NR 506 Week 2 Discussion, Policy-Priority Selection Recent

Chamberlain University NR 506 Week 2 Discussion, Policy-Priority Selection Recent-Step-By-Step Guide

This guide will demonstrate how to complete the Chamberlain University NR 506 Week 2 Discussion, Policy-Priority Selection Recent  assignment based on general principles of academic writing. Here, we will show you the A, B, Cs of completing an academic paper, irrespective of the instructions. After guiding you through what to do, the guide will leave one or two sample essays at the end to highlight the various sections discussed below.

How to Research and Prepare for NR 506 Week 2 Discussion, Policy-Priority Selection Recent                  

Whether one passes or fails an academic assignment such as the Chamberlain University NR 506 Week 2 Discussion, Policy-Priority Selection Recent  depends on the preparation done beforehand. The first thing to do once you receive an assignment is to quickly skim through the requirements. Once that is done, start going through the instructions one by one to clearly understand what the instructor wants. The most important thing here is to understand the required format—whether it is APA, MLA, Chicago, etc.

After understanding the requirements of the paper, the next phase is to gather relevant materials. The first place to start the research process is the weekly resources. Go through the resources provided in the instructions to determine which ones fit the assignment. After reviewing the provided resources, use the university library to search for additional resources. After gathering sufficient and necessary resources, you are now ready to start drafting your paper.

How to Write the Introduction for NR 506 Week 2 Discussion, Policy-Priority Selection Recent                  

The introduction for the Chamberlain University NR 506 Week 2 Discussion, Policy-Priority Selection Recent is where you tell the instructor what your paper will encompass. In three to four statements, highlight the important points that will form the basis of your paper. Here, you can include statistics to show the importance of the topic you will be discussing. At the end of the introduction, write a clear purpose statement outlining what exactly will be contained in the paper. This statement will start with “The purpose of this paper…” and then proceed to outline the various sections of the instructions.

How to Write the Body for NR 506 Week 2 Discussion, Policy-Priority Selection Recent                  

After the introduction, move into the main part of the NR 506 Week 2 Discussion, Policy-Priority Selection Recent  assignment, which is the body. Given that the paper you will be writing is not experimental, the way you organize the headings and subheadings of your paper is critically important. In some cases, you might have to use more subheadings to properly organize the assignment. The organization will depend on the rubric provided. Carefully examine the rubric, as it will contain all the detailed requirements of the assignment. Sometimes, the rubric will have information that the normal instructions lack.

Another important factor to consider at this point is how to do citations. In-text citations are fundamental as they support the arguments and points you make in the paper. At this point, the resources gathered at the beginning will come in handy. Integrating the ideas of the authors with your own will ensure that you produce a comprehensive paper. Also, follow the given citation format. In most cases, APA 7 is the preferred format for nursing assignments.

How to Write the Conclusion for NR 506 Week 2 Discussion, Policy-Priority Selection Recent                  

After completing the main sections, write the conclusion of your paper. The conclusion is a summary of the main points you made in your paper. However, you need to rewrite the points and not simply copy and paste them. By restating the points from each subheading, you will provide a nuanced overview of the assignment to the reader.

How to Format the References List for NR 506 Week 2 Discussion, Policy-Priority Selection Recent                  

The very last part of your paper involves listing the sources used in your paper. These sources should be listed in alphabetical order and double-spaced. Additionally, use a hanging indent for each source that appears in this list. Lastly, only the sources cited within the body of the paper should appear here.

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Sample Answer for NR 506 Week 2 Discussion, Policy-Priority Selection Recent Included After Question

NR 506 Week 2 Discussion, Policy-Priority Selection Recent

The case study depicts Mrs. Smith, who comes for an annual physical exam with an empty bottle of amoxicillin and requests a refill. She had a refill a week ago, and the FNP’s name is indicated on the label as the prescriber. The patient mentioned that she had talked with Stephanie, the medical assistant. However, the medical assistant did not discuss it with the FNP or other NPs. This paper will discuss the ethical and legal implications for each member and how to prevent similar illegal behavior in the future.

A Sample Answer For the Assignment: NR 506 Week 2 Discussion, Policy-Priority Selection Recent

Title:  NR 506 Week 2 Discussion, Policy-Priority Selection Recent

I think that there should be required follow up between the provider and patient once opiods are prescribed.  All too often a patient is discharged from the hospital with narcotics and the provider does not do any type of follow up other than refer them to follow up with their primary care provider. I think all providers whether it be inpatient/hospital setting or primary care providers, should be required to follow up with all of their patients who are on prescribed opioids. I  also think there should be documented non-opioid treatment attempts on all chronic opioid users as well. 

