...Over the past several decades, highly skilled professionals have attempted to address several issues regarding antipsychotic drugs used to treat school-aged children with Attention Deficit/Hyperactivity Disorder (ADHD). The distribution of these ADHD medications have steadily increased over the years, which has, on one hand, presented a possible solution to the escalating diagnosis of Attention Deficit/Hyperactivity Disorder, and on the latter, brought into question the ethics and effectiveness of these medications. Health officials, parents, and the children themselves struggle to come to an agreement when deciding whether or not medication is the best solution. The Debate Over Medicating Children with Attention Deficit/Hyperactivity Disorder In the spring of 2004, Jacqueline A. Sparks, an associate professor of family therapy at the University of Rhode Island, and Barry L. Duncan, a cofounder of the Institute for the Study of Therapeutic Change, investigated the ethics and effectiveness behind the distribution of ADHD medications as a modern treatment method for children with Attention Deficit/Hyperactivity Disorder. Even though, “appropriate identification and treatment of symptoms for psychiatric illnesses (such as ADHD) during childhood and adolescence is critical” (ScienceDaily). Sparks and Duncan note that, “ADHD is arguably the most controversial topic in recent mental health history. The ADHD diagnosis is not defined by a biological marker (Leo & Cohen, 33), but is...
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...Running Head: EBT TASK 2 1 Research Integration EBT Task 2 Western Governor’s University EBT TASK 2 2 Review and Classification of Evidence Source Type Appropriate Type of (American Academy of Pediatrics; American Academy of Family Physicians, 2004) or inappropriate Filtered Appropriate: This article establishes diagnosis and management guidelines for the treatment of AOM. Additionally, the authors make recommendations regarding treatment options for the symptoms of AOM and address the concept of watchful waiting as opposed to immediate antibiotic therapy. Recommendations are provided for clinical practice and were created using a systematic review of clinical research, making it an ...
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...Stimulants in the Classroom In the current economy, people are competing to earn a decent living; meanwhile, only certain individuals receive a prescription for neuroenhancing medication. An individual receiving Attention-deficit/hyperactivity disorder (ADHD) treatment is at an advantage compared to an individual with ADHD and no prescription. Neuroenhancing drugs, categorized as stimulants, are most often prescribed to people who’ve been diagnosed with ADHD. Students are the main focus of this research paper because data supports the claim that neuroenhancers are often used to improve performance in the classroom. There are positive and negative results that come from the use of neuroenhancing medication. A qualitative study by Margaret Talbot examines a Harvard student and includes personal insight from an Adderall user that earned a college degree. If a student doesn’t have access to prescribed neuroenhancers, and has a hard time focusing on schoolwork, is the student similar to someone with bad vision and no access glasses? The current situation in our information based economy with a growing need for higher education puts prescribed users of neuroenhancement at an academic advantage over people with similar neurological characteristics and no prescription. Defining the Drug ADHD medication has an intended purpose to improve the ability for the user to focus on a given task. More specifically, “stimulants increase the activity of the sympathetic nervous system; making...
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...controversial topic due to its’ causes, diagnosis, as well as the treatments. Some critics of this controversy deny the very existence of ADHD as a mental disorder and believe that the physicians along with pharmaceutical industry are conspired with one another just to fill their pockets. While others believe that not only ADHD is a genetic mental disorder but also a disorder that may be caused by the environmental factors like geographical location, parenting and diet. Furthermore, many studies show that ADHD is in fact a mental disorder that affects many children and adults. ADHD is not over diagnosed and needs to be treated, however the treatment should not consist...
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...Seizure Precautions for Pediatric Bedside Nurses Over the course of their careers, many inpatient pediatric nurses will care for a patient with seizures or who is at risk for seizures. Although often anxiety-provoking, the fear can be diminished by thinking critically about each child’s seizure. The nursing management of pediatric seizures, for which patient safety is the priority, should be driven by the clinical presentation of the child’s event. This article will present an algorithm to assist bedside nurses in safely caring for children with a variety of seizure types. The algorithm can be used as a road map to assist staff nurses in safely and appropriately stocking patients’ bedsides with emergency equipment as needed for children with seizures. However, to understand the clinical symptoms of a seizure, it is important to first review basic pathophysiology and seizure classification. What Is a Seizure? Seizures are a common neurologic disorder of childhood, and many pediatric nurses will care for children with epilepsy during their careers. The term “seizure precautions” is used frequently in nursing practice; however, its definition varies among institutions. Childhood epilepsy has many phenotypes, and while some children require airway clearance and ventilatory support in the event of a seizure, many will not. The bedside equipment for a child with seizures should reflect the patient’s symptoms. To that end, an algorithm based on seizure classification and current...
