THIS IS A GRADUATE NURSE PRATRITIONER PROGRAM.  REPORT MUST BE OF GRADUATE LEVEL AND STANDARD WITH APPROPRIATE REFERENCE WITHIN 5 YEARS AND 7TH EDITION APA STYLE . MINIMUM OF 300 WORDS WITH AT LEAST 2 PEER REVIEW REFERENCE.  

 When do you decide to paralyze a ventilated patient? (McKean, Ross, Dressler, & Scherere, 2017)

Dissemination of EBP and research, such as presenting results at a conference or writing an article for a journal, is an important part of professional practice. Identify one professional journal and one nursing or health care conference where you might present your project. Discuss why each of your choices is the best option for you to disseminate your new knowledge.

Discuss why EBP is an essential component of the practice of a BSN-prepared RN. Identify two ways in which you will continue to integrate evidence into your practice and encourage it within your work environment. What obstacles could challenge this plan, and what steps will you take to minimize their impact?

Discussion: Prescribing for Older Adults and Pregnant Women

After assessing and diagnosing a patient, PMHNPs must take into consideration special characteristics of the patient before determining an appropriate course of treatment. For pharmacological treatments that are not FDA-approved for a particular use or population, off-label use may be considered when the potential benefits could outweigh the risks.

In this Discussion, you will investigate a specific disorder and determine potential appropriate treatments for when it occurs in an older adult or pregnant woman. 

To Prepare:

• Choose one of the two following specific populations: either pregnant women or older adults. Then, select a specific disorder from the DSM-5 to use.
• Use the Walden Library to research evidence-based treatments for your selected disorder in your selected population (either older adults or pregnant women). You will need to recommend one FDA-approved drug, one non-FDA-approved “off-label” drug, and one nonpharmacological intervention for treating the disorder in that population.

By Day 3 of Week 9

• Recommend one FDA-approved drug, one off-label drug, and one nonpharmacological intervention for treating your chosen disorder in older adults or pregnant women.
• 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 current, credible scholarly resources, one each on the FDA-approved drug, the off-label, and a nonpharmacological intervention for the disorder.
• 2-3 pages and 5 References

  There is increased pressure in the healthcare facilities for enhanced and improved patient outcomes necessarily because practitioners are working in a value-based environment (Catalyst, 2017). The effectiveness and efficiency of the service delivery in this environment can be facilitated by taking good care of the nursing practitioners as the primary stakeholders of embracing the change. It is evident from research that the atmosphere and conditions in the healthcare facilities impact profoundly on patient outcomes. Therefore, it will be essential to work on the negative dynamics and reinforce the positive ones on the facility’s working environment. The opportunity to work in a healthy environment will improve the practitioners’ efficiency because patient service provision will be the only thing that concerns them.  

200 words

discuss value -based environment