All posts by : chebby

• 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.

 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.

Primary Task Response: Within the Discussion Board area, write 400–600 words that respond to the following questions with your thoughts, ideas, and comments. This will be the foundation for future discussions by your classmates. Be substantive and clear, and use examples to reinforce your ideas.

Healthcare information and system security is a major consideration for small and large healthcare organizations. Complete the following for this assignment:

• Conduct research to find 1 security breach in a healthcare organization that has occurred in the past 5 years.
• Research the breach, and then explain what could have been done to avoid or mitigate the impact of the security breach.
• Conduct additional research to understand the penalties that healthcare organizations may be subject to if they fail to secure healthcare data.
• Based on your research of the incident and the potential penalties, create a memo to a senior leader within a healthcare organization explaining why funding is justified to fund security-focused healthcare information technology projects.

Note: Use APA style 7th edition to cite at least 2 scholarly sources from the last 5 years.  All sources on the Reference Page are required to have a URL or DOI if you do not physically possess the journal or book. 

Include the following sections:

1. Application of Course Knowledge: Answer all questions/criteria with explanations and detail.
   • Describe the disaster preparedness plan at your current or past workplace.  
   • Identify potential gaps or areas for improvement in disaster preparedness.  
   • How can you advocate for necessary changes?  
   • In what ways can you promote community engagement and resilience in disaster preparedness efforts in the broader community? 
2. Professionalism in Communication: Communicate with minimal errors in English grammar, spelling, syntax, and punctuation.

 Deliverable Length: 3-4 pgs 

Now that you have suggested an agile systems development life cycle (SDLC) and explored the requirements of the Health Insurance Portability and Accountability Act (HIPAA), you need to ensure that your processes support the security of patient data. Complete the following:

• Conduct research to identify a healthcare data security plan that could be used for a major healthcare organization.
  • The plan should include the securing of systems and data.
  • The plan should account for interoperability challenges and evaluating all vendor systems.
• Ensure that you are including mitigation strategies to deal with recovery after a breach of security violation has occurred.
• Be sure to consider information systems as well as physical hardware.

 Note: Use APA style 7th edition to cite at least 2 scholarly sources from the last 5 years.  All sources on the Reference Page are required to have a URL or DOI if you do not physically possess the journal or book.

 Reply the following discussion, use 200 words or more, APA style, NO AI, 2 or more reference less than 5 years ago.

Promoting Secure Attachment in Nursing Practice

Attachment theory explains emotional bonds between parents and children. Secure attachment is essential for healthy development and relationships. Nurses help parents promote emotional closeness and responsiveness. Key behaviors include physical contact and eye-to-eye interaction. These actions foster trust and security in children. Nurses teach parents to respond to infant cues quickly. This support enhances the parent-child connection over time. Encouraging consistent caregiving behaviors improves attachment outcomes (Bowlby, 2020). Nurses play a vital role in guiding these practices.

Nurses promote sensitive responsiveness during parent-child interactions. Sensitivity means noticing and understanding infant signals. Parents must respond consistently and appropriately to build trust. Babies feel safe when needs are met quickly. This leads to confidence and reduced anxiety. Nurses model appropriate responses for parents to observe. They explain why fast responses improve bonding and trust. Sensitivity strengthens emotional regulation in children. Emotional security supports overall development and well-being (Cassidy et al., 2020). Nurses help families practice this important behavior regularly.

Encouraging skin-to-skin contact helps build strong attachment bonds. Nurses support this practice soon after birth. Skin-to-skin contact calms both the parent and baby. It helps regulate the infant’s body temperature and heart rate. Physical closeness encourages oxytocin production in both parties. Oxytocin strengthens emotional connections and attachment. Nurses guide parents on how to hold infants correctly. They provide reassurance when parents feel unsure. This contact promotes bonding during crucial early stages (Flaherty & Sadler, 2021). It is a simple but powerful nursing intervention.

Routine and consistency in caregiving are vital for attachment. Children thrive in predictable, safe environments. Nurses educate parents about creating daily routines. Routines include feeding, bathing, and sleeping schedules. Consistent care teaches children that parents are dependable. It reduces fear and increases confidence in relationships. Nurses assist parents in developing practical care schedules. They also support flexibility when changes are needed. Consistency lays the foundation for trust and security (Cassidy et al., 2020). Nursing interventions help reinforce this principle at home.

Nurses encourage verbal and non-verbal communication with infants. Talking to infants promotes language and emotional growth. Eye contact and smiling support mutual recognition and bonding. Babies learn to communicate through parental interaction. Parents should be attentive and emotionally present. Nurses demonstrate ways to engage infants during care. They emphasize the value of soft, responsive tones. Expressive communication builds closeness and emotional safety. It also helps infants understand emotions (Flaherty & Sadler, 2021). Nurses teach this as an essential caregiving skill.

Parental mental health affects attachment formation significantly. Anxiety or depression can disrupt responsiveness and bonding. Nurses screen parents for mental health concerns regularly. Early support reduces risks to child-parent attachment. Providing emotional support improves caregiving quality. Nurses refer struggling parents to mental health resources. They also follow up to ensure continued care. Encouraging self-care strengthens the parent’s emotional presence. Healthy parents form stronger bonds with their children (Bowlby, 2020). Mental health support is essential in nursing care.

Teaching reflective parenting improves attachment behavior. Reflection involves thinking about the child’s feelings and needs. It helps parents respond with empathy and understanding. Nurses guide parents in interpreting infant behavior. Reflection builds emotional awareness and responsive interactions. It improves parent confidence and caregiving quality. Nurses offer questions that promote parental reflection. They model thoughtful responses to child behavior. This method supports secure, trusting attachment (Cassidy et al., 2020). Reflective parenting is a valuable nursing strategy.

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.