Case Study Assignment: Assessing Neurological Symptoms

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Case Study Assignment: Assessing Neurological Symptoms

case study

A 20-year-old male complains of experiencing intermittent headaches. The headaches diffuse all over the head, but the greatest intensity and pressure occurs above the eyes and spreads through the nose, cheekbones, and jaw.

ith regard to the case study you were assigned:

  • Review this week’s Learning Resources, and consider the insights they provide about the case study.
  • Consider what history would be necessary to collect from the patient in the case study you were assigned.
  • Consider what physical exams and diagnostic tests would be  appropriate to gather more information about the patient’s condition.  How would the results be used to make a diagnosis?
  • Identify at least five possible conditions that may be considered in a differential diagnosis for the patient. Case Study Assignment: Assessing Neurological Symptoms

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The Case Study Assignment

Use the Episodic/Focused SOAP Template and  create an episodic/focused note about the patient in the case study to  which you were assigned using the episodic/focused note template  provided in the Week 5 resources. Provide evidence from the literature  to support diagnostic tests that would be appropriate for each case.  List five different possible conditions for the patient’s differential  diagnosis, and justify why you selected each.

This is the symptom analysis section of your note. Thorough documentation in this section is essential for patient care, coding, and billing analysis. Paint a picture of what is wrong with the patient. Use LOCATES Mnemonic to complete your HPI. You need to start EVERY HPI with age, race, and gender (e.g., 34-year-old AA male). You must include the seven attributes of each principal symptom in paragraph form not a list. If the CC was “headache”, the LOCATES for the HPI might look like the following example:

Location: head, pain all over, pain is worse with pressure on the forehead, the nose, cheekbones, and jaw.

Onset: Intermittent for two months, more frequent one week.

Character: pounding dull ache with pressure

Associated signs and symptoms: nausea, photophobia, phonophobia

Timing: onset varies in time but most frequently in the evening after work.

Exacerbating/ relieving factors: cool rag on forehead helps slightly, light, and noise make it worse. Case Study Assignment: Assessing Neurological Symptoms

Severity: 8/10 pain scale

Current Medications: Fluticasone Propionate Nasal Spray 50 mcg sprayed in each nostril once daily for season allergies. OTC Acetaminophen 500 mg PO every 6 hours for pain.

Allergies: Latex, rash. Strawberries, rash.

PMHx: Appendectomy age 10 years old, L4-L5 lumbar spinal fusion 2008 and T2-T3 cervical spinal fusion 2010 both for degenerative disk disease. Tetanus vaccine 2007. Flu vaccine October 2017, reports up to date on all other vaccines. Soc Hx: Accountant and competitive dart thrower. Single, heterosexual, denies current sexual partner, states he has no interest in “dating” at this time. Denies smoking, exposed to second hand smoke at Dart competitions. Denies alcohol intake. Reports seat belt use while driving, denies guns in home, lives alone. Reports several caffeinated beverages daily, > 3 cups coffee and soda.

Fam Hx: Father living age 81, coronary artery disease, HTN, and skin cancer unknown type, Mother diseased age 71 breast cancer, Grandparents all diseased unknown health history, One sibling, living, brother age 55, CVA.

ROS:

GENERAL:  Denies recent illness, weight loss or gain, denies any fevers, chills, or night sweats.

HEENT:  Eyes:  Denies visual loss, blurred vision, double vision or yellow sclerae, states that eyes are very sensitive to light during headaches. Ears: denies pain, discharge, or hearing changes. Nose: reports seasonal rhinorrhea, reports pain during headaches in sinus area, Throat: Denies pain, denies difficulty speaking or swallowing.

SKIN: Denies any open wounds, sores, lesions, rash, or bruising.

CARDIOVASCULAR: Denies chest pain, chest pressure or chest discomfort. Denies palpitations and edema. Case Study Assignment: Assessing Neurological Symptoms

RESPIRATORY:  Denies shortness of breath, cough.

GASTROINTESTINAL:  Reports anorexia with headaches, nausea, and vomiting.

GENITOURINARY: Denies burning on urination, increased frequency, or nocturea.

NEUROLOGICAL:  Intermittent headaches, denies dizziness, denies syncope, denies paralysis, ataxia, numbness or tingling in the extremities. Denies changes in bowel or bladder control.

MUSCULOSKELETAL:  Denies muscle pain, back pain, joint pain or stiffness.

HEMATOLOGIC:  Denies bleeding of gums, denies frequent bruising.

LYMPHATICS:  Denies enlarged nodes.

PSYCHIATRIC:  Reports history of depression and anxiety, has never sought treatment. Reports good mood recently.

ENDOCRINOLOGIC:  Denies excessive thirst, hunger, or need to urinate.

ALLERGIES:  Seasonal allergies with Rhinorrhea and sneezing, treated with nasal spray. Strawberries and Latex produce rash response.

O.

Physical exam:

General: BP138/784, P 86, T. 98.7, R 18 Psa02 98% room air. S.O. is a pleasant well fed, well groomed Asian male that presents with c.o. intermittent headache more severe over his eyes, nose, and into his jaw. Onset two month ago becoming more frequent this last week. Pt report photophobia, intolerance to sound, and nausea with occasional vomiting with headaches.

