Mr. Rivera is a 72-year-old patient with end stage COPD who is in the care of Hospice. He has a history of smoking, hypertension, obesity, and type 2 Diabetes. He is on Oxygen 2L per nasal cannula around the clock. His wife and 2 adult children help with his care. Develop a concept map for Mr. Rivera. Consider the patients Ethnic background (he and his family are from Mexico) and family dynamics. Please use the concept map form provided.  

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.

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Virginia Workman

Hello class,

I chose interface to discuss. The interface in the electronic medical record system is truly remarkable. When the monitor displaying vital signs and other patient data seamlessly transfers that information to the patient's chart on the computer without the need for manual data entry, it significantly streamlines our workflow. As a nurse, you simply click to confirm that the vital signs are accurate while entering them, saving you a significant amount of time. The advantages of using an interface have proven to be incredibly beneficial in my daily nursing duties.

Liz Workman

The United States Supreme Court is the highest federal judicial system with ultimate appellate jurisdiction over federal court cases. Once the supreme court makes its final judgment, no other body can overturn it. The number of cases taken to the Supreme Court is limited because it deals with the most sensitive matters (Greenberg et al., 2020). Dobbs v. Jackson Women’s Health Organization is among the recent cases handled by the Supreme Court. Supreme Court rejected the previous court decision and gave states the power to regulate abortion after arguing that there is no federal right to abortion in the American Constitution (Lambert et al., 2023). This case was appealed severally before it reached the Supreme Court. Supreme Court judges revised the decisions made before by lower courts. This law presented national implications since the American states were given the power to enact their regulations regarding the same since abortion rights are not protected by the federal constitution. After the Supreme Court decision, many states have established new laws prohibiting abortion.

As a medical professional, I do not support this decision because I believe it was influenced by the political environment rather than findings from clinical studies and scientific facts. Once a supreme court decides, the likelihood of overturning the decision is minimal. Women can seek medical abortion due to many personal matters, and as we respect the patient’s autonomy, women’s decisions should be respected. Our constitution protects the right to privacy under the 14th Amendment. Thus, any woman's decision to seek an abortion should be treated like a privacy right and not be exposed without consent or permission. Therefore, it would be better if the supreme court revised and reversed this decision.

References

Greenberg, E.S., Page, B.I., Doherty, D. Minkoff, S.L., & Ryan, J. M. (2020). 
The struggle for democracy. (2018 elections and updates ed.). Pearson.

Lambert, S. J., Horvath, S. K., & Casas, R. S. (2023). Impact of the Dobbs decision on medical education and training in abortion care. 
Women's Health Issues.