Discuss the correlation between nursing education and positive patient outcomes
Discuss the correlation between nursing education and positive patient outcomes Topic 3 DQ 1 Discuss the correlation between nursing education and positive patient outcomes. Include current research that links patient safety outcomes to advanced degrees in nursing. Based on some real-life experiences, explain whether you agree or disagree with this research. Expert Answer and Explanation Nursing Education and Positive Patient Outcome According to the American Association of Colleges of Nursing (AACN), an organization that has since championed nursing education across the US, education has improved positive patient outcomes by impacting nurses with skills and knowledge to provide quality and safe care. The organization notes that healthcare professionals with Bachelor of Science in Nursing (BSN) degrees can provide safe care as stipulated by federal, state, or local level governments. BSN nurses are prized for their leadership, critical thinking, health promotion, and case management abilities. These skills are critical in the provision of quality care. Melnyk et al. (2018) found that nursing education level is linked with positive patient outcomes. The authors found that nurse education was related to lower failure-to-rescue rate and lower mortality in their study. The researchers recommended that nurses should increase their education for them to provide quality care. I agree, will the research. In real-life experience, lowly skilled healthcare professionals often refer patients to highly skilled caregivers to help clients. Another study done by Zhang and Cui (2018) found that highly educate nurses can help reduce the rate of falls, hospital-acquired infections, and high mortality. For instance, high educated and qualified healthcare professionals have the skills and knowledge they can use to perform proper surgical procedures, hence reducing the rate of surgical site infections. As a result, the patient being operated by qualified and highly educated healthcare professionals will have high patient satisfaction and positive outcomes, such as high bed turnover. Leadership skills are also fundamental when it comes to positive patient outcomes. Nursing leaders can make effective decisions and design policies that can improve patient outcomes. References Melnyk, B. M., Gallagher‐Ford, L., Zellefrow, C., Tucker, S., Thomas, B., Sinnott, L. T., & Tan, A. (2018). The first US study on nurses’ evidence‐based practice competencies indicates major deficits that threaten healthcare quality, safety, and patient outcomes. Worldviews on Evidence‐Based Nursing, 15(1), 16-25. https://doi.org/10.1111/wvn.12269 Zhang, J., & Cui, Q. (2018). Collaborative learning in higher nursing education: A systematic review. Journal of Professional Nursing, 34(5), 378-388. https://doi.org/10.1016/j.profnurs.2018.07.007 Alternative Expert Answer and Explanation The correlation between nursing education and positive patient outcomes According to research, nursing education results in positive patient outcomes. This is because nurses, when they decide to increase their knowledge, they become aware of new and better methods that can be used in handling patients. By so doing, the quality of services that they will be offering their patients improves (Cotterill-Walker, 2022). During the current time, diseases have evolved, and the old practices in offering care that had been effective for decades most of them are turning out to be obsolete and they cannot be relied on. When a nurse fails to educate themselves on these changes, they will continue to offer substandard services, and their patients will continue to suffer as a result. Due to this fact, it is recommended for nurses to always update themselves on the new information that will help better the services that they offer. Current research that links patient safety outcomes to advanced degrees in nursing Research conducted by Doctor Aiken in Medical Care proved that a 10 percent increase in the proportion of BSN-prepared nurses led to a reduction in the risk of death by 5 percent (Dubois, 2019). This research was conducted with the intensions of figuring out whether nursing education had a positive effect on patient outcomes. The findings were true that education helped nurses in offering better and improved services. My opinion on the research I agree with the outcomes of the research since the more a nurse was informed, the more likely they were to offer better services to their patients, unlike those who failed to increase their knowledge in their field of expertise. References Cotterill-Walker, S. M. (2022). Where is the evidence that master’s level nursing education makes a difference to patient care? A literature review. Nurse Education Today, 32(1), 57-64. Dubois, C. A., D’amour, D., Tchouaket, E., Clarke, S., Rivard, M., & Blais, R. (2019). Associations of patient safety outcomes with models of nursing care organization at unit level in hospitals. International Journal for Quality in Health Care, 25(2), 110-117. Topic 3 DQ 2 Discuss the difference between a DNP and a PhD in nursing. Discuss which of these you would choose to pursue if you decide to continue your education to the doctoral level and explain why. Expert Answer and Explanation DNP and a PhD Doctorate of Nursing Practice (DNP) degree is an educational program aimed to produce nurses in advanced clinical practice. Nurses who have undergone the DNP program have the highest level of nursing knowledge and expertise. They can work either in leadership roles or in clinical settings (Fullerton, Schuiling, & Sipe, 2019). On the other hand, a Doctor of Philosophy in Nursing (PhD) degree is an educational program that focuses on improving the knowledge of nurses in science and research. This degree is meant to prepare masters degree nurses in nursing research by proving them will skill in research and knowledge in science. The fundamental difference between DNP and PhD in nursing is that DNP focuses on improving nurses’ knowledge in clinical practice while PhD aims at improving advanced nurses’ skills in healthcare research and knowledge in healthcare science (Hartjes et al. 2019). Another difference is that nurses with PhD certificates can teach research in nursing schools, but DNP nurses cannot teach the same subject. If I chose to pursue advanced nursing education, I would go for DNP. My dream was to become a healthcare professional so that I can provide care to my family and my neighboring community. I feel that if I become an advanced nurse practitioner
Describe the application of statistics in health care. Specifically discuss its significance to quality, safety, health promotion, and leadership.
