The pediatric teaching project is designed to allow the nursing student to demonstrate their ability and proficiency in developing and implementing an educational program for children on a specific health related topic. Groups must consist of 3-5 students. Each group will be assigned a topic along with a corresponding grade level. The topics offered are as follows:

– Stranger Safety and Street safety (bicycle, outdoor play, traffic)-4th Grade Level

When completing the teaching plan, students should consider the age and developmental level of the group they will be teaching. What is their attention span estimated to be? What activities will you do to make the teaching interactive and get the kids involved? What level of language will you use to explain things at the child’s level of understanding?

After the project is completed, the group must submit a final summary paper (maximum 5 pages, excluding references and cover page) in APA format with a minimum of 3 peer reviewed references. This paper should cover the following topics, which are recommended as headings in the document.

o Project description (Who was your target population? What topic did you choose? Why? What developmental consideration were included? What teaching strategies were used?

o Evaluation of learning (Were the learning objectives achieved? How did you know? What method of evaluation was used?) **Use a hypothetical scenario**

o Summary of overall experience (Do you feel it was helpful to the children? What were the strengths or weaknesses of the teaching methods used? Would you do anything differently. Were there any other health care issues observed that could be identified as areas for further instruction?) **Use a hypothetical scenario**

o References

NOTE : VERY IMPORTANT, Please I need a plagiarism report include.

 

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DNP Project – Final Phase – Weekly discussion

Week 2 – Data Analysis (graded)

The discussion for this week is focused on data analysis. Describe your plans for data analysis. How will descriptive statistics assist you in evaluating your outcome? Does your question require looking at the difference between two (or more) groups? What statistical test will you use which is consistent with your question and the type of data produced by your evaluation method/tool?

Week 4 – Dissemination (graded)

The discussion for this week is focused on your final plans for dissemination. You have considered this issue when you developed your project proposal but your plans have likely changed. Describe your plan for sharing the results of your project with the stakeholders at your practicum/project setting. Also, describe plans for conference poster or podium presentation and publication. Do you have a specific regional or national conference in mind? Which journal are you considering for submission of your manuscript? Which of these will be most crucial for you to focus on to assure dissemination of your DNP Project results?

Week 5 – Sustainability (graded)

The discussion for this week is focused on sustainability. Will the change that you initiated for your DNP Project be sustained, modified, or discontinued? How is that being determined? What plans have you made for your exit? Will you continue work related to your practice problem? What are your next steps?

Week 6 – Portfolio (graded)

The discussion for this week is focused on the experience of developing a professional portfolio. How do you anticipate using your professional portfolio? As you reflected on your career while developing your professional portfolio, you likely reviewed your strengths and opportunities for growth. Please share anything you are comfortable with as a result of that self-evaluation. Also, share your long-term career goals and your plan for achieving those goals.

Week 7 – Transformation (Required, not graded)

The discussion for this week is focused on your transformation. As you complete your DNP Project final paper and presentation, and your portfolio, share with your instructor and your peers how you have been transformed through your entire DNP program experience.

 

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It look long but these are just responses!These are 3 student responses that needs to be responded to. The response must be 100 words. Please use all references!

Victoria Post

Part I

As we learned in the last module the hippocampus plays an important role in memory formation. Thus, it makes perfect sense that it would be associated with contextual fear conditioning. Contextual fear conditioning relies on the ability to remember the context that sparked fear. When a patient has bilateral hippocampal lesions, it blocks the development of a fear response to the context (Pinel,2018).

The best example of contextual fear conditioning that I can extrapolate from my life experiences is the fear that sets in as I’m driving next to a semi or concrete barrier. The conditioning of this fear began when I was kid and the numerous accidents that occurred on a specific curve on a hill that earned the nickname “Deadman’s hill”. It made me nervous to drive next to semis especially as some friends and family members often had to clean up the accidents and would talk about them at home. Reinforcement of this fear occurred when I was involved in my own accident as a teenager that involved being ran into a concrete barrier on the highway. The accident could have been significantly worse than it was but now when driving I will drive on the side of the road that places the most distance from my door and the barrier or semi. I also adjust my driving to not be next to a semi around curves whether that means slowing down so I can get behind the semi and allow other cars to pass or speeding up to pass them before the curve.

