Doctoral Writing

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  Challenges to Completion

Unit 7 Medications for Psychosis and Schizophrenia Related Disorders 600W. APA. 4 references due 10-17-23.

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Advanced Psychopharmacology and Health Promotion

Unit 7 Medications for Psychosis and Schizophrenia Related Disorders 600W. APA. 4 references due 10-17-23.

Answer the following questions:

Which antipsychotics are considered first-generation and why are they used less often than second generation antipsychotics? Are second-generation antipsychotics more effective?

Compare and contrast the following conditions: Tardive Dyskinesia, Acute Dystonia, Athetosis, and Tics.

Responses need to address all components of the question, demonstrate critical thinking and analysis and include peer-reviewed journal evidence to support the student’s position.

Please be sure to validate your opinions and ideas with in-text citations and corresponding references in APA format.

Use as a guide please do not copy this information. Also please use the textbook

1. Which antipsychotics are considered first-generation and why are they used less often than second generation antipsychotics? Are second-generation antipsychotics more effective? First generation antipsychotics, also referred to as “typical antipsychotics” were developed in the 1950s. Commonly prescribed first-generation antipsychotics include: Loxitane (loxapine); Mellaril (thioridazine); Moban (molindone); Navane (thiothixene); Prolixin (fluphenazine); Serentil (mesoridazine); Stelazine (trifluoperazine); Trilafon (perphenazine); and Thorazine (chlorpromazine). These first-generation antipsychotics are used less often than second generation antipsychotics because these medications have a high risk of side effects and some of those side effects can be severe. Second-generation antipsychotics, also known as “atypical antipsychotics,” were developed in the 1980s. Second-generation antipsychotics have more metabolic symptoms, including obesity, diabetes and hyperlipidemia (Heldt, 2017; Stahl et al., 2021). Side effects from first-generation antipsychotics include extrapyramidal effects, such as tardive dyskinesia, rigidity, tremors, and seizures. There is no evidence that second generation antipsychotics are significantly more effective than first generation antipsychotics in the treatment of cognitive and negative symptoms of schizophrenia (Stahl et al., 2021; Stroup, et al., 2003). 2. Compare and contrast the following conditions: Tardive Dyskinesia, Acute Dystonia, Athetosis, and Tics. Tardive dyskinesia is one of the symptoms of long-term use of a first -generation antipsychotic. It is a condition where there is constant or rhythmic involuntary movements that usually involves the muscles of the mouth. It can appear as lip smacking, chewing, excessive eye blinking, grimacing. These symptoms appear slowly over time. Tardive dyskinesia will not go away once the antipsychotic is stopped, it can become irreversible if present for too long. The risk of a patient developing tardive dyskinesia goes up with every year of continuous treatment. TD is specific to the use of antipsychotics (Heldt, 2017). Acute dystonia can develop within the first few hours of a patient receiving an antipsychotic. It is a sustained and painful involuntary contraction of a muscle group- usually involving the face or neck muscles. This is an easily reversible side effect and is managed with an anticholinergic drug such as Benadryl or Cogentin. This condition This study source was downloaded by 100000769192234 from CourseHero.com on 10-16-2023 17:34:58 GMT -05:00 https://www.coursehero.com/file/123197773/Discussion-7docx/ can resolve within a few minutes of proper medication and will not leave any long-term effects (Heldt, 2017). Athetosis is slow, involuntary, writhing movements of fingers, hands, toes and feet. Patients with this condition cannot maintain a stable or still position and when patients attempt to try to control the movements, symptoms can get worse. Athetosis is often a longterm symptom of continued use of first-generation antipsychotics (Holland, 2018). Tics are distinguished from EPS symptoms by the fact that tics are most commonly brief movements are able to be suppressed. Tics are sudden, rapid and repetitive movement (motor tics) or vocalizations (vocal tics). Those with tics feel the urge building up inside them before the tic appears, they these individuals report a feeling of relief after the tic is over. Although tics are involuntary, tics stop during sleep and patients can suppress the urge for short periods of time with effort (Martino, 2020). Heldt, J. P. (2017). Memorable psychopharmacology. Createspace Independent Publishing Platform. Holland, K. (2018, July 18). What Is Athetosis? Healthline; Healthline Media. https://www.healthline.com/health/athetosis Martino, D. (2020). Update on the Treatment of Tics in Tourette Syndrome and Other Chronic Tic Disorders. Current Treatment Options in Neurology, 22(4). https://doi.org/10.1007/s11940-020-0620-z Stahl, S., Muntner, N., & Grady, M. M. (2021). Stahl’s essential psychopharmacology: Neuroscientific basis and clinical applications (5th ed.). Cambridge University Press. Stroup, T. S., McEvoy, J. P., Swartz, M. S., Byerly, M. J., Glick, I. D., Canive, J. M., McGee, M. F., Simpson, G. M., Stevens, M. C., & Lieberman, J. A. (2003). The National Institute of Mental Health Clinical Antipsychotic Trials of Intervention Effectiveness (CATIE)

