Herzing NU 636 Advanced Pharmacology Latest
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Herzing NU 636 Advanced Pharmacology Latest
Unit 1 Discussion Alternative Modalities
Discussion Prompts
- From your review of the NCCIH website you know that about 30% of
adults engage with health care modalities not typically considered part of
the conventional medical care model.
- The likelihood exists that either you or someone you know has
utilized complementary, alternative or integrative health care modalities.
- Reflect on one of those non-conventional modalities that you have
experience with.
- Construct a discussion of that experience utilizing the PDSA model
schemata.
- Support elements of the ‘Plan’ aspect with appropriate information
from scholarly resources.
- Compare the ‘Study’ aspect with findings from
scholarly resources.
Please be sure to validate your opinions and ideas with citations
and references in APA format.
The post and
responses are valued at 40 points. Please review post and response
expectations. Please review the rubric to ensure that your response meets
criteria.
Unit 1 Assignment Case Study
Polypharmacy
Case Study
Mrs. A is a 71 year old widow with CHF and osteoarthritis
who has recently been exhibiting quite unusual behavior. Her daughter is
concerned about her mother’s ability to remain independent and wishes to pursue
nursing home admission arrangements. She fears the development of a dementing
illness. Over the last two to three months Mrs. A has become confused, easily
fatigued and very irritable. She has developed disturbing obsessive/compulsive
behavior constantly complaining that her lace curtains were dirty and required
frequent washing. Detailed questioning revealed that she thought they were
yellow-green and possibly moldy. Her prescribed medications are:
- Furosemide 40 mg daily in the morning
- Digoxin 250 micrograms daily
- Paracetamol 500 mg, 1-2 tablets 4-hourly PRN
- Piroxicam 20 mg at night
- Mylanta suspension, 20 ml PRN
- Coloxyl 120 mg, 1-2 tablets at night
Assignment Questions
- Critically discuss this case study in terms of the problematic
nature of this patient’s pharmacological management.
- Outline some pharmacokinetic changes in the geriatric population
that may affect drug disposition.
- Outline how changes in renal and hepatic function may affect
treatment strategies.
- In the drug regimen presented above – discuss potential side
effects and potential interactions, if any?
- Your response should include a discussion of the
problems of polypharmacy as it is related to this case study and the
assessment/management and educational strategies which could have been
implemented to improve the outcome of Mrs. A.
Instructions
- Prepare and submit a 3-4 page paper [total] in length (not
including APA format).
- Answer all the questions above.
- Support your position with examples.
- Please review the rubric to ensure that your assignment meets
criteria.
- Submit the following documents to the Submit
Assignments/Assessments area:
NU 636 Quiz 1
Unit 2 Discussion 1 Treating Hypertensive Urgencies
Discussion Prompt
- Utilize the information provided in the scenario to create your
discussion post.
- Construct your response as an abbreviated SOAP note (Subjective Objective Assessment Plan).
- Structure your ‘P’ in the following format:
[NOTE: if any of the 3 categories is not applicable to your plan
please use the ‘heading’ and after the ‘:’ input N/A]
Therapeutics: pharmacologic interventions, if any – new or
revisions to existing; include considerations for OTC agents (pharmacologic and
non-pharmacologic/alternative); [optional – any other therapies in lieu of
pharmacologic intervention]
Educational: health information clients need in order to address
their presenting problem(s); health information in support of any of the
‘therapeutics’ identified above; information about follow-up care where
appropriate; provision of anticipatory guidance and counseling during the
context of the office visit
Consultation/Collaboration: if appropriate – collaborative ‘Advanced Care Planning’
with the patient/patient’s care giver; if appropriate -placing the patient in a
Transitional Care Model for appropriate pharmacologic and non-pharmacologic care;
if appropriate – consult with or referral to another provider while the patient
is still in the office; Identification of any future referral you would
consider making
- Support the interventions outlined in your ‘P’ with
scholarly resources.
Please be sure to validate your opinions and ideas with
citations and references in APA format.
The post and
responses are valued at 40 points. Please review post and response
expectations. Please review the rubric to ensure that your response meets
criteria.
Unit 2 Discussion 2 Treatment of Hyperlipidemia
Discussion Prompt
Utilize the information provided in the scenario to
create your discussion post.
Construct
your response as an abbreviated SOAP note (Subjective Objective Assessment Plan).
