CASE STUDY: Preschool Child

CASE STUDY: Preschool Child

Read the following case and answer reflective questions.Provide evidence based rationals for your answers APA 7th forma and scholarly references no older than 5 years old

CASE STUDY: Preschool Child: Ricky Ricky, age 4 years, arrives in the clinic with his mother. Ricky lives with his mother and father, who both work full-time, and his infant sister. Their extended family lives in a different state more than 100 miles away. Both parents are of average height and in good health. Ricky’s mother mentions that Ricky often expresses frustration, particularly in regard to food. Conflict over food occurs every day. Mealtime is a battle to get him to eat, unless his mother feeds him. Ricky’s baby sister seems to tolerate all baby foods but requires her mother to spoon-feed. Ricky’s mother is quite frustrated and concerned that he will become malnourished. CASE STUDY: Preschool Child

ORDER A PLAGIARISM – FREE PAPER NOW

Reflective Questions

1. What additional assessment information would you collect?

2. What questions would you ask, and how would you further explore this issue with the mother?

3. In what ways does the distance of the extended family influence this family’s approach to health promotion?

4. What factors would you consider to determine whether malnourishment is a factor in this family? CASE STUDY: Preschool Child

DEVELOPING A CULTURE OF EVIDENCE-BASED PRACTICE PAPER

DEVELOPING A CULTURE OF EVIDENCE-BASED PRACTICE PAPER

DEVELOPING A CULTURE OF EVIDENCE-BASED PRACTICE
As your EBP skills grow, you may be called upon to share your expertise with others. While EBP practice is often conducted with unique outcomes in mind, EBP practitioners who share their results can both add to the general body of knowledge and serve as an advocate for the application of EBP.
In this Discussion, you will explore strategies for disseminating EBP within your organization, community, or industry. DEVELOPING A CULTURE OF EVIDENCE-BASED PRACTICE PAPER
To Prepare:
• Review the Resources and reflect on the various strategies presented throughout the course that may be helpful in disseminating effective and widely cited EBP.
o This may include: unit-level or organizational-level presentations, poster presentations, and podium presentations at organizational, local, regional, state, and national levels, as well as publication in peer-reviewed journals.
• Reflect on which type of dissemination strategy you might use to communicate EBP.
Post at least two dissemination strategies you would be most inclined to use and explain why. Explain which dissemination strategies you would be least inclined to use and explain why. Identify at least two barriers you might encounter when using the dissemination strategies you are most inclined to use. Be specific and provide examples. Explain how you might overcome the barriers you identified.

ORDER A PLAGIARISM – FREE PAPER NOW

LEARNING RESOURCES
Required Readings
• Melnyk, B. M., & Fineout-Overholt, E. (2023). Evidence-based practice in nursing & healthcare: A guide to best practice (5th ed.). Wolters Kluwer.
o Chapter 10, “The Role of Quality Improvement and Evidence-Based Quality Improvement in Practice Change” (pp. 365–393)
o Chapter 12, “Leadership Strategies for Creating and Sustaining Evidence-based Practice Organizations” (pp. 410–427) DEVELOPING A CULTURE OF EVIDENCE-BASED PRACTICE PAPER
o Chapter 14, “Models to Guide Implementation and Sustainability of Evidence-based Practice” (pp. 466–518)
• Gallagher-Ford, L., Fineout-Overhold, E., Melnyk, B.M. & Stillwell, S.B. (2011). Evidence-based practice step-by-step: Implementing an evidence-based practice changeLinks to an external site.. American Journal of Nursing, 111(3), 54-60.
• Newhouse, R. P., Dearholt, S., Poe, S., Pugh, L. C., & White, K. M. (2007). Organizational change strategies for evidence-based practiceLinks to an external site. Journal of Nursing Administration, 37(12), 552–557. doi:0.1097/01.NNA.0000302384.91366.8f
• Melnyk, B. M. (2012). Achieving a high-reliability organization through implementation of the ARCC model for systemwide sustainability of evidence-based practice.Links to an external site. Nursing Administration Quarterly, 36(2), 127–135. doi:10.1097/NAQ.0b013e318249fb6a
• Melnyk, B. M., Fineout-Overholt, E., Gallagher-Ford, L., & Stillwell, S. B. (2011). Evidence-based practice, step by step: Sustaining evidence-based practice through organizational policies and an innovative model.Links to an external site. American Journal of Nursing, 111(9), 57–60. doi:10.1097/01.NAJ.0000405063.97774.0e
• Melnyk, B. M., Fineout-Overholt, E., Giggleman, M., & Choy, K. (2017). A test of the ARCC© model improves implementation of evidence-based practice, healthcare culture, and patient outcomesLinks to an external site.. Worldviews on Evidence-Based Nursing, 14(1), 5–9. doi:10.1111/wvn.12188. DEVELOPING A CULTURE OF EVIDENCE-BASED PRACTICE PAPER

