Assignment 1: Prescribing for Children and Adolescents Off-label prescribing is when a physician gives you a drug that the U.S. Food and Drug Administration (FDA) has approved to treat a condition different than your condition. This practice is legal and common. In fact, one in five prescriptions written today are for off-label use. —Agency for Healthcare Research and Quality Photo Credit: Getty Images/Ingram Publishing Psychotropic drugs are commonly used for children and adolescents to treat mental health disorders, yet many of these drugs are not FDA approved for use in these populations. Thus, their use is considered “off-label,” and it is often up to the best judgment of the prescribing clinician. As a PMHNP, you will need to apply the best available information and research on pharmacological treatments for children in order to safely and effectively treat child and adolescent patients. Sometimes this will come in the form of formal studies and approvals for drugs in children. Other times you may need to extrapolate from research or treatment guidelines on drugs in adults. Each individual patient case will need to be considered independently and each treatment considered from a risk assessment standpoint. What psychotherapeutic approach might be indicated as an initial treatment? What are the potential side effects of a particular drug? For this Assignment, you consider these questions and others as you explore FDA-approved (“on label”) pharmacological treatments, non-FDA-approved (“off-label”) pharmacological treatments, and nonpharmacological treatments for disorders in children and adolescents. Reference: Agency for Healthcare Research and Quality. (2015). Off-label drugs: What you need to know. https://www.ahrq.gov/patients-consumers/patient-in... To Prepare Your Instructor will assign a specific disorder for you to research for this Assignment. Use the Walden library to research evidence-based treatments for your assigned disorder in children and adolescents. You will need to recommend one FDA-approved drug, one off-label drug, and one nonpharmacological intervention for treating this disorder in children and adolescents. The Assignment (1.5-2 pages) Recommend one FDA-approved drug, one off-label drug, and one nonpharmacological intervention for treating your assigned disorder in children and adolescents. 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 scholarly resources, one each on the FDA-approved drug, the off-label, and a non-medication intervention for the disorder. Attach the PDFs of your sources.

please respond to the main DQ1 and DQ2. Also respond to the peer discussions 1-6DQ1Discuss one personal strength and one weakness you have regarding professional presentations. Name one method for improvement for each of these, and discuss why it is important for you to work on these skills if you want to present your findings in a more formal setting.DQ2Sustaining change can be difficult, as there are many variables that can affect implementation. One critical component of EBP is to ensure that practice change is part of an organization's culture so it will continue to impact outcomes over time. Name two potential barriers that may prevent your EBP change proposal from continuing to obtain the same desired results 6 months to a year from now, and your strategies for overcoming these barriers.Peer DQ1 I am absolutely terrified of public speaking. I feel like my throat is closing and words just don’t come out. However, I like to create PowerPoint Presentation. I think that one of my strengths is in creation of the actual presentation and humor. Presentations can be given in a large hall with an audience numbered in hundreds, or at the patient’s bedside to one or two colleagues. At a basic level the skills required to present are the same effective communication, know and understand the subject, present information clearly, and engage the audience (Turaga, 2016). Fear of public speaking is common. Many people including myself experience anxiety when it comes to public speaking. Many healthcare providers are afraid of public speaking and therefore choose not to engage with the audience on important topics. However, most presentations that are given by nursing staff are to peers, fellow healthcare providers or patients. Good presentation skills are essential and useful for nurses in their professional and personal development. I think that overcoming my fear of public speaking is a valuable endeavor for me to undertake. Healthcare providers have to develop excellent presentation skills and such skills will improve their self-confidence, heighten awareness, and enhance personal power. Since all nurses are expected to be involved in teaching (at bedside and in educational contexts)of mentoring nursing students and colleagues, effective presentation skills will help me to transmit the necessary information clearly and concisely (which is easier for listener to understand). I think that practicing presentations in front of small audience then working my way up can enhance my personality and become my strength. I can address individuals very naturally and I always engage with patients, patients’ families, and my coworkers. Practicing presentations and getting feedback from the audience can help me become a better presenter and inspire confidence in my public speaking skills.DavidTuraga, R. (2016). Organizational Models of Effective Communication. IUP Journal Of Soft Skills, 10(2), 56-65.Peer DQ2Life is a learning experience but the ability of an individual to identify his or her weaknesses, as well as, strengths makes him or her become better in all things that he or she does. In the course of my job, I have participated in various professional presentations, which has made me recognize the strength that I need to build on the weakness that needs improvement. My strength entails having effective communication skills in both verbal and nonverbal communication. Before a presentation, I do adequate research about a topic to talk about the ideas am presenting to the audience articulately. Effective communication skills ensure that I present my work in ways that the audience can understand while creating an exciting learning atmosphere for all people. However, I have a weakness in that sometimes I feel like I have not practiced adequately, which makes me nervous before a presentation. As a result of the nervousness, I worry too much about whether I will present my work in a way that my audience understands and provide accurate information or not. However, both my weakness and strength can be improved through practice, which boosts confidence and the motivation to do better during a presentation. Doing adequate practice before presentation to a smaller number of people will help to build on my strength while improving my weak points to ensure that I am an effective professional presenter. Presentation skills are important because they help us to achieve individual success while working with a team in