Nursing homework help

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Explore one of the agencies for quality improvement listed in this module's lecture. Write a one-page summary of what the agency does, who it affects, and how it is utilized.

wk4691B

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1

This assignment and the following two months' work should be written related to your

previous writing. You should not change the stories. Then I will lose the points(scores). If

you talked about improvement of patient flow in the urgent care setting, your next

writing should be something similar with the previous style. I mean you should not write

about totally different topics like cancer patient management or something like that. If

you have any questions, you can ask me. I can give you enough time to complete it. One

week for this job.

Pls read your previous writings. Keep these links unless you remember about your

previous writings.

https://www.sweetstudy.com/thread/473292317

https://www.sweetstudy.com/thread/473883197

https://www.sweetstudy.com/thread/473172845

https://www.sweetstudy.com/thread/473003787

https://www.sweetstudy.com/thread/472667933

Week 4: Change Project Rough Draft

2

This week, you will bring together all of the assignments you have completed thus far,
and compose the rough draft of your change project paper. At this point, you will have
submitted each section and received feedback. An attempt to incorporate all previous
assignment feedback should be evident. 
Your rough draft contains all of the expected
components of the final draft and is presented in APA format including a cover page,
references, and appendices when warranted. Your rough draft is your opportunity to
polish previously submitted assignments and combine the sections in a comprehensive
paper that show your change project is ready to be implemented.

You will take this time to identify and address any weaknesses or gaps in your change

project. Your rough draft should only require minor revisions before the final paper.

Your paper should be between 20 and 30 pages in length, not including the cover page,

references, and any appendices. It must follow the current APA manual style and

format. Each section of the paper should be clearly identified using proper headings.

NURS_691B_DE – NURS 691-B Rubric: Culminating Experience Evidence-Based
Change Project Paper Rubic (rough draft)

NURS_691B_DE – NURS 691-B Rubric: Culminating Experience Evidence-Based Change Project Paper

Rubic (rough draft)

Criteria Ratings Pts

This criterion is linked to a
Learning Outcome
Introduction and
Background

3.5 to >2.87 pts

Meets Expectations

The change project topic is introduced. All

background information is included. Project

importance within the field or significance

for the designated facility is described.

3.5
pts

3

This criterion is linked to a
Learning Outcome
Problem Identification and
Description in PICOT
Format

3.5 to >2.87 pts

Meets Expectations

Presents a thorough and insightful analysis of the

chosen topic/problem. Describes the problem

thoroughly, including the target population

description and history/background information

at the assigned clinic or hospital. The significance

and applicability to nursing is included and well

presented. Includes an appropriate topic

identification related to an advanced practice

nursing issue or practice problem of concern.

Population is fully defined and present in the

research question. Includes specific interventions,

identifies comparisons, and presents appropriate

outcomes in a timely manner for the question.

Overall, the question is well-built using the PICOT

format.

3.5
pts

This criterion is linked to a
Learning Outcome Critical
Appraisal/Literature
Review

3.5 to >2.87 pts

Meets Expectations

The minimum requirement of peer-reviewed

articles, books, or limited non-research literature

(tool kits or standardized procedures) are present.

