Tag: Pathophysiology & Pharmacology

  • [Solved] discussion

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    – [\ \ Screenshot2025-04-07at9.40.23AM.png](https://www.sweetstudy.com/files/screenshot2025-04-07at9-40-23am-png "Screenshot2025-04-07at9.40.23AM.png") – 2 years ago

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    – 2 years ago

  • [Solved] week 6

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    Advocacy is considered a role that all healthcare practitioners can fill. Advocacy is important to healthcare and improving health outcomes by acting as “the voice” for clients and vulnerable populations. – Identify a vulnerable population and describe ways a nurse can advocate for a change to promo…

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    Advocacy is considered a role that all healthcare practitioners can fill. Advocacy is important to healthcare and improving health outcomes by acting as “the voice” for clients and vulnerable populations.

    – Identify a vulnerable population and describe ways a nurse can advocate for a change to promote positive health outcomes for this group.
    – What government organizations and policies help to support advocacy in healthcare?
    – What guidelines can healthcare systems implement to strengthen advocacy efforts?
    – Consider the role of microsystems, macrosystems, and mesosytems. Describe how advocacy at each of these levels (microsystem, mesosystem, and macrosystem) could enhance support for the vulnerable population you identified. How might advocacy actions differ at each level?
    – Discuss  the link between healthcare advocacy and the financial outcomes of an organization. How can effective advocacy at each system level impact an organization's financial health?

    – 2 years ago

  • [Solved] NUR 505 530 DISCUSSION

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    Hello.. I really need your assistant with this week assignment. – 2 years ago **files (1)** – ## NUR505530DisWk4.pdf **## NUR505530DisWk4.pdf** Case Study: Kel Purpose: Analyze and apply critical thinking skills in the psychopathology of mental health patients and provide treatment and health promot…

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    Hello.. I really need your assistant with this week assignment.

    – 2 years ago

    **files (1)**

    – ## NUR505530DisWk4.pdf

    **## NUR505530DisWk4.pdf**

    Case Study: Kel

    Purpose: Analyze and apply critical thinking skills in the psychopathology
    of mental health patients and provide treatment and health
    promotion while applying evidence-based research.

    Scenario: Kel is a 42-year-old certified public accountant (CPA) who
    dreams each year that she will board a cruise ship the day after
    Tax Day and go somewhere, anywhere, except Portsmouth,
    Virginia. Each year the dream, like the ocean, ebbs and flows,
    but this year she is not even going to think about such a
    “ridiculous idea.” In fact, she does not even have the energy to
    dream; getting out of bed and preparing to go to work is simply
    too labor intensive.

    Each evening Kel retires to bed with a lack of energy to
    complete her normal tasks such as readying her clothes for
    work and making a lunch. She lacks the energy to shop in the
    evening; consequently, she eats mostly crackers and canned
    soup. She is not hungry, and her scale reflects this. She has lost
    15 pounds over the last 2 months. She does not attend to her
    makeup or clothes; she finds both too taxing. The clothes she
    selects are drab and not ironed. At work she makes no effort to
    talk with her co-workers and does not initiate new contacts with
    clients. The normal work of filing taxes and writing reports,
    which she used to enjoy, are overwhelming, and she feels too
    disorganized to complete them. Telephone calls and e-mail
    messages from friends are ignored. Attendance at work is
    spotty.

    Sue, her sister, becomes alarmed with Kel’s unanswered
    telephone calls and e-mails. Worried, she decides to visit her
    sister at home. She finds the apartment unclean and in disarray.
    Kel is unkempt, disheveled, and looks sad. Her voice is
    monotone and flat. Kel tells Sue that she feels “sad and
    hopeless. Nothing is ever going to change. I am a bad person
    and I can’t even do my work right. Although I sleep for many
    hours, I am still tired all the time.” Sue is alarmed at the
    changes in her sister and arranges for Kel to visit a health care
    worker at the medical clinic.

    Submission Instructions:

    • Your initial post should be at least 500 words, formatted and cited in current APA style
    with support from at least 2 academic sources. Your initial post is worth 8 points.

    • You should respond to at least two of your peers by extending, refuting/correcting, or
    adding additional nuance to their posts. Your reply posts are worth 2 points (1 point per
    response.)

    • All replies must be constructive and use literature where

    Caring for Chinese, Filipino, & Vietnamese Populations

    After studying Module 4: Lecture Materials & Resources, discuss the following:

    A. Describe health and illness practices that may augment problems associated with the
    treatment of hypertension for Chinese-American clients.

    B. Describe the locus-of-control variable that some Filipino Americans have that may
    influence health-seeking behavior.

    C. Describe the importance of folk medicine and folk healers to Vietnamese Americans.

    Submission Instructions:

    • Your initial post should be at least 500 words, formatted, and cited in current APA style
    with support from at least 2 academic sources. Your initial post is worth 8 points.

    Questions: Remember to answer these questions from your textbooks and
    NP guidelines. At all times, explain your answers.

    1. Describe the presenting problems.

    2. Generate a primary and differential diagnosis using the

    DSM5 and ICD 10 codes.

    3. Formulate and prioritize a treatment plan.

    4. Identify and discuss appropriate screening instruments

    for a patient who has suicidal ideation.

    [https://stu.instructure.com/courses/43801/pages/module-4-lecture-materials-and-resources](https://stu.instructure.com/courses/43801/pages/module-4-lecture-materials-and-resources)

    • You should respond to at least two of your peers by extending, refuting/correcting, or
    adding additional nuance to their posts. Your reply posts are worth 2 points (1 point per
    response.)

    • Incorporate a minimum of 2 current (published within the last five years) scholarly
    journal articles or primary legal sources (statutes, court opinions) within your work.
    Journal articles should be referenced according to the current APA style (the online
    library has an abbreviated version of the APA Manual).

    **## NUR505530DisWk4.pdf**

    Case Study: Kel

    Purpose: Analyze and apply critical thinking skills in the psychopathology
    of mental health patients and provide treatment and health
    promotion while applying evidence-based research.

    Scenario: Kel is a 42-year-old certified public accountant (CPA) who
    dreams each year that she will board a cruise ship the day after
    Tax Day and go somewhere, anywhere, except Portsmouth,
    Virginia. Each year the dream, like the ocean, ebbs and flows,
    but this year she is not even going to think about such a
    “ridiculous idea.” In fact, she does not even have the energy to
    dream; getting out of bed and preparing to go to work is simply
    too labor intensive.

    Each evening Kel retires to bed with a lack of energy to
    complete her normal tasks such as readying her clothes for
    work and making a lunch. She lacks the energy to shop in the
    evening; consequently, she eats mostly crackers and canned
    soup. She is not hungry, and her scale reflects this. She has lost
    15 pounds over the last 2 months. She does not attend to her
    makeup or clothes; she finds both too taxing. The clothes she
    selects are drab and not ironed. At work she makes no effort to
    talk with her co-workers and does not initiate new contacts with
    clients. The normal work of filing taxes and writing reports,
    which she used to enjoy, are overwhelming, and she feels too
    disorganized to complete them. Telephone calls and e-mail
    messages from friends are ignored. Attendance at work is
    spotty.

    Sue, her sister, becomes alarmed with Kel’s unanswered
    telephone calls and e-mails. Worried, she decides to visit her
    sister at home. She finds the apartment unclean and in disarray.
    Kel is unkempt, disheveled, and looks sad. Her voice is
    monotone and flat. Kel tells Sue that she feels “sad and
    hopeless. Nothing is ever going to change. I am a bad person
    and I can’t even do my work right. Although I sleep for many
    hours, I am still tired all the time.” Sue is alarmed at the
    changes in her sister and arranges for Kel to visit a health care
    worker at the medical clinic.

    Submission Instructions:

    • Your initial post should be at least 500 words, formatted and cited in current APA style
    with support from at least 2 academic sources. Your initial post is worth 8 points.

    • You should respond to at least two of your peers by extending, refuting/correcting, or
    adding additional nuance to their posts. Your reply posts are worth 2 points (1 point per
    response.)

    • All replies must be constructive and use literature where

    Caring for Chinese, Filipino, & Vietnamese Populations

    After studying Module 4: Lecture Materials & Resources, discuss the following:

    A. Describe health and illness practices that may augment problems associated with the
    treatment of hypertension for Chinese-American clients.

    B. Describe the locus-of-control variable that some Filipino Americans have that may
    influence health-seeking behavior.

    C. Describe the importance of folk medicine and folk healers to Vietnamese Americans.

    Submission Instructions:

    • Your initial post should be at least 500 words, formatted, and cited in current APA style
    with support from at least 2 academic sources. Your initial post is worth 8 points.

    Questions: Remember to answer these questions from your textbooks and
    NP guidelines. At all times, explain your answers.

    1. Describe the presenting problems.

    2. Generate a primary and differential diagnosis using the

    DSM5 and ICD 10 codes.

    3. Formulate and prioritize a treatment plan.

    4. Identify and discuss appropriate screening instruments

    for a patient who has suicidal ideation.

    [https://stu.instructure.com/courses/43801/pages/module-4-lecture-materials-and-resources](https://stu.instructure.com/courses/43801/pages/module-4-lecture-materials-and-resources)

    • You should respond to at least two of your peers by extending, refuting/correcting, or
    adding additional nuance to their posts. Your reply posts are worth 2 points (1 point per
    response.)

    • Incorporate a minimum of 2 current (published within the last five years) scholarly
    journal articles or primary legal sources (statutes, court opinions) within your work.
    Journal articles should be referenced according to the current APA style (the online
    library has an abbreviated version of the APA Manual).

