NR565 Week 1 Collaboration Cafe Discussion

NR565 Week 1 Collaboration Cafe Discussion – Step-by-Step Guide

The first step before starting to write the NR565 Week 1 Collaboration Cafe Discussion, it is essential to understand the requirements of the assignment. The first step is to read the assignment prompt carefully to identify the topic, the length and format requirements. You should go through the rubric provided so that you can understand what is needed to score the maximum points for each part of the assignment. 

It is also important to identify the audience of the paper and its purpose so that it can help you determine the tone and style to use throughout. You can then create a timeline to help you complete each stage of the paper, such as conducting research, writing the paper, and revising it to avoid last-minute stress before the deadline. After identifying the formatting style to be applied to the paper, such as APA, you should review its use, such as writing citations and referencing the resources used. You should also review how to format the title page and the headings in the paper.

How to Research and Prepare for NR565 Week 1 Collaboration Cafe Discussion

The next step in preparing for your paper is to conduct research and identify the best sources to use to support your arguments. Identify the list of keywords from your topic using different combinations. The first step is to visit the university library and search through its database using the important keywords related to your topic. You can also find books, peer-reviewed articles, and credible sources for your topic from PubMed, JSTOR, ScienceDirect, SpringerLink, and Google Scholar. Ensure that you select the references that have been published in the last words and go through each to check for credibility. Ensure that you obtain the references in the required format, for example, in APA, so that you can save time when creating the final reference list. 

You can also group the references according to their themes that align with the outline of the paper. Go through each reference for its content and summarize the key concepts, arguments and findings for each source. You can write down your reflections on how each reference connects to the topic you are researching about. After the above steps, you can develop a strong thesis that is clear, concise and arguable. Next you should create a detailed outline of the paper so that it can help you to create headings and subheadings to be used in the paper. Ensure that you plan what point will go into each paragraph.

How to Write the Introduction for NR565 Week 1 Collaboration Cafe Discussion

The introduction of the paper is the most crucial part as it helps to provide the context of your work, and will determine if the reader will be interested to read through to the end. You should start with a hook, which will help capture the reader’s attention. You should contextualize the topic by offering the reader a concise overview of the topic you are writing about so that they may understand its importance. You should state what you aim to achieve with the paper. The last part of the introduction should be your thesis statement, which provides the main argument of the paper.

How to Write the Body for NR565 Week 1 Collaboration Cafe Discussion

The body of the paper helps you to present your arguments and evidence to support your claims. You can use headings and subheadings developed in the paper’s outline to guide you on how to organize the body. Start each paragraph with a topic sentence to help the reader know what point you will be discussing in that paragraph. Support your claims using the evidence conducted from the research, ensure that you cite each source properly using in-text citations. You should analyze the evidence presented and explain its significance and how it connects to the thesis statement. You should maintain a logical flow between each paragraph by using transition words and a flow of ideas.

How to Write the In-text Citations for NR565 Week 1 Collaboration Cafe Discussion

In-text citations help the reader to give credit to the authors of the references they have used in their works. All ideas that have been borrowed from references, any statistics and direct quotes must be referenced properly. The name and date of publication of the paper should be included when writing an in-text citation. For example, in APA, after stating the information, you can put an in-text citation after the end of the sentence, such as (Smith, 2021). If you are quoting directly from a source, include the page number in the citation, for example (Smith, 2021, p. 15). Remember to also include a corresponding reference list at the end of your paper that provides full details of each source cited in your text. An example paragraph highlighting the use of in-text citations is as below:

The integration of technology in nursing practice has significantly transformed patient care and improved health outcomes. According to Smith (2021), the use of electronic health records (EHRs) has streamlined communication among healthcare providers, allowing for more coordinated and efficient care delivery. Furthermore, Johnson and Brown (2020) highlight that telehealth services have expanded access to care, particularly for patients in rural areas, thereby reducing barriers to treatment.

How to Write the Conclusion for NR565 Week 1 Collaboration Cafe Discussion

When writing the conclusion of the paper, start by restarting your thesis, which helps remind the reader what your paper is about. Summarize the key points of the paper, by restating them. Discuss the implications of your findings and your arguments. End with a call to action that leaves a lasting impact on the reader or recommendations.

