NURS – 6630 Discussion: Foundational Neuroscience

Week 1: Introduction to Neuroscience

Modern psychopharmacology is largely the story of chemical neurotransmission. To understand the actions of drugs on the brain, to grasp the impact of diseases on the central nervous system, and to interpret the behavioral consequences of psychiatric medicines, one must be fluent in the language and principles of neurotransmission. NURS – 6630 Discussion: Foundational Neuroscience .

—Dr. Stephen M. Stahl in Stahl’s Essential Psychopharmacology

By using a combination of psychotherapy and medication therapy, psychiatric mental health nurse practitioners are positioned to provide a very unique type of care to clients with psychiatric disorders. To be successful in this role, you must have a strong theoretical foundation in pathophysiology, psychopharmacology, and neuroscience. This foundation will help you assess, diagnose, and treat clients as you relate presenting symptoms to theoretical neuronal functioning.
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This week, as you begin to study psychopharmacology, you explore foundational neuroscience. You examine the agonist-to-antagonist spectrum of action of psychopharmacologic agents, compare the actions of g couple proteins to ion gated channels, and consider the role of epigenetics in pharmacologic action.
Note: In previous courses, the term “patient” was used to describe the person receiving medical care. In traditional medicine and nursing, this term is used to describe the person you do something to, and it often refers to a passive recipient of care and services. As you move into the realm of psychiatric mental health, a transition will occur. You will work with individuals who are active participants in their care, and these individuals are generally referred to as “clients” as opposed to “patients.” It is important to note that the term “client” is also favored in other mental health disciplines, such as psychiatry, psychology, and social work. NURS – 6630 Discussion: Foundational Neuroscience .

 


Discussion: Foundational Neuroscience

As a psychiatric mental health nurse practitioner, it is essential for you to have a strong background in foundational neuroscience. In order to diagnose and treat clients, you must not only understand the pathophysiology of psychiatric disorders, but also how medications for these disorders impact the central nervous system. These concepts of foundational neuroscience can be challenging to understand. Therefore, this Discussion is designed to encourage you to think through these concepts, develop a rationale for your thinking, and deepen your understanding by interacting with your colleagues.

Learning Objectives

Students will:
  • Analyze the agonist-to-antagonist spectrum of action of psychopharmacologic agents
  • Compare the actions of g couple proteins to ion gated channels
  • Analyze the role of epigenetics in pharmacologic action
  • Analyze the impact of foundational neuroscience on the prescription of medications

Note: To access this week’s required library resources, please click on the link to the Course Readings List, found in the Course Materials section of your Syllabus. NURS – 6630 Discussion: Foundational Neuroscience

Required Readings

Note: All Stahl resources can be accessed through the Walden Library using this link. This link will take you to a log-in page for the Walden Library. Once you log into the library, the Stahl website will appear.

Stahl, S. M. (2013). Stahl’s essential psychopharmacology: Neuroscientific basis and practical applications (4th ed.). New York, NY: Cambridge University Press *Preface, pp. ix–x
 
Note: To access the following chapters, click on the Essential Psychopharmacology, 4th ed tab on the Stahl Online website and select the appropriate chapter. Be sure to read all sections on the left navigation bar for each chapter.

  • Chapter 1, “Chemical Neurotransmission”
  • Chapter 2, “Transporters, Receptors, and Enzymes as Targets of Psychopharmacologic Drug Action”
  • Chapter 3, “Ion Channels as Targets of Psychopharmacologic Drug Action”

Document: Midterm Exam Study Guide (PDF). NURS – 6630 Discussion: Foundational Neuroscience

Document: Final Exam Study Guide (PDF)

Required Media

Laureate Education (Producer). (2016i). Introduction to psychopharmacology [Video file]. Baltimore, MD: Author.
 
Note: The approximate length of this media piece is 3 minutes.

 
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Optional Resources

Laureate Education (Producer). (2009). Pathopharmacology: Disorders of the nervous system: Exploring the human brain [Video file]. Baltimore, MD: Author.
 
Note: The approximate length of this media piece is 15 minutes.
 
Dr. Myslinski reviews the structure and function of the human brain. Using human brains, he examines and illustrates the development of the brain and areas impacted by disorders associated with the brain.
 

 
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Laureate Education (Producer). (2012). Introduction to advanced pharmacology [Video file]. Baltimore, MD: Author.
 
Note: The approximate length of this media piece is 8 minutes.
 
In this media presentation, Dr. Terry Buttaro, associate professor of practice at Simmons School of Nursing and Health Sciences, discusses the importance of pharmacology for the advanced practice nurse.
 