Describe the application of statistics in health care. Specifically discuss its significance to quality, safety, health promotion, and leadership Statistical application and the interpretation of data is important in health care. Review the statistical concepts covered in this topic. In a 750-1,000 word paper, discuss the significance of statistical application in health care. Include the following: Describe the application of statistics in health care. Specifically discuss its significance to quality, safety, health promotion, and leadership. Consider your organization or specialty area and how you utilize statistical knowledge. Discuss how you obtain statistical data, how statistical knowledge is used in day-to-day operations and how you apply it or use it in decision making. Three peer-reviewed, scholarly or professional references are required. Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required. This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance. Expert Answer and Explanation Applied Statistics for Healthcare Profession Statistical analysis in the health department helps in decision making and predictions since it gives a trend that healthcare providers can follow to better administer services (Frost, 2021). The information collected from the observations and measurements majorly describe the characteristics of the sample population at hand. The main aim of this paper is to discuss the significance of statistical application in healthcare. Application of Statistics in Healthcare Health statistics are important since they provide information that assists in the allocation of medical resources such as funds that are vital for research purposes. The quality of patient care is hence improved along with better policies and techniques for infection control (Baylina et al., 2018). When analysts use statistical methods correctly, accurate results are guaranteed since this type of analysis caters to errors and uncertainty in the results. In quality control, statistical analysis methods are used to monitor, measure, and maintain the overall value of products. The results obtained in turn help processes such as manufacturing to ensure less wastage and time taken to manufacture medicine. Healthcare providers in this case work to ensure effective goods are produced and services are efficiently offered. In healthcare, statistics help to understand how secure and safe working environments are since they narrow down to the group of workers most vulnerable (Boserup et al., 2020). Given this information, improvements in the areas that are considered dangerous to the healthcare provider are made to ensure good services are offered all around. Health promotion benefits largely from statistical analysis in healthcare since the trends laid down by statistical methods, provide reliable data that greatly assist in the allocation of private and public finances and this affects how research is carried out (Baylina et al., 2018). The statistical analysis method is an important component in the needs assessment sector since budget expenses presented to various governing boards are properly used and can be accounted for. Healthcare leadership can be greatly improved by the use of statistical methods (Fox-Tatum, 2021). Identification of trends and specific trails can ensure leaders being chosen can be relied on by other staff members. Available information on the leaders guaranteed by the help of statistical analysis helps the healthcare organizations to be confident in the success of the healthcare organization. Acquisition and Usage of Statistical Data Acquisition of Statistical Data There are several processes to acquire information that can be used in statistical analysis in the healthcare profession. One of the means is data mining. This is a process of acquiring specific information or data from a large pool of data (Kumar et al., 2019). The process of data mining involves the stages of defining the information, finding the exact pieces of information being sought, and extracting the information from the large pool of data. In this whole process, the information is recovered, merged, managed, and prepared for analysis. The resultant information following data mining is then analyzed and organized in a usable format (Kumar et al., 2019). After this process, patients and the professionals in the healthcare department benefit since the mined information can be refined to finer detail hence improving the overall status of healthcare for both the professional and the patients. Usage of Statistical Data Statistical knowledge can be used day to day in the healthcare profession. With this range of statistical information, individuals can monitor medical expenses on a day-to-day basis, healthcare costs, and hospital statistics. Considering the COVID-19 pandemic, statistical data is used by both healthcare professionals and even patients and other individuals to identify the trend of occurrences (Boserup et al., 2020). A lot of statistical issues are vital in the analysis of public health information in the healthcare profession. When it comes to decision-making, statistical data plays a big influential factor. Given that statistical analysis involves the process of collecting data samples, and analyzing the data sample to discover patterns and trends to predict what could potentially happen next, the decision that comes thereof is guaranteed to be well thought through (Kumar et al., 2019). In the healthcare profession, good decisions are a product of good statistics. Having a strong baseline of facts aids in minimizing the risks of healthcare challenges. Conclusion In conclusion, this paper has discussed the significance of statistical analysis for the healthcare profession. Statistical analysis for healthcare professions is vital since it majorly influences how safety, quality, health promotion, and leadership can be improved. With the information obtained through data mining, cleaned, analyzed, and stored, the healthcare profession is guaranteed that information given is purely factual and statistical and how it influences the overall performance of the profession is secure. References Baylina, P., Barros, C., Fonte, C., Alves, S., & Rocha, Á. (2018). Healthcare workers: Occupational health promotion and patient safety. Journal of medical systems, 42(9), 1-8 https://doi.org/10.1007/s10916-018-1013-7 Boserup, B., McKenney, M., & Elkbuli, A. (2020). The impact of the COVID-19 pandemic on
Explain the role of the community health nurse in partnership with community stakeholders for population health promotion. Explain why it is important to appraise community resources (nonprofit, spiritual/religious, etc.)
Explain the role of the community health nurse in partnership with Source: USAHS TOPIC 1 DQ 1: Explain the role of the community health nurse in partnership with community stakeholders for population health promotion. Explain why it is important to appraise community resources (nonprofit, spiritual/religious, etc.) as part of a community assessment and why these resources are important in population health promotion. TOPIC 1 DQ 2: Discuss how geopolitical and phenomenological place influence the context of a population or community assessment and intervention. Describe how the nursing process is utilized to assist in identifying health issues (local or global in nature) and in creating an appropriate intervention, including screenings and referrals, for the community or population. Expert Answer and Explanation: TOPIC 1 DQ 1 Population Health Promotion Population health promotion is the process of developing promotional messages and actions that can be used in educating people against certain health issues or prevention. Community health nurses and other community stakeholders, such as church leaders, local political leaders, and NGOs’ have vital roles in ensuring that population health promotion programs successes. Community health nurses are responsible for conducting studies and finding heath issues that ail the community population (Salmond & Echevarria, 2017). Also, they are responsible for developing promotion models that can be used to conducting health promotions. The community nurses in collaboration with other community leaders can search for funds to support population health promotion programs. The other community stakeholders, such as local politicians are responsible for developing and enacting policies that can ensure the success of health promotions (Watterson, 2017). Stakeholders such as church leaders can provide financial support for running of the health promotion. Appraising community resources, such as religious and nonprofit resources is so vital. Appraising community resources can help the community population understand the value of their resources, and this can motivate them to take care of them. Also, resource appraisal can help community leaders understand how they can distribute funds to run various health promotion programs within the community. Corley et al. (2016) argue that appraisal or evaluation can also help in curbing corruption and misuse of community funds and resources. Community resources should be regularly apprised because they are so vital in health promotion programs. For instance, the resources, such as community halls can