All posts by : chebby

1. Application of Course Knowledge: Answer all questions/criteria with explanations and detail.
   • Describe one health policy related to an identified health risk or disparity. 
   • Summarize the intended impact of the policy on the risk or disparity. 
   • Examine the policy within the context of a national population health initiative and determine the degree to which the policy is congruent with that national population health goal and/or objective.  
   • Propose one strategy to address the health risk or disparity.  
2. Integration of Evidence: Integrate relevant scholarly sources as defined by program expectationsLinks to an external site.:
   • Cite a scholarly source in the initial post.
   • Cite a scholarly source in one faculty response post.
   • Cite a scholarly source in one peer post.
   • Accurately analyze, synthesize, and/or apply principles from evidence with no more than one short quote (15 words or less) for the week.
   • Include a minimum of two different scholarly sources per week. Cite all references and provide references for all citations.

This week you will devote your time to work on your health promotion proposal ( LUNG CANCER) PowerPoint presentation.

 Please share what you consider a challenge for this activity. How did (or would) you approach the challenge? What does the evidence-based practice say? Any key strategies and interventions that you learned in the process of this course? 

–Do not forget to utilize the EBP references.

-references must be cited in APA format 7th Edition, and must include a minimum of 3 scholarly resources published within the past 5 years.

-2 PAGES

-DUE DATE APRIL 10, 2025

Purpose: Review the Forensics PowerPoint, select a relevant article, write a summary, 

Describe your clinical experience for this week as a nurse practitioner student in a pediatric primary care office.

• Did you face any challenges, any success? If so, what were they?
• Describe the assessment of a patient, detailing the signs and symptoms (S&S), assessment, plan of care, and at least 3 possible differential diagnosis with rationales.
• Mention the health promotion intervention for this patient.
• What did you learn from this week’s clinical experience that can beneficial for you as an advanced practice nurse?
• Support your plan of care with the current peer-reviewed research guideline.
• In paragraph form, no bullet points / numbering. 

Submission Instructions:

• Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources published within the last 5 years.

SEE BOTH DOCUMENT ATTACHED, FOR INSTRUCTIONS AND FIRST PART OF THIS ASSIGNMENT, NOW I NEED TO PROCEED TO PART 2 .

THIS ASSIGNMENT WILL BE SUBMITTED BY TURNIN IN, NO MORE THAN 10% PLAGIARISM OR STUDENT WORK ALLOWED.

PROFESSOR IS EXIGENT, NEED APA STYLE 7TH FROM TOP TO BOTTOM , SHE CHECK ON THAT AND GRAMMAR AS WELL.

IN-TEXT CITATIONS REQUIRED

COMPLETE EACH SECTION REQUESTED.

4 PAGES

DUE DATE APRIL 11, 2025

Please ensure that the Reply includes more than 200 words with scholarly articles, and the plagiarism level must remain below 20%.

Antipsychotics: Common Adverse Effects and Safety Implications in the Clinical Setting

Antipsychotic drugs, especially first-generation or typical antipsychotics, have been relevant to the treatment of psychiatric disorders including schizophrenia for many years. Though effective at alleviating positive symptoms — like hallucinations and delusions — their use is often marred by a wide variety of adverse effects. Being aware of these effects is essential to advanced practice providers who are providing safe, patient-centered care. The primary mechanism of action of typical antipsychotics is dopamine D2 receptor antagonism, which accounts for both the therapeutic and adverse effects of the medications (Rosenthal & Burchum, 2021).
Extrapyramidal symptoms (EPS) are among the most common and well-established adverse effects of typical antipsychotics. They include acute dystonia, parkinsonism, akathisia, and tardive dyskinesia (Rosenthal & Burchum, 2021). Acute dystonia, characterized by sustained involuntary muscle contractions, and parkinsonism, characterized by rigidity and bradykinesia, usually develop in the first few days to weeks of treatment. A side effect of long-term use is tardive dyskinesia, which is usually irreversible, and is marked by abnormal, involuntary muscle movements, primarily of the tongue, face (Muench & Hamer, 2020). Well understood, the risk of EPS necessitates routine monitoring and prompt identification, with agents such as benztropine or diphenhydramine for symptomatic control.
A second problem with typical antipsychotics is neuroleptic malignant syndrome (NMS), a rare, but life-threatening, condition characterized by hyperthermia, muscle rigidity, altered mental status, and autonomic instability. According to Rosenthal and Burchum (2021), whether or not to intervene, and the need for supportive care in the meantime, are vital to preventing serious sequela.

Cardiovascular effects, such as orthostatic hypotension and QT prolongation, are other important risks associated with antipsychotic medications, especially with haloperidol and chlorpromazine (Rosenthal & Burchum, 2021). These effects require baseline and ongoing ECG monitoring in at-risk populations. Moreover, anticholinergic side effects, including dry mouth, constipation, urinary retention, and blurred vision are known to interfere with adherence and quality of life[1, 2].
On top of these risks, individualising treatment is important. Medication selection should be guided by the patient-specific factors (age, comorbidities, and prior response to treatments). Additionally, patient education has a key function in enhancing adherences and surveying early signs of negative consequences. Educating patients regarding the need to report muscle stiffness, abnormal movements, or sudden fever will prevent Journal of Advanced Nursing 5 complications, and help achieve better therapeutic outcomes (Muench & Hamer, 2020; Correll et al., 2021).
To wrap this up, the usual antipsychotics are still an obligatory device in the psychiatric seat, however there should be a trade-off between the utilization of the earlier. Preventive measures through active and continuous vigilance, individualized healthcare provision, and educating the patient to secure the best outcome while ensuring safety should be taken into consideration.

References

Correll, C. U., Solmi, M., Croatto, G., Schneider, L., Rohani-Montez, S. C., Fairley, L., & Kishimoto, T. (2021). Mortality risk associated with antipsychotic drug use in children and young people: A systematic review and meta-analysis of observational studies. JAMA Psychiatry, 78(5), 519–530. https://doi.org/10.1001/jamapsychiatry.2021.0030

Muench, J., & Hamer, A. M. (2020). Adverse effects of antipsychotic medications. American Family Physician, 101(3), 169–177. Retrieved from https://www.aafp.org/pubs/afp/issues/2020/0201/p169.html

Rosenthal, L. D., & Burchum, J. R. (2021). Lehne’s pharmacotherapeutics for advanced practice providers (2nd ed.). Elsevie