Case Study – Pakistani Woman With Delusional Thought Processes. 

You will be asked to make three decisions concerning the medication to prescribe to this patient. Be sure to consider factors that might impact the patient’s pharmacokinetic and pharmacodynamic processes.

At each decision point, you should evaluate all options before selecting your decision and moving throughout the exercise. Before you make your decision, make sure that you have researched each option and that you evaluate the decision that you will select. Be sure to research each option using the primary literature.

I want you to answer the questions given to you (decision points one, two, and three) before you click on the option. The answers will be based on your decisions made and patient outcomes during the decision tree. I am looking for an essay that is long enough to cover the topic BUT short enough to keep my interest.  The course page suggests writing 1 page per decision – my opinion is that it will be very difficult to justify your treatment decisions and provide scientific evidence in 1 page (especially for decision #1). I do not need you to tell me about the patient or the treatment options available to you – I am very familiar with the cases.  Your introductory page should be an overview of the disease state you are treating along with a purpose statement for the assignment.  Remember this is a Pharmacology class that incorporates Pharmacotherapy and not a class on diagnosing disease. I want you to tell me why you selected an option (why is it the best option- using clinically relevant and patient specific data) AND why you did not choose the other options (with clinically relevant and patient specific data).

Introduction to the case (1 page)

• Briefly explain and summarize the disease state you are treating this Assignment. Be sure to include the specific patient factors that may impact your decision making when prescribing medication for this patient.

Decision #1

• Which decision did you select?
• Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature. Again, provide STRONG scientific evidence.  Clinical studies or treatment guidelines are a good place to start!
• Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
• What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature).
• Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples.

Decision #2 (1 page)

• Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature. Again, provide STRONG scientific evidence.  Clinical studies or treatment guidelines are a good place to start!
• Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
• What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature).
• Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples.

Decision #3 (1 page)

• Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
• Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature. Again, provide STRONG scientific evidence.  Clinical studies or treatment guidelines are a good place to start!
• What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature).
• Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples.

Conclusion (1 page)

• Summarize your recommendations on the treatment options you selected for this patient. Be sure to justify your recommendations and support your response with clinically relevant and patient-specific resources, including the primary literature.

After writing up your rationale at each decision point, I would ask yourself the following questions:

• Have I provided clinical data from a meta-analysis, case report or clinical trial to support the drug I picked being safe, efficacious and the best choice for this patient?
• Have I provided clinical data, etc. to support a clear rationale as to why the other treatment options are NOT optimal?
• Is the focus of my discussion on mechanism of action and receptors/neurotransmitters that the drug acts on? If the answer is YES, you should consider doing additional research to address the above two questions

Also include how ethical considerations might impact your treatment plan and communication with clients.

The rubric, as I interpret it, suggests 5 references cited with every assignment for full credit on this portion (20 points).  References used for your introductory paragraph, ethical considerations or conclusion do not count towards the 5 references required.  As a general rule of thumb, I would encourage you to reference AT LEAST two sources (not including the textbook) for each decision point – this will result in 6 references total for your clinical decision making.

  

Emotional Intelligence Worksheet

1. Think back on time you were angry or upset about something at the clinical site. How did you react?

2. Describe a time when understanding someone else’s perspective helped you understand them better.

3. What motivates you when you have a job to do that you may not particularly enjoy doing?

 The clinical nurse leader (CNL) is a leader in all healthcare systems. CNLs collaborate with interdisciplinary teams that could consist of nurse practitioners, social workers, doctors, and pharmacists. CNLs are likely to encounter disparities in client care and treatment and will need to plan and implement care for improved client outcomes. Through the coordination of client care, CNLs assume accountability for client-centered outcomes. 

Specifically, the following critical elements must be addressed: 

1. Coordination of Care- 

A. Plan: Develop a plan for coordination of care for the client using current, evidence-based best practice guidelines. In your plan, you should address the following: 

i. Provide clinical guidelines necessary to move the client to the next level of care                                    ii. Address the client’s needs both as an inpatient and post-discharge                                                       iii. Provide detailed information explaining how treatment will be coordinated                                           iv. Address the frequency of client encounters with clinicians 

B. Facility: Is the current facility the appropriate setting for the client? Why or why not? Would it be cost-effective for this client be treated in an alternative care setting? Explain. 