  • [Solved] Note

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  • [Solved] what is writing?

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  • [Solved] Theory of attachment

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    Based on the theory of attachment, what behaviors would a nurse attempt to stimulate when working with parent to promote health attachment? Please include 400 words or more, 3 scholarly articles, APA style, No AI – 2 years ago

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    Based on the theory of attachment, what behaviors would a nurse attempt to stimulate when working with parent to promote health attachment?

    Please include 400 words or more, 3 scholarly articles, APA style, No AI

    – 2 years ago

  • [Solved] COMPREHENSIVE PSYCHIATRIC EVALUATION

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    – 2 years ago **files (2)** – ## 6635PRACComprehensivePsychiatricEvaluationTemplaterev12.2022.doc – ComprehensivePsychiatricEvaluationWeek7.docx **## 6635PRACComprehensivePsychiatricEvaluationTemplaterev12.2022.doc** [removed] **ComprehensivePsychiatricEvaluationWeek7.docx** This file is too large…

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    – 2 years ago

    **files (2)**

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    – ComprehensivePsychiatricEvaluationWeek7.docx

    **## 6635PRACComprehensivePsychiatricEvaluationTemplaterev12.2022.doc**

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    **## 6635PRACComprehensivePsychiatricEvaluationTemplaterev12.2022.doc**

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  • [Solved] see below

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  • [Solved] see attached

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    – 2 years ago **files (1)** – ## Unit14-ClinicalSOAPNoteon12y-owithDisruptivemooddysregulationdisorder.Due4-10-25..docx **## Unit14-ClinicalSOAPNoteon12y-owithDisruptivemooddysregulationdisorder.Due4-10-25..docx** Unit 14-Clinical SOAP Note on **12 y/o with Disruptive mood dysregulation disorder**. …

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    – 2 years ago

    **files (1)**

    – ## Unit14-ClinicalSOAPNoteon12y-owithDisruptivemooddysregulationdisorder.Due4-10-25..docx

    **## Unit14-ClinicalSOAPNoteon12y-owithDisruptivemooddysregulationdisorder.Due4-10-25..docx**

    Unit 14-Clinical SOAP Note on
    **12 y/o with Disruptive mood dysregulation disorder**. Due 4-10-25.

    Instructions

    Each week students will choose one patient encounter to submit a Follow-up SOAP note for review.

    The focus is on your ability to integrate your subjective and objective information gathering into formulation of diagnoses and development of patient-centered, evidence-based plans of care for patients of all ages with multiple, complex mental health conditions. At the end of this term, your SOAP notes will have demonstrated your knowledge of evidence-based practice, clinical expertise, and patient/family preferences as expected for an independent nurse practitioner incorporating psychotherapy into practice.

    **Note**:
    _Grades of Incomplete on this assignment will result in a clinical failure._

    All work should be original and submitted as a Word document unless otherwise indicated in the assignment instructions. ALL assignments need to be APA 7 format and accompanied title page in APA 7th edition format in order that the work would be properly identified for the student, the course, and the assignment. Work submitted without a title page will receive a grade of 0.

    Upload note to
    **TurnItIn plagiarism checker** for grade submission.

    **Subjective**

    **Patient Verification**

    **Name:** M. D.

    **DOB**: 12/2/2004

    **Demographics:** 20-year-old

    **Gender Identifier Note**: Male

    **Chief Complaint (CC)**: "I’m struggling to stay focused at work and college, and I’m behind on assignments."

    **HPI:** M. D. is a 20-year old male, college student diagnosed with ADHD, predominantly inattentive type at age 18. Two months ago, he was started on methylphenidate (Ritalin) at an initial dose of 10 mg once daily. According to him, he experienced a mild improvement in his focus during the first few weeks of treatment but his distractibility, procrastination and completing assignments remain problematic. He often forgets normal instructions at his part time job as a retail assistant. M. D. has no major side effects from his medication, with stable sleep and appetite.

    **Pertinent History**: M. D. occasionally feels overwhelmed and experiences low energy, impacting his productivity. He denies depressive episodes or irritability.

    **Sleep and Appetite**: Sleep and appetite are stable.

    **Energy and Concentration**: Decreased energy and concentration

    **Psychiatric Symptoms**: Denies hallucinations, delusions, or panic attacks but describes chronic difficulty maintaining focus and staying organized.

    **SI/HI/AV**: Denies suicidal ideation, homicidal ideation, or auditory/visual hallucinations.

    **Allergies**: No known drug or food allergies (NKDFA).

    **Past Medical History:** History of seasonal allergies, managed with loratadine PRN. No significant psychiatric or medical history.

    **Substance Use History**: Occasional social alcohol use; denies tobacco or recreational drug use.

    **Family History:** Father diagnosed with ADHD. Mother has mild anxiety disorder. No history of substance abuse in the family.

    **Social History:** Lives in a dorm with roommates while pursuing a business degree. Works part-time at a retail store and is actively involved in his college’s entrepreneurship club
    **.**

    **Review of Systems (ROS)**

    ·
    **Constitutional:** No fever, fatigue, or significant weight changes.

    ·
    **Eyes:** No vision changes.

    ·
    **ENT: No hearing loss or throat pain.**

    ·
    **Cardiac:** Denies chest pain, palpitations, or dizziness.

    ·
    **Respiratory:** Denies shortness of breath, wheezing, or chronic cough.

    ·
    **GI:** No nausea, vomiting, or changes in bowel habits
    **.**

    ·
    **GU:** No dysuria or hematuria. Normal urinary habits.

    ·
    **Musculoskeletal:** Denies joint pain or stiffness.

    ·
    **Skin:** No rashes or lesions.

    ·
    **Neurologic:** Denies headaches or seizures. No tremors noted.

    ·
    **Endocrine:** No reports of excessive thirst or urination.

    ·
    **Hematologic:** No history of easy bruising or bleeding.

    **Objective**

    **Vital Signs and Measurements**

    ·
    **Temp:** 97.6°F

    ·
    **BP:** 131/86 mmHg

    ·
    **HR:** 78 bpm

    ·
    **R (Respiratory Rate):** 14 breaths/min

    ·
    **O2 Saturation:** 99% on room air

    ·
    **Ht (Height):** 188 cm

    ·
    **Wt (Weight):** 75.6 kg

    ·
    **BMI:** 20.8

    **Laboratory Findings**

    ·
    **LABS:**

    · Lab findings within normal limits (WNL).

    · Toxicology Screen: Negative for all substances.

    · Alcohol Screen: Negative.

    · HCG: Not applicable (N/A).

    **Physical Exam:**

    ·
    **General Appearance:** Patient is well-groomed, cooperative, and appears comfortable with no signs of acute distress.

    ·
    **Skin:** Skin is warm, dry, and free from rashes or lesions.

    ·
    **HEENT:** Eyes are clear with no conjunctival injection. No signs of nasal congestion or throat abnormalities.

    ·
    **Cardiovascular:** Heart rate and rhythm are regular with no murmurs or edema detected.

    ·
    **Respiratory:** Lungs are clear to auscultation on both sides with no wheezes, rales, or rhonchi present.

    ·
    **GI:** Abdomen is non-tender, no distension observed, and bowel sounds are normal.

    ·
    **Musculoskeletal:** Full range of motion with no joint swelling or tenderness noted.

    ·
    **Neurologic:** Patient is alert and oriented to person, place, time, and situation with no focal neurological deficits.

    ·
    **Psychiatric:** Cooperative with an appropriate affect, normal speech, and a linear thought process.

    ·
    **Endocrine:** No notable abnormalities observed.

    **MSE (Mental Status Exam):**

    ·
    **Appearance:** Patient well-groomed, no acute distress.

    ·
    **Behavior:** Cooperative.

    ·
    **Mood/Affect:** Mildly anxious but appropriate for the situation.

    ·
    **Speech:** Normal rate and tone.

    ·
    **Thought Process:** Linear and goal-directed.

    ·
    **Cognition:** Intact but struggles with sustained attention during the session.

    ·
    **Insight/Judgment:** Fair.

    **Assessment**

    **Diagnosis (DSM-5 and ICD-10 Codes):**

    ADHD, predominantly inattentive type

    · DSM-5 Code: 314.00

    · ICD-10 Code: F90.0

    **Differential Diagnoses:**

    **Generalized Anxiety Disorder (GAD)**

    · Sometimes the symptoms of excessive worry and difficulty concentrating may blend with those of ADHD. However, while the differences between GAD and ADHD are significant, GAD is pervasive anxiety and restlessness whereas ADHD is chronic in attention with no appreciable anxiety (Koutsoklenis & Honkasilta, 2023).

    · ICD-10 Code: F41.1

    **Learning Disorder**

    · Poor academic performance can be a learning disabilities symptom that's similar to ADHD. But, unlike ADHD, learning disorders only pertain to academic tasks and do not affect other attention-related difficulties (Koutsoklenis & Honkasilta, 2023).

    · ICD-10 Code: F81.9

    **Treatment Options**

    **Pharmacotherapy:**

    · Initiate stimulant medication (e.g., methylphenidate or amphetamines) for ADHD management, starting with a low dose and adjusting as needed. Concerta 18 mg/day Increase does as indicated.

    **Psychotherapy:**

    · Cognitive-behavioral therapy (CBT) for ADHD to enhance organizational skills, reduce procrastination, and improve focus (Beyer et al., 2024).

    · Psychoeducation and behavioral interventions to help with time management and emotional regulation.

