reply DB4

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dentify what issues may arise with the prescriptive authority of controlled substances and how you may avoid these situations?
Whenever there is a prescriptive authority of controlled substances, there is likely to be an abuse of the same by drug administrators. This has been demonstrated by the case of Heather Alonso, who was an advanced practice registered nurse (APRN) and used her position to prescribe controlled substances under the Medicare drug program. Nurse practitioners are not supposed to prescribe schedule 2 drugs since there is a high potential that they will be abused. Such issues mainly arise when medical practitioners compromise their practice and administer highly controlled substances contrary to rules and regulations, mainly because they receive hefty payments for the same.
To control the administration of controlled substances, the first step that must be taken is to ensure that a diagnostic workup is conducted (Young, 2018). The diagnostic workup will enable physicians to properly diagnose a patient before administering any drug. In the case of Heather Alonso, many of the patients were not being reviewed hence leading to prescriptions being administered wrongly. The second step that must be taken is to utilize prescription databases and obtain a medical history of the patient. The database will give information on whether the patient has received medication from multiple doctors. Screening for drug seeking is also necessary as it will enable one to establish if the patient is genuine or they are just abusing drugs.  Also, states can revamp their prescription drug monitoring programs (PDMP) which will have better standards for monitoring the administrati0n of controlled drugs (Perrone & Nelson, 2012). All the drugs which fall under schedule 2-5 are monitored. This will enable the states to understand whether stricter control and surveillance is needed. Through the PDMP, surprise audits can be done at the premises of drug administrators to check whether the necessary guidelines are being followed.This will lead to better monitoring and control when it comes to administration of controlled substances.
References
Young, J. (2018).Best Practices When Prescribing Controlled Substances. Retrieved from https://www.psychologytoday.com/us/blog/when-your-adult-child-breaks-your-heart/201806/best-practices-when-prescribing-controlled
Perrone, J., & Nelson, L. S. (2012). Medication reconciliation for controlled substances—an “ideal” prescription-drug monitoring program. New England Journal of Medicine, 366(25), 2341-2343.
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Addressing and Confronting Bias and Prejudice

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Prior to beginning work on this discussion, please read Chapters 8, 12, and 13 in DSM 5 Made Easy: The Clinician’s Guide to Diagnosis; Chapter 2 in Turning Points in Dynamic Psychotherapy: Initial Assessment, Boundaries, Money, Disruptions and Suicidal Crises; Chapter 5 in The Psychiatric Interview: Evaluation and Diagnosis; all required articles; and review the PSY645 Fictional Sociocultural Case Studies document. One of the most important aspects of developing competence in psychopathology is to be as honestly and completely aware as possible of your personal attitudes toward people who have mental health conditions. Through this awareness, we are better able to challenge our own biases and prejudicial views in order to be more open to the findings within scholarly research.For your initial post in this discussion, choose one of the three case studies from the PSY645 Fictional Sociocultural Case Studies document, and write a detailed description of your uncensored personal observation of the patient depicted. Describe at least one theoretical orientation you would use to conceptualize your view of the patient’s problem and how it may have developed. Identify the issues you might focus on in treatment with this patient. Be sure to identify within your post which of the three case studies you have chosen.
Guided Response: Review several of your colleagues’ posts, and respond to at least two of your peers by 11:59 p.m. on Day 7 of the week. You are encouraged to post your required replies earlier in the week to promote more meaningful interactive discourse in this discussion. Examine your colleague’s initial post, and formulate a possible response. Research a minimum of two peer-reviewed articles that support the views presented in your response. Compose a response that uses a sociocultural perspective to assess the validity of your colleague’s observation and his or her proposed direction of treatment.  
Outline any biases or prejudicial views you observe in your colleague’s post which may affect their conceptualization of the patient’s problems. Remember that your colleague is being open and honest regarding his or her personal views; therefore, your task is to provide persuasive information to encourage your colleague to adopt a view that is supported by peer-reviewed literature. Pay close attention to the tone of your response to ensure your colleague will not become defensive when reading it. Be sure to use at least two peer-reviewed sources to support your statements.Continue to monitor the discussion forum until 5:00 p.m. Mountain Standard Time (MST) on Day 7 of the week and respond to anyone who replies to your initial post. 
Carefully review the Discussion Forum Grading Rubric for the criteria that will be used to evaluate this Discussion Thread.The post Addressing and Confronting Bias and Prejudice first appeared on Nursing School Essays.