Head: Full range of motion of neck and head, Symmetric, no lesion or evidence trauma observed. Facial features symmetric, no tics, tremors, or drooping observed. Frontal and Maxillary sinus tender to palpation. Ears: Symmetric, patent, pearl grey tympanic membrane, no erythema present Eyes: Clear sclera, no discharge, pupil equal and reactive to light Nose: Mild clear rhinorrhea noted, both naris patent, septum intact, no deviation, bleeding, or crusts noted. Pale, boggy mucosa. Throat: No swelling of tonsils noted, pink, no erythema or excaudate noted. Post nasal drainage evident.

Neck: Symmetric, trachea aligned, no masses, webbing, or skinfolds noted. No palpable lymph nodes in neck. Thyroid gland palpated, no gross abnormalities.

Cardiovascular; Regular Rate and Rhythm, S1 and S2 presents, no advantageous sounds noted. No peripheral edema.

Respiratory: Lung sounds clear over all fields, no advantageous sounds noted.

Neurological: Answers question appropriately, oriented to person, place, and situation. Pupils equal and reactive to light. Grip strength equal both hands, face symmetric. Short term and long term memory intact. Headache rated 8/10 on pain scale intermittent. Photophobia, photophobia, nausea and vomiting present with headache.

Diagnostic results: Nasal smear/nasal scraping to look for eosinophils would confirm allergic rhinitis (Dains, Baumann, Scheibel, 2016). Patients with severe symptoms may indicate need for radiograph (Dains, Baumann, Scheibel, 2016). If the disorder does not respond to therapy may require a CT scan to determine the extend of the disease (Dains, Baumann, Scheibel, 2016). MRI is indicated in severe cases to see soft tissue pathology and brain tissue abnormality (Dains, Baumann, Scheibel, 2016). Sinus Aspiration is performed by otolaryngologists to confirm bacterial sinusitis (Dains, Baumann, Scheibel, 2016). An otolaryngologist may also perform a nasal endoscopy (Dains, Baumann, Scheibel, 2016). Allergy skin testing can be helpful in determining the reason for seasonal changes (Dains, Baumann, Scheibel, 2016)Case Study Assignment: Assessing Neurological Symptoms.

 

Benchmark – Population Health Policy Analysis

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Benchmark – Population Health Policy Analysis

Select a current or proposed health care policy that is designed to improve a specific population’s access to quality, cost-effective health care. In a paper of 1,000-1,250 words, include the following:

  1. Explain the policy and how it is designed to improve cost-effectiveness and health care equity for the population. Is the policy financially sound? Why or why not? How does the policy account for any relevant ethical, legal, and political factors and the nursing perceptive one must consider when implementing it?
  2. To what state, federal, global health policies or goals is this particular policy related? How well do you think the policy is designed to achieve those goals?
  3. Finally, discuss the advocacy strategies you would employ on behalf of your population to ensure they have access to the benefits of the policy. Explain, from a Christian perspective, the professional and moral obligation of advanced registered nurse to advocate for and promote health and prevent disease among diverse populations. Benchmark – Population Health Policy Analysis

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You are required to cite five to 10 sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and nursing content.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite. Please refer to the directions in the Student Success Center.

Rubric

Financially Sound Health Care Policy That Incorporates the Nursing Perspective and Relevant Ethical, Legal, and Political Factors (2.1)

20.0

A comprehensive discussion of financially sound health care policy that incorporates the nursing perspective and relevant ethical, legal, and political factors is thoroughly developed with supporting details.

 

Integration of Appropriate State, Federal, and Global Health Policies and Goals Related to Equitable Health Care for Populations (4.2) Benchmark – Population Health Policy Analysis

20.0

A comprehensive discussion of appropriate state, federal, and global health policies and goals related to equitable health care for populations is thoroughly developed with supporting details.

Advocacy Strategies for Improving Access, Quality, and Cost-Effective Health Care for Diverse Populations (2.2)

10.0

A comprehensive discussion of advocacy strategies for improving access, quality, and cost-effective health care for diverse populations is thoroughly developed with supporting details.

The Professional and Moral Obligation of Advanced Registered Nurses to Respect Human Dignity and Advance the Common Good Through Working to Promote Health and Prevent Disease Among Diverse Populations from a Christian Perspective (4.3)

15.0

A comprehensive discussion of the professional and moral obligation of advanced registered nurses to respect human dignity and advance the common good through working to promote health and prevent disease among diverse populations from a Christian perspective is thoroughly developed with supporting details.

Required Sources

5.0

Number of required resources is met. Sources are current, and appropriate for the assignment criteria and nursing content Benchmark – Population Health Policy Analysis.

Nursing and Health Care Professions

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Nursing and Health Care Professions

In concert with the mission of the university, the College of Nursing and Health Care Professions faculty affirms our belief in educating nurses within a dedicated and supportive community of Christian nurse scholars. The nursing programs prepare graduates to provide excellent, holistic care while encouraging a passion for achievement, a lifelong curiosity for knowledge, and pursuit of advanced professional degrees.

The AACN Essentials of Baccalaureate Education for Professional Nursing Practice guides the curriculum for the baccalaureate program. The AACN’s The Essentials of Master’s Education for Advanced Nursing Practice, Advanced Nursing Practice: Curriculum Guidelines and Program Standards for Nurse Practitioner Education, NONPF and AACN Nursing Practitioner Primary Care Competencies in Specialty Areas, NONPF Domains and Competencies of Nurse Practitioner Practice, and NACNS Statement on Clinical Nurse Specialist Practice and Education provide structure for the curriculum content of the master’s program.

