Pharm: Bipolar Type II with Diabetes Type 1

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ASSESSING AND TREATING PATIENTS WITH BIPOLAR II DISORDER AND DIABETES TYPE 1.

For this Assignment, as you examine the patient case study in this week’s Learning Resources, consider how you might assess and treat patients presenting with bipolar disorder.

For this assignment, you will write a 5–6-page paper on the topic of bipolar and bipolar and related disorders. You will create this guide as an assignment; therefore, a title page, introduction, conclusion, and reference page are required. You must include a minimum of 3 scholarly supporting resources outside of your course provided resources.

In your paper, you will choose one of the following diagnoses: Bipolar I, Bipolar II, Cyclothymic Disorder, Substance/Medication-Induced Bipolar and Related Disorder, Bipolar and Related Disorder Due to Another Medical Condition. Your paper will include discussion for your chosen diagnosis of bipolar and related disorder on the following:

· Prevalence and Neurobiology of your chosen disorder ( Bipolar II and Type 1 Diabetes)

· Discuss the differences between your chosen disorder and one other bipolar and related disorders in relation to the diagnostic criteria including presentation of symptoms according to DSM 5 TR criteria

· Discuss special populations and considerations (children, adolescents, pregnancy/post-partum, older adult, emergency care) for your chosen bipolar and related disorder; demonstrating critical thinking beyond basics of HIPPA and informed consent with discussion of at least one for EACH category:  legal considerations, ethical considerations, cultural considerations, social determinants of health

· Discuss FDA and/or clinical practice guidelines approved pharmacological treatment options in relation to acute and mixed episodes vs maintenance pharmacological treatment for your chosen bipolar and related disorder

· Of the medication treatment options for your chosen disorder discuss side effects, FDA approvals and warnings.  What is important to monitor in terms of labs, comorbid medical issues with why important for monitoring.
(use Escitalopram for Bipolar II and Insulin for Diabetes Type 1)

 

References:

Stahl, S. M. (2021). 
Stahl's essential psychopharmacology: Neuroscientific basis and practical applications (5th Ed.) Cambridge University Press.

· Chapter 7, “Treatments for Mood Disorders: So-Called “Antidepressants” and “Mood Stabilizers” (pp. 338-358)

American Psychiatric Association. (2010b). 


Practice guideline for the treatment of patients with bipolar disorderLinks to an external site.


 (2nd ed.)
. 
https://psychiatryonline.org/pb/assets/raw/sitewide/practice_guidelines/guidelines/bipolar.pdf.

Hirschfeld, R. M. A. (n.d.). 


Guideline watch: Practice guideline for the treatment of patients with bipolar disorder

Links to an external site.
 (2nd ed.)
.  https://psychiatryonline.org/pb/assets/raw/sitewide/practice_guidelines/guidelines/bipolar-watch.pdf

W10 os

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The surrogate role is not one that is frequently mentioned in recent nursing practice literature.  Is that role as defined by Peplau relevant to nursing practice as currently experienced.  If so, in what way.  If not, why? 

400 word, 1 reference

Details on reflection

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Details on reflection

Concept Map

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 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. 

*Fill in the concept map attached below; that’s all, and you can add a reference one or two below the map 

Determination of death

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Determination of Death / Informed Consent

1. Uniform Determination of Death Act (UDDA):

· How this law was created

· Legal definition of death, describe

2. Define dying within context of faith, basic principle about human life

3. Bioethical Analysis of Pain Management – Pain Relief

4. What is the difference between Pain and suffering? Explain

5. Diagnosis / Prognosis: define both.

6. Ordinary / Extraordinary means of life support. Explain the bioethical analysis.

7. Killing or allowing to die? Define both and explain which one is ethically correct and why?

8. Catholic declaration on life and death; give a summary of this document: 

https://www.cfocf.org/wp-content/uploads/Combined-Catholic-Declaration-and-Understanding-ENGLISH.pdfLinks to an external site.

9. What is free and informed consent from the Catholic perspective?

10. Define Proxi, Surrogate

11. Explain:

· Advance Directives

· Living Will

· PoA / Durable PoA

· DNR

12. Read and summarize ERD paragraphs #: 24, 25, 26, 27, 28, 55, 59, 61, 62

WORKPLACE ENVIRONMENT ASSESSMENT

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How healthy is your workplace?

You may think your current organization operates seamlessly, or you may feel it has many issues. You may experience or even observe things that give you pause. Yet, much as you wouldn’t try to determine the health of a patient through mere observation, you should not attempt to gauge the health of your work environment based on observation and opinion. Often, there are issues you perceive as problems that others do not; similarly, issues may run much deeper than leadership recognizes.

There are many factors and measures that may impact organizational health. Among these is civility. While an organization can institute policies designed to promote such things as civility, how can it be sure these are managed effectively? In this Discussion, you will examine the use of tools in measuring workplace civility. 

To Prepare:

  • Review the Resources and examine the Clark Healthy Workplace Inventory, found on page 20 of Clark (2015).
  • Review and complete the Work Environment Assessment Template in the Resources.

 Post a brief description of the results of your Work Environment Assessment. Based on the results, how civil is your workplace? Explain why your workplace is or is not civil. Then, describe a situation where you have experienced incivility in the workplace. How was this addressed? Be specific and provide examples. 

research question

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Define and describe the pathophysiology of fibromyalgia. Include clinical manifestations, evaluation, & treatment.

literature search

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Module 06 Content

1.

Top of Form

Using at least 4 current (within the past 5 years), relevant, peer-reviewed resources, create a literature review that does the following:

· Describes the project's topic, resources reviewed, and conclusions of each article.

· Summarizes the principal findings of the research and their relevance to the project's proposed outcomes.

This paper should be at least 2 pages in length and include a cover page and reference page with links to all researched articles. Be sure to use APA format.


Scoring Rubric

·
Student uses at least 4 peer-reviewed, relevant sources for research related to the chosen topic. – 10

·
Student has a well-developed, comprehensive review of the literature researched for the project. – 15


Total 25

Bottom of Form

Community Teaching Plan & Evaluation

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After reviewing Module 6: Lecture Materials & Resources, explain approaches to community intervention and evaluation. Implement a teaching and evaluation plan.

  1. Choose one topic from the prevention strategies and intervention recommendations identified in Module 4 Assignment.
  2. Develop a teaching plan, including objective, content outline, teaching method, and time in a table format found in slide 3 of the Template Download Template.
  3. Develop an evaluation plan for your teaching intervention and create a tool for feedback from your learners. Be sure to include the questionnaire and any other teaching tools within the powerpoint presentation for faculty analysis.
  4. Implement the teaching plan and evaluation during Visit 5 of your clinical experience.
  5. Summarize the outcomes of your teaching plan and evaluation based on the results from the questionnaires.

bioethical decision making model

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Choose a patient-care situation in which the RN should intervene and advocate for the patient.  An example of such a situation might be when a patient has not been given complete informed consent.

  • Describe the clinical situation concisely and descriptively. It can be an actual situation or a hypothetical one.
  • Apply the Bioethical Decision Making Model to the specific clinical ethical situation that you choose. Address each section of the model. Conclude with a discussion of nursing advocacy in the clinical setting and the nurse’s role as a patient advocate.  

You must reference and cite 1-2 scholarly sources other than your text. Include a title page and a reference page to cite your text and adhere to APA formatting.