As an advanced practice nurse, you will likely experience patient encounters with complex comorbidities. For example, consider a female patient who is pregnant who also presents with hypertension, diabetes, and has a recent tuberculosis infection. How might the underlying pathophysiology of these conditions affect the pharmacotherapeutics you might recommend to help address your patients health needs? What education strategies might you recommend for ensuring positive patient health outcomes?

For this Discussion, you will be assigned a patient case study and will consider how to address the patients current drug therapy plans. You will then suggest recommendations on how to revise these drug therapy plans to ensure effective, safe, and quality patient care for positive patient health outcomes.

To Prepare

Review the Resources for this module and reflect on the different health needs and body systems presented.

Your Instructor will assign you a complex case study to focus on for this Discussion.

Consider how you will practice critical decision making for prescribing appropriate drugs and treatment to address the complex patient health needs in the patient case study you selected.

ASSIGNMENT: Case study has been attached below for this assignment.

Post a brief description of your patients health needs from the patient case study you assigned. Be specific. Then, explain the type of treatment regimen you would recommend for treating your patient, including the choice or pharmacotherapeutics you would recommend and explain why. Be sure to justify your response. Explain a patient education strategy you might recommend for assisting your patient with the management of their health needs. Be specific and provide examples.

  

Required Readings

Rosenthal, L. D., & Burchum, J. R. (2018). Lehnes pharmacotherapeutics for advacned practice providers. St. Louis, MO: Elsevier.

Chapter 44, Anticoagulant and Antiplatelet Drugs (pp. 451472)

Chapter 45, Drugs for Deficiency Anemias (pp. 473483)

Chapter 48, Estrogens and Progestins: Basic Pharmacology and Noncontraceptive Applications (pp. 521533)

Chapter 49, Birth Control (pp. 535547)

Chapter 50, Androgens (pp. 549556)

Chapter 51, Drugs for Erectile Dysfunction and Benign Prostatic Hyperplasia (pp. 557569)

Chapter 68, Basic Principles of Antimicrobial Therapy (pp. 769781)

Chapter 69, Drugs That Weaken the Bacterial Cell Wall I: Penicillins (pp. 783790)

Chapter 73, Sulfonamides and Trimethoprim (pp. 619826)

Chapter 74, Drug Therapy of Urinary Tract Infections (pp. 827831)

Chapter 75, Antimycobacterial Agents (pp. 833847)

Chapter 76, Miscellaneous Antibacterial Drugs (pp. 849853)

Chapter 77, Antifungal Agents (pp. 855866)

Chapter 78, Antiviral Agents I: Drugs for Non-HIV Viral Infections (pp. 867886)

Chapter 80, Drug Therapy of Sexually Transmitted Diseases (pp. 905911)

Lunenfeld, B., Mskhalaya, G., Zitzmann, M., Arver, S., Kalinchenko, S., Tishova, Y., & Morgentaler, A. (2015). Recommendations on the diagnosis, treatment and monitoring of hypogonadism in men. Aging Male, 18(1), 515. doi:10.3109/13685538.2015.1004049

This article presents recommendations on the diagnosis, treatment, and monitoring of hypogonadism in men. Reflect on the concepts presented and consider how this might impact your role as an advanced practice nurse in treating mens health disorders.

Montaner, J. S. G., Lima, V. D., Harrigan, P. R., Loureno, L., Yip, B., Nosyk, B., Kendall, P. (2014). Expansion of HAART coverage is associated with sustained decreases in HIV/AIDS morbidity, mortality and HIV transmission: The HIV Treatment as Prevention experience in a Canadian setting. PLoS ONE, 9(2), e87872. Retrieved from https://doi.org/10.1371/journal.pone.0087872

This study examines HAART therapy and its sustainability and profound population-level decrease in morbidity, mortality, and HIV transmission.

Roberts, H., & Hickey, M. (2016). Managing the menopause: An update. Maturitas, 86(2016), 5358. .https://doi.org/10.1016/j.maturitas.2016.01.007

This article provides an update on treatments on Vasomotor symptoms (VMS), genito-urinary syndrome of menopause (GSM), sleep disturbance, sexual dysfunction, and mood disturbance that are common during the menopause transition.

Agency for Healthcare Research and Quality. (2014). Guide to clinical preventive services, 2014: Section 2. Recommendations for adults. Retrieved from http://www.ahrq.gov/professionals/clinicians-providers/guidelines-recommendations/guide/section2.html

Select the state where you plan to practice as a nurse practitioner ( FLorida ) and/or nurse leader and investigate the state’s policies on access to contraception and abortion for women with insurance and those without. What are the state’s infant and maternal mortality rates? Discuss the possible relationship between these factors.

Subject: Physical security (300 word essay with APA format, 2 references & Intext citations)

Question1: Discuss the importance of internal and external security lighting at datacenter facilities.  

Provide a synopsis of at least one scholarly peer-reviewed article focusing on security lighting.

The site that I chose is PLANNED PARENTHOOD. SHOULD BE 300 WORDS

The essay should explain why you selected the site and when and where your educational presentation will take place. 

