Objective: Understand the pharmacologic treatment of hypertension, evaluate drug interactions, and individualize care plans.

Patient Profile:

• Age: 50
• Gender: Male
• Height/Weight: 5’9”, 230 lbs
• Medical History: Hypertension (diagnosed 3 years ago), Type 2 Diabetes (well-controlled with metformin), elevated cholesterol
• Current Medications: Metformin 500 mg BID, Atorvastatin 20 mg daily
• Blood Pressure: 160/98 mmHg

Instructions for Students:

1. Assess the patient’s current medications and identify potential interactions.
2. Recommend a pharmacologic treatment plan for hypertension. Consider first-line and alternative medications.
3. Justify your medication choice based on patient history and current guidelines.
4. Discuss any adjustments needed in the patient’s other medications (e.g., statins, diabetes medications) if new drugs are introduced.
5. Monitor: List parameters for monitoring the efficacy and safety of the chosen therapy (e.g., BP, kidney function, side effects).
6. Counsel: Create patient education points focusing on medication adherence, lifestyle changes, and potential side effects.

 Uses multiple high-quality sources and evidence to support responses. No more than 5 year

APA  style, at least 300 words

Using the following assigned scenario below and attachments, please complete the following:

Creating the PowerPoint Presentation:

• Survey Readiness PowerPoint:
  • Must be 10-12 slides, excluding the introduction slide(s) and reference page slide(s).
• Presenter Notes:
  • Every slide must have presenter notes except for the reference page(s).
  • Your presenter notes will be the information that you will be sharing with your team.
  • Your notes should be detailed and contain APA in-text citations.
• References:
  • Minimum of five scholarly references, professional publications, and/or academic journals from the last five years.
  • Include any references from your assigned LTC facility or setting such as the website, company information, facility website, service-level website, etc.
  • Every reference must have a correlating in-text citation(s).
• APA 7th Edition Style:
  • PowerPoint slides, cover page, and reference page.

The PowerPoint Must Contain the Following Content Aspects for Your Assigned Scenario:

Aspect A: Introduction Slide(s)

• APA Cover Page – Include the title of the presentation, your name, your instructor’s name, course name, your assigned LTC facility or setting, your assigned regulation, and date submitted.
• Provide bulleted points to identify each Content Aspect that will be presented in the presentation.

Aspect B: Regulatory Survey Readiness Analysis Slide(s)

• Provide an analysis of the regulatory survey process that includes the importance of survey readiness; a mock survey overview; and an assessment of being survey ready, as a means for creating successful survey outcomes.

Aspect C: Stakeholders Evaluation and Leadership Selection Analyses Slide(s)

• Include an evaluation of at least three stakeholders for the regulatory survey process.
  • You must include the internal stakeholders of the patients and/or residents.
  • The other stakeholders that you present, as part of your evaluation, may be internal or external.
  • Include at least two of the applicable items from this list in your evaluation of the stakeholders: (a.) survey awareness; (b.) survey process understanding; (c.) survey engagement; (d.) stakeholder contribution; (e.) stakeholder justification; and/or (f.) importance of the stakeholder.
• Identify at least three specific leadership roles that will be involved in the mock survey process and provide an analysis of the assigned facility-level or service-level leaders involved in the mock survey.
  • You must include the Administrator, Executive Director, or a top leader of the LTC facility or service in your analysis.
  • The other two leadership roles may be any manager or director-level position at your assigned LTC facility or service for your analysis.

Aspect D: Regulation Assessment Slide(s)

• State the regulation that you assigned from your scenario and provide an assessment of this regulation to your assigned LTC facility or setting.
  • You must include the regulatory standard, condition, rule, and/or tag in the assessment.
  • Include an evaluation of the mock survey process for the assigned regulation, applying this information to your assigned LTC facility or setting.
    • Apply your assigned specific regulation for one mock survey step, as this will act as an introduction for your LTC employees to understand the entire mock survey process.  (Note – Remember you are only introducing the mock survey process to your staff, so this should be an overview of the potential regulatory mock survey steps.)

Aspect E: Conclusion Slide(s)

• Highlight the key takeaways of your presentation and include an explanation to why the information presented in the PowerPoint is essential for the staff to know.
• Include one call to action and share with your team any next steps for the upcoming mock survey.

Aspect F: APA Reference Page Slide(s)

• Provide the list of all references presented in the PowerPoint, formatted in APA 7th Edition.

***********ASSIGNED SCENARIO BELOW*********************************

Option C: Maryland Skilled   Nursing Facilities

SNF Option 3: Waldorf Center located in Waldorf, Maryland

SNF Regulation Option 2: Federal CMS SNF Regulation:   Freedom from

Abuse, Neglect, and Exploitation 483.12 o Regulatory Reference: Reporting of Alleged Violations   483.12(b) o Regulatory Tag: F608

o   Regulatory Information: Page 1 of   the CMS SNF F Tags June 2021 PDF and Pages 141 to 150 of the CMS State   Operations Manual Appendix PP for LTC Facilities.

Follow rubric Verbatim

What to Submit

Your submission should include a 1- to 2-page Word document with your reflection. Also include a title page. Use 12-point Times New Roman font, double spacing, and one-inch margins. Any sources should be cited according to APA style.

Lisa H., a registered nurse, has worked triage in the Emergency Department in a regional midwestern hospital for 12 years. Originally from New Jersey, she was a nonpracticing Jew until her late 20s. Now, approaching 40, she has become increasingly committed to religious observance. She keeps kosher at home, bringing her own food to staff lunch meetings. She has been able to use vacation time for the major High Holy Days, but would like to be shomer shabbos (follow strict sabbath observance) and has requested a permanent schedule change from her supervisor, with a written explanation attached, to reflect her need to not work any Friday afternoon through Saturday evening. The supervisor refused her, saying it would not be fair to the other nurses, that Lisa should also try to “fit in more—be part of the team,” as the others perceived her as “standoffish.” When Lisa said it was a religious requirement for her, the supervisor said maybe she should “. . . consider going back to New Jersey where she’d be more comfortable.”

1. How do you feel about Lisa’s request?
2. How might this request be honored?
3. Was the supervisor culturally competent in this situation?
4. If Lisa were to discuss the issue at a team meeting, how could she present her concerns?
5. What does EEOC say about honoring employees requests for time off for holidays?