 

 

ASSESSING A HEALTHCARE PROGRAM/POLICY EVALUATION

ASSESSING A HEALTHCARE PROGRAM/POLICY EVALUATION

Program/policy evaluation is a valuable tool that can help strengthen the quality of programs/policies and improve outcomes for the populations they serve. Program/policy evaluation answers basic questions about program/policy effectiveness. It involves collecting and analyzing information about program/policy activities, characteristics, and outcomes. This information can be used to ultimately improve program services or policy initiatives. ASSESSING A HEALTHCARE PROGRAM/POLICY EVALUATION

ORDER A PLAGIARISM – FREE PAPER NOW

Nurses can play a very important role assessing program/policy evaluation for the same reasons that they can be so important to program/policy design. Nurses bring expertise and patient advocacy that can add significant insight and impact. In this Assignment, you will practice applying this expertise and insight by selecting an existing healthcare program or policy evaluation and reflecting on the criteria used to measure the effectiveness of the program/policy.

To Prepare:

  • Review the Healthcare Program/Policy Evaluation Analysis Template provided in the Resources.
  • Select an existing healthcare program or policy evaluation or choose one of interest to you.
  • Review community, state, or federal policy evaluation and reflect on the criteria used to measure the effectiveness of the program or policy described.

The Assignment: (2–3 pages)

Based on the program or policy evaluation you selected, complete the Healthcare Program/Policy Evaluation Analysis Template. Be sure to address the following:

  • Describe the healthcare program or policy outcomes.
  • How was the success of the program or policy measured?
  • How many people were reached by the program or policy selected? ASSESSING A HEALTHCARE PROGRAM/POLICY EVALUATION
  • How much of an impact was realized with the program or policy selected?
  • At what point in program implementation was the program or policy evaluation conducted?
  • What data was used to conduct the program or policy evaluation?
  • What specific information on unintended consequences was identified?
  • What stakeholders were identified in the evaluation of the program or policy? Who would benefit most from the results and reporting of the program or policy evaluation? Be specific and provide examples.
  • Did the program or policy meet the original intent and objectives? Why or why not?
  • Would you recommend implementing this program or policy in your place of work? Why or why not?
  • Identify at least two ways that you, as a nurse advocate, could become involved in evaluating a program or policy after 1 year of implementation. ASSESSING A HEALTHCARE PROGRAM/POLICY EVALUATION

WEEK 4 ASSIGNMENT – PRICING STRATEGY

WEEK 4 ASSIGNMENT – PRICING STRATEGY

WEEK 4 ASSIGNMENT – PRICING STRATEGY

OVERVIEW

Imagine that you work for a pricing strategy consulting business. Select a business to be your next client. Think of a scenario that would result in your client seeking advice from your consulting business. You will use this same business or client for the Week 10 assignment: Pricing Strategies and Decisions. WEEK 4 ASSIGNMENT – PRICING STRATEGY

INSTRUCTIONS

Develop a 2–4 page report about your client for your boss that includes the following components:

Company Description.

Describe the company, the products it makes or services it provides, and the problems or issues that the company is facing related to its pricing strategy.

ORDER A PLAGIARISM – FREE PAPER NOW

Pricing Strategies.

Evaluate the pricing strategies relative to the product life cycle for your client’s three top-selling products.

Summarize the critical factors (for example, technology, regulation, market information, and consumer preferences) that affect your client’s pricing decisions.

Describe the impact value has on the company’s pricing strategy and profitability, and the importance of market segmentation.

Determine the effectiveness or ineffectiveness of your client’s price and value communication strategies. WEEK 4 ASSIGNMENT – PRICING STRATEGY

References.

