Polypharmacy is a common issue that NPs and any prescriber should keep in mind. That is because a common risk factor for polypharmacy is elderly patients. After living for many years, it is common to have multiple comorbidities. Multiple comorbidities represent different treatment which most of the time includes 6 to 7 pills taken daily. Another risk factor for this includes obesity. Obesity rates continue to rise in the US and with that many other diseases. Obese patients usually suffer from cardiovascular, respiratory, gastrointestinal, and neurological problems at the same time (Ersoy & Engin, 2018). All of these combined also lead to them needing multiple drugs to be taken as treatment daily.

            As an NP, it is our duty to make sure we look out for the safety of the public specially when it comes to polypharmacy. One intervention we can apply in our plan of care for patients at risk of polypharmacy is providing education in regard to the side effects and information regarding the drug. Another intervention we can apply is finding medications that can be taken once a day and recommending using a pill dispenser (Dagli & Sharma, 2014). Another intervention that could be applied is eliminating one of the multiple drugs if possible or if the medication is unnecessary. Polypharmacy is an issue for many of our patients that’s why it is our job to manage it and prevent adverse effects from it.

References

Dagli, R. J., & Sharma, A. (2014). Polypharmacy: a global risk factor for elderly people. Journal of international oral health : JIOH, 6(6), i–ii.

Ersoy, S., & Engin, V. S. (2018). Risk factors for polypharmacy in older adults in a primary care setting: a cross-sectional study. Clinical interventions in aging, 13, 2003–2011. doi:10.2147/CIA.S176329

 

Prior to class, and after reading/viewing the module assignment, select one of the following and conduct an assess

 

• Heart and Neck Vessels
• Peripheral Vascular System

You may conduct the assessment on a fellow student, friend, or family member. Remember to secure their permission.

Collect both subjective and objective data using the process described in the textbook.

Then, document your findings and bring them to class.

Your instructor may ask that you submit your documentation. If s

Research the delivery, finance, management, and sustainability methods of the U.S. health care system. Evaluate the effectiveness of one or more of these areas on quality patient care and health outcomes. Propose a potential health care reform solution to improve effectiveness in the area you evaluated and predict the expected effect. Describe the effect of health care reform on the U.S. health care system and its respective stakeholders. Support your post with a peer-reviewed journal article.

 

For this assignment you are required to sit down for a conversation with someone whose religious identity differs from your own (this means that if you identify as Christian, for example, you should find a conversation partner who does not identify as such). The purpose of this exercise is for you to engage with someone else in conversation. That means that you will not only ask questions, but you will hopefully answer questions about your own beliefs, as well.

Review the article for this activity, “Talking About Religion – How to Do It Right” (link in Required Resources), for some guidance on how to engage in conversations about religion before meeting with your partner. You may also wish to share this information with your partner.

In this exercise, you will listen to the ideas of someone who you identify as religiously “other.” You will share your own ideas and report on what you learned. This would include what you learned about your conversation partner’s beliefs, and how those beliefs compare to your own religious upbringing and/or current practice.

The report should give a description of the major topics of discussion and a detailed summary of what you learned. As part of your assignment you should include the following:

• Describe your conversation partner’s beliefs. Some things to consider include the following:
  • What are the material expressions of their tradition (statues, paintings, music, etc.)?
  • Do they see any conflict between the stated beliefs of their tradition and their own beliefs?
  • Based on your partner’s description, which theory of the origin of religions (Week 1) offers the best explanation for their approach to religion?
  • What challenges can your partner identify that their religious tradition faces in the modern world? Do they feel that their tradition is responding positively?
  • Is the tradition focused on belief (orthodoxy) or behavior (orthopraxis)?
  • Apply the 8 elements of religion from Week 1.
• Provide some cultural and historical context for the religious tradition of your conversation partner. (It is important that you do some research before you have your conversation so that you are able to ask informed questions that come from genuine interest.) Make sure you use citations in your discussion of what you learned from your research.
• Compare your partner’s beliefs and practices to your own religious upbringing and/or current practice. This is to be done in the report not as a debate with your partner.
• Conclude with your personal reaction to this experience and any additional questions that came up after your conversation. Be kind!