be used in holding meetings and seminars during health education programs. References Corley, A. G., Thornton, C. P., & Glass, N. E. (2016). The role of nurses and community health workers in confronting neglected tropical diseases in Sub-Saharan Africa: a systematic review. PLoS neglected tropical diseases, 10(9), e0004914. Salmond, S. W., & Echevarria, M. (2017). Healthcare transformation and changing roles for nursing. Orthopedic nursing, 36(1), 12. Watterson, A. (Ed.). (2017). Public health in practice. Macmillan International Higher Education. Alternative Answer and Explanation Role of Community Health Nurse The community is one of the main focuses for community health nurses. The healthcare sector conducts various community interventions which have to factor in a number of issues, the role of a community health nurse is crucial for any event involving the community as they have the necessary medical skills (Bigi & Bocci, 2017). The partnership between the community and the nurse can help create the necessary various roles to be performed by the nurse. For instance, the nurse is skilled and can easily identify issues affecting society and come up with means to offer remedies to these issues. The role focuses on the identification of needs, problems, and priorities for families, individuals, and other members of the community in general (Bigi & Bocci, 2017). Based on the information, the nurse can then formulate intervention plans for a municipal health and implement the plan within the community. The role of the nurse is also associated with appraising various community resources to evaluate whether they meet the requirements for operation. Every community action and resource need to be appraised for various reasons (Egbujie et al., 2018). For instance, appraisal for a nonprofit organization can assess whether the institution has the capacity to deliver on the purpose and whether they are aware of the issues that are being addressed. Appraisal of religious or spiritual groups focuses on the need for the provision of accurate information to the masses and correlates the data with the goals of the community action (NSU, 2017). These resources are important as they provide additional support, personnel, and other key services that are required for a holistic care delivery process. The healthcare sector comprises a number of key players and combining the resources for the betterment of the community. References Bigi, C., & Bocci, G. (2017). The key role of clinical and community health nurses in pharmacovigilance. European journal of clinical pharmacology, 73(11), 1379-1387. Egbujie, B. A., Delobelle, P. A., Levitt, N., Puoane, T., Sanders, D., & van Wyk, B. (2018). Role of community health workers in type 2 diabetes mellitus self-management: A scoping review. PloS one, 13(6), e0198424. NSU. (2017). The Nurse’s Role in Community Health. Northeastern State University Online. https://nursingonline.nsuok.edu/articles/rnbsn/nurses-role-in-community-health.aspx TOPIC 1 DQ 2: Expert Answer and Explanation Nursing Process Community or population assessment and intervention can be influenced by many factors including phenomenological and geographical factors. Geographical and phenomenological factors can influence the financial or budgetary aspect of an intervention or assessment. For instance, a disease that has affected a large geographical area, a lot of funds will be used in implementing or assessing the impacts of the illness (Tan, 207). Different phenomena are solved in different ways. Thus, phenomenological factors can affect an intervention or assessment by determining the methods that will be used in the assessment or implementation of the intervention. Rabelo‐Silva et al. (2017) mention that the two factors can also affect the time of intervention implementation and assessment. For instance, the time that will be spent in implementing an intervention to prevent a disease in a whole country differs from the implementation of the same intervention in a single state. The nursing process involves many actions. The actions include researching, planning, diagnosis, assessment, and evaluation of health-related issues. The nursing process has largely been used in identifying health issues. For instance, nurse researchers have been used to research and identify certain health issues in society. Also, nurses have been used in assessing, evaluating, and reporting health issues to the public and government. Diagnosis is
Search the GCU Library and find three different health care articles that use quantitative research. Do not use articles that appear in the Topic Materials or textbook Do not use articles that appear in the Topic Materials or textbook
Search the GCU Library and find three different health care articles that use quantitative Search the GCU Library and find three different health care articles that use quantitative research. Do not use articles that appear in the Topic Materials or textbook. Complete an article analysis for each using the “Article Analysis 1” template. Refer to the “Patient Preference and Satisfaction in Hospital-at-Home and Usual Hospital Care for COPD Exacerbations: Results of a Randomised Controlled Trial,” in conjunction with the “Article Analysis Example 1,” for an example of an article analysis. Expert Answer and Explanation Article Analysis-Quantitative Research in Healthcare The three different health care articles from GCU that use quantitative research include the following: Article Citation and Permalink (APA format) Solvik, E., & Struksnes, S. (2018). Training Nursing Skills: A Quantitative Study of Nursing Students’ Experiences before and after Clinical Practice. Nursing Research and Practice, 2018, 1–9. https://doi.org/10.1155/2018/8984028 Wong, H., Karaca, Z., & Gibson, T. B. (2018). A Quantitative Observational Study of Physician Influence on Hospital Costs. INQUIRY: The Journal of Health Care Organization, Provision, and Financing, 55, 004695801880090. https://doi.org/10.1177/0046958018800906 Point Description Description Broad Topic Area/Title Training Nursing Skills: A Quantitative Study of Nursing Students’ Experiences before and after Clinical Practice A Quantitative Observational Study of Physician Influence on Hospital Costs Identify Independent and Dependent Variables and Type of Data for the Variables Independent variable: Training nursing skills Dependent variable: Nursing students experience before and after clinical practice Independent variable: Hospital costs Dependent variable: Physician influence on hospital costs The population of Interest for the Study The population of the study involved nursing students in their first year of bachelor’s program. The population entailed both female and male students. The Health Cost and Utilization Project (HCUP) 2008 State Inpatient Databases(SID) for Arizona and Florida. The target population in these states was physicians. Sample For the sampling, 160 students participated. They were divided into two classes whereby class 1 (N=79) was identified as the control group, and class 2 (N=81)was the project group. Samples were collected from various hospitals in 2 states with over 15,237 physicians. These were Arizona and Florida, where the research and 2.5 million hospital visits. Sampling Method The implemented sampling method was the use of questionnaires to be filled out by each student before submission. These questionnaires were answered in six-month intervals, one after the training session and the second after the clinical practice. The questionnaires were also coded with numbers such that the numbers represented a specific student and the class affiliation. The hierarchy model or framework was applied to collect and analyze the samples on the number of variations attributed to physicians’ characteristics on the hospitalization cost. The sampling method was designed to control physician characteristics, patient demographics, clinical risks, hospital attributes, and socioeconomic traits. Descriptive Statistics (Mean, Median, Mode; Standard Deviation) Identify examples of descriptive statistics in the article. A total of 160 nursing students were invited to participate in the study on their experiences before and after clinical practice. 158 students carried through to populating the questionnaires, with 96 (61%) of them responding. 45% were from the control group, while 55% came from the project group. The results identified that the average cost of inpatient hospital visits was $9171 and $8679 for non-teaching hospitals. Out of the 15237, 7993 physicians worked at teaching hospitals, and 2995 were involved in both settings. The average age for all physicians was years. Females covered 26.5% of the participant population. A third of the population graduated from medical school. 16.4% of the sample population were satisfied board surgeons, while 31.7% had internal medicine certification. Inferential Statistics Identify examples of inferential statistics in the article. The study determined that the clinical lab exercises were an effective way to facilitate the practice. 47% of the students responded that they should have prepared better. 