BW Phar Essay 4 topic listed below

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 http://www.nhlbi.nih.gov/health/dci/Diseases/HeartAttack/HeartAttack_WhatIs.html 
 Every unit will contain web sites that will expand the information you will have available on the subject. You will be expected to visit one or more of these web sites and submit an essay in the essay assignment about the information in the website. Complete this assignment by writing a 2 paragraph essay (not less than 120 words) about something you learned from one or more of the web sites. Enter the essay in the submission box and submit it. 

week 3 discussion question 2

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The role of the microsystem in shaping children’s effortful control is important and parents play a critical role. After reading the text and viewing the “Life at 3: Bad Behavior” video, address the following: 

What would you recommend to a parent who asks you what he or she can do to promote his or her preschool child’s self-regulation skills?
Now turning to the mesosystem, identify examples of influences on the child’s effortful control you can share with the parent.  
Provide examples of influences on children’s effortful control that you have observed in your own family and other families who are close to you.  

Guided Response:  Your initial post should be at least 250 words in length.The post week 3 discussion question 2 first appeared on Nursing School Essays.

Imagery in Poetry 2 – Nursing Essay Tutors

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Week 1 Discussion
Choose a poem from the list below. Read all of the poems before making your choice; do not simply choose the first one you read. If a poem has already been discussed by two other students, choose another one from the list. We want to have an interesting discussion of a variety of poems! (Check the closed list and the discussion thread before posting.)
TIPS:   Do not repost the poem or directions in your response.  Use your poem’s title as the title of your post, and put quotation marks around the title. Mention the title and author in your post, and give specific examples from the poem to illustrate your points. Include at least one quotation from the poem, and use in-text citations and an end reference to document your source. See the model post in the directions for an example response. Use the eBook as your source for the poem. Do not use outside sources for any assignment until we reach Week 5’s library assignment. Do not use an attachment. Post directly into the response area.
You will give an end reference in each discussion this session. The reference for this one will include your poet and poem. The automatic reference given by the textbook is incomplete, so do not use it. If you need help, see the example I posted in the thread starter on how to cite poetry.
There are no right/wrong answers and can be many perspectives on a poem, so relax and have fun with the assignment. Please let me know if you have any questions. I’m here to help!
Read the Following Poems (Used in Weeks 1 and 2): Bradstreet, “To My Dear and Loving Husband” Brooks, “We Real Cool” Browning, “How Do I Love Thee” Burns, “Oh, My Love is Like a Red, Red Rose” Cummings, “Buffalo Bill” Cummings, “Next to of Course God America I” Dickinson, “After Great Pain, a Formal Feeling Comes” Dickinson, “Because I Could Not Stop for Death” Dickinson, “I Heard a Fly Buzz When I Died” Dickinson, “This is My Letter to the World” Dunbar, “We Wear the Mask” Espada, “My Father as a Guitar” Frost, “Design” Frost, “Mending Wall” Frost, “Nothing Gold Can Stay” Frost, “The Road Not Taken” Heaney, “Digging” Heaney, “Mid-Term Break” Herrick, “To the Virgins, to Make Much of Time” Hughes, “Theme for English B” Jarrell, “The Death of the Ball Turret Gunner” Karr, “A Blessing from My Sixteen Years’ Son” Komunyakaa, “Facing It” MacLeish, “Ars Poetica” Marlowe, “The Passionate Shepherd to His Love” McKay, “The White City” Mirikitani, “Suicide Note” Pastan, “Ethics”  Plath, “Daddy” Rich, “Living in Sin” Robinson, “Miniver Cheevy” Robinson, “Richard Cory” Roethke, “My Papa’s Waltz” Shakespeare, “Let Me Not to the Marriage of True Minds” Shakespeare, “My Mistress’ Eyes Are Nothing Like the Sun” Shakespeare, “Shall I Compare Thee to a Summer’s Day?” Smith, “Not Waving but Drowning” Stevens, “Anecdote of the Jar” Yeats, “The Second Coming”

FOR NICOHWILLIAMS ONLY!

