Write a 1-page paper that addresses the following: Directions Below

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 STUDY:

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

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 above of a patient who presents with symptoms of a possible GI/hepatobiliary disorder, and you design an appropriate drug therapy plan.Review the case study above and 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.

 

Instructions

Locating Resources

Locate a minimum of three community or national resources for your illness group chosen in Week 1, preferably in your community. Study these resources and write a report about them in a 4- to 5-page Microsoft Word document. Include in your response all the information the patient should know about them (the specific services they offer, fee schedules, if and when appropriate, criteria for eligibility, and any other important information). Discuss potential advantages and disadvantages for vulnerable populations in seeking these resources.

Support your responses with examples.

On a separate references page, cite all sources using APA format.

• Use this APA Citation Helper as a convenient reference for properly citing resources.
• This handout will provide you the details of formatting your essay using APA style.
• You may create your essay in this APA-formatted template.

Comment 1

Z-tests are used to compare the collected data of a defined population and the sample.  The z-score tells you how far, in standard deviation, a data point is from the mean or average of a data set. A z-test compares a sample to a defined population. Normally, a z-test identifies issues with larger samples that are being studied (n > 30). Z-tests are also useful when testing out a hypothesis. Generally, they are most useful when the standard deviation is known.

T-tests are calculations used to test a hypothesis. However, t-tests are used to determine the statistical difference between two independent sample groups. In other words, a t-test analyzes how likely the difference between two samples occurs due to random chance. Usually, t-tests are most appropriate to use when dealing with problems with a limited or small sample size (n < 30).

One-sample T-tests are used to compare the mean average between the sample and the population studied. The test is also applied compare the difference between the mean of the sample and the mean of the population. Z-tests always use normal distribution and should be used when the standard deviation is known after the data is collected.

Comment 2.

A z-score and a t- score are both used in hypothesis testing. Generally, in elementary stats and AP stats, you’ll use a z-score in testing more often than a t score.

Z-scores are a conversion of individual scores into a standard form. The conversion is based on your knowledge about the population’s standard deviation and mean. A z-score tells you how many standard deviations from the mean your result is. You can use your knowledge of normal distributions (like the 68 95 and 99.7 rule) or the z-table to determine what percentage of the population will fall below or above your result.  Like z-scores, t-scores are also a conversion of individual scores into a standard form. However, t-scores are used when you don’t know the population standard deviation.

You use the z-score test if:
Population normal and variance known (for any sample size)

1. Population normal, variance unknown and   n > 30 n>30 (due to CLT)

2. Population binomial,  n p > 10 np>10,   n q >10 nq>10

You use the   t- score test if:
1. Population normal, variance unknown and   n < 30 n<30

2. No knowledge about population or variance and   n < 30 n<30, but sample data looks normal / passes tests etc. so population can be assumed normal.

Organizational  Change and Ethical-Legal Influences in Advanced Practice Nursing Case  Study  (Orig Post due Wednesday, Responses due Sunday)

     

You are a family nurse practitioner employed in a busy primary care  office. The providers in the group include one physician and three nurse  practitioners. The back office staff includes eight medical assistants  who assist with patient care as well as filing, answering calls from  patients, processing laboratory results and taking prescription renewal  requests from patients and pharmacies. Stephanie, a medical assistant,  has worked in the practice for 10 years and is very proficient at her  job. She knows almost every patient in the practice, and has an  excellent rapport with all of the providers.

Mrs. Smith was seen today in the office for an annual physical. Her  last appointment was a year ago for the same reason. During this visit,  Mrs. Smith brought an empty bottle of amoxicillin with her and asked if  she could have a refill. You noted the patient’s name on the label, and  the date on the bottle was 1 week ago. You also noted your name printed  on the label as the prescriber. The patient admitted that she called  last week concerned about her cough and spoke to Stephanie. You do not  recall having discussed this patient with Stephanie nor do the other  providers in the practice.

Discussion Question:

What are the potential ethical and legal implications for each of the following practice members?:

• Medical assistant
• Nurse Practitioner
• Medical Director
• Practice

What strategies would you implement to prevent further episodes of potentially illegal behavior?

What leadership qualities would you apply to effect a positive change  in the practice?  Be thinking about the culture of the practice.

Discussion Guiding Principles

The ideas and beliefs underpinning the discussions guide students  through engaging dialogues as they achieve the desired learning  outcomes/competencies associated with their course in a manner that  empowers them to organize, integrate, apply and critically appraise  their knowledge to their selected field of practice. The use of  discussions provides students with opportunities to contribute  level-appropriate knowledge and experience to the topic in a safe,  caring, and fluid environment that models professional and social  interaction. The ebb and flow of a discussion is based upon the  composition of student and faculty interaction in the quest for relevant  scholarship. Participation in the discussion generates opportunities  for students to actively engage in the written ideas of others by  carefully reading, researching, reflecting, and responding to the  contributions of their peers and course faculty. Discussions foster the  development of members into a community of learners as they share ideas  and inquiries, consider perspectives that may be different from their  own, and integrate knowledge from other disciplines.

 

Go to the following website by clicking on the provided link, http://www.countyhealthrankings.org/ , and select a county and a state (this may be the county/state in which you reside, attend school, or plan to live and work). After reviewing the website and the health outcomes in the County Health Rankings for the area, answer the following questions in a few short sentences as part of your discussion.

1. Select one area in need of improvement and list the general statistics pertaining to the specific problem.
2. How does the creation of the community health center program help to address this public health problem and what can you as a nurse practitioner and/or nurse leader do to influence policy innovation to resolve the problem?

The county will be miami dade county, florida 

  all discussion posts must be minimum 250 words, references must be cited in APA format, and must include minimum of 2 scholarly resources published within the past 5-7 years.