Discussion: Treatment for a Patient With a Common Condition

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Discussion: Treatment for a Patient With a Common Condition

Insomnia is one of the most common medical conditions you will encounter as a PNP. Insomnia is a common symptom of many mental illnesses, including anxiety, depression, schizophrenia, and ADHD (Abbott, 2016). Various studies have demonstrated the bidirectional relationship between insomnia and mental illness. In fact, about 50% of adults with insomnia have a mental health problem, while up to 90% of adults with depression experience sleep problems (Abbott, 2016). Due to the interconnected nature of psychopathology, it is important that you, as the PNP, understand the importance of the effects some psychopharmacologic treatments may have on a patient’s mental health and their sleep patterns. Therefore, it is important that you understand and reflect on the evidence-based research in developing treatment plans to recommend proper sleep practices to your patients as well as appropriate psychopharmacologic treatments for optimal health and well-being. Discussion: Treatment for a Patient With a Common Condition

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Reference: Abbott, J. (2016). What’s the link between insomnia and mental illness? Health. https://www.sciencealert.com/what-exactly-is-the-link-between-insomnia-and-mental-illness#:~:text=Sleep%20problems%20such%20as%20insomnia%20are%20a%20common,bipolar%20disorder%2C%20and%20attention%20deficit%20hyperactivity%20disorder%20%28ADHD%29
Case: An elderly widow who just lost her spouse.

Subjective: A patient presents to your primary care office today with a chief complaint of insomnia. The patient is 75 years old and has PMHs of DM, HTN, and MDD. Her 41-year-old husband passed away 10 months ago. Since then, she states that her depression has gotten worse, as have her sleep habits. The patient has no previous history of depression prior to her husband’s death. She is awake, alert, and oriented. The patient normally sees the PCP once or twice a year. The patient denies any suicidal ideations. The patient arrived at the office today by private vehicle. The patient currently takes the following medications:
Metformin 500mg BID
Januvia 100mg daily
Losartan 100mg daily
HCTZ 25mg daily
Sertraline 100mg daily
Current weight: 88 kg
Current height: 64 inches
Temp: 98.6 degrees F
BP: 132/86

Post a response to each of the following:
List three questions you might ask the patient if she were in your office. Provide a rationale for why you might ask these questions. Discussion: Treatment for a Patient With a Common Condition
Identify people in the patient’s life you would need to speak to or get feedback from to further assess the patient’s situation. Include specific questions you might ask these people and why.
Explain what, if any, physical exams and diagnostic tests would be appropriate for the patient and how the results would be used.
List a differential diagnosis for the patient. Identify the one that you think is most likely, and explain why.
List two pharmacologic agents and their dosing that would be appropriate for the patient’s antidepressant therapy based on pharmacokinetics and pharmacodynamics. From a mechanism of action perspective, provide a rationale for why you might choose one agent over the other.

For the drug therapy you select, identify any contraindications to use or alterations in dosing that may need to be considered based on the client’s ethnicity. Discuss why the contraindication or alternative you identify exists. That is, what would be problematic with the use of this drug by individuals of other ethnicities?

Discussion: Treatment for a Patient With a Common Condition

Discussion: Diversity and Health Assessments

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Discussion: Diversity and Health Assessments

In May 2012, Alice Randall wrote an article for The New York Times on the cultural factors that encouraged black women to maintain a weight above what is considered healthy. Randall explained—from her observations and her personal experience as a black woman—that many African-American communities and cultures consider women who are overweight to be more beautiful and desirable than women at a healthier weight. As she put it, “many black women are fat because we want to be” (Randall, 2012). Discussion: Diversity and Health Assessments

Randall’s statements sparked a great deal of controversy and debate; however, they emphasize an underlying reality in the health care field: different populations, cultures, and groups have diverse beliefs and practices that impact their health. Nurses and health care professionals should be aware of this reality and adapt their health assessment techniques and recommendations to accommodate diversity.

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In this discussion, you will consider different socioeconomic, spiritual, lifestyle, and other cultural factors that should be taken into consideration when building a health history for patients with diverse backgrounds.

Case 1

JC, 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 history 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 I do not want to be a burden to my daughter.”

Case 2

TJ, 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 complications 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 has a strong family history of diabetes. Gravida 1; Para 0; Abortions 0.

Case 3

MR, 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 prescription 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. Discussion: Diversity and Health Assessments

· 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 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?

By Day 3

Write Please include subheading

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.

Discussion: Diversity and Health Assessments

Assignment: The Impact Of Standardized Nursing Terminology

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Assignment: The Impact Of Standardized Nursing Terminology

To Prepare:

  • Review the concepts of informatics as presented in the resources, particularly Rutherford, M. (2008). Standardized Nursing Language: What Does It Mean for Nursing Practice?
  • Reflect on the role of a nurse leader as a knowledge worker.
  • Consider how knowledge may be informed by data that is collected/accessed.