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The College of Nursing and Health Care Professions curriculum is designed to facilitate the students’ abilities to creatively respond to continuously changing health care systems throughout the world. Educational experiences are planned to meet the needs of and to empower both students and clients. Professionalism, ethical decision making, accountability, critical thinking, and effective communication are emphasized. This is achieved through the application of liberal arts constructs, science, health and nursing theories, and the values of the Christian faith within the scope of nursing knowledge and evidence-based practice. Nursing practice promotes human dignity through compassionate caring for all human beings, without consideration of their gender, age, color, creed, lifestyle, cultural background, and other visible or invisible boundaries among students, faculty, and clients Nursing and Health Care Professions.

The faculty of the College of Nursing and Health Care Professions is accountable for the quality of the educational programs and for the promotion of safe and effective nursing through teaching, service, and collaboration with other professionals and consumers of care. The following statements reflect the philosophical beliefs of the faculty in relation to the concepts of health, environment, person, and nursing:

HEALTH

Health is the central focus of nursing. Health is a dynamic aspect of being that incorporates physical, emotional, intellectual, spiritual, and social dimensions.

ENVIRONMENT

All humans interact with the physical, emotional, intellectual, spiritual, and social environments in which they work, play, and live. The nursing role is to help provide healthy and safe environments so that persons may live in optimal health.

PERSON

We believe that all people are accepted and loved unconditionally as children of God. In the baccalaureate program, clients are considered to be individuals, families, groups, communities, and populations. In the master’s program, clients include in addition organizations/systems. Human diversity is cherished. Spirituality is conceived as vertical and horizontal relationships with God and humanity. These relationships give hope and meaning to life now and in the future.

NURSING

Baccalaureate nursing practice incorporates the roles of assessing, critical thinking, communicating, providing care, teaching, and leading. The caring professional approach includes the values of autonomy, altruism, human dignity, integrity, and social justice with unconditional regard for all people. Nursing practice includes health promotion, disease prevention, early detection of health deviations, prompt and adequate treatment of the human response to acute and chronic illness, and compassionate care for those experiencing death Nursing and Health Care Professions.

Master’s nursing practice expands upon baccalaureate nursing concepts to include clinical practice knowledge, coaching/mentoring/teaching, consulting/collaborating, advanced leadership, and nursing education with a focus on research and quality assurance, critical thinking, spirituality, diversity, caring, and lifelong learning. The advanced professional nursing role relies on best practices and evidence-based research with a focus on evaluation of health, outcomes, and processes.

Nursing education is theory driven. Theories are derived from the humanities, sciences, and Biblical concepts. Nursing knowledge, theory, research, and health promotion are influenced by spiritual perspectives, and ethical, legal, political, historical, and social influences. The faculty values excellence in teaching with an individual focus on the learner. Teaching includes a variety of methods, learning modalities, and practice situations. Faculty provide opportunities for students to give comprehensive care to diverse client populations, and the learning environment is created and arranged to meet individual learning outcomes that are consistent with the College of Nursing and Health Care Professions program outcomes. The College of Nursing and Health Care Professions supports life-long learning endeavors and fosters an appreciation of diversity among traditional and nontraditional learners. Students are educated to provide, direct, and evaluate client-centered care while focusing on the person as an integrated whole Nursing and Health Care Professions.

Discussion Health Care Ethics

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Discussion Health Care Ethics

Discussion Exercise: Chapter 7

Objective: The students will complete a Virtual Classroom Discussion Exercise that will Extend your knowledge beyond the core required materials for this class, Engage in collaborative learning with other students to improve the quality of the learning experience for all students and Apply the higher cognitive skills associated with critical thinking to your academic and professional work.

ASSIGNMENT GUIDELINES (10%): Discussion Health Care Ethics 

Students will judgmentally amount the readings from Chapter assign on your textbook. This assignment is prearranged to help you to learning in all disciplines because it helps student’s process information rather than simply receive it.
You need to read the PowerPoint Presentation assigned for week 4 and develop a 2-3 page paper replicating your appreciative and competence to apply the readings to your ethics knowledge. Each paper must be typewritten with 12-point font and double-spaced with standard margins. Follow APA style 7th edition format when referring to the selected articles and include a reference page.

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EACH   PAPER SHOULD INCLUDE THE FOLLOWING:

1. Introduction (25%) Provide a brief synopsis of the meaning (not a description) of each Chapter and articles you read, in your own words that will apply to the case study presented.

2.  Discussion Challenge (65%)

Health care in the 21st century is governed by a confusing array of rules, regulations, laws, and ethical standards. Issues that involve confidentiality, informed consent, and patient relationships can appear out of nowhere, even when health care workers have the best of intentions. What’s legal today might not be considered ethical, and there is the ever-present threat of being sued for negligence and malpractice. There are unresolved issues around doctor assisted dying that have yet to be worked out, while medical procedures considered ethical for adults might not be seen as ethical for minors. Discussion Health Care Ethics

Here are the top five ethical issues that health care managers of today and tomorrow will be facing in the course of delivering responsible and compassionate patient care.

a. Patient Confidentiality

b. Patient Relationships

c. Malpractice and Negligence

d. Informed Consent

e. Issues Related To Physician Assisted Suicide (PAD).