This is a formal academic paper so pay careful attention to the basics of writing a good English composition.

Writing Requirements (APA format)

• Length: 1000-1200 words (not including title page or references page)
• 1-inch margins
• Double spaced
• 12-point Times New Roman font
• Title page
• References page (minimum of 1 scholarly source)

  

  

Pharmacotherapy for Hematologic Disorders

In the 1970s, the average lifespan for patients diagnosed with sickle cell disease was 14 years. Today, the average lifespan has increased to 50 years and beyond (TriHealth, 2012). The patient prognosis for many other hematologic disorders such as hemophilia and cancer continue to improve as well. This can be attributed to advancements in medical care—specifically drug therapy and treatment. When managing drug therapies for patients, it is essential to continuously examine current treatments and evaluate the impact of patient factors on drug effectiveness. To prepare for your role as an advanced practice nurse, you must become familiar with common drug treatments for various hematologic disorders seen in clinical settings.

To prepare:

· Select one of the following hematologic disorders: anemia, hemophilia, cancer, sickle cell anemia, thalassemia, thrombolytic disorders, or white blood cell disorders. Consider the types of drugs that would be prescribed to patients to treat symptoms associated with this disorder.

· Select one of the following factors: genetics, gender, ethnicity, age, or behavior. Reflect on how this factor might impact the effects of prescribed drugs, as well as any measures you might take to help reduce negative side effects.

With these thoughts in mind:

write Plz include sub heading when writing

· a description of the hematologic disorder you selected including types of drugs that would be prescribed to patients to treat associated symptoms. (I am looking for an explanation at the cellular or molecular level (whenever possible).

· Then, explain how the factor you selected might impact the effects of prescribed drugs, as well as any measures you might take to help reduce negative side effects.

) I am looking for an explanation at the cellular or molecular level (whenever possible).

Points to follow when writing a paper:

Ø Please all bullets points, bold, red and highlighted area must be attended to. 

Ø A clear purpose statement (The purpose of this paper is to…) is required in the introduction of all writings. 

Ø Please review all rubrics.

Ø Check APA format/setting.

Ø Your final paragraph should be a summary of the key points of your paper.

Ø Please personalized where necessary.

In the 1970s, the average lifespan for patients diagnosed with sickle cell disease was 14 years. Today, the average lifespan has increased to 50 years and beyond (TriHealth, 2012). The patient prognosis for many other hematologic disorders such as hemophilia and cancer continue to improve as well. This can be attributed to advancements in medical care—specifically drug therapy and treatment. When managing drug therapies for patients, it is essential to continuously examine current treatments and evaluate the impact of patient factors on drug effectiveness. To prepare for your role as an advanced practice nurse, you must become familiar with common drug treatments for various hematologic disorders seen in clinical settings.

To prepare:

· Select one of the following hematologic disorders: anemia, hemophilia, cancer, sickle cell anemia, thalassemia, thrombolytic disorders, or white blood cell disorders. Consider the types of drugs that would be prescribed to patients to treat symptoms associated with this disorder.

· Select one of the following factors: genetics, gender, ethnicity, age, or behavior. Reflect on how this factor might impact the effects of prescribed drugs, as well as any measures you might take to help reduce negative side effects.

With these thoughts in mind:

write Plz include sub heading when writing

· a description of the hematologic disorder you selected including types of drugs that would be prescribed to patients to treat associated symptoms. (I am looking for an explanation at the cellular or molecular level (whenever possible).

· Then, explain how the factor you selected might impact the effects of prescribed drugs, as well as any measures you might take to help reduce negative side effects.

) I am looking for an explanation at the cellular or molecular level (whenever possible).

Points to follow when writing a paper:

Ø Please all bullets points, bold, red and highlighted area must be attended to. 

Ø A clear purpose statement (The purpose of this paper is to…) is required in the introduction of all writings. 

Ø Please review all rubrics.

Ø Check APA format/setting.

Ø Your final paragraph should be a summary of the key points of your paper.

Ø Please personalized where necessary.