Discussion 1
With the information presented in Chapter 1 of Ball et al. in mind, consider the following:
· By Day 1 of this week, you will be assigned a new patient profile by your Instructor for this Discussion. Note: Please see the “Course Announcements” section of the classroom for your new patient profile assignment.
· How would your communication and interview techniques for building a health history differ with each patient?
· How might you target your questions for building a health history based on the patient’s social determinants of health?
· What risk assessment instruments would be appropriate to use with each patient, or what questions would you ask each patient to assess his or her health risks?
· Identify any potential health-related risks based upon the patient’s age, gender, ethnicity, or environmental setting that should be taken into consideration.
· Select one of the risk assessment instruments presented in Chapter 1 or Chapter 5 of the Seidel’s Guide to Physical Examination text, or another tool with which you are familiar, related to your selected patient.
· Develop at least five targeted questions you would ask your selected patient to assess his or her health risks and begin building a health history.
Post a summary of the interview and a description of the communication techniques you would use with your assigned patient. Explain why you would use these techniques. Identify the risk assessment instrument you selected, and justify why it would be applicable to the selected patient. Provide at least five targeted questions you would ask the patient.
New Patients profile
Patient Profiles:
#1: 26-year-old Lebanese female living in graduate-student housing:
Assigned to Last names starting with A-H
#2: 14-year-old biracial male living with his grandmother in a high-density public housing complex
Assigned to Last names starting with I-Q
#3: 38-year-old Native American pregnant female living on a reservation
Assigned to Last names starting with R-Z
Resources for reference
Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2019). Seidel’s guide to physical examination: An interprofessional approach (9th ed.). St. Louis, MO: Elsevier Mosby.
- Chapter 1, “The History and Interviewing Process”
This chapter explains the process of developing relationships with patients in order to build an effective health history. The authors offer suggestions for adapting the creation of a health history according to age, gender, and disability.
- Chapter 5, “Recording Information”
This chapter provides rationale and methods for maintaining clear and accurate records. The authors also explore the legal aspects of patient records.
Sullivan, D. D. (2019). Guide to clinical documentation (3rd ed.). Philadelphia, PA: F. A. Davis.
- Chapter 2, “The Comprehensive History and Physical Exam” (pp. 19–29)
Deckx, L., van den Akker, M., Daniels, L., De Jonge, E. T., Bulens, P., Tjan-Heijnen, V. C. G., … Buntinx, F. (2015). Geriatric screening tools are of limited value to predict decline in functional status and quality of life: Results of a cohort study. BMC Family Practice, 16, 1–12.
Wu, R. R., & Orlando, L. A. (2015). Implementation of health risk assessments with family health history: Barriers and benefits. Postgraduate Medical Journal, (1079), 508–513.
Lushniak, B. D. (2015). Surgeon general’s perspectives: Family health history: Using the past to improve future health. Public Health Reports, (1), 3.
Jardim, T. V., Sousa, A. L. L., Povoa, T. I. R., Barroso, W. K. S., Chinem, B., Jardim, L., … Jardim, P. C. B. V. (2015). The natural history of cardiovascular risk factors in health professionals: 20-year follow-up. BMC Public Health, 15(1111), 1–7.
Discussion 2
Pharmacokinetics describes what the body does to the drug through absorption, distribution, metabolism, and excretion, whereas pharmacodynamics describes what the drug does to the body.
When selecting drugs and determining dosages for patients, it is essential to consider individual patient factors that might impact the patient’s pharmacokinetic and pharmacodynamic processes. These patient factors include genetics, gender, ethnicity, age, behavior (i.e., diet, nutrition, smoking, alcohol, illicit drug abuse), and/or pathophysiological changes due to disease.
For this Discussion, you reflect on a case from your past clinical experiences and consider how a patient’s pharmacokinetic and pharmacodynamic processes may alter his or her response to a drug.
To Prepare
· Review the Resources for this module and consider the principles of pharmacokinetics and pharmacodynamics.
· Reflect on your experiences, observations, and/or clinical practices from the last 5 years and think about how pharmacokinetic and pharmacodynamic factors altered his or her anticipated response to a drug.
· Consider factors that might have influenced the patient’s pharmacokinetic and pharmacodynamic processes, such as genetics (including pharmacogenetics), gender, ethnicity, age, behavior, and/or possible pathophysiological changes due to disease.
· Think about a personalized plan of care based on these influencing factors and patient history in your case study.
