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Mr. JD is a 24-year-old who presents to Urgent Care with a 2-week history of cough and congestion. He says it started out as a “normal cold” and it will not go away. He has a productive cough for green mucous and has green nasal discharge. He says he has had a low-grade temperature for the past 2 days. John reports an intermittent frontal headache with this cold. He is otherwise healthy, with no known allergies.
In his assessment it is found that his vital signs are stable, temperature is 99.9 degrees F, tympanic membranes (TMs) are clear bilaterally, pharynx is erythematous with no exudate; there is greenish postnasal drainage; turbinates are swollen and red; frontal sinus tenderness; no cervical adenopathy, and lungs are clear bilaterally.

1. Is there any additional subjective or objective information you need for this client? Explain.
2. Would you treat Mr. JDs cold? Why or why not?
3. What would you prescribe and for how many days? Include the class of the medication, mechanism of action, route, the half-life; how it is metabolized in and eliminated from the body; and contraindications and black box warnings.
4. Would this treatment vary if Mr. JD was a 10 year-old 78 lb child? Include the class of the medication, mechanism of action, dosing, route, the half-life; how it is metabolized in and eliminated from the body; and contraindications and black box warnings
5. What health maintenance or preventive education is important for this client based on your choice medication/treatment?

 Explain the biological (genetic and neuroscientific); psychological (behavioral and cognitive processes, emotional, developmental); and social, cultural, and interpersonal factors that influence the development of psychopathology.
 

there must be 1500-2000 words . 

Introduction (10pts)  Introduce the topic ( “Nursing Education”)
 AND your reason for choosing this topic.

Main topic – 45pts total This is divided into three sections:

· Describe and discuss the topic(15pts)

· Relationship to nursing(15pts) 

· The impact of topic on a specific population (could be cultural, the nurse, the health care profession, the student, education) different from the main focus. This could be positive or negative or both (15pts)

Summary (10pts) Summarize your paper. Do not include any new information that has not been previously addressed in your paper. 

Incorporate a minimum of 2 peer reviewed journal articles into your paper to provide insight to your topic (15pts)

APA format (10pts) 

· 2 pts – You must have a title page and a reference page.

· 1 pt  – Page numbers

· 1 pt – Citations within the body of the paper must be correctly cited and reflected in your Reference page. 

· 1 pt- References in the reference page must be correctly cited and found cited within the body of the paper.

· 1 pt –  Reference page needs to be in alphabetical order for the last name of the first author listed in the article or book, etc.

· 1pt – You may have no more than ONE direct quote. 

· 1pt – APA 7th ed approved font and type set

· 1pt -One-inch margins

· 1 pt- Double spaced

Grammar, spelling, punctuation (10pts) 

· 4 pts- Length of paper is 3-4 pages not including title page and reference pages. 

This paper will be submitted through SafeAssign for an assessment of plagiarism.

See attached.  Please let it be readable after you change. Thank you.

IT IS A REPLY TO ONE STUDENT :.. ONE PAGE THREE REFERENCES)

COLLAPSE

Top of Form

The healthcare organization I chose to review is the Mayo Clinic. Their mission is inspiring hope and promoting health through integrated clinical practice, education, and research. The Mayo Clinic’s vision is transforming medicine to connect and cure as the global authority in the care of serious or complex diseases (Mayo Clinic, 2020). The Mayo Clinic’s evidence-based practice research program is dedicated to improving the quality, effectiveness, and appropriateness of health care by synthesizing research evidence and facilitating the translation of findings into clinical practice. Also, the Mayo Clinic is one of only 12 institutions in the United States currently designated and funded as an evidence-based practice center by the Agency for Healthcare Research and Quality (AHRQ). The Evidenced-Based Practice Research Program at Mayo Clinic researches to evaluate and summarize all available evidence on a particular health care issue (Mayo Clinic, 2020). I believe the Mayo Clinic’s work is grounded in evidence-based practice because they have a research program solely dedicated to evidence-based practice. The information I discovered on the Mayo Clinic’s website has positively affected my perception of their organization because of its mission and vision statements as well as their research program dedicated to evidence-based practice. People with difficult and enigmatic medical conditions travel across the country and world to obtain medical care at the Mayo Clinic.

Describe the characteristics of the aging process. Explain how some of the characteristics may lead to elder abuse (memory issues, vulnerability, etc.). Discuss the types of consideration a nurse must be mindful of while performing a health assessment on a geriatric patient as compared to a middle-aged adult.

Self-Directed Learning Plan (SDLP)

Purpose:

It’s important to develop your professional goals and how you achieve them in this course and your chosen program.

Directions:

After exploring the course description, course outcomes, and unit themes and outcomes, complete your SDLP for your professional objectives and create a Skill Market pertinent to an opportunity with an employer found in your week 8 learning activity.

What did you expect to learn in this course and what do you expect to learn in your program that will help you achieve your academic and professional goals? You are encouraged to reflect earnestly about how the course content and experience might serve your goals, as well as about what you might proactively do throughout your program to develop in your target areas.

If you have determined there are additional areas from which you would benefit, or areas you would like to replace, this is a good time to do so. Remember, this is your learning plan, so design it to help you achieve your unique goals.

Learning Plan

1. Identify your anticipated nursing role.
2. List your professional goals (3–5 years from now).
3. Identify the Knowledge, Skills, and Accomplishments needed for the advanced nursing role that you have identified above. A minimum of three items should be listed for each of the Knowledge, Skills, and Accomplishments.
4. Discuss at least three Strengths to Leverage. Complete steps 1, 2, and 3 of the template for Strengths to Leverage.
5. Discuss at least one Area to Develop. Complete steps 1, 2, and 3 of the template for Areas to Develop.
6. Write a reflection that discusses what you learned in this course and expect to learn in your program that will help you achieve your academic and professional goals. Provide an evaluation of how your SDLP can provide for lifelong learning. The reflection should be a minimum of 300 words.