STUDENT CHALLENGE:

1. Describe, mention and define the five ethical issues that health care managers of today and explain your point of view relate with the ethical implication.

2. Designate and discussion how this five issues where affected by the COVID-19 pandemic?  Discussion Health Care Ethics 

Assignment: Legal Implications of Prescribing Drugs

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Assignment: Legal Implications of Prescribing Drugs

At least 3 citations and references.

What type of drug should you prescribe based on your patient’s diagnosis? How much of the drug should the patient receive? How often should the drug be administered? When should the drug not be prescribed? Are there individual patient factors that could create complications when taking the drug? Should you be prescribing drugs to this patient? How might different state regulations affect the prescribing of this drug to this patient?

These are some of the questions you might consider when selecting a treatment plan for a patient.  Assignment: Legal Implications of Prescribing Drugs

As an advanced practice nurse prescribing drugs, you are held accountable for people’s lives every day. Patients and their families will often place trust in you because of your position. With this trust comes power and responsibility, as well as an ethical and legal obligation to “do no harm.” It is important that you are aware of current professional, legal, and ethical standards for advanced practice nurses with prescriptive authority. Additionally, it is important to ensure that the treatment plans and administration/prescribing of drugs is in accordance with the regulations of the state in which you practice. Understanding how these regulations may affect the prescribing of certain drugs in different states may have a significant impact on your patient’s treatment plan. In this Assignment, you explore ethical and legal implications of scenarios and consider how to appropriately respond.

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To Prepare

· Review the Resources for this module and consider the legal and ethical implications of prescribing prescription drugs, disclosure, and nondisclosure.

· Review the scenario assigned by your Instructor for this Assignment.

· Search specific laws and standards for prescribing prescription drugs and for addressing medication errors for your state or region, and reflect on these as you review the scenario assigned by your Instructor.

· Consider the ethical and legal implications of the scenario for all stakeholders involved, such as the prescriber, pharmacist, patient, and patient’s family.

· Think about two strategies that you, as an advanced practice nurse, would use to guide your ethically and legally responsible decision-making in this scenario, including whether you would disclose any medication errors.

Write a 2- to 3-page paper that addresses the following: Assignment: Legal Implications of Prescribing Drugs

· Explain the ethical and legal implications of the scenario you selected on all stakeholders involved, such as the prescriber, pharmacist, patient, and patient’s family.

· Describe strategies to address disclosure and nondisclosure as identified in the scenario you selected. Be sure to reference laws specific to your state.

· Explain two strategies that you, as an advanced practice nurse, would use to guide your decision making in this scenario, including whether you would disclose your error. Be sure to justify your explanation.

· Explain the process of writing prescriptions, including strategies to minimize medication errors.

Reminder: The College of Nursing requires that all papers submitted include a title page, introduction, summary, and references. The College of Nursing Writing Template with Instructions provided at the Walden Writing Center offers an example of those required elements (available at https://academicguides.waldenu.edu/writingcenter/templates/general#s-lg-box-20293632 )Assignment: Legal Implications of Prescribing Drugs. All papers submitted must use this formatting.

RUBRIC AND READINGS

  Excellent Good Fair Poor
Explain the ethical and legal implications of the scenario you selected on all stakeholders involved such as the prescriber, pharmacist, patient, and the patient’s family. 23 (23%) – 25 (25%)

The response accurately and thoroughly explains in detail the ethical and legal implications of the scenario selected on all stakeholders involved. The response includes accurate, clear, and detailed explanations as to how these implications affect the prescriber, pharmacist, patient, and the patient’s family.

 20 (20%) – 22 (22%)

The response explains the ethical and legal implications of the scenario selected on all stakeholders involved. The response includes accurate explanations as to how these implications affect the prescriber, pharmacist, patient, and the patient’s family.

 18 (18%) – 19 (19%)

The response inaccurately or vaguely explains the ethical and legal implications of the scenario selected for all stakeholders involved. The response includes vague explanations as to how these implications affect the prescriber, pharmacist, patient, and the patient’s family.

 0 (0%) – 17 (17%)

The response vaguely and inaccurately explains the ethical and legal implications of the scenario selected for all stakeholders involved, or the response is missing. The response vaguely and inaccurately explains how these implications affect the prescriber, pharmacist, patient, and the patient’s family, or is missing.
Describe strategies to address disclosure and nondisclosure as identified in the scenario selected. Be sure to reference laws specific to your state. 18 (18%) – 20 (20%)

An accurate, detailed, and clear description of strategies to address disclosure and nondisclosure as identified in the scenario selected is provided. The response includes specific, detailed, and accurate reference to state laws related to the scenario.

 16 (16%) – 17 (17%)

An accurate description of strategies to address disclosure and nondisclosure as identified in the scenario selected is provided. The response includes accurate reference to state laws related to the scenario.

 14 (14%) – 15 (15%)

A vague or inaccurate description of strategies to address disclosure and nondisclosure as identified in the scenario selected is provided. The response includes inaccurate or vague reference to state laws related to the scenario.

