Advanced Pharmacology Paper

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Advanced Pharmacology Paper

Assignment: Ethical and Legal Implications of Prescribing Drugs

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.  Advanced Pharmacology Paper

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Photo Credit: Getty Images/Caiaimage

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. Advanced Pharmacology Paper

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: Advanced Pharmacology Paper

As a nurse practitioner, you prescribe medications for your patients. You make an error when prescribing medication to a 5-year-old patient. Rather than dosing him appropriately, you prescribe a dose suitable for an adult.

· 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: include a title page, introduction, summary, and references.

SAMPLE

Ethical and Legal Implications

The prescribers are responsible for calculating children doses and writing it correctly and not depending on the Pharmacist to calculate doses (White, 2011). The provider usually holds the highest responsibility in the process as do the Pharmacist because they fill the medications and rectify errors. Prescribers have a major role in the use of medicine where in the process errors can occur. It is the prescribers’ obligation and duty to report the error to the patient’s family to inform them of the mistake and correct the problem of the dosage. As a prescriber it will be ethical and a legal responsibility regardless of a near miss if a patient is nearly harmed or potential for harm. Medication error is a process that involve different healthcare professionals such as the ordering provider. The family needs to be notified of the error. Pharmacists, with their knowledge and expertise of medicines are ideal educators for other health professionals and their educator role has been shown to be an effective prevention measure in range of patient populations (Arcangelo, 2017). Providers must keep an open, fair working association with their patients. It is our obligation to maintain genuineness with our patients paying little respect to the outcome (Ehsani, 2013). Disclosure of a mistake to the patient will improve the trust in the provider and try to repair or correct the issue. Medication error is a process that involve different healthcare professionals such as the ordering provider Advanced Pharmacology Paper.

 

Strategies

There are strategies that can eliminate medication errors while prescribing. Prescribers need to be aware of the laws in their state which their practicing to ensure liability for unintentional harm is governed by tort law known as professional negligence law which of duty must be compensable harm to the patient, caused damages (Edersheim, & Stern, 2009). The prescriber can have another professional colleague to double check the calculation of the medication to ensure the dosage is correct for the patient when ordering high alert drugs or pediatric dosage. As a prescriber you are responsible for every prescription you write and drug you administer. Medication error can be because of miscommunication between providers, nurses, pharmacist, and patients which communication barriers should be eliminated (Merry, & Anderson, 2011). Its good practice to have your patient read back instructions after educating them about the medication prescribed to ensure the patient understands and comprehends. Lastly, to avoid medication errors prescriptions should be written with double checking doses before discharging the patient.

References

Arcangelo, V. P., & Peterson, A. M. (2017). Pharmacotherapeutics for advanced practice: A practical approach (4th ed.). Ambler, PA: Lippincott Williams and Wilkins

Edersheim, J. G., & Stern, T. A. (2009). Liability Associated with prescribing medications. The Primary Care Companion to the Journal of Clinical Psychiatry, 11(3), 115-119

Ehsani, R., Cheraghi, M. A., Nejati, A., Salari, A., Esmaeilooor, A. H., & Nejad, E. M. (2013). Medication errorw of nurses in the emergency department. Journal of Medical Ethics and History of Medicine, 6, 11. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3885144.

Merry, A. F., & Anderson, B. J. (2011). Medication-errors new approaches to prevention. Pediatric Anesthesia, 21(7), 743-753

White, C. S. (2011). Advanced practice prescribing issues and strategies in preventing medication errors. Journal of Nursing Law, 14(3), 120-127. Retrieved from doi:10.1891/1073-7472.14.3.4.120 Advanced Pharmacology Paper

The Physical Assessment Paper

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The Physical Assessment Paper

Ms. Washington is a 67-year-old African American female who is brought to your office by her daughter with concerns of “forgetfulness.” She has lived with her daughter for 4 years now, and her daughter reports noticing she asks the same questions even after they have been answered. She even reports her mom getting lost in Walmart recently. Ms. Washington has lived with her daughter since losing her husband of 57 years, about 4 years ago. Her daughter states her mother is a retired teacher and usually very astute but notices more forgetfulness.