    **Plan**

    1.
    **Pharmacologic Interventions**:

    · Increase methylphenidate dosage from 10 mg to 15 mg once daily (Beyer et al., 2024). Educate the patient on potential side effects, including appetite suppression and insomnia.

    2.
    **Non-Pharmacologic Interventions**:

    · Recommend cognitive-behavioral therapy (CBT) to address procrastination and improve organizational skills (Beyer et al., 2024).

    3.
    **Patient Education**:

    · Emphasize the importance of medication adherence and attending therapy sessions. Discuss lifestyle strategies, such as setting routines and breaking tasks into manageable steps

    **Safety Planning**:

    · Review signs of worsening symptoms (e.g., increased distractibility, restlessness) and when to seek further care..

    4.
    **Follow-Up**:

    · Return to clinic in 2 weeks for medication and progress review.

    **Referrals:**

    · Referral to a therapist specializing in ADHD for CBT sessions.

    **Time spent counseling and coordinating care: 55** minutes

    **Total visit time:** 80 minutes

    **Date:** 1/29/2025
    **Time:** 1:00 PM

    **References**

    Beyer, A. K., Beck, L., Pfeifer, S., Kuhnert, R., Hölling, H., Jans, T., … & Schlack, R. (2024). The consortium project INTEGRATE-ADHD-Comparison and integration of administrative and epidemiological ADHD diagnostic data by clinical assessment: study description and sample characteristics..

    Koutsoklenis, A., & Honkasilta, J. (2023). ADHD in the DSM-5-TR: what has changed and what has not.
    _Frontiers in psychiatry_,
    _13_, 1064141.

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    Program Outcomes

    1. Demonstrate critical thinking and holistic caring as an advanced practice

    2. Analyze scientific literature for application to selected diagnoses and treatment plans.

    3. Synthesize ethical principles into the management and evaluation of healthcare delivery concerns in culturally diverse care settings.

    4. Articulate a personal philosophy and framework acknowledging professional and accrediting agency competencies relating to the role and scope of practice of the psychiatric mental health nurse practitioner.

    5. Implement the role of the psychiatric mental health nurse practitioner in selected clinical settings.

    Course Learning Objectives

    By the end of this course, you will be able to:

    1. Independently with mentor supervision, apply knowledge of chronic and acute psychiatric mental health disorders using the current edition of the Diagnostic and Statistical Manual for Mental Disorders diagnostic criteria to assess, diagnose and manage the patient populations across the lifespan including a focus on vulnerable populations at risk for mental health disorders.

    2. Independently with mentor supervision, integrate complete mental health assessment, interview, history, and physical exam data collection with the knowledge of pathophysiology and psychopathology of psychiatric mental health disorders across the life span to form differential diagnoses and implement therapeutic, patient-centered treatment plans and interventions for patient populations across the lifespan.

    3. Independently with mentor supervision, merge traditional and complementary pharmacological/non-pharmaceutical interventions into the treatment and management of psychiatric mental health disorders for patient populations across the lifespan.

    4. Independently with mentor supervision, examine, evaluate, and demonstrate professional development in the role of the nurse practitioner in the diagnosis and management of health and wellness as well as acute and chronic psychiatric mental health disorders illnesses for patient populations across the lifespan as a member of an interprofessional team.

    5. Independently with mentor supervision, integrate cultural, spiritual, and social competencies into therapeutic patient-centered treatment plans in connection with evidence-based findings to the diagnosis and management of individuals, groups, and families across the lifespan with acute, complex, and chronic psychiatric mental health disorders.

    6. Independently with mentor supervision, analyze professional values and core ethical/legal standards into the practice of the Psychiatric Mental Health Nurse Practitioner role with relation to patient/staff safety, quality indicators, and health outcome improvement in the delivery of quality psychiatric mental health care to patients.

    7. Identifies with mentor supervision, the highest level of professionalism and accountability for the PMHNP role for transition into clinical practice.

    Resources

    American Nurses Association & American Psychiatric Nurse Association. (2015).
    _Psychiatric–mental health nursing: Scope and standards of practice_(2nd ed.) American Nurses Credentialing. ISBN-13: 978-1558105553 ISBN-10: 1558105557

    American Psychiatric Association. (2022).
    _Diagnostic and statistical manual of mental disorders_ (5th ed.) text revision (DSM-5 TR). APA Press. ISBN 978-0890425763

    Carlat, D. J. (2023).
    _The psychiatric interview_ (5th ed.). Philadelphia, PA: Wolters Kluwer. ISBN: 9781975212971

    Boland, R., Verduin, M., & Ruiz, P. (2022
    _) Kaplan & Sadock’s synopsis of psychiatry_ (12th ed.). Wolters Kluwer. ISBN: 9781975145569

    Stahl, S. M. (2022).
    _Stahl's essential psychopharmacology: Neuroscientific basis and practical applications_ (5th ed.). Cambridge University Press. ISBN 978-1-108-97163-8

    Bickley, L. (2016).
    _Bates' Guide to Physical Examination and History-Taking_ (11th ed) [VitalSouce bookshelf version]. https://batesvisualguide.com/. Lippincott Williams & Wilkins: ISBN 1609137620

    Corey, G. (2016).
    _Theory and practice of counseling and psychotherapy_ (10th ed.). Cengage. ISBN: 9781305263727

    Heldt, J. P., MD. (2017).
    _Memorable psychopharmacology_. Create Space Independent Publishing Platform. ISBN-13: 978-1-535-28034-1

    Johnson, K., & Vanderhoef, D. (2016).
    _Psychiatric mental health nurse practitioner review manual_ (4th ed.). American Nurses Association. ISBN: 978-1-935213-79-6

    Stahl, S. M. (2020).
    _Prescriber's guide: Stahl's essential psychopharmacology_ (7th ed.). Cambridge University Press. ISBN 978-1108926010

    ·
    [Learner Resources](https://herzing.instructure.com/courses/43992/files/11084794?wrap=1) [Download Learner Resources](https://herzing.instructure.com/courses/43992/files/11084794/download?download_frd=1)[PDF]

    ·
    [Printable Full Syllabus](https://herzing.instructure.com/courses/43992/files/11084800?wrap=1) [Download Printable Full Syllabus](https://herzing.instructure.com/courses/43992/files/11084800/download?download_frd=1)[PDF]

    ## image1.png

    ## image2.png

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    **## Unit14-ClinicalSOAPNoteon12y-owithDisruptivemooddysregulationdisorder.Due4-10-25..docx**

    Unit 14-Clinical SOAP Note on
    **12 y/o with Disruptive mood dysregulation disorder**. Due 4-10-25.

    Instructions

    Each week students will choose one patient encounter to submit a Follow-up SOAP note for review.

    The focus is on your ability to integrate your subjective and objective information gathering into formulation of diagnoses and development of patient-centered, evidence-based plans of care for patients of all ages with multiple, complex mental health conditions. At the end of this term, your SOAP notes will have demonstrated your knowledge of evidence-based practice, clinical expertise, and patient/family preferences as expected for an independent nurse practitioner incorporating psychotherapy into practice.

    **Note**:
    _Grades of Incomplete on this assignment will result in a clinical failure._

    All work should be original and submitted as a Word document unless otherwise indicated in the assignment instructions. ALL assignments need to be APA 7 format and accompanied title page in APA 7th edition format in order that the work would be properly identified for the student, the course, and the assignment. Work submitted without a title page will receive a grade of 0.

    Upload note to
    **TurnItIn plagiarism checker** for grade submission.

    **Subjective**

    **Patient Verification**

    **Name:** M. D.

    **DOB**: 12/2/2004

    **Demographics:** 20-year-old

    **Gender Identifier Note**: Male

    **Chief Complaint (CC)**: "I’m struggling to stay focused at work and college, and I’m behind on assignments."

    **HPI:** M. D. is a 20-year old male, college student diagnosed with ADHD, predominantly inattentive type at age 18. Two months ago, he was started on methylphenidate (Ritalin) at an initial dose of 10 mg once daily. According to him, he experienced a mild improvement in his focus during the first few weeks of treatment but his distractibility, procrastination and completing assignments remain problematic. He often forgets normal instructions at his part time job as a retail assistant. M. D. has no major side effects from his medication, with stable sleep and appetite.

    **Pertinent History**: M. D. occasionally feels overwhelmed and experiences low energy, impacting his productivity. He denies depressive episodes or irritability.

    **Sleep and Appetite**: Sleep and appetite are stable.

    **Energy and Concentration**: Decreased energy and concentration

    **Psychiatric Symptoms**: Denies hallucinations, delusions, or panic attacks but describes chronic difficulty maintaining focus and staying organized.

    **SI/HI/AV**: Denies suicidal ideation, homicidal ideation, or auditory/visual hallucinations.

    **Allergies**: No known drug or food allergies (NKDFA).

    **Past Medical History:** History of seasonal allergies, managed with loratadine PRN. No significant psychiatric or medical history.

    **Substance Use History**: Occasional social alcohol use; denies tobacco or recreational drug use.

    **Family History:** Father diagnosed with ADHD. Mother has mild anxiety disorder. No history of substance abuse in the family.

    **Social History:** Lives in a dorm with roommates while pursuing a business degree. Works part-time at a retail store and is actively involved in his college’s entrepreneurship club
    **.**

    **Review of Systems (ROS)**

    ·
    **Constitutional:** No fever, fatigue, or significant weight changes.

    ·
    **Eyes:** No vision changes.

    ·
    **ENT: No hearing loss or throat pain.**

    ·
    **Cardiac:** Denies chest pain, palpitations, or dizziness.

    ·
    **Respiratory:** Denies shortness of breath, wheezing, or chronic cough.