85% agree that they were capable of mastering a bed bath with an actual patient in practice after the session. The average cost for female physicians was $2264 lower when compared to the costs of patients visiting male physicians. Also noticed was that the average cost for foreign-trained physicians was $1191 less than physicians who graduated from medical colleges. Kumar, S., Syed, N., Jaykumar, S., Prem, V., Karvannan, H., Karthikbabu, S., & Sisodia, V. (2012). Study of nurses′ knowledge about palliative care: A quantitative cross-sectional survey. Indian Journal of Palliative Care, 18(2), 122. https://doi.org/10.4103/0973-1075.100832 Description Study of Nurses’ Knowledge about Palliative Care: A Quantitative Cross-sectional Survey Independent variable: Palliative Care Dependent variable: Nurses Knowledge Participants for this study were from the various multispecialty hospitals, including those taking professional development programs exclusive for a nurse. All participants needed to provide an approved consent letter before participation. Those who did not provide consent did not proceed with the study. The survey was done for 363 nurses from multispecialty hospitals. This was taken on healthcare professionals currently taking programs for professional development. The used sample method was the implementation of a self-report questionnaire which was filled individually by the participants. The questionnaire was developed by Nakazawa et al., and it entailed 20 items to be fully answered. All questions were related to palliative care. Participants were to respond by mentioning either correct, incorrect, or unsure. The questionnaires were also sectioned into subsections of philosophy, pain, dyspnea, psychiatric problems, and gastrointestinal problems. Out of the 392 distributed and collected questionnaires, 363 were valid. This reflected a response rate of 92.6%. The bigger population was female with a number of 323 (89%) while the male was 40 in number (11%). The participants were also represented differently from different parts of the health facility. From the ward were 154 participants (42.4%), Intensive care unit, 142 people (39.1%), Outpatient unit had 2 people (0.6%), and Other who were 65 in total (17.9%) The overall score of the study was 35.8%, with philosophy covering 36.5%, pain 34.83 dyspnea 28.25%, psychiatric problems 45.75%, and gastrointestinal problems 34%. Generally, females scored more than males with a slight difference. It was also identified that the knowledge about pain was minimal as only 35% of
The diagnosis of psychiatric emergencies can include a wide range of problems—from serious drug reactions to abuse and suicidal ideation/behaviors
The diagnosis of psychiatric emergencies can include a wide range of problems—from serious drug reactions to abuse and suicidal ideation/behaviors Legal and Ethical Issues Related to Psychiatric Emergencies The diagnosis of psychiatric emergencies can include a wide range of problems—from serious drug reactions to abuse and suicidal ideation/behaviors. Regardless of care setting, the PMHNP must know how to address emergencies, coordinate care with other members of the health care team and law enforcement officials (when indicated), and effectively communicate with family members who are often overwhelmed in emergency situations. In their role, PMHNPs can ensure a smooth transition from emergency mental health care to follow-up care, and also bridge the physical–mental health divide in healthcare. In this week’s Assignment, you explore legal and ethical issues surrounding psychiatric emergencies, and identify evidence-based suicide and violence risk assessments. To Prepare Review this week’s Learning Resources and consider the insights they provide about psychiatric emergencies and the ethical and legal issues surrounding these events. The Assignment In 2–3 pages, address the following: Explain your state laws for involuntary psychiatric holds for child and adult psychiatric emergencies. Include who can hold a patient and for how long, who can release the emergency hold, and who can pick up the patient after a hold is released. Explain the differences among emergency hospitalization for evaluation/psychiatric hold, inpatient commitment, and outpatient commitment in your state. Explain the difference between capacity and competency in mental health contexts. Select one of the following topics, and explain one legal issue and one ethical issue related to this topic that may apply within the context of treating psychiatric emergencies: patient autonomy, EMTALA, confidentiality, HIPAA privacy rule, HIPAA security rule, protected information, legal gun ownership, career obstacles (security clearances/background checks), and payer source. Identify one evidence-based suicide risk assessment that you could use to screen patients. Identify one evidence-based violence risk assessment that you could use to screen patients. Expert Answer and Explanation Mental Health Laws in Texas There are various guiding PMHNP when providing mental health services to patients. Mental health laws play a significant role in the integration of mental health in primary health care, community integration of people with mental health problems, and provision of high-quality care. In the US, states have different laws prescribing how their citizens should be handled when mental health emergency occurs. The state that will be focused on in this assignment in Texas. The legislative body of Texas has enacted various guiding PMHNP on how to provide mental health services among various populations. It is the responsibility of PMHNP to understand these laws and follow them to avoid legal problems. This assignment has discussed legal and ethical principles regarding mental health emergencies in the state of Texas. Texas Laws The law guiding involuntary psychiatric holds for child and adult psychiatric emergencies is known as the Texas Health and Safety Code – HEALTH & SAFETY § 574.014 (FindLaw.com, 2021). The involuntary psychiatric holds can be initiated by an adult by applying detention, evaluation, and treatment of the individual with the county courts. A law enforcement officer is also allowed to detain an individual they believe to be a threat due to substance abuse or mental disorders and transport the individual to a mental health facility for evaluation for admission under their police powers. Mental health facilities recognized by the Department of Mental Health can initiate the process of holding a patient if they believe that the individual has a serious mental health problem and needs emergency psychiatric treatment (FindLaw.com, 2021). Mental health professionals allowed to begin an on-site civil involuntary detention for an individual in need of emergency mental health care include psychiatric residents, licensed physicians, psychiatrists, licensed professional counselors, a qualified addiction professional, and PMHNP. An individual should only be detained for 72 hours, excluding holidays and weekends (FindLaw.com, 2021). However, if the psychiatrist still believes that the individual needs further treatment beyond 72 hours, they can begin a court hearing to get court permission to continue holding the patient. The mental health professional can release the emergency hold if they believe that the individual does not need emergency care (FindLaw.com, 2021). The emergency hold can be picked by their family members or people they chose. Differences Emergency hospitalization for psychiatric hold or evaluation can be initiated by an adult, a police officer, or a health professional qualified to handle mental health services. This process does not need a court order (FindLaw.com, 2021). However, for a person to be committed to receiving mental health services as an inpatient or outpatient, a court order must be sought. The guardian or applicant must go to court and seek a court order. The individual patient must also be given a chance to explain themselves (FindLaw.com, 2021). Therefore, the difference is emergency hospitalization for evaluation/psychiatric hold does not need a court order while inpatient and outpatient commitment need a court order. Capacity and Competency In the mental health context, capacity is a clinical determination and functional assessment of a specific decision that can be made by a health professional who has interacted with the patient’s case (Keene et al., 2019). However, competency is a legal determination and global assessment made in court by a judge. In other words, competency is determined by a judge while capacity by a health professional (Keene et al., 2019). HIPAA Privacy Rule HIPAA privacy rule requires that healthcare professionals protect patients’ information and prevent unauthorized persons from accessing them (Edens et al., 2018). The healthcare professionals are only allowed to share the information with the courts during hearing on whether the patients should receive involuntary inpatient or outpatient care. The healthcare professionals are only allowed to share the information with patient’s family member when the patient is incapacitated ad cannot make informed decisions (Edens et al., 2018). Suicide Risk Assessment The suicide risk assessment tool I could use to screen patients is the Columbia-suicide severity rating scale. This tool is validated to be used in adults, adolescents, and children (Matarazzo et al., 2019).
