Research paper about radiologic sciences
The main content of your research should be a minimum of 3 pages and a maximum of 5 pages. (So if your main content has 3 pages, the cover page and the reference page should make it 5 pages, if the main content has 5 pages, the total number of pages with the cover page and the reference page should be 7).
Discussion question
We begin our journey into discovering the new world of research and evidence-based practice (EBP) by exploring our past. After completing the required readings and lesson, answer the following:
Explain how research has evolved since the Florence Nightingale era.
Discuss how research and EBP are different; include how you believe research supports EBP for nursing.
Describe one past/historical unethical breach of research conduct; then, share how you would ensure care of a study participant using one ethical or legal research consideration (guideline/principle
B. T. (2014). Differentiating research, evidence-based practice and quality improvement. American Nurse Today, 9(6). https://americannursetoday.com/differentiating-research-evidence-based-practice-and-quality-improvement/
Hain, D. J., & Kear, T. M. (2015). Using evidence-based practice to move beyond doing things the way we have always done them. Nephrology Nursing Journal, 42(1), 11-21. permalink
Epidemiology
) Minimum 2 full pages ( Part 1: 1 page; part 2: 1 page- Total 2 pages)
2)¨**********APA norms, please use headers
All paragraphs must be narrative and cited in the text- each paragraphs
Bulleted responses are not accepted
Dont write in the first person.
Dont copy and pase the questions.
3) It will be verified by Turnitin and SafeAssign
4) Minimum 4 references not older than 5 years ( Part 1: 2 references; Part 2: 2 references)
Mandatory:
Part 2: Must incluide
Centers for Disease Control and Prevention [CDC]. (n.d.) Solve the outbreak. Disease detective. Retrieved from https://www.cdc.gov/mobile/applications/sto/web-app.html
Office of Disease Prevention and Health Promotion. (2018). Partnering to heal. Retrieved from https://health.gov/hcq/training-partnering-to-heal.asp
_______________________________________________________________
Part 1:
1) Explain how types of epidemiological studies impact knowledge of diagnosis, prognosis or clinical treatment.
Be sure to use vocabulary about epidemiological terms
______________________________________________________________-
Part 2:
Consult:
Centers for Disease Control and Prevention [CDC]. (n.d.) Solve the outbreak. Disease detective. Retrieved from https://www.cdc.gov/mobile/applications/sto/web-app.html
Office of Disease Prevention and Health Promotion. (2018). Partnering to heal. Retrieved from https://health.gov/hcq/training-partnering-to-heal.asp
1) Are you able to identify modes of transmission and implement interventions better with these learning tools?
2 ) Have you ever participated in an outbreak investigation or care of a person during such an event?
3) Share your insights to outbreak investigation and the use of epidemiology tools.
Healthcare Administrative Office Procedures
Job Duties for Medical Administrative Assistants
There are a variety of job titles that exist for the position of medical administrative assistant, but usually essential duties remain the same.
Requirements
List at least 10 common duties that are performed. You can use bullets, a diagram, or just number them. Be creative.
Part IV - Culture Beliefs
Working as a medical administrative assistant can bring different challenges. One challenge one may have to understand is how to interact with patients of different cultures and beliefs.
Requirements
List 15 different common patient or cultural beliefs and behaviors associated with health care treatment.
The 8-year-old girl who was naughty
There are a few questions that come to mind when reading this case. One of the things that stood out was the fact that the patient does not see her father a lot. If possible, I would want to speak with her father to find out if the types of behaviors described by the teacher and mother also exist when the patient is with him. This would give me a more holistic view of the patient’s behavior. For example, the diagnosis may change if the patient does not act this way when her father is present.
The timeline of the patient’s tantrums is not very clear, and I would ask her mother to clarify them. She states that the patient has had tantrums since age 5, but then states that she has been resentful since her younger sister was born (they are two years apart). She also states that her tantrums are improving. I would like to know if this is really related to the birth of her sister, or if other factors contributed to her behavior. Was her behavior influenced by her belief that her mother’s attention had to be shared? Was she showing signs of being angry or resentful toward her mom before her sister was born?
Finally, I would also speak with the child’s grandmother to see if she too shares the same feelings about the child’s behavior. Is the child “negative” and defiant with her? Does she seem difficult to deal with as well? This will help me to see if the child’s behavior is the same in all settings or if she is deliberately this way with certain people. Once again, this may alter her diagnosis.
People to Speak with in the Patient’s Life
As previously stated, the persons I would like to speak with (besides her mother and teacher) are her father, grandmother, and sister. These are three people at different ages who interact with the patient in different settings and may be able to provide other perspectives not given by the mother or teacher.
Physical Exam and Diagnostic Tests
While there is no specific test to diagnose ADHD, the DSM-V lists that criteria that the child or adolescent must meet in order to be diagnosed with this condition (Felt et al., 2014). It is also important to note that there are other conditions that may mimic and/ or coexist with ADHD. These include anxiety disorder, autism spectrum disorders, fetal alcohol syndrome, hearing loss, intellectual disability, mood disorder, oppositional defiant disorder (ODD), sleep disorder and speech and language disorder and finally, problems with hearing or vision (Felt et al., 2014). Behavioral rating scales are also used in the assessment of ADHD. There are several but Conner’s scale was used in this scenario.
