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Compliance of a patient is one key to successful medication by therapists

Discussion Questions

Compliance of a patient is one key to successful medication by therapists. Therefore, in a case like that of Alma, a healthcare professional has first to find a way to overcome the non-compliant nature of Alma so that the pelvic procedure will be carried out successfully. In helping to provide a solution to the non-compliant nature of Alma, the health care professional has first to focus on finding out the root cause of the behavior. In this case, the cause of the non-compliance might be illiteracy, or maybe economic hardships, or an array of other issues which are personal to the patient. Therefore, after getting causes of the root cause of the non-compliance, the real solution will be looking at patterns of care and utilization. By taking a care route, the health care professional will be able to solve the non-compliance problem of Alma. Some of the strategies to adopt for the health care professional for successful solvation of non-compliance will be maintaining their rationality, placing responsibility where it belongs, setting reasonable limits in addressing the problem, and not focusing more on the negative aspects.

In the case of Alma, patient education will have to come in. Patient education encompasses three aspects, which determine the approach one can take: the educator, the non-compliant patient, and the healthcare setting. For the educator, a high degree of familiarity with the case of the patient is needed. Familiarity, in this case, means that whatever might be meaningful to the patient regarding the diagnosis should be made known to them through appropriate methodologies. For the patient, for complete compliance, they should be convinced enough that the procedure of treatment that is set to them will help avoid the adverse condition they are facing. Regarding the healthcare setting, the educator should look for an appropriate environment that will enhance communication between the healthcare professional and the non-compliance professional.

Alma Faulkenberger is an 85-year-old female outpatient sitting in the waiting room awaiting an invasive pelvic procedure. The health care professional who will assist in her procedure enters the room and calls “Alma.” There is no reply so the professional retreats to the work area. Fifteen minutes later the professional returns and calls “Alma Frankenberg.” Still no reply, so he leaves again. Another 15 minutes pass and the professional approaches Alma and shouts in her ear, “Are you Alma Frankenberg?” She replies, “No I am not, and I am not deaf either, and when you get my name correct I will answer you.”

Using the topic 1 materials, develop a plan to help Alma be compliant with the procedure and post-treatment medication. Also, describe the approach you would take to patient education in this case.

Using 200-300 words APA format with at least two references. Sources must be published within the last 5 years

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Sometimes a coder might need to query the physician if they see a medication and no diagnosis that corresponds to the usual use of the medication

It is important for coders to be familiar with medications. Sometimes a coder might need to query the physician if they see a medication and no diagnosis that corresponds to the usual use of the medication. For your initial post, select a body body system (ex. circulatory, reproductive, respiratory, etc) and research FIVE common medications utilized for diseases of that body system. Indicate the name of the drug (if generic is available list generic and other brand names), and common diagnosis that the medication would be utilized for. MAKE SURE YOU CITE YOUR SOURCES AND USE RELIABLE SOURCES! For your follow up posts, select two of your classmates and code the diagnoses they list for THREE of the medications they selected. 

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hypothetical in-service session related to the safe medication administration improvement plan

For this assessment, you will develop a 10 slide PowerPoint presentation with thorough speaker’s notes designed for a hypothetical in-service session related to the safe medication administration improvement plan you developed in Assessment 2.

As a practicing professional, you are likely to present educational in-services or training to staff pertaining to quality improvement (QI) measures of safety improvement interventions. Such in-services and training sessions should be presented in a creative and innovative manner to hold the audience’s attention and promote knowledge acquisition and skill application that changes practice for the better. The teaching sessions may include a presentation, audience participation via simulation or other interactive strategy, audiovisual media, and participant learning evaluation.

The use of in-services and/or training sessions has positive implications for nursing practice by increasing staff confidence when providing care to specific patient populations. It also allows for a safe and nonthreatening environment where staff nurses can practice their skills prior to a real patient event. Participation in learning sessions fosters a team approach, collaboration, patient safety, and greater patient satisfaction rates in the health care environment (Patel & Wright, 2018).

