Anti-infective Medications Essay

Anti-infective Medications Essay

Module 6 Overview

Introduction

This week we will focus on the pharmacotherapeutics of anti-infective medications, including their use in commonly occurring conditions and the more commonly prescribed medications.  The presence of infection may occur in any body system and include causative agents such as bacteria, viruses, fungi, and protozoans Anti-infective Medications Essay.  The evidence-based treatment will vary with the cause and area of infection.

Learning Objectives

After completing this module, you will be able to:

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  • Utilize advanced nursing and pharmacological interventions in the use of anti-infective medications to resolve complex and biological, psychological, physiological and pathophysiologic conditions. Anti-infective Medications Essay.
  • Synthesize evidence-based clinical practice guidelines to develop pharmacotherapeutics plans for common infections such as pneumonia, otitis, urinary tract infections, sexually transmitted infections, skin infections, dental infections, gastroenteritis, and sepsis.
  • Teach patients, family members, and others from diverse populations regarding safe and effective use of drugs and natural products within the anti-infective medication classifications.

Reading & Resources

Read Chapters 8, 17, 18, 24, 27, 31, 32, & 35 In Arcangelo, V. P., & Peterson, A. M. (2017). Pharmacotherapeutics for advanced practice: A practical approach (4th ed.). Philadelphia, PA: Wolters Kluwer/Lippincott Williams & Wilkins. Anti-infective Medications Essay

Visit Infectious Disease Society of America (IDSA) Practice guidelines at https://www.idsociety.org/PracticeGuidelines/

Learning Activities

  • Discussion: Participate in Discussion 6.(Remember to use the IDSA resource)

Discussion 6

J. P. is a 36-year-old Caucasian gay male who was diagnosed with HIV infection 2 years ago. He and his male partner, T. R., were married shortly after his diagnosis. T. R. is not HIV positive. Anti-infective Medications Essay He has been feeling well for the past 2 years, and he maintains a healthy, active lifestyle by exercising three to four times a week and eating a balanced diet. His medications include a multiple vitamin and occasional omeprazole for heartburn. He has never received antiretroviral therapy. He comes to your office for a routine physical exam and blood work. The physical examination is unremarkable, and the laboratory results are as follows: Electrolytes, serum creatinine, liver function tests: within normal limits; Complete blood count with differential: within normal limits, CD4+ T-cell count: 210 cells/mm3; Viral load: 10,000 copies/mL, Genotype: No resistance mutations detected Anti-infective Medications Essay

Diagnosis: Asymptomatic HIV Infection

In this discussion forum:

  1. Discuss specific goals for pharmacotherapy for treating J. P.’s asymptomatic HIV infection.
  2. Discuss when prophylaxis for infection is indicated ie daily bactrim Anti-infective Medications Essay
  3. Discuss the drug therapy a CNP would likely prescribe and why.
  4. Discuss the parameters for monitoring success of the therapy.
  5. Discuss health promotion recommendations you would consider for J. P.

Remember to respond to at least two of your peers. Please see the Course Syllabus for Discussion Participation Requirements and Grading Criteria Anti-infective Medications Essay.

NRS433 Introduction to Nursing Research Essay Discussion papers

NRS433 Introduction to Nursing Research Essay Discussion papers

Week 1 Discussion

DQ1 Identify two areas of nursing practice, in which evidence-based practice has improved patient outcomes. State the study and its impact on patient care. How have these findings changed your nursing practice? Please support your response with a minimum of two supporting peer-reviewed articles.

DQ2 Nursing research is used to study a dilemma or a problem in nursing. Examine a problem you have seen in nursing. Why should it be studied? Justify your rationale.

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NRS433 Introduction to Nursing Research

Week 2 Discussion

DQ1 Qualitative data has been described as voluminous and sometimes overwhelming to the researcher. In what ways could a researcher manage and organize the data?

DQ2 The three types of qualitative research are phenomenological, grounded theory, and ethnographic research. What are the differences and similarities between two of the three types of studies? NRS433 Introduction to Nursing Research Essay Discussion papers.

NRS433 Introduction to Nursing Research

Week 3 Discussion

DQ1 Provide examples of experimental and nonexperimental research design. Contrast the levels of control applied to each.

DQ2 What is sampling theory? Describe it and provide examples to illustrate your definition. Discuss generalizability as it applies to nursing research.

NRS433 Introduction to Nursing Research

Week 4 Discussion

DQ1 Extraneous variables may have an influence on the dependent variable. In what ways do researchers attempt to control extraneous variables? Support your answer with current literature.

