Resource Management in Primary Care
Please see attachment for Instructions
Please see attachment for Instructions
Discussion Prompt by 12/28/2021 at 6 pm,please add references and citatonsInitial Post: Explain the action of thyroid hormone. Your answer should contain the impact of the thyroid hormone on functions in the body.
As an advanced practice nurse, you will likely encounter patients who will present with symptoms affecting the gastrointestinal (GI) tract. Of special note, is the consideration that most symptoms concerning the GI tract are non-specific, and therefore, diagnosing diagnoses of the GI tract requires thoughtful and careful investigation. Similarly, hepatobiliary disorders may also mirror many of the signs and symptoms that patients present when suffering from GI disorders.How might you tease out the specific signs and symptoms between these potential disorders and body systems? What drug therapy plans will best address these disorders for your patients?This week, you examine GI and hepatobiliary disorders. You will review a patient case study and consider those factors in recommending and prescribing a drug therapy plan for your patient.To PrepareReview the case study assigned by your Instructor for this AssignmentReflect on the patient’s symptoms, medical history, and drugs currently prescribed.Think about a possible diagnosis for the patient. Consider whether the patient has a disorder related to the gastrointestinal and hepatobiliary system or whether the symptoms are the result of a disorder from another system or other factors, such as pregnancy, drugs, or a psychological disorder.Consider an appropriate drug therapy plan based on the patient’s history, diagnosis, and drugs currently prescribed.THE SCENARIO/CASE STUDY:Patient HL comes into the clinic with the following symptoms: nausea, vomiting, anddiarrhea. The patient has a history of drug abuse and possible Hepatitis C. HL iscurrently taking the following prescription drugs:· Synthroid 100 mcg daily· Nifedipine 30 mg daily· Prednisone 10 mg dailyTHE ASSIGNMENTExplain your diagnosis (Gastroenteritis) 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.
In this Assignment, you will identify clinical areas of interest and inquiry and practice searching for research in support of maintaining or changing these practices. You will also analyze this research to compare research methodologies employed.
The nursing process is a tool that puts knowledge into practice. By utilizing this systematic problem-solving method, nurses can determine the health care needs of an individual and provide personalized care.Write a paper (1,750-2,000 words) on cancer and approach to care based on the utilization of the nursing process. Include the following in your paper:Describe the diagnosis and staging of cancer.Describe at least three complications of cancer, the side effects of treatment, and methods to lessen physical and psychological effects.Discuss what factors contribute to the yearly incidence and mortality rates of various cancers in Americans.Explain how the American Cancer Society (ACS) might provide education and support. What ACS services would you recommend and why?Explain how the nursing process is utilized to provide safe and effective care for cancer patients across the life span. Your explanation should include each of the five phases and demonstrate the delivery of holistic and patient-focused care.Discuss how undergraduate education in liberal arts and science studies contributes to the foundation of nursing knowledge and prepares nurses to work with patients utilizing the nursing process. Consider mathematics, social and physical sciences, and science studies as an interdisciplinary research area.You are required to cite to a minimum of five sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and relevant to nursing practice.Prepare this assignment according to the guidelines found in the APA Style Guide,This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.Benchmark InformationThis benchmark assignment assesses the following programmatic competencies:RN-BSN2.1: Incorporate liberal arts and science studies into nursing knowledge.3.1 Utilize the nursing process to provide safe and effective care for patients across the life span.https://www.gcumedia.com/digital-resources/grand-canyon-university/2018/pathophysiology_clinical-applications-for-client-health_1e.phphttps://www-sciencedirect-com.lopes.idm.oclc.org/science/article/pii/S1567134817304392″Epstein-Barr Virus Incidental Expression in Bone Marrow Cells: A Study of 230 Consecutive Bone Marrow Biopsy Samples,” by Farrell et al., from Human Pathology (2019).URL:https://www-sciencedirect-com.lopes.idm.oclc.org/science/article/pii/S0046817719300541Explore the American Cancer Society (ACS) website.URL:https://www.cancer.org/