Part II

Two treatments for depression that utilize brain stimulation not listed in the book are electroconvulsive therapy and transcranial direct current stimulation. The effects of electroconvulsive therapy in older patients has been a concern for providers due to the possible negative impact on neurocognitive functioning. Studies have concluded that the deleterious cognitive effects of electroconvulsive therapy in late-life depression are transient and limited but can be increased with bilateral stimulation. Transcranial direct current stimulation involves applying a small electrical current to the head utilizing electrodes placed on the skin rather than implanted into the body as seen with deep brain stimulation (Wong, et al.,2019). The currents sent through the electrodes don’t evoke action potentials themselves but change the neural activity of the brain by switching cortical activity from a state of excitability to a state of inhibition. Transcranial direct current stimulation has proven to be effective in reducing the depressive severity and the remission rates in patients. The effects of Transcranial direct current stimulation have shown sustained effects for up to three months while improving overall cognitive functioning and in verbal fluency (Wong, et al.,2019). Transcranial direct current stimulation has however shown low spatial resolution and difficulty in defining localization of the electrodes.

Mackenzie post

Part I: Describe the role of the hippocampus in contextual fear conditioning.

Can you think of an instance where you have been subjected to contextual fear conditioning? Describe that instance. In your answer, describe the role of the hippocampus in contextual fear conditioning.

Contextual fear conditioning is a phenomenon that occurs when a nonthreatening environment elicits a fearful response. This occurs when there is repeated exposure to an object during a frightening situation and the surroundings become associated with the emotional response (Pinel 2014). I have not experienced contextual conditioning in the sense of an environment. I have experienced fear conditioning after a car accident I was involved in. The car I was in was a white Nissan, and ever since the accident I experience a physiological response when I encounter a vehicle of the same make, model, and color. The hippocampus is responsible for memory and spatial understanding and is a key affected area during contextual fear conditioning. The hippocampus creates a misattributed fear for the context of the stimuli instead of the stimuli itself (Pinel 2014). Research has also noted the potential role of the hippocampus in post-traumatic stress disorder since contextual stimuli can often prompt episodes (Chaaya 2018).

Part II: Describe two forms of treatment for depression that utilize brain stimulation.

There are many other treatments for depression that aren’t discussed in this module. Name at least two you know of. What is the evidence for their efficacy? Remember to properly cite and reference your sources in APA format.

One of the various treatments for depression is Cognitive Behavioral Therapy (CBT). CBT focuses on the core concept of psychological issues being caused by disordered patterns of behavior and how correcting this behavior will assist in recovery (American). CBT allows for patients to be their own harbingers for therapy to facilitate easing depressive behaviors. CBT can be effective when paired with other forms of treatment. CBT modifies behaviors after the onset of the depression whereas medication can assist with biological elements since anti-depressants tend to be only 25% effective when used as a singular treatment (Pinel 2014). Psychodynamic treatment of depression is a combination of any depression treatments to alleviate the symptoms holistically. Psychodynamic treatment can apply CBT, medication, and light therapy approaches to assist a patient diagnosed with depression. Psychodynamic therapy has been demonstrated to have successful outcomes in several clinical roles and practice settings (Busch 2016). Hence, providing a better option for patients than implementing just one form of treatment.

Michael Post

Part I: Describe the role of the hippocampus in contextual fear conditioning.

Can you think of an instance where you have been subjected to contextual fear conditioning? Describe that instance. In your answer, describe the role of the hippocampus in contextual fear conditioning.

Situations surround and instill meaning to events; they are essential for remembering the past, interpreting the present, and anticipating the future. Studies of fear conditioning and extinction suggest that a neural circuit including the hippocampus, amygdala and medial prefrontal cortex is involved in the learning and memory processes that enable context-dependent behavior. Research on the neural mechanisms by which context representations are encoded in the brain largely come from studies of associative learning in both animals and humans. Indications have been made that the hippocampus has a crucial role in tasks involving learning and remembering contexts. The role of the hippocampus in encoding context representations is consistent with the large literature on the role of the hippocampus in spatial representation and navigation. Growing up, I remember my brother experiencing this. One time we were at the grocery store and my brother witnesses another kid throwing a fit because he did not get a candy. After a while, this kid’s parents caved in and got him a candy. My brother figured he would do the same. He did not get the same reaction from my mother. Instead, he got a whooping and did not get the candy he wanted. I believe this was the last time he did that. He knew he would be in trouble if he threw a fit like that again. My brother related the butt whooping to the associated behavior and came to the realization that it was not worth it. One incident conditioned the fear of the whooping in him.

Part II: Describe two forms of treatment for depression that utilize brain stimulation.

There are many other treatments for depression that aren’t discussed in this module. Name at least two you know of. What is the evidence for their efficacy? Remember to properly cite and reference your sources in APA format.

Transcranial magnetic stimulation (TMS) is a noninvasive procedure that uses magnetic fields to stimulate nerve cells in the brain to improve symptoms of depression. TMS is used when other depression treatments do not work. Depression is a curable condition, but for some people, standard treatments are not effective. Repetitive TMS is used when treatments such as medications and talk therapy (psychotherapy) do not work. If rTMS works, depression symptoms may improve or go away completely. Symptom relief may take a few weeks of treatment. The effectiveness of rTMS may improve as researchers learn more about techniques, the number of stimulations required and the best sites on the brain to stimulate.