    ·
    **GI:** No nausea, vomiting, or changes in bowel habits
    **.**

    ·
    **GU:** No dysuria or hematuria. Normal urinary habits.

    ·
    **Musculoskeletal:** Denies joint pain or stiffness.

    ·
    **Skin:** No rashes or lesions.

    ·
    **Neurologic:** Denies headaches or seizures. No tremors noted.

    ·
    **Endocrine:** No reports of excessive thirst or urination.

    ·
    **Hematologic:** No history of easy bruising or bleeding.

    **Objective**

    **Vital Signs and Measurements**

    ·
    **Temp:** 97.6°F

    ·
    **BP:** 131/86 mmHg

    ·
    **HR:** 78 bpm

    ·
    **R (Respiratory Rate):** 14 breaths/min

    ·
    **O2 Saturation:** 99% on room air

    ·
    **Ht (Height):** 188 cm

    ·
    **Wt (Weight):** 75.6 kg

    ·
    **BMI:** 20.8

    **Laboratory Findings**

    ·
    **LABS:**

    · Lab findings within normal limits (WNL).

    · Toxicology Screen: Negative for all substances.

    · Alcohol Screen: Negative.

    · HCG: Not applicable (N/A).

    **Physical Exam:**

    ·
    **General Appearance:** Patient is well-groomed, cooperative, and appears comfortable with no signs of acute distress.

    ·
    **Skin:** Skin is warm, dry, and free from rashes or lesions.

    ·
    **HEENT:** Eyes are clear with no conjunctival injection. No signs of nasal congestion or throat abnormalities.

    ·
    **Cardiovascular:** Heart rate and rhythm are regular with no murmurs or edema detected.

    ·
    **Respiratory:** Lungs are clear to auscultation on both sides with no wheezes, rales, or rhonchi present.

    ·
    **GI:** Abdomen is non-tender, no distension observed, and bowel sounds are normal.

    ·
    **Musculoskeletal:** Full range of motion with no joint swelling or tenderness noted.

    ·
    **Neurologic:** Patient is alert and oriented to person, place, time, and situation with no focal neurological deficits.

    ·
    **Psychiatric:** Cooperative with an appropriate affect, normal speech, and a linear thought process.

    ·
    **Endocrine:** No notable abnormalities observed.

    **MSE (Mental Status Exam):**

    ·
    **Appearance:** Patient well-groomed, no acute distress.

    ·
    **Behavior:** Cooperative.

    ·
    **Mood/Affect:** Mildly anxious but appropriate for the situation.

    ·
    **Speech:** Normal rate and tone.

    ·
    **Thought Process:** Linear and goal-directed.

    ·
    **Cognition:** Intact but struggles with sustained attention during the session.

    ·
    **Insight/Judgment:** Fair.

    **Assessment**

    **Diagnosis (DSM-5 and ICD-10 Codes):**

    ADHD, predominantly inattentive type

    · DSM-5 Code: 314.00

    · ICD-10 Code: F90.0

    **Differential Diagnoses:**

    **Generalized Anxiety Disorder (GAD)**

    · Sometimes the symptoms of excessive worry and difficulty concentrating may blend with those of ADHD. However, while the differences between GAD and ADHD are significant, GAD is pervasive anxiety and restlessness whereas ADHD is chronic in attention with no appreciable anxiety (Koutsoklenis & Honkasilta, 2023).

    · ICD-10 Code: F41.1

    **Learning Disorder**

    · Poor academic performance can be a learning disabilities symptom that's similar to ADHD. But, unlike ADHD, learning disorders only pertain to academic tasks and do not affect other attention-related difficulties (Koutsoklenis & Honkasilta, 2023).

    · ICD-10 Code: F81.9

    **Treatment Options**

    **Pharmacotherapy:**

    · Initiate stimulant medication (e.g., methylphenidate or amphetamines) for ADHD management, starting with a low dose and adjusting as needed. Concerta 18 mg/day Increase does as indicated.

    **Psychotherapy:**

    · Cognitive-behavioral therapy (CBT) for ADHD to enhance organizational skills, reduce procrastination, and improve focus (Beyer et al., 2024).

    · Psychoeducation and behavioral interventions to help with time management and emotional regulation.

    **Plan**

    1.
    **Pharmacologic Interventions**:

    · Increase methylphenidate dosage from 10 mg to 15 mg once daily (Beyer et al., 2024). Educate the patient on potential side effects, including appetite suppression and insomnia.

    2.
    **Non-Pharmacologic Interventions**:

    · Recommend cognitive-behavioral therapy (CBT) to address procrastination and improve organizational skills (Beyer et al., 2024).

    3.
    **Patient Education**:

    · Emphasize the importance of medication adherence and attending therapy sessions. Discuss lifestyle strategies, such as setting routines and breaking tasks into manageable steps

    **Safety Planning**:

    · Review signs of worsening symptoms (e.g., increased distractibility, restlessness) and when to seek further care..

    4.
    **Follow-Up**:

    · Return to clinic in 2 weeks for medication and progress review.

    **Referrals:**

    · Referral to a therapist specializing in ADHD for CBT sessions.

    **Time spent counseling and coordinating care: 55** minutes

    **Total visit time:** 80 minutes

    **Date:** 1/29/2025
    **Time:** 1:00 PM

    **References**

    Beyer, A. K., Beck, L., Pfeifer, S., Kuhnert, R., Hölling, H., Jans, T., … & Schlack, R. (2024). The consortium project INTEGRATE-ADHD-Comparison and integration of administrative and epidemiological ADHD diagnostic data by clinical assessment: study description and sample characteristics..

    Koutsoklenis, A., & Honkasilta, J. (2023). ADHD in the DSM-5-TR: what has changed and what has not.
    _Frontiers in psychiatry_,
    _13_, 1064141.

    ![A screenshot of a white sheet Description automatically generated](https://www.sweetstudy.com/questions/see-attached-20897521)

    ![A screenshot of a white sheet Description automatically generated](https://www.sweetstudy.com/questions/see-attached-20897521)

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    Program Outcomes

    1. Demonstrate critical thinking and holistic caring as an advanced practice

    2. Analyze scientific literature for application to selected diagnoses and treatment plans.

    3. Synthesize ethical principles into the management and evaluation of healthcare delivery concerns in culturally diverse care settings.

    4. Articulate a personal philosophy and framework acknowledging professional and accrediting agency competencies relating to the role and scope of practice of the psychiatric mental health nurse practitioner.

    5. Implement the role of the psychiatric mental health nurse practitioner in selected clinical settings.

    Course Learning Objectives

    By the end of this course, you will be able to:

    1. Independently with mentor supervision, apply knowledge of chronic and acute psychiatric mental health disorders using the current edition of the Diagnostic and Statistical Manual for Mental Disorders diagnostic criteria to assess, diagnose and manage the patient populations across the lifespan including a focus on vulnerable populations at risk for mental health disorders.

    2. Independently with mentor supervision, integrate complete mental health assessment, interview, history, and physical exam data collection with the knowledge of pathophysiology and psychopathology of psychiatric mental health disorders across the life span to form differential diagnoses and implement therapeutic, patient-centered treatment plans and interventions for patient populations across the lifespan.

    3. Independently with mentor supervision, merge traditional and complementary pharmacological/non-pharmaceutical interventions into the treatment and management of psychiatric mental health disorders for patient populations across the lifespan.

    4. Independently with mentor supervision, examine, evaluate, and demonstrate professional development in the role of the nurse practitioner in the diagnosis and management of health and wellness as well as acute and chronic psychiatric mental health disorders illnesses for patient populations across the lifespan as a member of an interprofessional team.

    5. Independently with mentor supervision, integrate cultural, spiritual, and social competencies into therapeutic patient-centered treatment plans in connection with evidence-based findings to the diagnosis and management of individuals, groups, and families across the lifespan with acute, complex, and chronic psychiatric mental health disorders.

    6. Independently with mentor supervision, analyze professional values and core ethical/legal standards into the practice of the Psychiatric Mental Health Nurse Practitioner role with relation to patient/staff safety, quality indicators, and health outcome improvement in the delivery of quality psychiatric mental health care to patients.

    7. Identifies with mentor supervision, the highest level of professionalism and accountability for the PMHNP role for transition into clinical practice.