With this being said, I do not think that opioids should not be used for acute patients. For example, if I came into the my physician’s office with a kidney stone or after I threw my back out, I would not expect them to attempt non-pharmacological treatment.  In instances like these, a small amount of narcotics should be able to be prescribed, but then the physician should be required to follow up within a given time frame, whether it be 24 hours or a week.  I think because the FDA is a federal agency, this should be done by everyone and not just by certain states. Of course, to make a change it’s not easily done at that level, so I think it would have to start slowly. I think I would first propose it to all hospital employed providers at my hospital. After that change was implemented and there was time for adequate data to be obtained, i would branch out to other facilities, and then eventually to the state level.

Many physicians will prescribe a patient a narcotic for an acute pain, but then continue to refill the medication for years “just because.” This contributes to the problem. I worked with a nurse years ago who had back pain and went to her PCP and was prescribed Norco. She became dependent on the Norco, and eventually  stole Dilaudid, Morphine, Norco, and many other drugs from the hospital. Of course she was caught and her license was disciplined, but the point is, this prescription started innocent, but due to a lack of follow up from her physician, the medication was continued to feed a habit, which could have been avoided had there been stricter follow up.

 If the physicians were required to follow up and have documentation that was supportive of their reason for continuing the prescription, the numbers may decrease.  At a certain point, the physician could then potentially refer the patient to a pain specialist for some sort of treatment that was not an opioid.

A Sample Answer 2 For the Assignment: NR 506 Week 2 Discussion, Policy-Priority Selection Recent

Title:  NR 506 Week 2 Discussion, Policy-Priority Selection Recent

I could not agree more with you that opiate overdose has become a major crisis in America. I work in a pediatric Emergency room setting where we have on any given day at least one –two adults dropped off at our door and have overdosed.   The majority of individuals who become addicted to drugs stems from one receiving prescriptions for say an injury or after having surgery and these medications although are a potential for addition are needed to help heal (Click et al, 2018).  There needs to be a balance between treating a patient’s complaints and in causing harm to the patient can be troublesome (Click et al, 2018).  Providers have a responsibility to their patient’s and want to make sure one is not in pain but at the same time should consider potential complications from what and how they prescribe pain medications ( Click et al, 2018).  I am unsure of how to fix this and agree it a policy would need to start on the organizational level, but agree that it would require more than that.

Click I., Bohannon, J.M., Anderson, H., & Tudiver, F (2018).  Opioid prescribing in rural family

               practices: A qualitative study. Substance use and misuse.  55 (4), 533-540.

               doi: 10.1080/10826084.2017.1342659

Judith Miletto

Potential ethical and legal implications for each of the following practice members:

Medical assistant

A Sample Answer 3 For the Assignment: NR 506 Week 2 Discussion, Policy-Priority Selection Recent

Title:  NR 506 Week 2 Discussion, Policy-Priority Selection Recent

All medical assistants must have some degree of physician supervision when prescribing medications. Some states also have limitations on the medications that medical assistants can prescribe (Figueroa Gray et al., 2021). The medical assistant faces legal implications for prescribing a drug without supervision from a physician or NP and writing another practitioner’s name when prescribing without their knowledge. Stephanie faces the risk of losing her practicing license or being fined if she prescribed a drug that is restricted for medical assistants.

Nurse Practitioner

An NP has an ethical duty in prescribing, selecting an appropriate medication, providing patients with information, warnings, and instructions about their medication, and monitoring the patient regularly. The NP may face ethical implications if the drug prescribed with the FNP’s name harms the patient. In prescribing, the NP has a moral duty to do good (beneficence) and avoid harm to the patient (nonmaleficence) (Vaismoradi et al., 2021). Thus, the NP may face fines or lose his license if the Amoxicillin causes adverse drug reactions.

Medical Director

The medical director may also face ethical consequences for failing to ensure that employees in the organization adhere to their prescriptive duties. The director may face fines for failing to supervise the employees’ conduct when attending to patients. Besides, the director failed to ensure that medical assistants were working as per their scope of practice.

Practice

The practice risks facing legal actions for healthcare providers failing to adhere to their scope of practice when providing patient care. The practice may face ethical consequences for corporate negligence since providers prescribe patients medications without prescriptive authority and supervision (Vaismoradi et al., 2021). Legal consequences include fines, temporarily losing the operating license, or being closed permanently.   

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What strategies would you implement to prevent further episodes of potentially illegal behavior? 

The first strategy will be to organize continuous medical education (CME) to educate the healthcare providers on their scope of practice. It will be crucial for each profession to fully understand their scope of practice and that of the other professions. In addition, I would develop a policy to guide the employees in the practices on the actions that will be taken if they do not adhere to their scope of practice.

What leadership qualities would you apply to effect a positive change in the practice?

The leadership qualities that I will apply to create positive change in the practice include communication, coaching, and decision-making. Communication is a vital leadership skill of conveying information to individuals in a manner they can understand and also involves listening to employees (Walk, 2023).

