Archive for category: My Nursing Writer

Explain any neurobiology considerations that informed your treatment plan.Biology:Neurobiology, Client Presentation, and Pharmacological Treatment PlansDeveloping appropriate pharmacological treatment plans requires medical

Biology:Neurobiology, Client Presentation, and Pharmacological Treatment PlansDeveloping appropriate pharmacological treatment plans requires medical and mental health professionals to consider all potential factors that may be contributing to the client’s psychopathology. Contributing factors may include family history of mental illness (Preston, O’Neal, & Talaga, 2010), environment, personal history, life circumstances, and drug abuse. Additionally, neurotransmitter malfunctions (genetic or self-induced) may manifest as diagnosable mental illnesses. Mental health care teams (e.g. counselors, medical doctors, psychiatrists, psychologists, social workers, and support teams) need to consider all of these factors in diagnosing and treating psychopathology.For this Discussion, review the document “Neurobiology Considerations Case Study: Suzy” and the Learning Resources. How might you treat Suzy? What factors would you consider as you develop her treatment plan? Develop your ideas for how you would ensure that Suzy gets the best care. Use the Learning Resources to support your treatment plan.Post by Day 4 a brief description of a possible pharmacological treatment plan for Suzy. Explain any neurobiology considerations that informed your treatment plan. Explain the benefits and limitations of your plan. Justify your plan based on the Learning Resources and current literature.Respond by Day 6 to two of your colleagues’ posts and elaborate on their plan. Identify any areas of misconceptions and assumptions and provide additional areas or ideas for exploration. If a post already has two responses, you must choose another post.

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As a future Master of Clinical Nursing graduate you will be expected to provide clinical leadership because of advanced knowledge. This assessment aims to build on yourexisting abilities to critique professionalpractice; articulate and analyse the literature; and to synthesise information.
Task- You are required to undertake a literature review to evaluate the significance of research to clinical leadership and how this would advance clinical practice

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Response to peer discussion board-150 words-1 reference within 5 years-NURSING JOURNALS ONLY.

There is a large push for evidence-based practice to become the main foundation of all clinical
practices and clinical decision making. In order to provide the best up to date quality care
evidence-based practice must be used. By the year 2020 90% of clinical decisions will be
supported by accurate timely and up-to-date clinical information and will reflect the best
available evidence (Boswell& Cannon 2017). Though it is ideal to have evidence-base practice
driving health care practices there are many obstacles in the way of changing the culture of
health care practices. There are many obstacles to change such as resistance to change from
staff available resources to support changes lack of support and training from mentors and
research findings incompatible with the realities of their practice (Johnston Coole Feakes
Whitworth Tyrell & Hardy 2016 p. 392).
Working at Shands Hospital in Gainesville Florida there is most definitely a strong push for
the best quality of care through evidence-based practice. Each unit throughout the hospital has
a clinical leader. The units clinical leaders main job description is to assure the unit is clinically
using practices that are evidence-based. The main obstacle that I have found on my unit has
been research findings incompatible with the realities of their practice (Johnston et al. 2016 p.
392 ). Working on such a high acuity unit in the cardiovascular intensive care unit a lot of
evidence-based hospital driven policies and practices have had to be adjusted specially to fit our
unit. Hospital wide practices have had to be adapted because certain practices do not apply to
the realities and acuity of our unit. One main example is the MEWS assessment. The modified
early warning score (MEWS) is an example of a physiological track and trigger system designed
to identify patients at risk of clinical deterioration in order to provide a timely response to
request appropriately-trained nursing or medical staff to assess the patient and provide any
interventions required (Harris 2013 p.432). MEWS is an extremely useful tool on floor units
but on my particular unit a majority of our patient population have such a high baseline MEW
Score. If following our hospital protocol for our patients MEWS we would be constantly calling
physicians and bringing them to the bedside. Our patients have extremely high acuity which is
one of the reasons they are in the intensive care unit. Our physicians are aware of the acuity of
our patients and therefore the hospital wide MEW score does not really apply to our unit. We
had to adjust the triggers of the MEW Scores of when to notify a physician. On the floor a
MEWS of 4 a physician is notified and needs to come assess the patient but in the CICU the
score for when a physician has to come to bedside was adjusted to a 6. MEWS is just one of
the many obstacles present in implementing evidence-based practices on our unit. There are
many obstacles to implementing evidence-based practices in our clinical practices but it is
imperative that we adjust or policies and practices to reflect the research found in order to
provide the best quality care.

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As the informatics specialist working with the clinical team in the four long-term care facilities, identify the following:

Read the Chapter 4 Pressure Ulcer case study in your textbook and answer the discussion questions. Your Case study should include title and reference pages, and formatted according to APA guidelines as outlined in the Ashford Writing Center. In addition to the textbook, utilize a minimum of two scholarly sources to support your points.

Case Study Discussion Questions:

What are the steps of the practice-based evidence (PBE) process related to this case study?
As the informatics specialist working with the clinical team in the four long-term care facilities, identify the following:
elements to incorporate into the documentation by Certified Nursing Assistants (CNAs) and managers that address factors identified in the original study
Clinical Decision Support (CDS) tools that could be incorporated into computer systems
How can the cost effectiveness of the new documentation requirements and standards of care be efficiently evaluated?

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Introduction to Nursing Research – Characteristics of Nursing Research Utilization and Evidence-Based Practice

This is a CLC assignment.

Choose a nursing problem from your current practice setting, and identify a possible solution to that problem.

Conduct a search of the literature related to this problem.

Analyze and critically appraise evidence-based literature to support the solution to the identified problem. A minimum of (5) articles must be identified. This may include guidelines from the National Guideline Clearinghouse, Joanna Briggs Institute, or a review from the Cochrane Database of Systematic Review.

Prepare a 10-minute (8-10 slides; no larger than 5 MB) PowerPoint presentation related to the problem, evidence appraisal, and practice implications.
Include the following components into the presentation:

1. Present the nursing practice problem with the PICO question.

2. Discuss your appraisal of the literature that addresses the problem.

3. Present the proposed practice changes from an integration of the findings.

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