Please submit the essay and the permission form into the dropbox- these may be submitted in two files in the dropbox. Remember that all essay assignments are to be in strict APA format with the required title page, an intro paragraph to tell the reader the purpose of the paper, your discussion of your assignments, a conclusion paragraph to sum up the paper, and references listed for each source that is sited with in the text of the paper

Format: APA style essay structured  with appropriate grammar, sentence and paragraph composition, spelling, punctuation, and logical, clear essay development (including introduction and conclusion). Paper length half page excluding cover and reference page. Must have a minimum of three references and references must be within 5 years.

Thank you for agreeing to talk to me about the discussion we had the other day about assigning patient load. As I started to say in the meeting but got interrupted, it is that I really don’t like the new plan that we have. I like the old one better and I don’t understand why we need to change.

I think that they expressed one concern about visiting patients in Iron Ridge. And that is the key as they were with high crime rate. We all recognize this issue. I do understand, but the new patient assignment scheme is meant to match you with a patient who will most benefit from your specialty and not where you live geographically.

There are many patients in Iron Ridge who have diabetes that need your expertise. [BLANK_AUDIO]Well, I really do love my patients, and I don’t hold it against them that they live in a bad part of town. But frankly, I’m afraid. Every night when I watch the news, there’s somebody that’s been involved in a shooting or a carjacking.

I talked to my husband about it, and he said that if you insist I go over there, he wants me to quit because it’s not safe. [BLANK_AUDIO] I have an idea I would like to explore with you. What if we sent an escort to accompany you on your visit?

Would this help you feel safer in that neighborhood?Sure it would, but do you think that’s realistic? The last I heard, we didn’t have any money to give us nurses raises and bonuses. I mean, do we even have the budget for something like security? It’s realistic as long as I can justify the safety of our nurses.

Let’s say the cost is a barrier to this scheme. What do you think? [BLANK_AUDIO] Well let me think about it. I need to talk to my husband too. I can’t decide right now.But you’ve given me something to consider. [MUSIC]

After reading the scenario answer the following questions. 

**2 references with in text citation**

1. Explain the conflict resolution skills displayed by the leader in the scenario. On a scale of 1-10, how would you rate those of the leader.
2. How might earlier collaboration have been beneficial? What other leadership skills should be used?

 

Professional Development of Nursing Professionals

Review the Institute of Medicine’s 2010 report “The Future of Nursing: Leading Change, Advancing Health.” Write a 750-1,000 word paper discussing the influence of the IOM report on nursing practice. Include the following:

1. Summarize the four messages outlined in the IOM report and explain why these are significant to nursing practice.
2. Discuss the direct influence the IOM report has on nursing education and nursing leadership. Describe the benefits and opportunities for BSN-prepared nurses.
3. Explain why it is important that a nurse’s role and education evolve to meet the needs of an aging and increasingly diverse population.
4. Discuss the significance of professional development, or lifelong learning, and its relevance in caring for diverse populations across the life span and within the health-illness continuum.
5. Discuss how nurses can assist in effectively managing patient care within an evolving health care system.

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

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. 

You are required to submit this assignment to LopesWrite. Please refer to the directions in the Student Success Center.

Reflection assignment on Refugee Health speaker

In this assignment, you will be looking back at the classes you have had so far and the speaker you heard from the Minnesota Department of Health and reflecting on ways in which you see cultural diversity impacting nursing practice. You do not need to do APA formatting for this assignment. Some questions to consider include the following:

1. In what ways do you expect to be impacted by cultural diversity in your future practice as a Registered Nurse? (include how this impacts you as a nurse in a specific location you expect to work)
2. What did you learn from the speaker Ellen Frerich about refugee health nursing issues that you did not know before?
3. Name two key points you learned from the class and/or the text that helped you understand how best to work with individuals of other cultures as a nurse?

Assignment File(s)

• [PDF]

Book Review #2- The Spirit Catches You and You Fall Down

Chapters 4-6

1. According to chapter 4 in the book, what perceptions of American physicians may have affected Hmong refugees ability to feel that they could trust the American health care system?
2. How did Dwight Conquergood make some headway in working to promote public health among Hmong refugees at Ban Vanai camp?
3. How may some of the negative perceptions of Foua and Nao Kao by staff affected how they cared for Lia and her family?
4. How did you find yourself feeling about Foua and Nao Kaos continual noncompliance with Lias medication regimen?
5. Describe how Merceds public health department effectively handled a public health situation regarding a Hmong family raising rats in the home and how could this communication have easily broken down?

 

Discussion: Using the Walden Library Where can you find evidence to inform your thoughts and scholarly writing? Throughout your degree program, you will use research literature to explore ideas, guide your thinking, and gain new insights. As you search the research literature, it is important to use resources that are peer-reviewed and from scholarly journals. You may already have some favorite online resources and databases that you use or have found useful in the past. For this Discussion, you explore databases available through the Walden Library.  To Prepare: Review the information presented in the Resources for using the Walden Library, searching the databases, and evaluating online resources.   Begin searching for a peer-reviewed article that pertains to your practice area and is of particular interest to you.   Post the following: Using proper APA formatting, cite the peer-reviewed article you selected that pertains to your practice area and is of particular interest to you and identify the database that you used to search for the article. Explain any difficulties you experienced while searching for this article. Would this database be useful to your colleagues? Explain why or why not. Would you recommend this database? Explain why or why not Support main post with 3 of more current, credible sources and cite source within content of posting and on a reference list in proper APA.  My practice will be Mental Health nurse practitioner. Thanks