DQ2 Describe the levels of evidence and provide an example of the type of practice change that could result from each. NRS433 Introduction to Nursing Research Essay Discussion papers.

NRS433 Introduction to Nursing Research

Week 5 Discussion

DQ1 The theoretical foundations of qualitative and quantitative methods are very different, but many researchers believe both methods should be used in the research study to increase validity and reliability. What advantages or disadvantages do you see in using both types of methods in a nursing study? Support your answer with current evidence-based literature.

DQ2 According to the textbook, nurses in various settings are adopting a research-based (or evidence-based) practice that incorporates research findings into their decisions and interaction with clients. How do you see this being applied in your workplace? NRS433 Introduction to Nursing Research Essay Discussion papers.

NR392 Quality Improvement in Nursing Essay Assignments

NR392 Quality Improvement in Nursing Essay Assignments

Week 1 Discussion

Defining a Quality Care Issue in Nursing

CO1 Identify the role of the BSN nurse in the quality improvement process as a member of the collaborative interprofessional team. (POs 2 and 7)

Think of an area of opportunity within your current or former clinical setting that is quality driven. Define (D) one nursing care issue (not a workforce issue such as staffing) from a current or former nursing workplace (or clinical setting) that could be impacted by improved quality. NR392 Quality Improvement in Nursing Essay Assignments. This nursing care issue should not be one that has already undergone a quality improvement process. Tell us details of this issue and how it this issue impacts nursing care quality at that facility.

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NR392 Quality Improvement in Nursing

Week 2 Discussion

DMAIC Process for a Real Life Issue

CO2 Discuss effective processes and strategies to improve quality in nursing. (POs 2 and 8)

Why is it important to have a structured process to approach and improve nursing care quality? How can use of this structured process help to improve quality nursing care in your setting?

NR392 Quality Improvement in Nursing

Week 3 Discussion

Quality Improvement Education

CO1 Identify the role of the BSN nurse in the quality improvement process as a member of the collaborative interprofessional team. (POs 2 and 7)

CO3 Examine culture of safety principles that improve patient outcomes based on current evidence. (POs 7 and 8) NR392 Quality Improvement in Nursing Essay Assignments.

In your prelicensure nursing education program, what did you learn about quality improvement in nursing? How was quality improvement emphasized? As you consider nursing education today, what would you suggest be included in future education or orientation programs about the important topic of quality improvement in nursing?

NR392 Quality Improvement in Nursing

Week 4 Discussion

Culture of Safety

CO1 Identify the role of the BSN nurse in the quality improvement process as a member of the collaborative interprofessional team. (POs 2 and 7) NR392 Quality Improvement in Nursing Essay Assignments.

CO2 Discuss effective processes and strategies to improve quality in nursing. (POs 2 and 8)

How does your current or former clinical environment maintain a culture of safety? How are errors reported and managed to improve quality? What suggestions would you make as a nurse leader to improve the culture of safety?

NR392 Quality Improvement in Nursing

Week 5 Discussion

Strategies for Interprofessional Collaboration to Promote Quality

CO1 Identify the role of the BSN nurse in the quality improvement process as a member of the collaborative interprofessional team. (POs 2 and 7)

CO2 Discuss effective processes and strategies to improve quality in nursing. (POs 2 and 8)

This week as we focus on interprofessional collaboration to promote quality, please remember that professionals include dietitians, therapists (respiratory, physical, occupational, and speech), social workers/case managers, psychologists, physicians, pharmacists, and others. Professionals do not include patients, families, aides, or unlicensed assistive personnel. NR392 Quality Improvement in Nursing Essay Assignments.

Working as an interdisciplinary team helps promote positive patient outcomes. What strategies do you use to successfully work with other professions in your workplace to promote quality care? What strategies are not successful? What are the barriers to interprofessional collaboration, and how will you overcome these barriers?

NR392 Quality Improvement in Nursing

Week 6 Discussion

Quality Improvement Using Evidence-Based Practice in Nursing

CO3 Examine culture of safety principles that improve patient outcomes based on current evidence. (POs 7 and 8)

Consider a single nursing care issue at your facility where quality has already been improved by implementation of evidence. Answer the following:

How was evidence on that topic located in scholarly professional nursing journal articles and evaluated? NR392 Quality Improvement in Nursing Essay Assignments.

What was the implementation plan?

How was the improvement in quality measured after the implementation?

What do you suggest that would have improved this implementation and maintenance of improved quality?

NR392 Quality Improvement in Nursing

Week 7 Discussion

The Role of Patients in Your Course Project Nursing Issue

CO1 Identify the role of the BSN nurse in the quality improvement process as a member of the collaborative interprofessional team. (POs 2 and 7)

CO3 Examine culture of safety principles that improve patient outcomes based on current evidence. (POs 7 and 8)

Considering the nursing issue for your Course Project, address the following:

Provide a brief summary of your Course Project for the class NR392 Quality Improvement in Nursing Essay Assignments.

What patient data is collected? What data do you want collected?

How will this actual and desired data help you to continue to improve quality on this nursing issue?

NR392 Quality Improvement in Nursing

Week 8 Discussion

Reflection on AACN BSN Essential II

CO1 Identify the role of the BSN nurse in the quality improvement process as a member of the collaborative interprofessional team. (POs 2 and 7)

CO2 Discuss effective processes and strategies to improve quality in nursing. (POs 2 and 8)

Quality is an overriding principle in the AACN BSN Essentials document. Essential II specifically describes the role of the baccalaureate nurse in quality improvement. As you complete this course, reflect on how you will implement lessons learned about quality improvement into your future nursing practice. Provide details about what you plan to do to improve quality in your current or ideal future professional nursing position. NR392 Quality Improvement in Nursing Essay Assignments Think big!

NRS 440 Trends and Issues in Today’s Health Care Essay Assignment Discussions

NRS 440 Trends and Issues in Today’s Health Care Essay Assignment Discussions

dq 1

What is the impact to the nursing profession and to the public related to the projected nursing shortage? Discuss at least one way that the nursing profession is working toward a resolution of this problem.

dq 2

What is the role of health care reform in shifting the focus from a disease-oriented health care system toward one of wellness and prevention, and how does nursing fit into this shift? NRS 440 Trends and Issues in Today’s Health Care Essay Assignment Discussions.

NRS440 Week 2 Discussion 1 & 2 Latest 2018 May

dq 1

The Patient Protection and Affordable Care Act (PPACA) was passed into legislation in March of 2010. Identify the impact of this legislation on your nursing practice by choosing two key nursing provisions outlined in the topic material “Nursing and Health Reform.” Discuss how these two provisions have impacted, or will impact, your current practice of nursing.

dq 2

Describe one innovative health care delivery model that incorporates an interdisciplinary care delivery team. How is this advantageous to patient outcomes?

NRS440 Week 3 Discussion 1 & 2 Latest 2018 May

dq 1

Discuss current research that links patient safety outcomes to ADN and BSN nurses. NRS 440 Trends and Issues in Today’s Health Care Essay Assignment Discussions. Based on some real-life experiences, do you agree or disagree with this research?

dq 2

What is the difference between a DNP and a PhD in nursing? Which of these would you choose to pursue if you decide to continue your education to the doctoral level?

NRS440 Week 4 Discussion 1 & 2 Latest 2018 May

dq 1

Choose one legislator on the state or federal level who is also a nurse, and discuss the importance of their role as advocate for improving health care delivery. What specific bill(s) have they sponsored or supported that has/have influenced health care?

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dq 2

Discuss how the CMS reimbursement rules for never events required a shift in the patient care delivery model in inpatient facilities.

NRS440 Week 5 Discussion 1 & 2 Latest 2018 May

dq 1

Identify the educational preparation and role(s) of the clinical nurse leader (CNL) designation. Give an example of how the CNL influences direct patient care whether in a hospital or out in the community NRS 440 Trends and Issues in Today’s Health Care Essay Assignment Discussions.

dq 2

Identify advocacy strategies that you can use to create change in your current workplace. NRS 440 Trends and Issues in Today’s Health Care Essay Assignment Discussions.

Relationship Between Variables in a Dataset Essay

Relationship Between Variables in a Dataset Essay

You will describe this relationship by answering the following questions:

1. Insert the Scatter Plot you have created into your post.
2. Describe the following characteristics of the correlation result as interpreted from the Scatter Plot you just created
– strength 
– direction
3. Is this a Pearson r Scatter Plot or a Spearman Rho Scatter Plot? Justify your answer.

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4. Based on your interpretation of the Scatter Plot you have created, formulate a null hypothesis consistent with these results. 
5. Are there outliers in this data set? How do you assess for these when interpreting a Scatter Plot? 
6. What additional information do you need to determine if this correlation is statistically significant? Does the Scatter Plot provide this information? If the correlation is statistically significant, does that mean you reject or fail to reject H0? Relationship Between Variables in a Dataset Essay

N521-Attention-Deficit Hyperactive Disorder (ADHD)

N521-Attention-Deficit Hyperactive Disorder (ADHD) Discussion 7

J. T., who is a Native American male, age 8, is always interrupting his teacher, jumping out of his seat in class, fidgeting relentlessly, and butting into other children’s games. At home, he runs around recklessly and is uncontrollable. His mother comes to the CNP in the Pediatric Clinic and wonders why he will not listen. She is concerned because his grades at school are dropping. After medical evaluation, you find nothing wrong with J. T. physically, and he is taking no other medications. Through questioning, you determine that he has trouble concentrating on his homework, often forgets he has homework, loses pieces of games frequently, and hates to sit and read. His mother is unsure of the time frame over which these behaviors developed, but she thinks it has been since her second child was born 5 years ago. N521-Attention-Deficit Hyperactive Disorder (ADHD) . While in your office, J. T. did not seem to be hyperactive or inattentive, but you notice he is easily distracted by people passing in the hallway because the door is slightly ajar.

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Diagnosis: Attention-Deficit Hyperactive Disorder (ADHD)

In this discussion forum:

  1. Discuss specific goals for pharmacotherapy for treating J. T.’s ADHD.
  2. Discuss the first-line drug therapy for J. T., and why.
  3. Discuss monitoring parameters you would institute for J. T.’s parents and his teachers.
  4. Discuss specific patient education you would provide to J. T.’s parents based on the prescribed therapy.

Remember to respond to at least two of your peers. Please see the Course Syllabus for Discussion Participation Requirements and Grading Criteria. N521-Attention-Deficit Hyperactive Disorder (ADHD)

Changing role of nursing essay example NRS 440

Changing role of nursing essay example NRS 440

Our role as a nurse changing to more home health jobs:

The country is facing many changes especially with Obama Care being up in the air with the new president. The Affordable Care Act has restructured how we receive our health care in the United States. Nurses have and always will play a very important role in our health care today. Changing role of nursing essay example NRS 440. The one change that is very different from how we receive our health care today is the simple fact that in years to come it is expected that nursing will be in high demand outside of the hospital compared to just having nurses in and around hospitals delivering acute care.

The practice of nursing is an ever evolving career. As we grow and evolve as a country so does the career in nursing. The concept of continuity of care used to be considered inside a hospital setting only but because our culture is changing so much it reflects on how nursing is approached. My goal is to provide you with information showing the recent trend of providing in home health care compared to the traditional hospital care we are all used to receiving. Changing role of nursing essay example NRS 440.

Traditional roles vs. more opportunities

The traditional role of nursing has been to provide care inside the hospital. As a nurse we tend to think if we would like to work as a RN the place to apply would be a hospital. This is no longer the case. Job opportunities are going to be in the community especially because the Affordable Care Act has placed programs for the elderly to be at home for as long as possible. There are more and more rehabs, assisted living places being opened up by the 100’s.  The need for nurses at these facilities is only going to become greater as the bigger hospitals increase these types of programs. In a recent article by ANA Career Center Staff the topic being looked at was heath care and the affect it had on the nurses. It addressed things like the fact over half of the nurses were looking at retirement. They went as far as to state, “More than half of working nurses are over 50, which means there will be a lot of empty positions to fill in the coming years as they retire, says Susan Yox, EdD, RN, director of editorial content at Medscape.” (ANA, 2015). Changing role of nursing essay example NRS 440.  Peggy Crabtree is from the Camden group and she believes that there will be more opportunities for the nurse to work considering how many patients will be discharged to one of the facilities outside of the hospital. The opportunities are really endless for nurses because there are now programs for this very thing everywhere. One of the options are ACO’s which are Accountable Care Organizations. These are a great alternative for the patient and the nurse to provide care in an environment other than the hospital. The ACO has been defined as a “model of care, an ACO generally consists of an interrelated system of providers that may comprise hospitals, home care and long-term care agencies, physician group practices, and other health care entities, such as medical homes, whose focus is primary care. The ACO assumes responsibility for managing the care of the patient and the delivery of services across the continuum of care, with a strong emphasis on primary care and prevention”. (Hart, 21012) Changing role of nursing essay example NRS 440.

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Home Hemodialysis

One program that I happened to know a bit more about is Home Hemodialysis. I just switched jobs recently and this is now what I am presently learning.  The home dialysis program is amazing for patient’s. These patients are tied down to the dialyzer for three to four times a week and it usually is for a 4-hour time period. Changing role of nursing essay example NRS 440. So if you can only imagine the life style commitment these people make. So, if you can imagine this machine is the patient’s life line. It really helps that patient feel the least bit of freedom by giving them a bit of control with a home dialysis machine. It can do wonders for their health both mentally and physically. The patient is actually able to travel to different areas in the United States due to the Affordable Health Care Act. Most of them will qualify for the home dialysis unit which is portable if they are at a pretty high functioning level. It has made things like home dialysis an everyday topic rather than a wish that the patient longs for and dreams about. It can make it a reality. Changing role of nursing essay example NRS 440.

Many years ago these things like home dialysis were not an option. Overtime things like rehab facilities, home health care, hospice, assisted living facilities are all fairly new. With these types of health care being offered over just the acute care units in the hospitals it requires a more diverse set of skills for the nurse to have. While all of this new and upcoming healthcare is great it definitely causes a nursing shortage. It requires the nursing community to rethink about how they are training the new nurses.

Nurses Response

I shared this with three colleagues on my floor and asked for their feedback. The following is some of their responses to my presentation. All three basically had the same thing to say in general. They all felt like they knew how fast our health care was changing but were not aware that it was changing towards home health more than the acute care in the hospital. The more all three were talking I saw that they also agreed that in general all of the programs offered were starting to have an affect on the patient census Changing role of nursing essay example NRS 440. There are times of the year we see more patients especially now with the holidays but they also stated that having programs like home Hemodialysis is amazing. It allows our center the ability to see at least 100 more people in need. I think their point was that right now they really have not seen a change in the jobs for nursing dwindling in any way at the hospital but they have seen many of the jobs open up at home because of these new programs. I personally would have to agree with this point they were making too. Basically, in home dialysis there is so many patients waiting to be seen that yes many nursing jobs have been created at the home level but it still is in high demand at the acute care center in the hospital due to how many patients have needed this. Changing role of nursing essay example NRS 440.

Another point they were making was about the funding for these programs and if it was truly available. They were questioning the fact that like in many clinics or hospitals they never want to pay the nurse what she is truly valued at. They were asking about the load of work a nurse would be expected to do at a home treatment rather than the treatment in the hospital where they have access to PCT’s and CNS’s that help them tremendously. They raised some really good questions and points. They agreed that in general our health care is starting to use things like home health care over coming into the ER room and getting saline due to being dehydrated. They also agreed that these options were so much healthier for a family with a sick loved one Changing role of nursing essay example NRS 440. The amount of time and energy it takes on the family to bring the patient to the hospital and then to be around all the other people that are sick when that person is likely immunocompromised to begin with.

Our Nursing Future

Once I shared with them some of the good these home clinics are capable of I think all tree were more likely to be on board with the fact our health care system is changing and it will affect nursing in the areas we actually are providing care to our patients. When you spend time explaining personal stories about how home health care has not only helped a patient but also has allowed the patient to feel a sense of control again over their own life all three of the nurses were listening with a new sense of hearing. We all get complacent with our job and all it took for a renewed outlook on things was for these three nurses was to listen to a presentation. I actually could tell when we went back into the clinic for the acute care hemodialysis that they were extra careful and sensitive with their patients. It made me realize just how much it helps our health care team see things as they are. We all might need to have an open mind about working and providing care in a home, rehab, or assisted care facility rather than the traditional hospital. It will do the whole nursing community a world of good. Changing role of nursing essay example NRS 440.

References

Accountable care organizations: the future of care delivery? (n.d.). Retrieved December 18, 2016, from https://www.ncbi.nlm.nih.gov/pubmed/22277862

  1. (n.d.). Affordable Care Act Summary. Retrieved December 17, 2016, from http://obamacarefacts.com/affordablecareact-summary/

4 Health Care Trends That Will Affect American Nurses. (n.d.). Retrieved December 17, 2016, from

http://nursingworld.org/MainMenuCategories/Career-Center/Resources/4-Health-Care-Trends-That-Will-Affect-American-Nurses.html

Nather, D. (n.d.). Understanding Obamacare: A guide about the Affordable Care Act by POLITICO. Retrieved December 17, 2016, from http://www.politico.com/obamacare-guide/ Changing role of nursing essay example NRS 440.

 

N521- Advanced Pharmacology Assignment 2

R. W. is a 64-year-old Caucasian postal clerk who has smoked a pack of cigarettes a day for the past 35 years

N521- Advanced Pharmacology Assignment 2

R. W. is a 64-year-old Caucasian postal clerk who has smoked a pack of cigarettes a day for the past 35 years. He reports to his CNP in his family practice clinic. He presents with progressive difficulty getting his breath while doing simple tasks. He is having difficulty doing any manual work, but he has no symptoms when working behind his desk. He also reports a cough, fatigue, and weight loss. He has been treated for three respiratory infections a year for the past 3 years and feels like another one is developing now. On physical examination, you notice clubbing of his fingers, use of accessory muscles for respiration, wheezing in the lungs, and hyperresonance on percussion of the lungs. Pulmonary function studies show an FEV1 of 58%. R. W. is a 64-year-old Caucasian postal clerk who has smoked a pack of cigarettes a day for the past 35 years.

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In a paper not to exceed six pages, excluding title and reference pages, please answer the following:

  1. What is R. W.’s likely diagnosis?
  2. What stage of disease does RW have?
  3. List specific pharmacotherapeutic treatment goals for R. W.
  4. What drug therapy would the CNP likely prescribe? Why?
  5. What are the parameters for monitoring the success of the therapy?
  6. Describe specific patient education based on the prescribed therapy.
  7. List one or two adverse reactions for the selected agent that would cause the CNP to change therapy.
  8. What would be the choice for second-line therapy?
  9. What health promotion activities should be recommended for this patient?
  10. If RW was currently taking metoprolol for “headaches” would a change be recommended?
  11. R. W. is a 64-year-old Caucasian postal clerk who has smoked a pack of cigarettes a day for the past 35 years

Please use the Case Study Analysis rubric provided to guide you in completing this assignment. It will be used to evaluate your submitted work.

Competency

40

36

33

0

Points Earned

Case Study questions completely and thoroughly answered with accurate evidence-based supported rationales Accurate and well defined discussion of all 10 questions for the case study using current evidence-based resources. Accurate discussion of nine case study questions  presented with use of  current evidence-based resources.  

Accurate discussion of 8 questions using current evidence-based resources

Missing response to questions or inappropriate answers to questions. No use of evidence-based resources.

/40

R. W. is a 64-year-old Caucasian postal clerk who has smoked a pack of cigarettes a day for the past 35 years

40

36

33

0

Evidence of

  • critical thinking
  • therapeutic decision-making in drug selection and evaluation of patient care
  • pathophysiology and current pharmacological research
  • assessment of the effectiveness of drug therapy
  • formulation of clinical care and teaching plans for persons from diverse populations
Well-defined evidence of

  • critical thinking
  • therapeutic decision-making in drug selection and evaluation of patient care
  • pathophysiology and current pharmacological research
  • assessment of the effectiveness of drug therapy
  • formulation of clinical care and teaching plans for persons from diverse populations
 

Evidence of critical thinking in prescriptive therapy, monitoring and adverse events.  May have lacked a teaching plan or pathophysiologic discussion.

 

Evidence of critical thinking but incompletely described therapeutic decision making and omitted teaching plan and pathophysiology.

Multiple bulleted points are absent or poorly defined in the assignment. There is no demonstration of critical thinking.

R. W. is a 64-year-old Caucasian postal clerk who has smoked a pack of cigarettes a day for the past 35 years

/40

 

10

9

8

0

Points Earned

Grammar, spelling, and punctuation There are no errors in grammar, spelling, and punctuation There are a few minor errors in grammar, spelling, and punctuation that do not detract from the meaning (1-3 errors) There are major errors in grammar, spelling, and punctuation .(4-5 errors)

No content or more than 5 errors

/10

10

9

8

0

APA Compliance The paper meets APA formatting guidelines There are a few minor errors (1-3 errors) There are significant errors in the format of the paper (4-5 errors)

No content or more than 5 errors

/10

Total Points

R. W. is a 64-year-old Caucasian postal clerk who has smoked a pack of cigarettes a day for the past 35 years

N521- Advanced Pharmacology Assignment 3

L. P., age 23, is a Hispanic woman who graduated from college last year. She reports to the CNP in her local community mental health center. She began working as an accountant 1 month after graduating L. P., age 23, is a Hispanic woman who graduated from college. Approximately 2 months ago, she moved into a two-bedroom apartment with another woman who works at the same accounting firm. She states that her roommate recommended that she see a doctor to find out if she has anemia or “some sort of fatigue syndrome.” She states that she has felt “restless” and “on edge” for most of the past 9 months. She becomes easily fatigued and irritable and has difficulty concentrating and falling asleep. She states that sometimes her mind “just goes blank,” and she is worried that her work performance is no longer excellent. She reports that all her life she had good grades in school and was very successful in everything she attempted. Although she has been “a worrier from the day I was born,” now she worries more than she ever has and feels nervous “all the time.” L. P. reports that she has a good relationship with her boyfriend but they do not get to see each other very often because he is attending graduate school 100 miles away. She reports having a satisfying sexual relationship with him. She denies having any problems with relationships with her parents, roommate, or peers. She denies having any financial worries unless she is fired from her job for poor work performance N521- Advanced Pharmacology Assignment 3. She reports that she has always been healthy and has taken good care of herself. The only medication she takes is birth control pills, which she has taken for the past 4 years without any adverse effects L. P., age 23, is a Hispanic woman who graduated from college.

