Assignment #2: Promoting Medication Safety (Create a Pill Reminder Card) (individual activity) 

●     Background:  Maya Steele, a client from the virtual experience, has multiple chronic health issues and has recently returned to her home. During the home visit, the community health/public health nurse observed that Maya is high risk for making a medication error. Maya had a difficult time telling the nurse what each of her medications was for, and was unsure about the timing of some of the medications. As the nurse, you decide to create a customized “pill reminder card” to help Maya keep track of her medications and to address any potential low health literacy concerns and her concerns about her somewhat decreased vision.

○     Maya’s chronic medical issues include: hypertension, hyperlipidemia, Type II Diabetes Mellitus, gastroesophageal reflux disease (GERD), osteoporosis, allergic rhinitis, open-angle glaucoma, mild anxiety.

○     Maya’s Medications:

■     Atenolol 100mg tab; one p.o. daily

■     Hydrochlorothiazide 25mg tab; one and a half tabs p.o. daily

■     Atorvastatin 40mg tab; one p.o. daily

■     Metformin 500mg tab; one p.o.  twice daily with food

■     Lansoprazole 30mg capsule; one p.o. daily

■     Clonazepam 1mg tablet; ½-1 tablet p.o. twice daily as needed for anxiety

■     Timolol 0.5% ophthalmic solution; 1 gtt each eye BID

■     Fluticasone nasal spray; one spray in each nostril BID

■     Alendronate 70mg tab; one p.o. once per week; 30 minutes before first food/other meds; remain upright x 30 minutes

●     Instructions:

○     Students should create a customized, electronic document that will serve as a Pill Reminder Card for Maya.

○     Students should include the name of each medicine, the dose, important information in easy to understand terms (recalling Maya’s low health literacy), use easily understandable graphics/clip art for time of day such as morning or bedtime, include a picture of the pill/product such as shape/size, and pictures that help Maya remember what the pill is for (such as an eye for the glaucoma medication). Students should use actual medication pictures in the document and select clip art that is appropriate. Neatness and clarity of the Pill Reminder Card is essential.

■     An example of a pill card can be accessed via “How to Create a Pill Card” at https://www.ahrq.gov/patients-consumers/diagnosis-treatment/treatments/pillcard/index.html#Creating

■     It’s recommended that the student conduct an Internet search to find a website that presents actual pill images (such as WebMD’s Pill Identification Tool: http://www.webmd.com/pill-identification/default.htm). The student will need to copy/save the image and potentially resize it so that it fits in the pill reminder card. 

○     Students should upload the Pill Reminder Card (electronic version) to the DROP BOX.

■     Note: The drawing tools in MS Word are sufficient to complete this assignment; purchase of drawing software is not required.

This is a Collaborative Learning Community (CLC) assignment.

As a group, identify a research or evidence-based article published within the last 5 years that focuses comprehensively on a specific intervention or new treatment tool for the management of diabetes in adults or children. The article must be relevant to nursing practice.

Create a 10-15 slide PowerPoint presentation on the study’s findings and how they can be used by nurses as an intervention. Include speaker notes for each slide and additional slides for the title page and references.

Include the following:

1. Describe the intervention or treatment tool and the specific patient population used in the study.
2. Summarize the main idea of the research findings for a specific patient population. The research presented must include clinical findings that are current, thorough, and relevant to diabetes and nursing practice.
3. Provide a descriptive and reflective discussion of how the new tool or intervention can be integrated into nursing practice. Provide evidence to support your discussion.
4. Explain why psychological, cultural, and spiritual aspects are important to consider for a patient who has been diagnosed with diabetes. Describe how support can be offered in these respective areas as part of a plan of care for the patient. Provide examples.

You are required to cite to a minimum of two sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and relevant to nursing practice.

While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center. 

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. 

You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance. 

  

As an advanced practice nurse, you will run into situations where a patient’s wishes about his or her health conflict with evidence, your own experience, or a family’s wishes. This may create an ethical dilemma. What do you do when these situations occur?

In this Lab Assignment, you will explore evidence-based practice guidelines and ethical considerations for specific scenarios.