Differential Diagnoses
Three differential diagnoses include:
ADHD comorbid with reactive attachment disorder
ADHD comorbid with Disruptive mood dysregulation disorder
Conduct disorder
The differential diagnosis I believe most suitable for this patient with ADHD comorbid with disruptive mood dysregulation disorder (DMDD). While the ADHD symptoms are clear with this patient, there are other behaviors that may suggest DMDD. These include, irritability, anger, and temper outbursts (National Institute of Mental Health (NIMH), 2017); all of which have been described by the teacher and her mother. Trouble functioning due to irritability has also been described by both the patient’s mother and teacher, which is another criterion for this diagnosis (NIMH, 2017).
Pharmacologic Agents
Extended-release stimulants are the first-line treatment for children with ADHD (Brown et al., 2018). Either Methylphenidate or Amphetamine should be chosen and depending on how the patient tolerates the drug, as well as how well their symptoms improve will depend on dosing. This patient was initially given D-methylphenidate, however, she had insomnia and her ODD symptoms persisted and as a result the medication had to be changed. Lisdexamfetamine (Vyvanse) proved to be the most beneficial for this client.
Lessons Learned
Treating a child with ADHD can be tricky. There are several different preparations that one must consider before initiating treatment. I also noted that while stimulants are good for treating ADHD and ODD, in this case, polypharmacy was more beneficial as there were no changes with her ODD symptoms until guanfacine was added. These cases have shown me how imperative it is to get complete assessment before diagnosing so that nothing (or very little) will be missed. Ruling out other possible neurodevelopmental disorders is essential so that treatment can be efficient and accurate.
References
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders
(5th ed.). Washington, DC: Author.
Brown, K. A., Samuel, S., & Patel, D. R. (2018, January). Pharmacologic management of
attention deficit hyperactivity disorder in children and adolescents: a review for practitioners. Translational Pedicatrics, 7(1), 36-47. doi:10.21037/tp.2017.08.02
Conduct Disorder. (2018, June). In American Academy of Child and Adolescent Psychiatry.
Retrieved from https://www.aacap.org/AACAP/Families_and_Youth/Facts_for_Families/FFF-Guide/Conduct-Disorder-033.aspx
Disruptive Mood Dysregulation Disorder. (2017, January). In National Institute of Mental
Health. Retrieved from https://www.nimh.nih.gov/health/topics/disruptive-mood-dysregulation-disorder-dmdd/disruptive-mood-dysregulation-disorder.shtml
Disruptive Mood Dysregulation Disorder (DMDD). (2019, May). In American Academy of
Child and Adolescent Psychiatry. Retrieved from https://www.aacap.org/AACAP/Families_and_Youth/Facts_for_Families/FFF-Guide/Disruptive-Mood-Dysregulation-Disorder-_DMDD_-110.aspx
Felt, B. T., Biermann, B., Christner, J. G., Kochhar, P., & Van Harrison, R. (2014, October 1).
Diagnosis and Management of ADHD in Children. American Family Physician, 90(7), 456-464. Retrieved from https://www.aafp.org/afp/2014/1001/p456.html
Stahl, S. M. (2017). Essential Psychopharmacology Prescriber's Guide (6th ed.). New York, NY: Cambridge University Press.
Stahl, S. M. (2013). Stahl’s essential psychopharmacology: Neuroscientific basis and practical
applications (4th ed.). New York, NY: Cambridge University Press.
Case Study on Biomedical Ethics in the Christian Narrative
This assignment will incorporate a common practical tool in helping clinicians begin to ethically analyze a case. Organizing the data in this way will help you apply the four principles of principlism.
Based on the ""Case Study: Healing and Autonomy"" and other required topic study materials, you will complete the ""Applying the Four Principles: Case Study"" document that includes the following:
Part 1: Chart
This chart will formalize principlism and the four-boxes approach by organizing the data from the case study according to the relevant principles of biomedical ethics: autonomy, beneficence, nonmaleficence, and justice.
Part 2: Evaluation
This part includes questions, to be answered in a total of 500 words, that describe how principalism would be applied according to the Christian worldview.
Remember to support your responses with the topic study materials.
APA style is not required, but solid academic writing is expected.
Anatomy & physiology
There are reports of people performing almost superhuman feats of strength when under great stress, Specifically, what is happening in the body that would allow this to happen?
Health IT
,"Conduct a search for health IT systems that are common in similar health care organizations that employ about 250 physicians. Search for five hospitals and three outpatient clinics.
Select a health IT system that you want to implement in the health care organization (e.g., electronic medical records (EMR), consolidated provider order entry (CPOE), ePrescribing (eRX), etc.).
Note: The IT system must have a clinical focus.
Write a 525- to 700-word proposal that identifies the health IT system you want to implement. Your proposal should:
· Provide a description and specifications of the IT system you selected.
· Explain why the health IT system is needed.
· Explain why this particular system was selected.
· Explain if the organization is ready to make the change.
· Explain how the new health IT system will affect the organization.
· Establish SMART goals for the implementation process.
Note: Your instructor will need to approve your proposal before you can move on to the IT System Implementation assignments in Weeks Two through Six.
Cite 3 reputable references to support your assignment (e.g., trade or industry publications, government or agency websites, scholarly works, or other sources of similar quality).
Format your assignment according to APA guidelines
Psychopharmacologic Approaches to Treatment of Psychopathology
Examine Case Study: A Young Caucasian Girl With ADHD 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.
Case Study (Care plan)
This week you will need to look at the provided case study and develop a care plan for a patient that has a Clostridium difficile Colitis. Please use the provided format for building your care plan. You will need to use your nursing reference materials as you build this care plan.
