COMMENT SUZZETE 2025

I NEED A POSITIVE COMMENT BASED IN THIS ARGUMENT..BETWEEN 100-120 WORDS The healthcare organizations are moving to have more bachelor prepared nurses so; they can help make patient care decisions. The Institute of Medicine (IOM) recommends nurses to have a BSN or higher to help with the overall changing healthcare system. By 2020, they want 80% of nurses to have a BSN or higher. Why? Nurses need to have an expanded more knowledge of different areas of nursing and evidence-based practice. As hospital care has become more complex, nurses must make critical decisions associated with care for sicker, frailer patients and work with sophisticated, life-saving technology (Garner, 2011). Evidence-based practice is vital to provide the most effective patient care to improve patient outcomes because patients are becoming more complex. Two ways that the author will continue to integrate EBP into their practice is continued education on the subject at hand to keep up to date on changes in patient care to help with improvement in patient care. Also, another way is to Engage colleagues and educate them on new EBP practices, studies, or interventions that may benefit their work environment or patients (Chrisman, Jordan, Davis, & Williams, 2014) Obstacles to the plan for the author would be nurses resisting change and management not helping with the implementation of the plan. Education to the nurses will be the first of why this is helpful for our patient’s outcomes versus the old way of doing things. Showing articles and statistics will help bring the point across. Getting management on board to help with implementation as well. Management will be made aware that providing the evidence-based care will improve patient outcomes and decrease healthcare costs. References Chrisman, J., Jordan, R., Davis, C., & Williams, W. (2014). Exploring evidence-based practice research. Retrieved from https://www.nursingcenter.com/evidencebasedpracticenetwork/home/journalarticle.aspx?Article_ID=2492783 Garner, C. (2011, January 11). IOM Advocates for Higher Levels of Nursing Education [Blog post]. Retrieved from https://www.americansentinel.edu/blog/2011/01/10/iom-advocates-higher-nursing-education/

Nursing Assignment Help 2025

WEEK 5: DISCUSSION QUESTION IN DISCUSSION BOARD DERMATOLOGY CASE STUDY ACC/AHA Guidelines 2025

Week 5 Discussion question worth 5 points Discussion question due by Sunday, 11:59 pm. Following Case Study Question: As an NP student, needs to determine the medications for Tinea Pedis. RX format: Medication, SIG: Instructions (Route, frequency, location, duration), Dispense #, Refills, ? According to the ACC/AHA Guidelines, what antifungal medication should this patient be prescribed? Write her complete prescriptions using the prescription writing format and SOAP (subjective, objective, assesment, plan) format. Please include patient education regarding the selected medication therapy. Please choose a medication to treat tinea pedis that would not exacerbate other patient’s symptoms. You may order labs for baseline before starting the therapy and specify which labs. Next to the chosen medication therapy, please choose references to support your treatment choice of medication or lab for baseline and follow up of therapy ordered. Specify when to refer the patient after therapy and why ? WEEK 5: DISCUSSION QUESTION IN DISCUSSION BOARD DERMATOLOGY CASE STUDY ACC/AHA Guidelines Chief complaint: “ I have scaly crust in sole of feet and moist white crusts between my toes since I started using boots warm weather” for past 2 weeks. HPI: E.D a 45-year-old hispanic female presents to the clinic for complaint of itching in feet and scaly curst in sole of feet and moist white crusts between toes. She developed a red, itchy rash consistent with hypersensitivity reaction. She also indicates that she has noticed that her symptoms are worsening for past 2 weeks and it started after she started to use boots in warm weather. She has symptoms of red, itching rash consistent with a hypersensitivity reaction and tinea pedis. She wore about 2 weeks ago her mother’s shoes without socks and her mother has history of Tinea Pedis. She has tried lotrimin AF cream for itching and it did not help relief her symptoms. She has not tried other remedies. Denies associated symptoms of fever, chills, pain or any other symptoms. PMH: Diabetes Mellitus, type 2. Peripheral Vascular disease. Varicose Veins. Surgeries: None Allergies : Penicillin Vaccination History: She receives an annual flu shot. Last flu shot was this year Social history: High school graduate, married and no children. He drinks one 4-ounce glass of red wine daily. He is a former smoker that stopped 3 years ago. Family history: Both parents are alive. Father has history of DM type 2, Tinea Pedis. mother alive and has history of atopic dermatitis, tinea corporis and tinea pedis. ROS: Constitutional: Negative for fever. Negative for chills. Respiratory: No Shortness of breath. No Orthopnea Cardiovascular: + 1 pitting leg edema. + Varicose veins. Skin: + rash crusted white in feet and inter-digit in feet. Psychiatric: No anxiety. No depression. Physical examination: Vital Signs Height: 5 feet 5 inches Weight: 140 pounds BMI: 31 obesity, BP 130/70 T 98.0 po P 88 R 22, non-labored HEENT : Normocephalic/Atraumatic, Bilateral cataracts; PERRL, EOMI; No teeth loss seen. Gums no redness. NECK : Neck supple, no palpable masses, no lymphadenopathy, no thyroid enlargement. LUNGS : No Crackles. Lungs clear bilaterally. Equal breath sounds. Symmetrical respiration. No respiratory distress. HEART : Normal S1 with S2 during expiration. Pulses are 2+ in upper extremities. 1+ pitting edema ankle bilaterally. ABDOMEN : No abdominal distention. Nontender. Bowel sounds + x 4 quadrants. No organomegaly. Normal contour; No palpable masses. GENITOURINARY : No CVA tenderness bilaterally. GU exam deferred. MUSCULOSKELETAL : Slow gait but steady. No Kyphosis. SKIN: +Dryness, No open lesions. +Dry crusts in sole of feet. + moist crust in between toes. PSYCH : Normal affect. Cooperative. Labs :: Hgb 13.2, Hct 38%, K+ 4.0, Na+137, Cholesterol 225, Triglycerides 187, HDL 37, LDL 190, TSH 3.7, glucose 98 A: Primary Diagnosis: Tinea Pedis Secondary Diagnoses: Atopic Dermatitis Xerosis Pruritus Differential Diagnosis: Peripheral Vascular Disease (PVD) (173.9) P: Medications: Tylenol 650 mg PO Q4 hours as needed for arthritis pain Labs: CBC with diff to evaluate for infection and baseline lab. CMP, PT/INR to evaluate status of liver and kidneys. Referrals : may refer based on effect of medication therapy given for 2 weeks. Follow up : return to office in 2 weeks to evaluate her symptoms. Additional lab results: Fungal culture confirm that she has fungal infection. Question: As an NP student, needs to determine the medications for Tinea Pedis. According to the ACC/AHA Guidelines, what antifungal medication should this patient be prescribed? Write her complete prescriptions using the prescription writing format. Write her complete prescriptions using the prescription writing format and SOAP (subjective, objective, assesment, plan) format. Next to the chosen medication therapy, please choose references to support your treatment choice of medication or lab for baseline and follow up of therapy ordered. Specify when to refer the patient after therapy and why ? Choose a medication to treat the patient’s condition of tinea pedis that would not exacerbate other patient’s symptoms. You may order labs for baseline before start of therapy and specify which labs.

Nursing Assignment Help 2025