Hi, this is the instruction for my 2-3 paragraph discussion board:

Marilyn is the manager of a Medical Surgical unit in a busy city hospital. Budget time is approaching, and administration has become increasingly intolerant of overtime. Marilyn has been studying the payroll sheets for her unit, and she now recognizes that 4 nurses have been responsible for over half the end of shift overtime hours. These nurses have all been working on this unit for over 8 years, and provide exemplary patient care. The following are Marilyn’s observations concerning these nurses:

-Care provided is safe and thorough.

-Report is given promptly and thoroughly.

-Seldom are tasks carried over for the next shift.

-Nurses following these nurses are confident that the care and the report were complete.

-Almost all documentation by these nurses is done after their shift.

In view of these observations, Marilyn feels she needs to address the overtime issue with these nurses. She wants to be sure they know she appreciates their quality contributions to the unit.Discuss the following points:

1-How should Marilyn address this time management problem?

2-Where should documentation fall as a priority?

3-How might appropriate delegation help?

4-What action plan would you suggest?Your response should consist of complete sentences and should be at least one complete paragraph, but it should be no more than three paragraphs in length

 

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1. What are the potential consequences of being a healthcare worker who is unresponsive to the hepatitis B vaccine? 
2. For an HIV vaccine to be effective, it almost certainly will have to be a live attenuated virus. What is a major concern related to the use of this type of vaccine for HIV? 
3. If an individual is immunocompromised, what might be the risk of giving a live attenuated virus vaccine (e.g., rubella)? 
4. New and more effective antimicrobials are developed every year. Many of these are effective in treating common ailments such as bronchitis and sinusitis, as well as more serious systemic infections. What are some potential consequences of the development of new antimicrobials? 
5. Why do you think that the United States and other nations have not yet distributed a vaccine to prevent the spread of avian flu? Are there any other factors you can think of that have contributed to this rise? 

 

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1. What are the potential consequences of being a healthcare worker who is unresponsive to the hepatitis B vaccine? 
2. For an HIV vaccine to be effective, it almost certainly will have to be a live attenuated virus. What is a major concern related to the use of this type of vaccine for HIV? 
3. If an individual is immunocompromised, what might be the risk of giving a live attenuated virus vaccine (e.g., rubella)? 
4. New and more effective antimicrobials are developed every year. Many of these are effective in treating common ailments such as bronchitis and sinusitis, as well as more serious systemic infections. What are some potential consequences of the development of new antimicrobials? 
5. Why do you think that the United States and other nations have not yet distributed a vaccine to prevent the spread of avian flu? Are there any other factors you can think of that have contributed to this rise? 

 

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Imagine you are an environmental health adviser to a community in a wetland area, which is frequented by tourists. What advice would you give to control a potential hazard of Ross River virus? 

Word length: about 500 words (no more than 700)

You can cite references (perhaps 1-3)

 

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A 46-year-old, 230lb woman with a family history of breast cancer. She is up to date on yearly mammograms. She has a history of HTN. She complains of hot flushing, night sweats, and genitourinary symptoms. She had felt well until 1 month ago and she presented to her gynecologist for her annual gyn examination and to discuss her symptoms. She has a history of ASCUS about 5 years ago on her pap, other than that, Pap smears have been normal. Home medications are Norvasc 10mg qd and HCTZ 25mg qd. Her BP today is 150/90. She has regular monthly menstrual cycles. Her LMP was 1 month ago.

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 patient’s 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(Above) and will consider how to address the patient’s 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.

Photo Credit: Getty Images

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 ( Above)

· 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.

Post a brief description of your patient’s 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.

Resources for reference( Need 3-4 References)

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

• Chapter 44, “Anticoagulant      and Antiplatelet Drugs” (pp. 451–472)
• Chapter 45, “Drugs for      Deficiency Anemias” (pp. 473–483)
• Chapter 48, “Estrogens and      Progestins: Basic Pharmacology and Noncontraceptive Applications” (pp.      521–533)
• Chapter 49, “Birth Control”      (pp. 535–547)
• Chapter 50, “Androgens” (pp.      549–556)
• Chapter 51, “Drugs for      Erectile Dysfunction and Benign Prostatic Hyperplasia” (pp. 557–569)
• Chapter 68, “Basic      Principles of Antimicrobial Therapy” (pp. 769–781)
• Chapter 69, “Drugs That      Weaken the Bacterial Cell Wall I: Penicillins” (pp. 783–790)
• Chapter 73, “Sulfonamides      and Trimethoprim” (pp. 619–826)
• Chapter 74, “Drug Therapy of      Urinary Tract Infections” (pp. 827–831)
• Chapter 75,      “Antimycobacterial Agents” (pp. 833–847)
• Chapter 76, “Miscellaneous      Antibacterial Drugs” (pp. 849–853)
• Chapter 77, “Antifungal      Agents” (pp. 855–866)
• Chapter 78, “Antiviral      Agents I: Drugs for Non-HIV Viral Infections” (pp. 867–886)
• Chapter 80, “Drug Therapy of Sexually      Transmitted Diseases” (pp. 905–911)

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), 5–15. 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 men’s health disorders.

Montaner, J. S. G., Lima, V. D., Harrigan, P. R., Lourenço, 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), 53–58. .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

This website lists various preventive services available for men and women and provides information about available screenings, tests, preventive medication, and counseling.

 

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