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... 1982 – 1985 Diploma in Nursing Bryn Mawr School of Nursing 130 S. Bryn Mawr Avenue Bryn Mawr, PA 19010 1980 – 1982 Associates Degree – Nursing Lebanon Valley College 101 N. College Avenue Annville, PA 17003-1400 Licenses DE Registered Professional Nurse (multi-state) L1 – 0036388 PA Registered Professional Nurse RN – 276374L Certifications 2011 – Present Certified Pediatric Emergency Cert # CP0060799 Nurse 2008 – Present Certified Pediatric Nurse...
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...analysis will be used. The first step is to select a concept, which is comfort. The next step is determining the purpose of the analysis. The purpose is to define what comfort means and what comfort measures are and how they are used in nursing. The third step is to identify the uses of the concept of comfort. This includes definitions of term comfort and a literature search. The fourth step is to determine the defining attributes of comfort. This allows for insight into the concept and includes the characteristics of comfort. Comfort can mean many things to many people. Comfort can be caring words, caring touch, warm blankets, pain relief or encouragement. The fifth step is a model case or a real life example of the concept that includes the attributes of the concept and a borderline and related case. The sixth step is to identify consequences and antecedents and consequences. The final step is to define empirical referents or measurable ways to show the occurrence of comfort. Purpose The concept of comfort is used frequently in nursing practice; however, it is not always clearly defined. It is a basic value of nursing care and interventions and is frequently described as comfort measures. A basic understanding of the concept of comfort and the definitions is essential in understanding its use in bedside nursing practice. The purpose of this concept analysis is to explore and clarify the meaning of comfort. A concept analysis gives the framework and purpose and is essential...
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... The old analogy of take two pills and call your doctor in the morning is becoming the norm in today’s society. This Reflective Paper will provide a multi-systemic approach which addresses the following topics: (1) the genetic link to ADHD, (2) population trends of psychotropic use, (3) concerns for the safety and efficacy of children have risen due to the lack of studies. The Genetic Link to ADHD Several decades of study has shown Attention Deficit Hyperactivity Disorder (ADHD) to be a neurobiological disorder. Research has shown other contributing causes of ADHD can be caused by environmental (home, school etc.), brain dysfunction and toxins found in food additives, yet strong supporting data can be found in genetic studies too. Researchers have concluded the phenotypic display of ADHD is attributed by the abnormal amounts of neurotransmitters such as serotonin, gamma-amino butyric acid (GABA) and dopamine which controls, sleep, learning, mood and attention (Faraone, & Asherson, P, 2005). Link between ADHD 3 Studies show that on the average, 25% of all families who have a member diagnosed with ADHD are usually...
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...1-7 StnGroup 2- 8 Stn | Hospital OrientationWARD 17Pediatric WardBSN Clinical Practice VI AN 3320 * Clinical Learning Objective: 1. Provide individualized quality care to all assigned clients following the nursing process 2. Perform management and organizational ability during the provision of nursing care 3. Apply critical appraisal skills to evaluate the available evidence which underpins practice 4. Plan health promotion activities for clients and family to maintain appropriate behaviors to attain or maintain health 5. Integrate significance of research in clinical practice to achieve best patient outcomesSpecific Objectives: * Plan timely execution of nursing task in the ward * Perform independent learning through self-study and reflective practice * Effectively use up to date information through electronic access of literature and searching database * Critically evaluate an aspect of service delivery that can influence the quality of healthcare system * Utilize assessment, benchmarking audit and quality assurance tools effectively * Incorporate evidence based interventions in healthcare delivery and meeting health inequalities...
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...become a pediatrician? How many years to you have to study? What other training requirements, internships, licenses, continuing education, or membership in the professional societies is required? To become a pediatrician you first have to complete a general college education which may or may not focus on the sciences. As long as you do well in your studies and take a core set of pre-med courses you can major in just about anything. In fact, medical schools are eager to take students whoa re well rounded and have shown diverse interests before applying. Once in medical school there are usually 4 years of training, some in lecture form, others in practice situations and then you graduate with a degree - MD - then you first have to train in your chosen specialty - in the case of Pediatrics the training is at least 3 years long but may take even longer if you have a special interest such as pediatric cardiology or pediatric hematology. After the training period you are able to practice as a pediatrician but of course education should never stop - continuing to keep up with what’s changing and new is a vital part of your job. Most docs take a special test after training in order to become Board Certified in Pediatrics. This then entitles you to admission to the Academy of Pediatrics, a society of docs dedicated to the betterment of child health. They also provide constant sources for self education and updating on all areas of pediatrics. Some docs also belong to societies that are interested...
