Case Study I A 45-year-old female presents to your clinic today with complaints of back pain and “just not feeling good”.  Regarding her back, she states that her back pain is a chronic condition that she has suffered with for about the last 10 years. She has not suffered any specific injury to her back. She denies weakness of the lower extremities, denies bowel or bladder changes or dysfunction, denies radiation of pain to the lower extremities and no numbness or tingling of the lower extremities. She describes the pain as a constant dull ache and tightness across the low back. She states she started a workout program about 3 weeks, and she is working out with a friend that is a body builder. She states her friend suggested taking Creatine to help build muscle and Coenzyme Q10 as an antioxidant so she started those medications at the same time she began working out. She states she also takes Kava Kava for her anxiety and garlic to help lower her blood pressure. Past medication history includes: Type II diabetes since age 27, High blood pressure, Recurrent DVT’s Her other medications include: Glyburide 3 mg daily with breakfast, Lisinopril 20 mg daily and Coumadin 6 mg daily 1. What are your findings following reviewing this medication list? Explain concerns in detail. 2. Is there additional information you would obtain? If so, please discuss rationale. 3. What are your recommendations for managing this patient’s medications? 4. What are the components for educating the patient? 5. If your plan is to prescribe a medication/s, create a prescription and discuss, what are the important components necessary on the packaging or on the label? Please answer each question concisely. You do not need to write a long paragraph to prove your points. You need to provide a cover page and 1 reference page. Support answers with peer reviewed journals. Articles cannot be older than 5 years. Remember all paragraphs need to be cited properly, and the paper must be written in APA 6th format. A minimum of 3 references are required for this case study.

To Prepare:

• In the Module 4 Discussion, you considered how professional nurses can become involved in policy-making.
• Review the Resources and reflect on the role of professional nurses in policy evaluation.

Post an explanation of at least two opportunities that currently exist for RNs and APRNs to actively participate in policy review. Explain some of the challenges that these opportunities may present and describe how you might overcome these challenges. Finally, recommend two strategies you might make to better advocate for or communicate the existence of these opportunities. Be specific and provide examples. 

Please answer the following Discussion Question.  Please be certain to answer the four questions on this week DQ and to provide a well-developed and complete answer to receive credit.  Also, please ensure to have read the assigned chapters for the current week. 

Case Study, Chapter 5, Evidence-Based Practice

Two professional registered nurses are interested in evidence-based practice and have developed research questions to study.  The nurses discuss what evidence-based practice is all about and are trying to determine if the organizational culture supports nurses who seek out and use research to change long-standing practices that are rooted in tradition rather than science.

1. What is the best explanation of the difference between evidence-based practice and best practices?

2. The two registered nurses review a variety of research studies to answer their proposed research questions. What is the difference in the efficacy of randomized controlled trials, integrative reviews, or meta-analysis with practice-based evidence for continuous process improvement?

3. The registered professional nurses must consider alternative support mechanisms when searching for the best evidence to support their clinical practice. What are possible mechanisms of support for evidence-based practice?

4.  Describe the challenges that exist today for nurses in implementing evidence-based practice?

Chapter 16

A 19-year-old client comes into the clinic to learn his test results. He was exposed to HIV through sexual contact 2 weeks prior and is relieved to learn that his results are negative.

a.            Given what you know about the virus, explain why it is important to have follow-up tests in 3, 6, and 12 months?

b.            While teaching the client, what other assessments would you perform based on his exposure to HIV?

Part 1: Art Creation
Select one of the visual art pieces from Chapters 1-6 or the lessons from Weeks 1-3 to use as a point of inspiration. Create a painting, sculpture, drawing, or work of architecture inspired by your selected art piece.

Part 2: Reflection
Write a reflection about the relationship between your art production and the inspiration piece. Include the following in the reflection paper:

• Introduction
• Inspiration Piece
  • Include image.
  • Record the title, artist, year, and place of origin.
  • Briefly explain the background of the inspiration piece.
• Your Art Piece
  • Include image.
  • Provide a title.
  • Explain the background of your piece.
• Connection
  • Explain the thematic connection between the two pieces.
  • How are they similar and different?
  • Are they the same medium? How does the medium impact what the viewer experiences?
  • How do the formal elements of design compare to one another?

Original Artwork Requirements

• Methods: paint, watercolor, pencil, crayon, marker, collage, clay, metal, or wood (Check with your instructor about other methods you have in mind.)
• No computer-generated pieces

Writing Requirements (APA format)

• Length: 1.5-2 pages (not including title page, references page, or image of artwork)
• 1-inch margins
• Double spaced
• 12-point Times New Roman font
• Title page
• References page (minimum of 1 scholarly source)

Grading
This activity will be graded based on the W3 Art Creation & Reflection Grading Rubric.