PLEASE FOLLOW THE INSTRUCTIONS AS INDICATED BELOW:

1). ZERO (0) PLAGIARISM

2). ATLEAST 5 REFERENCES, NO MORE THAN 5 YEARS

3).  PLEASE SEE THE FOLLOWING ATTACHMENT FOR RUBRIC DETAILS.

4). Please carefully review the grading rubric and focus on the “Excellent” column, and please include each component in the assignment as required. Also, please follow APA writing rules and style. 

5). Please Include the Title page, Introduction, purpose statement, Literature Review, conclusion, and reference page. 

Thank you.  

heart disease remains the No. 1 killer in America; nearly half of all Americans have high blood pressure, high cholesterol, or smoke—some of the leading risk factors for heart disease…

—Murphy et al., 2018

Despite the high mortality rates associated with cardiovascular disorders, improved treatment options do exist that can help address those risk factors that afflict the majority of the population today.  

 

As an advanced practice nurse, it is your responsibility to recommend appropriate treatment options for patients with cardiovascular disorders. To ensure the safety and effectiveness of drug therapy, advanced practice nurses must consider aspects that might influence pharmacokinetic and pharmacodynamic processes such as medical history, other drugs currently prescribed, and individual patient factors.

Reference: Murphy, S. L., Xu, J., Kochanek, K. D., & Arias, E. (2018). Mortality in the United States, 2017. Retrieved from https://www.cdc.gov/nchs/products/databriefs/db328.htm

To Prepare

• Review the Resources for this module and consider the impact of potential pharmacotherapeutics for cardiovascular disorders introduced in the media piece.
• Review the case study assigned by your Instructor for this Assignment.
• Select one of the following factors: genetics, gender, ethnicity, age, or behavior factors.
• Reflect on how the factor you selected might influence the patient’s pharmacokinetic and pharmacodynamic processes.
• Consider how changes in the pharmacokinetic and pharmacodynamic processes might impact the patient’s recommended drug therapy.
• Think about how you might improve the patient’s drug therapy plan based on the pharmacokinetic and pharmacodynamic changes. Reflect on whether you would modify the current drug treatment or provide an alternative treatment option for the patient.

Write a 2- to 3-page paper that addresses the following:

• Explain how the factor you selected might influence the pharmacokinetic and pharmacodynamic processes in the patient from the case study you were assigned.
• Describe how changes in the processes might impact the patient’s recommended drug therapy. Be specific and provide examples.
• Explain how you might improve the patient’s drug therapy plan and explain why you would make these recommended improvements.

   

  After you’ve made changes to the current drug list, you are required to provide a Revised Drug List

 Patient Case:
 

Case Study

Patient AO has a history of obesity and has recently gained 9 pounds. The patient has been diagnosed with hypertension and hyperlipidemia. Drugs currently prescribed include the following:

• Atenolol 12.5 mg daily
• Doxazosin 8 mg daily
• Hydralazine 10 mg qid
• Sertraline 25 mg daily
• Simvastatin 80 mg daily

Provide an explanation for the drug changes to the patient’s current list at

the end of the post:

EXAMPLE of a Revised Drug List.

Drug            10mg   1 tab bid

Drug            20mg    I tab q day.

Drug          No change    

Add Drug      2 mg hs

DC Drug

 Investigate three professional journals and describe the process and criteria they use for selecting work to be published. Describe how you would work to meet this process and criteria. Describe challenges you perceive in getting work published in the journals. Describe three ethical considerations in research and knowledge acquisition and sharing. 

250 words

please use peer reviewed articles

Local senior day program requests your assistance. The program is funded through Medicare, Medicaid, and private pay. Many of the seniors are high functioning and able to actively participate in decision- making. The Medicare Part D program is in effect. The seniors are complaining that they do not understand the plan and how it affects them. Medicare D is new to you also.

• How might you target this specific older adult population?
• What strategies could you use to teach this subject?
• How would you consider issues in the discussions such as polypharmacy?

https://www.medicare.gov/drug-coverage-part-d (Links to an external site.)

Develop a 1 page information sheet or brochure explaining the most current (2021) features and requirements for Medicare Part D for seniors. This must reflect current CMS and Medicare information for 2021. Attach to your discussion post. Make sure to base your handout on principles of learning for adults and take level of health literacy into account.

THIS IS A PROJECT WITH MULTIPLE ASSIGNMENTS!

ALL PARTS MUST BE CORRECT TO RECEIVE FULL CREDIT

I WILL TIP IF THE WORK IS EXCEPTIONAL!!!

DO NOT SUBMIT INCOMPLETE OR INCORRECT WORK. ALL ASSIGNMENTS WILL BE CHECKED

DIRRECTIONS AS FOLLOWED:

Plan for Remote Practicum in Physical Rehabilitation (Choose pediatric or adult)

Hours to be completed through remote projects: 145

APA FORMAT, PROPER CITATIONS, REFERENCE PAGES, ZERO PLAGARISM I WILL CHECK. MUST KEEP DETAILED TIME LOGS OF ALL WORK AND FOLLOW GUIDELINES PEREFECTLY FOR FULL CREDIT

Guidelines:

1. All remote work must relate directly to the APIED process in Recreational Therapy.
2. All remote work must relate directly to the NCTRC Job Analysis and Knowledge areas (https://www.nctrc.org/wp-content/uploads/2019/05/JobAnalysisReport.pdf).
3. Student will keep a detailed time log of how time is spent; ie, 3 hours researching… and must complete 145 hours worth of projects as listed below.

Remote Projects:

1. Research and write Intervention Protocols for the interventions listed below. 

The expectation is that you research the intervention design for the physical rehabilitation population. Your protocol may have to identify/limit the program to specific populations based on your research. The research should be done using the NTL Learning Commons. Please make sure all research is from peer reviewed journals. List all references in APA format. You will then write the protocol based on the research. See attached outline and sample for the Intervention Protocol. Each completed protocol to the level expected will be worth 20 hours.

1. Leisure Education (required)
2. Community Reintegration (required)
3. Social Skills
4. Exercise Group (choose from various types such as yoga, tai chi, aerobics, etc.)
5. Aquatics
6. Stress Management (various types such as diaphragmatic breathing, meditation, guided imagery, etc.)
7. For protocols, as appropriate, create 4 week activity plans/program plans/session plans/scripts, etc. Create these in such a way that a therapist can pick them up and run your program exactly as described. Each 4 week activity plan will be worth 5 hours if completed as expected.
8. Or Create a Resource Guide for online leisure activities, e.g. museum tours, zoo live cams, relaxation sessions, yoga workouts, etc. that are relevant to the population. Describe how they can be used therapeutically with goals/outcomes. Include a description of services and how to access them. Worth 5 hours.

MUST COMPLETE PROPERLY FOR FULL CREDIT. WILL TIP FOR EXCEPTIONAL WORK. 

Discussion Topic  Two  Week  10: 

The Discussion: 

Discuss the costs associated with the increased utilization of health care. Include a discussion of unnecessary care, consumer attitudes, healthcare financing, pharmaceutical usage, and changing population demographics and disease patterns.

• Must address the topic.
• Rationale must be provided.
• May list examples from your own nursing practice.
• 150-word minimum/250-word maximum without the references.
• Minimum of two references (the course textbook must be one of the references) in APA format, must have been published within last 3-5 years.