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Please complete Module/Week 4 Discussion Board Forum 3 with a reply to 2 threads from other students. Must be written in APA 6th edition format, proper citations, and reference(s). Please follow the timeline within the instructions because there are 2 statements that need to be categorized in this discussion board.
Thank you so much for your help!The post FOR NICOHWILLIAMS ONLY! first appeared on Nursing School Essays.

Discuss the difference between the three positions of

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Discuss the difference between the three positions of relativism: individual, cultural, and developmental What are the strengths and weaknesses of each position?
Are any of the theories similar to your own ethical system? 
Identify your system, and discuss the type of relativism closest to it Give personal examples to show why or why not you identify one of the types of relativism as your ethical system Include two references as support for your decision

STAT Discussion Board class: Health Care Policy MSN-FNP

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I need 2 discussions (for me and my girlfriend) 
 APA style. 250 words. 2 references. 
1) Reflect on the role that the electoral process and government play in one’s daily work and family life. As nurses, health policy can influence both areas of our lives. 2) What policy issues might drive nurses to lobby Congress and/or get involved in campaign politics? 
 3) What strategies might nurses use to have their voices heard? 
The American Nurse: http://www.theamericannurse.org/2014/10/22/time-for-nurses-to-get-out-the-vote/ 
Maybe the link do not work. I am trying to contact the professor to explain that. She never answers me. 

Week Two Homework Exercise | Nursing School Essays

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PLEASE READ CONTENT CAREFULLY AND DO ALL PARTS
MUST BE NEW AND ORIGINAL WORK NOT GIVEN TO OTHER STUDENTS. Write in a clear, concise, and organized manner; demonstrate ethical scholarship in the accurate representation and attribution of sources; and display accurate spelling, grammar, and punctuation. Include citations in the text and references at the end of the document in APA format.PLEASE READ INSTRUCTION CAREFULLY. IN TEXT CITATION AND MUST CITE ALL REFERENCE IN APA FORMAT
Complete Week Two Homework Exercise (do not put answers on a seperate word document, put answers on attachment only.

National Nursing Shortage Reform and Patient Advocacy Act

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Amends title XVIII (Medicare) of the Social Security Act to require each Medicare participating hospital to implement a hospital-wide staffing plan for nursing services furnished in the hospital.
Requires the plan to require that an appropriate number of registered nurses provide direct patient care in each unit and on each shift of the hospital to ensure staffing levels that: (1) address the unique characteristics of the patients and hospital units; and (2) result in the delivery of safe, quality patient care consistent with specified requirements.
Requires each participating hospital to establish a hospital nurse staffing committee which shall implement such plan.
Specifies civil monetary and other penalties for violation of the requirements of this Act.
Sets forth whistleblower protections against discrimination and retaliation involving patients or employees of the hospital for their grievances, complaints, or involvement in investigations relating to such plan.
Summary: S.864 — 114th Congress (2015-2016)All Bill Information (Except Text)
Listen to this pageThere is one summary for S.864. Bill summaries are authored by CRS.Shown Here:Introduced in Senate (03/25/2015)
National Nursing Shortage Reform and Patient Advocacy Act
Amends the Public Health Service Act to require hospitals to implement and submit to the Department of Health and Human Services (HHS) a staffing plan that complies with specified minimum nurse-to-patient ratios by unit. Requires HHS to develop a transparent method for establishing nurse staffing requirements above minimum ratios.
Directs HHS to adjust Medicare payments to hospitals to cover additional costs incurred in providing services to Medicare beneficiaries that are attributable to compliance with such ratios.
Gives nurses the right to act as the patient’s advocate by initiating action to improve health care and by giving the patient an opportunity to make informed health care decisions. Allows a nurse to object to, or refuse to participate in, any assignment if it would violate minimum ratios or if the nurse is not prepared by education or experience to fulfill the assignment without compromising the safety of a patient or jeopardizing the nurse’s license. Prohibits a hospital from: (1) taking specified actions against a nurse based on the nurse’s refusal to accept an assignment for such a reason; or (2) discriminating against any individual for good faith complaints relating to the care, services, or conditions of the hospital or of any related facilities.
Adds stipends to the nurse workforce loan repayment and scholarship program. Expands the nurse retention grant program to authorize programs to implement nurse preceptorship and mentorship projects.