Discussion Pharmacology

Not explain altogether. Write each question with its answer individually.

using formal APA writing convention, using the 7th Edition

REferences at least 4 and not more than 5 years ago

Plagiarism free work….  Thank you

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Introduction, write a supposed case (relations with psychiatry and other type of illness) and answer each question

 

To Prepare

• Review the Resources for this module and consider the principles of pharmacokinetics and pharmacodynamics.
• Reflect on your experiences, observations, and/or clinical practices from the last 5 years and think about how pharmacokinetic and pharmacodynamic factors altered his or her anticipated response to a drug.
• Consider factors that might have influenced the patient’s pharmacokinetic and pharmacodynamic processes, such as genetics (including pharmacogenetics), gender, ethnicity, age, behavior, and/or possible pathophysiological changes due to disease. Discussion Pharmacology
• Think about a personalized plan of care based on these influencing factors and patient history in your case study.

By Day 3 of Week 1

Post a description of the patient case from your experiences, observations, and/or clinical practice from the last 5 years. Then, describe factors that might have influenced pharmacokinetic and pharmacodynamic processes of the patient you identified. Finally, explain details of the personalized plan of care that you would develop based on influencing factors and patient history in your case. Be specific and provide examples. Discussion Pharmacology

 

Excellent	Good	Fair	Poor
Main Posting	45 (45%) – 50 (50%) Answers all parts of the discussion question(s) expectations with reflective critical analysis and synthesis of knowledge gained from the course readings for the module and current credible sources. Supported by at least three current, credible sources. Written clearly and concisely with no grammatical or spelling errors and fully adheres to current APA manual writing rules and style.	40 (40%) – 44 (44%) Responds to the discussion question(s) and is reflective with critical analysis and synthesis of knowledge gained from the course readings for the module. At least 75% of post has exceptional depth and breadth. Supported by at least three credible sources. Written clearly and concisely with one or no grammatical or spelling errors and fully adheres to current APA manual writing rules and style.	35 (35%) – 39 (39%) Responds to some of the discussion question(s). One or two criteria are not addressed or are superficially addressed. Is somewhat lacking reflection and critical analysis and synthesis. Somewhat represents knowledge gained from the course readings for the module. Post is cited with two credible sources. Written somewhat concisely; may contain more than two spelling or grammatical errors. Contains some APA formatting errors.	0 (0%) – 34 (34%) Does not respond to the discussion question(s) adequately. Lacks depth or superficially addresses criteria. Lacks reflection and critical analysis and synthesis. Does not represent knowledge gained from the course readings for the module. Contains only one or no credible sources. Not written clearly or concisely. Contains more than two spelling or grammatical errors. Does not adhere to current APA manual writing rules and style.
Main Post: Timeliness	10 (10%) – 10 (10%) Posts main post by day 3	0 (0%) – 0 (0%)	0 (0%) – 0 (0%)	0 (0%) – 0 (0%) Does not post by day 3
First Response	17 (17%) – 18 (18%) Response exhibits synthesis, critical thinking, and application to practice settings. Responds fully to questions posed by faculty. Provides clear, concise opinions and ideas that are supported by at least two scholarly sources. Demonstrates synthesis and understanding of learning objectives. Communication is professional and respectful to colleagues. . Responses to faculty questions are fully answered, if posed. Response is effectively written in standard, edited English.	15 (15%) – 16 (16%) Response exhibits synthesis, critical thinking, and application to practice settings. Responds fully to questions posed by faculty. Provides clear, concise opinions and ideas that are supported by at least two scholarly sources. Demonstrates synthesis and understanding of learning objectives. Communication is professional and respectful to colleagues. . Responses to faculty questions are fully answered, if posed. Response is effectively written in standard, edited English.	13 (13%) – 14 (14%) Response is on topic and may have some depth. Responses posted in the discussion may lack effective professional communication. Responses to faculty questions are somewhat answered, if posed. Response may lack clear, concise opinions and ideas, and a few or no credible sources are cited.	0 (0%) – 12 (12%) Response may not be on topic and lacks depth. Responses posted in the discussion lack effective professional communication. Responses to faculty questions are missing. No credible sources are cited.
Second Response	16 (16%) – 17 (17%) Response exhibits synthesis, critical thinking, and application to practice settings. Responds fully to questions posed by faculty. Provides clear, concise opinions and ideas that are supported by at least two scholarly sources. Demonstrates synthesis and understanding of learning objectives. Communication is professional and respectful to colleagues. . Responses to faculty questions are fully answered, if posed. Response is effectively written in standard, edited English.	14 (14%) – 15 (15%) Response exhibits critical thinking and application to practice settings. Communication is professional and respectful to colleagues. Responses to faculty questions are answered, if posed. Provides clear, concise opinions and ideas that are supported by two or more credible sources. Response is effectively written in standard, edited English.	12 (12%) – 13 (13%) Response is on topic and may have some depth. Responses posted in the discussion may lack effective professional communication. Responses to faculty questions are somewhat answered, if posed. . Response may lack clear, concise opinions and ideas, and a few or no credible sources are cited.	0 (0%) – 11 (11%) Response may not be on topic and lacks depth. Responses posted in the discussion lack effective professional communication. Responses to faculty questions are missing. No credible sources are cited.
Participation	5 (5%) – 5 (5%) Meets requirements for participation by posting on three different days.	0 (0%) – 0 (0%)	0 (0%) – 0 (0%)	0 (0%) – 0 (0%) Does not meet requirements for participation by posting on 3 different days
Total Points: 100

