Instructions: Carefully read, summarize, and appraise your group’s assigned article.  The discussion board for this week should cover the following concepts in order to have a complete draft by the end of the week. As you provide input to your peers, be sure to state a rationale for your claims. 

1. Identify and discuss the broader importance of the topic of the study as it applies to patients and organizations.
2. Discuss the nursing implications of the findings of the research.  Consider the following questions:
   • Were the results statistically significant, if reported?   
   • What is the clinical significance of the findings? 
   • What are the risks vs. benefits to practice of the findings?  
   • Are the findings feasible to implement?

PLEASE FOLLOW THE FOLLOWING INSTRUCTIONS BELOW:

ZERO (0) Plagiarism, 5 References no more than 5 years, follow the APA style/format.

See attached rubric and follow it, please.

Gastrointestinal (GI) and hepatobiliary disorders affect the structure and function of the GI tract. Many of these disorders often have similar symptoms, such as abdominal pain, cramping, constipation, nausea, bloating, and fatigue. Since multiple disorders can be tied to the same symptoms, it is important for advanced practice nurses to carefully evaluate patients and prescribe a treatment that targets the cause rather than the symptom.   

Once the underlying cause is identified, an appropriate drug therapy plan can be recommended based on medical history and individual patient factors. In this Assignment, you examine a case study of a patient who presents with symptoms of a possible GI/hepatobiliary disorder, and you design an appropriate drug therapy plan.

To Prepare

• Review the case study assigned
• Reflect on the patient’s symptoms, medical history, and drugs currently prescribed.
• Think about a possible diagnosis for the patient. Consider whether the patient has a disorder related to the gastrointestinal and hepatobiliary system or whether the symptoms are the result of a disorder from another system or other factors, such as pregnancy, drugs, or a psychological disorder.
• Consider an appropriate drug therapy plan based on the patient’s history, diagnosis, and drugs currently prescribed.

For this week’s assignment.   

To Prepare 

Review the case study:  

Patient HL comes into the clinic with the following symptoms: nausea, vomiting, and diarrhea. The patient has a history of drug abuse and possible Hepatitis C. HL is currently taking the following prescription drugs: 

· Synthroid 100 mcg daily 

· Nifedipine 30 mg daily 

· Prednisone 10 mg daily 

Reflect on the patient’s symptoms, medical history, and drugs currently prescribed. 

Think about a possible diagnosis for the patient. Consider whether the patient has a disorder related to the gastrointestinal and hepatobiliary system or whether the symptoms are the result of a disorder from another system or other factors, such as pregnancy, drugs, or a psychological disorder. 

Consider an appropriate drug therapy plan based on the patient’s history, diagnosis, and drugs currently prescribed. 

Write a 1-page paper that addresses the following: 

· Explain your diagnosis for the patient, including your rationale for the diagnosis. 

· Describe an appropriate drug therapy plan based on the patient’s history, diagnosis, and drugs currently prescribed. 

· Justify why you would recommend this drug therapy plan for this patient. Be specific and provide examples. 

Write a 1-page paper that addresses the following:

• Explain your diagnosis for the patient, including your rationale for the diagnosis.
• Describe an appropriate drug therapy plan based on the patient’s history, diagnosis, and drugs currently prescribed.
• Justify why you would recommend this drug therapy plan for this patient. Be specific and provide examples.

Purpose: The purpose of this assignment is to stimulate thinking about how specific care might be approached using the King Theory of Goal Attainment as a framework for practice.

Instructions:

1. After reading the assigned scenario in the discussion board, identify 1 more problem or potential problem along with interventions to the plan of care for Mr. B. based on those typical for a patient with his medical problems or symptoms and demographics (in other words, you can assume that he may have other problems such as anxiety or pain or may be at risk for other problems). 

2. Develop plan of care and interventions for nursing problem using King’s Theory of Goal Attainment as the basis for practice.

3. Be sure that you include a title page and reference page as appropriate.

Scenario

Mr. B. is a 78-year-old African American, married male who was referred to the home health nurse after his discharge from the local hospital. He has been prescribed a low-sodium diet due to fluid volume over-load secondary to congestive heart failure.

During the initial visit, the nursing assessment focuses on the perceptions of the nurse and the client, communication of the nurse and the client, and interaction of the nurse and the client. The nurse begins by asking Mr. B. questions about his perception of the situation and his conclusions related to the situation. The nurse also asks the same questions of herself. Communication includes the nurse gathering additional information, validating her perceptions of Mr. B., validating the concerns f Mr. B., and establishing mutual trust. Nursing functions during assessment include viewing, recognizing, observing, and measuring; they reveal that Mr. B. consumes a diet high in sodium.

Planning for the care of Mr. B. will involve decisions about goals and agreement as to how to attain goals. These decisions are made by the nurse asking questions such as the following: (1) Which goals will serve Mr. B’s best interest? (2) What are Mr. B.’s goals? (3) Are Mr. B.’s goals and the nurse’s goals for Mr. B, congruent? (4) If the goals are not congruent, what further communication and interaction are needed to achieve congruence? (5) What are the priority goals? (6) What does Mr. B. perceive to be the best way to attain goals? (7) Is Mr. B. willing to work toward attainment of goals? (8) What does the nurse perceive as the best way to attain the goals?

There is agreement that Mr. B. needs to adhere to the prescribed low-sodium diet. To achieve that goal as well as his ultimate goal of not being hospitalized again for fluid retention, Mr. B. will require some additional information related to his dietary restrictions.

The next step of the process results in the occurrence of transactions. During this phase of the process, the nurse and Mr. B. participate in teaching sessions related to his low-sodium diet. The nurse will need to ask questions to evaluate whether she is doing what she and Mr. B. agreed upon as well as questions related to the feasibility of meeting the goals based on the transaction.

The primary aim of the evaluation phase is to assess if the goals set by the nurse and Mr. B. have been attained and, if goals were not attained, then to determine why they were not attained. Throughout this model of transactions process, the nurse continues to assess and intervene to apply the model simultaneously to problems other than the low-sodium diet as indicated by the condition of Mr. B. and current best clinical practices. 

To Prepare:

· Review the steps of the Systems Development Life Cycle (SDLC) and reflect on the scenario presented.

· Consider the benefits and challenges associated with involving a nurse leader on an implementation team for health information technology.

·  

· Assume you are a nurse manager on a unit where a new nursing documentation system is to be implemented. You want to ensure that the system will be usable and acceptable for the nurses impacted. You realize a nurse leader must be on the implementation team.

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The Assignment: (2-3 pages not including the title and reference page)

· Read the assignment instructions and rubric carefully.

· The syllabus does require you to integrate credible, outside and course specific resources to demonstrate critical thinking and lend support to your ideas in your assignments. As a guide, you should integrate 3 or more peer-reviewed sources and 2 or more course resources.

In this assignment, you will develop a 2- to 3-page role description for a graduate-level nurse to guide his/her participation on the implementation team based on the scenario presented in the assignment instructions. The role description should be based on the SDLC stages and tasks. The role should clearly define how this individual will participate in and impact each of the following steps:

· Planning and requirements definition

· Analysis

· Design of the new system

· Implementation

· Post-implementation support

· Use APA format and include a title page and reference page.

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· Use the Safe Assign Drafts to check your match percentage before submitting your work.