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...Running head: EUTHANASIA Euthanasia: A Silent Plea for Mercy Shannon Curry University of Southern New Hampshire Professor Henson Tuesday December 23, 2014 Euthanasia: A Silent Plea for Mercy All over the world there are amazing technological advances in medicine happening every day, despite that there are neonatal patients suffering from painful life limiting medical conditions that have no treatment or cure. “Advances in medical technology make it possible to extend life, at times, the focus on ‘cure at all costs’ overshadows the obligation to provide dignified, humane, and compassionate care” (Rushton, 2005). In an effort to provide legal, humane and compassionate end-of-life care to infants, the Dutch developed the Groningen Protocol in 2003. Developed in collaboration with the prosecutor’s office, the Groningen Protocol was designed to guide a transparent medical and legal decision making process for parents and their doctors considering neonatal euthanasia (Catlin, 2008; Petrou, 2005). Neonatal euthanasia is the practice of hastening the death of a terminal ill newborn in an effort to relive their suffering. Most countries current laws make it illegal for the neonatal population to benefit from euthanasia. Research is suggestive that albeit in secret neonatal euthanasia maybe disguised and illegally practiced around the world. Legalizing neonatal euthanasia would not only allow transparency...
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...For this week’s discussion, I will focus on iron deficiency and iron deficiency anemia (IDA) which we saw occasionally on the pediatric unit. Özdemir (2015) explains that iron deficiency is the most common nutritional deficiency worldwide and an important public health problem. In addition, Miller (2013) explains that although iron deficiency anemia rarely causes death, it can significantly affect an individual’s health. The teaching strategy for this week will revolve around a case study approach. The students will initially be presented with the following case study: An 18-month-old boy is brought into the clinic by his mother complaining that he has been very pale lately. She explains that he is still an active toddler but she states that...
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...Running Head: Research Critique Part 1 1 Research Critique Part 1 CLABSI in the Pediatric Oncology Population Cathy Frederick Grand Canyon University NRS-433V Introduction to Nursing Research October 11, 2015 Research Critique Part 1 2 Purpose of the Research This paper will perform a research critique on a qualitative research study published in the Infection Control and Hospital Epidemiology, March 2013, Vol. 34, No.3. The study was presented with contributions from multiple individuals, Dr. A. Gaur, Dr. D, Bundy, C. Gao, PhD, Dr. E. Werner, Dr. A. Billett, Dr. J. Hord, Dr. J. Siegel, Dr. D. Dickens, C. Winkle, RN., and Dr. M. Miller. The research was to identify the host and organism characteristics of the hospital-acquired condition, central line-associated bloodstream infections (CLABSIs) in pediatric hematology/oncology patients. Problem Statement CLABSIs increase the risk for increased mortality and morbidity, extended hospital stays, and raises the overall cost of healthcare. Children’s Hospital Association Hematology-Oncology Quality Transformation Collaborative Project (CHAHQTCP), was a qualitative research project that began on November 1, 2009 and ended July 31, 2011. This project was initiated to identify the contributing factors to blood stream infections (BSI) in pediatric hematology patients. The goal of this research was to reduce CLABSIs by 50%. To be included, the CLABSI needed occur 48 hours after being hospitalized or...
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...Diabetes Working Group White Paper Avalere Health LLC on behalf of the Diabetes Working Group January 23, 2012 Table of Contents Authors.......................................................................................................................................... 3 Acknowledgments ......................................................................................................................... 4 Executive Summary ...................................................................................................................... 5 Provider Survey ......................................................................................................................... 6 Standards of Care Economic Model .......................................................................................... 7 Recommendations .................................................................................................................... 8 Care Management ................................................................................................................................ 8 Payment Reform ................................................................................................................................... 9 Workforce Supply ............................................................................................................................... 10 Background and Role of the Diabetes Working Group ............................
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...resistant bacteria therefore it is considered appropriate. The article speaks of the different types of medications that may be used to treat AOM. Evidence Summary Kelley, Friedman, and Johnson, 2007 General Information Appropriate- The different types of ear infections, ways to diagnose, as well as treatment. The article also speaks about overusing antibiotics. This article promotes watchful waiting. Summary of evidence McCraken, 1998 Unfiltered Appropriate- The different types of AOM viral versus bacterial is spoke of as well as the increase in drug resistant bacteria which comes from over prescribing antibiotics. Summary of Evidence Interviews Unfiltered Not Appropriate- An interview is just a patients parents insight on AOM. This is not an appropriate resource because it is based on opinion rather than fact. None of the Above B1. Watchful Waiting It can be difficult to persuade the population that evidence based medicine is the best approach, especially with children. It is hard for parents to see their children in pain. When a child has an ear infection parents are typically calling within the first few hours after the initial compliant for an antibiotic. With that being said the use of antibiotics for every little sickness has caused a rise in the “super bug” (McCracken, 1998) or antibiotic resistant infection. In the article from The American Academy of Pediatrics (AAP) “Diagnosis and Management of Acute Otitis...
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