According to Ms. Washington’s daughter, Angela, her mom has been demonstrating increased forgetfulness of more recent things but can easily recall historical moments and events. She also reports that sometimes her mom has difficulty “finding the right words” in a conversation, and then will shift to an entirely different line of conversation. She also said her mother will “laugh off” things when she forgets important appointments and/or become upset or critical of others who try to point these things out.  The Physical Assessment Paper

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Note: Be sure to review the Mini-Mental State Exam (MMSE) and how to interpret results. Use the MMSE, in the attached document, to determine the patient’s MMSE score in the video. Make sure you document the patient’s score in your SOAP note document: Mental State Assessment Tests.

Ms. Washington is a 67-year-old female who is alert, cooperative with today’s clinical interview. Her eye contact is fair. Speech is clear and coherent but tangential at times. She makes no unusual motor movements and demonstrates no tics. She denies any visual or auditory hallucinations. She denies any suicidal thoughts or ideations. She is alert and oriented to person, partially oriented to place but is disoriented to time and place. (She reported that she thought was headed to work but “wound up here,” referring to your office, at which point she begins to laugh it off.) She denies any falls or pain.  The Physical Assessment Paper

All other Review of System and Physical Exam findings are negative other than stated.

PMH: Hypertension, Hyperlipidemia, Osteoporosis

Allergies: Penicillin, Lisinopril

Medications:

  • Amlodipine 10mg daily
  • HCTZ 12.5mg daily
  • Multivitamin daily
  • Atorvastatin 40mg daily
  • Alendronate 70mg orally once a week

Social History: As stated in Case Study

ROS: As stated in Case study

Diagnostics/Assessments done:

  1. CXR—no cardiopulmonary findings. WNL
  2. CT head—diffuse Cerebral Atrophy
  3. MMSE—Ms. Washington scores 18 out of 30 with primary deficits in orientation, registration, attention and calculation, and recall. The score suggests moderate dementia.  The Physical Assessment Paper

The Assignment: 

Complete the Focused SOAP Note Template provided for the patient in the case study. Be sure to address the following:

  • Subjective: What was the patient’s subjective complaint? What details did the patient provide regarding their history of present illness and personal and medical history? Include a list of prescription and over-the-counter drugs the patient is currently taking. Compare this list to the American Geriatrics Society Beers Criteria®, and consider alternative drugs if appropriate. Provide a review of systems.
  • Objective: What observations did you note from the physical assessment? What were the lab, imaging, or functional assessments results? How would you interpret and address the results of the Mini-Mental State Examination (MMSE)?
  • Assessment: Provide a minimum of three differential diagnoses. List them from top priority to least priority. Compare the diagnostic criteria for each, and explain what rules each differential in or out. Explain you critical thinking process that led you to the primary diagnosis you selected. Include pertinent positives and pertinent negatives for the specific patient case.
  • Plan: Provide a detailed treatment plan for the patient that addresses each diagnosis, as applicable. Include documentation of diagnostic studies that will be obtained, referrals to other healthcare providers, therapeutic interventions, education, disposition of the patient, caregiver support, and any planned follow-up visits. Provide a discussion of health promotion and disease prevention for the patient, taking into consideration patient factors, past medical history (PMH), and other risk factors. Finally, include a reflection statement on the case that describes insights or lessons learned.
  • Provide at least three evidence-based peer-reviewed journal articles or evidenced-based guidelines, which relate to this case to support your diagnostics and differentials diagnoses. Be sure they are current (no more than 5 years old) and support the treatment plan in following current standards of care. Follow APA 7th edition formatting The Physical Assessment Paper.

PATHOPHYSIOLOGY CASE STUDY

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PATHOPHYSIOLOGY CASE STUDY

76-year-old female patient complains of weight gain, shortness of breath, peripheral edema, and abdominal swelling. She has a history of congestive heart failure and admits to not taking her diuretic, as it makes her “have to get up every couple hours to go to the bathroom.” She now has to sleep on two pillows in order to get enough air.

In this Assignment, you examine a case study and analyze the symptoms presented. You identify the elements that may be factors in the diagnosis, and you explain the implications to patient health. PATHOPHYSIOLOGY CASE STUDY

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Assignment 2-page case study analysis

In your Case Study Analysis related to the scenario provided, explain the following

· The cardiovascular and cardiopulmonary pathophysiologic processes that result in the patient presenting these symptoms.

