Category: Nursing

CO 3: Demonstrates effective communication with patients, colleagues, and other healthcare providers in managing safe/quality healthcare processes using evidence-based practices. (PO 3)
CO 4: Integrates clinical nursing judgment using effective communication strategies with patients, colleagues, and other healthcare providers. (PO 4)
CO 7: Integrates the professional role of leader, teacher, communicator, and manager of care to plan cost-effective, quality healthcare to consumers in structured and unstructured settings. (PO 7)
CO 8: Selects evidence for best practices when planning professional nursing care involving systems, processes, and devices for individuals, families, aggregates, and communities. (PO 8)

Construct a 5- to 6-page paper discussing each of the four traditional mood stabilizer medications: carbamazepine, lamotrigine, lithium, and valproate products. Support your answers with five (5) evidence-based, peer-reviewed scholarly literature.
Note: APA style format will apply.
Your paper should include the following for each:
Proposed mechanism of action
Baseline assessment, laboratory considerations, and frequency of ongoing labs and assessments
Note: Discuss the importance of assessment and labs.
Special population considerations (birth assigned gender, age, other medical comorbidity considerations)
FDA approval indications
Typical dosing with discussion on therapeutic endpoints for psychiatric use
Major drug–drug interaction considerations
For each of these medications, please review potential drug–drug interactions listed below. Consider alternative dosing schedules, clinical implications for the drug interactions, additional patient education needed, any additional monitoring recommended, or collaboration needed with other medical professions (such as, primary care providers)
Lamotrigine + Valproate
Lamotrigine + Rifampin
Valproate + Estrogen containing birth control.
Valproate + Amitriptyline
Lithium + Furosemide
Lithium + Lisinopril
Carbamazepine + Lurasidone
Carbamazepine + Grapefruit juice
Discuss the ethical, legal, and social implications related to prescribing bipolar and other related mood-disorder diagnoses therapy for patients.
Reminder: The College of Nursing requires that all papers submitted include a title page, introduction, summary, and references. For this Assignment, you are only required to include a title page. The Walden Writing Center Sample PaperLinks to an external site. provides an example of those required elements.
By Day 7 of Week 8
Submit by Day 7 of Week 8.
submission information
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To submit your completed assignment, save your Assignment as WK8Assgn_LastName_Firstinitial
Then, click on Start Assignment near the top of the page.
Next, click on Upload File and select Submit Assignment for review.
Rubric
NURS_6630_Week8_Assignment_Rubric
NURS_6630_Week8_Assignment_Rubric
Criteria Ratings Pts
This criterion is linked to a Learning OutcomeFor each of the four (4) traditional mood stabilizers, response includes proposed mechanism of action, baseline assessment, laboratory considerations, and frequency of ongoing. Discusses the importance of assessment and labs. Indication of special population considerations FDA approval. Discusses typical dosing with focus on therapeutic endpoints for psychiatric use of major drug-drug interaction considerations.
50 to >36.0 pts
Excellent
The response comprehensively and clearly describes all of the elements for each of the four (4) mood stabilizers.
36 to >24.0 pts
Good
The response clearly describes at least 75% the Assignment elements for three to four (3–4) mood stabilizers.
24 to >11.0 pts
Fair
The response describes at least 50% the Assignment elements for each mood stabilizer or only two (2) mood stabilizers discussed.
11 to >0 pts
Poor
The response includes inaccurate and vague examples that describe 25% or less of the Assignment elements for one (1) mood stabilizer, or some or all are missing.
50 pts
This criterion is linked to a Learning OutcomeReviews the potential drug–drug interactions of the following: *Lamotrigine + Valproate; *Lamotrigine + Rifampin; *Valproate + Estrogen containing birth control; *Valproate + Amitriptyline; *Lithium + Furosemide; *Lithium + Lisinopril; *Carbamazepine + Lurasidone; *Carbamazepine + Grapefruit juice. Consider alternative dosing schedules, clinical implications for the drug interactions, additional patient education needed, any additional monitoring recommended, or collaboration needed with other medical professionals.
20 to >18.0 pts
Excellent
Reviews all seven to eight (7-8) of the potential drug-drug interactions with clear and accurate Discussion of alternative dosing, patient education, monitoring recommendation, and when to collaborate.