    Resources

    American Nurses Association & American Psychiatric Nurse Association. (2015).
    _Psychiatric–mental health nursing: Scope and standards of practice_(2nd ed.) American Nurses Credentialing. ISBN-13: 978-1558105553 ISBN-10: 1558105557

    American Psychiatric Association. (2022).
    _Diagnostic and statistical manual of mental disorders_ (5th ed.) text revision (DSM-5 TR). APA Press. ISBN 978-0890425763

    Carlat, D. J. (2023).
    _The psychiatric interview_ (5th ed.). Philadelphia, PA: Wolters Kluwer. ISBN: 9781975212971

    Boland, R., Verduin, M., & Ruiz, P. (2022
    _) Kaplan & Sadock’s synopsis of psychiatry_ (12th ed.). Wolters Kluwer. ISBN: 9781975145569

    Stahl, S. M. (2022).
    _Stahl's essential psychopharmacology: Neuroscientific basis and practical applications_ (5th ed.). Cambridge University Press. ISBN 978-1-108-97163-8

    Bickley, L. (2016).
    _Bates' Guide to Physical Examination and History-Taking_ (11th ed) [VitalSouce bookshelf version]. https://batesvisualguide.com/. Lippincott Williams & Wilkins: ISBN 1609137620

    Corey, G. (2016).
    _Theory and practice of counseling and psychotherapy_ (10th ed.). Cengage. ISBN: 9781305263727

    Heldt, J. P., MD. (2017).
    _Memorable psychopharmacology_. Create Space Independent Publishing Platform. ISBN-13: 978-1-535-28034-1

    Johnson, K., & Vanderhoef, D. (2016).
    _Psychiatric mental health nurse practitioner review manual_ (4th ed.). American Nurses Association. ISBN: 978-1-935213-79-6

    Stahl, S. M. (2020).
    _Prescriber's guide: Stahl's essential psychopharmacology_ (7th ed.). Cambridge University Press. ISBN 978-1108926010

    ·
    [Learner Resources](https://herzing.instructure.com/courses/43992/files/11084794?wrap=1) [Download Learner Resources](https://herzing.instructure.com/courses/43992/files/11084794/download?download_frd=1)[PDF]

    ·
    [Printable Full Syllabus](https://herzing.instructure.com/courses/43992/files/11084800?wrap=1) [Download Printable Full Syllabus](https://herzing.instructure.com/courses/43992/files/11084800/download?download_frd=1)[PDF]

    ## image1.png

    ## image2.png

    ## image3.png

  • [Solved] see attached 3

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    – 2 years ago **files (4)** – ## attach3.doc – ## Dissemination_of_Change_Project_Template_powerpoint.pptx – ## week2assignment.docx – week4assignment.docx **## attach3.doc** [removed] **## Dissemination_of_Change_Project_Template_powerpoint.pptx** Week 6 Assignment Dissemination of Chan…

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    Assignment Prompt & Instructions

    – 2 years ago

    **files (4)**

    – ## attach3.doc

    – ## Dissemination_of_Change_Project_Template_powerpoint.pptx

    – ## week2assignment.docx

    – week4assignment.docx

    **## attach3.doc**

    [removed]

    **## Dissemination_of_Change_Project_Template_powerpoint.pptx**

    Week 6 Assignment
    Dissemination of Change Project

    Directions

    Complete the Dissemination of Change Project template by building on your selected nursing clinical practice problem and the feedback from previous assignments throughout the course.

    Click the box to the right to add your name and date. Click on the next slide.

    Find and click the word Notes at the bottom right of your PowerPoint screen.

    In the notes section, on each slide, add speaker notes by answering each question with explanation and detail. Click [TYPE HERE] in the notes section. Remove the words [TYPE HERE] to add speaker notes.

    The information on the PowerPoint slides should highlight important information from the speaker notes to accompany a presentation. Click [TYPE HERE] on the PowerPoint slide, remove the words [TYPE HERE], and provide the key information for each section.

    Do not change the font size. Ensure your information fits on the slide.

    Correctly cite and reference at least three scholarly sources that help support the assignment. Sources should be no more than five years old unless they are historical references.

    Name:

    Date:

    1

    Discovery

    [TYPE HERE: Add key information from your speaker notes.]

    Speaker notes include the important information you will cover when delivering a presentation. Create speaker notes by writing a paragraph for the section below that addresses each question with explanation and detail. Click where it says [TYPE HERE] and remove the words [TYPE HERE] to add speaker notes.

    Discovery (See Week 2 assignment)

    Discuss your selected nursing clinical practice problem.

    [TYPE HERE]

    Discuss why this selected problem is the most important in your current or past practice area.

    [TYPE HERE]

    List your PICOT question.

    [TYPE HERE]

    2

    Summary

    [TYPE HERE: Add key information from your speaker notes.]

    Speaker notes include the important information you will cover when delivering a presentation. Create speaker notes by writing a paragraph for the section below that addresses each question with explanation and detail. Click where it says [TYPE HERE] and remove the words [TYPE HERE] to add speaker notes.

    Summary (See Week 2 assignment)

    Discuss the findings from the selected systematic review.

    [TYPE HERE]

    Discuss the findings from the selected quantitative research study.

    [TYPE HERE]

    Explain why the evidence is relevant to your selected nursing clinical practice problem.

    [TYPE HERE]

    3

    Translation

    [TYPE HERE: Add key information from your speaker notes.]

    Speaker notes include the important information you will cover when delivering a presentation. Create speaker notes by writing a paragraph for the section below that addresses each question with explanation and detail. Click where it says [TYPE HERE] and remove the words [TYPE HERE] to add speaker notes.

    Translation (See Week 4 assignment)

    Discuss the intervention that will be implemented to address the clinical nursing practice problem.

    [TYPE HERE]

    Discuss the setting where the change project will occur, including the organization’s current culture of change.

    [TYPE HERE]

    Discuss the interprofessional committee needed to plan the implementation of the intervention. Explain how each team member will be involved.

    [TYPE HERE]

    4

    Integration

    [TYPE HERE: Add key information from your speaker notes.]

    Speaker notes include the important information you will cover when delivering a presentation. Create speaker notes by writing a paragraph for the section below that addresses each question with explanation and detail. Click where it says [TYPE HERE] and remove the words [TYPE HERE] to add speaker notes.

    Integration (See Week 4 assignment)

    Discuss the key performance indicators that will be tracked to monitor the progress of the change project.

    [TYPE HERE]

    Explain the anticipated timeline for implementing the change project.

    [TYPE HERE]

    Discuss how you will use informatics or healthcare technologies to collect, aggregate, and analyze data.

    [TYPE HERE]

    5

    Evaluation

    [TYPE HERE: Add key information from your speaker notes.]

    Speaker notes include the important information you will cover when delivering a presentation. Create speaker notes by writing a paragraph for the section below that addresses each question with explanation and detail. Click where it says [TYPE HERE] and remove the words [TYPE HERE] to add speaker notes.

    Evaluation

    Discuss how you will ensure the privacy and security of the client’s data during the evaluation of the change project.

    [TYPE HERE]

    Explain how you will disseminate the outcomes of the change project.

    [TYPE HERE]

    Describe the next steps for the use of the change project information.

    [TYPE HERE]

    6

    References

    [TYPE HERE]

    [TYPE HERE]

    [TYPE HERE]

    7

    ## image1.png

    **## week2assignment.docx**

    ![](https://www.sweetstudy.com/questions/see-attached-3-20897515)

    ## Week 2 Assignment

    ## Evidence Summary

    Name:

    Date: 3/16/2025

    **Directions:** Identify a nursing clinical practice problem in your current or previous practice. Use this template to complete the Evidence Summary Assignment addressing your selected nursing clinical practice problem.

    Answer the questions under each section with explanation and detail.

    Correctly cite and reference information from scholarly sources that help support the discussion. Sources should be no more than five years old unless they are historical references.

    **Section 1: Discovery**

    1. Describe your selected nursing clinical practice problem. Explain your rationale for choosing this topic and summarize why this nursing clinical practice problem is the most important in your current or past practice area.

    I chose to focus on childhood obesity because, as a pediatric and adolescent psychiatric nurse, I frequently encounter this issue within the population I serve. Obesity significantly affects both the physical and mental health of children and adolescents. In our community, childhood obesity continues to be a growing and concerning problem that needs attention and intervention.

    2. Define each PICOT element.

    P- (Population): Children, ages 6-12 years old.

    I- (Intervention): Lifestyle change – Increased physical activity.

    C- (Comparison: Sedentary lifestyle / No increase in activity.

    O- (Outcome): Decrease in BMI.

    T- (Time frame in months): 6 months.

    3. Write out your PICOT question using the standard format below:

    In _____ (P), how does _____ (I) compared to _____ (C) affect _____ (O) within _____ (T)?

    _NOTE: In this standardized format, “affect” can be substituted with another verb, such as reduce, increase, or improve, to articulate the anticipated outcome more precisely._

    In children 6-12 years of age (P), how does increased physical activity (I) compared to a sedentary lifestyle (C) affect BMI (O) within 6 months (T)?

    4. Describe how you selected the population, intervention, outcome, and time frame.

    I selected the population based on my current career path and passion, as a nurse and mother. I based the intervention, outcome, and time frame on what was measurable, practical, and effective.

    **Section 2: Evidence Summary Systematic Review**

    Using only the Chamberlain University Library, locate one systematic review relevant to your chosen nursing clinical practice problem that supports the intervention and has been published within the past 5 years.

    1. Provide the complete APA reference to the evidence, including the permalink. State which database you found the evidence in.

    Julian, V., Ring-Dimitriou, S., Wyszyńska, J., Mazur, A., Matlosz, P., Frelut, M. L., Erhardt, E., Vlachopapadopoulou, E., Forslund, A., Boyland, E., Weghuber, D., & Thivel, D. (2022). There Is a Clinical Need to Consider the Physical Activity: Sedentary Pattern in Children with Obesity – Position Paper of the European Childhood Obesity Group.
    _Annals of Nutrition and Metabolism_,
    _78_(4), 236–241. https://doi.org/10.1159/000524570

    [https://chamberlain.primo.exlibrisgroup.com/permalink/01CUCON_INST/f6kb8f/cdi_karger_primary_524570](https://chamberlain.primo.exlibrisgroup.com/permalink/01CUCON_INST/f6kb8f/cdi_karger_primary_524570)

    2. Explain how the evidence is relevant to your selected nursing clinical practice problem and population.

    The evidence directly addresses the nursing problem I have chosen, as well as the specific population. It highlights the strong link between physical activity and childhood obesity. Additionally, the evidence is current and peer-reviewed, ensuring its credibility and relevance.

    3. Explain how the evidence is relevant to your selected intervention. What data from the article helps support the implementation of this intervention into practice?

    The article demonstrates that an increase in physical activity has a positive impact on BMI, highlighting a direct correlation between regular physical activity and improved weight management.