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The Assignment: (4-5 pages)

In a 2- to 3-page paper, address the following:

  • Explain how you would inform this nurse (and others) of the importance of standardized nursing terminologies.
  • Describe the benefits and challenges of implementing standardized nursing terminologies in nursing practice. Be specific, and provide examples.
  • Be sure to support your paper with peer-reviewed research on standardized nursing terminologies that you consulted from the Walden Library.

Assignment: The Impact Of Standardized Nursing Terminology

Benchmark – Effective Approaches In Leadership And Management

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Benchmark: Effective Approaches In Leadership And Management

In this assignment, you will be writing a 1,000–1,250-word essay describing the differing approaches of nursing leaders and managers to issues in practice. To complete this assignment, do the following: Benchmark: Effective Approaches In Leadership And Management

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Select an issue from the following list: nursing shortage and nurse turn-over, nurse staffing ratios, unit closures and restructuring, use of contract employees (i.e., registry and travel nurses), continuous quality improvement and patient satisfaction, and magnet designation.
Compare and contrast how you would expect nursing leaders and managers to approach your selected issue. Support your rationale by using the theories, principles, skills, and roles of the leader and manager described in your readings.
Identify the approach that best fits your personal and professional philosophy of nursing and explain why the approach is suited to your personal leadership style.
Identify a possible funding source that addresses your issue. Consider looking at federal, state, and local organizations. For example: There are many grants available through the CDC, HRSA, etc.
Use at least two references other than your text and those provided in the course.
Prepare 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.

Benchmark: Effective Approaches In Leadership And Management

Pain Assessment Case Study

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Pain Assessment Case Study

Read the scenario in the case study and answer the writing prompts. Provide a rationale for each answer. All posts must contain at least two (2) professional references, properly cited in the current APA format. Minimum of 250 words. Pain Assessment Case Study

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Case Study Description

J.P. is a 15-year-old African American adolescent who lives with his mother and father and was diagnosed with sickle cell disease 3 years ago. He is in the 10th grade. He is an honor roll student and is on the track team at his school. J.P. presents to the emergency department with deep muscle pain in both his legs, related to a sickle cell crisis. He rates his pain at 8/10. He is 5 feet 6 inches and weighs 140 lb. On admission, his vital signs are T: 37°C, P: 80 beats/min, R: 18 breaths/min, and BP: 140/68 mmHg

Writing Prompts

  1. What other assessments should be included for this patient?
  2. Identify the various types of pain.
  3. What type of pain does this patient describe?
  4. What standards for assessing pain will be applied to this patient’s plan of care, including the impact that culture has on pain and assessment?
  5. What teaching should the nurse consider from the problem list?
  6. What interventions should be included in the plan of care for this patient?

Pain Assessment Case Study

 

Pharmacotherapy For Cardiovascular Disorders

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Pharmacotherapy For Cardiovascular Disorders

A case study was assigned:

Patient AO has a history of obesity and has recently gained 9 pounds. The patient has been diagnosed with hypertension and hyperlipidemia. The 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 daily

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  • Review the resources for this module and consider the impact of potential pharmacotherapeutics for cardiovascular disorders introduced in the media piece.
  • Review the case study assigned by your instructor for this assignment.
  • Select one of 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.

Write a 3-page paper that addresses the following:

  • Explain how the factor you selected might influence the pharmacokinetic and pharmacodynamic processes in the patient from the case study you were assigned.
  • Describe how changes in the processes might impact the patient’s recommended drug therapy. Be specific, and provide examples.
  • Explain how you might improve the patient’s drug therapy plan and explain why you would make these recommended improvements.

Pharmacotherapy For Cardiovascular Disorders

Cultural Competence And Nutrition In Health Promotion

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Cultural Competence And Nutrition In Health Promotion

Select an ethnic minority group that is represented in the United States (American Indian/Alaskan Native, Asian American, Black/African American, Hispanic/Latino, Native Hawaiian, or Pacific Islander). Using health information available from Healthy People, the CDC, and other relevant government websites, analyze the health status of this group. Cultural Competence And Nutrition In Health Promotion

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In a paper of 1,000–1,250 words, compare and contrast the health status of your selected minority group to the national average. Include the following:

  1. Describe the ethnic minority group selected. Describe the current health status of this group. How do race and ethnicity influence health for this group?
  2. What are the health disparities that exist for this group? What are the nutritional challenges for this group?
  3. Discuss the barriers to health for this group resulting from culture, socioeconomics, education, and sociopolitical factors.
  4. What health promotion activities are often practiced by this group?
  5. Describe at least one approach using the three levels of health promotion prevention (primary, secondary, and tertiary) that is likely to be the most effective in a care plan given the unique needs of the minority group you have selected. Provide an explanation of why it might be the most effective choice.
  6. What cultural beliefs or practices must be considered when creating a care plan? What cultural theory or model would be best to support culturally competent health promotion for this population? Why?