Resources for reference
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)
American Geriatrics Society 2019 Beers Criteria Update Expert Panel. (2019). American Geriatrics Society 2019 updated AGS Beers criteria for potentially inappropriate medication use in older adults. Journal of the American Geriatrics Society, 67(4), 674–694. doi:10.1111/jgs.15767
American Geriatrics Society 2019 updated AGS Beers criteria for potentially inappropriate medication use in older adults by American Geriatrics Society, in Journal of the American Geriatrics Society, Vol. 67/Issue 4. Copyright 2019 by Blackwell Publishing. Reprinted by permission of Blackwell Publishing via the Copyright Clearance Center.
This article is an update to the Beers Criteria, which includes lists of potentially inappropriate medications to be avoided in older adults as well as newly added criteria that lists select drugs that should be avoided or have their dose adjusted based on the individual’s kidney function and select drug-drug interactions documented to be associated with harms in older adults.
Drug Enforcement Administration. (n.d.-a). Code of federal regulations. Retrieved February 1, 2019, from https://www.deadiversion.usdoj.gov/21cfr/cfr/1300/1300_01.htm
This website outlines the code of federal regulations for prescription drugs.
Drug Enforcement Administration. (n.d.-b). Mid-level practitioners authorization by state. Retrieved May 13, 2019 from http://www.deadiversion.usdoj.gov/drugreg/practioners/index.html
This website outlines the schedules for controlled substances, including prescriptive authority for each schedule.
Drug Enforcement Administration. (2006). Practitioner’s manual. Retrieved from http://www.deadiversion.usdoj.gov/pubs/manuals/pract/index.html
This manual is a resource for practitioners who prescribe, dispense, and administer controlled substances. It provides information on general requirements, security issues, recordkeeping, prescription requirements, and addiction treatment programs.
Drug Enforcement Administration. (n.d.-c). Registration. Retrieved February 1, 2019, from https://www.deadiversion.usdoj.gov/drugreg/index.html
This website details key aspects of drug registration.
Fowler, M. D. (2015). Guide to the code of ethics for nurses with interpretive statements: Development, interpretation, and application. Silver Spring, Maryland: American Nurses Association, 2015.
This resource introduces the code of ethics for nurses and highlights critical aspects for ethical guideline development, interpretation, and application in practice.
Institute for Safe Medication Practices. (2017). List of error-prone abbreviations, symbols, and dose designations. Retrieved from https://www.ismp.org/recommendations/error-prone-abbreviations-list
This website provides a list of prescription-writing abbreviations that might lead to misinterpretation, as well as suggestions for preventing resulting errors.
Ladd, E., & Hoyt, A. (2016). Shedding light on nurse practitioner prescribing. The Journal for Nurse Practitioners, 12(3), 166–173. doi:10.1016/j.nurpra.2015.09.17
This article provides NPs with information regarding state-based laws for NP prescribing.
Sabatino, J. A., Pruchnicki, M. C., Sevin, A. M., Barker, E., Green, C. G., & Porter, K. (2017). Improving prescribing practices: A pharmacist‐led educational intervention for nurse practitioner students. Journal of the American Association of Nurse Practitioners, 29(5), 248–254. doi:10.1002/2327-6924.12446
The authors of this article assess the impact of a pharmacist‐led educational intervention on family nurse practitioner (FNP) students’ prescribing skills, perception of preparedness to prescribe, and perception of pharmacist as collaborator.
"Looking for a Similar Assignment? Get Expert Help at an Amazing Discount!"
Advance Care Planning And Quality Palliative Care
/in Uncategorized /by developerI had attached my essay guide below. (1600-1800 words)
Strictly follow the guide thanks.
"Looking for a Similar Assignment? Get Expert Help at an Amazing Discount!"
Advance English Composition
/in Uncategorized /by developerRequired Resources
Read/review the following resources for this activity:
Apply the following writing resources to your posts:
Initial Post Instructions
Part 1: Research & Review
Please review the Point: Vaccines Save Lives, an example of a pro article.
Note: The article was pulled from our Chamberlain library’s Points of View Reference Center database. This resource is highly recommended, as it presents many of the topics in the General Education Healthcare field that may be applicable this term. To access the resource from our library website, choose Databases A to Z on the homepage. Locate and click on the Points of View database. Scroll down to Health & Medicine. You will see a large list of potential topics ranging from Allergies in Schools to Vegetarianism. When you click on a topic (Vaccines, for example), you will see an overview of the topic, as well as points, counterpoints, and a guide to critical analysis.
