Category: Nursing

Please Follow Instructions and criteria and use template. Template Included.  
Please use at least 6 references – more if needed.

Writer can create their
own scenario of a patient who wants to taper off their benzodiazepines that
they have been taking for at least 10 years or more to include:
·      
the age and gender of
the patient
·      
list all medical and
psychiatric diagnoses (i.e. is there a seizure history? anxiety disorder? etc.)
·      
current medications and
allergies
·      
specifically include the
benzodiazepine, the dosing instructions and how long they have been taking it
(must be for at least several years), the MOA, pharmacodynamics, and
pharmacokinetics.
·      
(Patient example: The
patient is a 68-year-old Caucasian male taking Xanax 1mg, one tab by mouth four
times daily for 20 years and wants to be taken off this medication)
How would you approach
tapering them off their benzodiazepines in an outpatient setting? 
·      
Write the instructions
on how you would taper them.
·      
List the potential
withdrawal symptoms they could potentially have and how you would approach this.
·      
Would you use any other
medications to help with the withdrawal symptoms (list what you would use, how
you would use them, and why) or therapy (what kind, why)
·      
How often would you
follow up with the patient?
·      
Cite at minimum one
journal article that provides recommendations for taper and supportive
medications, and rate and grade the article using John Hopkins
Support your answers
with the evidence, also use DSM diagnosis and APA format.
Introductions
Introduction
of patient
the age and gender of the patient, medical and psychiatric
diagnoses (i.e. is there a seizure history? anxiety disorder? etc), current
medications and allergies
specifically include the benzodiazepine, the dosing instructions and how long
they have been taking it (must be for at least several years), the MOA,
pharmacodynamics, and pharmacokinetics
Taper
instructions
Taper instructions of the chosen benzodiazepine (which may
be different than what the patient is taking) are clearly defined in dosing and
length of time, How often should the patient be seen and for how long?
Withdrawal
Potential withdrawal symptoms are clearly discussed and how
to manage them, and what over medications can be used during the withdrawal
period to help manage withdrawal symptoms.
Description
of criterion
Cite at minimum one journal article that provides
recommendations for taper and supportive medications, rate and grade the
article using John Hopkins
APA
format
Professionally written, utilizes academic resources
published in the last five (5) years, appropriate grammar and sentence
structuring, and correct APA referencing and APA format.

Attached is the topic list. For each black bolded points, write three critical (Bullet points) points each. It has to be HANDWRITTEN ONLY.

For this assignment you will need to:
Write a 3-4 page paper in APA format with a minimum of 3 references. 
Address the following Areas:
Project Objectives
The objectives are something you hope to achieve from doing the project
Strategies
Strategies are the method you will use to reach the objectives you have set for your project
Background Analysis
This may also be called a situation analysis. This section you will need to discuss what is happening that made you decided to do your capstone project.
For example, the nurses at a facility are making a many medication errors. For your capstone project you decide you will try to reduce the number of medication errors from 10 every week to three a week. You will have to analyze why the errors are taking place. Maybe the lighting in the medication room is poor or maybe the nurses are working 70 hours every week.
You will also need to locate peer review articles that support you analysis.
Use the template attached
Assignment project is attached 
Will be submitted in turnitin for similarity

I am a Licensed Midwifery student . This is a paper on birth control. I have uploaded the instructions It needs to be APA format