18 to >15.0 pts
Good
Reviews five to six (5–6) of the potential drug-drug interactions with clear and accurate Discussion of alternative dosing, patient education, monitoring recommendation, and when to collaborate.
15 to >10.0 pts
Fair
Reviews three to four (3–4) of the potential drug-drug interactions with some Discussion and minor inaccuracies of alternative dosing, patient education, monitoring recommendation, and when to collaborate.
10 to >0 pts
Poor
Reviews up to eight (8) of the potential drug-drug interactions with vague and major inaccuracies noted in the Discussion, including alternative dosing, patient education, monitoring recommendation, and when to collaborate.
20 pts
This criterion is linked to a Learning OutcomeDiscusses ethical, legal, and social implications related to prescribing these medications to patients.
10 to >7.0 pts
Excellent
The response accurately and clearly discusses ethical, legal and social implications. The response includes relevant, specific, and appropriate examples that fully support the Discussion.
7 to >4.0 pts
Good
The response accurately discusses ethical, legal and social implications. The response includes relevant, specific, and accurate examples that support the Discussion.
4 to >1.0 pts
Fair
The response inaccurately or vaguely discusses ethical, legal and social implications. The response includes inaccurate and irrelevant examples that may support the Discussion.
1 to >0 pts
Poor
The response inaccurately and vaguely discusses ethical, legal and social implications, or it is missing. The response includes inaccurate and vague examples that do not support the Discussion, or it is missing.
10 pts
This criterion is linked to a Learning OutcomeThe paper is succinct and is 5–6 pages. Five (5) evidence-based, peer- reviewed scholarly references outside of course resources.
5 to >4.0 pts
Excellent
The paper is succinct and is 5–6 pages. Five (5) evidence-based, peer- reviewed scholarly references outside of course resources
4 to >3.0 pts
Good
The paper is succinct and is 7–8 pages. Four (4) evidence-based, peer- reviewed scholarly references outside of course resources
3 to >1.0 pts
Fair
The paper is somewhat succinct and is 8–9 pages. Two or three (2 or 3) evidence-based, peer- reviewed scholarly references outside of course resources
1 to >0 pts
Poor
The paper is not succinct and is 10+ pages. One (1) or no evidence-based, peer- reviewed scholarly references outside of course resources
5 pts
This criterion is linked to a Learning OutcomeWritten Expression and Formatting—Paragraph Development and Organization: Paragraphs make clear points that support well-developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are carefully focused—neither long and rambling nor short and lacking substance. A clear and comprehensive purpose statement and introduction is provided which delineates all required criteria.
5 to >4.0 pts
Excellent
Paragraphs and sentences follow writing standards for flow, continuity, and clarity. A clear and comprehensive purpose statement, introduction, and conclusion is provided which delineates all required criteria.
4 to >3.0 pts
Good
Paragraphs and sentences follow writing standards for flow, continuity, and clarity 80% of the time. Purpose, introduction, and conclusion of the Assignment is stated yet is brief and not descriiptive.
3 to >1.0 pts
Fair
Paragraphs and sentences follow writing standards for flow, continuity, and clarity 60%–79% of the time. Purpose, introduction, and conclusion of the Assignment is vague or off topic.
1 to >0 pts
Poor
Paragraphs and sentences follow writing standards for flow, continuity, and clarity less than 60% of the time. No purpose statement, introduction, or conclusion was provided.
5 pts
This criterion is linked to a Learning OutcomeWritten Expression and Formatting—English writing standards: Correct grammar, mechanics, and proper punctuation.
5 to >4.0 pts
Excellent
Uses correct grammar, spelling, and punctuation with no errors.
4 to >3.0 pts
Good
Contains one or two grammar, spelling, and punctuation errors.
3 to >1.0 pts
Fair
Contains three or four grammar, spelling, and punctuation errors.
1 to >0 pts
Poor
Contains five or more grammar, spelling, and punctuation errors that interfere with the reader’s understanding.
5 pts
This criterion is linked to a Learning OutcomeWritten Expression and Formatting: The paper follows correct APA format for title page, headings, font, spacing, margins, indentations, page numbers, parenthetical/in-text citations, and reference list.
5 to >4.0 pts
Excellent
Uses correct APA format with no errors.
4 to >3.0 pts
Good
Contains one or two APA format errors.
3 to >1.0 pts
Fair
Contains three or four APA format errors.
1 to >0 pts
Poor
Contains five or more APA format errors.
5 pts
Total Points: 100