Deep brain stimulation, or D.B.S., has been performed for decades to help people control the tremors of Parkinson’s disease. In treating depression, surgeons thread an electrode into an area of the brain that sits beneath the crown of the head which is known to be especially active in people with severe depression. Running electrical current into that region, known as Brodmann Area 25, successfully shuts down its activity, resulting in relief of depression symptoms in many patients. The electrode is connected to a battery that is embedded in the chest. The procedure involves a single surgery; the implant provides continuous current from then on.

 

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Assignment Overview

This assignment is intended to demonstrate your comprehension of the main principles of health informatics, as well as the primary applications of health informatics in healthcare organizations.

For this assignment, you will read a case study that presents difficulties associated with implementing a new computer system in a professional setting. Based on the scenario described in the case study and assignment details, you will create a short PowerPoint presentation.

Assignment Details:

Perform the following tasks:

· Complete the reading assignment and the interactive lesson before attempting this assignment.

· To complete this assignment:

o Review the case study and select one of the committee roles.

o Download the provided PowerPoint template to create a presentation that includes:

§ Your selection as a member on the committee

§ Identification one or more issues, related to your role on the committee

§ Identification of probable cause(s) of identified issue(s)

§ Proposed recommendations to resolve the identified issues

§ Reference slide – list of academic references, using APA style

o Ensure to support the content of your slides with research from your text or the LRC.

·

Ø Case Study

Read the following case study

A good friend of yours is director of nursing at a 220-bed community hospital. Last year the hospital merged with a much larger medical center. One of the upsides, as well as one of the challenges, resulting from this change has been the rapid introduction of new computer systems. The goal is to bring the hospital “up to speed” within 3 years. At present, the Computerized Physician Order Entry (CPOE) is being implemented. The general medical and surgical units went live last month. The ICU, pediatrics, and obstetrics units are scheduled to go live next month. The plan is to work out any kinks or problems on the general units and then go live in the specialty units. Most of the physicians, nurse practitioners, and physician assistants initially complained but are now becoming more comfortable with the computers and are beginning to integrate the CPOE process into their daily routines. Several physicians are now requesting the ability to enter orders from their offices and others are looking into this option. However, three physicians have not commented during this process but are clearly resisting. For example, after performing rounds and returning to their offices they called the unit with verbal orders. After being counseled on this behavior, they began to write the orders on scraps of paper and put these in the patient’s charts or leave them at the nurses’ station. When they were informed that these were not “legal orders,” they began smuggling in order sheets from the non-activated units. In addition, they have been coercing the staff nurses on the units to enter the orders for them. This has taken two forms. Sometimes they sign in and then ask the nurses to enter the orders. Other times they ask the nurses to put the orders in verbally and then they confirm the orders. The nurses feel caught between the hospital’s goals and the need to maintain a good working relationship with these physicians.

You suggest to your friend (director of nursing) to create an informal committee to review the issues surrounding the CPOE implementation. The committee would determine methods to address these issues, prior to implementing CPOE within the ICU, pediatrics, and obstetrics units. Your friend appreciates the suggestion and forms a small committee with the following members:

· Taylor Terrific, RN – a nurse practitioner

· Dr. Dudley Do-Right – a physician who uses the CPOE system routinely and correctly

· Dr. Frank Burns – a physician who rarely, if ever, uses the CPOE system

The director of nursing asks each committee member to create a short PowerPoint presentation for the committee. The presentation would identify issues that occurred during CPOE implementation, identify potential causes of such issues, and list specific recommendations, based on strong rationale and research, to resolve the identified issues prior to the next CPOE implementation. Each committee member will have a unique perspective, based on their position (i.e., nurse, physician).

PowerPoint Presentation

Directions:

1. Review the case study and select one of the committee roles.

2. Download the PowerPoint template (Week 2 Assignment Template).

· The link to this template can be found in your Blackboard course in Week 2.

3. Select one of the following roles on the committee

· Taylor Terrific, RN – a nurse practitioner

· Dr. Dudley Do-Right – a physician who uses the CPOE system routinely and correctly

· Dr. Frank Burns – a physician who rarely, if ever, uses the CPOE system

4. Use the PowerPoint template to create slides that:

· Identify one or more issues, related to your role on the committee

· Identifies probable cause(s) of identified issue(s)

· States proposed solutions or processes to address the identified issues

§ Solutions are supported by specific rational and research.

· Includes a reference slide – a list of academic references, using APA style

5. Ensure to support the content of your slides by the case study, research from your text, or the LRC.

 

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