C. Interdisciplinary Relationships: Explain how interdisciplinary professional working relationships can facilitate ethical and strategic decision making. How can you encourage ethical and strategic decision making in your professional working relationships? 

D. Services: What cost-effective solutions for services can be put in place to ensure that the client receives high-quality care? In other words, what provisions need to be made for durable medical equipment, home service, community health resources, and so on? Explain how these services can be cost-effective. 

2. Conclusion: 

A. Technology: Can this client be managed through Telehealth or another remote health technological monitoring system? Why or why not? What are the benefits of using specific healthcare technologies or services, such as specialized applications for monitoring O2 saturation, blood pressure, and blood glucose? 

B. Readmission: Do you think that this client will be readmitted within 30 days? Why or why not? What cost-effective solutions can you put in place to avoid readmission? Make sure to support your answer with evidence-based research and data. 

C. Care Assessment: Assess the intradisciplinary and interdisciplinary care provided through your coordination of the client’s care. How can you use informatics systems to help you manage the client’s care? 

Guidelines for Submission: Paper should be 5 to 6 pages in length with double spacing, 12-point Times New Roman font, and one-inch margins. Use 7th ed. APA style to cite your sources. 

  

Theory Application Paper – APA FORMAT with ZERO PLAGIARISM – Rubric must be follow, see rubric attached below.

Course Capstone

In this course you have the opportunity to become acquainted with and explore several nursing philosophies, theories models, and theorists. You also have the opportunity to select one nursing theory or model discussed in this course for an in-depth analysis. Analysis of the theory coupled with application to a clinical scenario is intended to demonstrate the relevance of nursing theories to professional practice.

Purpose:

This assignment is designed to allow the student an opportunity to complete an in-depth analysis of a nursing theory/model. Analysis of the theory coupled with application to a clinical scenario is intended to demonstrate the relevance of nursing theories to professional practice.

Paper format:

1. Limit paper to 6 narrative pages, excluding title and reference pages.

2. APA format.

Pick one theory from below:

Nursing Theories 

(a) Pender – The Health Promotion Model

(b) Leininger – Diversity and Universality Theory

  

PURPOSE OF THE PAPER

In this final assignment of the Capstone course, the student will use skills of inquiry gained in the baccalaureate nursing program to identify a clinical issue upon which nurses have the ability to resolve or have a positive impact. With a focus on the diversity of the individual as well as the variation of cultural values of a particular population, the student will develop a plan for addressing the clinical issue.

INSTRUCTIONS

Each criterion listed below will serve as the major headings of this assignment.

Introduction

• Offers a detailed description of the statement of purpose for the paper. 

• Identifies a clinical issue or problem drawn from one of the four main categories of the NCLEX-RN examination blueprint:

Assurance of a safe and effective care environment

Health promotion and maintenance of health 

Preservation of the patient population’s psychosocial integrity 

Preservation of the patient population ’s physiological integrity

• In this paper the student will provide a detailed description of the relationship between the category from the NCLEX-RN examination blueprint and the clinical issue.

• The reference to the NCLEX-RN examination blueprint found at the National Council of State Boards of Nursing website constitutes one scholarly reference. 

Importance

The student will describe the importance of the clinical issue to the health of a patient population. This discussion will include the potential negative effect of leaving the clinical issue unresolved.

Patient Population 

The student will describe the patient population that is impacted by the clinical issue. With a focus on the diversity of the human condition found within this patient population, the student will describe the influence that cultural values may have on the proposed solution.

Proposed Solution

The student will set the stage for proposing the best solution to the clinical problem by using appropriate evidence-based data and integrating data from peer-reviewed journal articles. In this paper, the student will: 

i. Propose a clear solution to the clinical problem that is supported by a minimum of three scholarly, peer-reviewed journal articles. 

ii. ii. Expand on the ethical considerations when developing the plan.

Conclusion

i. Provides a thorough recap of the purpose of the plan to prevent or help to resolve the clinical issue.

ii.  ii. Includes a complete statement describing why addressing this clinical problem matters and to whom.

Writing Requirements

Length: 4 full pages excluding title and reference pages.

Minimum of 4 scholarly, peer-reviewed sources, including NCLEX-RN examination blueprint

Uses clear and correct grammar. 

Uses proper sentence structure and flow. 

Adheres to all APA formatting guidelines for title page, margins, and in-text citations.