 

Case Study Part 3: Renal Failure

                                                    ________Case Study Part 3: Renal Failure_

Clinical Course Day 2: You call the hospitalist regarding the labs above and the following orders are placed: Decrease the IV fluids, D/C insulin drip, Start insulin sliding scale with glucometer readings every 2 hours, increases oxygen to 4 Liters O2 per NC with titration to maintain SpO2 >92%, Lasix 40mg IV x 1 now. You inform him that the newest vital signs are: T:100.9; HR: 114; R: 32; B/P: 122/64. Urine output 45cc/hr.

Basic Metabolic Profile, CBC,  UA, ABG  and BNP ordered:

Labs and Diagnostics:

Na 134 meq/L    K 3.5 meq/L     Cl 109 meq/L      HCO3 17 meq/L        BUN 66 mg/dL     Cr 3.0 mg/dL

eGFR 36 cc/min   WBC 16.8 x 10³/mm3   Hb 11.6 g/dl /  Hct 37%    Glucose 180 mg/dL Case Study Part 3: Renal Failure

 

URINALYSIS

Clear, dark yellow urine;   Microscopy was negative for cells, casts, pigments, and crystals

SG 1.032    (-) bacteria     (+) glucose     (-) protein     (-) Nitrate     (-) RBC       (-) WBC

Urine sodium 8 mEq/L.    FeNa <1%

 

BNP 975 pg/ml       Troponin I High Sens.  15 pg/ml

ABG: pH= 7.30; PaCo2=12; PaO2= 88; HCO3: 18  BE: 1

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_____________________________________________________________________________________

 

Answer the following questions based on the information above:

10)  The patient is noted to have acute kidney injury (AKI) and nephrology is consulted. Based on the patient’s diagnosis of CHF, physical findings and labs, is the patient exhibiting pre-renal, intra-renal or post renal failure? (1point).    Explain your decision (3 points) Case Study Part 3: Renal Failure

 

11) Oliguria occurs in AKI whether the cause is pre-renal or intrarenal. What are three mechanisms which account for the decrease in urine output? ( 3 points)

 

12) Describe the key differences in the pathophysiology between pre-renal and intrarenal failure.(4 points)  As the nurse, what would you look for on your assessment of the patient who is in pre-renal failure? (2 points)

 

13) Comorbidities such as hypertension and diabetes can affect kidney function over and above this patient’s diagnosis of CHF. List five teaching points and expected outcomes on her diagnoses at discharge to prevent a reoccurrence and readmission ? (5 points) Case Study Part 3: Renal Failure

 

APA 1 point         Scholarly Work  1 point           Total points 20

 

Health Care Issue as it relates to a target vulnerable population

Develop a 4-page position about a specific health care issue as it relates to a target vulnerable population. Include an analysis of existing evidence and position papers to help support your position. Your analysis should also present and respond to one or more opposing viewpoints.

Introduction

This assessment will focus on analyzing position papers about an issue related to addiction, chronicity, emotional and mental health, genetics and genomics, or immunity. Many of these topics are quickly evolving as technology advances, or as we attempt to push past stigmas. For example, technology advances and DNA sequencing provide comprehensive information to allow treatment to become more targeted and effective for the individual. However as a result, nurses must be able to understand and teach patients about the impact of this information. With this great power comes concerns that patient conditions are protected in an ethical and compassionate manner. Health Care Issue as it relates to a target vulnerable population

Position papers are a way for individuals, groups, and organizations to express their views and intentions toward a specific issue. In health care, many position papers address specific policies, regulations, or other approaches to care. As a master’s-prepared nurse, you should feel empowered to express and advocate for your own views on policy and care matters. This is especially important when it comes to populations you or your organization cares for that are not receiving the quality, type, or amount of care that they require.

An important skill in creating a position paper or policy proposal is the ability to analyze and synthesize others’ views about the population or issue of interest to you. By synthesizing the positive and negative views of an issue, you can become better equipped to strengthen your own arguments and to respond to opposing views in an informed and convincing way.

Preparation

• What is the vulnerable population that most interests you?

• • What is the health issue that is most prevalent or severe in the population?
  • How does the health issue impact the daily lives of members of the population?
  • How does the care environment in your chosen context impact both the population and the level of care related to the health issue? Health Care Issue as it relates to a target vulnerable population
  • What are the biggest challenges that you would need to overcome to improve the outcomes for the population related to the health issue?
• What is your position on how to best work to improve the care and outcomes that the population is receiving?