As you prepare to complete the assessment, consider the impact of in-service training on patient outcomes as well as practice outcomes for staff nurses. Be sure to support your thoughts on the effectiveness of educating and training staff to increase the quality of care provided to patients by examining the literature and established best practices.

You are encouraged to explore the AONE Nurse Executive Competencies Review activity before you develop the Improvement Plan In-Service Presentation. This activity will help you review your understanding of the AONE Nurse Executive Competencies—especially those related to competencies relevant to developing an effective training session and presentation. This is for your own practice and self-assessment, and demonstrates your engagement in the course.

Demonstration of Proficiency

By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:

· Competency 1: Analyze the elements of a successful quality improvement initiative.

. Explain the need and process to improve safety outcomes related to medication administration.

. Create resources or activities to encourage skill development and process understanding related to a safety improvement initiative on medication administration.

· Competency 4: Explain the nurse’s role in coordinating care to enhance quality and reduce costs.

. List clearly the purpose and goals of an in-service session focusing on safe medication administration for nurses.

. Explain audience’s role in and importance of making the improvement plan focusing on medication administration successful.

· Competency 5: Apply professional, scholarly, evidence-based strategies to communicate in a manner that supports safe and effective patient care.

. Slides are easy to read and error free. Detailed speaker notes are provided. Speaker notes are clear, organized, and professionally presented.

. Organize content with clear purpose or goals and with relevant and evidence-based sources (published within 5 years).

Reference

Patel, S., & Wright, M. (2018). Development of interprofessional simulation in nursing education to improve teamwork and collaboration in maternal child nursing. Journal of Obstetric, Gynecologic & Neonatal Nursing​, 47(3), s16–s17.

Professional Context

As a baccalaureate-prepared nurse, you will often find yourself in a position to lead and educate other nurses. This colleague-to-colleague education can take many forms, from mentoring to informal explanations on best practices to formal in-service training. In-services are an effective way to train a large group. Preparing to run an in-service may be daunting, as the facilitator must develop his or her message around the topic while designing activities to help the target audience learn and practice. By improving understanding and competence around designing and delivering in-service training, a BSN practitioner can demonstrate leadership and prove him- or herself a valuable resource to others.

Scenario

For this assessment it is suggested you take one of two approaches:

1. Build on the work that you have done in your first two assessments and create an agenda and PowerPoint of an educational in-service session that would help a specific staff audience learn, provide feedback, and understand their roles and practice new skills related to your safety improvement plan pertaining to medication administration, or

2. Locate a safety improvement plan through an external resource and create an agenda and PowerPoint of an educational in-service session that would help a specific staff audience learn, provide feedback, and understand their roles and practice new skills related to the issues and improvement goals pertaining to medication administration safety.

Instructions

The final deliverable for this assessment will be a PowerPoint presentation with detailed presenter’s notes representing the material you would deliver at an in-service session to raise awareness of your chosen safety improvement initiative focusing on medication administration and to explain the need for it. Additionally, you must educate the audience as to their role and importance to the success of the initiative. This includes providing examples and practice opportunities to test out new ideas or practices related to the safety improvement initiative.

Be sure that your presentation addresses the following, which corresponds to the grading criteria in the scoring guide. Please study the scoring guide carefully so you understand what is needed for a distinguished score.

· List the purpose and goals of an in-service session focusing on safe medication administration for nurses.

· Explain the need for and process to improve safety outcomes related to medication administration.

· Explain to the audience their role and importance of making the improvement plan focusing on medication administration successful.

· Create resources or activities to encourage skill development and process understanding related to a safety improvement initiative on medication administration.

· Communicate with nurses in a respectful and informative way that clearly presents expectations and solicits feedback on communication strategies for future improvement.

There are various ways to structure an in-service session; below is just one example:

· Part 1: Agenda and Outcomes.

. Explain to your audience what they are going to learn or do, and what they are expected to take away.

