• Select a complex case study to focus on for this discussion (below).
• Consider how you will practice critical decision making for prescribing appropriate drugs and treatment to address the complex patient health needs in the patient case study you selected.
• You will pick 1 case to discuss for your initial post during week 9. Then complete 2 response posts during week 10; be sure to discuss both cases.

Post a description of your patient’s health needs from the patient case study you selected. Be specific. Then, explain the type of treatment regimen you would recommend for treating your patient, including specific medications. Be sure to justify your response. Explain a patient education strategy you might recommend for assisting your patient with the management of their health needs. Be specific and provide examples.

You must make at least a reference to course materials and two outside sources in your initial posting (At least 3 sources for initial posts). You will respond to your colleagues’ posts in Week 10.

 

CASE STUDY 2

A 46-year-old, 230lb woman with a family history of breast cancer. She is up to date on yearly mammograms.  She has a history of HTN. She complains of hot flushing, night sweats, and genitourinary symptoms.  She had felt well until 1 month ago and she presented to her gynecologist for her annual gyn examination and to discuss her symptoms.  She has a history of ASCUS about 5 years ago on her pap, other than that, Pap smears have been normal. Home medications are Norvasc 10mg qd and HCTZ 25mg qd. Her BP today is 150/90.  She has regular monthly menstrual cycles. Her LMP was 1 month ago.

 

APA Format

 1) Minimum 5  full pages (No word count per page)- Follow the 3 x 3 rule: minimum three paragraphs per page

2)¨******APA norms

         All paragraphs must be narrative and cited in the text- each paragraph

         Bulleted responses are not accepted

         Don’t write in the first person 

         Don’t copy and paste the questions.

         Answer the question objectively, do not make introductions to your answers, answer it when you start the paragraph

3)****************************** It will be verified by Turnitin (Identify the percentage of exact match of writing with any other resource on the internet and academic sources, including universities and data banks) 

********************************It will be verified by SafeAssign (Identify the percentage of similarity of writing with any other resource on the internet and academic sources, including universities and data banks)

4) Minimum 6  references (APA format) per part not older than 5 years  (Journals, books) (No websites)

All references must be consistent with the topic-purpose-focus of the parts. Different references are not allowed.

5) Identify your answer with the numbers, according to the question. Start your answer on the same line, not the next

Example:

Q 1. Nursing is XXXXX

Q 2. Health is XXXX

__________________________________________________________________________________

Topic:  Margaret Newman’s Theory of Health

1.  Introduction ( 1/2 page)

a. Identification of theorist 

b. Make a brief background of the theorist (accomplishments, career, accolades, research efforts) 

2.  Analysis of basic components/concepts and major relationships in the theory. (1 page)

3. Discuss the theory’s core concepts  and their apply in nursing today (1 /2 page)

4.  Relevance to healthcare and the client discussed. Also, (1/2 page)

a. Connect the theory to healthcare today 

5. Application to research and/or practice provided. Also, (1 page)

a. Connect the theory to current research/practice

6. Describe two peer-reviewed/research articles that detail the nursing theory being applied in clinical practice/research. Also, (1 page)

a. Summarize key findings of both articles

b. Summarize results 

c. Summarize implications for future practice. 

 

7.  Summary: Include theory strengths and limitation in the summary  ( 1/2 page)

 

Directions*** week 9 and 10 are separate assignments and each need their own reference list. At least 2 references requires for each week. APA format. No certain page requirement as long as it covers the topics

 

Week 9 Journal

 

An advance directive is a legal document that defines a patient’s wishes for medical care. This document is a way for patients to share their wishes with family members and health care providers when their illness or mental capacity prevents them from making decisions. As an advanced practice nurse who has care discussions with patients and their families, you need to not only be familiar with the process of completing an advance directive, but also understand how this document might impact your role in patient care and treatment.

 

Journal Entry Part 1

 

For the first part of your journal entry, reflect on the Five Wishes presented on the Five Wishes website and PDF and complete your Five Wishes. Explain your state’s requirements for advance directives, including whether your Five Wishes can be turned into a formal document. (**I will message you the state i live in) Then, explain how your experience of completing your Five Wishes advance directive will help you guide discussions with patients and their families. Finally, explain how you might apply the Five Wishes advance directives to your nursing practice. Include how this advance directive might benefit patients in decision making for specialized areas of care.

