As an NP student, you need to determine the medications for onychomycosis.

1.  According to the AAFP/CDC Guidelines, what antifungal medication(s) should this patient be prescribed, and for how long? Write her complete prescriptions using the prescription writing format in your textbook.

This is patient should be prescribed with Terbinafine; this is an antifungal systemic medication. This medication is indicated for different types of fungal infection and must be used for 12 weeks by oral 

Prescription:

Yamile Carrazana. FNP

Name: D.E  DOB: 00/00/0000  Date: 02/04/2020

Terbinafine 250 mg 

Disp: 30 Tablets

Sig: 1 Tablet PO Daily for 12 weeks. For Onychomycosis

Refill: 2.

Yamile Carrazana. FNP.  DEA# on file in Pharmacy.

2.  What labs for baseline and follow up of therapy would you order for this patient? Give rationale.

For this patient I would like to order before to start the treatment a Liver Function Test, this test is in blood and measures specifics proteins and liver enzymes to get an overall sense of how the liver is working because this medication can be toxic for the liver and one of its contraindications is in chronic or active liver disease. One of the functions of the Liver is regulating the amount of sugar in the blood stream, this is a diabetic patient.

This test checks for ALT/SGPT: Alanine Aminotransferase, enzyme founding in the hepatic cells, if the liver is damaging this enzyme will be found in blood. Albumin is a protein made in the liver very helpful to diagnoses liver disease. Alkaline Phosphatase, Aspartate Aminotransferase, Bilirubin, Globulin, total protein.

Other test will be request is a Comprehensive Metabolic Panel to check electrolytes, renal function and glucose.

During the complete treatment and with regularity I would like to keep checking LFT’s (Liver Function test)

References:

Wood, M. & Robinson. M, V. Pharmacotherapeutics for Advanced Practice Nurse Prescriber. (4th Edition).

Arias, E. (2010). United States Life tables, 2006. National Vital Statistics Reports.

Medscape:  Clinically Relevant Drug-Drug Interactions in Primary Care Mary Carpenter, PharmD; Holly Berry, PharmD; Allen L. Pelletier, MD. Am Fam Physician. 2019;99(9):558-564. 

*Example attached named METHODS

*Other attachment (Information)  is the information that the paper should be based off of (Autism theory) 

Chapter 2 is a methods section. The method section explains the methods and procedures used in a research study or experiment. You should provide detailed information about the research design, participants, equipment/instruments, materials, variables, and actions that will be taken by the participants. This section also consists of a data analysis section (what types of statistical tests will you use to answer your research questions). The method section should provide enough information to allow other researchers to replicate your experiment or study.

Last will be your reference list. You may use whatever style of referencing is appropriate for your area – nutrition students are expected to use JADA style and Health Promotion students are expected to use APA style.

 5 DQ 2

The values, beliefs, experiences, culture, and how they adhere to society standards, moral codes, and religious practices all contribute to an individual’s worldview (Evans, 20202). My spirituality has shaped my world views, in that it has influenced aspects of my wellbeing, including my professional life. Believing that all humans are created with the same value, dignity and worth despite their world views, I approach spiritual care with an open mind to find the commonality in our shared values. I engage from a non-judgmental angle.

     My lack of knowledge of different religions or spiritual views would be my disadvantage in providing appropriate spiritual care to a patient with different world views perspectives. My strengths are my willingness and open-minded approach to learning that which I do not know about their religious practices. To be present, be an active listener, while providing spiritual care that is within my scope of practice. In addition, reaching out to other disciplines to help with spiritual care in areas where I may have a defect and encourage patients to engage in their spiritual belief as spiritual connections help patient’s wellbeing.

     Atuonomy will remain mine unless I am no longer intact cognitively or psychology, in that case a health proxy would be appointed prior to enforce my wishes.

  When it comes to facilitating spiritual care for patients with worldviews different from your own, what are your strengths and weaknesses? If you were the patient, who would have the final say in terms of ethical decision-making and intervention in the event of a difficult situation?  

Using 200-300 words APA format with at least two references. Sources must be published within the last 5 years.

 Reliability and validity are often misunderstood and   not given much notice in research articles. Using any example,   demonstrate how you would correctly describe these two terms to a   nurse prepared at a bachelor’s degree level or below. Then describe   why the reliability and validity of a study is important for translation.