 
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To prepare for this Discussion:

  • Review this week’s Learning Resources.
  • Reflect on concepts of foundational neuroscience. NURS – 6630 Discussion: Foundational Neuroscience

Note: For this Discussion, you are required to complete your initial post before you will be able to view and respond to your colleagues’ postings. Begin by clicking on the “Post to Discussion Question” link and then select “Create Thread” to complete your initial post. Remember, once you click on Submit, you cannot delete or edit your own posts, and you cannot post anonymously. Please check your post carefully before clicking on Submit! NURS – 6630 Discussion: Foundational Neuroscience .

By Day 3

Post a response to each of the following:

  1. Explain the agonist-to-antagonist spectrum of action of psychopharmacologic agents.
  2. Compare and contrast the actions of g couple proteins and ion gated channels.
  3. Explain the role of epigenetics in pharmacologic action.
  4. Explain how this information may impact the way you prescribe medications to clients. Include a specific example of a situation or case with a client in which the psychiatric mental health nurse practitioner must be aware of the medication’s action. NURS – 6630 Discussion: Foundational Neuroscience

Read a selection of your colleagues’ responses.

By Day 6

Respond to two colleagues in one of the following ways:

  • If your colleagues’ posts influenced your understanding of these concepts, be sure to share how and why. Include additional insights you gained. NURS – 6630 Discussion: Foundational Neuroscience
  • If you think your colleagues might have misunderstood these concepts, offer your alternative perspective and be sure to provide an explanation for them. Include resources to support your perspective.

Submission and Grading Information

Grading Criteria

To access your rubric:
Week 1 Discussion Rubric

Post by Day 3 and Respond by Day 6

To participate in this Discussion:
Week 1 Discussion

Making Connections

Now that you have:

  • Explored foundational neuroscience
  • Examined how medications impact the central nervous system

Next week, you will focus on how neuroscience can be applied to pediatric clients presenting with mood disorders. NURS – 6630 Discussion: Foundational Neuroscience

 Psychology homework help
Evaluating Interventions
For your Discussion you will evaluate research designs and describe how they can be utilize to determine the effectiveness of a behavior management program: Introduction and Conclusion not necessary. Minimum 400 words
Include references from : Johnson C.M., Mawhinney, T. C., & Redmon, W.K. (2001). Handbook of organizational performance: Behavior analysis and management.
Cooper, J. Heron, T., & Heward, W. (2007). Applied Behavior Analysis, 2nd Edition.

  1. Describe the advantages of using a within subject design in the field of behavior analysis when compared to a between subject design.
  2. Create a specific program question related to the effectiveness of a behavior management plan for staff. You can create your own original questions or use one from one of the research studies discussed in Chapter 4 of the text.
  3. Select and describe one of the experimental designs to evaluate your program questions. Discuss the benefits and limitations of using this design to evaluate the effectiveness of a behavior management plan.
  4. Discuss variables that can have an impact on the effectiveness of programs. Include a discussion of factors that increase the likelihood that success can be attributed to the program.

Early Mobility of ICU Patients EBP Project Information Dissemination

Give a positive comment on the following Early Mobility of ICU Patients EBP Project Information Dissemination.
Dissemination of EBP is an important part of practice change. Writing a journal article or presenting at a conference allows information to reach a number of nurses outside one’s clinical practice site. For my EBP project of early mobility of ICU patients, a journal that would be appropriate to help disseminate information is the American Journal of Critical Care (AJCC). This is a bimonthly journal from the American Association of Critical-Care Nurses (AACN) that focuses on evidence-based practice and offers the latest advancements in clinical research (American Association of Critical-Care Nurses, n.d.). This journal goes out to every AACN member, of which there are currently over 100,000. I receive this journal, and while I don’t read every article, I do skim through and read the ones that are of interest to me and pertain to my job. Early Mobility of ICU Patients EBP Project Information Dissemination
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A nursing conference that would be an appropriate option for dissemination of my EBP project is the annual National Teaching Institute and Critical Care Exposition (NTI) put on by AACN. NTI offers education including new evidence based knowledge that makes an impact at the bedside (American Association of Critical Care Nurses[AACN]). Presenting information at NTI would allow me to share my research and experiences with other critical care nurses from around the country. This year the conference is in Boston and they expect over 7,000 nurses to attend (AACN, n.d.). I have not attended NTI, but I hear it is full of useful education and activities that improve patient care. Early Mobility of ICU Patients EBP Project Information Dissemination
 
References
American Association of Critical Care Nurses[AACN].(n.d.). Retrieved from American Association of Critical Care Nurses: https://www.aacn.org/about-aacn
American Association of Critical-Care Nurses. (n.d.). AACN journals. Retrieved from American Association of Criticial-Care Nurses: http://www.aacnjournals.org/ Early Mobility of ICU Patients EBP Project Information Dissemination

Discussion
Prompt: Briefly describe three health risks and/or negative physical effects of heavy drinking.  Is it a sin for a Christian to drink excessively? Why or why not (provide Biblical references)?  Each thread must be 250 words and demonstrate course-related knowledge. 
 
