Category: Nursing

Overview of an Episodic Exam
Question
How do acute cases differ from chronic cases in primary care?
Assignment Requirements
As this assignment is a Journal entry and not a formal paper, it may at times be difficult to follow the organization, style, and formatting of the APA 7th Edition Manual. Despite this, your Journal assignment should:
clearly establish and maintain the viewpoint and purpose of the assignment;
follow the conventions of Standard English(correct grammar, punctuation, etc.);
be well ordered,logical, and unified, as well as original and insightful;
display superior content, organization, style, and mechanics; and
use APA 7th editionformat for crediting sources.

To complete this Assignment, you will choose a case study for a patient population for special consideration during prescribing practices. You will consider the specific patient and determine the appropriate medication to prescribe, based on the patient specifics and medication attributes in various case studies. You will construct a 4- to 5-page paper in which you determine the medication, the dosing, necessary patient education, and potential side effects. You will also indicate why the other medications would not be appropriate, as well as any necessary labs or diagnostics that might be needed. You will develop a plan to enhance medication adherence for the nonadherent patient.
Construct a paper concerning the vulnerable population patient case that mosts interests you. In your paper include the following:
Determine which medication would be most appropriate to prescribe from the assigned vulnerable population patient case medication choices.
Explain your rationale for choosing this medication. Explain why the other medications listed are not appropriate for this patient.
Explain the dosing schedule for the specific patient including the therapeutic endpoint.
Provide necessary education to the patient to review risks, benefits, and potential side effects of the medication.
Describe any necessary labs or additional diagnostics needed prior to prescribing this medication.
Explain how you might monitor efficacy or side effects of the medication.
Include any additional collaboration or education to others that would be necessary for this patient. Consider family members, home health care, primary care providers, etc.
What would you need to include in your assessment for a patient who may become nonadherent with your prescribing plan for your scenario? What are alternative treatment solutions based upon how you assessed? Describe your new treatment plan.
Special Considerations for Patient Population Cases:
Patient 1: 82-year-old male presenting with cognitive decline. He had always been a very active individual. Over the past year, he has become less active in the community. Previously, he played cribbage weekly with friends at the local senior center but has been struggling with the math involved with the game and no longer attends the weekly card game. He had also volunteered as a crossing guard for the local public school. He quit doing that after he took the wrong turn to get home and drove around the town feeling lost. He acknowledges he is “sensitive” to this and can be irritable towards his children when they bring up these concerns. He was diagnosed with mild neurocognitive disorder after completing neuropsychological testing. Of the following medications, which would be the most appropriate to prescribe? Explain why you chose this medication. What would be the dosing schedule for this patient? Provide education to the patient and review risks, benefits, and potential side effects of the medication. In addition, explain why the other medications listed are not appropriate for this patient. Med List: lorazepam, olanzapine, memantine
Patient 2: 76-year-old female who recently moved from her home to an assisted living. After 1 week of moving in, she has become extremely confused. Staff have attempted to re-orient her, and she struggles to focus on what they are saying. She is only oriented to self. She has become very agitated and has even thrown breakable objects in her room. Her family is concerned stating she is “out of it.” The PCP ordered labs and UA. Labs are unremarkable outside of mild leukocytosis and positive dipstick analysis for nitrite and red blood cells. Med List: valproate, alprazolam, trimethoprim
Patient 3: A 33-year-old female that is 6 weeks postpartum. She presents with depressed mood, sadness, easily emotional, difficulties with sleep even when the infant is sleeping. She has lost weight and has a poor appetite. You note psychomotor retardation. She has limited interests in hobbies or bonding with the infant. Her partner is concerned and reports she is typically active and “bubbly” and enjoys the outdoors. She is diagnosed with major depressive disorder, with postpartum onset. She denies suicidal ideation, homicidal ideation, or infanticidal ideation. No psychotic symptoms are present. She is nursing the infant and wants to continue this hoping it will assist with bonding with the infant. Med List: lithium, paroxetine, sertraline
Patient 4: 10-year-old male who comes in with his father. He has been diagnosed with generalized anxiety disorder. He has constant worries that he cannot control. He feels nervous and tense. He is easily irritable. He struggles to settle down or relax. He is also quite fidgety and restless. He and his father are interested in medications to manage these symptoms. Med List: quetiapine, duloxetine, fluoxetine
Patient 5: 27-year-old male with a diagnosis of schizophrenia. He has been hospitalized three (3) times in the past 1 year due to symptoms. When symptomatic, he becomes disorganized and paranoid. He will respond to auditory hallucinations. He will scream out at night after seeing a shadow in his room. He has delusions that the CIA is poisoning food and will not eat for multiple days. He has unintentionally hurt his mother after “slapping” food out of her hand, as he did not want her to ingest the “poisoned food.” Symptoms are treated very well with paliperidone, but he struggles to remember to take it. Med List: paliperidone palmitate, clozapine, lamotrigine.
To Prepare:
Review the Learning Resources.
Carefully review your assigned vulnerable population patient.
Carefully review the medication list to determine the best medication to prescribe.
Consider the implications, impact, advantages, and disadvantages of the listed medications.
The Assignment (4–5 pages)
Construct a paper concerning your assigned vulnerable population patient case. In your paper include the following:Determine which medication would be most appropriate to prescribe from the assigned vulnerable population patient case medication choices.
Explain your rationale for choosing this medication. Explain why the other medications listed are not appropriate for this patient.
Explain the dosing schedule for the specific patient including the therapeutic endpoint.
Provide necessary education to the patient to review risks, benefits, and potential side effects of the medication.
Describe any necessary labs or additional diagnostics needed prior to prescribing this medication.
Explain how you might monitor efficacy or side effects of the medication.
Include any additional collaboration or education to others that would be necessary for this patient. Consider family members, home health care, primary care providers, etc.
What would you need to include in your assessment for a patient who may become nonadherent with your prescribing plan for your scenario? What are alternative treatment solutions based upon how you assessed? Describe your new treatment plan.
This Assignment requires a minimum of five (5) peer-reviewed, evidence-based scholarly references outside of course resources. Note: You will need to include the APA style formatting. Reminder: The College of Nursing requires that all papers submitted include a title page, introduction, summary, and references.

