Clinical Standard Of Practice Presentation 2025

Clinical Standard of Practice Presentation Each student will present a Clinical Practice Presentation . The focus of the presentation must reflect current treatment recommendations from accepted professional organizations. See syllabus Be focus on a power point based in a SOAP clinical/medical note, with a patient assisted in a family practice ofice. Clinical Standard of Practice Presentation Students are expected to expand their use of resources for evidence-based practice beyond the required text and explore nursing and related literature to improve their understanding and application of advanced interventions. Each student will present a Clinical Practice Presentation. The focus of the presentation must reflect current treatment recommendations from accepted professional organizations. Presentations will be evaluated related to the criteria listed. Presentations must be no more than eight slides in a PowerPoint format with a Reference List in APA format, will be no more than 15 minutes in length. Topics will be listed, and students must sign up for presentation by the second week of the course. Topics may include pneumonia, COPD, Parkinson’s, pancreatitis, cholecystitis, Asthma, joint replacement, psoriasis, and others. Criteria Points Criteria Points 1 Presents the case including CC, HPI, Hx, ROS and PE findings concisely 2 List possible differential diagnosis with supporting/excluding criteria. 10 3 What labs or tests are typically ordered concerning this condition? What results should the Does NP expect to see with this diagnosis? 4 What medications are typically prescribed for this condition? List specific drugs, starting doses, dose ranges, precautions to keep in mind when prescribing these drugs. 5 What are the outcomes expected or unexpected for this specific condition? Moreover, What patient outcomes will trigger a referral? 6 Provide patient teaching materials specific to their condition Reference : You can use MERCK manual All references not older than 2015 American Psychological Association [APA]. (2010). Publication manual of the American Psychological Association (6th ed.). Washington, DC: Dunphy, L. M., Winland-Brown, J., Porter, B., & Thomas, D. (2015). Primary care: Art and science of advanced practice nursing. 4th ed. FA.Davis. Philadelphia, PA. ISBN-13: 978-0803638013 Fenstermacher, K., & Hudson, B. T. (2019). Practice guidelines for family nurse practitioners (5th ed.). Elsevier. St Louis, Ms. ISBN-10: 0323290809 Goroll, A. H., & Mulley, A. G. (2014). Primary care medicine: office evaluation and management of the adult patient. 7th ed. Wolters Kluwer Health: Philadelphia, PA. ISBN-13: 978-1451151497 Kennedy-Malone, L., Fletcher, K. R. & Martin-Plank, L. (2014). Advanced Practice Nursing in the Care of Older Adults. F.A. Davis Company. Philadelphia, PA. ISBN 13: 978-0803624917 Rhoads, J., & Jensen, M. M. (Eds.). (2014). Differential Diagnosis for the Advanced Practice Nurse. Springer Publishing Company. New York, NY. ISBN-10: 0826110274 Other Resources 1. Agency for Health Care Research and Quality (October 2017). Put prevention into practice. A step-by-step guide to delivering clinical preventive services: A systems approach. Available at http://www.ahrq.gov/clinic/ppipix.htm 2. Clinical Evidence, BMJ Publishing Group web site. Available at http://www.clinicalevidence.org 3. Cochrane Library evidence-based web site. Available at http://www.cochrane.org/ 4. Fronske Web Portal Page. Available at http://www.myhq.com/public/f/l/flagstaff/ There is a wealth of access to various sites that can be found here, including evidence-based links and patient education links. 5. University of California, San Diego: A Practical Guide to Clinical Medicine At https://meded.ucsd.edu/clinicalmed/ 6. Journal of Family Practice POEMs web site. Available at http://www.essentialevidenceplus.com/ 7. U.S. Preventive Services Task Force (USPSTF). Available at http://www.preventiveservices.ahrq.gov 8. University of Iowa Hospital and Clinics. Virtual Hospital. Available at https://uihc.org/health library 9. National Center for Complementary and Alternative Medicine. Available at http://www.nccam.nih.gov/ 10. Nurse Org. https://nurse.org/resources/nurse-practitioner/#-what-is-a-nurse-practitioner

Nursing Assignment Help 2025

Assignment: Assessing And Treating Clients With Impulsivity, Compulsivity, And Addiction 2025