Use three sources to support your writing. Choose sources that are credible, relevant, and appropriate. Cite each source listed on your source page at least one time within your assignment. For help with research, writing, and citation, access the library or review library guides.

Check with your professor for any additional instructions

The specific course learning outcome associated with this assignment is:

Assess the pricing strategy of a given company.

Requirements: 2-4pages. WEEK 4 ASSIGNMENT – PRICING STRATEGY

Health Organization Evaluation Assignment

Health Organization Evaluation

Research a health care organization or network that spans several states with in the United States (United Healthcare, Vanguard, Banner Health, etc.). Assess the readiness of the health care organization or network you chose in regard to meeting the health care needs of citizens in the next decade.

Prepare a 1,000-1,250 word paper that presents your assessment and proposes a strategic plan to ensure readiness. Include the following:

1. Describe the health care organization or network.

2. Describe the organization\’s overall readiness based on your findings.

3. Prepare a strategic plan to address issues pertaining to network growth, nurse staffing, resource management, and patient satisfaction. Health Organization Evaluation Assignment

ORDER A PLAGIARISM – FREE PAPER NOW

4. Identify any current or potential issues within the organizational culture and discuss how these issues may affect aspects of the strategic plan.

5. Propose a theory or model that could be used to support implementation of the strategic plan for this organization. Explain why this theory or model is best.

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

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

You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance. Health Organization Evaluation Assignment

Discussion: Does Psychotherapy Have a Biological Basis?

Discussion: Does Psychotherapy Have a Biological Basis?

Many studies have found that psychotherapy is as effective as  psychopharmacology in terms of influencing changes in behaviors,  symptoms of anxiety, and changes in mental state. Changes influenced by  psychopharmacology can be explained by the biological basis of  treatments. But how does psychotherapy achieve these changes? Does  psychotherapy share common neuronal pathways with psychopharmacology?  For this Discussion, consider whether psychotherapy also has a  biological basis.  Discussion: Does Psychotherapy Have a Biological Basis?

ORDER A PLAGIARISM – FREE PAPER NOW

Post an explanation of whether psychotherapy has a  biological basis.

Explain how culture, religion, and socioeconomics  might influence one’s perspective of the value of psychotherapy  treatments.

Support your rationale with evidence-based literature.

Required Readings

American Nurses Association. (2014). Psychiatric-mental health nursing: Scope and standards of practice (2nd ed.). Washington, DC: Author.

  • Standard 1 “Assessment” (pages 44 & 45)

Note: Throughout the program you will be reading excerpts from the ANA’s Scope & Standards of Practice for Psychiatric-Mental Health Nursing. It is essential to your success on the ANCC board certification exam for Psychiatric/Mental Health Nurse Practitioners that you know the scope of practice of the advanced practice psychiatric/mental health nurse. You should also be able to differentiate between the generalist RN role in psychiatric/mental health nursing and the advanced practice nurse role.

Wheeler, K. (Eds.). (2014). Psychotherapy for the advanced practice psychiatric nurse: A how-to guide for evidence-based practice (2nd ed.). New York, NY: Springer Publishing Company.

  • Chapter 1, “The Nurse Psychotherapist and a Framework for Practice” (pp. 3–52) Discussion: Does Psychotherapy Have a Biological Basis?

Fournier, J. C., & Price, R. B. (2014). Psychotherapy and neuroimaging. Psychotherapy: New Evidence and New Approaches, 12(3), 290–298. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4207360/

 

Holttum, S. (2014). When bad things happen our brains change but psychotherapy and support can help the recovery of our brains and our lives. Mental Health and Social Inclusion, 18(2), 52–58. doi:10.1108/MHSI-02-2014-0006 

 

Petiprin, A. (2016). Psychiatric and mental health nursing. Nursing Theory. Retrieved from http://www.nursing-theory.org/theories-and-models/psychiatric-and-mental-health-nursing.php

Fisher, M. A. (2016). Introduction. In Confidentiality limits in psychotherapy: Ethics checklists for mental health professionals (pp. 3–12). Washington, DC: American Psychological Association. doi:10.1037/14860-001

Document: Practicum Journal Template (Word document)

 

Note: This template is provided by the School of Nursing and is designated to document practicum activity. You are required to use this template for all journal entry submissions.

