Pharmacotherapy for Gastrointestinal and Hepatobiliary Disorders

Gastrointestinal (GI) and hepatobiliary disorders affect the structure and function of the GI tract. Many of these disorders often have similar symptoms, such as abdominal pain, cramping, constipation, nausea, bloating, and fatigue. Since multiple disorders can be tied to the same symptoms, it is important for advanced practice nurses to carefully evaluate patients and prescribe a treatment that targets the cause rather than the symptom.  Once the underlying cause is identified, an appropriate drug therapy plan can be recommended based on medical history and individual patient factors. In this Assignment, you examine a case study of a patient who presents with symptoms of a possible GI/hepatobiliary disorder, and you design an appropriate drug therapy plan.

                                             To Prepare

Review the case study assigned by your Instructor for this Assignment
Reflect on the patient’s symptoms, medical history, and drugs currently prescribed.Think about a possible diagnosis for the patient. Consider whether the patient has a disorder related to the gastrointestinal and hepatobiliary system or whether the symptoms are the result of a disorder from another system or other factors, such as pregnancy, drugs, or a psychological disorder.Consider an appropriate drug therapy plan based on the patient’s history, diagnosis, and drugs currently prescribed.

Write a 1-page paper that addresses the following:

Explain your diagnosis for the patient, including your rationale for the diagnosis.

Describe an appropriate drug therapy plan based on the patient’s history, diagnosis, and drugs currently prescribed.

Justify why you would recommend this drug therapy plan for this patient. Be specific and provide examples

Case: Patient HL comes into the clinic with the following symptoms: nausea, vomiting, and diarrhea. The patient has a history of drug abuse and possible Hepatitis C. HL is currently taking the following prescription drugs:

Synthroid 100 mcg daily

Nifedipine 30 mg daily

Prednisone 10 mg daily

NOTE: this the link to download the book

  

https://www.sendspace.com/file/llbyl3

 

Transcultural Perspective in Childbearing

Read chapter 5 of the class textbook and review the attached PowerPoint presentation.  Once done answer the following questions;

1.  Analyzed how culture influences the beliefs and behaviors of the childbearing woman and her family during pregnancy.
2. During an outpatient contraception teaching session for a diaphragm, Sita, a Hindu woman states that she cannot use her left hand for handling the clean device.
3.  What are the health beliefs that underpin Sita’s hesitation and why?
4.   How can the nurse offer support to Sita’s based on Leininger’s theory?

As stated in the syllabus present your assignment in an APA format word document, Arial 12 font attached to the forum in the discussion tab of the blackboard titled “Week 5 discussion questions”. Also, the assignment must be posted in Turnitin and in the assignment tab of the blackboard titled “Week 5 APA”.  A minimum of 2 references (excluding the class textbook.  Two replies to any of your peers sustained with the proper references are required and the references must be quoted in the assignment and the replies.  A minimum of 700 words is required. Make sure you use spell-check or Grammarly before you post your assignment.  I’ve been seeing many spelling/grammars errors in the assignments.  

Assignment:

Case Study: 

Mrs. Adams, a 68-year-old widow who was referred to case management upon discharge from the hospital based on her physician’s recommendation that she is not able to care for herself independently. Her diagnosis is diabetes, hypertension, and breast cancer. She is 5 days’ post-op from a right sided mastectomy. Mrs. Adams apartment is located in a low income area of the city where crime is prevalent. Upon assessment by the Community Health Nurse, Mrs. Adams apartment was in disorder with minimal airflow or light. Her cloths appeared unchanged and she had no food in the apartment. The small apartment also housed 3 cats and a small dog who Mrs. Adams considers family since the death of her husband 1 year ago. Mrs. Adams complains of pain and draining from her surgical site and a broken air conditioner. 

·  Using Nightingales Environmental Theory, what actions would the nurse take upon the first assessment? What are the five essential components? 

·  What would be an appropriate plan of care be for Mrs. Adams? How would you prioritize the care plan? 

·  Apply Nightingale’s Environmental Theory to an area of your nursing practice? What patient population would benefit from this approach? Support this practice change with at least one evidenced-based article.

The assignment should be completed in APA format, as an essay of between 1000 and 1500 words. The paper should include at least 3 outside references and the textbook. The paper should be in APA format with a title page, level headings, and reference page.

Required Textbook:

·  Smith, M. C., &  Parker, M. E. (2015). Nursing Theories and Nursing Practice (4th ed.).  Philadelphia, PA: F.A. Davis. ISBN  978-0-8036-3312-4

     

Benchmark – Human Experience Across the   Health-Illness Continuum

The benchmark assesses the following competency:

Benchmark: 5.1. Understand the human experience across the health-illness continuum.