How to Format the Reference List for NR565 Week 1 Collaboration Cafe Discussion

The reference helps provide the reader with the complete details of the sources you cited in the paper. The reference list should start with the title “References” on a new page. It should be aligned center and bolded. The references should be organized in an ascending order alphabetically and each should have a hanging indent. If a source has no author, it should be alphabetized by the title of the work, ignoring any initial articles such as “A,” “An,” or “The.” If you have multiple works by the same author, list them in chronological order, starting with the earliest publication. 

Each reference entry should include specific elements depending on the type of source. For books, include the author’s last name, first initial, publication year in parentheses, the title of the book in italics, the edition (if applicable), and the publisher’s name. For journal articles, include the author’s last name, first initial, publication year in parentheses, the title of the article (not italicized), the title of the journal in italics, the volume number in italics, the issue number in parentheses (if applicable), and the page range of the article. For online sources, include the DOI (Digital Object Identifier) or the URL at the end of the reference. An example reference list is as follows:

References

Johnson, L. M., & Brown, R. T. (2020). The role of telehealth in improving patient outcomes. Journal of Nursing Care Quality, 35(2), 123-130. https://doi.org/10.1097/NCQ.0000000000000456

Smith, J. A. (2021). The impact of technology on nursing practice. Health Press.

NR565 Week 1 Collaboration Cafe Discussion Instructions

1. Briefly summarize the condition you selected and your rationale for selecting it.

2. Describe the prescribing recommendations from the CPG and how these could impact
   pediatric, pregnant, and older adult populations considering pharmacokinetic
   principles. Have a look at NR565 Week 2 State Specific Guidelines for Prescribing Controlled Substances & Medical Devices.
3. Discuss how you could apply the clinical guidelines to your future practice.
4. In considering the summary from this article, review the strengths and weaknesses of
   the CPG you selected and discuss how the graded evidence may influence your
   practice as a clinician.

NR565 Week 1 Collaboration Cafe Discussion Example

Summary of Pain, Chronic and Acute

Pain is the 5th vital sign is an expression promoted by the American Pain Society to increase awareness of pain treatment in the healthcare communities (Scher, 2018). Most patients will report a level of pain when prompted and the Nurse Practitioner (NP) will need to know how to address the issue. In some cases, it can be the primary specialty of their practice. In any case, the NP will need to be able to help patient in pain as part of their treatment.

Chronic Pain:

Chronic pain is defined as pain that persists for more than six months, often beyond the expected period of healing (Professional, 2024). It can result from various conditions, including arthritis, fibromyalgia, cancers headaches, and neuropathic disorders. The pain may continue even after the injury or illness that initial caused it is resolved. Chronic pain is typically complex and can lead to significant physical and psychological impairments, affecting quality of life and daily functioning. Physical and emotional conditions such as tense muscles, reduced mobility, depression, and anxiety are all linked to the persistence of the chronic pain.

Acute Pain:

Acute pain is a direct response to injury or illness, usually lasting less than six months (Professional, 2024). It serves as a protective mechanism, signaling harm and prompting protective behaviors. Common causes include surgical procedures, trauma, dental work, burns, cuts, or infections. Acute pain typically is described as sharp on quality and resolves as the underlying condition heals.

Prescribing Recommendations for Opioids and Impact on Specific Populations :

Clinical practice guidelines (CPG) suggest that opioids should be prescribed only when necessary and in conjunction with non-opioid therapies for chronic pain management. There include medications such as acetaminophen (Tylenol) NSAIDs and steroid injections. Additionally, holistic pain management techniques such as acupuncture, massage, physical therapy and even application of heat or cold to the injured sites may be effective and should be considered as a first line method due to the risk verses unfits to opioid drugs. If opioids are warranted, the lowest effective dose should be used, and clinicians should monitor patients closely for signs of misuse and side effects.

