. Briefly describe how your health system will “market” the roles of different types of APNs who are to be hired. Be sure to provide us a customized plan, one that speaks specifically to what you’ve already told us about how APNs will be used in your health system

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1. Briefly describe how your health system will “market” the roles of different types of APNs who are to be hired. Be sure to provide us a customized plan, one that speaks specifically to what you’ve already told us about how APNs will be used in your health system.  In other words, while we need to see that you are working from ideas gleaned from the reading assignments, it is important that we see how you will adapt those general principles to the very specific needs of your health system and the very specific manner in which you have told us that you will use APNs.  Remember that “marketing” involves selling others (specifically patients) on the concept of obtaining care from providers who are not physicians.

2. How can an organization effectively incorporate APNs who are new graduates?

3. It is common for some who promote APN practice to assert that there is a “cost-savings” that result from utilizing APNs (and PAs) to the fullest extent of their education and scope of practice. Making this assertion can be thorny: therefore, please address these points: (a) Do you agree or disagree that there would be a cost savings by using APNs and PAs? (of course, you must support either answer), and  (b) If a health system felt strongly that there would be cost savings by using APNs and PAs, how could be the issues of equal pay for equal work be addressed?

Type the body of your Discussion Post here. Discussion Posts put the Reference Section on the same page to make it easy to copy and paste it into an online forum. We’ve already added your Reference Section below.

References

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As specialists in the collection, access, and application of data, nurse informaticists collaborate with specialists on a regular basis to ensure that appropriate data is available to make decisions and take actions to ensure the general well-being of patients

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DISCUSSION QUESTION: HEALTHCARE AND NURSING INFORMATICS

As specialists in the collection, access, and application of data, nurse informaticists collaborate with specialists on a regular basis to ensure that appropriate data is available to make decisions and take actions to ensure the general well-being of patients.

In this Discussion, you will reflect on your own observations of and/or experiences with informaticist collaboration. You will also propose strategies for how these collaborative experiences might be improved.

To Prepare:

· ReviDISCUSSION QUESTION: HEALTHCARE AND NURSING INFORMATICS

As specialists in the collection, access, and application of data, nurse informaticists collaborate with specialists on a regular basis to ensure that appropriate data is available to make decisions and take actions to ensure the general well-being of patients.

In this Discussion, you will reflect on your own observations of and/or experiences with informaticist collaboration. You will also propose strategies for how these collaborative experiences might be improved.

To Prepare:

· Review the Resources and reflect on the evolution of nursing informatics from a science to a nursing specialty.

· Consider your experiences with nurse Informaticists or technology specialists within your healthcare organization.

Post a description of experiences or observations about how nurse informaticists and/or data or technology specialists interact with other professionals within your healthcare organization. Suggest at least one strategy on how these interactions might be improved. Be specific and provide examples. Then, explain the impact you believe the continued evolution of nursing informatics as a specialty and/or the continued emergence of new technologies might have on professional interactions

ew the Resources and reflect on the evolution of nursing informatics from a science to a nursing specialty.

· Consider your experiences with nurse Informaticists or technology specialists within your healthcare organization.

Post a description of experiences or observations about how nurse informaticists and/or data or technology specialists interact with other professionals within your healthcare organization. Suggest at least one strategy on how these interactions might be improved. Be specific and provide examples. Then, explain the impact you believe the continued evolution of nursing informatics as a specialty and/or the continued emergence of new technologies might have on professional interactions

The post As specialists in the collection, access, and application of data, nurse informaticists collaborate with specialists on a regular basis to ensure that appropriate data is available to make decisions and take actions to ensure the general well-being of patients appeared first on Infinite Essays.

After you have read chapter 20 of the class textbook and review the PowerPoint presentation, choose a family in your community and conduct a family health assessment addressing the questions below:

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After you have read chapter 20 of the class textbook and review the PowerPoint presentation, choose a family in your community and conduct a family health assessment addressing the questions below:

1. Family composition.

Type of family, age, gender and racial/ethnic composition of the family.

2.  Roles of each family member.  Who is the leader in the family?  Who is the primary provider?  Is there any other provider?

3.  Do family members have any existing physical or psychological conditions that are affecting family function?

4.  Home (physical condition) and external environment; living situation (this must include financial information).  How the family support itself.

For example, working parents, children or any other member

5.  How adequately have individual family members accomplished age-appropriate developmental tasks?

6.  Do individual family member’s developmental states create stress in the family?

7.  What developmental stage is the family in?  How well has the family achieve the task of this and previous developmental stages?