In this Discussion, you will consider different socioeconomic, spiritual, lifestyle, and other cultural factors that should be taken into considerations when building a health history for patients with diverse backgrounds.Case 1JC, an at-risk 86-year-old Asian male is physically and financially dependent on his daughter, a single mother who has little time or money for her father’s health needs. He has a hx of hypertension (HTN), gastroesophageal reflux disease (GERD), b12 deficiency, and chronic prostatitis. He currently takes Lisinopril 10mg QD, Prilosec 20mg QD, B12 injections monthly, and Cipro 100mg QD. He comes to you for an annual exam and states “I came for my annual physical exam, but do not want to be a burden to my daughter.”Case 2TJ, a 32-year-old pregnant lesbian, is being seen for an annual physical exam and has been having vaginal discharge. Her pregnancy has been without complication thus far. She has been receiving prenatal care from an obstetrician. She received sperm from a local sperm bank. She is currently taking prenatal vitamins and takes Tylenol over the counter for aches and pains on occasion. She a strong family history of diabetes. Gravida 1; Para 0; Abortions 0.Case 3MR, a 23-year-old Native American male comes in to see you because he has been having anxiety and wants something to help him. He has been smoking “pot” and says he drinks to help him too. He tells you he is afraid that he will not get into Heaven if he continues in this lifestyle. He is not taking any prescriptions medications and denies drug use. He has a positive family history of diabetes, hypertension, and alcoholism.To prepare:· Reflect on your experiences as a nurse and on the information provided in this week’s Learning Resources on diversity issues in health assessments.· Select one of the three case studies. Reflect on the provided patient information.· Reflect on the specific socioeconomic, spiritual, lifestyle, and other cultural factors related to the health of the patient you selected.· Consider how you would build a health history for the patient. What questions would you ask, and how would you frame them to be sensitive to the patient’s background, lifestyle, and culture? Develop five targeted questions you would ask the patient to build his or her health history and to assess his or her health risks.· Think about the challenges associated with communicating with patients from a variety of specific populations. What strategies can you as a nurse employ to be sensitive to different cultural factors while gathering the pertinent information?PostPost an explanation of the specific socioeconomic, spiritual, lifestyle, and other cultural factors associated with the patient you selected. Explain the issues that you would need to be sensitive to when interacting with the patient, and why. Provide at least five targeted questions you would ask the patient to build his or her health history and to assess his or her health risks.This work should have Introduction and conclusion- This work should have at 3 to 5current references (Year 2013 and up)- Use at least 2 references from class Learning ResourcesThe following Resources are not acceptable:1. Wikipedia2. Cdc.gov- nonhealthcare professionals section3. Webmd.comCLASS LEARNING RESOURCES**Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2015). Seidel’s guide to physical examination (8th ed.). St. Louis, MO: Elsevier Mosby.Chapter 1, “The History and Interviewing Process” (pp. 1-20)This chapter highlights history and interviewing processes. The authors explore a variety of communication techniques, professionalism, and functional assessment concepts when developing relationships with patients.Chapter 2, “Cultural Competency” (pp. 21–29)This chapter highlights the importance of cultural awareness when conducting health assessments. The authors explore the impact of culture on health beliefs and practices.**Dains, J. E., Baumann, L. C., & Scheibel, P. (2016). Advanced health assessment and clinical diagnosis in primary care (5th ed.). St. Louis, MO: Elsevier Mosby.Chapter 2, “Evidenced- Based Health Screening” (pp. 6-9)**Melton, C., Graff, C., Holmes, G., Brown, L., & Bailey, J. (2014). Health literacy and asthma management among African-American adults: An interpretative phenomenological analysis. Journal of Asthma, 51(7), 703–713. doi: 10.3109/02770903.2014.906605Retrieved from the Walden Library Databases.The authors of this study discuss the relationship between health literacy and health outcomes in African American patients with asthma.**Centers for Disease Control and Prevention (2015). Cultural competence. Retrieved from https://npin.cdc.gov/pages/cultural-competenceThis website discusses cultural competence as defined by the Center for Disease Control and Prevention (CDC). Understanding the difference between cultural competence, awareness, and sensitivity can be obtained on this website.**United States Department of Human & Health Services. Office of Minority Health. (2016). A physician’s practical guide to culturally competent care. Retrieved from https://cccm.thinkculturalhealth.hhs.gov/From the Office of Minority Health, the Website offers CME and CEU credit and equips health care professionals with awareness, knowledge, and skills to better treat the increasingly diverse U.S. population they serve.**Espey, D., Jim, M., Cobb, N., Bartholomew, M., Becker, T., Haverkamp, D., & Plescia, M. (2014). Leading causes of death and all-cause mortality in American Indians and Alaska Natives. American Journal of Public Health, 104(S3), S303-S311.The authors of this article present patterns and trends in all-cause mortality and leading cause of death in American Indians and Alaskan Natives.**Wannasirikul, P., Termsirikulchai, L., Sujirarat, D., Benjakul, S., Tanasugarn, C. (2016). Health literacy, medication adherence, and blood pressure level among hypertension older adults treated at primary health care centers. Southeast Asian J Trop Med Public Health., 47(1):109-20.The authors of this study explore the causal relationships between health literacy, individual characteristics, literacy, culture and society, cognitive ability, medication adherence, and the blood pressure levels of hypertensive older adults receiving health care services at Primary Health Care Centers.