Document: Midterm Exam Study Guide (Word document)

Document: Final Exam Study Guide (Word document)

Document: NP Student Clinical Orientation (PowerPoint file)

Document: Practicum Manual (PDF). Retrieved from http://academicguides.waldenu.edu/ld.php?content_id=7356923

 

Required Media

Laureate Education (Producer). (2016). Introduction to psychotherapy with individuals [Video file]. Baltimore, MD: Author. Discussion: Does Psychotherapy Have a Biological Basis?

Note: The approximate length of this media piece is 2 minutes.

ORDER A PLAGIARISM – FREE PAPER NOW

Rubric Detail

Select Grid View or List View to change the rubric’s layout.

Content

Name: NURS_6640_Week1_Discussion_Rubric

  Outstanding Performance Excellent Performance Competent Performance Proficient Performance Room for Improvement
Main Posting:
Response to the discussion question is reflective with critical analysis and synthesis representative of knowledge gained from the course readings for the module and current credible sources.
Points Range: 44 (44%) – 44 (44%)

Thoroughly responds to the discussion question(s)

is reflective with critical analysis and synthesis representative of knowledge gained from the course readings for the module and current credible sources. Discussion: Does Psychotherapy Have a Biological Basis?

supported by at least 3 current, credible sources

Points Range: 40 (40%) – 43 (43%)

Responds to the discussion question(s)

is reflective with critical analysis and synthesis representative of knowledge gained from the course readings for the module.

75% of post has exceptional depth and breadth

supported by at least 3 credible references

Points Range: 35 (35%) – 39 (39%)

Responds to most of the discussion question(s)

is somewhat reflective with critical analysis and synthesis representative of knowledge gained from the course readings for the module.

50% of post has exceptional depth and breadth

supported by at least 3 credible references

Points Range: 31 (31%) – 34 (34%)

Responds to some of the discussion question(s)

one to two criteria are not addressed or are superficially addressed

is somewhat lacking reflection and critical analysis and synthesis

somewhat represents knowledge gained from the course readings for the module.

post is cited with fewer than 2 credible references

Points Range: 0 (0%) – 30 (30%)

Does not respond to the discussion question(s)

lacks depth or superficially addresses criteria

lacks reflection and critical analysis and synthesis

does not represent knowledge gained from the course readings for the module.

contains only 1 or no credible references

Main Posting:
Writing
Points Range: 6 (6%) – 6 (6%)

Written clearly and concisely

Contains no grammatical or spelling errors

Fully adheres to current APA manual writing rules and style

Points Range: 5.5 (5.5%) – 5.5 (5.5%)

Written clearly and concisely

May contain one or no grammatical or spelling error

Adheres to current APA manual writing rules and style

Points Range: 5 (5%) – 5 (5%)

Written concisely

May contain one to two grammatical or spelling error

Adheres to current APA manual writing rules and style

Points Range: 4.5 (4.5%) – 4.5 (4.5%)

Written somewhat concisely

May contain more than two spelling or grammatical errors

Contains some APA formatting errors

Points Range: 0 (0%) – 4 (4%)

Not written clearly or concisely

Contains more than two spelling or grammatical errors

Does not adhere to current APA manual writing rules and style

Main Posting:
Timely and full participation
Points Range: 10 (10%) – 10 (10%)

Meets requirements for timely and full participation

posts main discussion by due date

Points Range: 0 (0%) – 0 (0%)

NA

Points Range: 0 (0%) – 0 (0%)

NA

Points Range: 0 (0%) – 0 (0%)

NA

Points Range: 0 (0%) – 0 (0%)

Does not meet requirement for full participation

First Response:

Post to colleague’s main post that is reflective and justified with credible sources.

Points Range: 9 (9%) – 9 (9%)

Response exhibits critical thinking and application to practice settings

responds to questions posed by faculty

the use of scholarly sources to support ideas demonstrates synthesis and understanding of learning objectives

Points Range: 8.5 (8.5%) – 8.5 (8.5%)

Response exhibits critical thinking and application to practice settings

Points Range: 7.5 (7.5%) – 8 (8%)

Response has some depth and may exhibit critical thinking or application to practice setting

Points Range: 6.5 (6.5%) – 7 (7%)

Response is on topic, may have some depth

Points Range: 0 (0%) – 6 (6%)