Assignment:
1. Visit WebMD to find out about 12 health risks of chronic heavy drinking.
2. Visit Healthline.com to read about the effects of alcohol on the body: http://www.healthline.com/health/alcohol/effects-on-body
3. Visit the Centers for Disease Control and Prevention (CDC) website to find the Alcohol-Related Disease Impact (ARDI) for your area.
4. Research what the Bible has to say about drinking.

THIS IS A NURSING PAPER ON ISSUES AND TRENDS IN HEALTH CARE

Assignment
Week1|The Future of Nursing in an Evolving Hea…
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Assignment
Benchmark Assignment: Implementation of the IOM Future of Nursing Report
View Rubric
Due Date:
Feb 02, 2014 23:59:59
Max Points:150
Details:
In a formal paper of 1,000-1,250 words discuss the work of the
Robert Wood Johnson Foundation Committee Initiative on the Future of
Nursing and the Institute of Medicine research that led to the IOM
report, “Future of Nursing: Leading Change, Advancing Health.” Identify
the importance of the IOM “Future of Nursing” report related to nursing
practice, nursing education and nursing workforce development. What is
the role of state-based action coalitions and how do they advance goals
of the Future of Nursing: Campaign for Action?
Explore the Campaign for Action webpage: http://campaignforaction.org/states
Review yourstate’s progress report by
locating your state and clicking on one of the six progress icons for:
education, leadership, practice, interpersonal collaboration, diversity,
and data. You can also download a full progress report for your state
by clicking on the box located at the bottom of the webpage.
Summarize (2) initiatives spearheaded by yourstate’s Action
Coalition. In what ways do these initiatives advance the nursing
profession? What barriers to advancement currently exist in your state?
How can nursing advocates in your state overcome these barriers?
Implementation of the IOM Future of Nursing Report
1) In a paper of 1,000-1,250 words:
a) Discuss the work of the Robert Wood Johnson Foundation
Committee Initiative on the Future of Nursing and the Institute of
Medicine research that led to the IOM report, “Future of Nursing:
Leading Change, Advancing Health.”
b) Identify the importance of the IOM “Future of Nursing” report
related to nursing practice, nursing education and nursing workforce
development.
c) What is the role of state-based action coalitions and how do
they advance goals of the Future of Nursing: Campaign for Action?
Summarize (2) initiatives spearheaded by your
state’s Action Coalition. In what ways do these initiatives advance
the nursing profession? What barriers to advancement currently exist in
your state? How can nursing advocates in your state overcome these
barriers?
A minimum of three scholarly references are required for this assignment.
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.
This assignment uses a grading rubric. Instructors will be using the
rubric to grade the assignment; therefore, students should review the
rubric prior to beginning the assignment to become familiar with the
assignment criteria and expectations for successful completion of the
assignment.
You are required to submit this assignment to Turnitin. Refer to the
directions in the Student Success Center. Only Word documents can be
submitted to Turnitin.
Please Note: Assignment will not be
submitted to the faculty member until the “Submit” button under “Final
Submission” is clicked.

New Attempt

TITLE ATTACHED DOCUMENTS TURNITIN REPORT SIMILARITY INDEX FINAL SUBMISSION
Click ‘New Attempt’ to start assignment or attach documents

Community Nursing – Vulnerability (Rural Populations Questions)

Review the attached PowerPoint presentations.  Once done answer the following questions:
1.  In your own words define what is vulnerability and rural populations and give and discuss at least two examples of each one.                                                                           2.  Do you feel it is realistic for nurses to be able to address all the different issues that face patients today? Why or why not? How do you think you could integrate this type of assessment into the care setting without taking up too much time?
3.  If you worked in a rural area and wanted to form a task force around certain health topics, who would be important key informants to invite to the table? How would you work together to address the problems of the community? What would be some unique challenges in a rural community?                                                       4. What are some of the stereotypes about people who are homeless? Are these always true? Are they even usually true? What leads people to homelessness?
-Assignment must be presented in an APA format word document, Arial 12 font attached to the forum on the discussion board.                                                                            -A minimum of 3 evidenced-based references.  References must be no older than 5 years.
-A minimum of 700 words is required.
– NO PLAGIARISM!