· Any racial/ethnic variables that may impact physiological functioning.

· How these processes interact to affect the patient PATHOPHYSIOLOGY CASE STUDY

Assignment Pharm Gastroenteritis

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Assignment Pharm Gastroenteritis

Write a 1+ page paper that addresses the following:

  • Explain your diagnosis for the patient, including your rationale for the diagnosis.
  • Describe an appropriate drug therapy plan based on the patient’s history, diagnosis, and drugs currently prescribed.
  • Justify why you would recommend this drug therapy plan for this patient. Be specific and provide examples.

Case study assigned

Patient HL comes into the clinic with the following symptoms: nausea, vomiting, and diarrhea. The patient has a history of drug abuse and possible Hepatitis C. HL is currently taking the following prescription drugs: Assignment Pharm Gastroenteritis

Write a 1+ page paper that addresses the following: Assignment Pharm Gastroenteritis

· Explain your diagnosis for the patient, including your rationale for the diagnosis.

· Describe an appropriate drug therapy plan based on the patient’s history, diagnosis, and drugs currently prescribed.

· Justify why you would recommend this drug therapy plan for this patient. Be specific and provide examples.

Case study assigned

Patient HL comes into the clinic with the following symptoms: nausea, vomiting, and diarrhea. The patient has a history of drug abuse and possible Hepatitis C. HL is currently taking the following prescription drugs:

· Synthroid 100 mcg daily

· Nifedipine 30 mg daily

· Prednisone 10 mg daily

Do any of HL’s medications interact with his/her hepatitis? Would you change dosages or discontinue any medications? Important things to consider: Are there combination medications to decrease pill burden? How would you make HL’s drug therapy plan the most cost effective? Are there drug interactions between any of HL’s medications? What about drug-disease interactions? Would you discontinue any medications, change the dosage, and/or add medications to HL’s regimen? How would HL’s age, gender, and ethnicity affect treatment? Assignment Pharm Gastroenteritis

NURS_6521_Week4_Assignment_Rubric

  Excellent Good Fair Poor
Explain your diagnosis for the patient, including your rationale for the diagnosis. 23 (23%) – 25 (25%)

The response accurately and clearly explains in detail the diagnosis for the patient, including an accurate and thorough rationale for the diagnosis that supports clinical judgment.

 20 (20%) – 22 (22%)

The response provides a basic explanation of 1-2 diagnoses for the patient, including an accurate rationale for the diagnosis that may support clinical judgment.

 18 (18%) – 19 (19%)

The response inaccurately or vaguely explains the diagnosis for the patient, including an inaccurate or vague rationale for the diagnosis that may or may not support clinical judgment.

 0 (0%) – 17 (17%)

The response inaccurately and vaguely explains the diagnosis for the patient, including an inaccurate and vague rationale for the diagnosis that does not support clinical judgment, or is missing.
Describe an appropriate drug therapy plan based on the patient’s history, diagnosis, and drugs currently prescribed. 27 (27%) – 30 (30%)

The response accurately and completely describes in detail an appropriate drug therapy plan based on the patient’s history, diagnosis, and drugs currently prescribed.

 24 (24%) – 26 (26%)

The response describes a basic explanation of the appropriate drug therapy plan based on the patient’s history, diagnosis, and drugs currently prescribed.

 21 (21%) – 23 (23%)

The response inaccurately or vaguely describes an appropriate drug therapy plan based on the patient’s history, diagnosis, and drugs currently prescribed.

 0 (0%) – 20 (20%)

The response inaccurately and vaguely describes an appropriate drug therapy plan based on the patient’s history, diagnosis, and drugs currently prescribed.
Justify why you would recommend this drug therapy plan for this patient. Be specific and provide examples. 27 (27%) – 30 (30%)

The response provides an accurate, clear, and detailed justification for the recommended drug therapy plan for this patient.

 

The response includes specific, accurate, and detailed examples that fully support the justification provided.

 24 (24%) – 26 (26%)

The response provides a basic justification for the recommended drug therapy plan for this patient.

