed with the technological advancement. They will therefore fully corporate and follow activity schedules and lessons stated in the telehealth treatment plans.
Through the use of using e-health there are some legal, ethical and professional issues that can be encountered during the delivery of the services. The psychologists need to ensure that they meet the ethical and professional standards (Baker, 2011). Some of the ethical issues include informed consent whereby they need to obtain informed consent of the patient before delivering the treatment plan. There should also be confidentiality of the data and the information in tele-psychology. When it comes to the legal considerations, the psychologists should comply and be familiar with the relevant federal and state laws when delivering the services to the patients across the jurisdiction and international borders. The effective use of the technology in accordance to the ethics and law will be beneficial as it will minimize the risks (Harris, 2011). E-therapy will also promote new and improved ways of delivering the healthcare services thus overcoming risks such as breach of patient privacy and wrong diagnosis.
World history homework help
Uncategorized1. How did the rise of fascism in Europe and militarism in Japan connect to the Great Depression and the First World War?
2. How were World War I and World War II truly world wars? In addition to the places where fighting actually took place, think about other issues such as the wars’ economic implications, changes in social relations, and the wars’ effects on politics and society.
3. What were some of the key outcomes of World War II and how did they differ from the results of World War I?
Ethical and Professional Issues in Psychology Testing
Nursing HomeworksEthical and Professional Issues in Psychology Testing
Prior to beginning work on this assignment, please read the required textbook chapters and articles for this week.
Create a PowerPoint presentation with 16 to 20 slides (not including the title and reference slides) entitled Ethical and Professional Issues in Psychological Testing. Your presentation must provide 2 to 3 slides for each of the required topics and include appropriate citations of your referenced sources. Separate reference slides, which follow APA formatting guidelines for a References page, must be included at the end of the presentation. You must create your own template and organize your presentation in the sequence provided. Do not use a font smaller than 20 pt. You are encouraged to insert relevant figures and graphics. Make sure to appropriately cite any images you use. If you include a table or figure from a journal article, cite it according to APA guidelines. The notes section of each slide must include the text for oral comments you would make while presentating the materials to a live audience.
References must be cited according to APA guidelines as outlined in the Ashford Writing Center (Links to an external site.)Links to an external site.. For assistance with creating a visually engaging and readable presentation, you may review Garr Reynolds’s tips for creating presentations (Links to an external site.)Links to an external site..
The presentation must cover each of the following topics in the order presented below.
The Ethical and Social Implications of Testing
Professional Responsibilities
Testing Individuals Representing Cultural and Linguistic Diversity
Reliability
Validity
Clinical Versus Statistical Prediction
Application One: An Ethical and Professional Quandry
Application Two: Evidence-Based Medicine
Application Three: Selecting Valid Instruments
The presentation
Carefully review the Grading Rubric (Links to an external site.)Links to an external site. for the criteria that will be used to evaluate your assignment.
>Applied Sciences homework help
Uncategorized(2) Current strategies or programs that address the issue—including an analysis of how well these strategies/programs are working. This corresponds to the Literature Review section of an article.
(3) Your recommendations for needed actions (supported by evidence.) Make sure you also discuss the relationship between what is being done and what you have determined should be done. (What do your recommendations address that current strategies are not addressing?) This (loosely) corresponds to the Methods, Results, and Discussion sections of an article.
(4) Conclusion.
(5) References in APA format (both in-text citations and Reference page)
>Computer Science homework help
UncategorizedPart 1: Beta
Visit the following web site or other websites:
Yahoo Finance : https://finance.yahoo.com/
1. Search for the beta of “Carnival Corporation & plc”
2. In addition, find the beta of 3 different companies within the same industry as Carnival Corporation & plc 3. Explain to your classmates what beta means and how it can be used for managerial and/or investment decision
4. Why do you think the beta of Carnival Corporation & plc and those of the 3 companies you found are different from each other? Provide as much information as you can and be specific.
Part 2: Capital Budgeting
Before you respond to Part 2 review the following information on Capital Budgeting Techniques
Capital Budgeting Decision Methods (LINK) —– https://www.youtube.com/watch?v=hfZ6lznPf2U&ab_channel=MichaelNugent
To avoid damaging its market value, each company must use the correct discount rate to evaluate its projects. Review and discuss the following:
• Compare and contrast the internal rate of return approach to the net present value approach. Which is better? Support your answer with well-reasoned arguments and examples.
• Is the ultimate goal of most companies–maximizing the wealth of the owners for whom the firm is being operated–ethical? Why or why not?
• Why might ethical companies benefit from a lower cost of capital than less ethical companies?