PICOT is an acronym used to help develop clinical research questions and guide you in your search for evidence. Finding the right answers requires the right questions. The PICOT format will help you construct questions that will likely lead to effective searches, the best available evidence of interventions, and the meaningfulness of patient experiences.
P = Patient population
I = Intervention or issue of interest
C = Comparison of interventions or comparison of interests
O = Outcome
T = Time frame (this element is not always included)*
For example, you may wish to research the effects of interrupted sleep on cognition of ICU patients 65 or older.
Using this PICOT model,
In __________(P), how does __________ (I) compared to _________ (C) influence _________ (O) over ________ (T)?
In ICU patients who are 65 or older, how does interrupted sleep (awakened one time or more in four hours) as compared to uninterrupted sleep influence the patient’s cognitive ability over 5 days?
Questions of meaningfulness and effectiveness relate to how people experience an intervention or phenomenon.
What is the effectiveness of using a turn schedule (I) versus an audible public address reminder (C) on the incidence of pressure ulcers (O) in elderly patients in LTAC who require turning (P)?
*Not all studies will have a time frame. This is optional to include as part of your PICOT.
Assignment Directions
Select a topic in nursing that is of interest to you.
Use PICOT to format a possible research question about that topic.
Create one possible PICOT research question.
Find one quantitative or qualitative peer-reviewed research article related to your nursing topic that was published within the last 5 years. Reminder: All peer-reviewed research articles have methods, discussion, and results sections.
Upload the article with your paper in PDF format. This source can be used again in the Week 4 article assignment if it meets the criteria.
See PICOT Formatting Guide Download PICOT Formatting Guideor pages 176-179 in your book for additional help with formatting your PICOT.
Include the following:
Title page
Provide a brief description of the topic and background information (see page 28 of your textbook). You can use your text, your peer-reviewed journal source, or the EBP care sheets in CINAHL or Nursing Reference Center Database.
Explain the significance of the topic to nursing practice (see chart on page 28 of your textbook). Background information can be found in journal articles in the introduction section. Results and conclusions will speak to significance of the topic. The EBP care sheets may have sources for you to choose from.
Provide 1 clearly-stated PICOT question.
Include 1 peer-reviewed journal source related to your topic.
The chosen topic and PICOT will be used for your Week 9 poster assignment. Your chosen topic will guide your article search in week 4 and your self-appraisals in week 6 of your chosen articles.
Your paper should: Be 2–3 pages (not including the title page and reference page)
Use current APA format to style your paper and to cite your source. Attached is a Picot Examplar Paper Download Picot Examplar Paper as an example of the format.
There will be a 5 point deduction if peer-reviewed research journal article is not used and a 5 point deduction if the article is not included with your submission.
Review the rubric for further information on how your assignment will be graded.
Rubric
Clinical Issue and Research Questions Developed Using PICOT Rubric
Clinical Issue and Research Questions Developed Using PICOT Rubric
CriteriaRatingsPts
This criterion is linked to a Learning OutcomeTopicTopic/ Relevance to Nursing
50 to >43.0 ptsMeets or Exceeds Expectations
A clear and succinct description of the topic is presented. Background information is relevant and specific to the topic. The significance of the topic to nursing practice is explained clearly and is supported with examples.
43 to >35.0 ptsMostly Meets Expectations
A description of the topic is presented but may be ambiguous or confusing. Some background information is provided, but more is needed for a full explanation. The significance of the topic to nursing practice is somewhat explained and may not be supported with examples.
35 to >27.0 ptsBelow Expectations
A description of the topic is presented but is ambiguous or confusing. Some background information is provided, but more is needed for a full explanation. The significance of the topic to nursing practice is somewhat explained but is not supported with examples.
27 to >0 ptsDoes Not Meet Expectations
An unclear description of the topic is presented or is missing. No background information is provided. The significance of the topic to nursing practice is not explained.
50 pts
This criterion is linked to a Learning OutcomePICOT Research QuestionsThis criterion is linked to a Learning Outcome PICOT Research Questions
85 to >73.1 ptsMeets or Exceeds Expectations
All research questions are accurately framed as complete PICOT questions. PICOT questions provide a clear and specific focus for research within the topic. One peer-reviewed journal source related to the topic is included with assignment submission.
73.1 to >59.5 ptsMostly Meets Expectations
Only some research questions are framed as PICOT questions, or some PICOT questions are incomplete. PICOT questions provide a vague or unclear focus for research that may not be within the topic. One peer-reviewed journal source is included but not related to the topic.
59.5 to >45.9 ptsBelow Expectations
Few questions are framed as PICOT questions, or are incomplete. PICOT questions provide a vague or unclear focus for research that is not within the topic. One journal source is included but it is not peer-reviewed.
45.9 to >0 ptsDoes Not Meet Expectations
Research questions are missing or are not framed as PICOT questions. Peer-reviewed journal source is not included.
85 pts
This criterion is linked to a Learning OutcomeAPA and Mechanics
15 to >12.9 ptsMeets or Exceeds Expectations
Follows all the requirements related to format, length, source citations, and layout. Written in a clear, concise, formal, and organized manner. Responses are mostly error free. Information from sources is paraphrased appropriately and accurately cited.
12.9 to >10.5 ptsMostly Meets Expectations
Follows length requirement and most of the requirements related to format, source citations, and layout. Writing is generally clear and organized but is not concise or formal in language. Multiple errors exist in spelling and grammar with minor interference with readability or comprehension. Most information from sources is paraphrased and cited correctly.
10.5 to >8.1 ptsBelow Expectations
Follows few requirements related to format, source citations, and layout. Writing may be unclear or informal in language. Multiple errors exist in spelling and grammar, interfering with readability or comprehension. Some information from sources is paraphrased and cited correctly.
8.1 to >0 ptsDoes Not Meet Expectations
Follows few requirements related to format, source citations, and layout. Writing may be unclear or informal in language. Multiple errors exist in spelling and grammar, interfering with readability or comprehension. Some information from sources is paraphrased and cited correctly.
15 pts

Reviewing Appendix B in Butts, choose two of the Nine Tenets of the Code of Ethics for Nurses and describe how you will personally apply each tenet in the practice setting with your patients. Describe in detail the purpose of the tenet and provide examples of the tenet applied in practice. Explain why it is important to uphold the tenet in maximizing the quality of patient care, and identify how it enhances your own practice as a nurse.
Your paper should be 1-2 pages.
Include a title page and a reference page to cite your text. Adhere to APA formatting throughout, and cite any outside sources you may use must ave at least 2 sources to support info.

