(How does Indications Major SE it work ? ) Cautions! Nursing Implications command Drugs for Parkinson’s Increases Disease Levodopa- dopamine Carbidopa synthesis/blocks levodopa destruction Benztropine Blocks Dry mouth
This drug is also acetylcholine Urinary used in treating SE | receptors retention of antipsychotics– be sure to review its use there Drugs for Alzheimer’s Cholinesterase Disease inhibitors Memantine Drugs for Multiple Interferon Beta Sclerosis
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 that 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
Bipolar Disorder. Which drug therapy will you recommend for this disorder? Why?
2. What is the current practice guideline for treating this disorder?
3. How will you monitor the success or failure of therapy?
4. What should be included in your patient education?
Edith has Parkinson’s disease and early stage Parkinson’s dementia and low vision and is hard of hearing and wears glasses and hearing aids in both ears. Michael is Edith’s son and her sole support person.
Mrs. Edith Jackson is an 82-year-old lady who was recently admitted to The Golden Days Nursing Home where you work.
1 –
How would you make Mrs Jackson feel comfortable, using appropriate non-verbal communication? List 3 non-verbal communication skills that are appropriate to use with Mrs Jackson?
1B –
How would you make Mrs Jackson feel comfortable, using appropriate verbal communication? List three (3) verbal communication skills that would be appropriate to use with Mrs Jackson.
1C –
List three (3) strategies and why you could use to aid communication with Mrs Jackson giving particular consideration to her vision and hearing impairments.
Mrs. Edith Jackson is an 82-year-old lady who has Parkinson’s disease and early-stage Parkinson’s dementia. She also has low vision and is hard of hearing and wears glasses and hearing aids in both ears. Michael is Edith’s son and her sole support person.
Provide an example conversation of what you would say when communicating the incident to the patient and son
Identify the key/relevant health professionals/ facility teams you are required to contact in this situation and provide a rationale as to why for each professional/team.
Using SBAR provide an example of what you would document in the patient chart regarding the incident and actions you have taken. Please ensure that you use appropriate terminology.
Michael, Edith’s son will be traveling overseas for the next few weeks and will not have telephone access. He has asked if you could email him to provide him with a progress report on his mother. Identify at least five (5) factors relating to email etiquette you will need to adhere to when emailing Michael.
Provide a definition of ‘open disclosure’ and discuss the principles of open disclosure referring to the Australian Open Disclosure Framework (2013)[1]
You are walking past Mrs Jackson’s room and discover that she has fallen out of the bed onto the floor where she is crying quietly and trying to get up. You assist Mrs Jackson onto a chair as she keeps saying over and over, “I’m alright”. After following facility procedure for this incident, you are then to discuss this with the patient and the son.
[1] https://www.safetyandquality.gov.au/our-work/open-disclosure/the-open-disclosure-framework/
Review the Harold case study and answer the following questions and post to this discussion forum: What symptoms of Attention deficit hyperactivity disorder does your patient present with?
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