To Prepare

Review the scenarios provided by your instructor for this week’s Assignment. Please see the “Course Announcements” section of the classroom for your scenarios.

· Based on the scenarios provided:

o Select one scenario, and reflect on the material presented throughout this course.

o What necessary information would need to be obtained about the patient through health assessments and diagnostic tests?

o Consider how you would respond as an advanced practice nurse. Review evidence-based practice guidelines and ethical considerations applicable to the scenarios you selected.

The Lab Assignment

Write a detailed one-page narrative (not a formal paper) explaining the health assessment information required for a diagnosis of your selected patient (include the scenario number). Explain how you would respond to the scenario as an advanced practice nurse using evidence-based practice guidelines and applying ethical considerations. Justify your response using at least three different references from current evidence-based literature.

scenarios

A single mother has accompanied her two daughters, aged 15 and 13, to a women’s health clinic and has requested that the girls receive a pelvic examination and be put on birth control. The girls have consented to the exam but seem unsettled. 

The Lab Assignment

Write a detailed one-page narrative (not a formal paper) explaining the health assessment information required for a diagnosis of your selected patient (include the scenario number). Explain how you would respond to the scenario as an advanced practice nurse using evidence-based practice guidelines and applying ethical considerations. Justify your response using at least three different references from current evidence-based literature.

 Robert is a 68-year-old who has dealt with alcoholism for over 30 years. He has cirrhosis and is anemic. His appetite has declined, and he regularly complains of abdominal pain. Recently, while preparing himself a sandwich, he cut his finger deeply with a knife. The wound bled profusely, and he used a kitchen towel to stop the flow. Refusing to go and seek medical assistance, he put ice on his finger and wrapped the towel around it. He sat down in his recliner with his hand over his head and fell asleep. 

 

1. Anemia and clotting disorders are common features of alcoholic liver disease. What are the mechanisms that cause these hematologic disorders?
2. What gastrointestinal bleed is associated with a high mortality rate in those with advanced cirrhosis? What is the pathophysiology of this condition?
3. Acute pancreatitis is sometimes seen in alcoholics, particularly after binge drinking. Why are tachycardia and hypotension indications of this condition?
4. Why are women more predisposed to alcoholic liver disease than men?

Discussion: Therapy with Older Adults

Clients who are older have often times been dealing with their mental health disorder their entire lives, whiles other disorders may be brought on through the aging process or the trauma of losing a lifelong partner. Treatment can be challenging for both the client and the therapist. For this Discussion, you will focus on therapeutic approaches for an older adult presented in a case study.

Learning Objectives

Students will:

• Assess clients presenting with depression
• Analyze therapeutic approaches for treating clients presenting with depression
• Evaluate outcomes for clients presenting with depression

To prepare:·       

• Download and review the Week 10: Case Study from this week’s Learning Resources. 
• Review this week’s Learning Resources and reflect on the insights they provide.

Note: For this Discussion, you are required to complete your initial post before you will be able to view and respond to your colleagues’ postings. Begin by clicking on the “Post to Discussion Question” link and then select “Create Thread” to complete your initial post. Remember, once you click Submit, you cannot delete or edit your own posts, and cannot post anonymously. Please check your post carefully before clicking Submit!

By Day 3

Post a treatment plan for the older adult client in the Week 10: Case Study found in this week’s Learning Resources. Be sure to address the following in your post:

• Which diagnosis should be considered?
• What is the DSM-V Coding for the diagnosis you are considering?
• What is your rationale for the diagnosis? Be sure and link the client’s signs and symptoms to the DSM-V diagnostic criteria to support your diagnosis.
• What tests or tools should be considered to help identify the correct diagnosis?
• What differential diagnosis should be considered?
• What Treatment Strategy would you recommend?
• What treatment would you prescribe and what is the rationale?
• Safety
• Psychopharmacology
• Diagnostic Tests
• Psychotherapy
• Psychoeducation
• What standard guidelines would you use to treat or assess this patient?
• Clinical Note: Is depression a normal part of aging?

Support your approach with evidence-based literature.