Coaching is the ability of the leader to guide others to improve. I would apply coaching skills to empower the employees and improve their engagement and accountability in patient care. Furthermore, I will need to employ strong decision-making skills that entail evaluating options, assessing the advantages of each, and committing to the option that can provide the most value to patients, providers, and practice.

References

Figueroa Gray, M., Coleman, K., Walsh-Bailey, C., Girard, S., & Lozano, P. (2021). An Expanded Role for the Medical Assistant in Primary Care: Evaluating a Training Pilot. The Permanente journal, 25, 20.091. https://doi.org/10.7812/TPP/20.091

Vaismoradi, M., Jordan, S., Logan, P. A., Amaniyan, S., & Glarcher, M. (2021). A Systematic Review of the Legal Considerations Surrounding Medicines Management. Medicine (Kaunas, Lithuania), 57(1), 65. https://doi.org/10.3390/medicina57010065

Walk, M. (2023). Leaders as change executors: the impact of leader attitudes to change and change-specific support on followers. European Management Journal, 41(1), 154-163. https://doi.org/10.1016/j.emj.2022.01.002

 Identify your selected healthcare policy priority and discuss the rationale for your selection. Describe the model of policy making that you feel would be best applied to your policy issue and the rationale for selecting this model.

A Sample Answer 4 For the Assignment: NR 506 Week 2 Discussion, Policy-Priority Selection Recent

Title: NR 506 Week 2 Discussion, Policy-Priority Selection Recent

Thank you for your post. It’s funny that I did not read your post until after I posted my recent post, although we have similar thoughts.  I have met too many people who are addicted to medications that were started on the medications due to an acute injury.  I don’t share my opinions on pain with many people because I do not want to sound heartless. I think pain medications are a great thing when used appropriately. I never want my patients to go without their pain medications and be in an unreasonable amount of pain. But, I think sometimes people have unreasonable expectations related to pain.  I often have post-op patients who think that it is reasonable to think that their pain level will be a “0” after surgery.  I often attempt to educate patients that we would like to get their pain level down to an acceptable level, but that completely taking away all of their pain may not be possible.

I once had an acquaintance who had a history of drug abuse. He told me that his cousin (who was addicted to opioids) always told him to tell the nurse or doctor that his pain was a 10/10 or higher.  He said, “she said then you get the good stuff.” It is so sad to me that this is how people think.  

I have had many painful experiences in my life, but rarely take pain medications. I passed 30 kidney stones while pregnant with my daughter, 26 with my son, and I have passed 11 during this pregnancy. I have not taken anything other than Tylenol during any of those pregnancies. I also did not fill my prescriptions for pain medications post-operatively. I know that this is not how everyone handles pain, but because of my experiences with pain, it makes me less understanding for people who abuse narcotics. 

I definitely agree with you that the providers need to be caring and empathetic to their patients so they are not living in pain, however this does get abused all too often.  Like you, I do not know what the best solution is, but I agree something needs to be changed. That is why I will propose within my policy change that providers are required to follow up with all patients who are discharged with opioids/narcotics. I also think that only prescribing a limited supply (1 week’s worth) is a good first step, because  then a follow up will be required prior to the patient getting any more.

I think that there should be required follow up between the provider and patient once opiods are prescribed.  All too often a patient is discharged from the hospital with narcotics and the provider does not do any type of follow up other than refer them to follow up with their primary care provider. I think all providers whether it be inpatient/hospital setting or primary care providers, should be required to follow up with all of their patients who are on prescribed opioids. I  also think there should be documented non-opioid treatment attempts on all chronic opioid users as well. 

With this being said, I do not think that opioids should not be used for acute patients. For example, if I came into the my physician’s office with a kidney stone or after I threw my back out, I would not expect them to attempt non-pharmacological treatment.  In instances like these, a small amount of narcotics should be able to be prescribed, but then the physician should be required to follow up within a given time frame, whether it be 24 hours or a week. 

I think because the FDA is a federal agency, this should be done by everyone and not just by certain states. Of course, to make a change it’s not easily done at that level, so I think it would have to start slowly. I think I would first propose it to all hospital employed providers at my hospital. After that change was implemented and there was time for adequate data to be obtained, i would branch out to other facilities, and then eventually to the state level.

Many physicians will prescribe a patient a narcotic for an acute pain, but then continue to refill the medication for years “just because.” This contributes to the problem. I worked with a nurse years ago who had back pain and went to her PCP and was prescribed Norco. She became dependent on the Norco, and eventually  stole Dilaudid, Morphine, Norco, and many other drugs from the hospital. Of course she was caught and her license was disciplined, but the point is, this prescription started innocent, but due to a lack of follow up from her physician, the medication was continued to feed a habit, which could have been avoided had there been stricter follow up.

 If the physicians were required to follow up and have documentation that was supportive of their reason for continuing the prescription, the numbers may decrease.  At a certain point, the physician could then potentially refer the patient to a pain specialist for some sort of treatment that was not an opioid.