Category: Nursing

Pharmacological Management of Cognitive Decline in an 82-Year-Old Male

Posted on | by Kelvin

Special Considerations for Patient Population Case:

Patient 1: 82-year-old male presenting with cognitive decline. He had always been a very active individual. Over the past year, he has become less active in the community. Previously, he played cribbage weekly with friends at the local senior center but has been struggling with the math involved with the game and no longer attends the weekly card game. He had also volunteered as a crossing guard for the local public school. He quit doing that after he took the wrong turn to get home and drove around the town feeling lost. He acknowledges he is sensitive to this and can be irritable towards his children when they bring up these concerns. He was diagnosed with mild neurocognitive disorder after completing neuropsychological testing. Of the following medications, which would be the most appropriate to prescribe? Explain why you chose this medication. What would be the dosing schedule for this patient? Provide education to the patient and review risks, benefits, and potential side effects of the medication. In addition, explain why the other medications listed are not appropriate for this patient. Med List: lorazepam, olanzapine, memantine

Construct a paper concerning your assigned vulnerable population patient case. In your paper include the following:
Determine which medication would be most appropriate to prescribe from the assigned vulnerable population patient case medication choices.
Explain your rationale for choosing this medication. Explain why the other medications listed are not appropriate for this patient.
Explain the dosing schedule for the specific patient including the therapeutic endpoint.
Provide necessary education to the patient to review risks, benefits, and potential side effects of the medication.
Describe any necessary labs or additional diagnostics needed prior to prescribing this medication.
Explain how you might monitor efficacy or side effects of the medication.
Include any additional collaboration or education to others that would be necessary for this patient. Consider family members, home health care, primary care providers, etc.
What would you need to include in your assessment for a patient who may become nonadherent with your prescribing plan for your scenario? What are alternative treatment solutions based upon how you assessed? Describe your new treatment plan.

Role Description for a Nurse Leader on the Health Information Technology Implementation Team

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Assume you are a nurse manager on a unit where a new nursing documentation system is to be implemented. You want to ensure that the system will be usable and acceptable for the nurses impacted. You realize a nurse leader must be on the implementation team.
To Prepare:
• Review the steps of the Systems Development Life Cycle (SDLC) and reflect on the scenario presented.
• Consider the benefits and challenges associated with involving a nurse leader on an implementation team for health information technology.
The Assignment: (2-3 pages not including the title and reference page)
In preparation of filling this role, develop a 2- to 3-page role description for a graduate-level nurse to guide his/her participation on the implementation team. The role description should be based on the SDLC stages and tasks and should clearly define how this individual will participate in and impact each of the following steps:
• Planning and requirements definition
• Analysis
• Design of the new system
• Implementation
• Post-implementation support
• Use APA format and include a title page and reference page.
• Use the Safe Assign Drafts to check your match percentage before submitting your work.

Addressing Biases in Psychiatric Interviewing

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This week you learned about the goals of psychiatric interviewing. You will meet many clients who may look, think, or behave very differently than you. Everyone has biases; people are sometimes unaware of some innate or learned biases.
What action steps can you take to identify any biases you currently hold?
What action steps can you take to prevent any bias from impacting your goal of establishing a therapeutic relationship with your clients?