Literature is supported by scientific evidence that is

credible and timely. Subtopics are used to support

the main topic. In-text citations are present and

correctly formatted. Presents a thorough and

insightful analysis of significant findings related to

the change project topic. Ideas are synthesized and

professionally sound and creative. Insightful and

comprehensive conclusions and solutions are

present.

3.5
pts

4

This criterion is linked to a
Learning Outcome Project
Aims, Values, and Desired
Outcomes

7 to >5.74 pts

Meets Expectations

The project, aims, values, and desired outcomes are

well-developed. They are clear and thorough. Aims

include examples of projected features and

functions. Values include implementation benefits

for specific stakeholders. Desired outcomes state the

purpose, have a quality focus, and describe the

benefits that will occur as a result of

implementation.

7 pts

This criterion is linked to a
Learning Outcome
Theoretical Framework

7 to >5.74 pts

Meets Expectations

Identifies independent theories or conceptual models

that relate to the change project topic and describes

how they will be applied to the change project.

Thoroughly discusses how each element of the

phenomenon applies to the framework. Clearly

applies each element of the theory to the elements

of the phenomenon under study. Develops the

rationale for the sample selection criteria, and

expertly discusses, analyzes, and critiques pertinent

research that uses the framework.

7 pts

5

This criterion is linked to a
Learning Outcome
Intervention

7 to >5.74 pts

Meets Expectations

Provides keen insight into obstacles and proposes

sound, creative solutions or interventions based on

the literature review findings. Expertly compares

other views on the problem and solutions with detail.

Uses examples to thoroughly address the FNP role in

the intervention and discusses implications for

clinical practice. Thoughtfully discusses the

implications of the change project and its significance

to the nursing profession and filling gaps in

knowledge. Accurately categorizes and thoroughly

explains specific methods of data collection to be

used. Explains in detail how data will be analyzed and

used. Provides a sound justification for subject

selection and sampling procedure. Accurately and

thoroughly describes potential limitations to data

collection and control.

7 pts

This criterion is linked to a
Learning Outcome
Recommendations and
Conclusion

10.5 to >8.61 pts

Meets Expectations

Provides an insightful and thorough summary of the

project, main points, and details the significance of

the project to the advanced practice nursing

profession. Provides detailed and creative

recommendations for future research and

implications for clinical practice. Discusses limitations

of the study in detail. Suggests specific directions for

future research. Insightfully considers changes in

theoretical construct and provides reasonable and

creative suggestions for public policy and/or changes

in educational practice. Expertly ties the theoretical

framework to the overall product.

10.5
pts

6

This criterion is linked to a
Learning Outcome Rough
Draft

17.5 to >14.35 pts

Meets Expectations

Submission shows a concerted effort to present a

high-quality draft requiring minimal adjustments to

content and mechanics. All parts of the research

paper are submitted and efforts to integrate

feedback are highly apparent. Significant and

substantive improvements have been made to each

section of the paper.

17.5
pts

This criterion is linked to a
Learning Outcome
Mechanics and APA

10.5 to >8.61 pts

Meets Expectations

Writing is clear, concise, formal, and organized.

Information is well organized and clearly

communicated. The assignment is free of spelling and

grammatical errors. All the requirements related to

format, length, source citations, and layout are

followed. A complete reference page is included and

formatted using correct APA format. If applicable,

appendices and tables are complete and

appropriate.The

10.5
pts

Total Points: 70

7

  • Week 4: Change Project Rough Draft

Advanced Psychopharmacology and Health Promotion Unit 6 Discussion Ion Channels APA. 500W. APA. 4 references due 10-10-23.

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please use the pharmacology textbook i gave you previously 

mental health

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Rubric for NUR2488 A1&B1 Presentation on Criminal Minds

Be sure each section is clearly delineated and covered in a
3–5-page body paper, double spaced, Plus a Care Plan HINT:
Use the Headings provided – if you can’t find something, record as “unable to find” or guess as to what the answer may be (and say you are guessing).
References and citations in APA 7 format (see example link);

Reporter’s name (you):

Date:

Infamous Person:

___/30 points


1. Identify and present significance of: (Use these Numbered/ underlined headings)

A. childhood (2pts)

B. Late-adolescence (2)

C. Early 20’s (2)

D. Family Influence (2)

2.

