What are the criteria for a substance use disorder? If your client asked you “What is the difference between substance abuse and substance dependence? ” How would you explain (teach) the difference to them?
referring to ATI?
3. Many people are described as having dual diagnoses. What does that mean?
and how would that impact your nursing treatment of that person?
How would you go about prioritizing what issue you would treat first?
Craner, J. R., Flegge, L. G., & Gabelman, R. B. (2022). Treatment of Insomnia within an Interdisciplinary Pain Rehabilitation Program: A Randomized Trial. International Journal of Clinical and Health Psychology, 22(2). https://doi.org/10.1016/j.ijchp.2022.100295
identify one or more professional practice uses of the theories/concepts presented in the article.
Analysis of the article using the Research Analysis Matrix section of the template for:
Strengths of the Research
Limitations of the Research
Relevancy to the Topic of Interest.
one-paragraph justification explaining whether or not you would recommend the use of this article to inform professional practice.
· Describe your approach to identifying and analyzing peer-reviewed research
· Identify at least two strategies that you would use that you found to be effective in finding peer-reviewed research.
· Identify at least one resource you intend to use in the future to find peer-reviewed research.
A newly hired dental assistant asks you for help in setting up the impression armamentarium for a crown and bridge procedure. She admits that although she has been a dental assistant for 5 years, her previous employer used only rubber base impression materials for final impressions, and she is unsure of the procedure, or the difference in setting up the materials.
She knows both impression systems are a bit complex but is not clear on what the benefits of each are. How would you respond?
Describe the obstacles you think you may come across in negotiating service delivery goals with the older person. 5. What strategies might you use to overcome the obstacles and negotiate a service delivery plan that is acceptable to both your workplace and to the older person?
6. What resources do you think you would need to access, or assist the older person to access, for the service delivery plan to be successful?
7 . Investigate a range of services and explain how you would access, or assist an older person
Rapid succession w/out return to consciousness Stroke/CVA between; last 5+ mins. permanent brain damage benzodiazepines suctioning, oz,
Focus on ischemic which is either embolic or thrombotic- blood clot (thrombus) in the artery to brain assess airway pathology blood clot What are risk factors and what would be health promotion measures to reduce the smoking,
obesity formed some- risk of stroke? – age ( Zx Irish sage 5s); man: blacks, hypertension, heart disease, diabetes, breaks loose, when in body,
What is meant by FAST? Why is timely intervention encouraged for people with his sleep apnea travels to stroke symptoms? racial draping. arm weakness
. brain via blood difficulties; time Stream. All acute care is aimed at preserving brain function (remember the penumbra) When did the symptoms start?
What are the diagnostic tests and when should they be done? .
Symptoms of stroke depend on the part of the brain that has been affected, but how would the nurse address Emergency care includes what in terms of assessment and diagnostic testing? (T/ MR) CT/MRI/Echocardiogram/CTA or MRA or doppler-what is the purpose? Any special preparation?
Be sure to review general care of the stroke patient Prevention of complications Safety Addressing communication issues, aphasia/dysphasia, dysphagia, safe swallowing, immobility, patient and family reaction to the long-term impact of stroke Respiratory issues related to brain injury
Spinal cord injury You MUST be able to understand the major complications and how to deal with them What is and how is this treated? . Spinal shock . Neurogenic shock. Autonomic dysreflexia .
What are major concerns during the acute phase? Focus on preventing injury and recognizing early problems . ABC’s . What are major concerns for the patient with paralysis? . Skin . Mobility
Compare and contrast major or mild neurocognitive disorders with Lewy Bodies versus major or mild frontotemporal neurocognitive disorder.Place particular emphasis on how comprehensive assessment could help us to arrive at the correct diagnosis.
3- provide reference from 2018 to 2022
IAM – L . Drug Class Prototype/Example | MOA (How does Indications | Major SE Cautions! Nursing Implications it work ? ) command Mitoxantrone Drugs for Epilepsy Phenytoin Gingival Never Stop Hyperplasia abruptly! Oxcarbazepine Drugs for Muscle Cyclobenzaprine Spasm & Spasticity Baclofen Dantrolene
Here we are at week 5 of the course! Attached is the last extra article that I feel captures what we have been discussing nursing is both an art of caring and a science evidenced based practice Feel free to share any points of the article that you feel are important. No reference is needed for this response post! Dr. J Attachments Blending_the_art_and_science_of_nursing.17.pdf REPLY
Explain how the regulatory environment and the regulations selected differ from California. Be specific and provide examples.
Advanced practice registered nurses (APRNs) play a significant role in improving health
care delivery (Martsolf et al., 2015). However, the scope of practice is governed by state-specific
regulations determined by APRN board of nursing regulation. In the state of Oregon,
one of the
APRN board of nursing regulations is the Oregon Chronic Opioid Prescribing Guidelines which
recommends the safe use of opioid medications for patients with chronic pain.
The other
regulation is the Scope of Practice Decision Tree, which presents a standardized framework for
use for all licensed nurses (Oregon State Board of Nursing, n.d.).
These nursing regulations in Oregon share some similarities and differences with the
regulations in other states. For instance, the Oregon Chronic Opioid Prescribing Guidelines are
similar to those of Ohio’s Prescriptive Authority described in chapters 4723-9 of the Ohio
Administrative Code.
This code provides regulations for prescribing opioids for acute, sub-acute
and chronic pain. However, the difference between Oregon’s and Ohio regulations is that Ohio
provides a formula for APRN prescribers while Oregon does not.
The other difference is that
Ohio has a specific decision-making model for APRNs (Ohio Board of Nursing, n.d.). Oregon,
on the other hand, has the Scope of Practice Decision Tree, which provide a framework for all
nurses irrespective of their education, role or functions (Oregon State Board of Nursing, n.d.).
The Oregon regulations may apply to advanced practice registered nurses (APRNs)
differently.
The Scope of Practice Decision Tree regulation applies to APRNs because it outlines
their scope of practice.
According to Blair and Jansen (2015), the scope of practice is essential
for APRNs because it helps nurses gain more knowledge.
Opioid Prescribing Guidelines are
essential because they identify the extent to which APRNs can prescribe. Ladd et al. (2019)
argued that the scope of practice and prescriptive authority is the function of state statute.
References:
Blair, K. A., & Jansen, M. P. (Eds.). (2015). Advanced practice nursing: Core concepts for
professional role development. Springer Publishing Company.
Ladd, E., Sweeney, C. F., Guarino, A., & Hoyt, A. (2019). Opioid prescribing by nurse
practitioners in Medicare Part D: Impact of state scope of practice legislation. Medical
Care Research and Review, 76(3), 337-353.
Martsolf, G., Arifkhanova, A., & Auerbach, D. I. (2015). The impact of full practice authority
for nurse practitioners and other advanced practice registered nurses in Ohio. Santa
Monica, CA: Rand Corporation.
Ohio Board of Nursing, (n.d.). Laws and Rules. https://nursing.ohio.gov/laws-rules/
Oregon State Board of Nursing, (n.d.). Advanced practice.
https://www.oregon.gov/osbn/Pages/advanced-practice.aspx
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