 

** Five wishes reference https://class.waldenu.edu/bbcswebdav/institution/USW1/201750_27/MS_NURS/NURS_6540/readings/USW1_NURS_6540_fiveWishSample_Week%209.pdf

 

 

 

Journal Entry Part 2

 

For the second part of your journal entry, reflect on geriatric patients from your practicum site with disorders related to specialized areas of care, such as oncology, nephrology, urology, gynecology, and neurology. Describe a case of a frail elder patient who must make decisions related to specialized areas of care. Then, explain potential patient outcomes and include whether treatments would be beneficial and how they would impact the patient’s quality of life. Finally, describe the patient’s wishes in terms of treatments and interventions for the disorder (Was there an advanced directive?) and how the patient might want to spend any remaining time. Include how environmental factors, such as family, caregivers, ethnicity, culture, religion, and/or personal values, might impact decision making for treatments and interventions. If you did not have an opportunity to evaluate a patient with this background during the last 9 weeks, you can select a related case study or reflect on previous clinical experiences.

 

 

 

Week 10 Journal

 

Elder abuse is any intentional or negligent behavior that results in physical, sexual, emotional, pharmacological, and/or financial abuse. Unfortunately, abuse is sometimes difficult to identify, and elders are often hesitant or unable to report abuse themselves (Administration on Aging, n.d.). This makes it important for health care providers to regularly monitor for signs of abuse and react according to local and state laws.

 

Journal Entry Part 1

 

For the first part of your journal entry, select and describe one of the following types of elder abuse: physical, sexual, mental/emotional/verbal, pharmacological, or financial. Explain strategies for identifying this abuse. Then, explain how you would proceed based on your local and state laws once you have identified this abuse in a patient. Describe resources in your community that assist victims of this type of abuse and explain how you, as the advanced practice nurse, might apply these resources for abused elders who are identified in the clinical setting.

 

Journal Entry Part 2

 

For the second part of your journal entry, reflect on the different cultures—ethnic, religious, regional, or generational—of the elder patient population at your practicum site. Describe the cultures you have observed and explain the influence of these cultures on the prevalence and detection of elder abuse. Then, explain how culture might impact the way you would implement resources for preventing or addressing abuse.

 

 

 

 

 

all information must be acurate and verifiable or all money must be refunded. 

aLL INFO YOU PROVIDE WILL BE CHECKED FOR ACURACY USING ANY OF THE POPULAR PUBLISHED DRUG GUIDE;TEXTBOOKS AND IF NOT ACCURATE, YOU MUST REFUND ALL MONEY PAID. IF YOU DON’T AGREE THEN PLEASE DON’T RESPOND.

Template is provided here. 

due date is provided here.

 

Answer all 20 questions and send them back to me- must make sure ALL answers are correct and get it back to me in the next 3 hours

 

1.   Modifier -78 indicates a/an

2.   Modifier -92 indicates a/an          3.   An unrelated procedure in the postoperative period is indicated with modifier          4.   Modifier -33 indicates a          5.   A surgical procedure named after a person is called a/an          6.   Staged or related procedures are indicated with          7.   Right and left triangles indicate a          8.   Modifier -77 indicates a          9.   Modifier -59 indicates a/an _______ procedure.          10.   Appendix E includes a list of        11.   A significant separately identifiable E/M service is indicated with a/an          12.   Dr. Brown stops a surgical procedure due to the patient’s reaction to anesthesia. What modifier code is appended to the CPT code?          13.   Vascular families can be found in Appendix          14.   What function does the times symbol (×) indicate?          15.   The modifier for the assistant surgeon is          16.   Codes 22305–22325 demonstrate an example of a/an        17.   Modifier -54 indicates        18.   When general anesthesia is administered in lieu of local or regional anesthesia, the coder would assign        19.   The triangle symbol in CPT indicates a        20.   The codes that are widely used for services and procedures are found in Category