the organization settings (Torok, 2015). Good presentation skills facilitate career growth and success of an individual in an organization. Additionally, presentation skills are important for business success, as they promote time management, good leadership and create a good public image or opinion (Torok, 2015). References Torok, G. (2015). Why are presentation skills important? Retrieved 12 Nov. 2018 from https://www.linkedin.com/pulse/why-presentation-sk... Peer DQ3In order to deliver and effectively communicate in a formal setting, proper presentation skills are vital. This is also in addition to presenting oneself in the best way possible. One strength I have as regards said skills, is my technical competence in putting together text and graphics for the presentation. A weakness I have might be the unease and nervousness I might feel, which may inadvertently manifest as bad body language, stuttering and the like. I believe some measures posited by Mind Tools (2018), like practicing way ahead of time, welcoming input and engagement from the audience, making the presentation succinct and simple, and finally breathing and other stress management techniques to control my nervousness. ReferencesMind Tools. (2018). How good are your presentation skills? Retrieved November 2018 from https://www.mindtools.com/pages/article/newCS_96.h...Peer DQ4Proper presentation skills is keyin having an effective communication, as well as presenting oneself in the best way possible. In order to achieve the success of the day, one must possess the confidence needed in order to convey the right messages to the audience.One of my strengths as a public presenter is on the arrangement and delivery of the content material. My arguments are always in an organized fashion which helps in explaining my thoughts in a more structured manner through the introduction, body and conclusion. This also ensures that my audience is not left out when it comes to understanding and grasping the content. Moreover, it helps authenticate my voice making me more audible. This not only engages the audience but also boosts my confidence.However, despite all this, I have a weakness when it comes to maintaining eye contact with the audience. This makes me more nervous and thus prefer to fix my eyes on my papers or on the slides. The nervousness makes me talk very fast, not stand still and more so forget the important concepts which could have otherwise been important.In order to get more from the strength, I need to understand my topic well so as to be more engaging with the audience. Also use more simple visual aids with clear notes and color, which will ensure that I speak freely and more confidently. To improve on the weakness, I need to work on calming my nervousness before starting the presentation. This can be done by taking deep breathes before starting, cracking a joke in order to create rapport with the audience, and trying to also stand still.Working on this presentation skills not only makes one a great presenter, but also professional development and success is achieved. Also one gains relevant experience needed in the success of the organization.Peer DQ5A good presentation always involves hard work and lot of reading. Presenting something new in front of the audience is always nerve wreaking. When I think about my strengths for a professional presentation or public speaking preparation is my key to confidence. I arrange presentation in an order where the public can easily understand it. When the facts are clearly written down in the presentation it gives confidence and definitely ease it. Adding a bright and versatile tone to the voice draws public’s interest in to the presentation.When it comes to weakness anxiety for the start of the presentation is the first in my list. When it is almost my time to go on the stage i become nervous. Nervousness makes my heart beat up and throat dry. Any time I have a public speech I always start taking deep breaths from the time I start feeling nervous and it usually work. Another technique I use is diverting my mind by thinking about something completely different from the current situation or sing a song in my mind. And it usually helps. Improving the skills in public speaking is important for nurses because we talk all day long. Especially if a nurse want to advance in the career or just be a better nurse, communicating effectively is an essential skill. It is important to earn to sum up thoughts, ideas, and solutions faster than most other professionals.Reference:Quinn-Szcesuil, Julia. (2017). How can public speaking help your career?. Retrieved from https://minoritynurse.com/how-can-public-speaking-...Peer DQ6My personal strength is that I have confidence that when I start speaking on the topic I had prepared, I will give a very good presentation, no matter the size of the audience, because the presentation must be what affects the audience, and the topic that will catch the interest of the audience. Every Nurse is a leader, leadership entails being able to educate/ teach, mentor and impact knowledge. The objective of Presentation is to bring transformation. The quality of input, process affects the output and outcome. Actually, nurses should be transformational leaders. Transformational leadership is positively associated with the degree of shared understanding of professional quality among professionals and that a shared understanding of quality is positively associated with high levels of professional quality. When characterize planning and preparation condition is characterized for service delivery as desirable in themselves, the understanding of professional quality has a process focus. An output-oriented understanding of professional quality is seen when certain activities and services are perceived as desirable (Andersen, Bjørnholt, Bro, & Holm-Petersen (2018). My weakness is having so much anxiety before the presentation. Because I now this weakness, I often look forward to that moment or the time to start the presentation, so that the anxiety can wear off as one thing is taken at a time, and the calmness ensues. Reference: Andersen, L. B., Bjørnholt, B., Bro, L. L., & Holm-Petersen, C. (2018). Achieving High Quality Through Transformational Leadership: A Qualitative Multilevel Analysis of Transformational Leadership and Perceived Professional Quality. Public Personnel Management, 47(1), 51–72. https://doi-org.lopes.idm.oclc.org/10.1177/0091026...

Insurance is based on pooling of losses, payment for random losses, risk transfer, and indemnification. As a result, insurers use several different approaches to mitigate their risk and set premium rates, including: the fee-for-service method the cost approaches the demographic approach For your assignment, you require to evaluate two global payment systems within healthcare with focus on: - Introduction for each payment system. - The financial risks for providers. - Identify the pluses and minuses of both approaches used to mitigate these risks.