Structure your ‘P’ in the following format:
[NOTE: if any of the 3 categories is not applicable to your plan please
use the ‘heading’ and after the ‘:’ input N/A]
Therapeutics: pharmacologic interventions, if any – new or
revisions to existing; include considerations for OTC agents (pharmacologic and
non-pharmacologic/alternative); [optional – any other therapies in lieu of
pharmacologic intervention]
Educational: health information clients need in order to address
their presenting problem(s); health information in support of any of the
‘therapeutics’ identified above; information about follow-up care where
appropriate; provision of anticipatory guidance and counseling during the
context of the office visit
Consultation/Collaboration: if appropriate – collaborative ‘Advanced Care Planning’
with the patient/patient’s care giver; if appropriate -placing the patient in a
Transitional Care Model for appropriate pharmacologic and non-pharmacologic
care; if appropriate – consult with or referral to another provider while the
patient is still in the office; Identification of any future referral you would
consider making
Support the interventions outlined in your ‘P’ with
scholarly resources.
Please be sure to validate your opinions and ideas with
citations and references in APA format.
The post and
responses are valued at 40 points. Please review post and response
expectations. Please review the rubric to ensure that your response meets
criteria.
Unit 2 Assignment CAM Paper
Instructions
- Health Interview Survey (NHIS) were findings that 38% of
adults use CAM [complementary and alternative medical] health care
modalities.
- Construct a professional paper that outlines how the use of the
following CAM health care modalities impacts the cardiovascular system.
- Ginseng
- Hawthorn
- L-Arginine
- St. John’s Wort
- For each of the modalities the discussion must
include:
- effect on the cardiovascular system
- anticipated benefits
- any identified risks or adverse effects
- relative patient education
- supporting reference from scholarly literature.
·
Instructions
- Prepare and submit a minimum of a 6 page paper pages [excluding
title and reference pages].
- Format consistent with APA style without an abstract page.
- Answer all the questions above.
- Please review the rubric to ensure that your assignment meets
criteria.
- Submit the following documents to this assignment
area
NU636 Quiz 2
Unit 3 Discussion 1 Treatment of COPD
Discussion Prompt
Scenario: You are seeing an 89-year-old male who has a
history of smoking 2 packs of cigarettes a day for 69 years.
- He quit smoking cold turkey when he was 78 years old.
- He is in your office for a general health evaluation. He
reports ongoing challenges with ‘belching’ but other than that he conveys
that he is feeling pretty good.
- He is on no routine medications.
- During your interview with the patient you note that he utilizes
pursed lip breathing. At times you note a faint ‘whistling’ sound
associated with his respiratory effort.
- In conducting your review of systems he reports a cough,
particularly in the mornings, productive for thick clear to white sputum.
- When queried about shortness of breath he does indicate that he
gets SOB more easily than he used to.
- His breath sounds are course and diminished in the
lower lobes bilaterally.
Please develop a discussion that responds to each of the
following prompts. Where appropriate your discussion needs to be
supported by scholarly resources. Be sure to include in-text citations in
the context of the discussion and provide a full reference citation at the end
of the discussion.
Initial
post
Utilize the information provided in the scenario to
create your discussion post.
Construct
your response as an abbreviated SOAP note (Subjective Objective Assessment Plan).
Structure your ‘P’ in the following format:
[NOTE: if any of the 3 categories is not applicable to your plan please
use the ‘heading’ and after the ‘:’ input N/A]
Therapeutics: pharmacologic interventions, if any – new or
revisions to existing; include considerations for OTC agents (pharmacologic and
non-pharmacologic/alternative); [optional – any other therapies in lieu of
pharmacologic intervention]
Educational: health information clients need in order to address
their presenting problem(s); health information in support of any of the
‘therapeutics’ identified above; information about follow-up care where
appropriate; provision of anticipatory guidance and counseling during the
context of the office visit
Consultation/Collaboration: if appropriate – collaborative ‘Advanced Care Planning’
with the patient/patient’s care giver; if appropriate -placing the patient in a
Transitional Care Model for appropriate pharmacologic and non-pharmacologic
care; if appropriate – consult with or referral to another provider while the
patient is still in the office; Identification of any future referral you would
consider making
Support the interventions outlined in your ‘P’ with
scholarly resources.
Please be sure to validate your opinions and ideas with
citations and references in APA format.
The post and responses are valued at 40 points. Please
review post and response expectations. Please review the rubric to ensure that
your response meets criteria.
Unit 3 Discussion 2 Treatment of URI
Discussion Prompt
Scenario: You are seeing a 34-year-old multi-race female who is a
school counselor.
