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 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.

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.

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.
• 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.

 . 

Please see the attached document, read and answer it appropriately as requested

no plagiarism

due date Wednesday October 4, 2023, no later

add REFERENCES 2-3 NO OLDER THAN 5 YEARS

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.

BY DAY 7 OF WEEK 10

http://files.galencollege.edu/media/NSG3300/Collins-KimFamilyCaseStudy/content/index.html#/lessons/wpDUjpl1ARc9AnSs-aFsXGNf_IOnirRy

Week 1 Discussion: Cellular regulation/inflammation/infection alterations  (USLOs 1, 2, 3)

Discussion Overview: Throughout this course, discussions and assignments will focus on various members of the fictional Collins-Kim family. To learn more about the family, go to the interactive family tree diagram and then click on the medical cards for each family member to learn important background information on each member. For this week’s discussion, you will focus on the factors that influence pathology and cellular regulation/inflammation/infection alterations.

Discussion Instructions:

1.

1. Review the Collins-Kim family background and then thoroughly explain how culture, financial, environmental, and genetic factors can influence this family’s exposure, risk factors, and development of certain disease processes. 
Support all four with scholarly sources.

2. Select 
TWO specific family members and answer the following prompts for each family member selected:

· Explain the lifespan considerations for each of the 2 selected family members. 
Support with a scholarly source.

· Explain what cellular regulation/inflammation/infection alterations can you anticipate for each of the 2 selected family members based on what you know about the family. 
Support with a scholarly source. 

Home Health week 2 peer response

respond to peers thoughtfully, add value to the discussion, and apply ideas, insights, or concepts from scholarly sources, such as: journal articles, assigned readings, textbook material, lectures, course materials, or authoritative websites. For specific details and criteria, refer to the discussion rubric in the Menu (⋮) or in the Course Overview Weekly Discussion Guidelines. 

1st peer response

McKenzie Ledbetter

The Health Belief Model (HBM) was developed by Hochbaum, Rosenstock, and Kegels, psychologists working in the US Public Health Services. HBM is based on perceived susceptibility, severity, benefits, and barriers. This Model can be used to predict health behaviors, for example, the intention to vaccinate or comply with medical interventions. I chose this model because it is important to know if your patients will engage with healthy behavior or not. If it is the latter, you can implement education and resources to help them make healthy choices.

During the COVID pandemic, misinformation had an enormous impact on people following precaution guidelines. Many people ignored recommendations due to their lack of accurate information. The HBM can raise awareness of the relationship between health, information, and the digital landscapes the public interacts with (Houlden et al., 2021).

I believe this model can address my topics because there are a lot of people who have been misinformed about healthy behaviors regarding mental health and childbirth. This model can help screen for those individuals and once identified, education and resources can be offered to encourage better heath decisions.

Houlden, S., Hodson, J., Veletsianos, G., Reid, D., & Thompson-Wagner, C. (2021). The health belief model: How public health can address the misinformation crisis beyond COVID-19. 
Public health in practice (Oxford, England), 
2, 100151. https://doi.org/10.1016/j.puhip.2021.100151

2nd peer response

Megan Brown

· I chose the Transtheoretical/Stages of Change Model. This model helps describe a patient's motivation and readiness to change a health-related behavior they may want to improve. It is described in a five-step process and evaluates the patient's behavioral change, the process of the changes, decision-making, and self-efficacy. Here are the five stages of this model: 

      1. Precontemplation: the patient is unaware of their need to change and most likely is unwilling to change. 

      2. Contemplation: this is when the patient begins to develop a desire to change and get better. 

      3. Preparation: personal plans begin of how to change. 

      4. Action: when the patient incorporates the new behavior into their life and/or routine. 

      5. Maintenance: the patient is consistent in changing and demonstrating that change, usually for six months or more. 

· I chose this model because I feel it gives the patient ways to improve and get better in a clear and precise way. It gives the patient their own choice to get better, which I feel is an excellent way to get a patient to change unhealthy behaviors. The patient needs to have that desire to change and get better first. It demonstrates more of an understanding of the actual cognitive and behavioral changes the patient will experience and go through. “Movement through these stages does not always occur in a linear manner, but may also be cyclical as many individuals must make several attempts at behavior change before their goals are realized” (Marcus & Simkin, 1994). It gives the patient time to work through each stage, even if it may not happen the first time, but it helps them feel more fulfilled. 

· This model can be used to address the Healthy People topic and objective I have chosen because, a lot of the time, the patient is unaware they need to change or unwilling to change. They don't know what steps they need to take to get better. Once given the education on how to get better, they need to desire to get better. This model can show the patient that they are getting better and gives them something to look at. It can also show healthcare professionals how the patient is improving and where they are at. 

Reference: 

Marcus , B. H., & Simkin, L. R. (1994, November 26). 
The transtheoretical model: Applications to exercise behavior. National Library of Medicine. https://pubmed.ncbi.nlm.nih.gov/7837962