NURS6521 week 11 Discussion: Off-Label Drug Use in Pediatrics
The unapproved use of approved drugs, also called off-label use, with children is quite common. This is because pediatric dosage guidelines are typically unavailable since very few drugs have been specifically researched and tested with children.
When treating children, prescribers often adjust dosages approved for adults to accommodate a child’s weight. However, children are not just “smaller” adults. Adults and children process and respond to drugs differently in their absorption, distribution, metabolism, and excretion. Children even respond differently during stages from infancy to adolescence. This poses potential safety concerns when prescribing drugs to pediatric patients. As an advanced practice nurse, you have to be aware of safety implications of the off-label use of drugs with this patient group.
To prepare:
- Review the Bazzano et al. and Mayhew articles in the Learning Resources. Reflect on situations in which children should be prescribed drugs for off-label use.
- Think about strategies to make the off-label use and dosage of drugs safer for children from infancy to adolescence. Consider specific off-label drugs that you think require extra care and attention when used in pediatrics.
With these thoughts in mind:
By Day 3
Post an explanation of circumstances under which children should be prescribed drugs for off-label use. Then, describe strategies to make the off-label use and dosage of drugs safer for children from infancy to adolescence. Include descriptions and names of off-label drugs that require extra care and attention when used in pediatrics.
By Day 6
Read a selection of your colleagues’ responses and respond to at least two of your colleagues on two different days who provided a different rationale than you did, in one or more of the following ways:
- Offer and support an alternative perspective using readings from the classroom or from your own research in the Walden Library.
- Validate an idea with your own experience and additional research.
NURS6501 week 11 Discussion: Disorders of the Reproductive Systems
While the male and female reproductive systems are unique to each sex, they share a common function—reproduction. Disorders of this system range from delayed development to structural and functional abnormalities. Since many reproductive disorders not only result in physiological consequences but also psychological consequences such as embarrassment, guilt, or profound disappointment, patients are often hesitant to seek treatment. Advanced practice nurses need to educate patients on disorders and help relieve associated stigmas. During patient evaluations, patients must feel comfortable answering questions so that you, as a key health care provider, will be able to diagnose and recommend treatment options. As you begin this Discussion, consider reproductive disorders that you would commonly see in the clinical setting.
To Prepare
- Review Chapter 22 and Chapter 23 in the McPhee and Hammer text, as well as Chapter 32 in the Huether and McCance text.
- Select two disorders of the male and/or female reproductive systems that interest you. Consider the similarities and differences between the disorders.
- Select one of the following factors: genetics, ethnicity, age, or behavior. Think about how the factor you selected might impact the diagnosis of and treatment for the reproductive disorders.
By Day 3
Post a description of the two reproductive disorders you selected, including their similarities and differences. Then explain how the factor you selected might impact the diagnosis of treatment for the reproductive disorders.
Read a selection of your colleagues’ responses.
By Day 6
Respond to at least two of your colleagues on two different days who selected different disorders or factors than you, in one or more of the following ways:
- Share insights on how the factor you selected impacts the pathophysiology of the disorder your colleague selected.
- Offer alternative diagnoses and prescription of treatment options for the disorder your colleague selected.
- Validate an idea with your own experience and additional research.
Virtual Bypass Surgery
Nursing HomeworksUnit VI Homework
Virtual Bypass Surgery
Introduction
Heart disease is the number one killer in the United States. One procedure to treat blockage in the arteries of the heart is bypass surgery. Someone you know may have already had this procedure; however, few people really realize what occurs during the surgery. The following lab will guide you through the steps of a virtual bypass surgery.
Objectives
1. Identify the major structures and functions of the cardiovascular, respiratory, urinary, digestive, and immune systems.
2. Evaluate various risk factors for diseases within body systems.
3. Relate homeostatic imbalances to disease states.
4. Discuss various treatments, cures, and procedures for common diseases.
Materials
Computer with internet access
Directions
1. Go to the following website: http://www.abc.net.au/science/lcs/swf/heart.swf (or http://www.abc.net.au/science/lcs/heart.htm)
2. Click on ENTER
3. Click on ANATOMY to review the anatomy of the heart.
4. When you are ready to conduct the surgery:
a. Select INTERN from the three choices provided (Intern, Surgeon, Specialist). This will allow you more time.
b. Make sure you read all information on the screen.