8.  Any family history of genetic predisposition to disease?

9.  Immunization status of the family?

10.  Any child or adolescent experiencing problems

11.  Hospital admission of any family member and how it is handled by the other members?

12.  What are the typical modes of family communication?  It is affective?  Why?

13.  How are decisions make in the family?

14.  Is there evidence of violence within the family?  What forms of discipline are use?

15.  How well the family deals with crisis?

16.  What cultural and religious factors influence the family health and social status?

17.  What are the family goals?

18.  Identify any external or internal sources of support that are available?

19.  Is there evidence of role conflict?  Role overload?

20.  Does the family have an emergency plan to deal with family crisis, disasters?

THEN:

Identify 3 nursing diagnosis and develop a short plan of care using the nursing process.

Requirements:

– APA format on a 12 Arial font

– 4 evidence-based practice references besides the class textbook are require and must be quoted in the assignment

– A minimum of 1000 words are required, excluding the first and reference page (Websites can be used but will not count toward grading).

– .  You must identify two family problems and present a nursing care plan using the nursing process addressing the problems.

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Assessing and Treating Adult and Geriatric Clients With Mood Disorders

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Assessing and Treating Adult and Geriatric Clients With Mood Disorders

For this Assignment, you consider best practices for assessing and treating adult and geriatric clients presenting with mood disorders.

 

BACKGROUND INFORMATION

The client is a 32-year-old Hispanic American male who came to the United States when he was in high school with his father. His mother died back in Mexico when he was in school. He presents today to the PMHNPs office for an initial appointment for complaints of depression. The client was referred by his PCP after “routine” medical work-up to rule out an organic basis for his depression. He has no other health issues with the exception of some occasional back pain and “stiff” shoulders which he attributes to his current work as a laborer in a warehouse.

SUBJECTIVE

During today’s clinical interview, client reports that he always felt like an outsider as he was “teased” a lot for being “black” in high school. States that he had few friends, and basically kept to himself. He describes his home life as “good.” Stating “Dad did what he could for us, there were 8 of us.” He also reports a remarkably diminished interest in engaging in usual activities, states that he has gained 15 pounds in the last 2 months. He is also troubled with insomnia which began about 6 months ago, but have been progressively getting worse. He does report poor concentration which he reports is getting in “trouble” at work.

MENTAL STATUS EXAM

The client is alert, oriented to person, place, time, and event. He is casually dressed. Speech is clear, but soft. He does not readily make eye contact, but when he does, it is only for a few moments. He is endorsing feelings of depression. Affect is somewhat constricted, but improves as the clinical interview progresses. He denies visual or auditory hallucinations, no overt delusional or paranoid thought processes readily apparent. Judgment and insight appear grossly intact. He is currently denying suicidal or homicidal ideation. The PMHNP administers the “Montgomery- Asberg Depression Rating Scale (MADRS)” and obtained a score of 51 (indicating severe depression).

RESOURCES

§ Montgomery, S. A., & Asberg, M. (1979). A new depression scale designed to be sensitive to change. British Journal of Psychiatry, 134, 382-389.

 

 

 

 

Decision Point One

Begin zoloft 25 mg orally daily

RESULTS OF DECISION POINT ONE

·  Client returns to clinic in four weeks

·  Reports a 25% decrease in symptoms

·  Client is concerned over the new onset of erectile dysfunction

Decision Point Two

Select what the nurse should do next:

Decrease dose to Zoloft 12.5mg daily

RESULTS OF DECISION POINT TWO

·  Client returns to clinic in four weeks

·  Erectile dysfunction has subsided

·  Depressive symptoms have worsened

Decision Point Three

Change to Paxil 20mg orally daily

 

Guidance to Student Increasing dose back to 25 mg orally daily may be appropriate as there is no guarantee that the side effect will return. If it does return at 25 mg orally daily, then the PMHNP should consider changing to another drug. Changing to Paxil 20 mg may also be appropriate at this point, as not all SSRIs have the same side effect profile. Changing to an SNRI would not be appropriate at this point as the issue is not that the client has not responded to SSRI therapy, rather, he has had a negative side effect to one drug in the class.

 

 

 

 

 

 

Examine Case Study: An Elderly Hispanic Man With Major Depressive Disorder. You will be asked to make three decisions concerning the medication to prescribe to this client. Be sure to consider factors that might impact the client’s pharmacokinetic and pharmacodynamic processes.

· At each decision point stop to complete the following:

· Decision #1

· Which decision did you select?

· Why did you select this decision? Support your response with evidence and references to the Learning Resources.

· What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources.

· Explain any difference between what you expected to achieve with Decision #1 and the results of the decision. Why were they different?

· Decision #2

· Why did you select this decision? Support your response with evidence and references to the Learning Resources.

· What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources.

· Explain any difference between what you expected to achieve with Decision #2 and the results of the decision. Why were they different?

· Decision #3

· Why did you select this decision? Support your response with evidence and references to the Learning Resources.

· What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources.

· Explain any difference between what you expected to achieve with Decision #3 and the results of the decision. Why were they different?

· Also include how ethical considerations might impact your treatment plan and communication with clients.

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