- She reports a 3-day history of a sore throat, rhinorrhea, nasal
stuffiness and postnasal drip.
- She states she thinks she may be running a low-grade fever but
reports she has not actually taken her temperature.
- She reports feeling tired.
- She has a history of migraine headaches for which she utilizes
ibuprofen as needed. She has a script for Maxalt if needed however
reports she hasn’t used that in several years.
- She is on hormonal contraceptive management. BP 112/66, P 68,
Resp 18, Temp 98.7, SpO2 99% on RA
- On your exam you note clear nasal discharge, tympanic membranes are
pearly gray, posterior pharynx is erythematous, no tonsillar enlargement
noted.
- Breath sounds are clear bilateral.
Please develop a discussion that responds to each of the
following prompts. Where appropriate your discussion needs to be
supported by scholarly resources. Be sure to include in-text citations in
the context of the discussion and provide a full reference citation at the end
of the discussion.
Initial
post
Utilize the information provided in the scenario to
create your discussion post.
Construct
your response as an abbreviated SOAP note (Subjective Objective Assessment Plan).
Structure your ‘P’ in the following format:
[NOTE: if any of the 3 categories is not applicable to your plan please
use the ‘heading’ and after the ‘:’ input N/A]
Therapeutics: pharmacologic interventions, if any – new or
revisions to existing; include considerations for OTC agents (pharmacologic and
non-pharmacologic/alternative); [optional – any other therapies in lieu of
pharmacologic intervention]
Educational: health information clients need in order to address
their presenting problem(s); health information in support of any of the
‘therapeutics’ identified above; information about follow-up care where appropriate;
provision of anticipatory guidance and counseling during the context of the
office visit
Consultation/Collaboration: if appropriate – collaborative ‘Advanced Care Planning’
with the patient/patient’s care giver; if appropriate -placing the patient in a
Transitional Care Model for appropriate pharmacologic and non-pharmacologic
care; if appropriate – consult with or referral to another provider while the
patient is still in the office; Identification of any future referral you would
consider making
Support the interventions outlined in your ‘P’ with
scholarly resources.
Please be sure to validate your opinions and ideas with
citations and references in APA format.
The post and
responses are valued at 40 points. Please review post and response expectations.
Please review the rubric to ensure that your response meets criteria.
NU 636 Quiz 3
Unit 4 Discussion 1 Diabetes Management
Discussion Prompt
Scenario:
You are seeing a 64-year-old Hispanic male for his
diabetes management. He reports that his morning capillary blood sugar
readings are ranging in the 150 to 190 range.
- Last month his Hgb A1C was 7.4
- He is on Metformin 1000mg twice a day and Glipizide 5mg daily.
- He walks a couple miles three to five times a week.
- A dietary review reveals that his daily total carbohydrate intake
is in the range of 75 to 100 grams.
- Last eye exam did not reveal any problems. He wears reading
glasses when needed.
- He does report some intermittent burning sensation in his feet.
- Ht 6’2”, Wt 200 lbs, BP 118/72, P 72, R 17
- Heart regular rhythm, without murmur or gallop
- Lungs clear
- Monifilament testing does not reveal any decreased
sensation in the feet
Please develop a discussion that responds to each of the
following prompts. Where appropriate your discussion needs to be supported
by scholarly resources. Be sure to include in-text citations in the
context of the discussion and provide a full reference citation at the end of
the discussion.
Initial
post
Utilize the information provided in the scenario to
create your discussion post.
Construct
your response as an abbreviated SOAP note (Subjective Objective Assessment Plan).
Structure your ‘P’ in the following format:
[NOTE: if any of the 3 categories is not applicable to your plan please
use the ‘heading’ and after the ‘:’ input N/A]
Therapeutics: pharmacologic interventions, if any – new or
revisions to existing; include considerations for OTC agents (pharmacologic and
non-pharmacologic/alternative); [optional – any other therapies in lieu of
pharmacologic intervention]
Educational: health information clients need in order to address
their presenting problem(s); health information in support of any of the
‘therapeutics’ identified above; information about follow-up care where
appropriate; provision of anticipatory guidance and counseling during the
context of the office visit
Consultation/Collaboration: if appropriate – collaborative ‘Advanced Care Planning’
with the patient/patient’s care giver; if appropriate -placing the patient in a
Transitional Care Model for appropriate pharmacologic and non-pharmacologic
care; if appropriate – consult with or referral to another provider while the
patient is still in the office; Identification of any future referral you would
consider making
Support the interventions outlined in your ‘P’ with
scholarly resources.