• • What previously published position papers support your position, or the need to work to improve care and outcomes in general for the population?

• • • How do these position papers support your assertions?
    • How could one or more of the position papers help you to form a treatment plan?
  • What previously published position papers contradict your position?

• • • What, if any, of these differences would make your position stronger if you incorporated them?
    • How could you respond to any irreconcilable differences in such a way as to encourage buy-in for your position from those opposed?

Scenario

Pretend you are a member of an interprofessional team that is attempting to improve the quality of health care and the outcomes in a vulnerable population. For the first step in your team’s work, you have decided to conduct an analysis of current position papers that address the issue and population you are considering.

In your analysis you will note the team’s initial views on the issue in the population as well as the views across a variety of relevant position papers. You have been tasked with finding the most current standard of care or evidenced-based practice and evaluating both the pros and cons of the issue. For the opposing viewpoints, it is important to discuss how the team could respond to encourage support. This paper will be presented to a committee of relevant stakeholders from your care setting and the community. If it receives enough support, you will be asked to create a new policy that could be enacted to improve the outcomes related to your chosen issue and target population. Health Care Issue as it relates to a target vulnerable population

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The care setting, population, and health care issue that you use for this assessment will be used in the other assessments in this course. Consider your choice carefully. There are two main approaches for you to take in selecting the scenario for this assessment:

You may select a population and issue that is of interest to you and set them in the context of your current or desired future care setting. While you are free to choose any population of interest, the issue you choose should fall within one of the following broad categories:

• Genetics and genomics.
  • Sickle cell, asthma, multiple sclerosis, myasthenia gravis.
• • Type 1 diabetes, systemic lupus erythematosus (SLE), congenital neutropenia syndrome.
• • Arthritis, any type of cancer or lung or heart disease, obesity.
• • Abuse of alcohol, prescription drugs, tobacco, illegal substances.
• Emotion and mental health.
  • Post-traumatic stress disorder (PTSD), depression, eating disorders, psychosis.

Instructions

For this assessment you will develop a position summary and an analysis of relevant position papers on a health care issue in a chosen population. The bullet points below correspond to the grading criteria in the scoring guide. Be sure that your submission addresses all of them.

• Explain a position with regard to health outcomes for a specific issue in a target population.

• Explain the role of the interprofessional team in facilitating improvements for a specific issue in a target population.
• Evaluate the evidence and positions of others that could support a team’s approach to improving the quality and outcomes of care for a specific issue in a target population.
• Evaluate the evidence and positions of others that are contrary to a team’s approach to improving the quality and outcomes of care for a specific issue in a target population.
• Communicate an initial viewpoint regarding a specific issue in a target population and a synthesis of existing positions in a logically structured and concise manner, writing content clearly with correct use of grammar, punctuation, and spelling.
• Integrate relevant sources to support assertions, correctly formatting citations and references using APA style.

Additional Requirements

• Length of submission: 4 double-spaced, typed pages, not including the title and reference pages. Your plan should be succinct yet substantive. No abstract is required.
• Number of references: Cite a minimum of 3-5 sources of scholarly or professional evidence that support your initial position on the issue, as well as a minimum of 2-3 sources of scholarly or professional evidence that express contrary views or opinions. Resources should be no more than five years old.
• APA formatting: Health Care Issue as it relates to a target vulnerable population

Group Discussion in D2L – Week 3
Read Green (2012) and fill out the family construct grid in relation to Green (2012) located in Module 2. Please note, the grid is only to guide your
thinking and discussion posts. Please post your grid and any relevant commentary about which family nursing concepts seem most pertinent.
The focus for this week is the Fault in Our Stars book discussion by John Green. I am providing the following list of questions to jump start the book
discussion. You don’t need to answer all of the questions. This is meant to be a free-flowing conversation, and I expect each of you will add your
questions throughout the discussion. Nursing homework help

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Each of you can tell us how you experienced the book and pick one of the questions below to answer if these help focus your thoughts.
1. John Green uses the voice of a teenage girl to tell this story. Why do you think he choose to do this? Was it effective? How would it have
been different if he had told the story from a different voice? How does voice relate to family nursing practice?
2. What does the title, Fault in Our Stars, mean?
3. How would you describe the two main characters, Hazel and Gus?
4. How do Hazel and Gus relate to their cancer?
5. At one point in the book, Hazel states, “Cancer books suck.” What is she really meaning?
6. How do Hazel and Gus change, in spirit, over the course of the novel?
7. Why is “An Imperial Affliction” written by Peter Van Houten Hazel’s favorite book?
8. How many of you looked to see if, “An Imperial Affliction” was an actual book?
9. What do you think about the author Peter Van Houten?
10. Why it was so important for Hazel and Gus to learn what happens after the heroine dies in the An Imperial Affliction? Nursing homework help