· Part 2: Safety Improvement Plan.

. Give an overview of the current problem focusing on medication administration, the proposed plan, and what the improvement plan is trying to address.

. Explain why it is important for the organization to address the current situation.

· Part 3: Audience’s Role and Importance.

. Discuss how the staff audience will be expected to help implement and drive the improvement plan.

. Explain why they are critical to the success of the improvement plan focusing on medication administration.

. Describe how their work could benefit from embracing their role in the plan.

· Part 4: New Process and Skills Practice.

. Explain new processes or skills.

. Develop an activity that allows the staff audience to practice and ask questions about these new processes and skills.

. In the notes section of your PowerPoint, brainstorm potential responses to likely questions or concerns.

· Part 5: Soliciting Feedback.

. Describe how you would solicit feedback from the audience on the improvement plan and the in-service.

. Explain how you might integrate this feedback for future improvements.

Remember to account for activity and discussion time. 

For tips on developing PowerPoint presentations, refer to:

· Capella University Library: PowerPoint Presentations.

· Guidelines for Effective PowerPoint Presentations [PPTX].

Additional Requirements

· Presentation length: There is no required length; use just enough slides to address all the necessary elements. Remember to use short, concise bullet points on the slides and expand on your points in the presenter’s notes. If you use 2 or 3 slides to address each of the parts in the above example, your presentation would be 10–15 slides.

· Speaker notes: Speaker notes should reflect what you would actually say if you were delivering the presentation to an audience. Another presenter would be able to use the presentation by following the speaker notes.

· APA format: Use APA formatting for in-text citations. Include an APA-formatted reference slide at the end of your presentation.

· Number of references: Cite a minimum of 3 sources of scholarly or professional evidence to support your assertions. Resources should be no more than 5 years old

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Barriers for psychiatric patients for complaint with medication treatment

mention some barriers for psychiatric patients for complaint with medication treatment. Comment about the best treatment for the first psychotic episode. Mention the consideration before start antipsychotic medications. What are the side effects of antipsychotic medications?  

Instructions:

Use an APA style and a minimum of 150 words. Provide support from a minimum of at least (2) scholarly sources. The scholarly source needs to be: 1) evidence-based, 2) scholarly in nature, 3) Sources should be no more than five years old (published within the last 5 years), and 4) an in-text citation. citations and references are included when information is summarized/synthesized and/or direct quotes are used, in which APA style standards apply. 

• Textbooks are not considered scholarly sources. 

Antipsychotic medication has existed for over a century. Disorders such as bipolar, schizophrenia among other mental conditions remain a disaster in the 21st century. It is clear that better adaptive and effective antipsychotic medication is required. Besides, the current treatment is prone to numerous adverse side effects on the patients. Chlorpromazine was the first antipsychotic drug to be used in the treatment of schizophrenia in the early 1950s. Ever since psychiatrists have developed through research and resolved to use more sophisticated treatment equipment and procedures to the current generation. Electroconvulsive therapy followed the introduction of chlorpromazine. However, this kind of therapy has proved to be effective for some forms of psychosis disorders and ineffective in others. The treatments were marred with severe adverse side effects that were resolved through the broad application of prefrontal lobotomy. Prefrontal lobotomy calmed down the effects of such treatment procedures. Soon, ACTH and corticosteroids were introduced with clinicians noting positive benefits in patients on administration (Preston, O’Neal & Talaga, 2017). Despite the beneficial effects of such advancements, the treatment had implications on immunosuppression and anti-inflammatory therapeutics. Later in1980s, the atypical or second-generation antipsychotic drugs such as clozapine were introduced into the market after rigorous studies and tests on agranulocytosis (Perry, Alexander, Liskow & DeVane, 2007). The drugs that have been used in the treatment of psychosis include antipsychotic drugs, antidepressants, antianxiety, hypnotics, and lithium (Lieberman et al. 2005). The application of the above medication yields varying results on various conditions. Besides, they also have distinct side effects on the patients. Question #2

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