    **Section 3: Evidence Summary Peer-Reviewed Quantitative Research Study**

    Using only the Chamberlain University Library, locate one peer-reviewed quantitative research study relevant to your chosen nursing clinical practice problem that supports the intervention and has been published within the past 5 years.

    1. Provide the complete APA reference to the evidence, including the permalink. State which database you found the evidence in.

    Chamberlain University Library

    Bernhardsson, S., Boman, C., Lundqvist, S., Arvidsson, D., Börjesson, M., Larsson, M. E. H., Lundh, H., Melin, K., Nilsen, P., & Lauruschkus, K. (2022). Implementation of physical activity on prescription for children with obesity in paediatric health care (IMPA): protocol for a feasibility and evaluation study using quantitative and qualitative methods.
    _Pilot and Feasibility Studies_,
    _8_(1), 117–15. https://doi.org/10.1186/s40814-022-01075-3

    https://chamberlain.primo.exlibrisgroup.com/permalink/01CUCON_INST/f6kb8f/cdi_doaj_primary_oai_doaj_org_article_112b8864255f48cdbeea35e64b890918

    2. Explain how the evidence is relevant to your selected nursing practice problem and population.

    It is highly relevant to the nursing practice problem of addressing obesity in the pediatric population.

    4. Explain how the evidence is relevant to your selected intervention. What data from the article helps support the implementation of this intervention into practice?

    The study explores using physical activity on prescription (PAP) for children with obesity, which closely aligns with the need for effective strategies to help manage and reduce childhood obesity. My interventions are increased physical activity which directly aligns with the implemented intervention in this study of using PAP.

    **Section 4: Evidence-Based Interventions**

    1. Describe the selected evidence-based nursing intervention in detail. How do you believe this intervention could be implemented in your practice area?

    The evidence-based intervention I have selected is, increased physical activity vs a sedentary lifestyle to lower BMI over the period of 6 months to improve obesity in children ages 6-12 years of age. Research has demonstrated that regular physical activity plays a key role in lowering BMI and addressing childhood obesity. In my practice, this intervention could be implemented by creating individualized physical activity plans for children, promoting age-appropriate exercises, and providing ongoing support to both the children and their families.

    2. Explain how the intervention supports the outcome and addresses your identified nursing clinical practice problem.

    The intervention of increasing physical activity directly supports the outcome of lower BMI over a 6-month period and reducing childhood obesity by targeting one of the key factors contributing to high BMI, which is lack of physical activity.

    3. What interprofessional team members would it be important to collaborate with? Explain

    As a registered nurse, it would be important to collaborate with several interprofessional team members. These would include pediatricians, dietitians, physical therapists, and social workers.

    This would include pediatricians due to the age of the group we are treating. Dietitians can help address the dietary needs and changes that are required in combination with the increased activity to achieve the goal of lowering BMI. Physical therapists are important to address any physical limitation the child may have and design a healthy physical activity plan that is age appropriate. The social worker can help the child and family connect with available resources in the community to improve the changes of compliance.

    **References:** Provide complete references for all citations.

    Bernhardsson, S., Boman, C., Lundqvist, S., Arvidsson, D., Börjesson, M., Larsson, M. E. H., Lundh, H., Melin, K., Nilsen, P., & Lauruschkus, K. (2022). Implementation of physical activity on prescription for children with obesity in paediatric health care (IMPA): protocol for a feasibility and evaluation study using quantitative and qualitative methods.
    _Pilot and Feasibility Studies_,
    _8_(1), 117–15.
    [https://doi.org/10.1186/s40814-022-01075-3](https://doi.org/10.1186/s40814-022-01075-3)

    Julian, V., Ring-Dimitriou, S., Wyszyńska, J., Mazur, A., Matlosz, P., Frelut, M. L., Erhardt, E., Vlachopapadopoulou, E., Forslund, A., Boyland, E., Weghuber, D., & Thivel, D. (2022). There Is a Clinical Need to Consider the Physical Activity: Sedentary Pattern in Children with Obesity – Position Paper of the European Childhood Obesity Group.
    _Annals of Nutrition and Metabolism_,
    _78_(4), 236–241.
    [https://doi.org/10.1159/000524570](https://doi.org/10.1159/000524570)

    © 2024. Chamberlain University LLC. All rights reserved.

    1

    1.29.24

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    **week4assignment.docx**

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    **## attach3.doc**

    [removed]

    **## Dissemination_of_Change_Project_Template_powerpoint.pptx**

    Week 6 Assignment
    Dissemination of Change Project

    Directions

    Complete the Dissemination of Change Project template by building on your selected nursing clinical practice problem and the feedback from previous assignments throughout the course.

    Click the box to the right to add your name and date. Click on the next slide.

    Find and click the word Notes at the bottom right of your PowerPoint screen.

    In the notes section, on each slide, add speaker notes by answering each question with explanation and detail. Click [TYPE HERE] in the notes section. Remove the words [TYPE HERE] to add speaker notes.

    The information on the PowerPoint slides should highlight important information from the speaker notes to accompany a presentation. Click [TYPE HERE] on the PowerPoint slide, remove the words [TYPE HERE], and provide the key information for each section.

    Do not change the font size. Ensure your information fits on the slide.

    Correctly cite and reference at least three scholarly sources that help support the assignment. Sources should be no more than five years old unless they are historical references.

    Name:

    Date:

    1

    Discovery

    [TYPE HERE: Add key information from your speaker notes.]

    Speaker notes include the important information you will cover when delivering a presentation. Create speaker notes by writing a paragraph for the section below that addresses each question with explanation and detail. Click where it says [TYPE HERE] and remove the words [TYPE HERE] to add speaker notes.

    Discovery (See Week 2 assignment)

    Discuss your selected nursing clinical practice problem.

    [TYPE HERE]

    Discuss why this selected problem is the most important in your current or past practice area.

    [TYPE HERE]

    List your PICOT question.

    [TYPE HERE]

    2

    Summary

    [TYPE HERE: Add key information from your speaker notes.]

    Speaker notes include the important information you will cover when delivering a presentation. Create speaker notes by writing a paragraph for the section below that addresses each question with explanation and detail. Click where it says [TYPE HERE] and remove the words [TYPE HERE] to add speaker notes.

    Summary (See Week 2 assignment)

    Discuss the findings from the selected systematic review.

    [TYPE HERE]

    Discuss the findings from the selected quantitative research study.

    [TYPE HERE]

    Explain why the evidence is relevant to your selected nursing clinical practice problem.

    [TYPE HERE]

    3

    Translation

    [TYPE HERE: Add key information from your speaker notes.]

    Speaker notes include the important information you will cover when delivering a presentation. Create speaker notes by writing a paragraph for the section below that addresses each question with explanation and detail. Click where it says [TYPE HERE] and remove the words [TYPE HERE] to add speaker notes.

    Translation (See Week 4 assignment)

    Discuss the intervention that will be implemented to address the clinical nursing practice problem.

    [TYPE HERE]

    Discuss the setting where the change project will occur, including the organization’s current culture of change.

    [TYPE HERE]

    Discuss the interprofessional committee needed to plan the implementation of the intervention. Explain how each team member will be involved.

    [TYPE HERE]

    4

    Integration

    [TYPE HERE: Add key information from your speaker notes.]

    Speaker notes include the important information you will cover when delivering a presentation. Create speaker notes by writing a paragraph for the section below that addresses each question with explanation and detail. Click where it says [TYPE HERE] and remove the words [TYPE HERE] to add speaker notes.

    Integration (See Week 4 assignment)

    Discuss the key performance indicators that will be tracked to monitor the progress of the change project.

    [TYPE HERE]

    Explain the anticipated timeline for implementing the change project.

    [TYPE HERE]

    Discuss how you will use informatics or healthcare technologies to collect, aggregate, and analyze data.

    [TYPE HERE]

    5

    Evaluation

    [TYPE HERE: Add key information from your speaker notes.]

    Speaker notes include the important information you will cover when delivering a presentation. Create speaker notes by writing a paragraph for the section below that addresses each question with explanation and detail. Click where it says [TYPE HERE] and remove the words [TYPE HERE] to add speaker notes.

    Evaluation

    Discuss how you will ensure the privacy and security of the client’s data during the evaluation of the change project.

    [TYPE HERE]

    Explain how you will disseminate the outcomes of the change project.

    [TYPE HERE]

    Describe the next steps for the use of the change project information.

    [TYPE HERE]

    6

    References

    [TYPE HERE]

    [TYPE HERE]

    [TYPE HERE]

    7

    ## image1.png

    **## week2assignment.docx**

    ![](https://www.sweetstudy.com/questions/see-attached-3-20897515)

    ## Week 2 Assignment

    ## Evidence Summary

    Name:

    Date: 3/16/2025

    **Directions:** Identify a nursing clinical practice problem in your current or previous practice. Use this template to complete the Evidence Summary Assignment addressing your selected nursing clinical practice problem.

    Answer the questions under each section with explanation and detail.

    Correctly cite and reference information from scholarly sources that help support the discussion. Sources should be no more than five years old unless they are historical references.

    **Section 1: Discovery**

    1. Describe your selected nursing clinical practice problem. Explain your rationale for choosing this topic and summarize why this nursing clinical practice problem is the most important in your current or past practice area.

    I chose to focus on childhood obesity because, as a pediatric and adolescent psychiatric nurse, I frequently encounter this issue within the population I serve. Obesity significantly affects both the physical and mental health of children and adolescents. In our community, childhood obesity continues to be a growing and concerning problem that needs attention and intervention.