Cite at least three peer-reviewed or scholarly sources to complete this assignment. Sources should have been published within the last 5 years and be appropriate for the assignment criteria and public health 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.

Cultural Competence And Nutrition In Health Promotion

Nursing Process: Approach To Care

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Nursing Process: Approach To Care

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.  Nursing Process: Approach To Care

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Write a paper (1,750–2,000 words) on cancer and the approach to care based on the utilization of the nursing process. Include the following in your paper:

  1. Describe the diagnosis and staging of cancer.
  2. Describe at least three complications of cancer, the side effects of treatment, and methods to lessen the physical and psychological effects.
  3. Discuss what factors contribute to the yearly incidence and mortality rates of various cancers among Americans.
  4. Explain how the American Cancer Society (ACS) might provide education and support. What ACS services would you recommend, and why?
  5. Explain how the nursing process is utilized to provide safe and effective care for cancer patients across their life span. Your explanation should include each of the five phases and demonstrate the delivery of holistic and patient-focused care.
  6. 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 interdisciplinary research areas.

You are required to cite a minimum of four sources to complete this assignment. Sources must be published within the last 5 years, appropriate for the assignment criteria, and relevant to nursing practice.

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

Nursing Process: Approach To Care

Informatics In Healthcare

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Informatics In Healthcare

Assignment:

Introduction to Theory in Healthcare Informatics

Write an essay addressing each of the following points/ questions:. Be sure to completely answer all the questions for each number item. There should be three sections, one for each item number below, as well as the introduction (the heading is the title of the essay) and conclusion paragraphs. Separate each section of your paper with a clear heading that allows your professor to know which bullet you are addressing in that section of your paper. Support your ideas with at least three (3) scholarly citations using APA citations in your essay. Make sure to reference the citations using the APA writing style for the essay. The cover page and reference page do not count towards the minimum word amount. Review the rubric criteria for this assignment. Informatics In Healthcare

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Write an essay addressing the following prompts:

  1. Electronic health records (EHRs) are easier to read than the paper charts of the past, but many complain that healthcare providers are focusing too much on the computer screen instead of the patient.
  • Is this due to a lack of skill or training, poor computer system design, or just the nature of computer charting?
  • Is patient care suffering from the implementation of EHRs?
  • Charting in an EHR consists of clicking boxes; do you feel this provides enough detail about the patient, condition, and events if there was a lawsuit?
  1. Hebda, Hunter, and Czar (2019) identify three types of data that are currently being tracked by organizations (p. 46).
  • Identify and explain another type of data, specific to your practice, that is being tracked by an organization.
  • Why do you feel this data is important to track?
  • Identify and discuss the organization that is tracking the data.
  • Are there any ethical concerns with an outside organization tracking this data? Explain and give examples.
  1. In this week’s discussion post, you identified and explained the topic selected for the project.
  • Provide a description of your selected topic based on input from the discussion forum. What is your project, why is it relevant to this class, and why is it important to you?
  • Identify an informatics/healthcare theory from pages 29–30 of the textbook that aligns with the project and explain why.

Informatics In Healthcare

Benchmark – Diversity In Health Care Essay

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Benchmark – Diversity In Health Care Essay

Diversity has a significant influence on health care. Studying transcultural health care helps health professionals understand different cultures in order to provide holistic and individualized health care. Review the Purnell Model for Cultural Competence, including the theory, framework and 12 domains. Write 750-1,000-word paper exploring the Purnell Model for Cultural Competence. Include the following:

  1. Explain culturally sensitive care and its application within health care.
  2. Explain the theory and organizational framework of the Purnell Model, and discuss its relevance to transcultural health care.
  3. Describe Purnell’s 12 domains of culture, and assess how each of these domains plays an active role in the diversity of health care in your specific field.
  4. Discuss how this model can be applied when working with different cultures in order to become a more culturally competent health care provider.
  5. Cite at least three references, including the course textbook. Benchmark – Diversity In Health Care Essay

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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. Refer to the LopesWrite Technical Support articles for assistance.

This benchmark assignment assesses the following programmatic competency:

BS Health Sciences

1.1 Explain culturally sensitive care and its application within health care.

Benchmark – Diversity In Health Care Essay