Case Soap Note 2

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See attachment 

COMPARING AND CONTRASTING PHARMACOLOGIC OPTIONS FOR THE TREATMENT OF GENERALIZED ANXIETY DISORDER

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Psychological disorders, such as depression, bipolar, and anxiety disorders can present several complications for patients of all ages. These disorders affect patients physically and emotionally, potentially impacting judgment, school and/or job performance, and relationships with family and friends. Since these disorders have many drastic effects on patients’ lives, it is important for advanced practice nurses to effectively manage patient care. With patient factors and medical history in mind, it is the advanced practice nurse’s responsibility to ensure the safe and effective diagnosis, treatment, and education of patients with psychological disorders.

Generalized Anxiety Disorder is a psychological condition that affects 6.1 million Americans, or 3.1% of the US Population. Despite several treatment options, only 43.2% of those suffering from GAD receive treatment. This week you will review several different classes of medication used in the treatment of Generalized Anxiety Disorder. You will examine potential impacts of pharmacotherapeutics used in the treatment of GAD. Please focus your assignment on FDA approved indications when referring to different medication classes used in the treatment of GAD.

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 with GAD.

 Post a discussion of pharmacokinetics and pharmacodynamics related to anxiolytic medications used to treat GAD. In your discussion, utilizing the discussion highlights, compare and contrast different treatment options that can be used. 

Community & Public Health

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you will select a diagnosis among high-risk patient populations that are commonly readmitted to the hospital. 

parkinson disease

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  • Add references to your posts and be aware that TURNITIN IS ON.
  • The purpose of the discussion is to elevate the level of knowledge regarding disease symptom management.  
  • Discussion Questions:  MENTION THE CONTEXT YOU WILL BE DISCUSSING AND DEVELOP YOUR POINTS. 

A patient who has Parkinson’s disease takes levodopa and carbidopa. The patient reports experiencing tremors between doses. The primary care NP should:

a. add amantadine.

b. increase the dose of levodopa.

 c. discontinue the carbidopa.

d. add entacapone.

       2. 

A patient who takes levodopa and carbidopa for Parkinson’s disease reports experiencing freezing episodes between doses.The primary care NP should consider using:

a. selegiline.

b. apomorphine.

c. modified-release levodopa.

d. amantadine.

       3.

A 65-year-old patient is diagnosed with Parkinson’s disease. The patient has emphysema and narrow-angle glaucoma. The primary care NP should consider beginning therapy with:

a. ropinirole hydrochloride.

b. selegiline.

c. carbidopa/levodopa.

d. benztropine.

USING POLICY CHANGE AS A TOOL TO ADDRESS INEQUITIES

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HOW BEST TO USE POLICY TO PROMOTE OPPORTUNITIES

HEALTH ASSESSMENT

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Assignment Content

1.

Top of Form

Answer the following questions in a one or two-page summary of the following questions:

1. Describe the 
four physical assessment techniques discussed in the textbook. Why is it important to perform the assessment techniques in order?

2. Describe the significant characteristics of a general survey. Why is the general survey important?

3.
Conduct a pain assessment on a family member/friend using 
one of the pain scales that are discussed in the textbook. Document your findings in a summarized format. (see instructions below). 

 

You may conduct the pain assessment on a fellow student, friend, or family member. Remember to secure their permission.

Include both subjective and objective data when performing the pain assessment & 

don't forget to ask the “PQRST” questions using the process described in the textbook. 

Bottom of Form

Conc of Pathophys week 3 discussion

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Week 3 Discussion: Myocardial Infarction (MI) (USLOs 1, 2, 3, 4)

You are the nurse caring for a 48-year Leslie Collins, retired army officer for the United States military, He arrives to the emergency department after experiencing chest pain and shortness of breath.  His EKG indicated he had a myocardial infarction (MI). He has a history of hypertension and high cholesterol. He states he used to smoke about 15 years ago, he has no other reported risk factors.

Based on this information, your prior knowledge of this client (refer to medical card from the Collins-Kim family tree interactive), and your knowledge of the pathophysiology of myocardial infarction (MI), respond to the following prompts:

1.

1. Thoroughly explain the pathophysiology of myocardial infarction (MI). Use a 
scholarly or 
authoritative source to support your answer.

2. Examine each of the following three factors related to this disease process. 
Support all three with a scholarly source.
cultural
financial
environmental implications

3. Identify 3-5 priority nursing interventions for the client while in the 
emergency department.

4. Describe labs and diagnostic testing you would want to include in client’s plan of care and why. What are critical indicators? 
Support with a scholarly source.

5. What members of the interdisciplinary team need to be included for holistic patient-centered care? 
Provide a rationale and support with a scholarly source.

AACN DNP Essentials

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Discussion response

Nursing Writing Assignment

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Name:_____________

Date:_______________

N6145 _Week 3_Writing

Based on the readings for last week and this week, discuss the following (citing relevant sources from text):

1. Name and
discuss the primary criteria that define a profession?

· 2. Name three types of “Knowing” in nursing and give an example of each.

· 3.Are nursing practice and nursing care the same thing? Explain. Give an example.

· 4.What is the relationship of the nursing theory to practice?

·
5.What are the (4) major conceptualizations in nursing? Give an example of what each means to you in practice.

EBP-Change

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 To Prepare:

  • Reflect on the four peer-reviewed articles you critically appraised in Module 4, related to your clinical topic of interest and PICOT.
  • Reflect on your current healthcare organization and think about potential opportunities for evidence-based change, using your topic of interest and PICOT as the basis for your reflection.
  • Consider the best method of disseminating the results of your presentation to an audience. 

The Assignment: (Evidence-Based Project)

Part 4: Recommending an Evidence-Based Practice Change

Create an 8- to 9-slide narrated PowerPoint presentation in which you do the following:

  • Briefly describe your healthcare organization, including its culture and readiness for change. (You may opt to keep various elements of this anonymous, such as your company name.)
  • Describe the current problem or opportunity for change. Include in this description the circumstances surrounding the need for change, the scope of the issue, the stakeholders involved, and the risks associated with change implementation in general.
  • Propose an evidence-based idea for a change in practice using an EBP approach to decision making. Note that you may find further research needs to be conducted if sufficient evidence is not discovered.
  • Describe your plan for knowledge transfer of this change, including knowledge creation, dissemination, and organizational adoption and implementation.
  • Explain how you would disseminate the results of your project to an audience. Provide a rationale for why you selected this dissemination strategy.
  • Describe the measurable outcomes you hope to achieve with the implementation of this evidence-based change.
  • Be sure to provide APA citations of the supporting evidence-based peer reviewed articles you selected to support your thinking.
  • Add a lessons learned section that includes the following:
    • A summary of the critical appraisal of the peer-reviewed articles you previously submitted
    • An explanation about what you learned from completing the Evaluation Table within the Critical Appraisal Tool Worksheet Template (1-3 slides)

References x 4 to include: