Pharmacotherapy of Gastrointestinal and Endocrine Disorders

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Pharmacotherapy of Gastrointestinal and Endocrine Disorders

Module 5 Overview

Introduction

This week we will focus on the pharmacotherapeutics of gastrointestinal and endocrine disorders, including commonly occurring conditions and their commonly prescribed medications.  As you review this week’s content consider the impact of comorbid disease on each condition.  It is not unusual to encounter a patient who has underlying cardiovascular disease in the presence of diabetes.  Think about the impact of pharmacotherapeutics on all organ systems Pharmacotherapy of Gastrointestinal and Endocrine Disorders.

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Learning Objectives

After completing this module, you will be able to:

  • Utilize advanced nursing and pharmacological interventions in gastrointestinal, renal and endocrine disorders to resolve complex and biological, psychological, physiological and pathophysiologic conditions. Pharmacotherapy of Gastrointestinal and Endocrine Disorders
  • Teach patients, family members, and others from diverse populations regarding safe and effective use of drugs and natural products in gastrointestinal, renal and endocrine disorders.

Reading & Resources

  • Read Chapters 28-31 and 46-47.  In Arcangelo, V. P., & Peterson, A. M. (2017). Pharmacotherapeutics for advanced practice: A practical approach (4th ed.). Philadelphia, PA: Wolters Kluwer/Lippincott Williams & Wilkins.
  • American Diabetes Association (2017). Standards of medical care in diabetes—2018 abridged for primary care providers. Clinical Diabetes, 36(1), 14–37. doi:10.2337/cd17-0119. Retrieved from http://clinical.diabetesjournals.org/content/36/1/14

Learning Activities

  • Discussion: Participate in Discussion 5. Remember there are two cases and if your last name begins with A-L complete case 1 and reply to two peers in case 2.  If your last name begins with M-Z complete case two and reply to two peers in case 1.
  • Test: Complete Progress Test 3. Click on the Progress Test 3 link for more details. Pharmacotherapy of Gastrointestinal and Endocrine Disorders

Discussion 5

This week if your last name begins with A-L complete case 1 and reply to two peers in case 2.  If your last name begins with M-Z complete case 2 and reply to two peers in case 1.

Case 1:

C. J. is a 55-year-old Hmong postmenopausal woman presenting with Type II diabetes mellitus, hypertension and urinary incontinence. She reports that she often cannot get to the bathroom in time when she feels the urge to urinate. She also wets herself when she laughs or sneezes. She is very embarrassed about this problem and has decreased her excursions from the house because of it. She drinks six cups of coffee a day. She does not follow a special diet, She takes hydrochlorothiazide for hypertension, and metformin for DM. Today her HgbA1C is 12.  She wants treatment for her urinary complaints Pharmacotherapy of Gastrointestinal and Endocrine Disorders.

Diagnosis: Uncontrolled Type II DM, HTN, and urinary incontinence

In this discussion forum:

  1. Discuss specific goals for pharmacotherapy for treating C. J..
  2. Discuss the drug therapy a CNP would likely prescribe and why.
  3. Discuss the parameters for monitoring success of the therapy.
  4. Discuss health promotion recommendations you would consider for C. J.
  5. Pharmacotherapy of Gastrointestinal and Endocrine Disorders

Case 2:

Mr. Z is a 36-year-old construction worker who presents to the nurse with fatigue and a foot ulcer. He is a smoker with type 1 diabetes for 25 years, and he take 20 units of

70/30 insulin twice a day. He lost his meter a year ago. He is very thin, although he eats constantly on the job because he is worried about hypoglycemia; he cannot remember the last time he had hypoglycemia, but it was years ago. Pharmacotherapy of Gastrointestinal and Endocrine Disorders He recently received a call from the office because his TSH level was greater than 10 and he was told he has “thyroid” problems.  He thinks this may be the cause of his fatigue.

In this discussion forum:

  1. Discuss specific goals for pharmacotherapy for treating Mr Z
  2. Discuss the drug therapy a CNP would likely prescribe and why.
  3. Discuss the parameters for monitoring success of the therapy.
  4. Discuss health promotion recommendations you would consider for Mr Z.
  5. Pharmacotherapy of Gastrointestinal and Endocrine Disorders

Remember to respond to at least two of your peers. Please see the Course Syllabus for Discussion Participation Requirements and Grading Criteria. Pharmacotherapy of Gastrointestinal and Endocrine Disorders

Health in Global Community Discussion

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Health in Global Community Discussion

. Describe globalization and international patterns of health and disease.

2. Identify international health care organizations and how they collaborate to improve global nursing and health care.

3. Identify and discuss the major indicators of women’s health.

4. Identify and discuss the barriers to adequate health care for women.

As stated in the syllabus present your assignment in an APA format word document, Arial 12 font and in Turnitin to verify originality. If you don’t post your assignment in any of the required forums you will not get the points. A minimum of 2 evidence-based references besides the class textbook must be used. A minimum of 700 words is required. Please make sure to follow the instructions as given.

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Formulating PICOT questions related to Nursing research

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Formulating PICOT questions related to Nursing research

PICOT questions are used by researchers to focus research questions and develop an efficient literature search strategy.You will create 3 PICOT questions to search for evidence for your individual quantitative appraisal and group review of literature paper.Be sure to develop questions about topics that interest you.

PICOT Questions

Write 3 PICOT questions related to nursing. Use PICOT templates in the EBP Step by Step 3 article in Brightspace to create your questions.
Identify the PICOT elements for each question.

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Academy of Healing Arts Factors in Cultural Assessment of Haitians Paper

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Academy of Healing Arts Factors in Cultural Assessment of Haitians Paper

I need to do presentation about the factors in cultural assessment of (Haitians). The two factors that i am going to present are

– Communication

– Physical space or distance

it must be in APA format ( 1 page and half )

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451V Grand Canyon University Bullying in Nursing Profession Paper

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451V Grand Canyon University Bullying in Nursing Profession Paper

In this assignment, you will be writing a 1,000-1,250 word paper describing the differing approaches of nursing leaders and managers to issues in practice. To complete this assignment, do the following:

Select an issue from the following list: bullying, unit closers and restructuring, floating, nurse turnover, nurse staffing ratios, use of contract employees (i.e., registry and travel nurses), or magnet designation.
Describe the selected issue. Discuss how it impacts quality of care and patient safety in the setting in which it occurs.
Discuss how professional standards of practice should be demonstrated in this situation to help rectify the issue or maintain professional conduct.
Explain the differing roles of nursing leaders and nursing managers in this instance and discuss the different approaches they take to address the selected issue and promote patient safety and quality care. Support your rationale by using the theories, principles, skills, and roles of the leader versus manager described in your readings.
Discuss what additional aspects mangers and leaders would need to initiate in order to ensure professionalism throughout diverse health care settings while addressing the selected issue.
Describe a leadership style that would best address the chosen issue. Explain why this style could be successful in this setting.

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peer responses

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peer responses

Read chapter 18 of the class textbook and review the attached PowerPoint presentation. Once done, answer the following questions.

Identify the major indicators of men’s health status.
Describe physiological and psychosocial factors that have an impact on men’s health status.
Discuss barriers to improving men’s health.
Discuss factors that promote men’s health.
present your assignment in an APA format, word document, Arial 12 font attached to the forum in the discussion question titled “week 11 discussion questions” for grading and for your peer’s to comment and in Turnitin under the same title to verify originality. A minimum of 2 evidence-based references (excluding the class textbook) are required and two replies to any of your peers posting sustained with the proper references are required as well. A minimum of 700 words is required.

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Proper Healthcare Delivery Practices Discusison

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Proper Healthcare Delivery Practices Discusison

Remember to provide citations from scholarly sources to support your responses.

1.) The Institute of Medicine report To Err is Human(1999) introduced an era in healthcare increasing scrutiny of the quality and safety of patient care delivery. Over the years since the publication of this and subsequent reports, what do you think are the most important developments that have occurred in our healthcare system to safeguard patients and create a culture of safety as a result of this increased focus.