[2024] You are an RN working in the Community Outreach Department at Utopia Hospital. You have been asked to give a presentation at the local Women, Infants, and Children (WIC) Nutrition program for
You are an RN working in the Community Outreach Department at Utopia Hospital Topic 1 DQ 1 The United States has ranked below other developed countries in maternal morbidity and mortality for several years and has not met the associated Healthy People 2030 goal. Maternal health is a critical factor for the live birth of a healthy infant. Social Determinants of Health (SDOH) along with Diversity, Equity, and Inclusion (DEI) are factors that influence maternal morbidity and mortality. Choose two factors from SDOH or DEI that have influenced maternal morbidity and mortality in the United States. What are some best practices in health promotion that could improve maternal health outcomes? Provide a community resource or program in your area that is focused on improving maternal and infant health. Describe their services and provide a link or contact information for your resource. Initial discussion question posts should be a minimum of 200 words and include at least two references cited using APA format. Responses to peers or faculty should be 100-150 words and include one reference. Refer to “RN-BSN DQ Rubric” and “RN-BSN Participation Rubric,” located in Class Resources, to understand the expectations for initial discussion question posts and participation posts, respectively. Topic 1 DQ 2 You are a nurse at the Community Health Center. Based on the first letter of your first name, you are assigned the following age groups: A-F: 0-3 months G-L: 4-6 months M-S: 7-9 months T-Z: 10-12 months A parent/caregiver has brought their infant to your Community Health Center. Based on your assigned age group, what will you assess to determine health and development status of the infant? Describe the normal findings you would anticipate for each area assessed. Select one area that could be a “red flag” finding. Discuss the recommendations that you would give the parent/caregiver supported by evidence-based practice to address this “red flag” finding. Initial discussion question posts should be a minimum of 200 words and include at least two references cited using APA format. Responses to peers or faculty should be 100-150 words and include one reference. Refer to “RN-BSN DQ Rubric” and “RN-BSN Participation Rubric,” located in Class Resources, to understand the expectations for initial discussion question posts and participation posts, respectively. Shadow Health: Digital Clinical Experience General Instructions Acknowledgement General Overview The Shadow Health Digital Clinical Experience (SHDCE) provides a dynamic, immersive experience designed to improve your skills and clinical reasoning through the examination of digital standardized patients. The link provided here in the Class Resources is the single sign-on link you will use to complete assignments in the Shadow Health platform. The Shadow Health integration functions optimally in the Chrome browser. You will be automatically registered on the Shadow Health website via your digital classroom credentials. However, you will need to accept the privacy policy to proceed to your course. Once in the course section, complete the Shadow Health Orientation in Topic 1. Follow the instructions for each subsequent assignment accordingly. Each week of this course includes required SHDCE. Please note that the age of the patient in the scenario may not correlate with the age under discussion for the current Topic in the course. Each SHDCE has concepts that can be applied across the life span. By the time you get to the Topic 5 Comprehensive Assessment you will have had learning opportunities for assessments across the life span. Each SHDCE will have an accompanying interview guide that provides an outline of the experience’s components and requirements. When collapsed, the interview guide will appear directly above the question box. Clicking on the teal plus sign will expand the guide and allow navigation through the data points required for the assignment, while also providing a means of tracking your progress throughout the experience. All Shadow Health assignments may be re-opened and re-attempted with the exception of the Comprehensive Assessment in Topic 5. Digital Clinical Experience (DCE) Score After completing a SHDCE you will be awarded a Digital Clinical Experience (DCE) score. This score will be your percentage grade for the assignment. The DCE score represents how well you did in comparison with your peers across the country. In lieu of a DCE score, the SHDCE Concept Labs will use a Student Performance Index percentage, which will be your percentage grade for the Concept Lab assignments. With the exception of Topic 5’s Comprehensive Assessment, you have unlimited attempts for each SHDCE to improve your score throughout the course week ending on Sunday at 11:59pm AZ time. The highest DCE score earned for each SHDCE will be the score entered into the gradebook. It is recommended to attempt each SHDCE assignment early in the course week to allow time for additional attempts. In Topic 5, you will complete a Comprehensive Assessment. For this SHDCE, the first DCE score received will be the score earned. During each SHDCE, you will have opportunities to chronicle your care of the patient by entering clinical information including vital signs and nursing notes. Use these opportunities to practice your documentation skills in Topics 1 through 4. Your documentation skills will be assessed through the “Shadow Health Comprehensive Assessment Documentation” assignment in Topic 5. Technical Support If you have any questions or encounter any technical issues throughout the course, please visit the Shadow Health Learner Support page at http://support.shadowhealth.com, contact Shadow Health customer support at 1-800-860-3241, or e-mail the Learner Support team directly at support@shadowhealth.com. Students will have access to Shadow Health as long as they are enrolled in their program at Grand Canyon University. Community Outreach Department – Health and Environmental Safety Topics for First Year of Life You are an RN working in the Community Outreach Department at Utopia Hospital. You have been asked to give a presentation at the local Women, Infants, and Children (WIC) Nutrition program for a group of 15 expectant mothers and interested partners/spouses/caregivers. The WIC Coordinator has asked you to provide a presentation that will cover relevant health and environmental safety topics the parents should know
Max is an 80-year-old male with a history of gastroesophagea