Read the following article from the Chamberlain library and address the questions below.
Sacks, & Peca, E. (2020). Confronting the culture of care: A call to end disrespect, discrimination, and detainment of women and newborns in health facilities everywhereLinks to an external site.. BMC Pregnancy and Childbirth, 20(1), 249–249. https://doi.org/10.1186/

Combine steps 1-3 of your EBP mini-proposal and make a Power Point for presentation.
Click on the link for assignment details and to complete the Week 5 Assignment.

Why are nurse managed healthcare programs and organizations important for the economics of addressing the healthcare needs of vulnerable populations?

This assignment aims to bring greater awareness to health inequities/health disparities in our community and our country so that we can provide the best care and advocate for our patients.
The term health inequality generically refers to differences in the health of individuals or groups. Any measurable aspect of health that varies across individuals or according to socially relevant groupings can be called a health inequality. Absent from the definition of health inequality is any moral judgment on whether observed differences are fair or just. In contrast, a health inequity, or health disparity, is a specific type of health inequality that denotes an unjust difference in health. By one common definition, when health differences are preventable and unnecessary, allowing them to persist is unjust. In this sense, health inequities are systematic differences in health that could be avoided by reasonable means. In general, social group differences in health, such as those based on race or religion, are considered health inequities because they reflect an unfair distribution of health risks and resources. The key distinction between the terms inequality and inequity is that the former is simply a dimensional descriiption employed whenever quantities are unequal, while the latter requires passing a moral judgment that the inequality is wrong. The term health inequality can describe racial/ethnic disparities in US infant mortality rates, which are nearly three times higher for non-Hispanic blacks versus whites, as well as the fact that people in their 20s enjoy better health than those in their 60s. Of these two examples, only the difference in infant mortality would also be considered a health inequity. Health differences between those in their 20s versus 60s can be considered health inequalities but not health inequities. Health differences based on age are largely unavoidable, and it is difficult to argue that the health differences between younger and older people are unjust, since older people were once younger people and younger people, with some luck, will someday become old. (Arcaya et al., 2015)
References:
Arcaya, M. C., Arcaya, A. L., & Subramanian, S. V. (2015). Inequalities in health: Definitions, concepts, and theories. Global Health Action, 8(1), 27106. https://doi.org/10.3402/gha.v8.27106
We, as nurses, are charged with providing excellent nursing care, including delivering culturally competent care to diverse populations and advocating for those under our care. To provide culturally competent care, we must be aware of health equity and its meaning.
In this assignment, first reflect on your previous experiences, your clinical experience, your own personal experiences, process recordings, reflections, simulations, and group presentations. You may have seen areas that made you aware of health disparity or cultural norms that differed from yours. This can help guide you to determine what diverse group to write about.
Using appropriate references, you will illustrate and support why the diverse group has health inequity. Consider what the group is facing and how that could create a lack of fairness or justice.
Using personal experiences, real-life examples, facts, and theories to show how the inequity is related to healthcare. What examples have you seen in clinical to support this? What does the literature say? What has occurred in your own life and what have you observed that gives you a passion to advocate for individuals, families, groups, communities, and populations?
Next, determine what practices/resources or interventions are currently available to help decrease the health inequity. Be specific in your findings.
Reflect upon what interventions are not available and are needed for this diverse group. What could be done that isn’t being done to help lessen the inequity? How do you plan to implement this into your practice to help decrease the inequity?
This is a professional paper and you must also submit to digication.
It may be reviewed as part of the college evaluation of learning.
Your paper should be 1200 to 1500 words with a minimum of three references to support your topic using APA formatting.
The paper should be well organized and your points well supported through an introduction, body, and conclusion.
Utilize the grading rubric to guide your paper and ensure all sections are answered.
TOPIC-Healthcare disparities related to racism. Research the health disparities experienced by this group. What is the impact on their health and level of wellness? What are the Barriers and challenges of access and to the provision of healthcare? Strategies to improve. What can you as a nurse implement to help improve care and ultimately wellness in this group?