2.) Contributors to increased risk for patient errors occurring include, but are not limited to, discontinuity of patient information, information silos, inconsistent staff work patterns, non-acuity based staffing ratios, ineffective or absent policies/ procedures, and lack of teamwork. Discuss how you see these factors and others that may be prevalent in your facility affecting your ability to deliver quality, safe patient care. How are these issues being addressed?

3.) Currently we are working in an environment with multi-generations. What are some issues that you have discovered at work related to misunderstandings between generations and how can we learn from each other in order to improve conditions in the workplace?

NOTE: I work in an operating room as a nurse. This information may help when answering questions. Need at

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Critical Issues in Education Assignment

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Critical Issues in Education Assignment

Investigate three resources (website, article, video, etc.) on the topic of social development issues in early childhood and complete the following steps.

In an essay of 1500-1750, summarize your findings by addressing the following main points of each resource you selected. You will repeat this sequence for each resource. The word count is for the total essay, not each resource.

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• Who was the focus of the resource (e.g., first graders? parents? etc.)?
• What was the resource discussing? What did it suggest? What were the findings?
• Where was the context (learning environment? grade level? home? etc.)?
• Why is this important to the field of early childhood learning environments? Be specific in explaining the connections of your resource to the course materials and topic for this week.
• How will it help you as an early childhood professional in the learning environment? List at least two things you will do in the learning environment as a result of the information you learned from the resource.

Be sure to include references and weblinks to the three resources you chose. Your essay should be 1500-1750 words and should include at least three (3) citations. The sections should be clearly marked with headings so that your instructor knows which points you are addressing. Follow the guidelines for APA writing style. The title page and references page so not count towards the minimum word amount for this assignment. Critical Issues in Education Assignment

Discussion: Changes in Sites of Care

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Discussion: Changes in Sites of Care

Discussion: Changes in Sites of Care

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Since the culture and practices of care settings are inherently different, changes in sites of care are often difficult for geriatric patients. Efforts should be made to limit changes to only those necessary; however, sometimes a patient’s situation might require multiple changes in sites of care. When selecting sites of care, such as home, assisted living, rehabilitation facilities, and hospitals, many factors must be considered by patients, their families, and their health care providers. Health status, ability to perform self-care, financial limitations, and patient preferences are all factors that might influence a patient’s site placement. As an advanced practice nurse who recommends sites of care and facilitates changes, you must evaluate factors and consider sites that limit the impact of these changes on geriatric patients.
To prepare:

Review this week’s media presentation, as well as Chapters 3 and 8 of the Resnick text.
Reflect on your personal experiences, observations, and/or clinical practices from the last 5 years. Select a case from the last 5 years that involves an elderly patient who has been in two different sites of care such as home, assisted living, hospital, etc.
Note: When referring to your patient, make sure to use a pseudonym or other false form of identification. This is to ensure the privacy and protection of the patient.
Reflect on issues that occurred because of the change in the patient’s sites of care. Think about the impact of differences in the settings themselves, inherent cultures of the settings, and ethical practices of these sites on the patient.
Consider whether the patient had an advanced directive in place at the time of the change in sites of care. Reflect on whether any difficult treatment decisions had to be made as a result.
Think about the impact of financial issues on site placement and treatment decisions.
BY DAY 3
Post a description of a case from your personal or clinical experiences in the last 5 years that involves an elderly patient who has been in at least two different sites of care. Explain the impact of differences in the settings themselves, inherent culture of the settings, and ethical practices of these sites on the patient. Then, explain whether the patient had an advanced directive in place at the time of the change in sites of care, and if so, whether any difficult treatment decisions had to be made as a result. Finally, explain the impact of financial issues on site placement and treatment decisions.

Read a selection of your colleagues’ responses. References please

The Affordable Care Act Or Obamacare Effects On Healthcare

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The Affordable Care Act Or Obamacare Effects On Healthcare

The Affordable Care Act was signed into law by President Barack Obama in March 2010. Many of the provisions of the law directly affect health care providers. Review the following topic materials:

“About the Affordable Care Act”
“Health Care Transformation: The Affordable Care Act and More”
What are the most important elements of the Affordable Care Act in relation to community and public health? What is the role of the nurse in implementing this law? (minimum 200 words)

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