5. Type all answers directly on the data sheet. All answers must be written in complete sentences.
6. Select Save As, and use your last name and student ID as a file name.
7. Upload the data sheet as a .doc, .docx, or .rtf file when finished.
Questions 1 – 10 are short answer questions and should be answered in two to three words or one to two complete sentences. Total: 60 points
1. Which chamber of the heart receives oxygen-depleted blood from the superior and inferior vena cava? (6 points)
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2. Which chamber of the heart pumps oxygenated blood to the rest of the body? (6 points)
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3. How much blood can the heart move the through the body in an average lifetime? (6 points)
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4. How is the patient’s anxiety level reduced before surgery? (6 points)
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5. What are the responsibilities of the perfusionist? (6 points)
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6. What are the responsibilities of the anaesthetist? (6 points)
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7. What vein is harvested from the leg to be grafted to the heart? (6 points)
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8. What is the name of the membranous sac that encloses the heart? (6 points)
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9. What is injected into the heart to stop it from beating? (6 points)
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10. In your own words, what is the purpose of the drug protamine? (6 points)
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Question 11 is an extended response question. Your response should go into significant detail and should be at least 200 words. Total: 40 points
Directions
1. The American Heart Association is a national voluntary health agency to help reduce disability and death from cardiovascular diseases and stroke. Click here or copy and paste the URL below into your web browser to read the article and answer the question:
http://www.heart.org/HEARTORG/Conditions/More/ConsumerHealthCare/Heart-Health-Screenings_UCM_428687_Article.jsp
Question
11. Based on the key screening tests recommended for optimal cardiovascular health and coronary heart disease risk factors listed, what are your risk factors? Are you healthy? Do you know the answers to all of the tests listed? What are some things that you might change in your life or your family’s lives in order to reduce your risk factors? You can view helpful information under each of the tabs at the top of the site.
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Off-Label Drug Use in Pediatrics
UncategorizedNURS6521 week 11 Discussion: Off-Label Drug Use in Pediatrics
The unapproved use of approved drugs, also called off-label use, with children is quite common. This is because pediatric dosage guidelines are typically unavailable since very few drugs have been specifically researched and tested with children.
When treating children, prescribers often adjust dosages approved for adults to accommodate a child’s weight. However, children are not just “smaller” adults. Adults and children process and respond to drugs differently in their absorption, distribution, metabolism, and excretion. Children even respond differently during stages from infancy to adolescence. This poses potential safety concerns when prescribing drugs to pediatric patients. As an advanced practice nurse, you have to be aware of safety implications of the off-label use of drugs with this patient group.
To prepare:
With these thoughts in mind:
By Day 3
Post an explanation of circumstances under which children should be prescribed drugs for off-label use. Then, describe strategies to make the off-label use and dosage of drugs safer for children from infancy to adolescence. Include descriptions and names of off-label drugs that require extra care and attention when used in pediatrics.
By Day 6
Read a selection of your colleagues’ responses and respond to at least two of your colleagues on two different days who provided a different rationale than you did, in one or more of the following ways:
NURS6501 week 11 Discussion: Disorders of the Reproductive Systems
While the male and female reproductive systems are unique to each sex, they share a common function—reproduction. Disorders of this system range from delayed development to structural and functional abnormalities. Since many reproductive disorders not only result in physiological consequences but also psychological consequences such as embarrassment, guilt, or profound disappointment, patients are often hesitant to seek treatment. Advanced practice nurses need to educate patients on disorders and help relieve associated stigmas. During patient evaluations, patients must feel comfortable answering questions so that you, as a key health care provider, will be able to diagnose and recommend treatment options. As you begin this Discussion, consider reproductive disorders that you would commonly see in the clinical setting.
To Prepare
By Day 3
Post a description of the two reproductive disorders you selected, including their similarities and differences. Then explain how the factor you selected might impact the diagnosis of treatment for the reproductive disorders.
Read a selection of your colleagues’ responses.
By Day 6
Respond to at least two of your colleagues on two different days who selected different disorders or factors than you, in one or more of the following ways:
Importance of conducting a thorough literature review as it relates to the research process
UncategorizedDiscuss the importance of conducting a thorough literature review as it relates to the research process in two paragraphs.
Use a reference from scholarly literature : Peer-reviewed Nursing journal not older than 5 years or your textbook:
Polit, D. E. & Beck, C. T. (2018). Essentials of nursing research: Appraising evidence for nursing practice(9th. ed.). Philadelphia, PA: Wolters Kluwer.
to support your primary response.
