By Day 3 of Week 1

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By Day 3 of Week 1

Post a description of the patient case from your experiences, observations, and/or clinical practice from the last 5 years. Then, describe factors that might have influenced pharmacokinetic and pharmacodynamic processes of the patient you identified. Finally, explain details of the personalized plan of care that you would develop based on influencing factors and patient history in your case. Be specific and provide examples.

Four  references not more than 5years

Rosenthal, L. D., & Burchum, J. R. (2018). Lehne’s pharmacotherapeutics for advanced practice providers. St. Louis, MO: Elsevier.

  • Chapter 1, “Prescriptive Authority” (pp. 1–3)
  • Chapter 2, “Rational Drug Selection and Prescription Writing” (pp. 5–9)
  • Chapter 3, “Promoting Positive Outcomes of Drug Therapy” (pp. 11–16)
  • Chapter 4, “Pharmacokinetics, Pharmacodynamics, and Drug Interactions” (pp. 17–40)
  • Chapter 5, “Adverse Drug Reactions and Medical Errors” (pp. 41–49)
  • Chapter 6, “Individual Variation in Drug Response” (pp. 51–56)

Assignment 1

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Assignment 1

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.

Also, your Case Study Assignment should be in the Episodic/Focused SOAP Note format rather than the traditional narrative style format. Refer to Chapter 2 of the Sullivan text and the Episodic/Focused SOAP Template in the Week 5 Learning Resources for guidance. Remember that all Episodic/Focused SOAP Notes have specific data included in every patient case.

With regard to the case study you were assigned:

Review this week’s Learning Resources and consider the insights they provide.

Consider what history would be necessary to collect from the patient.

Consider what physical exams and diagnostic tests would be appropriate to gather more information about the patient’s condition. How would the results be used to make a diagnosis?

Identify at least five possible conditions that may be considered in a differential diagnosis for the patient.

The Assignment:

Use the Episodic/Focused SOAP Template and create an episodic/focused note about the patient in the case study to which you were assigned using the episodic/focused note template, Provide evidence from the literature to support diagnostic tests that would be appropriate for each case. List five different possible conditions for the patient’s differential diagnosis and justify why you selected each.

Assigned Case Study: 

Chantal, a 32-year-old female, comes into your office with complaints of “feeling tired” and “hair falling out”. She has gained 30 pounds in the last year but notes markedly decreased appetite. On ROS, she reports not sleeping well and feels cold all the time. She is still able to enjoy her hobbies and does not believe that she is depressed.

 Analyze bioethical issues faced by various healthcare professionals for their impact on decision making

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Analyze bioethical issues faced by various healthcare professionals for their impact on decision making

Prompt

In this project, you will analyze the Terri Schiavo case through the lens of the bioethical issue(s) related to the case. You will analyze the case to address what the bioethical issue is and what role end-of-life issues, such as self-determination and advanced directives, played in the case. Using your analysis, you will determine how this bioethical issue impacted the decisions made by the healthcare professionals involved in the case.

Your essay must address the following critical elements:

I. Introduction: Describe the provided case, including information on the stakeholders involved, the bioethical issue, and the time period of the incident that occurred.

II. Bioethical Analysis: Analyze the bioethical issue for the role end-of-life issues played in the case. Be sure to use appropriate terminology and support with secondary research.

III. Conclusion: Describe how the bioethical issue influenced the decisions of healthcare professionals involved in the case. Be sure to use specific examples.

CRITICAL QUESTIONS AND REFLECTIONS

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CRITICAL QUESTIONS AND REFLECTIONS

1- Consider your own everyday communications with children – how you approach them and the language you use. How do you include children as active participants in discussions about care choices and planning?

2- After reading this chapter you are ready to undertake a family strengths assessment to apply the principles described to practice. Utilising the AFS Nursing Assessment Guide, engage in a conversation with a family as a group about their strengths and how their family functions across the eight qualities. Explore what goals the family are currently striving towards. Remember, not every strength needs to be explored with every family. What benefits do you think a family strengths assessment can have for clinical practice and promoting family health? What were the challenges to conducting your family strengths assessment?

Answer this:

1-Demonstrates a comprehensive understanding of the promotion of family involvement in nursing care with thorough alignment to SBNC principles.

2-Discusses one or more approach or tool useful in guiding a family strengths conversation (e.g. AFSNA). Includes a critique of more than one approach or tool useful in guiding a family strengths conversation.

3-Demonstrates practically how nurse-patient/family relationship and health and wellbeing outcomes bidirectionally interact.

Notes:

– AFSNA: Australian Family Strengths Nursing Assessment

– SBNC: Strengths-based nursing care – Bidirectionally: (adverb) in a bidirectional—moving, functioning, or receiving signals in or from two, usually opposite, directions—manner (Collins English Dictionary)

– Family involvement in nursing care is empowered when family functioning is enhanced

References:

Principles of strengths-based nursing leadership for strengths-based nursing care: a new paradigm for nursing and healthcare for the 21st century.

Gottlieb LN1, Gottlieb B, Shamian J.

Gottlieb, L. N., 2013, ‘Strengths-based nursing care : health and healing for person and family [ebook]’, .

Barnes M., Rowe J., 2013, ‘Child, youth and family health : strengthening communities [ebook]’, .