Understanding Hypertension in Advanced Primary Care

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Understanding disease conditions specific to advanced primary care is vital to ensure proper and timely diagnosis and treatment to improve healthcare outcomes for the patient. The purpose of this assignment is to evaluate one disease condition in the adult population and explore current evidence-based guidelines and treatments to determine a proper plan of care.
This assignment will focus on the following course student learning outcomes (CSLO):
1. Evaluate the role of the advanced practice nurse (APN) and the Family Nurse Practitioner (FNP) in particular, as it relates to obtaining a health history, performing a health assessment on adolescents, adults, and elderly from diverse cultural groups presenting with chronic and some acute physical and emotional concerns to an ambulatory, acute and/or managed health care delivery system (EOPSLO # 1, 2, 3, 4, 9).
2. Examine the principles and theories applicable to risk assessment and primary, secondary, and tertiary prevention to promote the optimum health of clients experiencing chronic or multisystem health problems (EOPSLO# 3 and 8).
3. Compare and contrast the possible interrelationships and impact of demographic characteristics, health beliefs, values, family situations, environment, and community resources on the incidence and management outcome of chronic and some acute conditions of adult clients (EOPSLO # 2, 6, 7, and 9)
4. Incorporate epidemiological, social, and environmental research data in the assessment, holistic planning and outcome evaluation of interventions aimed at the diagnosis and management of the adult client’s health/illness status, with emphasis on common chronic illnesses of adult individuals of diverse ethnic and cultural groups (EOPSLO # 6, 7, and 9).
5. Examine the interrelationships and influences of genetics, age, gender, race/ethnicity, socioeconomic status, mental health, lifestyle, family situation, culture or subculture, health beliefs and values on the differential diagnosis and selection of screening and therapeutic agents for the management of selected chronic and multisystem illnesses of adult clients, families, and groups (EOPSLO# 3, 8 and 9).
6. Synthesize the following concepts in the advanced nursing care of the client experiencing chronic multisystem illness: the advanced nurse-client relationship, client teaching-coaching function, professional role enactment, client empowerment, mutual participation in health care decision-making, ethics, client education and counseling, change theory and process, and collaboration in health care delivery (i.e., interdisciplinary, multidisciplinary, multicultural teams and global nursing) (EOPSLO # 2, 3, 4, 7, and 9).
7. Compare and contrast pharmacological and non-pharmacological/alternative therapeutic measures for the client experiencing chronic and/or multisystem diseases taking into consideration pharmacotherapeutics prescriptive legal requirements for APNs and issues of polypharmacy (EOPSLO# 6, 7, and 9).
8. Utilize computer technology in synthesizing scientific and research-based knowledge regarding health care issues and problems of multicultural, multiethnic adults and populations at risk for health disparities (EOPSLO# 5, 8, and 9).
Instructions: Please choose one adult health condition learned in the course. Once the health condition is chosen, you are to write a three-to-five-page paper in APA format, 7th edition, with the following sections and level 2 headings:
Introduction
• Brief overview of adult health
• Introduce the disease condition chosen
• Importance of understanding the condition
Presentation of Condition
• Describe the condition chosen and its pathophysiology.
• What signs/symptoms can be found in the patient?
• Identify if there can be presentation variations based on culture, race, ethnicity, age, etc.
Diagnosis of Condition
• Diagnostic testing (including imaging, labs, and other necessary evaluations based on condition)
• Clinical evaluation via medical history and physical examination
Treatment of Condition
• Medications
• Treatments
• Managing symptoms (if needed)
• Non-pharmacological treatments (if applicable)
Potential Health Risks if Left Untreated
• Physical and mental health risks
Recent Evidence-Based Advancements in Condition
• Choose one evidence-based treatment that has been shown to improve the condition within the last 5 years.
• Briefly summarize the treatment and results.
Conclusion
• Recap points discussed in the paper
• Importance of management and early diagnosis (if applicable)

 

Cultural Diversity, Culture, and Cultural Competence in Nursing

Posted on | by Kelvin

 

Cultural Differences and Practice
After reading Chapter 4: Toward Justice and watching the two videos below, answer the discussion question.

Becoming a Culturally Competent Nurse (2018).
https://www.youtube.com/watch?v=r62Zp99U67YLinks to an external site.
The Challenges of Cultural Diversity (2020)
https://www.youtube.com/watch?v=7u_wjH3-Ge8Links to an external site.