A
formal paper, using APA format, describing the student’s values and philosophy
with each of the items listed below addressed. Creativity and reflection in
presentation of ideas is encouraged. No abstract is needed. Heading and level
headers are required as per APA guidelines. The paper should be 3-4 pages,
double spaced in length.
Items
to be addressed in the paper:
1.     
Compare and contrast: ANA’s, Florence Nightingale’s and a selected
theorist of your choice definitions of nursing along with Plaza College’s
Nursing School Philosophy. How do these definitions compare/contrast to your
definition of nursing?  What is your
definition of nursing? Has your definition evolved and how?
2.     
Define the current state/condition of nursing: For example, as it
relates to politics, image, professional standards and the future of nursing.
Adding some workplace issues, along with ethical and legal issues that you have
observed in your preceptorship would enhance your paper.
3.     
Finally, what is your philosophy of nursing and how is it
integrated with Plaza college philosophy of nursing?

Identify the
different Advanced Nursing Practice roles (the clinical nurse specialist, the
nurse mid-wife, the primary care nurse practitioner, the adult-gerontology
acute care nurse practitioner, the certified registered nurse anesthetist) and the
populations of focus, scope of practice for different APNs, as well as education, certification, and ongoing
competency
requirements.

Whether you are a nurse, a public health professional, a health care administrator, or in another role in the health care field, you must base your decisions on a set of ethical principles and values. Your decisions must be fair, equitable, and defensible. Each discipline has established a professional code of ethics to guide ethical behavior. In this assessment, you will practice working through an ethical dilemma as described in a case study. Your practice will help you develop a method for formulating ethical 
The requirements outlined below correspond to the grading criteria in the scoring guide. At a minimum, be sure to address each point. In addition, you are encouraged to review the performance-level descriptions for each criterion to see how your work will be assessed.
For this assessment, develop a solution to a specific ethical dilemma faced by a health care professional. In your assessment:
Select one of the case studies presented in the Assessment 03 Supplement: Applying Ethical Principles [PDF] Download Assessment 03 Supplement: Applying Ethical Principles [PDF]resource.
Note: The case study may not supply all of the information you need. In such cases, you should consider a variety of possibilities and infer potential conclusions. However, please be sure to identify any assumptions or speculations you make.
Summarize the facts in the selected case study and use the three components of an ethical decision-making model to analyze an ethical problem or issue and the factors that contributed to it.
Identify which case study you selected and briefly summarize the facts surrounding it. Identify the problem or issue that presents an ethical dilemma or challenge and describe that dilemma or challenge.
Identify who is involved or affected by the ethical problem or issue.
Access the Ethical Decision-Making Modelmedia piece and use the three components of the ethical decision-making model (moral awareness, moral judgment, and ethical behavior) to analyze the ethical issues.
Apply the three components outlined in the Ethical Decision-Making Model media.
Analyze the factors that contributed to the ethical problem or issue identified in the case study.
Describe the factors that contributed to the problem or issue and explain how they contributed.
Apply academic peer-reviewed journal articles relevant to an ethical problem or issue as evidence to support an analysis of the case.
In addition to the readings provided, use the Capella library to locate at least one academic peer-reviewed journal article relevant to the problem or issue that you can use to support your analysis of the situation. The NHS-FPX4000: Developing a Health Care Perspective Library Guide will help you locate appropriate references. You will select at least one current scholarly or academic peer-reviewed journal articles published during the past 3–5 years that relate to your topic.
Cite and apply key principles from the journal article as evidence to support your critical thinking and analysis of the ethical problem or issue.
Review the Think Critically About Source Quality resource.
Assess the credibility of the information source.
Assess the relevance of the information source.
Discuss the effectiveness of the communication approaches present in a case study.
Describe how the health care professional in the case study communicated with others.
Assess instances where the professional communicated effectively or ineffectively.
Explain which communication approaches should be used and which ones should be avoided.
Describe the consequences of using effective and non-effective communication approaches.
Discuss the effectiveness of the approach used by a professional to deal with problems or issues involving ethical practice in a case study.
Describe the actions taken in response to the ethical dilemma or issue presented in the case study.
Summarize how well the professional managed professional responsibilities and priorities to resolve the problem or issue in the case.
Discuss the key lessons this case provides for health care professionals.
Apply ethical principles to a possible solution to an ethical problem or issue described in a case study.
Describe the proposed solution.
Discuss how the approach makes this professional more effective or less effective in building relationships across disciplines within his or her organization.
Discuss how likely it is the proposed solution will foster professional collaboration.
Write clearly and logically, with correct use of spelling, grammar, punctuation, and mechanics.
Apply the principles of effective composition.
Determine the proper application of the rules of grammar and mechanics.
Write using APA style for in-text citations, quotes, and references.
Determine the proper application of APA formatting requirements and scholarly writing standards.
Integrate information from outside sources into academic writing by appropriately quoting, paraphrasing, and summarizing, following APA style.