 

The response includes only 1-2 examples that fully support the justification provided.

 21 (21%) – 23 (23%)

The response provides an inaccurate or vague justification for the recommended drug therapy plan for this patient.

 

The response may include examples, which may inaccurately or vaguely support the justification provided.

 0 (0%) – 20 (20%)

The response provides an inaccurate and vague justification for the recommended drug therapy plan for this patient, or is missing.

 

The response does not include examples that support the justification provided, 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

 

Total Points: 100

MSN 5550 Health Promotion

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MSN 5550 Health Promotion

Instructions: Read the following case study and answer the reflective questions. Please provide rationales for your answers. Make sure to provide citations/references for your answers in APA format. Deadline: Due by Sunday at 23:59 p.m.

CASE STUDY: Preschool Child: Ricky Ricky, age 4 years, arrives in the clinic with his mother. Ricky lives with his mother and father, who both work full-time, and his infant sister. Their extended family lives in a different state more than 100 miles away. Both parents are of average height and in good health. Ricky’s mother mentions that Ricky often expresses frustration, particularly in regard to food. Conflict over food occurs every day. Mealtime is a battle to get him to eat, unless his mother feeds him. Ricky’s baby sister seems to tolerate all baby foods but requires her mother to spoon-feed. Ricky’s mother is quite frustrated and concerned that he will become malnourished. Reflective Questions MSN 5550 Health Promotion

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1. What additional assessment information would you collect?

2. What questions would you ask, and how would you further explore this issue with the

mother?

3. In what ways does the distance of the extended family influence this family’s approach to

health promotion?

4. What factors would you consider to determine whether malnourishment is a factor in this family? MSN 5550 Health Promotion

NURSING CAREER

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1. Reflect on your own nursing history.

a. What were the reasons that you chose nursing as a career and “what is nursing” to you ( write a few sentences related to your own philosophy of what is nursing to you)?

b. How has the history of nursing affected your own nursing practice ( reflect on nursing history and reference historical events when you answer this question)?

2. Reflect on the changes in the nurse-client relationship that has been associated with new nursing roles and the use of new technological advances.

a. How does the nurse maintain a therapeutic relationship with the client as machines ( technology) take over some of nursing functions?

b. Based on the projected visions of tomorrow’s healthcare and nursing, what skills will be MOST important in the future of nursing education ( which skills need to be a priority in nursing schools of the future)? What are they and how should they be taught?

DISCUSSION BOARD RUBRIC

Please note that your discussion postings will be graded under the following criteria.

While your initial response to the discussion questions should be concise (350-500 words), be written with accepted conventions of standard American English, and use a minimum of 2 in-text citations and references in APA 6th edition format, other posts may be more informal. Your follow-up discussion posts may take on a more relaxed and conversational tone, but the initial response should reflect appropriate scholarship. Please capitalize, punctuate and check spelling for all posts.

Cardiovascular Disorders

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Veins and arteries are vital elements of the cardiovascular system. They carry the blood supply through the body and are essential for proper function. Sometimes veins and arteries malfunction, resulting in cardiovascular disorders. Malfunctions of arteries and veins are similar to malfunctions of a water hose. Consider the structure and function of a hose. A tap releases water, which then travels through the hose and comes out the other end. If the hose has been dormant for several months, dirt and rusty particles might build up inside, resulting in a restricted flow of water. Similarly, buildup of plaque inside the coronary arteries restricts blood flow and leads to disorders such as coronary heart disease. This disease is one of the most common cardiovascular disorders, and according to the National Heart, Lung and Blood Institute (2011), is the leading cause of death for men and women in the United States. In this Discussion, you examine the pathophysiology of cardiovascular disorders such as coronary heart disease.

To Prepare

  • Review this week’s media presentation on alterations of cardiovascular functions, as well as Chapter 23 in the Huether and McCance text. Identify the pathophysiology of cardiovascular disorders.
  • Select one patient factor: genetics, gender, ethnicity, age, or behavior. Consider how the factor you selected might impact the pathophysiology of cardiovascular disorders.
  • Select one of the following alterations of cardiovascular disorders: peripheral arterial disease, myocardial infarction, coronary artery disease, congestive heart failure, or dysrhythmia. Think about how hypertension or dyslipidemia can lead to the alteration you selected. 