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In a paper not to exceed six pages, excluding title and reference pages, submit your answers to the following in an MS Word document:

  1. What is L. P.’s likely diagnosis?
  2. List specific pharmacotherapeutic treatment goals for L. P.
  3. L. P., age 23, is a Hispanic woman who graduated from college
  4. Should the CNP order any labs for L. P. at this time? Why?
  5. What drug therapy would the CNP likely prescribe? Why?
  6. What are the parameters for monitoring the success of the therapy?
  7. Describe specific patient monitoring based on the prescribed therapy.
  8. List one or two adverse reactions for the selected agent that would cause the CNP to change therapy.
  9. L. P. returns to see the CNP after six weeks, complaining of still feeling anxious and had heard of a medication called Klonopin that she would like to try; how should the CNP respond to her request?
  10. What health promotion activities should be recommended for this patient?
  11. What is L. P.’s long-term prognosis? L. P., age 23, is a Hispanic woman who graduated from college

Please use the Case Study Analysis rubric provided to guide you in completing this assignment. It will be used to evaluate your submitted work.

Competency

40

36

33

0

Points Earned

Case Study questions completely and thoroughly answered with accurate evidence-based supported rationales Accurate and well defined discussion of all 10 questions for the case study using current evidence-based resources. Accurate discussion of nine case study questions  presented with use of  current evidence-based resources. L. P., age 23, is a Hispanic woman who graduated from college Accurate discussion of 8 questions using current evidence-based resources

Missing response to questions or inappropriate answers to questions. No use of evidence-based resources.

/40

40

36

33

0

Evidence of

  • critical thinking
  • therapeutic decision-making in drug selection and evaluation of patient care
  • pathophysiology and current pharmacological research
  • assessment of the effectiveness of drug therapy
  • formulation of clinical care and teaching plans for persons from diverse populations
Well-defined evidence of

  • critical thinking
  • therapeutic decision-making in drug selection and evaluation of patient care
  • pathophysiology and current pharmacological research
  • assessment of the effectiveness of drug therapy
  • formulation of clinical care and teaching plans for persons from diverse populations
Evidence of critical thinking in prescriptive therapy, monitoring and adverse events.  May have lacked a teaching plan or pathophysiologic discussion. Evidence of critical thinking but incompletely described therapeutic decision making and omitted teaching plan and pathophysiology.

Multiple bulleted points are absent or poorly defined in the assignment. There is no demonstration of critical thinking.

/40 L. P., age 23, is a Hispanic woman who graduated from college

Competency

10

9

8

0

Points Earned

Grammar, spelling, and punctuation There are no errors in grammar, spelling, and punctuation There are a few minor errors in grammar, spelling, and punctuation that do not detract from the meaning (1-3 errors) There are major errors in grammar, spelling, and punctuation .(4-5 errors) No content or more than 5 errors

/10

Competency

10

9

8

0

APA Compliance

The paper meets APA formatting guidelines

L. P., age 23, is a Hispanic woman who graduated from college

There are a few minor errors (1-3 errors)

There are significant errors in the format of the paper (4-5 errors)

No content or more than 5 errors

/10

Total Points

/100

NR392 all weeks discussions

NR392 all weeks discussions

Week 1 discussion

Defining a Quality Care Issue in Nursing

Think of an area of opportunity within your current or former clinical setting that is quality driven. Define (D) one nursing care issue (not a workforce issue such as staffing) from a current or former nursing workplace (or clinical setting) that could be impacted by improved quality. This nursing care issue should not be one that has already undergone a quality improvement process. Tell us details of this issue and how it this issue impacts nursing care quality at that facility.

Week 2 discussion

DMAIC Process for a Real Life Issue

Why is it important to have a structured process to approach and improve nursing care quality? How can use of this structured process help to improve quality nursing care in your setting? nr392 all weeks discussions.