The Assignment: Examine Case Study: A Puerto Rican Woman With Comorbid Addiction . You will be asked to make three decisions concerning the medication to prescribe to this client. Be sure to consider factors that might impact the client’s pharmacokinetic and pharmacodynamic processes. At each decision point stop to complete the following: · Decision #1 · o Which decision did you select? o Why did you select this decision? Support your response with evidence and references to the Learning Resources. o What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources. o Explain any difference between what you expected to achieve with Decision #1 and the results of the decision. Why were they different? · Decision #2 · o Why did you select this decision? Support your response with evidence and references to the Learning Resources. o What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources. o Explain any difference between what you expected to achieve with Decision #2 and the results of the decision. Why were they different? · Decision #3 · o Why did you select this decision? Support your response with evidence and references to the Learning Resources. o What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources. o Explain any difference between what you expected to achieve with Decision #3 and the results of the decision. Why were they different? Note: Support your rationale with a minimum of three academic resources no more than five years old. Co-morbid Addiction (ETOH and Gambling) 53-year-old Puerto Rican Female BACKGROUND Mrs. Maria Perez is a 53 year old Puerto Rican female who presents to your office today due to a rather “embarrassing problem.” SUBJECTIVE Mrs. Perez admits that she has had “problems” with alcohol since her father died in her late teens. She reports that she has struggled with alcohol since her 20’s and has been involved with Alcoholics Anonymous “on and off” for the past 25 years. She states that for the past two years, she has been having more and more difficulty maintaining her sobriety since they opened the new “Rising Sun” casino near her home. Mrs. Perez states that she and a friend went to visit the new casino during their grand opening at which point she was “hooked.” She states that she gets “such a high” when she is gambling. While gambling, she “enjoys a drink or two” to help calm her during high-stakes games. She states that this often gives way to more drinking and more reckless gambling. She also reports that her cigarette smoking has increased over the past two years and she is concerned about the negative effects of the cigarette smoking on her health. She states that she attempts to abstain from drinking but that she gets such a “high” from the act of gambling that she needs a few drinks to “even out.” She also notices that when she drinks, she doesn’t smoke “as much” but enjoys smoking when she is playing at the slot machines. She also reports that she has gained weight from drinking so much- she currently weights 122 lbs., which represents a 7 lb. weight gain from her usual 115 lb. weight. Mrs. Perez is quite concerned today because she has borrowed over $50,000 from her retirement account to pay off her gambling debts. She is very concerned because her husband does not know that she has spent this much money. MENTAL STATUS EXAM The client is a 53 year old Puerto Rican female who is alert, oriented to person, place, time, and event. She is dressed appropriately for the weather and time of year. Her speech is clear, coherent, and goal directed. Her eye contact is somewhat avoidant during the clinical interview. As you make eye contact with her, she looks away or looks down. She demonstrates no noteworthy mannerisms, gestures, or tics. Her self-reported mood is “sad.” Affect is appropriate to content of conversation & self-reported mood. She visual or auditory hallucinations, no delusional or paranoid thought processes are readily appreciated. Insight and judgment are grossly intact, however, impulse control is impaired. She is currently denying suicidal or homicidal ideation. Diagnosis: Gambling disorder, alcohol use disorder Decision Point One: Select what the PMHNP should do: Naltrexone (Vivitrol) injection, 380 mg intramuscularly in the gluteal region every 4 weeks RESULTS OF DECISION POINT ONE Client returns to clinic in four weeks Mrs. Perez said that she felt “wonderful” as she has not “touched a drop” to drink since receiving the injection Client reports that she has not been going to the casino, as frequently, but when she does go she “drops a bundle” (meaning, spends a lot of money gambling) Client She is also still smoking, which has her concerned. She is also reporting some problems with anxiety, which also have her concerned Decision Point Two: Select what the PMHNP should do next: Add on Valium(diazepam) 5 mg orally TID/PRN/anxiety RESULTS OF DECISION POINT TWO Client returns to clinic in four weeks Mrs. Perez reports that when she first received the valium, it helped her tremendously. She states “I was like a new person- this is a miracle drug!” However, she reports that she has trouble “waiting” between drug administration times and sometimes takes her valium early Client is asking today for you to increase the valium dose or frequency Decision Point Three: Select what the PMHNP should do next: Continue current dose of Vivitrol, increase Valium to 10 mg orally TID/PRN/anxiety. Refer to counseling for her ongoing gambling issue Guidance to Student Anxiety is a common side effect of Vivitrol. Mrs. Perez reports that she is doing well with this medication, and like other side effects, the anxiety associated with this medication may be transient. The psychiatric mental health nurse practitioner should never initiate benzodiazepines in a client who already has issues with alcohol, or other substance dependencies. Additionally, benzodiazepines are not to be used long-term. Problems associated with long-term benzodiazepine use include the need to increase the dose in order to achieve the same therapeutic effect. This is what we are seeing in Mrs. Perez’s case. The most appropriate course of action in this case would be to continue the current dose of Vivitrol, while decreasing the Valium with the goal of discontinuation of the drug within the next two weeks. At this point, we need to evaluate whether or not the side effect of anxiety associated with Vivitrol persists. Increasing the dose of Valium would not be appropriate, neither would maintaining her on the current dose of Valium. Additionally, the client should be referred for counseling to help with her gambling addiction, as there are no FDA approved medications gambling disorder. Medication should never be added treat side effect of another medication, unless that side effect is known to be transient (for instance, benzodiazepines are sometimes prescribed to overcome the initial problem of “activation” associated with initiation of SSRI, or SNRI therapy). However, in a client with multiple addictive disorders, benzodiazepines should never be used (unless they are only being used for a limited duration of therapy such as acute alcohol detoxification to prevent seizures). Additionally, it should be noted that Mrs. Perez continues to engage in problematic gambling, at considerable personal financial cost. Mrs. Perez needs to be referred to a counselor who specializes in the treatment of gambling disorder and should also be encouraged to establish herself with a local chapter of gamblers anonymous. The PMHNP needs to discuss smoking cessation options with Mrs. Perez in order to address the totality of addictions, and to enhance her overall health.

Nursing Assignment Help 2025