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On a word document, using APA 7 format, scholarly references no older than  5 yhears old.

Select a Middle range theory

·         Identify the major concepts, model, and philosophical underpinning

·         Evaluated the heuristic value of the theory

relate it with the investigation projectt: determine the effectiveness of antineuropathic such as pregabalin and gabapentin as first line treatment on lumbar radiculopathy instead opioids.

PLEASE READ and FOLLOW THE RUBRIC AND THE GUIDELINES UPLOADED

remember to add the DNP essential related to the investigation

1. Application of Course Knowledge: Answer all questions/criteria with explanations and detail.
   • Describe a current safety concern in your practice environment. (Pediatric Emergency Department; Concern ) 
   • Explain one HIT that could be applied to address the concern.
   • Explain how it could be applied to enhance safety.
   • Identify at least one possible unintended consequence of adopting the HIT.
   • Discuss at least one strategy for mitigating the unintended consequence.

Must include reference (scholarly, published within the last 5 years, peer reviewed articles APA 7th edition format.) :

• Cite a scholarly source in the initial post.

  AI + Plagiarism report 

Zanderville Healthcare Systems, a regional acute care facility in the foothills of the Appalachians, is committed to delivering quality healthcare to its local and neighboring communities. The population it serves is diverse by gender and ethnicity. The primary payer for healthcare services is CMS. Over the past six months, the acute care facility has experienced a 25 % increase in readmissions from this payer group within the first 30 days of discharge. The economic impact on the health system has been negative, and patients’ satisfaction with their hospital experience has declined. Senior leadership has charged you, the nurse executive, to convene an ad-hoc task force to perform an outcomes audit and propose an intervention. Currently, patients receive a follow-up telephone call about 7 days following discharge. You decide to use an evidence-based practice approach and have the following information for the “working” PICOT:

P: CMS patients readmitted within 30 days of discharge

I: What will we do differently to impact the improved outcome

(State what this is)

C: Follow-up phone call 7 days after discharge

O: Reduce readmission rate of CMS patients from ____ to ____…..

T: Over next six months

If this were happening in your organization, discuss:

Whom will you include in your task force?

What outcomes measures will you audit?

Where will you obtain the data to determine your baseline and goal regarding the percentage of readmissions within 30 days of discharge?

What specific outcome do you want to achieve?

What standard or benchmark will you use for the outcome? What does your organization use as a benchmark for readmissions within 30 days of discharge?

Describe the intervention you will use to achieve your goal.

Then, restate the completed PICOT using the information you have collected related to the intervention and outcomes.  

o Demonstrate application of scholarly resources. 

§ Provide relevant evidence of two scholarly resources in the initial post, clearly stating how the evidence informed or changed professional or academic decisions.

§ One scholarly resource must be from a nursing peer-reviewed journal.

o Demonstrate application of course knowledge. 

§ Demonstrate the ability to analyze, synthesize, and/or apply principles and concepts learned in the course lesson and outside readings and relate them to real-life, professional situations.

• 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.

discuss a dermatologic disorder and its treatment modalities. (Impetigo) Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources.

 Reply the following discussion, 150 words or more, 2 references or more, APA style, No AI, Turnitin less than 20 %

 The history of the discovery of the first antipsychotic medication is very interesting and marked a milestone in the history of medicine. In the 1950s, a patient was being treated surgically and was given chlorpromazine as a tranquilizer to induce anesthesia. The patient was showing symptoms of psychosis, with a history of maintaining positive symptoms, however, after coming out of anesthesia, it was noted that the individual remained free of hallucinations and delusions for several days. This is how the first-generation of antipsychotics were born. Four years later, Clozapine emerged with great benefits due to its few side effects and much less action on dopamine receptors. (Saloni Dattani & Roser, 2024)

But as more generations of antipsychotic medications emerged to treat disorders as complex as schizophrenia, we also had to deal and understand all the adverse side effects that accompany these medications. Some of these effects can be life-threatening. (9 Side Effects of Antipsychotic Medications, n.d.)