Please be sure to validate your opinions and ideas with
citations and references in APA format.
The post and responses are valued at 40 points. Please
review post and response expectations. Please review the rubric to ensure that
your response meets criteria.
Unit 4 Discussion 2 Treatment of Hypothyroidism
Scenario: You are evaluating a 53-year-old white female who
wants to talk to you about lab work that she had done recently at “Any Lab Test
Now”.
- She wanted to have lab work done because she was feeling tired and
unmotivated. Additionally, she had put on about 15 pounds even
though she has been teaching yoga 2-3 times a week for the last few years.
- The lab results reveal a TSH of 93.
- She reports her last menstrual period was about 3 years ago.
She experienced some menopausal symptoms of hot flashes and night
sweats. However, she states they weren’t too much of a problem and
those resolved a couple years ago.
- She denies any difficulty swallowing or neck pain/tenderness.
- Constitutional exam: 5’5” tall, 154 pounds, BP 145/88, P 60, R 16,
Temp 97.2
- Neck – nontender, mild goiter with right side of thyroid larger
than the left side
- Heart – regular rhythm without murmur or gallop
- Lungs – clear
- Skin – dry on extremities with some flaking noted
- A slowness of the relaxation phase of the Achilles
tendon reflex is noted
Please develop a discussion that responds to each of the
following prompts. Where appropriate your discussion needs to be
supported by scholarly resources. Be sure to include in-text citations in
the context of the discussion and provide a full reference citation at the end
of the discussion.
Initial
post
Utilize the information provided in the scenario to
create your discussion post.
Construct
your response as an abbreviated SOAP note (Subjective Objective Assessment Plan).
Structure your ‘P’ in the following format: [NOTE:
if any of the 3 categories is not applicable to your plan please use the
‘heading’ and after the ‘:’ input N/A]
Therapeutics: pharmacologic interventions, if any – new or
revisions to existing; include considerations for OTC agents (pharmacologic and
non-pharmacologic/alternative); [optional – any other therapies in lieu of
pharmacologic intervention]
Educational: health information clients need to address their
presenting problem(s); health information in support of any of the
‘therapeutics’ identified above; information about follow-up care where
appropriate; provision of anticipatory guidance and counseling during the
context of the office visit
Consultation/Collaboration: if appropriate – collaborative ‘Advanced Care Planning’
with the patient/patient’s care giver; if appropriate -placing the patient in a
Transitional Care Model for appropriate pharmacologic and non-pharmacologic
care; if appropriate – consult with or referral to another provider while the
patient is still in the office; Identification of any future referral you would
consider making
Support the interventions outlined in your ‘P’ with
scholarly resources.
Please be sure to validate your opinions and ideas with
citations and references in APA format.
The post and
responses are valued at 40 points. Please review post and response
expectations. Please review the rubric to ensure that your response meets
criteria.
Unit 4 Assignment Shadow Health
DCE: HTN and DM
Return to your Shadow Health Advanced Pharmacology
course. Complete the DCE Focused Exam.
Location: Shadow Health – Advanced Pharmacology.
Points:
40 points are available; points
earned are calculated by taking the % score you achieved on the simulation
activity and multiplying that by 40 [e.g. if you score an 73% on your
simulation activity your faculty person will multiply .73 times 40 and you will
earn 29.2 points]. As you can see it is in your best interest to repeat
your simulation activities if you are not satisfied with your % score on your
initial attempt. There is no limit on the number of times you can repeat
the simulation activity. Be sure to submit the ‘Lab pass’ that
demonstrates the highest score.
Shadow
Health Support:
Contact
Shadow Health with any questions or technical issues regarding Shadow
Health before contacting
your instructor.
If at any
time you have any questions or encounter any technical issues regarding the
Digital Clinical Experience, please contact the Shadow Health support
specialists by visiting the Learner Support Page at http://support.shadowhealth.com (Links
to an external site.) for
contact information and hours.
You may
email the Learner Support team directly at mailto:support@shadowhealth.com at any time or by calling 800.860.3241.
NU636
Quiz 4
Unit 5 Discussion 1 PUD and Anemia
Discussion Prompt
Scenario: The family of a 62-year-old white female call your
office and ask if you can see their family member. The person being
requested to be seen is known to you for the last twenty years.
- She is your former supervisor and a fellow FNP.