Response may not be on topic, lacks depth

First Response:
Writing
Points Range: 6 (6%) – 6 (6%)

Communication is professional and respectful to colleagues

Response to faculty questions are fully answered if posed

Provides clear, concise opinions and ideas that are supported by two or more credible sources

Response is effectively written in Standard Edited English

Points Range: 5.5 (5.5%) – 5.5 (5.5%)

Communication is professional and respectful to colleagues

Response to faculty questions are answered if posed

Provides clear, concise opinions and ideas that are supported by two or more credible sources

Response is effectively written in Standard Edited English

Points Range: 5 (5%) – 5 (5%)

Communication is mostly professional and respectful to colleagues

Response to faculty questions are mostly answered if posed

Provides opinions and ideas that are supported by few credible sources

Response is written in Standard Edited English

Points Range: 4.5 (4.5%) – 4.5 (4.5%)

Responses posted in the discussion may lack effective professional communication

Response to faculty questions are somewhat answered if posed

Few or no credible sources are cited

Points Range: 0 (0%) – 4 (4%)

Responses posted in the discussion lack effective

Response to faculty questions are missing

No credible sources are cited

First Response:
Timely and full participation
Points Range: 5 (5%) – 5 (5%)

Meets requirements for timely and full participation

posts by due date

Points Range: 0 (0%) – 0 (0%)

NA

Points Range: 0 (0%) – 0 (0%)

NA

Points Range: 0 (0%) – 0 (0%)

NA

Points Range: 0 (0%) – 0 (0%)

Does not meet requirement for full participation

Second Response:
Post to colleague’s main post that is reflective and justified with credible sources.
Points Range: 9 (9%) – 9 (9%)

Response exhibits critical thinking and application to practice settings * responds to questions posed by faculty

the use of scholarly sources to support ideas demonstrates synthesis and understanding of learning objectives

Points Range: 8.5 (8.5%) – 8.5 (8.5%)

Response exhibits critical thinking and application to practice settings

Points Range: 7.5 (7.5%) – 8 (8%)

Response has some depth and may exhibit critical thinking or application to practice setting

Points Range: 6.5 (6.5%) – 7 (7%)

Response is on topic, may have some depth

Points Range: 0 (0%) – 6 (6%)

Response may not be on topic, lacks depth

Second Response:
Writing
Points Range: 6 (6%) – 6 (6%)

Communication is professional and respectful to colleagues

Response to faculty questions are fully answered if posed

Provides clear, concise opinions and ideas that are supported by two or more credible sources

Response is effectively written in Standard Edited English

Points Range: 5.5 (5.5%) – 5.5 (5.5%)

Communication is professional and respectful to colleagues

Response to faculty questions are answered if posed

Provides clear, concise opinions and ideas that are supported by two or more credible sources

Response is effectively written in Standard Edited English

Points Range: 5 (5%) – 5 (5%)

Communication is mostly professional and respectful to colleagues

Response to faculty questions are mostly answered if posed

Provides opinions and ideas that are supported by few credible sources

Response is written in Standard Edited English

Points Range: 4.5 (4.5%) – 4.5 (4.5%)

Responses posted in the discussion may lack effective professional communication

Response to faculty questions are somewhat answered if posed

Few or no credible sources are cited

Points Range: 0 (0%) – 4 (4%)

Responses posted in the discussion lack effective

Response to faculty questions are missing

No credible sources are cited

Second Response:
Timely and full participation
Points Range: 5 (5%) – 5 (5%)

Meets requirements for timely and full participation

Posts by due date. Discussion: Does Psychotherapy Have a Biological Basis?

Points Range: 0 (0%) – 0 (0%)

NA

Points Range: 0 (0%) – 0 (0%)

NA

Points Range: 0 (0%) – 0 (0%)

NA

Points Range: 0 (0%) – 0 (0%)

Does not meet requirement for full participation

Total Points: 100  

 

NURS 6630 UMES Psychiatric Disorders Nurse Practitioners Care Discussion

NURS 6630 UMES Psychiatric Disorders Nurse Practitioners Care Discussion

Description

Discussion: Foundational Neuroscience

As a psychiatric nurse practitioner, it is essential for you to have a strong background in foundational neuroscience. In order to diagnose and treat patients, you must not only understand the pathophysiology of psychiatric disorders but also how medications for these disorders impact the central nervous system. These concepts of foundational neuroscience can be challenging to understand. Therefore, this Discussion is designed to encourage you to think through these concepts, develop a rationale for your thinking, and deepen your understanding by interacting with your colleagues.