    2. Define each PICOT element.

    P- (Population): Children, ages 6-12 years old.

    I- (Intervention): Lifestyle change – Increased physical activity.

    C- (Comparison: Sedentary lifestyle / No increase in activity.

    O- (Outcome): Decrease in BMI.

    T- (Time frame in months): 6 months.

    3. Write out your PICOT question using the standard format below:

    In _____ (P), how does _____ (I) compared to _____ (C) affect _____ (O) within _____ (T)?

    _NOTE: In this standardized format, “affect” can be substituted with another verb, such as reduce, increase, or improve, to articulate the anticipated outcome more precisely._

    In children 6-12 years of age (P), how does increased physical activity (I) compared to a sedentary lifestyle (C) affect BMI (O) within 6 months (T)?

    4. Describe how you selected the population, intervention, outcome, and time frame.

    I selected the population based on my current career path and passion, as a nurse and mother. I based the intervention, outcome, and time frame on what was measurable, practical, and effective.

    **Section 2: Evidence Summary Systematic Review**

    Using only the Chamberlain University Library, locate one systematic review relevant to your chosen nursing clinical practice problem that supports the intervention and has been published within the past 5 years.

    1. Provide the complete APA reference to the evidence, including the permalink. State which database you found the evidence in.

    Julian, V., Ring-Dimitriou, S., Wyszyńska, J., Mazur, A., Matlosz, P., Frelut, M. L., Erhardt, E., Vlachopapadopoulou, E., Forslund, A., Boyland, E., Weghuber, D., & Thivel, D. (2022). There Is a Clinical Need to Consider the Physical Activity: Sedentary Pattern in Children with Obesity – Position Paper of the European Childhood Obesity Group.
    _Annals of Nutrition and Metabolism_,
    _78_(4), 236–241. https://doi.org/10.1159/000524570

    [https://chamberlain.primo.exlibrisgroup.com/permalink/01CUCON_INST/f6kb8f/cdi_karger_primary_524570](https://chamberlain.primo.exlibrisgroup.com/permalink/01CUCON_INST/f6kb8f/cdi_karger_primary_524570)

    2. Explain how the evidence is relevant to your selected nursing clinical practice problem and population.

    The evidence directly addresses the nursing problem I have chosen, as well as the specific population. It highlights the strong link between physical activity and childhood obesity. Additionally, the evidence is current and peer-reviewed, ensuring its credibility and relevance.

    3. Explain how the evidence is relevant to your selected intervention. What data from the article helps support the implementation of this intervention into practice?

    The article demonstrates that an increase in physical activity has a positive impact on BMI, highlighting a direct correlation between regular physical activity and improved weight management.

    **Section 3: Evidence Summary Peer-Reviewed Quantitative Research Study**

    Using only the Chamberlain University Library, locate one peer-reviewed quantitative research study relevant to your chosen nursing clinical practice problem that supports the intervention and has been published within the past 5 years.

    1. Provide the complete APA reference to the evidence, including the permalink. State which database you found the evidence in.

    Chamberlain University Library

    Bernhardsson, S., Boman, C., Lundqvist, S., Arvidsson, D., Börjesson, M., Larsson, M. E. H., Lundh, H., Melin, K., Nilsen, P., & Lauruschkus, K. (2022). Implementation of physical activity on prescription for children with obesity in paediatric health care (IMPA): protocol for a feasibility and evaluation study using quantitative and qualitative methods.
    _Pilot and Feasibility Studies_,
    _8_(1), 117–15. https://doi.org/10.1186/s40814-022-01075-3

    https://chamberlain.primo.exlibrisgroup.com/permalink/01CUCON_INST/f6kb8f/cdi_doaj_primary_oai_doaj_org_article_112b8864255f48cdbeea35e64b890918

    2. Explain how the evidence is relevant to your selected nursing practice problem and population.

    It is highly relevant to the nursing practice problem of addressing obesity in the pediatric population.

    4. Explain how the evidence is relevant to your selected intervention. What data from the article helps support the implementation of this intervention into practice?

    The study explores using physical activity on prescription (PAP) for children with obesity, which closely aligns with the need for effective strategies to help manage and reduce childhood obesity. My interventions are increased physical activity which directly aligns with the implemented intervention in this study of using PAP.

    **Section 4: Evidence-Based Interventions**

    1. Describe the selected evidence-based nursing intervention in detail. How do you believe this intervention could be implemented in your practice area?

    The evidence-based intervention I have selected is, increased physical activity vs a sedentary lifestyle to lower BMI over the period of 6 months to improve obesity in children ages 6-12 years of age. Research has demonstrated that regular physical activity plays a key role in lowering BMI and addressing childhood obesity. In my practice, this intervention could be implemented by creating individualized physical activity plans for children, promoting age-appropriate exercises, and providing ongoing support to both the children and their families.

    2. Explain how the intervention supports the outcome and addresses your identified nursing clinical practice problem.

    The intervention of increasing physical activity directly supports the outcome of lower BMI over a 6-month period and reducing childhood obesity by targeting one of the key factors contributing to high BMI, which is lack of physical activity.

    3. What interprofessional team members would it be important to collaborate with? Explain

    As a registered nurse, it would be important to collaborate with several interprofessional team members. These would include pediatricians, dietitians, physical therapists, and social workers.

    This would include pediatricians due to the age of the group we are treating. Dietitians can help address the dietary needs and changes that are required in combination with the increased activity to achieve the goal of lowering BMI. Physical therapists are important to address any physical limitation the child may have and design a healthy physical activity plan that is age appropriate. The social worker can help the child and family connect with available resources in the community to improve the changes of compliance.

    **References:** Provide complete references for all citations.

    Bernhardsson, S., Boman, C., Lundqvist, S., Arvidsson, D., Börjesson, M., Larsson, M. E. H., Lundh, H., Melin, K., Nilsen, P., & Lauruschkus, K. (2022). Implementation of physical activity on prescription for children with obesity in paediatric health care (IMPA): protocol for a feasibility and evaluation study using quantitative and qualitative methods.
    _Pilot and Feasibility Studies_,
    _8_(1), 117–15.
    [https://doi.org/10.1186/s40814-022-01075-3](https://doi.org/10.1186/s40814-022-01075-3)

    Julian, V., Ring-Dimitriou, S., Wyszyńska, J., Mazur, A., Matlosz, P., Frelut, M. L., Erhardt, E., Vlachopapadopoulou, E., Forslund, A., Boyland, E., Weghuber, D., & Thivel, D. (2022). There Is a Clinical Need to Consider the Physical Activity: Sedentary Pattern in Children with Obesity – Position Paper of the European Childhood Obesity Group.
    _Annals of Nutrition and Metabolism_,
    _78_(4), 236–241.
    [https://doi.org/10.1159/000524570](https://doi.org/10.1159/000524570)

    © 2024. Chamberlain University LLC. All rights reserved.

    1

    1.29.24

    ## image1.png

    **week4assignment.docx**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/week4assignment-docx-10253051)

    **## attach3.doc**

    [removed]

    **## Dissemination_of_Change_Project_Template_powerpoint.pptx**

    Week 6 Assignment
    Dissemination of Change Project

    Directions

    Complete the Dissemination of Change Project template by building on your selected nursing clinical practice problem and the feedback from previous assignments throughout the course.

    Click the box to the right to add your name and date. Click on the next slide.

    Find and click the word Notes at the bottom right of your PowerPoint screen.

    In the notes section, on each slide, add speaker notes by answering each question with explanation and detail. Click [TYPE HERE] in the notes section. Remove the words [TYPE HERE] to add speaker notes.

    The information on the PowerPoint slides should highlight important information from the speaker notes to accompany a presentation. Click [TYPE HERE] on the PowerPoint slide, remove the words [TYPE HERE], and provide the key information for each section.

    Do not change the font size. Ensure your information fits on the slide.

    Correctly cite and reference at least three scholarly sources that help support the assignment. Sources should be no more than five years old unless they are historical references.

    Name:

    Date:

    1

    Discovery

    [TYPE HERE: Add key information from your speaker notes.]

    Speaker notes include the important information you will cover when delivering a presentation. Create speaker notes by writing a paragraph for the section below that addresses each question with explanation and detail. Click where it says [TYPE HERE] and remove the words [TYPE HERE] to add speaker notes.

    Discovery (See Week 2 assignment)

    Discuss your selected nursing clinical practice problem.

    [TYPE HERE]

    Discuss why this selected problem is the most important in your current or past practice area.

    [TYPE HERE]

    List your PICOT question.

    [TYPE HERE]

    2

    Summary

    [TYPE HERE: Add key information from your speaker notes.]

    Speaker notes include the important information you will cover when delivering a presentation. Create speaker notes by writing a paragraph for the section below that addresses each question with explanation and detail. Click where it says [TYPE HERE] and remove the words [TYPE HERE] to add speaker notes.

    Summary (See Week 2 assignment)

    Discuss the findings from the selected systematic review.

    [TYPE HERE]

    Discuss the findings from the selected quantitative research study.

    [TYPE HERE]

    Explain why the evidence is relevant to your selected nursing clinical practice problem.

    [TYPE HERE]

    3

    Translation

    [TYPE HERE: Add key information from your speaker notes.]

    Speaker notes include the important information you will cover when delivering a presentation. Create speaker notes by writing a paragraph for the section below that addresses each question with explanation and detail. Click where it says [TYPE HERE] and remove the words [TYPE HERE] to add speaker notes.

    Translation (See Week 4 assignment)

    Discuss the intervention that will be implemented to address the clinical nursing practice problem.

