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 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.

By Day 7 of Week 2

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. Accurate, complete, and aligned examples are provided to support the response. 
• Explain how you might improve the patient’s drug therapy plan and explain why you would make these recommended improvements.

This week’s case study is the following:

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

Review the IOM report, “The Future of Nursing: Leading Change, Advancing Health,” and explore the “Campaign for Action: State Action Coalition” website. In a 1,000-1,250 word paper, discuss the influence the IOM report and state-based action coalitions have had on nursing practice, nursing education, and nursing workforce development, and how they continue to advance the goals for the nursing profession.

Include the following:

1. Describe the work of the Robert Wood Foundation Committee Initiative that led to the IOM report, “Future of Nursing: Leading Change, Advancing Health.”
2. Outline the four “Key Messages” that structure the IOM Report recommendations. Explain how these have transformed or influenced nursing practice, nursing education and training, nursing leadership, and nursing workforce development. Provide examples.
3. Discuss the role of state-based action coalitions. Explain how these coalitions help advance the goals specified in the IOM report, “Future of Nursing: Leading Change, Advancing Health.”
4. Research the initiatives on which your state’s action coalition is working. Summarize two initiatives spearheaded by your state’s action coalition. Discuss the ways these initiatives advance the nursing profession.
5. Describe barriers to advancement that currently exist in your state and explain how nursing advocates in your state overcome these barriers.

You are required to cite to a minimum of three 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.  

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required. 

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. 

PLEASE USE THOSE WEBSITES

Read “The Future of Nursing: Leading Change, Advancing Health,” located on the National Academies of Sciences Engineering Medicine website, as needed to complete your assignment.

URL:https://www.nap.edu/catalog/12956/the-future-of-nursing-leading-change-advancing-health

Read “The Future of Nursing: Leading Change, Advancing Health: Report Recommendations,” located on the National Academies of Sciences Engineering Medicine website.

URL:https://www.nap.edu/read/12956/chapter/2

Explore the Campaign for Action website.

URL:https://campaignforaction.org/our-network/state-action-coalitions/

Reply1

 My topic of choice is “Not speaking up when unethical practices become evident”. One of the strategies I used is typing “not speaking up and unethical practices”. This search yielded specific articles and books that I can use in both the web and West Coast library. In the West Coast library, to further narrow my results, I simply clicked on the filters such as if I want articles or books or if I want it peer-reviewed, which is one of the most important search features because it gives me articles that have been evaluated by members of our profession. This gives articles more credibility. 

Reply2

The topic I chose to discuss is: Exhibiting poor quality in performance and apathy in goal attainment. This sounds like a very interesting topic which I would like to explore more. In the West Coast Library search field, I used Boolean operators and entered “and” as the specific terms so that I am able to decrease results to ensure I narrow down my choices. I searched “Exhibiting poor quality performance and goal attainment”, I could also have used “or “to find alternative terms if needed to increase my choices.  It was more difficult when entering “or”, for this specific topic.  

I will choose a peer reviewed article as these articles are scientific journals and have meaningful research. I am interested in exploring accurate conclusions.

 Compare the physical assessment of a child to that of an adult. In addition to describing the similar/different aspects of the physical assessment, explain how the nurse would offer instruction during the assessment, how communication would be adapted to offer explanations, and what strategies the nurse would use to encourage engagement. 

Using your knowledge of pathophysiology and research, you will need to present a differential of three disorders that could account for your patient’s symptoms. 2 pages APA

Patient Scenario

35-year-old man with a history of anxiety, chronic marijuana use, and chronic back pain. No current medications or other history, but he has been consistently complaining of back pain since joining the Thursday night league volleyball team. Single, lives alone, and works at a fast food restaurant. Heterosexual and consistent use of protection (barrier).

· Offer three differential diagnoses for what might be troubling your patient.

· Provide rationale with citations for each of your differential diagnoses.

· What would be your first course of action for your patient?

· What safety issues, if any, did you recognize for your patient?

· Summarize the scenario and what you chose as your final diagnosis for your patient and why.

· Make sure that you address psychosocial issues/concerns/contributors, along with content related to substance abuse, should this be appropriate.