Health Administration

Instructions:
In this scenario you have recently been hired at a healthcare organization. Your hiring manager has asked you to assess your leadership skills and develop a personal leadership development plan based on areas that need improvement.

  • Complete the Tier 3 Competency Assessment to determine how prepared you are to meet the requirements of a public health leader.
  • After completing the Assessment, copy and paste the “Your Results” section from the Assessment to the Assignment 9 Submission Template.
  • Develop a comprehensive plan for improving in the three areas with the lowest score.

Requirements:

  • Tier 3 Competency Assessment Completed.
  • Results section from Tier 3 Competency Assessment copied and pasted into Unit 9 Assignment Submission Template Section I.
  • Section II Table completed – table includes three strategies or trainings to support development in areas of improvement.
  • 500–800 word summary of personal leadership development plan.

https://kapextmediassl-a.akamaihd.net/healthSci/PU550/1504B/Unit9_Assignment_Rubric.pdf

Write A 5-7 Page Paper (Not Including The Title Or References Pages) Using APA Format That Includes The Following.

  1. Describe an unresolved (recurring) conflict that you experienced or observed. Identify the type of conflict.
  2. Provide details of what happened, including who was involved, what was said, where it occurred, and what was the outcome that led you to decide the conflict was unresolved.
  3. Outline the four stages of conflict, as described in Finkelman, and how the stages relate to your example. Decide if delegation was an issue in the conflict. Be specific.
  4. Describe the strategies for conflict resolution and how you would collaborate with a nurse leader to resolve the conflict. Cites the course textbook and two scholarly sources.
  5. Provide a conclusion or summary about this experience and how you may deal with conflict more effectively in the future.

Nursing homework help
Blood Transfusion Case Study
Name: _____________________________ Date: _____________________ Class: NUR 438
Brief Patient History
Mr. S is a 75-year-old man who has a long history of chronic atrial fibrillation treated with warfarin, CHF, ESRD, and DM II. Over the past week, Mr. S has experienced intermittent epigastric pain and black stools. He is now dizzy and weak.
Clinical Assessment
Mr. S is admitted to the intensive care unit from the emergency department. He recently began taking ciprofloxacin for a urinary tract infection. He also has been taking an aspirin each day because he heard it was good for you. Also, he recently began taking over-the-counter ibuprofen for his stomach pain and general aches.
Diagnostic Procedures
Mr. S’s admission laboratory work reveals a hemoglobin level of 7 g/dL and an international normalized ratio (INR) of 7. His baseline vital signs include the following: blood pressure of 80/60 mm Hg, heart rate of 150 beats/min (atrial fibrillation), respiratory rate of 30 breaths/min, SPO2 92%, and temperature of 37.3 degrees Celsius.
Medical Diagnosis
Diagnosis is acute gastrointestinal bleeding
Nursing Actions
You have started and finished the FFP, and are currently transfusing the allogenic PRBCs. Ten minutes after starting the PRBC transfusion, Mr. S begins to C/O back pain, chills, and SOB. After taking his oral temperature you note it is now 38.8 degrees Celsius. He appears anxious, and is pulling at his lines and tubes.


1. What is this patient’s mean arterial pressure (MAP)? Is his MAP adequate, and why? Please show your work for the math equation.

2. What signs and symptoms may Mr. S exhibit secondary to his low H&H laboratory values?

3. What is the importance of administering the FFP prior to the PRBC’s in Mr. S’s case?

4. What should the length of time be to transfuse Mr. S’s PRBC’s, and why?

5. Mr. S is O positive blood type. What blood types can he receive, and what blood types can receive his blood type?

6. What is the importance of Rh factor when considered which type of blood to administer to patients?

7. What does allogenic mean? What does autologous mean?

8. What do you think is occurring with Mr. S?

9. What should be your immediate actions/interventions?

10. What nursing diagnoses should you give for this patient?

11. What education can be provided to this patient upon discharge?

Imagine you have been asked to teach a small group of your peers about animal organs.
Create 10 multiple-choice questions to test knowledge of the structure and function of animal organs.
Address the functions of each of the following concepts in your test.

  • Differences between asymmetrical, radial symmetry and bilateral symmetry.
  • Differences between endotherms and exotherms.
  • Definition and examples of epithelial tissue. (provide one example)
  • Definition and examples of connective tissue. (provide one example)
  • Definition and examples of muscle tissue. (provide one example)
  • Definition and examples of nervous tissue. (provide one example)

Use the Physiology Test Template to complete this assignment attached below
Read the Writing Good Multiple Choice questions article on the Berkeley Lab Training website for tips on writing multiple-choice questions: http://training.lbl.gov/Resources/MultipleChoice.html
Cite your sources according to APA guidelines.