By Day 3 of Week 1

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By Day 3 of Week 1

Post an explanation of the disease highlighted in the scenario you were provided. Include the following in your explanation:

  • The role genetics plays in the disease.
  • Why the patient is presenting with the specific symptoms described.
  • The physiologic response to the stimulus presented in the scenario and why you think this response occurred.
  • The cells that are involved in this process.
  • How another characteristic (e.g., gender, genetics) would change your response.

REQUIRED READINGS

 

McCance, K. L. & Huether, S. E. (2019). Pathophysiology: The biologic basis for disease in adults and children (8th ed.). St. Louis, MO: Mosby/Elsevier.
Chapter 1: Cellular Biology; Summary Review
Chapter 2: Altered Cellular and Tissue Biology: Environmental Agents (pp. 46-61; begin again with Manifestations of Cellular Injury pp. 83-97); Summary Review
Chapter 3: The Cellular Environment: Fluids and Electrolytes, Acids, and Bases
Chapter 4: Genes and Genetic Diseases (stop at Elements of formal genetics); Summary Review
Chapter 5: Genes, Environment-Lifestyle, and Common Diseases (stop at Genetics of common diseases); Summary Review
Chapter 7: Innate Immunity: Inflammation and Wound Healing
Chapter 8: Adaptive Immunity (stop at Generation of clonal diversity); Summary Review
Chapter 9: Alterations in Immunity and Inflammation (stop at Deficiencies in immunity); Summary Review
Chapter 10: Infection (pp. 289–303; stop at Infectious parasites and protozoans); (start at HIV); Summary Review
Chapter 11: Stress and Disease (stop at Stress, illness & coping); Summary Review
Chapter 12: Cancer Biology (stop at Resistance to destruction); Summary Review
Chapter 13: Cancer Epidemiology (stop at Environmental-Lifestyle factors); Summary Review

 

Week 2: The AACN Essentials of Baccalaureate Education for Professional Nursing Self-Assessment

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Chamberlain College of Nursing NR447: RN Collaborative Healthcare

Week 2: The AACN Essentials of Baccalaureate Education for Professional Nursing Self-Assessment

Understanding the competencies related to the AACN Essentials of Baccalaureate Education for Professional Nursing Practice provides you with valuable information as you begin to study this course.

Complete this self-assessment, which is based on The Essentials of Baccalaureate Education for Professional Nursing from the American Association of Colleges of Nursing (2008) prior to posting to the discussion on this topic

Place a check mark or X in the column that best describes your current level of competency or understanding of the Essential’s statement. There are no incorrect answers.

After you have completed the assessment, total the number of points that you earned. Record this number in a location where you will be able to retrieve it at the end of the course, when it will serve as the basis for a future discussion.

AACN (American Association of Colleges of Nursing) Baccalaureate Essentials Poor

1

 Good

2

 Very Good

3

 Excellent

4
Essential II: Basic Organizational and Systems Leadership for Quality Care and Patient Safety
Apply leadership concepts, skills, and decision-making in the provision of high quality nursing care, healthcare team coordination, and the oversight and accountability for care delivery in a variety of settings.
Demonstrate leadership and communication skills to effectively implement patient safety and quality improvement initiatives within the context of the interprofessional team.
Participate in quality and patient safety initiatives, recognizing that these are complex system issues, which involve individuals, families, groups, communities, populations, and other members of the healthcare team.
Employ principles of quality improvement, healthcare policy, and cost-effectiveness to assist in the development and initiation of effective plans for the microsystem and system-wide practice improvements that will improve the quality of healthcare delivery.
Essential V: Healthcare Policy, Finance, and Regulatory Environments
Demonstrate basic knowledge of healthcare policy, finance, and regulatory environments, including local, state, national, and global healthcare trends.
Explore the impact of sociocultural, economic, legal, and political factors influencing healthcare delivery and practice.
Examine the roles and responsibilities of the regulatory agencies and their effect on patient care quality, workplace safety, and the scope of nursing and other health professionals’ practice.
Advocate for consumers and the nursing profession.
Essential VI: Interprofessional Communication and Collaboration for Improving Patient Health Outcomes
Use inter and intrarofessional communication and collaborative skills to deliver evidence-based, patient-centered care.
Incorporate effective communication techniques, including negotiation and conflict resolution to produce positive professional working relationships.
Demonstrate appropriate teambuilding and collaborative strategies when working with interprofessional teams.
Advocate for high-quality and safe patient care as a member of the interprofessional team.
Essential VIII: Professionalism and Professional Values
Demonstrate the professional standards of moral, ethical, and legal conduct.
Promote the image of nursing by modeling the values and articulating the knowledge, skills, and attitudes of the nursing profession.
Reflect on one’s own beliefs and values as they relate to professional practice.
Articulate the value of pursuing practice excellence, lifelong learning, and professional engagement to foster professional growth and development.
Total for each column
Grand total (add all columns)

Source: American Association of Colleges of Nursing (AACN). (2008). The essentials of baccalaureate education for professional nursing practice. Washington, DC: AACN. Retrieved from http://www.aacn.nche.edu/education-resources/baccessentials08.pdf/

NR 447 Week 2 Self-Assessment Form.docx 9-6-15 LMD 1