To begin, we must mention one of the most frightening side effects of antipsychotics, the neuroleptic malignant syndrome (NMS). It is a complex number of symptoms, such as motor, autonomic, shift in cognitive function, and fever.  Fever may be variable, low-grade or present as true hyperpyrexia.  NMS can lead to severe complications, such as muscle rupture, severe acute kidney failure and death. That’s why it’s important for the practitioner to be familiar with this type of side effect, know how to recognize it and how to intervene immediately. First, it is imperative to discontinue the medication that caused the side effect. The most often offending drugs are the dopamine receptor interrupters as haloperidol, fluphenazine, chlorpromazine, however, it may also happen with other antipsychotics as risperidone, olanzapine and clozapine. The provider should know that it is a true emergency, which sometimes requires cardiovascular and respiratory support.  It is crucial to curve the symptoms as soon as possible. Medications of choice to treat this horrific side effect are dantrolene or bromocriptine. The patient and authorized family should be educated by the provider about these possible side effects, whenever and wherever treatment with these medications begins. (Berman, 2021)

Other possible life threating side effect can be tardive dyskinesia (TD). It is a condition of repeated involuntary movements that can become irreversible and disabling for the individual with long-term use of antipsychotic medications. The most related medications to this disorders are older antipsychotics previously mentioned. It is important for the health care provider to know how to immediately recognize TD and treat it promptly. In most cases, the medication causing the side effect must be discontinued.

Reply the following discussion

APA style, 150 words or more, Turnitin less than 20 %, No AI, 2 references or more of 5 yeras ago or less.

Role of Antipsychotic Medications  in the Management of Psychiatric Disorders

Antipsychotic medications are normally used to either diminish or alleviate symptoms of psychotic disorder. The most common symptoms include delusions and hallucinations. Antipsychotics are used as the standard therapy for schizophrenics (Chokhawala & Stevens, 2023). These drugs are also prescribed to individuals experiencing psychosis.  This is a widespread symptom in people suffering from bipolar disorder, depression, and Alzheimer’s disease. Antipsychotics are also used to stabilize moods in bipolar disorder patients, diminishing anxiety in people diagnosed with anxiety disorders and decreasing involuntary movements and sounds in Tourette’s (Chokhawala & Stevens, 2023). Antipsychotics can also be used to calm and eliminate bewilderment in a patient experiencing acute psychosis in numerous hours or days. However, four to six weeks of use may be required for the drugs to fully eliminate or alleviate this symptom. While antipsychotics help manage symptoms, they do not treat the condition causing those symptoms (Chokhawala & Stevens, 2023). Longer term use of antipsychotics can thwart further occurrences of psychotic disorder.  

There are normally two types of antipsychotics. They include typical and atypical. While they are effective in managing psychotic disorder, they also have some side effects. These adverse effects are attributed to dopamine D2 receptor antagonism, a major property of antipsychotics (Chokhawala & Stevens, 2023). Managing these side effects is recommended for ensuring the safety of users as well as the efficiency of the medications. Comprehending the prevalent adverse effects associated with these dopamine antagonists is vital as these drugs tend to trigger specific side effects which might not be caused by novel alternatives (Chokhawala & Stevens, 2023).  

Side-Effects

The first category of side effects caused by typical antipsychotics is extrapyramidal Symptoms (EPS). They are also called drug-induced movements. They are the characteristic of typical antipsychotic medications. There are four ways through which these movements display. EPS first manifest as an acute dystonic reaction. This is typified by spontaneous muscle contractions, which are normally experienced in the upper and lower limbs, face, neck, tummy, pelvic area, or voice box (Schneider-Thoma et al., 2021). The movements occur in either continued or sporadic patterns, which cause uncharacteristic movements or postures. The movements also display as parkinsonism. This is a clinical disorder typified by the four movement-related symptoms mostly evidenced in patients with Parkinson’s disease (Schneider-Thoma et al., 2021). They include tremor, slowed movements, inflexibility, and difficulty maintaining balance. Akathisia is typified by the patient’s inability to remain calm and an incapability to sit motionless (Schneider-Thoma et al., 2021). Tardive dyskinesia (TD) is yet another movement-related side effect. This entails spontaneous, recurring movements, normally occurring on the face, the tongue, and appendages. The condition could be irrevocable.

 Antipsychotic medications play a crucial role in managing psychiatric disorders, particularly Schizophrenia. However, understanding their adverse effects is essential for safe and effective patient care. Explores the common adverse effects associated with typical antipsychotics, emphasizing the importance of monitoring, patient education, and individualized treatment approaches. 

APA format is mandatory. At least 3 appropriate references should be used less than 5 years ago.
No “IA” Turnitin less than 20 %

Post at least 500 words