CLINICAL ISSUE

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•        When selecting a clinical issue (the clinical issue chosen is Hand washing) to be addressed in the assignment, the student is expected to draw from one of the four main categories of the NCLEX‐RN examination blueprint: assurance of a safe and effective care environment, health promotion and maintenance of health, the preservation of the patient’s psychosocial and physiological integrity.

•        Length of paper 8‐10 pages excluding the title page and the reference page.

•        The sources cited both in text and on the reference page for this assignment will be formatted according APA 6th edition guidelines.

•        A minimum of six (6) peer‐reviewed scholarly sources are required in support of the Evidence‐based Capstone Evidence‐based Paper.

•        This assignment will be graded using the Capstone Evidence‐ based Paper Rubric available in Unit 6 of the course.

PREPARING THE ASSIGNMENT

The student will be required to:

•        Produce an 8‐10 page evidence‐based paper addressing a significant clinical issue

•        Identify and explore a solution to a clinical issue

•        Gather additional background information on:

o   the clinical issue

o   the patient population

•        Develop a plan that could be carried out by a nurse to resolve the clinical issue.

•        Reflect on the knowledge and experience gained in the nursing program

•        Draw from one of the four main categories of the NCLEX‐RN examination blueprint

o   assurance of a safe and effective care environment,

o   health promotion and maintenance of health,

o   preservation of the patient’s psychosocial

o   preservation of the patient’s physiological integrity

•        With the exception of the Introduction, each criterion listed below will serve as the major headings of this assignment due in Unit Six and will include the following:

•        Title Page: (APA 6th edition formatting)

•        Introduction:

o   Offers a detailed description of the statement of purpose for the paper.

o   Identifies a clinical issue or problem drawn from one of the four main categories of the NCLEX‐RN examination blueprint:

§  Assurance of a safe and effective care environment

§  Health promotion and maintenance of health

§  Preservation of the patient population’s psychosocial integrity

§  Preservation of the patient population ’s physiological integrity

•        In this paper the student will provide a detailed description of the relationship between the category from the NCLEX‐RN examination blueprint and the clinical issue.

•        The reference to the NCLEX‐RN examination blueprint found at the National Council of State Boards of Nursing website constitutes one scholarly reference.

•        Importance: The student will describe the importance of the clinical issue to the health of a patient population. This discussion will include the potential negative effect of leaving the clinical issue unresolved.

3

•        Patient Population: The student will describe the patient population that is impacted by the clinical issue. With a focus on the diversity of the human condition found within this patient population, the student will describe the influence that cultural values may have on the proposed solution.

•        Proposed Solution: The student will set the stage for proposing the best solution to the clinical problem by using appropriate evidence‐based data and integrating data from peer‐reviewed journal articles. In this paper, the student will:

o   Propose a clear solution to the clinical problem that is supported by a minimum of three scholarly, peer‐reviewed journal articles.

o   Expand on the ethical considerations when developing the plan.

•        Goals: While the intervention will not actually be carried out, the student will discuss the plan that could be implemented by a nurse to address the clinical issue. One short‐term and one long‐term goal of the intervention will be identified. The student will include a description of how attainment of each of the goals would be measured.

•        Barriers: The student will identify a minimum of two potential barriers to the success of the plan as well as a strategy for addressing each one.

•        Benefits: The student will describe a minimum of one benefit to the patient population and one benefit to the nursing profession that will result from carrying out the plan. Provides a minimum of one scholarly, peer‐reviewed source in support of the benefit of the plan to the patient population.

•        Participants and Interdisciplinary Approach: The student will identify all of the parties whose participation is important for the success of implementing the plan.

o   This list will include a minimum of two members of disciplines outside of nursing.

o   A description of the benefit of including each member from another discipline to the success of the plan.

o   A minimum of one scholarly, peer‐reviewed source providing support for the success of the plan by including the healthcare team member outside of nursing.

•        Conclusion:

o   Provides a thorough recap of the purpose of the plan to prevent or help to resolve the clinical issue.

o   Includes a complete statement describing why addressing this clinical problem matters and to whom.