- The family reports your colleague is demonstrating signs of
dementia.
- They note that she has not been eating much for the past few weeks
reporting she has a gnawing pain in her stomach. If she does eat she
reports getting ‘full’ very quickly. She reports feeling mildly
nauseous for the last few weeks.
- Your friend sustained a fall injury about 9 months ago from a
ladder. She shattered some teeth and developed an infection.
She is under the care of an oral surgeon.
- You have seen a few of her patients in your practice over the last
couple weeks because ‘she is never in her office or available’ over the
last few weeks.
- You reflect on your last few conversations with your colleague and
think to yourself that you also thought she seemed ‘off her game’.
- You recommend her family take her to Urgent Care and you convince
your colleague this is in her best interest.
- Labs drawn at Urgent Care reveal a Hgb of 8 and HCT
of 24.
Please develop a discussion that responds to each of the
following prompts. Where appropriate your discussion needs to be
supported by scholarly resources. Be sure to include in-text citations in
the context of the discussion and provide a full reference citation at the end
of the discussion.
Initial
post
Utilize the information provided in the scenario to
create your discussion post.
Construct
your response as an abbreviated SOAP note (Subjective Objective Assessment Plan).
Structure your ‘P’ in the following format: [NOTE:
if any of the 3 categories is not applicable to your plan please use the
‘heading’ and after the ‘:’ input N/A]
Therapeutics: pharmacologic interventions, if any – new or
revisions to existing; include considerations for OTC agents (pharmacologic and
non-pharmacologic/alternative); [optional – any other therapies in lieu of
pharmacologic intervention]
Educational: health information clients need to address their
presenting problem(s); health information in support of any of the
‘therapeutics’ identified above; information about follow-up care where
appropriate; provision of anticipatory guidance and counseling during the
context of the office visit
Consultation/Collaboration: if appropriate – collaborative ‘Advanced Care Planning’
with the patient/patient’s care giver; if appropriate -placing the patient in a
Transitional Care Model for appropriate pharmacologic and non-pharmacologic
care; if appropriate – consult with or referral to another provider while the
patient is still in the office; Identification of any future referral you would
consider making
Support the interventions outlined in your ‘P’ with
scholarly resources.
Please be sure to validate your opinions and ideas with
citations and references in APA format.
The post and
responses are valued at 40 points. Please review post and response
expectations. Please review the rubric to ensure that your response meets
criteria.
Unit 5 Discussion 2 Anti-coagulant Therapy
Discussion Prompt
Scenario: A 77-year-old white male comes into your office
complaining of feeling dizzy, short of breath, easily fatigued and having a
sensation of his heart ‘skipping beats’.
- He reports he has had these same symptoms numerous times over the
last year or so, but they only lasted for about a day.
- He thought since he has been experiencing them now for about 3 days
he should come in and get checked out.
- He was diagnosed with type 2 diabetes twenty years ago and
hypertension fifteen years ago.
- Current medications include Lisinopril 20 mg daily and Metformin
1000 mg daily.
- BP 172/100, P 123 irregularly irregular, R 20
- Skin is warm, pale with a slight gray cast; lungs
are clear to auscultation; heart irregular rhythm
Please develop a discussion that responds to each of the
following prompts. Where appropriate your discussion needs to be
supported by scholarly resources. Be sure to include in-text citations in
the context of the discussion and provide a full reference citation at the end
of the discussion.
Initial
post
Utilize the information provided in the scenario to
create your discussion post.
Construct
your response as an abbreviated SOAP note (Subjective Objective Assessment Plan).
Structure your ‘P’ in the following format: [NOTE:
if any of the 3 categories is not applicable to your plan please use the
‘heading’ and after the ‘:’ input N/A]
Therapeutics: pharmacologic interventions, if any – new or
revisions to existing; include considerations for OTC agents (pharmacologic and
non-pharmacologic/alternative); [optional – any other therapies in lieu of
pharmacologic intervention]
Educational: health information clients need to address their
presenting problem(s); health information in support of any of the
‘therapeutics’ identified above; information about follow-up care where
appropriate; provision of anticipatory guidance and counseling during the
context of the office visit
Consultation/Collaboration: if appropriate – collaborative ‘Advanced Care Planning’
with the patient/patient’s care giver; if appropriate -placing the patient in a
Transitional Care Model for appropriate pharmacologic and non-pharmacologic
care; if appropriate – consult with or referral to another provider while the
patient is still in the office; Identification of any future referral you would
consider making
Support the interventions outlined in your ‘P’ with
scholarly resources.