• Define cultural diversity, culture, and cultural competence using published articles, your textbook, but NOT an online dictionary.
• Select one of the following ways that people can be diverse (do not duplicate other students’ selections until all options have been used in the discussion). Find one research report on your selection and apply the findings to your nursing practice.
• Ways People Are Diverse:
• Age, Gender, Ethnicity, Religion, Ability, Socioeconomic Status, Sexual Orientation,
Prepare a 300-word response that covers your definitions, your selection for diversity, and the research report you found that explains it. Apply the findings to your practice.

Planning Policy Change for Older Adults in Urban Communities

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-How would you, as a health professional, plan policy change in your community to address the realities of millions of older adults living in urban communities?
-Explain how you would plan this policy change in your community. Be sure to include epidemiological and statistical data in your background of the problem identified that is driving the policy change.

 

Disease Process: Diabetes Patient-Based Medical Applications

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Please read these instructions and follow each step.
Step 1: For this assignment, choose one disease process (example: diabetes, chronic kidney disease, hypertension, depression, heart disease, etc.).
Step 2: Choose two (2) patient-based medical applications.
• When choosing these applications, think about being the patient. What applications would help you? What applications might you download to your Smartphone and why?
• Use Green & Murphy’s (2016) article entitled “50 Healthcare Applications for Clinicians and Consumers to Know” Download Green & Murphy’s (2016) article entitled “50 Healthcare Applications for Clinicians and Consumers to Know”Open this document with ReadSpeaker docReaderto complete this section or use a healthcare application that you find in your own search. https://classroom.galencollege.edu/courses/4042147/files/289556378/download?wrap=1
Step 3: Create the first concept map for patient-based medical applications
• Choose three criteria from the list below which you used to select the chosen application by asking yourself – Does the app:
o Inform: Provide information in a variety of formats (text, photo, video)
o Instruct: Provide instructions to the user
o Record: Capture user entered data
o Display: Graphically display user entered data/output user entered data
o Guide: Provide guidance based on user-entered information (e., recommend a physician consultation or course of treatment)
o Remind/Alert: Provide reminders to the user
o Communicate: Provide communication with the user and/or provide links to social networks.
• Briefly describe how the application meets the criteria in each of the concept map nodes/sections
Step 4: Choose one (1) provider-based medical application.
• When choosing this application, think about being the provider (nurse, doctor, advanced practice nurse). What application would help you? What application might you download to your Smartphone and why?
• Use Green & Murphy’s (2016) article entitled “50 Healthcare Applications for Clinicians and Consumers to Know” Download Green & Murphy’s (2016) article entitled “50 Healthcare Applications for Clinicians and Consumers to Know”Open this document with ReadSpeaker docReaderto complete this section or use a healthcare application that you find in your own search. https://classroom.galencollege.edu/courses/4042147/files/289556370/download?download_frd=1
Step 5: Create the second concept map for provider-based medical applications
• Choose three criteria from the list below which you used to select the chosen application by asking yourself – Does the app:
o Inform: Provide information in a variety of formats (text, photo, video)
o Instruct: Provide instructions to the user
o Record: Capture user entered data
o Display: Graphically display user entered data/output user entered data
o Guide: Provide guidance based on user-entered information (e., recommend a physician consultation or course of treatment)
o Remind/Alert: Provide reminders to the user
• Briefly describe how the application meets the criteria in each of the concept map nodes/sections
Step 6: Using the Galen library, research a minimum of two (2) scholarly articles related to the topics associated with the medical applications.
• Explain how the research supports the use of medical applications in practice. Provide this summary (one paragraph with at least 5-7 sentences) in the box at the bottom of the concept map template provided by your faculty member or you may create your own.

 

The Consequences of HIPAA Violations in Healthcare: A Case Study

Posted on | by Kelvin

 

RUA Scenario

After treating a patient injured in a rather unusual sporting accident, the hospital released to the local media, without the patient’s authorization, copies of the patient’s skull x-ray as well as a description of the complainant’s medical condition. The local newspaper then featured on its front page the individual’s x-ray and an article that included the date of the accident, the location of the accident, the patient’s gender, a description of patient’s medical condition, and numerous quotes from the hospital about such unusual sporting accidents.