Photo Credit: Getty Images/Cultura RF

For this Discussion, review the Learning Resources and reflect on the concepts of foundational neuroscience as they might apply to your role as the psychiatric mental health nurse practitioner in prescribing medications for patients. NURS 6630 UMES Psychiatric Disorders Nurse Practitioners Care Discussion

ORDER A PLAGIARISM – FREE PAPER NOW

By Day 3 of Week 2

Post a response to each of the following:

  1. Explain the agonist-to-antagonist spectrum of action of psychopharmacologic agents, including how partial and inverse agonist functionality may impact the efficacy of psychopharmacologic treatments.
  2. Compare and contrast the actions of g couple proteins and ion gated channels.
  3. Explain how the role of epigenetics may contribute to pharmacologic action.
  4. Explain how this information may impact the way you prescribe medications to patients. Include a specific example of a situation or case with a patient in which the psychiatric mental health nurse practitioner must be aware of the medication’s action.

Read a selection of your colleagues’ responses. NURS 6630 UMES Psychiatric Disorders Nurse Practitioners Care Discussion

Module 1 Assignment: Case Study Analysis, NURS 6501: Advanced Pathophysiology

Module 1 Assignment: Case Study Analysis, NURS 6501: Advanced Pathophysiology

An understanding of cells and cell behavior is a critically important component of disease diagnosis and treatment. But some diseases can be complex in nature, with a variety of factors and circumstances impacting their emergence and severity.

Effective disease analysis often requires an understanding that goes beyond isolated cell behavior. Genes, the environments in which cell processes operate, the impact of patient characteristics, and racial and ethnic variables all can have an important impact. Module 1 Assignment: Case Study Analysis, NURS 6501: Advanced Pathophysiology

ORDER A PLAGIARISM – FREE PAPER NOW

Photo Credit: Getty Images/Hero Images

An understanding of the signals and symptoms of alterations in cellular processes is a critical step in the diagnosis and treatment of many diseases. For APRNs, this understanding can also help educate patients and guide them through their treatment plans.

In this Assignment, you examine a case study and analyze the symptoms presented. You identify cell, gene, and/or process elements that may be factors in the diagnosis, and you explain the implications to patient health.

To prepare:

By Day 1 of this week, you will be assigned to a specific case study for this Case Study Assignment. Please see the “Course Announcements” section of the classroom for your assignment from your Instructor.

The Assignment (1- to 2-page case study analysis)

Develop a 1- to 2-page case study analysis in which you:

  • Explain why you think the patient presented the symptoms described.
  • Identify the genes that may be associated with the development of the disease.
  • Explain the process of immunosuppression and the effect it has on body systems. Module 1 Assignment: Case Study Analysis, NURS 6501: Advanced Pathophysiology
By Day 7 of Week 2

Submit your Case Study Analysis Assignment by Day 7 of Week 2.

Reminder: The College of Nursing requires that all papers submitted include a title page, introduction, summary, and references. The sample paper provided at the Walden Writing Center provides an example of those required elements (available at https://academicguides.waldenu.edu/writingcenter/templates). All papers submitted must use this formatting. Module 1 Assignment: Case Study Analysis, NURS 6501: Advanced Pathophysiology

 

POLITICS AND THE PATIENT PROTECTION AND AFFORDABLE CARE ACT

POLITICS AND THE PATIENT PROTECTION AND AFFORDABLE CARE ACT

Be sure to review the Learning Resources before completing this activity.
Click the weekly resources link to access the resources.

To Prepare:

  • Review the Resources and reflect on efforts to repeal/replace the Affordable Care Act (ACA).