Max is an 80-year-old male with a history of gastroesophageal reflux disease (GERD), hypertension (HTN) CC: “I have stomach pain.” HPI: Max is an 80-year-old male with a history of gastroesophageal reflux disease (GERD), hypertension (HTN), and a pacemaker placed 10 years ago for third-degree heart block. He presents today with a complaint of abdominal pain. You suspect a bowel obstruction in Max, an 80-year-old patient with complaints of cramping abdominal pain, nausea, and vomiting for 4 days. Describe six (6) ROS questions you would explore further with him to determine the location, severity, and timing of his pain. PE: On exam, the abdomen appears distended, Max has generalized tenderness over the epigastric region on palpation. He is guarding so the exam is limited. Bowel sounds are decreased. His vital signs are normal. He describes his abdominal pain as 7/10. As the APRN, you order an abdominal x-ray. Test results: The abdominal x-ray is indeterminate. What are your next diagnostic choices to determine a bowel obstruction in this patient? List at least three differential diagnoses for abdominal pain. The CT scan shows that Max has a small bowel obstruction. What is your next step? Expert Answer and Explanation Focused SOAP Note Small Intestine Obstruction Patient Information: Max, 80 years, male, African American S CC: “I have stomach pain.” HPI: Max is an 80-year-old male of African American origin who came to the health clinic complaining of abdominal pain. The pain is located in the abdominal area. It started four days ago. The character of pain is cramping and intermittent. Associated signs include nausea and vomiting. The patient notes that the severity of the pain is 7/10. Current Medications: No medications. Allergies: No food, dug, or environmental allergies. PMHx: Past major illnesses include hypertension (HTN), gastroesophageal reflux disease (GERD), and a pacemaker placed 10 years ago for third-degree heart block. He does not remember when he took tetanus or pneumonia shots. Soc and Substance Hx: He took alcohol in his thirties and quit over 45 years ago. He comes from a working family. No history of illicit drug or tobacco use. He says that he has smoke detectors in his house and wears seat belts while driving. His support system is his son and two daughters. Fam Hx: His father died from colon cancer. His mother died from type II diabetes. His older son died in an accident at the age of 28. His second child has type two diabetes. His grandchildren are healthy. Surgical Hx: He reports a knee operation at 33 years old. Mental Hx: No mental health disorder diagnosis and treatment. No history of self-harm. Violence Hx: No history of violence. Reproductive Hx: He is sexually inactive and has no reproductive health. ROS GENERAL: He reports fatigue and weakness. No fever or chills. HEENT: Eyes: No visual loss. Ears, Nose, Throat: No congestion, sneezing, hearing loss, sore throat, or runny nose. SKIN: No rash or itching. CARDIOVASCULAR: No chest discomfort, pressure, pain, or edema. RESPIRATORY: No shortness of breath. GASTROINTESTINAL: No diarrhea or anorexia. GENITOURINARY: No burning on urination. NEUROLOGICAL: No dizziness, headache, paralysis, or syncope. MUSCULOSKELETAL: No joint or muscle pain. HEMATOLOGIC: No anemia. LYMPHATICS: No enlarged nodes. O Physical exam: Vitals: BP 139/92, Temp 35, P 78, Ht. 5’9, Wt. 87kgs. Cardiovascular: No cracks in the chest. No edema. Respiratory: No breathing distress. No wheezes or crackles. No fluids in the lungs. Genitourinary: No urinary retention. No renal angle tenderness. No tender bowel loops. No abdominal masses. Gastrointestinal: Bowel sounds absent on inspection. Distension of the abdomen on auscultation. Diagnostic results: The abdominal x-ray is indeterminate. Since an x-ray is indeterminate, a CT scan should be ordered. A CT scan combined with X-ray images. Dou et al. (2022) noted that a CT scan combined with multiple X-ray images will show intestinal obstructions. Blood test: A blood test will be used to identify whether the patient has intestinal infections. A Differential diagnoses: Small intestine obstruction: The primary diagnosis for this case is small intestine obstructions. According to Jackson and Cruz (2018), the symptoms of small intestine obstructions include vomiting, crampy abdominal pain and comes and goes, constipation, loss of appetite, swelling of the abdomen, and inability to pass gas or have a bowel movement. Small intestine obstruction is the main diagnosis because the patient complains of crampy abdominal pain, nausea, and vomiting which are major symptoms of the disease (Jackson & Cruz, 2018). Physical exam results (bowel sounds absent on inspection, distension of the abdomen on auscultation) also show that the patient has a small intestine obstruction. Appendicitis: The second diagnosis is appendicitis. The symptoms of appendicitis include flatulence, loss of appetite, vomiting and nausea, sudden pain that starts in the lower abdomen, pain that worsens when one coughs, diarrhea and constipation, low-grade fever and might increase if the illness progresses, and abdominal bloating (Talan & Di Saverio, 2021). The disease has been included because the patient reports abdominal pain, nausea, and vomiting which are part of the clinical manifestations of appendicitis. However, it is a secondary diagnosis because the patient does not have a low-grade fever, diarrhea, or pain in the lower abdomen. Intestinal Infection: The last diagnosis is an intestinal infection. The symptoms of intestinal infection include headache, vomiting, nausea, diarrhea, crampy abdominal pain, and fever (Guo et al., 2021). The disease has been ruled out because the patient does not have a headache or fever. P The patient will be recommended to undergo a CT scan combined with a series of X-ray images of the small intestine. The patient will also undergo blood tests. These tests will help identify the actual disease affecting the patient. Since it is suspected that the patient has small intestine obstructions, he should be hospitalized (Ten Broek et al., 2018)). The pain should be stabilized by placing an intravenous (IV) line into the patient’s arm so that he can be given fluids. Abdominal swelling should be relieved by putting a nasogastric tube inside the patient’s nose into his stomach to suck out fluids
Rough Draft Qualitative Research Critique and Ethical Consid
Rough Draft Qualitative Research Critique and Ethical Considerations Rough Draft Qualitative Research Critique and Ethical Considerations Write a critical appraisal that demonstrates comprehension of two qualitative research studies. Use the “Research Critique Guidelines – Part 1” document to organize your essay. Successful completion of this assignment requires that you provide rationale, include examples, and reference content from the studies in your responses. Use the practice problem and two qualitative, peer-reviewed research article you identified in the Topic 1 assignment to complete this assignment. In a 1,000–1,250 word essay, summarize two qualitative studies, explain the ways in which the findings might be used in nursing practice, and address ethical considerations associated with the conduct of the study. Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required. This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance. Expert Answer and Explanation Research Critique Guidelines – Part II (Quantitative Studies) Dealing with postoperative pain, nausea, and vomiting is one of the issues that patients encounter after surgical procedures that affect their comfort and satisfaction and outcomes. Dealing with these challenges can affect the recovery process of the patient and may even prolong the discharge period. Several studies have tried to pinpoint different interventions that can assist in dealing with the issue of postoperative pain nausea and vomiting, with each having different results. The PICOT question, therefore, aimed to establish whether in adult patients undergoing general anesthesia, does giving preoperative analgesic and antiemetics decrease pain, nausea and vomiting postoperatively and provide better patient outcomes as compared to not receiving preoperative meds. Quantitative Studies To answer the PICOT question, this paper selected two quantitative research studies that had evidence-based interventions of dealing with postoperative pain nausea and vomiting. The selected studies were conducted by Elgohary et al. (2017) and Chetna et al. (2014). Some of the elements identified from the studies are detailed in the subsequent sections Background The first quantitative article reviewed was an article by Elgohary et al. (2017). The study wanted to carry out a comparison between the effectiveness of the ERAS program and the conventional perioperative care in patients who have undergone elective colorectal surgery. The author notes that the ERAS program has been revolutionary is assisting patients who have undergone colorectal surgery, among other surgical procedures, to respond better to stress and improving postoperative outcomes. The authors also note that the main aim of the ERAS pathway is to reduce the duration of hospitalization and allow the patient to recover quickly. However, the adoption of the program, especially in developing countries, has been slow despite sufficient evidence showing the effectiveness of the program. Therefore, the authors wanted to carry out a supportive investigation on the effectiveness of the ERAS pathway in patients after undergoing elective colorectal surgery. The findings collected in this study holds major significance in nursing practice since the results collected will facilitate the adoption of the ERAS pathway as a viable intervention in improving postoperative patient outcomes. The main aim of the research conducted by Elgohary et al. (2017), was to examine the feasibility and safety of the ERAS pathway in elective colorectal surgery. The research question identified from this objective can be quoted as “is the ERAS pathway feasible and safe for use in patients who have undergone elective colorectal surgery. The second quantitative study selected was conducted by Chetna et al. (2015). The study elaborated on the use of gabapentin for postoperative pain relief for patients who have undergone upper abdominal surgery. The researcher noted that in patients who have undergone upper abdominal surgeries, postoperative pain not only causes them distress but also leads to inadequate respiratory effort and cough reflexes, therefore, a need to have a pain relief strategy. The authors go further to site the efficacy of gabapentin in dealing with pain on patients who have undergone other types of surgical procedures. Therefore, the study was purposed at identifying whether the drug will still be effective in dealing with postoperative pain, for patients who have undergone upper abdominal surgery. The findings obtained in that research are relevant in enhancing patient recovery period and outcomes by eliminating postoperative pain, and in turn, improving respiratory efforts and cough reflex of the patient. The research question used in the study can be quoted as follows “How effective is gabapentin in reducing postoperative pain in patients who have undergone upper abdominal surgery?” How do these two articles support the nurse practice issue you chose? The main aim of the PICOT question was to establish viable methods of dealing with postoperative pain, nausea, and vomiting. The two articles provide evidence-based interventions on how postoperative pain can be dealt with. The first article by Elgohary et al. (2017) focuses on the ERAS pathway on reducing postoperative pain while the second article by Chetna et al. (2015) focuses on gabapentin on dealing with postoperative pain in patients who have undergone upper abdominal surgery. The finding on both studies will be used as a basis of assessing the effectiveness of using preoperative analgesics and antiemetics to decrease pain, nausea, and vomiting in patients postoperative as intended by the PICOT question. The first study was majorly focused on patients who have undergone elective colorectal surgery, while the second article was focused on patients who have undergone upper abdominal surgery. For both studies, the participants were placed in two groups. The first study by Elgohary et al. (2017) used the conventional recovery pathway as their comparison group, while the second study placed their comparison group under placebo. The intervention groups were placed under different perioperative pain regimen. This will be the same approach to be used by the PICOT question, with the difference being the target participants. The PICOT question used adult patients who had undergone general anesthesia
Identify your selected healthcare concern in your city or
Identify your selected healthcare concern in your city or state that needs your advocacy Identify your selected healthcare concern in your city or state that needs your advocacy with an elected official. What is the impetus and rationale for your selection? What is your solution to this concern? Describe the model of policy making that you feel would be best applied to your policy concern and the rationale for selecting this model. Expert Answer and Explanation The selected Healthcare Issue and Rationale for the Selection Mental health is the selected concern, and it encompasses various mental disorders and conditions. Examples are depression, phobia and schizophrenia. There is disparity in access to the mental health services, and people with mental health problems often face discrimination. In Texas, these concerns can impede efforts focused on meeting the health needs of people with mental illnesses. This is a key rationale for the selection of the mental illness as a problem that requires advocacy (Boehme, Biehl, & Mühlberger, 2019). Another reason why healthcare professionals need to advocate for the issue is to help reduce mortality rates based on mental health concerns. The Solution for the Concern The key solution for this concern is the expansion and funding of programs focused on increasing screening and treatment of people with mental health problems. In this case, it is important to call for the state government to allocate more funds into programs which address this particular health concern. The funds can be used to purchase medications, and resources which create awareness about mental health problems. However, subsidizing costs of treating this healthcare concern, through government-managed insurance plans, can equally help address the problem (Li et al., 2021). The Suitable Model of Policy Making and Rationale The institutional model would apply to the policy concern. Under this model, the authority lends legitimacy to the laws, and these laws equally apply to everyone. This is the rationale for the selection of the model. Using this model, the government can come up with policies which require the allocation of resources and funds to help manage the mental health challenges (Niedziałkowski & Putkowska-Smoter, 2020). It can use the local authorities or agencies which are responsible of enforcing the laws. References Boehme, S., Biehl, S. C., & Mühlberger, A. (2019). Effects of Differential Strategies of Emotion Regulation. Brain sciences, 9(9), 225.Doi: https://doi.org/10.3390/brainsci9090225. Li, Y., Scherer, N., Felix, L., & Kuper, H. (2021). Prevalence of depression, anxiety and post-traumatic stress disorder in health care workers during the COVID-19 pandemic: A systematic review and meta-analysis. PLoS ONE 16(3), e0246454.Doi: https://doi.org/10.1371/journal.pone.0246454. Niedziałkowski, & K., Putkowska-Smoter, R. (2020). What makes a major change of wildlife management policy possible? Institutional analysis of Polish wolf governance. PLoS ONE 15(4), e0231601. Doi: https://doi.org/10.1371/journal.pone.0231601. Place your order now on the similar assignment and get fast, cheap and best quality work written from scratch by our expert level assignment writers. Other Solved Questions: SOLVED! How would your communication and interview SOLVED! Describe the difference between a nursing practice SOLVED! Discuss how elimination complexities can affect SOLVED! Case C 38-year-old Native American pregnant ANSWERED! In a 1,000–1,250 word essay, summarize two [ANSWERED] Students will develop a 1,250-1,500 word paper that includes [ANSWERED] Post a description of the national healthcare ANSWERED!! Explain how you would inform this nurse ANSWERED!! In a 4- to 5-page project proposal written to the