You must submit the Unit 10 SDLP Assignment using the SDLP Template. You should not submit a written paper for the Unit 10 SDLP Assignment. If you have references to support your SDLP then you should add a heading References at the end of the SDLP Template and add the references in APA format. You do not need to have a title page for this assignment.

This Assignment will be partially graded based on evidence of thoughtful development of your SDLP.

Skill Market

What is it?

Skill marketing is the art or practice of proactively shopping yourself to employers, tailored specifically to each position you apply for. This allows you to speak directly to the position you are applying for and why you are qualified for the role. This should be limited to no more than two paragraphs and can be used in your Cover Letter more formally.

What to include:

• The position you are applying for, the skills that qualify you, including education, military experience, volunteer work, clinical rotations, civilian work experience, and both hard and soft skills.

When to use:

• You are reaching out to contact via LinkedIn
• You are submitting a resume via email to a company that you are interested in, but may not have listed openings at this time
• You’re submitting a resume via email
• As a part of a “thank you” or follow-up letter after an interview
• Anytime you want to illustrate a correlation between what the employer is seeking, and what you have to offer

For more information, watch this short video:

• Skill Market

To view the Grading Rubric for this Assignment, please visit the Grading Rubrics section of the Course Resources.

Assignment Requirements:

Before finalizing your work, you should:

• be sure to read the Assignment description carefully (as displayed above);
• consult the Grading Rubric (under the Course Resources) to make sure you have included everything necessary; and
• utilize spelling and grammar checks to minimize errors.

 LEARNING OUTCOMES By the end of this course, you should be able to: MN501-1: Determine the impact of the APRN Consensus Model on APRN practice. MN501-2: Examine advanced practice nursing roles with regards to their interaction with other healthcare providers in collaborative practice models. MN501-3: Investigate novel roles for advanced practice nursing related to emerging healthcare trends and needs. MN501-4: Develop a marketing plan for the advanced practice nurse that incorporates the competencies of advanced practice nursing. MN501-5: Evaluate a professional plan for career goals and lifelong learning. PC-3.5: Engage in career development and advancement strategies, including effective networking, mentoring, and creating a personal brand. C 

I want to start by saying I love the word cadre in this week’s discussion post! If we consider its definition as a group of people specially trained for a particular purpose or profession it works, OR if we assume it to be a group of activists or other revolutionary organization it works!  Both fit in the role of the DNP as we consider their role in health care.

Melnyk et. al (2012), states that EBP gives nurses a voice, supports nurses as individuals and as a collective, and encourages patient advocacy with the intent to assure quality care.  The research, EBP, and QI processes that give nurses this voice is driven by terminal degree Registered nurses such as the DNP.  The DNP can lead not only by example but by shared advocacy. Whether it be a grassroots campaign to speak with local and state representatives to advocate for nursing or patient initiatives, or by being involved in a task force, activity, or key committees in health systems, our collective accomplishments speak much louder than individual ones.

The DNP cohort can lead the charge to translate evidence into practice by applying quality improvement strategies, heading interprofessional teams, mastering health information technologies, and championing patient-centered care through existing EBP principles (Melnyk, et.al, 2012)

The DNP cohort can lead clinical innovation by using the theories we reviewed in Scientific Underpinnings to inform and change EBP assuring quality patient-centered care. The DNP cadre can also advocate for legislative changes, curriculum changes, and lead research teams looking to address a knowledge gap.  It will be important for the DNP army to be mindful of the interworking of the microsystems, mesosystems, and macrosystems in the organization they are trying to innovate.

Successful change is difficult, and many change initiatives ultimately fail.  Patient care is too important to not overcome those barriers to effective change. As a DNP, my first step prior to implementing the change would be to review my organization’s structure and culture to identify challenges I will be facing regarding staff motivation for change.  It will important that I recognize my own hesitations or transferences, and deal with those prior to addressing the team.  I believe educated employees are empowered employees, so assuring they understand the evidence behind the change movement, and how it will impact the team’s daily tasks will be crucial.  Elisabeth Kubler-Ross taught us many years ago that change is not a linear process, but a curved one where the team goes through shock, fear, acceptance, and commitment. Throughout the informed process, I will need to be consistent and transparent as I lead and coach the change to completion. I will need to ensure adequate communication that is clear, concise, and not overwhelming to staff.  Once the change is implemented, it will be important I give and take feedback on the process and debrief the team.  If the team can witness my dedication and passion to EBP and patient-centered care, they will be more trusting with future initiatives I bring forth.

REFERENCE

Melnyk, B. M., Fineout-Overholt, E., Gallagher-Ford, L., & Kaplan, L. (2012). The state of evidence-based practice in US nurses: Critical implications for nurse leaders and educators. Journal of Nursing Administration, 42(9), 410–417. https://doi.org/10.1097/NNA.0b013e3182664e0

I NEED A COMMENT FOR THIS POST WITH AT LEAST TWO-THREE  PARAGRAPH AND TWO SOURCES NO LATER THAN FIVE YEARS

Write a 1-page narrative in APA format that addresses the following:

• Explain the circumstances under which children should be prescribed drugs for off-label use. Be specific and provide examples.
• Describe strategies to make the off-label use and dosage of drugs safer for children from infancy to adolescence. Include descriptions and names of off-label drugs that require extra care and attention when used in pediatrics.