Personal Worldview Essay: Spirituality- Concepts of Pluralism, Scientism, and Postmodernism
Nursing HomeworksPersonal Worldview Essay: Spirituality- Concepts of Pluralism, Scientism, and Postmodernism
Write an 800-1,000 word essay on your personal worldview. Briefly discuss the various possible meanings of the term “spirituality,” and your understanding of the concepts of pluralism, scientism, and postmodernism. Primarily, address the following seven basic worldview questions:
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Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required. Personal Worldview Essay: Spirituality- Concepts of Pluralism, Scientism, and Postmodernism
>Nursing homework help
UncategorizedChoose one health-promoting behavior in which you personally could but don’t engage. Identify factors, as defined in the health promotion model, which contribute to your decision not to participate. Include immediate competing alternatives.
2. Analyze factors that contribute to your participation in a health-promoting activity and place each factor under the appropriate label from the health promotion model.
3. Consider your own philosophy of health and prepare your description of wellness. Is absence of disease more prominent than positive, active statements of health?
4. Anticipate the health-promoting behaviors important at various stages of development across the life span. What health promotion topics do you include in your practice?
Characteristics of Living Things
Nursing HomeworksWhat does it take to be a living organism?
Living things share eight characteristics (listed in Chapter 1 of your textbook on page 19). A living thing grows, undergoes metabolism, responds to its environment, reproduces, passes DNA to the next generation, maintains homeostasis, changes over time, and is made up of cells. A nonliving thing may seem to do one or more of these things, but to be classified as living, all eight characteristics must be present. Sometimes, you may see something that seems alive but is not. Water, for example, moves, responds to temperature, dissolves substances, erodes rocks, and so on, but it does not have DNA and is not made up of cells. Other times, you may see a thing and think it cannot be alive, yet it is. Coral looks like a rock, but a coral reef is actually made up of millions of tiny animals.
Focus your discussion on only 1 of the following topics:
Utilize at least 1 credible source to support the arguments presented in your post.
Applied Sciences homework help
UncategorizedFor your research paper, please address the following in a properly formatted research paper:
Your paper should meet the following requirements:
Part 2: Discussion (500 words including 2 responses)
From your research, discuss whether or not your organization has ISO 27001 certification. Outside of overall protection from cyber-attacks, describe, in detail, some other benefits your organization will achieve in obtaining this certification. If your company does not have this certification, how can they go about obtaining it?
Present your discussion post as if you were presenting to senior leaders of your company.
Please make your initial post and two response posts substantive. A substantive post will do at least two of the following:
>Philosophy homework help
UncategorizedContext: John Stuart Mill and Jean-Jacques Rousseau discuss the notions of liberty and equality in different ways.
You are required to:
Part 1:
a) Clearly lay out their arguments about individuality, liberty and/or equality
b) What points do they agree upon (if applicable)? (be clear about the evidence you have for your claim)
c) What aspects do they disagree about (if applicable)? (be clear about the evidence you have for your claim)
d) What is the significance of their articulations to our contemporary society? Be specific. (connect points logically a + b+ c = d)
Be certain to incorporate the reading material, use your own words and cite your sources systematically.
Part 2: Select one of your peer’s responses and reply to his/her/their post.
Aim: work through the questions using your own process of thinking. Do not be afraid to explore your thoughts and write them down. This is about you, not me or anyone else.
HOW ARE FINANCIAL STATEMENTS USED TO DEMONSTRATE THE FINANCIAL HEALTH OF A HEALTH CARE SETTING?
Uncategorized200- 250 words APA format
_____________________________
Budgets, balance sheets, and other accounting tools provide a wealth of information for managers, but only if they know what they are looking at. It is time to learn the language and rules of finance!
To prepare for this Discussion, complete the readings in your Learning Resources. Think about the financial decisions of many health care settings.
Post a comprehensive response to the following:
How might the basic accounting rules under the accrual principle differ for you as an individual (or family) from those applied in a health care setting?
How are financial statements used to demonstrate the financial health of a health care setting? Select three key terms from the chapters (pp. 180 & 206) and explain how those key factors influence financial reporting in health care.