systematic review
part 1 & 2 synopsis& protocol included in attachment
sources from the synopsis and protocol and relevant sources can be added

Instructions, Narrative template, Modules slice pictures and module transcripts, and PowerPoint are uploaded to this order.

Please see attached readings as well as SLOs then answer below questions:
After reviewing the assigned readings and module 2 start page, please answer the following:
Think about your work environment. What are some of the characteristics of the consumers you care for? How have they changed your practice?
What information does your hospital administration share about payers and stakeholders? If they don’t share, should they? Why or Why not?
Explain how the readings and discussion helped you achieve your SLOs this week.

Please find attached readings/SLO then answer questions below:
For this discussion, please answer the following questions. PLEASE NOTE I WORK IN A HOSPITAL ON ONCOLOGY MED SURG FLOOR
Talk about the importance of variance reporting and some of the areas you are likely to see the most costly variances.
In a value-based environment how can the nurse increase reimbursements and decrease revenue loss?
Describe how this week’s material has assisted you in achieving your student learning outcomes.

I am attaching to you two files. The first one is the care plan file that you will use and fill out. The second file contains pictures of the patient I was taking care of. I did not do much that day for the patient. For the medications part use the rarest ones (just five of them). Please make it ESL, very simple English.
Thanks in advance!Medication List:
2. Adult Calcium Replacement Protocol
* Purpose: Electrolyte replacement.
* Route: IV if calcium levels are less than 0.80.
* Infusion: 2 grams of calcium chloride.
3. Adult Magnesium Replacement Protocol
* Purpose: Electrolyte replacement.
* Route: IV if magnesium levels are less than 1.2 mg/dL.
4. Phosphate Replacement Protocol
* Purpose: Phosphate replacement.
* Route: IV.
* Daily PRN.
5. Potassium Replacement Protocol
* Purpose: Potassium replacement.
* Route: IV.
* Daily PRN, if levels are 3.0 or less.
6. Clopidogrel (Plavix) 75 mg tablet
* Purpose: Antiplatelet agent to prevent blood clots.
* Route: Oral, daily.
7. Dextrose 50% Syringe (12.5–25g)
* Purpose: Treatment for hypoglycemia (low blood sugar).
* Route: IV PRN, when blood sugar is less than 50 mg/dL.
8. Dextrose 15g/32 mL gel
* Purpose: Oral treatment for hypoglycemia (low blood sugar).
* Route: Oral, PRN, when blood sugar is less than 70 mg/dL.
9. Ferrous Sulfate (325 mg)
* Purpose: Iron replacement for anemia.
* Route: Oral, daily, 2 times with meals.
10. Finasteride (Proscar) 5 mg
* Purpose: Treat benign prostatic hyperplasia (BPH).
* Route: Oral, nightly.
11. Fluconazole (Diflucan) 200 mg
* Purpose: Antifungal agent.
* Route: Oral, daily.
12. Glucagon Recombinant Injection (Glucagen)
* Purpose: Treatment for severe hypoglycemia.
* Route: IM (intramuscular) injection, PRN, when blood sugar is less than 70 mg/dL.
13. Hydralazine (Apresoline) 25 mg
* Purpose: Antihypertensive medication.
* Route: Oral, 2 times daily.
14. Insulin Lispro
* Purpose: Blood sugar control for diabetes.
* Route: Subcutaneous injection, sliding scale, 3 times daily.
15. Senna (Senokot) 8.6–50 mg
* Purpose: Laxative for constipation relief.
* Route: Oral, nightly.
16. Tamsulosin (Flomax) 0.4 mg capsule
* Purpose: Treat benign prostatic hyperplasia (BPH).
Route: Oral, every morning.

Directions:Consider the scenario below, then follow the instructions underneath it to complete the discussion. If appropriate, support your position with credible resources/examples/evidence and provide APA references.
Mr. DMr. D is a 90-year-old man who was admitted to the hospital with complaints of nausea, vomiting, left arm pain, and chest pain. An electrocardiogram (ECG) is performed, and he is diagnosed as having a myocardial infarction. Mr. D has a long history of comorbidities including hypertension, diabetes, and congestive heart failure (CHF). With this in mind, the physician asks Mr. D if he wants life-sustaining measures taken (e.g., CPR, mechanical ventilation, etc.) should he experience cardiopulmonary arrest. Mr. D tells the physician that he wants all measures taken to save his life.
Imagine that you are the nurse assigned to provide care to Mr. D, and address the following:
Considering Mr. D’s advanced age, what are the benefits/risks associated with providing life-sustaining measures?
What factors should you consider based on the Mr. D’s age and health history?
If Mr. D were your family member, how would you respond to his decision?
Review the posts made by your classmates and reply to someone expanding on their idea or offering an alternative for consideration.

Assessment 2: KT plan
Assessment 2 – Written Assignment
Assessment Type
Written Assignment
Choose one topic from these topics below:
1- Infectious Disease Management:
• Studying the gap between knowledge about preventing infectious diseases and the practical applications in hospitals.
2- Improving Diabetes Care:
• Exploring the gap between recent research on diabetes management and clinical applications in clinics.
3- Chronic Pain Management Guidelines:
• Evaluating the gap between new research on chronic pain treatment and the methods used in clinics.
Description
You will use the Knowledge Translation Project Plan template to complete this assignment.
This assignment will involve detailed description of a series of activities aimed at solving a problem – in this case, the translation of knowledge to policy/practice supported by contemporary literature.
Your plan should provide the reader with the following type of information (with contemporary supportive literature):
1.What is the knowledge policy/practice gap you identified?
2.What is the source, strength, and quality of the knowledge to be translated?
3.How will you plan and organise the change?
4.How will you engage stakeholders and knowledge users?
5.What is your organisation’s readiness to change?
6.How will the knowledge be adapted to the local context?
7.How are the potential barriers to knowledge and how might you mitigate them?
8.What implementation interventions are appropriate?
9.How will you test, adapt, and spread the interventions?
10.How will you monitor the impact on knowledge, attitudes and outcomes?
Length
2000 words/ 15 x A4 pages (Max)
Referencing
You need to use APA 7th referencing style for this assignment.
Writing Project Plans
Here you will find a template to use for the KT project plan (assessment 2). I have attached a presentation and resource from the Centre for Teaching and Learning on how to write a report/plan.

Please fill out the blank spaces and read the directions for what is wanted on this assignment. Use APA in text citation when appropriate and include resource page. Crime rate for rural town in my home state, use Holdenville, Oklahoma.