Impact on Pediatric, Pregnant, and Older Adult Populations:

• Pediatric Population: Children metabolize drugs differently than adults, affecting pharmacokinetics. Also, there is a risk of abuse of opioids in adolescents. Dosing must be carefully adjusted based on weight and developmental stage. Opioid use in children can also pose risks for respiratory depression and long-term consequences on neurodevelopment (Kelley-Quon, 2021).
• Pregnant Population: Opioids can cross the placenta, potentially impacting fetal development and increasing the risk of various complications including neonatal opioid withdrawal syndrome, neural tube defects, congenital heart defects stunted growth and preterm delivery. Careful consideration of the benefits and risks is essential, and alternative pain management strategies are often recommended (MedlinePlus, 2024).
• Older Adult Population: Older adults may have altered pharmacokinetics due to age-related changes in metabolism and excretion. They are also at increased risk for opioid-related side effects, such as sedation and constipation, and may have comorbidities that complicate opioid use. There is a lack of randomized control trials examining the effectiveness of interventions for management of problematic opioid use in this age group, meaning the recommendations primarily come from younger adults. Lower starting doses and careful titration are recommended as a safety factor (Dufort, 2021).

Clinical Guidelines for Responsible Use of Opioids from the CDC

The CDC provides guidelines emphasizing the following principles for responsible opioid prescribing. Clinicians should assess the risk and benefits then evaluate the potential of opioid therapy for each patient, considering pain relief or mitigation and the risk of misuse or addiction. When prescribing opioids, start with the lowest effective dose and titrate slowly to mitigate risks of side effects and overdose.

The lowest effective dose will take time and practice as a practitioner; however, looking at the patient’s medical history and previous prescriptions will be a useful resource. Non-opioid medications and therapies should be prioritized for managing chronic pain. These may include medications or holistic therapies such as massage and physical therapy, as discussed earlier.

Continuous monitoring for efficacy and safety is crucial, with regular follow-up appointments to reassess pain management strategies. This is essential for effectively titrating medications and adjusting care plans to meet the patient’s needs most effectively. Patients should be properly educated and informed about the risks of opioids and benefits, including potential for dependence and overdose, as well as safe storage and disposal practices. These guidelines aim to promote safe prescribing practices and reduce the risk of opioid misuse while ensuring effective pain management (Dowell, 2022).

References

Dowell, MD, D. (2022, November 3). CDC Clinical Practice Guideline for prescribing opioids
for pain – united states, 2022. Centers for Disease Control and Prevention. https://
www.cdc.gov/mmwr/volumes/71/rr/rr7103a1.htm

Dufort, A., & Samaan, Z. (2021). Problematic opioid use among older adults: Epidemiology,
adverse outcomes and treatment considerations. Drugs & Aging, 38(12), 1043–1053. https://doi.org/10.1007/s40266-021-00893-z

Kelley-Quon, L. I., Kirkpatrick, M. G., Ricca, R. L., Baird, R., Harbaugh, C. M., Brady, A.,
Garrett, P., Wills, H., Argo, J., Diefenbach, K. A., Henry, M. C. W., Sola, J. E., Mahdi, E.
M., Goldin, A. B., St Peter, S. D., Downard, C. D., Azarow, K. S., Shields, T., & Kim, E.
(2021). Guidelines for opioid prescribing in children and adolescents after surgery. JAMA
Surgery, 156(1), 76. https://doi.org/10.1001/jamasurg.2020.5045

MedlinePlus. (2024, April 20). Pregnancy and opioids. https://medlineplus.gov/
pregnancyandopioids.html

Professional, C. C. Medical. (2024, September 20). Acute pain vs. chronic pain: Differences &
causes. Cleveland Clinic. https://my.clevelandclinic.org/health/articles/12051-acute-vschronic-pain

Scher, C., Meador, L., Van Cleave, J. H., & Reid, M. C. (2018, April). Moving beyond pain as
the fifth vital sign and patient satisfaction scores to improve pain care in the 21st
Century. Pain Management Nursing: Official journal of the American Society of Pain
Management Nurses. https://pmc.ncbi.nlm.nih.gov/articles/PMC5878703/