NURSING CARRER PLAN

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Please follow the APA format and the requirements listed below as it is a most for this professor.

REQUIREMENTS

In this assignment, the student will be producing a 4‐5 page essay that includes the following components:

•        Transition into the Professional Nursing Role: Identify actions to be considered in the transition from student to BSN graduate nurse including:

o   Identify the state in which the student is seeking employment.

o   Detail a minimum of three (3) criteria set forth by the Board of Nursing for obtaining an RN license in that state.

o   Conduct a new BSN graduate job search in a 30 mile radius of where the student lives or plans to relocate.

§   Provide the details of what is required to submit an application for hire for the top two choices of employment.

•        Holistic Life Balance: Provide a description of the ways in which the student intends to maintain holistic balance in their personal life as well as in the role of professional nurse within the first year and at five years.

•        Stressors and Challenges: Identify known stressors and anticipated challenges as well as plans for managing each of them within the first year and at five years.

•        Lifelong Learning: Determine a plan for lifelong learning and educational development anticipated within the first year and at five years.

o   This plan can include, but is not limited to, specialty certification, advanced nursing education, and the pursuit of formal education outside of the nursing discipline.

•        Professional Contributions: Summarize plans for contributing to at least one professional nursing community as well as the student’s general community in the healthcare professional role within the first year and at five years

•        Scholarly Resources:

o   A minimum of three (3) peer‐reviewed scholarly sources are required in support of this assignment.

o   A minimum of one (1) professional nursing organization website or Board of Nursing website is required in support of this assignment

PREPARING THE ASSIGNMENT

•        Maximum of 4‐5 pages including the title page and the reference page.

•        Students may find the following list of resources helpful in completing the assignment:

o   American Nurses Credentialing Center at http://www.nursecredentialing.org/certification.aspx

o   Board of Nursing Contact at https://www.ncsbn.org/contact‐bon.htm

o   Holistic Nursing at http://www.ahna.org/About‐Us/What‐is‐Holistic‐Nursing

o   National Council of State Boards of Nursing at https://www.ncsbn.org/index.htm

o   Nursing Community at http://www.thenursingcommunity.org/

o   Robert Wood Johnson Foundation at http://www.rwjf.org/

o   Sigma Theta Tau International at http://www.nursingsociety.org

CARE PLAN FOR DISEASE PREVENTION

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Click here to download and analyze the case study for this week. Create a wholistic care plan for disease prevention, health promotion, and acute care of the patient in the clinical case. Your care plan should be based on current evidence and nursing standards of care.

Visit the online library and research for current scholarly evidence (no older than 5 years) to support your nursing actions. In addition, consider visiting government sites such as the CDC, WHO, AHRQ, Healthy People 2020. Provide a detailed scientific rationale justifying the inclusion of this evidence in your plan.

Next determine the ICD-10 classification (diagnoses). The International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-10-CM) is the official system used in the United States to classify and assign codes to health conditions and related information.

Click here to access the codes.

Click here to download the care plan template to help you design a holistic patient care plan. The care plan example provided here is just a reference for you to build your care plan. You are expected to develop a comprehensive care plan based on your assessment, diagnosis, and advanced nursing interventions. Reflect on what you have learned about care plans through independent research and peer discussions and incorporate the knowledge that you have gained into your patient’s care plan.

Format

Your care plan should be formatted as a Microsoft Word document. Follow the current APA edition style. Your paper should be 2- to-4 pages double-spaced and in 12pt font.

Grading CriteriaMaximum Points
Care plan demonstrated involvement of the client in the process of recognition, planning, and resolution of the problem.15
Care plan included effective nursing interventions that were customized for the client and appropriate to the goal.15
Care plan included diagnostic workup, medications, conservative measures, and a follow-up plan.15
Care plan provided rationale for choosing a particular treatment modality.15
Care plan demonstrated logical diagnosis, which was substantiated with relevant evidence.10
Care plan focused on patient education, maintained a fine balance between major and minor health issues of the patient.10
Care plan included nursing interventions that are specific, appropriate, and free of essential omissions.10
Used APA standards consistently and accurately.10
Total100