Despite the fact that we live in the 21st century, an appalling number of women and children die worldwide every day. In some countries, a woman dies from childbirth or a childbirth complication every minute. The World Health Organization has developed Millennial Goals, one of which was to improve maternal child outcomes.
What do you see as the major issues in international midwifery?
What should be broad and specific priorities for maternal-child health in developing countries?
What can we do here in the U.S. as nurse-midwives to support those priorities?
One of the largest issues in international midwifery is the lack of skilled and educated midwives. When examining the educational requirements of midwives worldwide, It’s shocking how little education is needed in most countries. In fact, worldwide the minimum educational requirement in 82% of countries to begin training as a midwife is simply a high school diploma, which is terrifying knowing what I know as a labor nurse and what can potentially go wrong if proper training isn’t available. Furthermore, less than half of the countries worldwide even have legislation that recognizes a midwife as profession, meaning they don’t have the governing body to ensure that minimum training and education requirements are met for those entering the profession. Finally, the average number of births a midwife must complete supervised by a preceptor throughout the world is only 33 (Castro Lopes et al., 2016). Again, as a labor and delivery nurse, that’s terrifying, especially knowing that one may not even experience something such as a shoulder dystocia in that few of births.

One of the most important broad priorities for improving maternal-child health in developing countries is education. In referring back to my example regarding a shoulder dystocia, through proper education and exposure to obstetric emergencies such as a shoulder dystocia, a midwife in training can learn and practice maneuvers such as McRobert’s, suprapubic pressure and more in order to help alleviate the impacted shoulder. As US nurse-midwives we have the opportunity to obtain an excellent education and be certified through a governing body such as the ACNM. With this education we are able to impact those in developing countries through educational outreach. For example, The Peace Corps has sent nurse-midwives to sub-Saharan African in order to educate local direct entry midwives there (n.d. Midwife.org).

When considering specific priorities when discussing international maternal-child health, immunizations for both mothers and children is hugely important. For example, the child to a mother infected with Rubella during pregnancy can develop congenital rubella syndrome (CRS) which can cause cataracts, deafness, heart disease and many other permanent afflictions (Cutts et al., 1997). The CDC reports that just one dose of the Measles, Mumps and Rubella vaccine (MMR) is 97% effective against rubella (Measles, mumps, and rubella (MMR) vaccination 2021). If we are able to educate developing worlds on the importance of vaccine compliance and ensure that they have vaccinations available to protect their population from preventable diseases.

Hi please find attached order. Also, I have included Rubrics grading so please consider it when writing the paper. Thank you for your help and pls let me know if need any other questions. Thank you’re for your help

Formal letter. Double space exactly 2 pages. Instructions attached.
Sample of format attached
Based on Health policy issue and policy brief (papers attached)
No citations

I will attach the grading rubric and a brief paragraph about the mock trial case. Answer the questions to the best of your ability and I will fill in the gaps. If you have any questions, please reach out to me.