Consider the following case study:Patient AO has a history of obesity and has recently gained 9 pounds. The patient has been diagnosed with hypertension and hyperlipidemia. Drugs currently prescribed include the following:· Atenolol 12.5 mg daily· Doxazosin 8 mg daily· Hydralazine 10 mg qid· Sertraline 25 mg daily· Simvastatin 80 mg dailyTo prepare:Review this week’s media presentation on hypertension and hyperlipidemia, as well as Chapters 19 and 20 of the Arcangelo and Peterson text.Select one one the following factors: genetics, gender, ethnicity, age, or behavior factors.Reflect on how the factor you selected might influence the patient’s pharmacokinetic and pharmacodynamic processes.Consider how changes in the pharmacokinetic and pharmacodynamic processes might impact the patient’s recommended drug therapy.Think about how you might improve the patient’s drug therapy plan based on the pharmacokinetic and pharmacodynamic changes. Reflect on whether you would modify the current drug treatment or provide an alternative treatment option for the patient.With these thoughts in mind:Post an explanation of how the factor you selected might influence the pharmacokinetic and pharmacodynamic processes in the patient from the case study. Then, describe how changes in the processes might impact the patient’s recommended drug therapy. Finally, explain how you might improve the patient’s drug therapy plan.- This work should have Introduction and conclusion- This work should have at 3 to 5current references (Year 2012 and up)- Use at least 2 references from class Learning ResourcesThe following Resources are not acceptable:1. Wikipedia2. Cdc.gov- nonhealthcare professionals section3. Webmd.com4. Mayoclinic.comRequired Readings**Arcangelo, V. P., Peterson, A. M., Wilbur, V., & Reinhold, J. A. (Eds.). (2017). Pharmacotherapeutics for advanced practice: A practical approach (4th ed.). Ambler, PA: Lippincott Williams & Wilkins.Chapter 19, “Hypertension” (pp. 257-272)This chapter examines the relationships between the cardiovascular, nervous, and renal systems. It then describes diagnostic criteria for hypertension patients, drugs used to treat hypertension and possible adverse reactions, monitoring patient response, and patient education.Chapter 20, “Hyperlipidemia” (pp. 275-286)This chapter explores causes of hyperlipidemia, treatments for hyperlipidemia patients, and methods for monitoring patient response. It also reviews strategies for risk assessment and patient education.Chapter 21, “Chronic Stable Angina” (pp. 289-303)This chapter begins by exploring factors that contribute to chronic stable angina, types of drugs used in treatment, and diagnostic criteria for initiating drug therapy. It also examines methods for monitoring patient response to treatment and educating patients on self-care.Chapter 22, “Heart Failure” (pp. 305-322)This chapter examines the process of prescribing drugs to treat heart failure and explores effects of prescribed drugs, proper dosages, and possible adverse reactions.Chapter 50, “Pharmacotherapy for Venous Thromboembolism Prevention and Treatment, Stroke Prevention in Atrial Fibrillation, and Thromboembolism Prevention with Mechanical Heart Valves” (pp. 863-886)This chapter covers drug therapy options for three disorders requiring anticoagulants: venous thromboembolism, atrial fibrillation, and ischemic stroke. It also explains the process of initiating and managing drug therapy for patients with these disorders.**Drugs.com. (2012). Retrieved from http://www.drugs.com/This website presents a comprehensive review of prescription and over-the-counter drugs including information on common uses and potential side effects. It also provides updates relating to new drugs on the market, support from health professionals, and a drug-drug interactions checker.Required MediaLaureate Education, Inc. (Executive Producer). (2012). Hypertension and hyperlipidemia. Baltimore, MD: Author.This media presentation outlines hypertension and hyperlipidemia including contributing factors, evaluation, treatment, and implications.