    [TYPE HERE]

    Discuss the setting where the change project will occur, including the organization’s current culture of change.

    [TYPE HERE]

    Discuss the interprofessional committee needed to plan the implementation of the intervention. Explain how each team member will be involved.

    [TYPE HERE]

    4

    Integration

    [TYPE HERE: Add key information from your speaker notes.]

    Speaker notes include the important information you will cover when delivering a presentation. Create speaker notes by writing a paragraph for the section below that addresses each question with explanation and detail. Click where it says [TYPE HERE] and remove the words [TYPE HERE] to add speaker notes.

    Integration (See Week 4 assignment)

    Discuss the key performance indicators that will be tracked to monitor the progress of the change project.

    [TYPE HERE]

    Explain the anticipated timeline for implementing the change project.

    [TYPE HERE]

    Discuss how you will use informatics or healthcare technologies to collect, aggregate, and analyze data.

    [TYPE HERE]

    5

    Evaluation

    [TYPE HERE: Add key information from your speaker notes.]

    Speaker notes include the important information you will cover when delivering a presentation. Create speaker notes by writing a paragraph for the section below that addresses each question with explanation and detail. Click where it says [TYPE HERE] and remove the words [TYPE HERE] to add speaker notes.

    Evaluation

    Discuss how you will ensure the privacy and security of the client’s data during the evaluation of the change project.

    [TYPE HERE]

    Explain how you will disseminate the outcomes of the change project.

    [TYPE HERE]

    Describe the next steps for the use of the change project information.

    [TYPE HERE]

    6

    References

    [TYPE HERE]

    [TYPE HERE]

    [TYPE HERE]

    7

    ## image1.png

    **## week2assignment.docx**

    ![](https://www.sweetstudy.com/questions/see-attached-3-20897515)

    ## Week 2 Assignment

    ## Evidence Summary

    Name:

    Date: 3/16/2025

    **Directions:** Identify a nursing clinical practice problem in your current or previous practice. Use this template to complete the Evidence Summary Assignment addressing your selected nursing clinical practice problem.

    Answer the questions under each section with explanation and detail.

    Correctly cite and reference information from scholarly sources that help support the discussion. Sources should be no more than five years old unless they are historical references.

    **Section 1: Discovery**

    1. Describe your selected nursing clinical practice problem. Explain your rationale for choosing this topic and summarize why this nursing clinical practice problem is the most important in your current or past practice area.

    I chose to focus on childhood obesity because, as a pediatric and adolescent psychiatric nurse, I frequently encounter this issue within the population I serve. Obesity significantly affects both the physical and mental health of children and adolescents. In our community, childhood obesity continues to be a growing and concerning problem that needs attention and intervention.

    2. Define each PICOT element.

    P- (Population): Children, ages 6-12 years old.

    I- (Intervention): Lifestyle change – Increased physical activity.

    C- (Comparison: Sedentary lifestyle / No increase in activity.

    O- (Outcome): Decrease in BMI.

    T- (Time frame in months): 6 months.

    3. Write out your PICOT question using the standard format below:

    In _____ (P), how does _____ (I) compared to _____ (C) affect _____ (O) within _____ (T)?

    _NOTE: In this standardized format, “affect” can be substituted with another verb, such as reduce, increase, or improve, to articulate the anticipated outcome more precisely._

    In children 6-12 years of age (P), how does increased physical activity (I) compared to a sedentary lifestyle (C) affect BMI (O) within 6 months (T)?

    4. Describe how you selected the population, intervention, outcome, and time frame.

    I selected the population based on my current career path and passion, as a nurse and mother. I based the intervention, outcome, and time frame on what was measurable, practical, and effective.

    **Section 2: Evidence Summary Systematic Review**

    Using only the Chamberlain University Library, locate one systematic review relevant to your chosen nursing clinical practice problem that supports the intervention and has been published within the past 5 years.

    1. Provide the complete APA reference to the evidence, including the permalink. State which database you found the evidence in.

    Julian, V., Ring-Dimitriou, S., Wyszyńska, J., Mazur, A., Matlosz, P., Frelut, M. L., Erhardt, E., Vlachopapadopoulou, E., Forslund, A., Boyland, E., Weghuber, D., & Thivel, D. (2022). There Is a Clinical Need to Consider the Physical Activity: Sedentary Pattern in Children with Obesity – Position Paper of the European Childhood Obesity Group.
    _Annals of Nutrition and Metabolism_,
    _78_(4), 236–241. https://doi.org/10.1159/000524570

    [https://chamberlain.primo.exlibrisgroup.com/permalink/01CUCON_INST/f6kb8f/cdi_karger_primary_524570](https://chamberlain.primo.exlibrisgroup.com/permalink/01CUCON_INST/f6kb8f/cdi_karger_primary_524570)

    2. Explain how the evidence is relevant to your selected nursing clinical practice problem and population.

    The evidence directly addresses the nursing problem I have chosen, as well as the specific population. It highlights the strong link between physical activity and childhood obesity. Additionally, the evidence is current and peer-reviewed, ensuring its credibility and relevance.

    3. Explain how the evidence is relevant to your selected intervention. What data from the article helps support the implementation of this intervention into practice?

    The article demonstrates that an increase in physical activity has a positive impact on BMI, highlighting a direct correlation between regular physical activity and improved weight management.

    **Section 3: Evidence Summary Peer-Reviewed Quantitative Research Study**

    Using only the Chamberlain University Library, locate one peer-reviewed quantitative research study relevant to your chosen nursing clinical practice problem that supports the intervention and has been published within the past 5 years.

    1. Provide the complete APA reference to the evidence, including the permalink. State which database you found the evidence in.

    Chamberlain University Library

    Bernhardsson, S., Boman, C., Lundqvist, S., Arvidsson, D., Börjesson, M., Larsson, M. E. H., Lundh, H., Melin, K., Nilsen, P., & Lauruschkus, K. (2022). Implementation of physical activity on prescription for children with obesity in paediatric health care (IMPA): protocol for a feasibility and evaluation study using quantitative and qualitative methods.
    _Pilot and Feasibility Studies_,
    _8_(1), 117–15. https://doi.org/10.1186/s40814-022-01075-3

    https://chamberlain.primo.exlibrisgroup.com/permalink/01CUCON_INST/f6kb8f/cdi_doaj_primary_oai_doaj_org_article_112b8864255f48cdbeea35e64b890918

    2. Explain how the evidence is relevant to your selected nursing practice problem and population.

    It is highly relevant to the nursing practice problem of addressing obesity in the pediatric population.

    4. Explain how the evidence is relevant to your selected intervention. What data from the article helps support the implementation of this intervention into practice?

    The study explores using physical activity on prescription (PAP) for children with obesity, which closely aligns with the need for effective strategies to help manage and reduce childhood obesity. My interventions are increased physical activity which directly aligns with the implemented intervention in this study of using PAP.

    **Section 4: Evidence-Based Interventions**

    1. Describe the selected evidence-based nursing intervention in detail. How do you believe this intervention could be implemented in your practice area?

    The evidence-based intervention I have selected is, increased physical activity vs a sedentary lifestyle to lower BMI over the period of 6 months to improve obesity in children ages 6-12 years of age. Research has demonstrated that regular physical activity plays a key role in lowering BMI and addressing childhood obesity. In my practice, this intervention could be implemented by creating individualized physical activity plans for children, promoting age-appropriate exercises, and providing ongoing support to both the children and their families.

    2. Explain how the intervention supports the outcome and addresses your identified nursing clinical practice problem.

    The intervention of increasing physical activity directly supports the outcome of lower BMI over a 6-month period and reducing childhood obesity by targeting one of the key factors contributing to high BMI, which is lack of physical activity.

    3. What interprofessional team members would it be important to collaborate with? Explain

    As a registered nurse, it would be important to collaborate with several interprofessional team members. These would include pediatricians, dietitians, physical therapists, and social workers.

    This would include pediatricians due to the age of the group we are treating. Dietitians can help address the dietary needs and changes that are required in combination with the increased activity to achieve the goal of lowering BMI. Physical therapists are important to address any physical limitation the child may have and design a healthy physical activity plan that is age appropriate. The social worker can help the child and family connect with available resources in the community to improve the changes of compliance.

    **References:** Provide complete references for all citations.

    Bernhardsson, S., Boman, C., Lundqvist, S., Arvidsson, D., Börjesson, M., Larsson, M. E. H., Lundh, H., Melin, K., Nilsen, P., & Lauruschkus, K. (2022). Implementation of physical activity on prescription for children with obesity in paediatric health care (IMPA): protocol for a feasibility and evaluation study using quantitative and qualitative methods.
    _Pilot and Feasibility Studies_,
    _8_(1), 117–15.
    [https://doi.org/10.1186/s40814-022-01075-3](https://doi.org/10.1186/s40814-022-01075-3)

    Julian, V., Ring-Dimitriou, S., Wyszyńska, J., Mazur, A., Matlosz, P., Frelut, M. L., Erhardt, E., Vlachopapadopoulou, E., Forslund, A., Boyland, E., Weghuber, D., & Thivel, D. (2022). There Is a Clinical Need to Consider the Physical Activity: Sedentary Pattern in Children with Obesity – Position Paper of the European Childhood Obesity Group.
    _Annals of Nutrition and Metabolism_,
    _78_(4), 236–241.
    [https://doi.org/10.1159/000524570](https://doi.org/10.1159/000524570)

    © 2024. Chamberlain University LLC. All rights reserved.

    1

    1.29.24

    ## image1.png

    **week4assignment.docx**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/week4assignment-docx-10253051)