Preparing the assignment
Your faculty member will provide a scenario for you to address in your paper. Choose an ending to the scenario, and construct your paper based on those reflections. Choose one of the following outcomes for the end of the scenario:
1. A HIPAA violation occurs, and client data is exposed to the media.
2. A medication error has harmed a client.
3. A technology downtime that impacts patient care occurs, and an error is made.
4. A ransomware attack has occurred, and the organization must contemplate paying the ransom or lose access to patient data.
Follow these guidelines when completing this assignment. Include the following sections:
a. Introduction –
• Presents a clearly designed thesis statement or argument.
• Provides a clear and concise overview of the content.
• Offers a compelling argument to elicit the readers attention and generate interest.
b. HIPAA, Legal, and Regulatory Discussion
• Identify client privacy and HIPPAA standards as they relate to the impact of technology on nursing care.
• Review healthcare regulations as they relate to the impact of technology on nursing care.
• Describe legal guidelines on appropriate use of technology.
c. Scenario Ending and Recommendations –
• Presents the selected or assigned scenario ending as the focus of the assignment.
• Evaluates the actions taken by healthcare providers selected or assigned scenario evolves.
• Recommends actions to mitigate the injury sustained in the selected scenario ending.
• Supports recommendations with evidence from recent scholarly publications.
d. Advantages and Disadvantages
• Presents at least two advantages of using the specified technology in healthcare.
• Presents at least two risks of using the specified technology in healthcare.
• Describes professional and ethical principles guiding the appropriate use of technology in healthcare.
• Support advantages and risks with evidence from recent scholarly publications.
e. Conclusion and Reflections –
• Summarizes the selected or assigned scenarios ending including the recommendations.
• Establishes a clear link between the discussion and the thesis statement or argument.
• Discusses thoughtful insights and implications based on the outcomes.
• Describes how new insights will impact future behavior as a healthcare professional.
f. APA Style and Organization –
• References are submitted with assignment.
• Uses current APA format and is free of errors.
• Grammar and mechanics are free of errors.
• Paper is 4-5 pages, excluding title and reference pages.
• At least three (3) scholarly, primary sources from the last 5 years, excluding the textbook, are provided.

Understanding Alcohol Use Disorder and the Role of Naltrexone in Treatment

Posted on | by Kelvin

In this Blog, you will have the opportunity to teach your peers about a specific substance use and/or addiction/impulse control disorder. A Blog is a conversational, informal written piece on a topic. Your faculty will assign you a particular illness and the approved treatment for the illness to create a presentation to share with your peers.
Construct a Blog post, not to exceed 1,500–2,000 words, written for a PMHNP provider audience to post in the Discussion area.
Although you are not required to respond to colleagues, collegial discussion is welcome. Also, it will be important for you to read your peers’ Blog posts in order to learn about all of the medications on the assigned list.
You will be assigned from the following list:
•
o
o Alcohol Use Disorder
 Naltrexone

• Identify the substance or addiction with discussion on pertinent diagnostic criteria for the use disorder.
• Identify the street names of the substance for the use disorder.
• Describe how someone can use or abuse the substance (oral, smoke, IV, etc.).
• Describe the symptoms of someone under the influence of this substance.
• Describe the symptoms of someone under the withdrawal of this substance.
After describing the substance, discuss the treatment recommendations by doing the following:
• Identify the first-line treatment options.
• Identify the FDA-approved medications for the substance.
Note: If there are no FDA-approved medications, describe any evidenced-based, clinically acceptable off-label medications to treat the illness.
• Identify the proposed mechanisms of action for the medication to treat the illness.
• Describe the common side effects of the medication.
• Describe how the patient should take the medication.
• Identify any baseline and/or ongoing tests and assessment(s) needed when taking the medication.
• Describe the non-pharmacologic intervention recommendations.