For your initial post, develop your ideas about a selected topic by conducting an online search to find a recent pro article about your topic. The goal is to find an article that takes a clear pro position. Include the following in your post:
The article can be an online source from credible websites or an academic resource from the Chamberlain Library. It must be cited in APA format. For pointers on APA citations, please refer to the Chamberlain Library’s Citation and Writing Assistance website (noted in the Required Resources).
Part 2: Application
For the second part of the initial post, address the following:
Follow-Up Post Instructions
Respond to at least two peers or one peer and the instructor. Strive to provide constructive criticism that will help your fellow students develop their own topics by asking questions, pointing to additional research, or providing professional and personal examples. Help your fellow peers to brainstorm potential pros for their topics. Since many of the topics we will deal with in this course are controversial, a respectful, professional tone is expected.
Note: If you see that someone has already received feedback from two peers, please choose to help a peer who has yet to obtain feedback.
Writing Requirements
Grading
"Looking for a Similar Assignment? Get Expert Help at an Amazing Discount!"
Advance Health Assessment And Pharmacology
/in Uncategorized /by developerDiscussion 1
With the information presented in Chapter 1 of Ball et al. in mind, consider the following:
· By Day 1 of this week, you will be assigned a new patient profile by your Instructor for this Discussion. Note: Please see the “Course Announcements” section of the classroom for your new patient profile assignment.
· How would your communication and interview techniques for building a health history differ with each patient?
· How might you target your questions for building a health history based on the patient’s social determinants of health?
· What risk assessment instruments would be appropriate to use with each patient, or what questions would you ask each patient to assess his or her health risks?
· Identify any potential health-related risks based upon the patient’s age, gender, ethnicity, or environmental setting that should be taken into consideration.
· Select one of the risk assessment instruments presented in Chapter 1 or Chapter 5 of the Seidel’s Guide to Physical Examination text, or another tool with which you are familiar, related to your selected patient.
· Develop at least five targeted questions you would ask your selected patient to assess his or her health risks and begin building a health history.
Post a summary of the interview and a description of the communication techniques you would use with your assigned patient. Explain why you would use these techniques. Identify the risk assessment instrument you selected, and justify why it would be applicable to the selected patient. Provide at least five targeted questions you would ask the patient.
New Patients profile
Patient Profiles:
#1: 26-year-old Lebanese female living in graduate-student housing:
Assigned to Last names starting with A-H
#2: 14-year-old biracial male living with his grandmother in a high-density public housing complex
Assigned to Last names starting with I-Q
#3: 38-year-old Native American pregnant female living on a reservation
Assigned to Last names starting with R-Z
Resources for reference
Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2019). Seidel’s guide to physical examination: An interprofessional approach (9th ed.). St. Louis, MO: Elsevier Mosby.
This chapter explains the process of developing relationships with patients in order to build an effective health history. The authors offer suggestions for adapting the creation of a health history according to age, gender, and disability.
This chapter provides rationale and methods for maintaining clear and accurate records. The authors also explore the legal aspects of patient records.
Sullivan, D. D. (2019). Guide to clinical documentation (3rd ed.). Philadelphia, PA: F. A. Davis.
Deckx, L., van den Akker, M., Daniels, L., De Jonge, E. T., Bulens, P., Tjan-Heijnen, V. C. G., … Buntinx, F. (2015). Geriatric screening tools are of limited value to predict decline in functional status and quality of life: Results of a cohort study. BMC Family Practice, 16, 1–12.
Wu, R. R., & Orlando, L. A. (2015). Implementation of health risk assessments with family health history: Barriers and benefits. Postgraduate Medical Journal, (1079), 508–513.
Lushniak, B. D. (2015). Surgeon general’s perspectives: Family health history: Using the past to improve future health. Public Health Reports, (1), 3.
Jardim, T. V., Sousa, A. L. L., Povoa, T. I. R., Barroso, W. K. S., Chinem, B., Jardim, L., … Jardim, P. C. B. V. (2015). The natural history of cardiovascular risk factors in health professionals: 20-year follow-up. BMC Public Health, 15(1111), 1–7.
Discussion 2
Pharmacokinetics describes what the body does to the drug through absorption, distribution, metabolism, and excretion, whereas pharmacodynamics describes what the drug does to the body.