Please be sure to validate your opinions and ideas with
citations and references in APA format.
The post and
responses are valued at 40 points. Please review post and response
expectations. Please review the rubric to ensure that your response meets
criteria.
Unit 5 Assignment Case Study
Inflammatory Bowel Disease
Case Study
Mrs. Z is a 34-year-old female who come in with a
complaint of diarrhea accompanied by abdominal pain. Onset of the symptom
was about 4 days ago. She reports thinking she is running a fever but has
not taken her temperature. She concerned that she is starting to feel
weak.
When asked how about the characteristics and the number
of bowel movements a day, she reports increased number of BMs over the last few
months. In the last few days she reports averaging about 10 small volume
watery stools with varying amounts of blood daily.
She denies recent travel and reportedly has not been on
any antibiotics in the past few weeks.
In reviewing her record, you notice that her health
history is positive for history of ulcerative colitis. She has not been
on any medications for this over the last few years as she had not been
symptomatic.
Mrs. Z is on an oral contraceptive. She takes
slippery elm capsules and has for the last several years. She reports
that she has been taking 2 to 3 doses of Benefiber prebiotic fiber for the last
couple days.
Objective data:
BP 116/70 sitting, 100/66 standing; P 92; Temp 100.1
Abdomen – active bowel sounds all 4 quadrants, mild
tenderness with palpation
Otherwise her exam is unremarkable for pertinent
positives or negatives.
Labs – WBC 14,000; Hgb 11.9; Hct 35.7; Sodium 133;
Potassium 3.3
- What pharmacologic therapy would you prescribe for Mrs. Z?
- How will you evaluate the effectiveness of this therapy?
- What patient education would you provide for Mrs. Z relative to the
pharmacologic agent you prescribed?
- Are there any pharmacogenetic considerations related to what you
prescribed for the patient?
- Are there any alternative therapies or over-the-counter agents that
might be of value to Mrs. Z?
- What, if any, lifestyle changes would you recommend?
Instructions:
Please prepare and submit a paper 3-4 pages [total] in length (not including
APA format) answering the questions below. Please support your position
with examples.
NU 636 Quiz 5
Unit 6 Discussion 1 Allergies
Discussion Prompt
Scenario:
- A 31-year-old white male comes in for an evaluation of his allergic
rhinitis.
- He is known to your practice for the last decade.
- Presently he is on Flonase nasal spray and Zyrtec daily for his
allergic rhinitis.
- He owns his own business ‘Dr. Vinyl’ where he specializes in repair
of vinyl in automobiles, boats, recreational vehicles, etc.
- Exposure to the smell of several of the products he works with has
resulted in dissatisfactory management of his typical allergic rhinitis.
- On numerous occasions over the last decade he has requested and
been given an ‘allergy shot’.
- A review of his medical record reveals to you this ‘shot’ has been
a steroid injection.
- BP 122/74, P 76, R 18
Please develop a discussion that responds to each of the
following prompts. Where appropriate your discussion needs to be
supported by scholarly resources. Be sure to include in-text citations in
the context of the discussion and provide a full reference citation at the end
of the discussion.
Initial
post
Utilize the information provided in the scenario to
create your discussion post.
Construct
your response as an abbreviated SOAP note (Subjective Objective Assessment Plan).
Structure your ‘P’ in the following format: [NOTE:
if any of the 3 categories is not applicable to your plan please use the
‘heading’ and after the ‘:’ input N/A]
Therapeutics: pharmacologic interventions, if any – new or
revisions to existing; include considerations for OTC agents (pharmacologic and
non-pharmacologic/alternative); [optional – any other therapies in lieu of
pharmacologic intervention]
Educational: health information clients need to address their
presenting problem(s); health information in support of any of the
‘therapeutics’ identified above; information about follow-up care where
appropriate; provision of anticipatory guidance and counseling during the
context of the office visit
Consultation/Collaboration: if appropriate – collaborative ‘Advanced Care Planning’
with the patient/patient’s care giver; if appropriate -placing the patient in a
Transitional Care Model for appropriate pharmacologic and non-pharmacologic
care; if appropriate – consult with or referral to another provider while the
patient is still in the office; Identification of any future referral you would
consider making
Support the interventions outlined in your ‘P’ with
scholarly resources.
Please be sure to validate your opinions and ideas with
citations and references in APA format.