Prepare this assignment as a 1,500-1,750 word paper using the instructor feedback from the previous course assignments and the guidelines below.PICOT QuestionRevise the PICOT question you wrote in the Topic 1 assignment using the feedback you received from your instructor.The final PICOT question will provide a framework for your capstone project (the project students must complete during their final course in the RN-BSN program of study).Research CritiquesIn the Topic 2 and Topic 3 assignments, you completed a qualitative and quantitative research critique on two articles for each type of study (4 articles total). Use the feedback you received from your instructor on these assignments to finalize the critical analysis of each study by making appropriate revisions.The completed analysis should connect to your identified practice problem of interest that is the basis for your PICOT question.Refer to “Research Critiques and PICOT Guidelines – Final Draft.” Questions under each heading should be addressed as a narrative in the structure of a formal paper.Proposed Evidence-Based Practice ChangeDiscuss the link between the PICOT question, the research articles, and the nursing practice problem you identified. Include relevant details and supporting explanation and use that information to propose evidence-based practice changes.General RequirementsPrepare this assignment according to the APA 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. Refer to the LopesWrite Technical Support articles for assistance
Required ResourcesRead/review the following resources for this activity:Textbook: Review chapter(s) applicable to your presentationLessonHeadset microphone (If your computer does not already have a built-in microphone, then you can find this item under the Additional Items section in the bookstore).Link (website):Narrated PowerPoint Tutorial(Make sure to review this tutorial before you begin recording.)Minimum of 4 scholarly sources (from Weeks 5 & 6)IntroductionYour PowerPoint presentation is due this week. Most of you will have a mic built into your computer, but if you don’t, then you are required to obtain a headset microphone to produce the PowerPoint narration. Headset microphones can be purchased from the bookstore or at any electronics or discount store for between $10-25. When purchasing a headset microphone, consider the ports available on the computer being used and purchase accordingly.In addition, you should take the time to review the Resources tab for technology guidance so that you will be ready to complete your speech on time. Of course, if you face technical trouble, there is support available.Review the Narrated PowerPoint Tutorial (in Required Resources) for instructions on how to record the narration.PowerPoint Project TimelineDueDescriptionWeek 4PowerPoint Topic and OrganizationWeek 5PowerPoint Outline Rough DraftWeek 6PowerPoint Outline Final Draft, Images, and SourcesWeek 7PowerPoint PresentationWeek 8PowerPoint EvaluationInstructionsThe following are the best practices for creating your speech presentation:Title Slide: Include the title, audience (who you prepared the presentation for: school or institution), the presenter who prepared and narrated, and the date.Attention-Getter: Give the audience a reason to pay attention. Make them want to listen to your speech.Thesis: Clearly state the purpose of your presentation(On this slide, establish the tone of the presentation and include any questions you think your audience might have about your topic – questions you will answer during your presentation).Body of the Presentation (multiple slides): Include the information you found during your research and organize it in a visually pleasing manner.Use some type of division like levels of headers or titles.Use words and phrases to clarify key points.Provide researched evidence for each point.Cite your evidence, quotes, and statistics within your presentation usingin-text citations ( ) on the slides as well as full reference citations on thelast slide.Include images to add visual appeal to the slides.Summary and Conclusion: Summarizing is similar to paraphrasing but presents the gist of the material in fewer words than the original. An effective summary identifies the main ideas and major support points from the body of your outline or presentation. Minor details are left out. Summarize the benefits of the ideas and how they affect the thesis statement of the outline and main objective of the presentation. End with a final strong statement regarding the intent of the presentation.References: Use the APA citation format. The illustrations should be included with your resources. APA tutorials are available in the Chamberlain University library. Keep in mind the following:At least 4 authoritative, outside scholarly sources are required from Week 6 outline. (Anonymous authors or web pages are not acceptable.)Appropriate citations within the presentation are required on the last slide. Just copy and paste this from the last page of your outline – the References page. References should be in APA format.Each resource should be entirely double spaced.All entries must use hanging indents – the first line is flush left, and all the rest are indented.All Chamberlain University policies are in effect including the plagiarism policy.Additional HintsUse a minimum of 5 visual aids to further clarify and support the written part of your presentation. You could use example graphs, diagrams, photographs, flowcharts, maps, drawings, pictograms, tables, and Gantt charts. If a slide appears boring, then strongly consider adding a visual. It is the blend of text and images that make the slides engaging for the audience.Animation and video clips should not be used for this speech. YouTube is not allowed.Do not type out text onto the slide and then read it during your presentation. Remember, you are the teacher, so teach, don’t read!Click on the following link to view a presentation of sample slides. Click on the arrows to scroll through the slide show.Presentation Requirements (APA format)Time Length: 5-7 minutesSlide Length: minimum of 8 slidesSlide ContentTitle slideAttention-GetterThesisBody of the PresentationSummary and ConclusionReferences slide (minimum of 4 scholarly sources from Week 6 outline)Minimum of 5 visual aidsGradingThis activity will be graded based on W7 Presentation Grading Rubric.Course Outcomes (CO): 3Due Date: By 11:59 p.m. MT on Sunday
Research a health care organization or network that spans several states with in the United States (United Healthcare, Vanguard, Banner Health, etc.). Assess the readiness of the health care organization or network you chose in regard to meeting the health care needs of citizens in the next decade.Prepare a 1,000-1,250 word paper that presents your assessment and proposes a strategic plan to ensure readiness. Include the following:Describe the health care organization or network.Describe the organization’s overall readiness based on your findings.Prepare a strategic plan to address issues pertaining to network growth, nurse staffing, resource management, and patient satisfaction.Identify any current or potential issues within the organizational culture and discuss how these issues may affect aspects of the strategic plan.Propose a theory or model that could be used to support implementation of the strategic plan for this organization. Explain why this theory or model is best.
Superbnursingessays.com exists to ease challenging concepts for students. Any paper from our distinguished tutors should only be used for academic referencing and learning purposes none of them should be submitted as they are.
EMAIL:
support@Superbnursingessays.com
Phone Number
+1 (989) 803-6873