Milstead, J. A., & Short, N. M. (2019). Health policy and politics: A nurse’s guide (6th ed.). Jones & Bartlett Learning. POLITICS AND THE PATIENT PROTECTION AND AFFORDABLE CARE ACT

ORDER A PLAGIARISM – FREE PAPER NOW

Discussion:

  An explanation for how you think the cost-benefit analysis in terms of legislators being reelected affected efforts to repeal/replace the ACA. Then, explain how analyses of the voters views may affect decisions by legislative leaders in recommending or positioning national policies (e.g., Congress’ decisions impacting Medicare or Medicaid). Remember, the number one job of a legislator is to be re-elected. Please check your discussion grading rubric to ensure your responses meet the criteria.  POLITICS AND THE PATIENT PROTECTION AND AFFORDABLE CARE ACT

PHARMACOTHERAPY FOR CARDIOVASCULAR DISORDERS ASSIGNMENT

PHARMACOTHERAPY FOR CARDIOVASCULAR DISORDERS ASSIGNMENT

..heart disease remains the No. 1 killer in America; nearly half of all Americans have high blood pressure, high cholesterol, or smoke—some of the leading risk factors for heart disease…

—Murphy et al., 2018

Despite the high mortality rates associated with cardiovascular disorders, improved treatment options do exist that can help address those risk factors that afflict the majority of the population today.

ORDER A PLAGIARISM – FREE PAPER NOW

As an advanced practice nurse, it is your responsibility to recommend appropriate treatment options for patients with cardiovascular disorders. To ensure the safety and effectiveness of drug therapy, advanced practice nurses must consider aspects that might influence pharmacokinetic and pharmacodynamic processes such as medical history, other drugs currently prescribed, and individual patient factors.

Reference: Murphy, S. L., Xu, J., Kochanek, K. D., & Arias, E. (2018). Mortality in the United States, 2017. Retrieved from https://www.cdc.gov/nchs/products/databriefs/db328.htm

PHARMACOTHERAPY FOR CARDIOVASCULAR DISORDERS

BN is a 74-year-old African American male who is seeing his PCP because he noticed when he woke up that his “heart was not beating right; it feels like it is going to slow.” He denies chest pain, SOB, N/V. He notes feeling dizzy earlier in the day. 6 weeks earlier his PCP started him on Diltiazem CD to further lower his BP to goal. His Metoprolol was lowered at that time as well from 75 mg to 50 mg BID. His PCP recommends he be admitted to the hospital. PHARMACOTHERAPY FOR CARDIOVASCULAR DISORDERS ASSIGNMENT

Upon presentation to the hospital:

PMH:

  • HTN x 7 years
  • Type II DM
  • CAD s/p angioplasty 2 years ago
  • MI 3 years ago
  • EF = 60%
  • PVD s/p left femoral to posterior bypass
  • Hx of A Fib x 4 years

Medications:

  • Digoxin 0.25 mg QD KCl 40 mEq QD Vitamin C 500 mg QD
  • Diltiazem CD 180 mg QD ASA EC 325 mg QD Vitamin E 400 IU QD
  • Metoprolol 5- mg BID Warfarin 5 mg QD Ibuprofen 200 mg 2 tabs prn headache
  • Lisinopril 20 mg QD Famotidine 20 mg QHS Multivitamin QD
  • Imdur 30 mg QD Lantus 26u QHS Ca++/Vit D 500mg/200 IU BID
  • HCTZ 12.5 mg QD Humalog 8u with meals. PHARMACOTHERAPY FOR CARDIOVASCULAR DISORDERS ASSIGNMENT

PE:

  • BP 110/50 Pulse 38 bpm Resp 14/min
  • Rest of physical exam unremarkable

Labs:

  • K+ 6.9 WBC 5,800/mm3
  • Na+ 135 Hct 35%
  • Cr 1.9 Dig 2.78
  • BUN 35 INR 2.3
  • Gluc 10

Write a 2- to 3-page paper that addresses the following:

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

To Prepare

  • Review the Resources for this module and consider the impact of potential pharmacotherapeutics for cardiovascular disorders introduced in the media piece.
  • Review the case study assigned by your Instructor for this Assignment.
  • Select one the following factors: genetics, gender, ethnicity, age, or behavior factors.
  • Reflect on how the factor you selected might influence the patient’s pharmacokinetic and pharmacodynamic processes.
  • Consider how changes in the pharmacokinetic and pharmacodynamic processes might impact the patient’s recommended drug therapy.
  • Think about how you might improve the patient’s drug therapy plan based on the pharmacokinetic and pharmacodynamic changes. Reflect on whether you would modify the current drug treatment or provide an alternative treatment option for the patient. PHARMACOTHERAPY FOR CARDIOVASCULAR DISORDERS ASSIGNMENT