The post and
responses are valued at 40 points. Please review post and response
expectations. Please review the rubric to ensure that your response meets
criteria.
Unit 6 Assignment Antibiotic
Stewardship
CDC Antibiotic Stewardship Initiative Discussion Paper
Construct a professional paper that outlines the advanced
practice role – as a nurse educator, a nurse leader, or a nurse practitioner –
to advance the CDC’s antibiotic resistance initiative. The paper needs to be a
minimum of six (6) pages [excluding title and reference pages] consistent with
APA style without an abstract page. The paper is worth 40 points.
Please include the following:
- Introduction that identifies your advanced practice role and your
view of how that role will be able to impact the antibiotic resistance
dilemma. Support your discussion with at least two references from the
literature.
- Review the CDC’s goals and identify one of the CDC’s key strategies
that you will be able to promote/support in your advanced practice role.
Support your discussion with at least two references from the literature.
- Discuss three activities/actions that you will develop to support
the promotion of the key strategy that you identified in item 2 above.
Each action/activity needs to be well designed and supported with at least
one reference from the literature. [For example, if you are
a nurse educator student – in what course(s) will you be
able to promote your identified key strategies, be specific about what
that would look like using example lesson plan(s), identify any active
learning strategies you will utilize, etc., and provide justification for
your strategies, etc.; if you are a nurse leader student –
what program(s) and activities will you engage with relative to your
organization, be that existing programs or creation of new programs,
reporting mechanisms, development of collaborative committees, etc., and
provide justification for your strategies, etc.; if you are a
nurse practitioner student – what prescribing practices, patient
education practices, monitoring programs, etc., will you engage with, and
provide justification for your strategies, etc.
- The paper is to be formatted according to APA style
NU 636 Quiz 6
Unit 7 Discussion 1 Anxiety
Discussion Prompt
Scenario:
- A 32-year-old white female is in the office today with a chief
complaint “I have to force myself to go to work and other than that I
don’t want to leave my house.”
- She reports that last week she tried to go to a Pampered Chef party
one of her coworkers was having and she only got about three blocks from
her house and had to turn around and go back home.
- She admits that being anxious is not new for her but feels as
though lately those feelings are negatively impacting her life.
- Her medical history is inclusive for a diagnosis of psoriasis.
- She is married and has a 4-year-old son.
- She is presently on no routine medications. She takes an
over-the-counter B-50 vitamin to help her manage stress associated with
marital strife and childcare challenges secondary to her work schedule.
- Her last menstrual period was two weeks ago.
- BP 100/58, P 66, R 18
- Large raised silvery-white scaly patch noted
posterior occipital region of scalp; no thyroid enlargement or tenderness
with palpation; heart -regular rate and rhythm; lungs are clear to
auscultation
Please develop a discussion that responds to each of the
following prompts. Where appropriate your discussion needs to be
supported by scholarly resources.
Please be sure to validate your opinions and ideas with
citations and references in APA format.
The post and responses are valued at 40 points. Please
review post and response expectations. Please review the rubric to ensure that
your response meets criteria.
Estimated time to complete: 2 hours
Initial
post
Utilize the information provided in the scenario to
create your discussion post.
Construct
your response as an abbreviated SOAP note (Subjective Objective Assessment Plan).
Structure your ‘P’ in the following format: [NOTE:
if any of the 3 categories is not applicable to your plan please use the
‘heading’ and after the ‘:’ input N/A]
Therapeutics: pharmacologic interventions, if any – new or
revisions to existing; include considerations for OTC agents (pharmacologic and
non-pharmacologic/alternative); [optional – any other therapies in lieu of
pharmacologic intervention]
Educational: health information clients need to address their
presenting problem(s); health information in support of any of the
‘therapeutics’ identified above; information about follow-up care where
appropriate; provision of anticipatory guidance and counseling during the
context of the office visit
Consultation/Collaboration: if appropriate – collaborative ‘Advanced Care Planning’
with the patient/patient’s care giver; if appropriate -placing the patient in a
Transitional Care Model for appropriate pharmacologic and non-pharmacologic
care; if appropriate – consult with or referral to another provider while the
patient is still in the office; Identification of any future referral you would
consider making
Support the
interventions outlined in your ‘P’ with scholarly resources.
Unit 7 Discussion 2 Migraine
Discussion Prompt
Scenario:
- A 46-year-old white male comes in for evaluation of his migraine
headache management.
- His medical history is inclusive for hypertension and a myocardial
infarction at the age of 39. He was diagnosed with migraine headaches
three years ago.