 0 (0%) – 13 (13%)

A vague and inaccurate description of strategies to address disclosure and nondisclosure as identified in the scenario selected is provided, or is missing. The response includes vague and inaccurate reference to state laws related to the scenario, or is missing.
Explain two strategies that you, as an advanced practice nurse would use to guide your decision making in this scenario, including whether you would disclose your error. Be sure to justify your explanation. 18 (18%) – 20 (20%)

The response accurately and thoroughly explains in detail at least two strategies that an advanced practice nurse would use to guide decision making in the scenario. The response accurately and completely explains whether they would disclose the error, including an accurate, detailed, and clear justification for the explanation provided.

 16 (16%) – 17 (17%)

The response accurately explains at least two strategies that an advanced practice nurse would use to guide decision making in the scenario. The response accurately explains whether they would disclose the error, including an accurate justification for the explanation provided.

 14 (14%) – 15 (15%)

The response inaccurately or vaguely explains at least two strategies that an advanced practice nurse would use to guide decision making in the scenario, or only explains one strategy. The response inaccurately or vaguely explains whether they would disclose the error, including a justification that is vague, inaccurate, or misaligned to the explanation provided.

 0 (0%) – 13 (13%)

The response inaccurately and vaguely explains only one strategy that an advanced practice nurse would use to guide decision making in the scenario, or is missing. The response inaccurately and vaguely explains whether they would disclose the error, with no justification provided, or is missing.
Explain the process of writing prescriptions including strategies to minimize medication errors. 18 (18%) – 20 (20%)

The response provides an accurate, detailed, and thorough explanation of the process of writing prescriptions, including detailed strategies to minimize medication errors.

 16 (16%) – 17 (17%)

The response provides an accurate explanation of the process of writing prescriptions, including some strategies to minimize medication errors.

 14 (14%) – 15 (15%)

The response provides an inaccurate or vague explanation of the process of writing prescriptions, including inaccurate or vague strategies to minimize medication errors.

 0 (0%) – 13 (13%)

The response provides an inaccurate and vague explanation of the process of writing prescriptions, including inaccurate and vague strategies to minimize medication errors, or is missing.
Written Expression and Formatting – Paragraph Development and Organization: Paragraphs make clear points that support well developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are carefully focused–neither long and rambling nor short and lacking substance. 5 (5%) – 5 (5%)

Paragraphs and sentences follow writing standards for flow, continuity, and clarity.

 4 (4%) – 4 (4%)

Paragraphs and sentences follow writing standards for flow, continuity, and clarity 80% of the time.

 3.5 (3.5%) – 3.5 (3.5%)

Paragraphs and sentences follow writing standards for flow, continuity, and clarity 60%–79% of the time.

 0 (0%) – 3 (3%)

Paragraphs and sentences follow writing standards for flow, continuity, and clarity less than 60% of the time.
Written Expression and Formatting – English writing standards: Correct grammar, mechanics, and proper punctuation 5 (5%) – 5 (5%)

Uses correct grammar, spelling, and punctuation with no errors

 4 (4%) – 4 (4%)

Contains a few (1–2) grammar, spelling, and punctuation errors

 3.5 (3.5%) – 3.5 (3.5%)

Contains several (3–4) grammar, spelling, and punctuation errors

 0 (0%) – 3 (3%)

Contains many (≥ 5) grammar, spelling, and punctuation errors that interfere with the reader’s understanding
Written Expression and Formatting – The paper follows correct APA format for title page, headings, font, spacing, margins, indentations, page numbers, running head, parenthetical/in-text citations, and reference list. 5 (5%) – 5 (5%)

Uses correct APA format with no errors

 4 (4%) – 4 (4%)

Contains a few (1–2) APA format errors

 3.5 (3.5%) – 3.5 (3.5%)

Contains several (3–4) APA format errors

 0 (0%) – 3 (3%)

Contains many (≥ 5) APA format errors

READINGS

Rosenthal, L. D., & Burchum, J. R. (2018). Lehne’s pharmacotherapeutics for advanced practice providers. St. Louis, MO: Elsevier.

· Chapter 1, “Prescriptive Authority” (pp. 1–3)

· Chapter 2, “Rational Drug Selection and Prescription Writing” (pp. 5–9)

· Chapter 3, “Promoting Positive Outcomes of Drug Therapy” (pp. 11–16)

· Chapter 4, “Pharmacokinetics, Pharmacodynamics, and Drug Interactions” (pp. 17–40)

· Chapter 5, “Adverse Drug Reactions and Medical Errors” (pp. 41–49)

· Chapter 6, “Individual Variation in Drug Response” (pp. 51–56)

 

American Geriatrics Society 2019 Beers Criteria Update Expert Panel. (2019). American Geriatrics Society 2019 updated AGS Beers criteria for potentially inappropriate medication use in older adults. Journal of the American Geriatrics Society, 67(4), 674–694. doi:10.1111/jgs.15767

American Geriatrics Society 2019 updated AGS Beers criteria for potentially inappropriate medication use in older adults by American Geriatrics Society, in Journal of the American Geriatrics Society, Vol. 67/Issue 4. Copyright 2019 by Blackwell Publishing. Reprinted by permission of Blackwell Publishing via the Copyright Clearance Center.