___________________________________
resources
Introduction to Health Care Economics & Financial Management
Chapter 10, “Basics of Financial Accounting and Reporting”Health care administrators often have to review and interpret financial statements. Financial statements are assessments and indicators of the financial health of an organization. They also reflect the perspective, tax status, and priorities of an organization. Financial statements show the impact of decisions made by leadership. In this chapter, you will review a brief history of financial accounting, regulation, and other accounting concepts. You will review the financial statements of the nonprofit SouthSide Hospital in this chapter and in Chapter 11.
Chapter 11, “Basic Financial Analysis”In this chapter, income statements and balance sheets from nonprofit SouthSide Hospital are used to enhance the health care professional’s ability to analyze a health care settings financial performance. Various methods for financial statement analysis and operating analysis are presented.
Donal, B., & Cebenoyna, F. (2007). Alternative evidence on financial analysts’ use of financial statement information. Review of Accounting & Finance, 442. Retrieved from the Walden Library databases: http://search.proquest.com.ezp.waldenulibrary.org/docview/215633746/fulltextPDF/CE74F497BFCF455DPQ/13?accountid=14872
Murty, A. V. N., & Misra, D. P. (2004). Cash flow ratios as indicators of corporate failure. Finance India, 18(3), 1315-1325. Retrieved from the Walden Library databases: http://search.proquest.com.ezp.waldenulibrary.org/docview/224377843?accountid=14872
Palmer, M., & Sanders, T. B. (2008). Going concern debt rations: is the firm safe? Corporate Finance Review, 13(3), 25-33. Retrieved from the Walden Library databases: http://search.proquest.com.ezp.waldenulibrary.org/docview/198761845?accountid=14872
Identify one potential ethical issue and one legal issue that would be foremost in your mind as you begin counseling your client.
Nursing HomeworksPlease can you do this Unit 3 Discussion 1 & 2 and Unit 3 Assignment 1? $40.00 Due (Monday) 7/23/2018.
Unit 3 Discussion 1 & 2 and Unit 3 Assignment 1? $40.00 Due (Monday) 7/23/2018.
Unit 3 Discussion 1
Legal Issues in Counseling Children and Teens
Based on your experience in a counseling-related field or another professional arena, identify an incident with specific legal issues associated with the provision of counseling services to children and adolescents and describe how they were handled. Briefly describe what happened, changing specifics as needed to protect confidentiality. Based on what you have learned in Counseling Children, Morelen and Schaffer’s 2012 article, linked in Resources, and your review of the laws in your state, how well were the issues handled? What are the best practices for handling these issues?
Resources
· Discussion Participation Scoring Guide.
· Understanding Clinical, Legal, and Ethical Issues in Child Emotional Maltreatment.
Unit 3 Discussion 2
Ethical Issues in Counseling Children and Teens [u03d2] Unit 3 Discussion 2
Overview
For this discussion, briefly describe the hypothetical case that you have created (or are creating) for your Unit 3 assignment. Then, identify one potential ethical and one potential legal concern that you would have in mind, as you began counseling with this child or adolescent. Explain the course of action you would take in the first session in order to prevent legal or ethical problems by communicating clearly with your client while also building rapport. Use the course readings for this week to support your conclusions.
Example Scenario
As an example, consider this scenario: Kendra, a 16-year-old student, has been encouraged by her best friend to come see you. Kendra called to make the appointment herself. She lives alone with her mother who works the night shift at a local club. Kendra says she hopes that her mother won’t have to know about her counseling because “she’s always tired,” and Kendra’s concern has to do with a boyfriend her mother dislikes. Kendra has never actually met the boyfriend; he is someone she connected with online who she’s been texting. Recently, the texts have become very sexual and Kendra has begun feeling uncomfortable, although she also finds the relationship exciting.
Based on your readings this week, what would be one potential ethical issue that would be foremost in your mind as you begin counseling Kendra? What would be one potential legal issue? How would you handle these concerns when Kendra comes in?
Discussion Instructions
Now, briefly describe the hypothetical case you have created (or are creating) for this unit’s assignment.
· Identify one potential ethical issue and one legal issue that would be foremost in your mind as you begin counseling your client.
· Identify your plan for addressing those issues.
· Cite the appropriate section of the ACA Code of Ethics, linked in Resources, and at least one other relevant resource.
Post your case to the discussion area.
Resources
· Discussion Participation Scoring Guide.
· American Counseling Association: Ethics and Professional Standards.
[u03a1] Unit 3 Assignment 1
Unit 3 Assignment 1