- Current medications include Losartan 50 mg a day, verapamil SR 100
mg at bedtime, Carvedilol 25 mg a day, Lipitor 40 mg a day, Topamax 50mg a
day
- He has been admitted to the hospital for migraine management 3
times over the last 6 months. Inpatient admissions have ranged
anywhere from 3 to 6 days. Management strategies utilized during the
hospitalization include IV corticosteroids, IV Dilaudid and IV magnesium
sulfate.
- BP 132/84, P 82, R 15
- Skin: pink, warm, dry
- Neuro: alert and oriented, CNs II – XII intact
- Cardio: radial and pedal pulses 2+, heart regular rate and rhythm
without murmur or gallop
- Lungs: clear to auscultation
- Abdomen: large, non-distended, active bowel sounds
all quadrants, non-tender to palpation
Please develop a discussion that responds to each of the
following prompts. Where appropriate your discussion needs to be
supported by scholarly resources. Be sure to include in-text citations in
the context of the discussion and provide a full reference citation at the end
of the discussion.
Initial
post
Utilize the information provided in the scenario to
create your discussion post.
Construct
your response as an abbreviated SOAP note (Subjective Objective Assessment Plan).
Structure your ‘P’ in the following format: [NOTE:
if any of the 3 categories is not applicable to your plan please use the
‘heading’ and after the ‘:’ input N/A]
Therapeutics: pharmacologic interventions, if any – new or
revisions to existing; include considerations for OTC agents (pharmacologic and
non-pharmacologic/alternative); [optional – any other therapies in lieu of
pharmacologic intervention]
Educational: health information clients need to address their
presenting problem(s); health information in support of any of the
‘therapeutics’ identified above; information about follow-up care where
appropriate; provision of anticipatory guidance and counseling during the
context of the office visit
Consultation/Collaboration: if appropriate – collaborative ‘Advanced Care Planning’
with the patient/patient’s care giver; if appropriate -placing the patient in a
Transitional Care Model for appropriate pharmacologic and non-pharmacologic
care; if appropriate – consult with or referral to another provider while the
patient is still in the office; Identification of any future referral you would
consider making
Support the interventions outlined in your ‘P’ with
scholarly resources.
Please be sure to validate your opinions and ideas with
citations and references in APA format.
The post and
responses are valued at 40 points. Please review post and response
expectations. Please review the rubric to ensure that your response meets
criteria.
Unit 7 Assignment Shadow Health
DCE: Pain
Instructions
Return to your Shadow Health Pharmacology course.
Complete the following Digital Clinical Experience (DCE)
– Shadow Health DCE: Pain
Location: Shadow Health – Pharmacology.
Points:
40 points are available; points
earned are calculated by taking the Student Performance Index (SPI %) score you
achieved on the simulation activity and multiplying that by 40 [e.g. if you
score an 73% on your simulation activity your faculty person will multiply .73
times 40 and you will earn 29.2 points].
As you can see it is in your best interest to repeat your
DCE activity if you are not satisfied with your SPI score on your initial
attempt. There is no limit on the number of times you can repeat the DCE
activity. Be sure to submit the ‘Lab pass’ that demonstrates the highest
score.
Shadow
Health Support:
Contact Shadow Health with any questions or technical issues
regarding Shadow Health before contacting your instructor.
If at any
time you have any questions or encounter any technical issues regarding the
Digital Clinical Experience, please contact the Shadow Health support
specialists by visiting the Learner Support Page at http://support.shadowhealth.com (Links
to an external site.)for contact
information and hours.
You may
email the Learner Support team directly at support@shadowhealth.com at any time or by calling 800.860.3241.
NU 636 Quiz 7
Unit 8 Discussion Reflection
Instructions:
For each of the learning objectives, provide an analysis
of how the course supported each objective.
- Discriminate among the mechanisms of action for the
major classes of drugs/medications
- Critique evidence that supports proposed
pharmacotherapeutic protocols for appropriateness of application across
the lifespan
- Integrate the teaching-learning needs of clients
across the lifespan when proposing pharmacotherapies
- Propose prescriptive therapies for selected clients
evaluating safety factors while utilizing knowledge of how current health
status, age, gender, culture, genetic factors, ethical concerns and
prescriptive authority impact decision making
Explain how the material learned in this course, based
upon the objectives, will be applicable to professional application.
Provide evidence (citations and references) to support
your statements and opinions.
All
references and citations should in APA format.
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