A. How did the literature change your thinking about your question?
B. To what extent is the answer from the literature consistent with what you expected?
C. Does the literature you have completely answer your question?
Reflection Questions Rubricv3
Please see the attachment for instructions
Please see the attachment for the instructions
Based on the YMH Boston Vignette 5 video, post answers to the following questions:
Then, address the following. Your answers to these prompts do not have to be tailored to the patient in the YMH Boston video.
Support your response with at least three peer-reviewed, evidence-based sources and explain why each of your supporting sources is considered scholarly. Attach the PDFs of your sources.
Neurotransmitters and some drugs that stimulate receptors are called agonists. Agonists stimulate receptors to their fullest signal transduction. Drugs that act as agonists are useful in patients who lack or are deficient in agonist neurotransmitters. In situations where the actions of a full agonist or partial agonists are undesirable, an antagonist is required to revert the receptor back to the state where no agonist exists, back to neutral. Partial agonists act as they sound, and produce a conformational change of a receptor that is halfway between the changes of a full agonist and the baseline conformation of that receptor. An antagonist can also reverse the effects of inverse agonists to the receptors baseline. An inverse agonist acts to change the conformation of a receptor to completely inactivate it and remove the baseline constitutive activity.
Compare and contrast the actions of g coupled proteins and ion gated channels.
Both G protein coupled receptors and Ion gated channels are a form of signal transduction cascades in the brain. They are both triggered by neurotransmitters, and many of the psychotropic drugs used today affect one of these two cascades. They both perform when an extracellular first messenger passes a message to an intracellular second messenger. However, G protein’s second messenger is a chemical, such as adenosine monophosphate, while the ion channel second messenger can be an ion, such as calcium. There are two classes of ion channels, Ligand gated and voltage sensitive ion channels. The ligand gated ion channels act similar to g protein receptors because they use the agonist spectrum. Voltage sensitive ion channels are opened and closed based on the voltage charge across the membrane.
Explain how the role of epigenetics may contribute to pharmacologic action.
Epigenetics determines if inherited genes are expressed or not expressed into proteins that make up the story of any one person. The mechanism of epigenetics turns genes on or off by modifying chromatin. These modifications are regulated by neurotransmitters, drugs and the environment. So drugs introduced to patients can affect a person’s epigenetics.
Explain how this information may impact the way you prescribe medications to patients. Include a specific example of a situation or case with a patient in which the psychiatric mental health nurse practitioner must be aware of the medication’s action.
Understanding the way medications will affect patients based on their genetic makeup, their current medications, the condition being treated, what causes the imbalance, is all important when prescribing medications. For example imipramine, a tricyclic antidepressant, inhibits the reuptake of serotonin and norepinephrine, elevating these neurotransmitters in the brain. It is important to understand if this is the cause of the patients depression before prescribing this medication because if incorrectly prescribed it could alter the patients epigenetic mechanisms in an inverse way (Boks, et al. 2012).
Consider a topic the topic: obesity , that rises to the presidential level. How did the current and previous presidents handle the problem? What would you do differently? I need 150 words
Your new staff was very interested to learn about the many online federal and state health care databases and the different types of statistical information available in each database. Like other health care organizations, Choice Hospital wants to maintain its financial stability and improve the quality of patient care. The new CEO of Choice Hospital would like to gain a better understanding of utilization rates and other measures of performance that can be used to track and demonstrate quality improvement. As the HCA, you and your team are asked to conduct preliminary research in the following areas:
Introduction
Interprofessional collaboration is a critical aspect of a nurse’s work. Through interprofessional collaboration, practitioners and patients share information and consider each other’s perspectives to better understand and address the many factors that contribute to health and well-being (Sullivan et al., 2015). Essentially, by collaborating, health care practitioners and patients can have better health outcomes. Nurses, who are often at the frontlines of interacting with various groups and records, are full partners in this approach to health care.Reflection is a key part of building interprofessional competence, as it allows you to look critically at experiences and actions through specific lenses. From the standpoint of interprofessional collaboration, reflection can help you consider potential reasons for and causes of people’s actions and behaviors (Saunders et al., 2016). It also can provide opportunities to examine the roles team members adopted in a given situation as well as how the team could have worked more effectively.As you begin to prepare this assessment you are encouraged to complete the What is Reflective Practice? activity. The activity consists of five questions that will allow you the opportunity to practice self-reflection. The information gained from completing this formative will help with your success on the Collaboration and Leadership Reflection Video assessment. Completing formatives is also a way to demonstrate course engagement Note: The Example Kaltura Reflection demonstrates how to cite sources appropriately in an oral presentation/video. Your assessment will reflect on either a professional collaboration you experienced or a collaboration case study scenario that you imagine you experienced
Saunders, R., Singer, R., Dugmore, H., Seaman, K., & Lake, F. (2016). Nursing students’ reflections on an interprofessional placement in ambulatory care. Reflective Practice, 17(4), 393–402.Sullivan, M., Kiovsky, R., Mason, D., Hill, C., Duke, C. (2015). Interprofessional collaboration and education. American Journal of Nursing, 115(3), 47–54.
This assessment will help you to become a reflective practitioner. By considering your own successes and shortcomings in interprofessional collaboration, you will increase awareness of your problem-solving abilities. You will create a Kaltura video of your reflections, including a discussion of best practices for interprofessional collaboration and leadership strategies, supported by references to the literature.You may choose to reflect on a collaborative interprofessional project you worked on in your current or former place of practice, or you may choose to imagine that you worked on the collaborative interprofessional scenario presented in the Assessment 01 Supplement: Collaboration and Leadership Reflection Video [PDF] resource.
As part of an initiative to build effective collaboration at a site where you work as a nurse, you have been asked to:
Using Kaltura, record a video (5–10 minutes) where you reflect on an interprofessional collaboration experience, proposing recommendations for how to improve interprofessional collaboration that can be shared with leadership and colleagues. Support these recommendations with references to the literature.The interprofessional project that you reflect on may be one that you collaborated on at your current or former place of practice, or you may choose to imagine you collaborated on the interprofessional project presented in the Assessment 01 Supplement: Collaboration and Leadership Reflection Video [PDF] Download Assessment 01 Supplement: Collaboration and Leadership Reflection Video [PDF]resource and reflect on that.Be sure that your assessment addresses the following criteria. Please study the scoring guide carefully so you will know what is needed for a distinguished score:
By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and scoring guide criteria:
Discuss the safety and effectiveness of alternative and complementary medicine for the treatment of specific
illnesses such as cancer, diabetes, and hypertension. Share your opinions about holistic and allopathic care.
Would have any conflicts or concerns supporting a patient who chooses holistic or allopathic medicine?
500 words
2 citation and references APA 7 format
since 2018 to present
· Refer to the “Population-Focused Nurse Practitioner Competencies” in the Learning Resources, and consider the quality measures or indicators advanced practice nurses must possess in your specialty.
· Refer to your “Clinical Skills Self-Assessment Form” you submitted in Week 1 and consider your strengths and opportunities for improvement.
· Refer to your Patient Log in Meditrek; consider the patient activities you have experienced in your practicum experience and reflect on your observations and experiences.
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