When selecting drugs and determining dosages for patients, it is essential to consider individual patient factors that might impact the patient’s pharmacokinetic and pharmacodynamic processes. These patient factors include genetics, gender, ethnicity, age, behavior (i.e., diet, nutrition, smoking, alcohol, illicit drug abuse), and/or pathophysiological changes due to disease.
For this Discussion, you reflect on a case from your past clinical experiences and consider how a patient’s pharmacokinetic and pharmacodynamic processes may alter his or her response to a drug.
To Prepare
· Review the Resources for this module and consider the principles of pharmacokinetics and pharmacodynamics.
· Reflect on your experiences, observations, and/or clinical practices from the last 5 years and think about how pharmacokinetic and pharmacodynamic factors altered his or her anticipated response to a drug.
· Consider factors that might have influenced the patient’s pharmacokinetic and pharmacodynamic processes, such as genetics (including pharmacogenetics), gender, ethnicity, age, behavior, and/or possible pathophysiological changes due to disease.
· Think about a personalized plan of care based on these influencing factors and patient history in your case study.
Resources for reference
Rosenthal, L. D., & Burchum, J. R. (2018). Lehne’s pharmacotherapeutics for advanced practice providers. St. Louis, MO: Elsevier.
American Geriatrics Society 2019 Beers Criteria Update Expert Panel. (2019). American Geriatrics Society 2019 updated AGS Beers criteria for potentially inappropriate medication use in older adults. Journal of the American Geriatrics Society, 67(4), 674–694. doi:10.1111/jgs.15767
American Geriatrics Society 2019 updated AGS Beers criteria for potentially inappropriate medication use in older adults by American Geriatrics Society, in Journal of the American Geriatrics Society, Vol. 67/Issue 4. Copyright 2019 by Blackwell Publishing. Reprinted by permission of Blackwell Publishing via the Copyright Clearance Center.
This article is an update to the Beers Criteria, which includes lists of potentially inappropriate medications to be avoided in older adults as well as newly added criteria that lists select drugs that should be avoided or have their dose adjusted based on the individual’s kidney function and select drug-drug interactions documented to be associated with harms in older adults.
Drug Enforcement Administration. (n.d.-a). Code of federal regulations. Retrieved February 1, 2019, from https://www.deadiversion.usdoj.gov/21cfr/cfr/1300/1300_01.htm
This website outlines the code of federal regulations for prescription drugs.
Drug Enforcement Administration. (n.d.-b). Mid-level practitioners authorization by state. Retrieved May 13, 2019 from http://www.deadiversion.usdoj.gov/drugreg/practioners/index.html
This website outlines the schedules for controlled substances, including prescriptive authority for each schedule.
Drug Enforcement Administration. (2006). Practitioner’s manual. Retrieved from http://www.deadiversion.usdoj.gov/pubs/manuals/pract/index.html
This manual is a resource for practitioners who prescribe, dispense, and administer controlled substances. It provides information on general requirements, security issues, recordkeeping, prescription requirements, and addiction treatment programs.
Drug Enforcement Administration. (n.d.-c). Registration. Retrieved February 1, 2019, from https://www.deadiversion.usdoj.gov/drugreg/index.html
This website details key aspects of drug registration.
Fowler, M. D. (2015). Guide to the code of ethics for nurses with interpretive statements: Development, interpretation, and application. Silver Spring, Maryland: American Nurses Association, 2015.
This resource introduces the code of ethics for nurses and highlights critical aspects for ethical guideline development, interpretation, and application in practice.
Institute for Safe Medication Practices. (2017). List of error-prone abbreviations, symbols, and dose designations. Retrieved from https://www.ismp.org/recommendations/error-prone-abbreviations-list
This website provides a list of prescription-writing abbreviations that might lead to misinterpretation, as well as suggestions for preventing resulting errors.
Ladd, E., & Hoyt, A. (2016). Shedding light on nurse practitioner prescribing. The Journal for Nurse Practitioners, 12(3), 166–173. doi:10.1016/j.nurpra.2015.09.17
This article provides NPs with information regarding state-based laws for NP prescribing.
Sabatino, J. A., Pruchnicki, M. C., Sevin, A. M., Barker, E., Green, C. G., & Porter, K. (2017). Improving prescribing practices: A pharmacist‐led educational intervention for nurse practitioner students. Journal of the American Association of Nurse Practitioners, 29(5), 248–254. doi:10.1002/2327-6924.12446
The authors of this article assess the impact of a pharmacist‐led educational intervention on family nurse practitioner (FNP) students’ prescribing skills, perception of preparedness to prescribe, and perception of pharmacist as collaborator.