CAPITAL BUDGETING (PRINCIPLES & TECHNIQUES) —- https://www.scribd.com/doc/37253036/Capital-Budgeting-Principles-Techniques
>Article writing homework help
UncategorizedBe sure to number your responses; minimum of 500 words total for all responses (#1-3) not each response.
Federal Healthcare Organizations
UncategorizedWeek 4 Assignment 2.
Week 4: Week 4 – W4 Assignment 2
Turnitin Assignment
Assignment 2: Course Project Task 4: Federal Healthcare Organizations
“Research a federal governmental organization related to healthcare, such as FEMA, FDA, NIH, CDC, or HHS. It is important to note that some federal agencies are interconnected and work collaboratively; therefore, it might be advantageous to compare and contrast roles and responsibilities of your selected organization”.
(1) Describe the organization’s mission. Relate its stated mission to its activities. Include information to address their roles and responsibilities and provide a clear definition as to the charge of the federal agency.
(2) Select one of the following public health issues and describe 2 –3 important activities of the organization to address the issue: infant mortality rates, reducing heart disease, infectious diseases, or airborne pathogens.
(3) Examine resources utilization by the organization, particularly resources relevant the selected public health issue.
(4) Discuss the organization’s effectiveness in decreasing/improving the selected public health issue.
(5) Introduce 2–3 strategies or an action plan of public health priorities in the twenty-first century to create a healthier nation.
Write a 5-page report about the organization you select. Format the paper in the current APA style and cite sources in the correct format.
Assignment 2 Grading Criteria
Maximum Points
Described the organization’s mission and related it to its activities.
10
Described 2–3 important activities of the organization relevant to selected public health issue.
10
Examined resource utilization relevant selected public health issue.
15
Evaluated effectiveness in reducing selected public health issue.
15
Presented a structured document free of spelling and grammatical errors.
5
Properly cited sources using the APA format.
5
Total: 80
Nursing homework help
UncategorizedNote: Each assessment in this course builds on the work you completed in the previous assessment. Therefore, you should complete the assessments in this course in the order in which they are presented.
The biopsychosocial (BPS) approach to care is a way to view all aspects of a patient’s life. It encourages medical practitioners to take into account not only the physical and biological health of a patient, but all considerations like mood, personality, and socioeconomic characteristics. This course will also explore aspects of pathophysiology, pharmacology, and physical assessment (the three Ps) as they relate to specific conditions, diseases, or disorders.
The first assessment is one in which you will create a concept map to analyze and organize the treatment of a specific patient with a specific condition, disease, or disorder.
Assessment Instructions
Scenario
You have already learned about evidence-based practice and quality improvement initiatives in previous courses. You will use this information to guide your assessments, while also implementing new concepts introduced in this course. For this assessment, you will develop a concept map and provide supporting evidence and explanations. You may use the case studies presented in the Vila Health: Concept Maps as Diagnostic Tools media, a case study from the literature or your practice that is relevant to the list of conditions below, or another relevant case study you have developed. This case study will provide you with the context for creating your concept map. You may also use the practice context from the case study or extrapolate the case study information and data into your own practice setting. Think carefully when you are selecting the case study for this assessment, as you may choose to build upon it for the second assessment as well.
Some example conditions, diseases and disorders that are relevant to metabolic balance and glucose regulation considerations are:
Instructions
Develop a concept map and a short narrative that supports and further explains how the concept map is constructed. You may choose to use the Concept Map Template (in the Resources) as a starting point for your concept map, but are not required to do so. The bullet points below correspond to the grading criteria in the scoring guide. Be sure that your evidence-based plan addresses all of them. You may also want to read the Concept Map scoring guide and the Guiding Questions: Concept Map document to better understand how each grading criterion will be assessed.
Part 1: Concept Map
Part 2: Additional Evidence (Narrative)
Example Assessment: You may use the following to give you an idea of what a Proficient or higher rating on the scoring guide would look like:
Additional Requirements
Questions to Consider:
As you prepare to complete this assessment, you may want to think about other related issues to deepen your understanding or broaden your viewpoint. You are encouraged to consider the questions below and discuss them with a fellow learner, a work associate, an interested friend, or a member of your professional community. Note that these questions are for your own development and exploration and do not need to be completed or submitted as part of your assessment.
SHOW LESSThe assessment will be based on the case of a specific patient with a specific condition, disease, or disorder. Think about an experience you have had treating a patient with a condition, disease, or disorder that interests you, or one of the cases presented in the Vila Health: Concept Maps as Diagnostic Tools media simulation.
Vila Health attached below as images
examples attached
templates attached
*****Must get distinguished in all categories or revise*****