This article is an update to the Beers Criteria, which includes lists of potentially inappropriate medications to be avoided in older adults as well as newly added criteria that lists select drugs that should be avoided or have their dose adjusted based on the individual’s kidney function and select drug-drug interactions documented to be associated with harms in older adults. Assignment: Legal Implications of Prescribing Drugs

Drug Enforcement Administration. (n.d.-a). Code of federal regulations. Retrieved February 1, 2019, from https://www.deadiversion.usdoj.gov/21cfr/cfr/1300/1300_01.htm

 

This website outlines the code of federal regulations for prescription drugs.

 

Drug Enforcement Administration. (n.d.-b). Mid-level practitioners authorization by state. Retrieved May 13, 2019 from http://www.deadiversion.usdoj.gov/drugreg/practioners/index.html

 

This website outlines the schedules for controlled substances, including prescriptive authority for each schedule.

Drug Enforcement Administration. (2006). Practitioner’s manual. Retrieved from http://www.legalsideofpain.com/uploads/pract_manual090506.pdf This manual is a resource for practitioners who prescribe, dispense, and administer controlled substances. It provides information on general requirements, security issues, recordkeeping, prescription requirements, and addiction treatment programs.

Drug Enforcement Administration. (n.d.-c). Registration. Retrieved February 1, 2019, from https://www.deadiversion.usdoj.gov/drugreg/index.html

This website details key aspects of drug registration.

 

Fowler, M. D. M., & American Nurses Association. (2015). Guide to the Code of Ethics for Nurses with Interpretive Statements: Development, Interpretation, and Application (2nd ed.). Silver Spring, Maryland: American Nurses Association.

 

This resource introduces the code of ethics for nurses and highlights critical aspects for ethical guideline development, interpretation, and application in practice.

 

Institute for Safe Medication Practices. (2017). List of error-prone abbreviations, symbols, and dose designations. Retrieved from https://www.ismp.org/recommendations/error-prone-abbreviations-list

 

This website provides a list of prescription-writing abbreviations that might lead to misinterpretation, as well as suggestions for preventing resulting errors.

 

 

Ladd, E., & Hoyt, A. (2016). Shedding light on nurse practitioner prescribing. The Journal for Nurse Practitioners, 12(3), 166–173. doi:10.1016/j.nurpra.2015.09.17

 

This article provides NPs with information regarding state-based laws for NP prescribing.

 

Sabatino, J. A., Pruchnicki, M. C., Sevin, A. M., Barker, E., Green, C. G., & Porter, K. (2017). Improving prescribing practices: A pharmacist‐led educational intervention for nurse practitioner students. Journal of the American Association ofNursePractitioners, 29(5), 248–254. doi:10.1002/2327-6924.12446

 

The authors of this article assess the impact of a pharmacist‐led educational intervention on family nurse practitioner (FNP) students’ prescribing skills, perception of preparedness to prescribe, and perception of pharmacist as collaborator Assignment: Legal Implications of Prescribing Drugs.

Differentiating Strategic, Operational, And Tactical Planning

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Differentiating Strategic, Operational, And Tactical Planning

References:

Martin, B. C. (2019). Planning: What is it and why is it important? In Strategic planning in healthcare: An introduction for health professionals (pp. 1–19). Springer.

Martin, B. C. (2019). The strategic planning process. In Strategic planning in healthcare: An introduction for health professionals (pp. 21–35). Springer.

Martin, B. C. (2019). Sample strategic plans. In Strategic planning in healthcare: An introduction for health professionals (pp.135–169). Springer. Differentiating Strategic, Operational, And Tactical Planning

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Thomas, P. L., & Winter, J. (2020). Strategic practices in achieving organizational effectiveness. In L. A. Roussel, P. L. Thomas, & J. L. Harris (Eds.), Management and leadership for nurse administrators (8th ed., pp. 135–154). Jones & Bartlett Learning.

Continuous planning is an important activity for any organization that aims to evolve to stay current in its industry and serve its intended purpose. There are several types of planning used by nurse executives: strategic planning, operational planning, and tactical planning. Each type of planning usually occurs at different management levels and over different periods of time. A clear understanding of the differences between each type of plan will aid you next week in selecting a meaningful strategic issue for your Strategic Plan.

*** In your own words, differentiate between an operational plan, a tactical plan, and a strategic plan. Provide an example of each Differentiating Strategic, Operational, And Tactical Planning.

Qualitative Research Critique And Ethical Considerations

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Qualitative Research Critique And Ethical Considerations

Write a critical appraisal that demonstrates comprehension of two qualitative research studies. Use the “Research Critique Guidelines – Part 1” document to organize your essay. Successful completion of this assignment requires that you provide rationale, include examples, and reference content from the studies in your responses.

Use the practice problem and two qualitative, peer-reviewed research article you identified in the Topic 1 assignment to complete this assignment Qualitative Research Critique And Ethical Considerations.

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In a 1,000–1,250 word essay, summarize two qualitative studies, explain the ways in which the findings might be used in nursing practice, and address ethical considerations associated with the conduct of the study.

Prepare this assignment according to the guidelines found in the APA Style Guide. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

PICOT Question:

For hospitalized patients age 65 and older (P), does the use of bed alarms (I), compared to current practice (C), reduce the number of fall incidents (O), within 4 weeks (T)?

(use two Qualitative articles for this paper)

Research Critique Guidelines – Part I

Use this document to organize your essay. Successful completion of this assignment requires that you provide a rationale, include examples, and reference content from the studies in your responses Qualitative Research Critique And Ethical Considerations.