[ANSWERED] Recommend one FDA-approved drug, one off-label drug, and
Recommend one FDA-approved drug, one off-label drug, and one nonpharmacological intervention for treating your assigned disorder in children and adolescents Assignment 1: Prescribing for Children and Adolescents Off-label prescribing is when a physician gives you a drug that the U.S. Food and Drug Administration (FDA) has approved to treat a condition different than your condition. This practice is legal and common. In fact, one in five prescriptions written today are for off-label use. —Agency for Healthcare Research and Quality Psychotropic drugs are commonly used for children and adolescents to treat mental health disorders, yet many of these drugs are not FDA approved for use in these populations. Thus, their use is considered “off-label,” and it is often up to the best judgment of the prescribing clinician. As a PMHNP, you will need to apply the best available information and research on pharmacological treatments for children in order to safely and effectively treat child and adolescent patients. Sometimes this will come in the form of formal studies and approvals for drugs in children. Other times you may need to extrapolate from research or treatment guidelines on drugs in adults. Each individual patient case will need to be considered independently and each treatment considered from a risk assessment standpoint. What psychotherapeutic approach might be indicated as an initial treatment? What are the potential side effects of a particular drug? For this Assignment, you consider these questions and others as you explore FDA-approved (“on label”) pharmacological treatments, non-FDA-approved (“off-label”) pharmacological treatments, and nonpharmacological treatments for disorders in children and adolescents. Reference: Agency for Healthcare Research and Quality. (2015). Off-label drugs: What you need to know. https://www.ahrq.gov/patients-consumers/patient-involvement/off-label-drug-usage.html To Prepare • Your Instructor will assign a specific disorder for you to research for this Assignment. Persistent Depressive Disorder • Use the Walden library to research evidence-based treatments for your assigned disorder in children and adolescents. You will need to recommend one FDA-approved drug, one off-label drug, and one nonpharmacological intervention for treating this disorder in children and adolescents. The Assignment (1–2 pages) • Recommend one FDA-approved drug, one off-label drug, and one nonpharmacological intervention for treating your assigned disorder in children and adolescents. • Explain the risk assessment you would use to inform your treatment decision making. What are the risks and benefits of the FDA-approved medicine? What are the risks and benefits of the off-label drug? • Explain whether clinical practice guidelines exist for this disorder and, if so, use them to justify your recommendations. If not, explain what information you would need to take into consideration. • Support your reasoning with at least three scholarly resources, one each on the FDA-approved drug, the off-label, and a non-medication intervention for the disorder. Attach the PDFs of your sources. By Day 7 of Week 3 Submit your Assignment. Answer and Explanation Special Considerations Related to Prescribing for Children and Adolescents Anxiety disorder is a psychiatric health condition under the category of mood disorders. It is a condition characterized by intense panic and worries, even during usually day-to-day events. The CDC estimates that 9.4% of children aged 3-17 years, roughly 6 million children have some form of anxiety disorder (CDC, 2021). This post will evaluate the available treatment options for anxiety disorder, the risk assessment for the FDA-approved drug, and the clinical practice guidelines for the condition FDA-Approved Medication Treatment of anxiety disorder in children needs special consideration, given the nature of medication and attached side effects. Selective serotonin reuptake inhibitors (SSRI) are the first-line medication for anxiety disorders among children. One of the SSRIs that can be used to treat anxiety disorders is Escitalopram. In a study by Strawn et al. (2020), the researchers found that Escitalopram is effective in reducing anxiety disorder symptoms in adolescents and is well tolerated. Other than SSRIs, there are other classes of medication that are off-label but still effective in treating anxiety disorder. One of the off-label medications that can be used to treat anxiety disorder is Gabapentin. This is a drug that is usually used to treat patients who have depression with anxiety and bipolar (which is quite a common occurrence). In a study by Markota and Morgan (2017), there was a positive response pattern of gabapentin on anxiety disorder. Another article by Ahmed et al. (2019) also supported the same findings. Pharmacological approaches are usually more effective when combined with other behavioral interventions. One of the effective nonpharmacologic approaches is the use of cognitive behavioral therapy (CBT) to assist the patient in coping with situations that cause anxiety. CBT such as cognitive restructuring has been found effective in reducing the symptoms attached to anxiety disorder (Carpenter et al., 2018). Risk Assessment One of the risk assessments that I would conduct to inform the treatment plan for a child with anxiety disorder is a suicide risk assessment. Some of the medications that help relieve the symptoms attached to anxiety disorder have suicide ideation as one of the side effects. As such more tolerable medication should be given priority. One of the benefits attached to Escitalopram is that is well tolerated. However, its risk is that it has certain side effects that may affect an individual functioning like insomnia, lethargy, and headaches. One of the risks of using gabapentin is that it may not be as effective as an SSRI medication and, at the same time, can result in mood changes, sleepiness, nausea, and swelling o the arms and legs. Clinical Practice Guidelines for Anxiety Disorder According to Gautam et al. (2017), patients should be placed on medication for 6 to 12 months. Therefore, one should consider how the side effects will impact the patient in the long run before prescribing a medication. Additionally, Gautam et al. (2017) recommend the combination of both pharmacological approaches and physiotherapeutic approaches to further improve patient outcomes. This is also a way of reducing overdependence on psychopharmacological treatment. Conclusion Various treatment modalities can be used to help children and adolescents with anxiety disorder, some of which include SSRI medication, benzodiazepines, psychotherapy, and prescription of off-label