"Looking for a Similar Assignment? Get Expert Help at an Amazing Discount!"
Advance Health Care Informatic
/in Uncategorized /by developerSelect two diverse clinical settings; for example: ED versus ICU, PeriOp versus Med-Surg, Pediatrics versus Adults, or Sports Medicine vs. Nursing Home, etc. For your two selected clinical settings, compare and contrast the content, features, need, and value of data, information, knowledge, and decision support to clinical practitioners in those settings.
Justify the clinical elements necessary for each clinical setting and create a recommendation of necessary elements for a shared clinical system.
Make sure that you include the four expanding rings of information (EMR, warehouse, regional, NHIN/PHIN) in your analysis. Describe how the differences would alter the design or features of a clinical system. Support your statements where you claim either similarities or differences between your two settings.
Construct a justification for the shared clinical system from ethical, legal, social, and public policy viewpoints. Formulate a plan for implementation and create the necessary workflow for a successful implementation. Evaluate the role of the master’s prepared informatics nurse after implementation.
Please submit one APA formatted paper between 1000 – 1500 words, not including the title and reference page. The assignment should have a minimum of two scholarly sources, in addition to the textbook.
Hebda, T. & Czar, P. (2013). Handbook of Informatics for Nurses & Healthcare Professionals (5th ed.). Saddle River, New Jersey: Pearson.
"Looking for a Similar Assignment? Get Expert Help at an Amazing Discount!"
Advance Health Care Informatics 19468217
/in Uncategorized /by developerAssignment:
Log into Practice Fusion www.practicefusion.com, the free Internet based EHR
Develop a table that critques three types of EHR’s to include the following:
Write a 1000 word analysis on the stages of meaningful use and how it is implemented in your place of practice.
Include a title and reference page. The assignment should have a minimum of two scholarly sources.
"Looking for a Similar Assignment? Get Expert Help at an Amazing Discount!"
Advance Health Care Informatics
/in Uncategorized /by developerCreate your Assignment submission and be sure to cite your sources, use APA style as required, check your spelling.
Assignment:
The patient presents to your office with a Personal Health Records (PHR). Remembering, medical records and PHRs are not the same thing, complete both of the following:
1. Develop and create an educational tool (brochure, flyer pamphlet) that you can provide to your patients that address the following areas:
2. Develop and create an educational tool (brochure, flyer pamphlet) for providers to understand the PHR that address the following areas:
"Looking for a Similar Assignment? Get Expert Help at an Amazing Discount!"
Advance Healthcare Informatics
/in Uncategorized /by developerYou are participating in the customization and implementation of a barcode medication administration system. In a 1500-word APA essay, analyze how the process flow will change from the current manual process to a barcode process and identify potential problem areas and possible solutions. Additionally, include a workflow diagram (Process Flowchart) from the manual process to the barcode process.
Below are resources to help get started:
What is a Process Flowchart
Create a flowchart – Office Support
How to create a flowchart in excel
"Looking for a Similar Assignment? Get Expert Help at an Amazing Discount!"
Advance In Technology
/in Uncategorized /by developerAdvances in technology have fed the explosion of wearable devices and patient self-monitoring. How can nurses leverage this technology to promote healthy lifestyles and improved compliance with self-care and monitoring?
"Looking for a Similar Assignment? Get Expert Help at an Amazing Discount!"
Advance Nurse Practicioner In Communities
/in Uncategorized /by developer1. Review the nature of communities.
2. Describe the social determinants of health and the impact on health and quality of life.
must be minimum 150 words, references must be cited in APA format, and must include minimum of 1 scholarly resources published within the past 5-7 years.
"Looking for a Similar Assignment? Get Expert Help at an Amazing Discount!"
Advance Nursing Msn And Their Role In Policymaking To Improve Lgbtq Health
/in Uncategorized /by developer1. Describe the interdependence of politics, including diverse perspectives, shared values, and the passage of health care reform.
2. Describe the legal and judicial system and the role of the courts in shaping policy.
3. Describe three political actions nurses could take to strengthen their role in policymaking as it relates to advocacy for improving LGBTQ health. Correlate your discussion to the AACN MSN Essentials, identify one that most pertains to this topic and elaborate on your selection.
must be minimum 250 words, references must be cited in APA format, and must include minimum of 2 scholarly resources published within the past 5-7 years.
"Looking for a Similar Assignment? Get Expert Help at an Amazing Discount!"