Research the health-illness continuum and its relevance to patient care. In a 750-1,000 word paper, discuss the relevance of the continuum to patient care and present a perspective of your current state of health in relation to the wellness spectrum. Include the following:

1. Examine the health-illness continuum and discuss why this perspective is important to consider in relation to health and the human experience when caring for patients.

2. Reflect on your overall state of health. Discuss what behaviors support or detract from your health and well-being. Explain where you currently fall on the health-illness continuum.

3. Discuss the options and resources available to you to help you move toward wellness on the health-illness spectrum. Describe how these would assist in moving you toward wellness (managing a chronic disease, recovering from an illness, self-actualization, etc.).

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. 

You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

Link for resourse- https://lc.gcumedia.com/nrs434vn/health-assessment-foundations-for-effective-practice/v1.1/#/chapter/5

  

PAPER 1

PLS ANSWER QUESTION 1 & 4 only.

  

CLC – Leadership Styles and Nursing

This is a Collaborative Learning Community (CLC) assignment. 

The purpose of this assignment is to assess leadership styles, traits, and practices as a nursing professional, establish the importance of effective interprofessional communication as a leader in nursing, and to explore the role of servant leadership in nursing practice.

Read the study materials on leadership and complete the topic quiz activities to better understand your leadership qualities.

Upon completion, summarize and share with your group what you learned about your specific leadership qualities, so you can become familiar with how you are similar and different from your peers when it comes to being a leader.

As a group, review the study materials related to servant leadership. Using what you have learned about the tenets of servant leadership and traits and practices of successful leaders, create a 10-12 slide PowerPoint presentation with speaker notes. Add an additional slide for references at the end of your presentation.  

Include the following in your presentation:

1. Each group member: Create a slide that      summarizes your leadership style, traits, and practices.
2. Compare      the personal leadership styles of your group members, including      commonalities between group members’ strengths and weaknesses.
3. Explain      why it is important for nursing professionals to be aware of their      personal leadership style, traits, and practices.
4. Discuss what leadership traits and      styles are necessary to be an effective communicator. Explain the      importance of leaders adapting communication approaches when working      interprofessionally (across ancillary departments, vendors, community      members).
5. Discuss      how nursing professionals can benefit from integrating the tenets of      servant leadership to empower and influence others as they lead.
6. Discuss      how leaders who practice servant leadership and have a strong      understanding of their personal leadership traits can successfully lead      others and navigate the unique challenges that are part of nursing and      health care. Provide two examples that illustrate your main ideas.

You are required to cite to a minimum of three sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and relevant to nursing practice. 

Refer to the resource, “Creating Effective PowerPoint Presentations,” located in the Student Success Center, for additional guidance on completing this assignment in the appropriate style. 

While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center. 

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. 

You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

PAPER 2

Pls answer question 1 only.

  

CLC – Evidence-Based Practice Project: Intervention   Presentation on Diabetes

This is a Collaborative Learning Community (CLC) assignment.

As a group, identify a research or evidence-based article published within the last 5 years that focuses comprehensively on a specific intervention or new treatment tool for the management of diabetes in adults or children. The article must be relevant to nursing practice.

Create a 10-15 slide PowerPoint presentation on the study’s findings and how they can be used by nurses as an intervention. Include speaker notes for each slide and additional slides for the title page and references.

Include the following:

PLS ANSWER QUESTION 1 ONLY

1. Describe the intervention or treatment      tool and the specific patient population used in the study. Side note( our      patient population is minorities , our treatment is weightloss.
2. Summarize      the main idea of the research findings for a specific patient population.      The research presented must include clinical findings that are current,      thorough, and relevant to diabetes and nursing practice.
3. Provide      a descriptive and reflective discussion of how the new tool or      intervention can be integrated into nursing practice. Provide evidence to      support your discussion.
4. Explain      why psychological, cultural, and spiritual aspects are important to      consider for a patient who has been diagnosed with diabetes. Describe how      support can be offered in these respective areas as part of a plan of care      for the patient. Provide examples.

You are required to cite to a minimum of two sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and relevant to nursing practice.

While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center. 

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. 

You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance. 

This is the article that the group agree to work on 

Katula, J. A., Kirk, J. K., Pedley, C. F., Savoca, M. R., Effoe, V. S., Bell, R. A., & Bertoni, A. G. (2017). The Lifestyle Intervention for the Treatment of Diabetes study (LIFT Diabetes): Design and baseline characteristics for a randomized translational trial to improve control of cardiovascular disease risk factors. Contemporary Clinical Trials, 53, 89–99. https://doi-org.lopes.idm.oclc.org/10.1016/j.cct.2016.12.005
 

Chen, X. Z., Yu, S. J., Li, C. Y., Zhan, X. X., & Yan, W. R. (2018). Text message–based intervention to improve treatment adherence among rural patients with type 2 diabetes mellitus: a qualitative study. Public Health, 163, 46–53. https://doi-org.lopes.idm.oclc.org/10.1016/j.puhe.2018.06.016