Qualitative Studies

Background of Study

1. Summary of studies. Include problem, significance to nursing, purpose, objective, and research question.

How do these two articles support the nurse practice issue you chose?

1. Discuss how these two articles will be used to answer your PICOT question.

2. Describe how the interventions and comparison groups in the articles compare to those identified in your PICOT question.

Method of Study:

1. State the methods of the two articles you are comparing and describe how they are different.

2. Consider the methods you identified in your chosen articles and state one benefit and one limitation of each method.

Results of Study

1. Summarize the key findings of each study in one or two comprehensive paragraphs.

2. What are the implications of the two studies in nursing practice?

Ethical Considerations

1. Discuss two ethical consideration in conducting research.

2. Describe how the researchers in the two articles you choose took these ethical considerations into account while performing their research Qualitative Research Critique And Ethical Considerations.

Discussion External Authoritative Source

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Discussion External Authoritative Source

1-  Introduction

2-  Data and Sources. All data (facts and figures/statistics) shall be cited and referenced appropriately in APA Style. All writing shall be by the students. No cutting and pasting of text from any source is allowed. For those groups that need help with proper APA in text citation and references, please see the following link: http://owl.english.purdue.edu/owl/ (Links to an external site.). Additional APA Style links and documents will be posted on the Class online site. Also, see www.refworks.com (Links to an external site.) – this source is An additional source http://bruteforcestudyguide.com/essaywriting/apastyle.html Discussion External Authoritative Source

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3-  Required Sources: Each issue, question, paragraph and sentence with a statistic, number or direct quote is required to contain at least one “External Authoritative Source” in addition to the case study and the textbook to support the statements and conclusions made therein.

4-  Required Sources: A source and citation is required on each table/chart used.

5-  Required Sources: Two “External Authoritative Sources” in addition to the case study and textbook are required for maximum points on EACH answer.

6-  Required Sources: A source cannot be referenced unless it was cited in the narrative answer.

7-  Case Study Reference: McAlearney, A. and Kovner, A. (2013). Health Services Management: Cases ; Readings ; and Commentary ; Tenth Edition. 10th ed. Arlington: AUPHA, pp.270-277.

8-  Required: Any direct quote in the narrative must include the page or paragraph number in the citation. Discussion External Authoritative Source

9-  “External Authoritative Sources” for purposes of this course shall mean: books, peer reviewed journal articles, education and government sites as well as non-partisan national or international organizations (such as WHO, UNICEF, UNAIDS etc) provided, the foregoing source/material selected has in text citations and references to support statements made therein. Under no circumstances are newspapers including the Wall Street Journal, blogs (regardless of source), editorials, panel discussions and dot com sites to be used. The foregoing is not considered authoritative for this course.

10-  A minimum of 2 pages is requirement, excluding introduction page and the reference page Discussion External Authoritative Source.

Healthcare: Interview And Interdisciplinary Issue Identification

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Healthcare: Interview And Interdisciplinary Issue Identification

Assessment 2 Instructions: Interview and Interdisciplinary Issue Identification

  • For this assessment, you will create a 2-4 page report on an interview you have conducted with a health care professional. You will identify an issue from the interview that could be improved with an interdisciplinary approach, and review best practices and evidence to address the issue.
    As a baccalaureate-prepared nurse, your participation and leadership in interdisciplinary teams will be vital to the health outcomes for your patients and organization. One way to approach designing an improvement project is to use the Plan-Do-Study-Act (PDSA) cycle. The Institute for Healthcare Improvement describes it thus: Healthcare: Interview And Interdisciplinary Issue Identification
    The Plan-Do-Study-Act (PDSA) cycle is shorthand for testing a change in the real work setting—by planning it, trying it, observing the results, and acting on what is learned. This is the scientific method adapted for action-oriented learning…Essentially, the PDSA cycle helps you test out change ideas on a smaller scale before evaluating the results and making adjustments before potentially launching into a somewhat larger scale project (n.d.).  Healthcare: Interview And Interdisciplinary Issue Identification

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    You might also recognize that the PDSA cycle resembles the nursing process. The benefit of gaining experience with this model of project design is that it provides nurses with an opportunity to ideate and lead improvements. For this assessment, you will not be implementing all of the PDSA cycle. Instead, you are being asked to interview a health care professional of your choice to determine what kind of interdisciplinary problem he or she is experiencing or has experienced in the workplace. This interview, in Assessment 2, will inform the research that you will conduct to propose a plan for interdisciplinary collaboration in Assessment 3.
    It would be an excellent choice to complete the PDSA Cycle activity prior to developing the report. The activity consists of four questions that create the opportunity to check your understanding of best-practices related to each stage of the PDSA cycle. The information gained from completing this formative will promote your success with the Interview and Interdisciplinary Issue Identification report. This will take just a few minutes of your time and is not graded.
    Reference
    Institute for Healthcare Improvement. (n.d.). How to improve. Retrieved from http://www.ihi.org/resources/Pages/HowtoImprove/default.aspx
    Demonstration of Proficiency Healthcare: Interview And Interdisciplinary Issue Identification

    • Competency 2: Explain how interdisciplinary collaboration can be used to achieve desired patient and systems outcomes.
      • Summarize an interview focused on past or current issues at a health care organization.
      • Describe collaboration approaches from the literature that could be relevant in establishing or improving an interdisciplinary team to address an organizational issue.
    • Competency 3: Describe ways to incorporate evidence-based practice within an interdisciplinary team.
      • Identify an issue from an interview for which an evidence-based interdisciplinary approach would be appropriate.
    • Competency 4: Explain how change management theories and leadership strategies can enable interdisciplinary teams to achieve specific organizational goals.
      • Describe change theories and a leadership strategy that could help develop an interdisciplinary solution to an organizational issue.
    • Competency 5: Apply professional, scholarly, evidence-based communication strategies to impact patient, interdisciplinary team, and systems outcomes. Healthcare: Interview And Interdisciplinary Issue Identification
      • Communicate with writing that is clear, logically organized, and professional, with correct grammar and spelling, using current APA style.
    • Professional Context
      This assessment will introduce the Plan-Do-Study-Act (PDSA) Model to create change in an organization. By interviewing a colleague of your choice, you will begin gathering information about an interprofessional collaboration problem that your colleague is experiencing or has experienced. You will identify a change theory and leadership strategies to help solve this problem.
      Scenario
      This assessment is the first of three related assessments in which you will gather interview information (Assessment 2);  design a proposal for interdisciplinary problem-solving, (Assessment 3); and report on how an interdisciplinary improvement plan could be implemented in a place of practice (Assessment 4). At the end of the course, your interviewee will have a proposal plan based on the PDSA cycle that he or she could present to stakeholders to address an interdisciplinary problem in the workplace.
      For this assessment, you will need to interview a health care professional such as a fellow learner, nursing colleague, administrator, business partner, or another appropriate person who could provide you with sufficient information regarding an organizational problem that he or she is experiencing or has experienced, or an area where they are seeking improvements. Consult the Interview Guide [DOCX] for an outline of how to prepare and the types of information you will need to complete this project successfully.
      Remember: this is just the first in a series of three assessments.
      Instructions Healthcare: Interview And Interdisciplinary Issue Identification
      For this assessment, you will report on the information that you collected in your interview, analyzing the interview data and identifying a past or current issue that would benefit from an interdisciplinary approach. This could be an issue that has not been addressed by an interdisciplinary approach or one that could benefit from improvements related to the interdisciplinary approach currently being used. You will discuss the interview strategy that you used to collect information. Your interview strategy should be supported by citations from the literature. Additionally, you will start laying the foundation for your Interdisciplinary Plan Proposal (Assessment 3) by researching potential change theories, leadership strategies, and collaboration approaches that could be relevant to issue you have identified. Please be certain to review the scoring guide to confirm specific required elements of this assessment. Note that there are differences between basic, proficient and distinguished scores.
      When submitting your plan, use the Interview and Issue Identification Template [DOCX], which will help you to stay organized and concise. As you complete the template, make sure you use APA format for in-text citations for the evidence and best practices that are informing your plan, as well as for the reference list at the end.
      Additionally, be sure to address the following, which corresponds to the grading criteria in the scoring guide. Please study the scoring guide carefully so you understand what is needed for a distinguished score.
    • Summarize an interview focused on past or current issues at a health care organization.
    • Identify an issue from an interview for which an evidence-based interdisciplinary approach would be appropriate.
    • Describe potential change theories and a leadership strategies that could inform an interdisciplinary solution to an organizational issue.
    • Describe collaboration approaches from the literature that could facilitate establishing or improving an interdisciplinary team to address an organizational issue.
    • Communicate with writing that is clear, logically organized, and professional, with correct grammar and spelling, and using current APA style. Healthcare: Interview And Interdisciplinary Issue Identification
    • Additional Requirements
    • Length of submission: Use the provided template. Most submissions will be 2 to 4 pages in length. Be sure to include a reference page at the end of the plan.
    • Number of references: Cite a minimum of 3 sources of scholarly or professional evidence that support your central ideas. Resources should be no more than 5 years old.
    • APA formatting: Make sure that in-text citations and reference list follow current APA style.
    • Portfolio Prompt: Remember to save the final assessment to your ePortfolio so that you may refer to it as you complete the final Capstone course. Healthcare: Interview And Interdisciplinary Issue Identification

Assignment: Searching And Evaluating Ethical Resources

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Assignment: Searching And Evaluating Ethical Resources

Search and Evaluate

This week, you will find three scholarly, peer-reviewed research articles on your topic. Remember that next week you will submit a paper on Cultural and/or Ethical perspectives of inquiry, so use this week’s assignment to prepare materials and collect information for that purpose.

Use articles that will help you explain and describe cultural and/or ethical, legal or regulatory issues related to your topic. You will analyze and evaluate these articles in your submission, which should include: Assignment: Searching And Evaluating Ethical Resources

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  • A brief introductory paragraph
  • Three separate paragraphs, one for each of the three articles, each presenting:
    • A brief 3–4 sentence summary of the article (use in-text citations)
    • An explanation as to what makes this source credible (in the WCU Library go to Research Guides > Research Basics > Evaluating Resources)
    • An explanation of why the article will be useful in addressing your problem or issue
  • A brief conclusion paragraph
  • An APA Style reference list on a separate page

Your paper should be 1–3 pages in length (including the References page). Adhere to APA Style throughout Assignment: Searching And Evaluating Ethical Resources.