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Week 3 discussion

Quality Improvement Education

In your prelicensure nursing education program, what did you learn about quality improvement in nursing? How was quality improvement emphasized? As you consider nursing education today, what would you suggest be included in future education or orientation programs about the important topic of quality improvement in nursing?

Week 4 discussion

Culture of Safety

How does your current or former clinical environment maintain a culture of safety? How are errors reported and managed to improve quality? nr392 all weeks discussions What suggestions would you make as a nurse leader to improve the culture of safety?

Week 5 discussion

Strategies for Interprofessional Collaboration to Promote Quality

This week as we focus on interprofessional collaboration to promote quality, please remember that professionals include dietitians, therapists (respiratory, physical, occupational, and speech), social workers/case managers, psychologists, physicians, pharmacists, and others. Professionals do not include patients, families, aides, or unlicensed assistive personnel.

Working as an interdisciplinary team helps promote positive patient outcomes. What strategies do you use to successfully work with other professions in your workplace to promote quality care? What strategies are not successful? nr392 all weeks discussions. What are the barriers to interprofessional collaboration, and how will you overcome these barriers?

Week 6 discussion

Quality Improvement Using Evidence-Based Practice in Nursing

Consider a single nursing care issue at your facility where quality has already been improved by implementation of evidence. Answer the following:

How was evidence on that topic located in scholarly professional nursing journal articles and evaluated?

What was the implementation plan?

How was the improvement in quality measured after the implementation?

What do you suggest that would have improved this implementation and maintenance of improved quality? nr392 all weeks discussions.

Week 7 discussion

The Role of Patients in Your Course Project Nursing Issue

Considering the nursing issue for your Course Project, address the following:

Provide a brief summary of your Course Project for the class.

What patient data is collected? What data do you want collected?

How will this actual and desired data help you to continue to improve quality on this nursing issue?

Week 8 discussion

Reflection on AACN BSN Essential II

Quality is an overriding principle in the AACN BSN Essentials document. Essential II specifically describes the role of the baccalaureate nurse in quality improvement. As you complete this course, reflect on how you will implement lessons learned about quality improvement into your future nursing practice. Provide details about what you plan to do to improve quality in your current or ideal future professional nursing position. Think big! nr392 all weeks discussions.

NR392 Quality Improvement in Nursing

Week 2 Discussion

Quality Improvement Processes

This week’s graded topics relate to the following Course Outcome (CO).

CO2: Discuss effective processes and strategies to improve quality in nursing. (POs 2 and 8)

For this week’s discussion, answer the following:

Why is it important to have a structured process to approach and improve nursing care quality?

How can the use of this structured process help to improve quality nursing care in your current or former setting?

NR392 Quality Improvement in Nursing

Week 4 Discussion

Quality Improvement Data

This week’s graded topics relate to the following Course Outcome (CO).

CO2: Discuss effective processes and strategies to improve quality in nursing. (POs 2 and 8)

Consider the following questions:

How does your current or former clinical environment share data collected on quality measures or initiatives with the staff? nr392 all weeks discussions.

What further data would you like to have shared and why?

NR392 Quality Improvement in Nursing

Week 5 Discussion

Culture of Safety

This week’s graded topics relate to the following Course Outcome (CO).

CO3: Examine culture of safety principles that improve patient outcomes based on current evidence. (POs 7 and 8)

Consider the following questions:

How does your current or former clinical environment maintain a culture of safety?

What suggestions would you make as a nurse leader to improve the culture of safety?

NR392 Quality Improvement in Nursing

Week 7 Discussion

Sustaining Quality After Improvement

This week’s graded topics relate to the following Course Outcome (CO).

CO1: Identify the role of the BSN nurse in the quality improvement process as a member of the collaborative interprofessional team. (POs 2 and 7)

Considering the nursing issue for your Course Project, address the following:

Provide a brief summary of your Course Project nr392 all weeks discussions.

How could your plans sustain quality in your setting?

NR392 Quality Improvement in Nursing

Week 8 Discussion

Reflection on AACN BSN Essential II

This week’s graded topics relate to the following Course Outcomes (COs).

CO1: Identify the role of the BSN nurse in the quality improvement process as a member of the collaborative interprofessional team. (POs 2 and 7)

CO2: Discuss effective processes and strategies to improve quality in nursing. (POs 2 and 8)

Quality is an overriding principle in the AACN BSN Essentials document. Essential II specifically describes the role of the baccalaureate nurse in quality improvement.

As you complete this course, reflect on how you will implement lessons learned about quality improvement into your future nursing practice. Provide details about what you plan to do to improve quality in your current or ideal future professional nursing position nr392 all weeks discussions.