Diagnosis/treatment

– (1)

3
.
Substance Abuse/ alcohol involved?
 (1)

4.

The Infamous Act/ Traumatic event/ Crime
 (2)

5
.
Incarceration/ Jail Where?
 (1)

6.

Death or current circumstances
 (1)

7
.
How are all the above events tied together?
 (2)

8
.
How do the effects of an underlying (often untreated) Mental Illness contribute to a Human Being’s demise?
 (2)

9.
What characteristics of a serial Killer do you see in your criminal?
Consider these characteristics:

(Antisocial behavior, Arson, Torturing small animals, Poor family life, Childhood Abuse, Substance abuse, Voyeurism, Intelligence [hi or low], Shiftlessness). (2)

10
. Where could health care personnel/teachers have intervened in this child’s life to prevent this tragedy if it were NOW? Paragraph of Your opinion. (2)

11
. Wanted poster (Like in the Old West) (1)

Example:
https://s3.amazonaws.com/thumbnails.venngage.com/template/044f0593-a7ec-48ad-8560-6edda19ad66c.png

12.Choose 3
priority(3 part) NANDAMental Health Nursing diagnoses. The nursing care plan should include (4)

· Use MH Care Plan template and complete

· HINT: See Varcarolis or Ackley (Care Plan book)

Conc of Pathophys w4 discussion

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Week 4 Discussion: Respiratory Alterations (USLOs 1, 2, 3, 4)

You are caring for 8-year-old Elliot Collins. He was admitted to the Pediatric Intensive Care Unit (PICU) with status asthmaticus after suffering an asthma attack while playing football in the neighborhood with some friends.

Based on this information, your prior knowledge of this client (refer to medical card from the Collins-Kim family tree interactive), and your knowledge of the pathophysiology of  asthma, respond to the following prompts:

1. Thoroughly explain the pathophysiology of asthma. Use a 
scholarly or 
authoritative source to support your answer.

2. Examine each of the following three factors related to this disease process. 
Support all three with a scholarly source.

1. cultural

2. financial

3. environmental implications

3. Identify 3-5 priority nursing interventions for the client while in the PICU.

4. Describe labs and diagnostic testing you would want to include in client’s plan of care and why. What are critical indicators? 
Support with a scholarly source.

5. What members of the interdisciplinary team need to be included for holistic patient-centered care? 
Provide a rationale and support with a scholarly source.

An Advocate campaign

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To Prepare:

  • Select a bill that has been proposed (not one that has been enacted) using the congressional websites provided in the Learning Resources.

Resources:

 

 The Assignment: (1- to 2-page Legislation Grid; 1-page Legislation Testimony/Advocacy Statement)Be sure to add a title page, an introduction, purpose statement, and a conclusion. This is an APA paper.Part 1: Legislation GridBased on the health-related bill (proposed, not enacted) you selected, complete the Legislation Grid Template. Be sure to address the following:

  • Determine the legislative intent of the bill you have reviewed.
  • Identify the proponents/opponents of the bill.
  • Identify the target populations addressed by the bill.
  • Where in the process is the bill currently? Is it in hearings or committees?

Part 2: Legislation Testimony/Advocacy StatementBased on the health-related bill you selected, develop a 1-page Legislation Testimony/Advocacy Statement that addresses the following:

  • Advocate a position for the bill you selected and write testimony in support of your position.
  • Explain how the social determinants of income, age, education, or gender affect this legislation.
  • Describe how you would address the opponent to your position. Be specific and provide examples.
  • At least 2 outside resources and 2-3 course specific resources are used.

 

mental health

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Nursing

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1. Give an example of how you have advocated for a patient, peer or subordinate and the outcome.  How did acting as an advocate help you grow as a leader? (application).

2. Describe an example of strategic or operational planning you have seen in your place of work and appraise the outcome (pros and/or cons) of this planning (evaluation).

3. Analyze the type of organizational structure at your place of work, (which structure does it most closely resemble and why?) How does the structure influence mission, vision, philosophy, and values (evaluation)

4. Which power-building strategies (organizational, political and or personal) have you found to be the most effective for enhancing your personal power and why?  Which has been the least effective or hardest to achieve and why?