Category: Nursing

The assignment will require you to write a 6-8 page paper formatted using APA 7th edition (this does not include the title or references page). Be sure to review the grading rubric and criteria for the assignment carefully and to include all aspects that are required as part of the assignment grade. It should go without saying that NO two papers should look the same, meaning that the choice of implementation strategies, selection of SDM , the patient and population and specific strategies are unique in every paper AND those papers submitted with numerous similarities will be looked at closely and closely reviewed for any evidence of academic. Students these and all paper assignments need to be original with your own ideas and your individual search of sources and literature to support the paper proposal. Remember the paper must be submitted in a Word formatted APA 7th edition format failure to submit or to submit as a PDF will be returned ungraded. Pay attention when submitting the assignment to SafeAssign that the similarity index is not higher or close to 20% per the Syllabus guidelines. Grading rubric and detailed Assignment Outline:

As an advanced practice nurse assisting physicians in the diagnosis and treatment of disorders, it is important to not only understand the impact of disorders on the body, but also the impact of drug treatments on the body. The relationships between drugs and the body can be described by pharmacokinetics and pharmacodynamics.
Pharmacokinetics describes what the body does to the drug through absorption, distribution, metabolism, and excretion, whereas pharmacodynamics describes what the drug does to the body.
When selecting drugs and determining dosages for patients, it is essential to consider individual patient factors that might impact the patient’s pharmacokinetic and pharmacodynamic processes. These patient factors include genetics, gender, ethnicity, age, behavior (i.e., diet, nutrition, smoking, alcohol, illicit drug abuse), and/or pathophysiological changes due to disease.
For this Discussion, you reflect on a case from your past clinical experiences and consider how a patient’s pharmacokinetic and pharmacodynamic processes may alter his or her response to a drug.
RESOURCES
Be sure to review the Learning Resources before completing this activity. Click the weekly resources link to access the resources. WEEKLY RESOURCES
To prepare:
Review the Resources for this module and consider the principles of pharmacokinetics and pharmacodynamics.
Reflect on your experiences, observations, and/or clinical practices from the last 5 years and think about how pharmacokinetic and pharmacodynamic factors altered his or her anticipated response to a drug.
Consider factors that might have influenced the patient’s pharmacokinetic and pharmacodynamic processes, such as genetics (including pharmacogenetics), gender, ethnicity, age, behavior, and/or possible pathophysiological changes due to disease.
Think about a personalized plan of care based on these influencing factors and patient history in your case study.
BY DAY 3 OF WEEK 1
Post a description of the patient case from your experiences, observations, and/or clinical practice from the last 5 years. Then, describe factors that might have influenced pharmacokinetic and pharmacodynamic processes of the patient you identified. Finally, explain details of the personalized plan of care that you would develop based on influencing factors and patient history in your case. Be specific and provide examples.
BY DAY 6 OF WEEK 1
Read a selection of your colleagues’ responses and respond to at least two of your colleagues on two different days by suggesting additional patient factors that might have interfered with the pharmacokinetic and pharmacodynamic processes of the patients they described. In addition, suggest how the personalized plan of care might change if the age of the patient were different and/or if the patient had a comorbid condition, such as renal failure, heart failure, or liver failure.
LEARNING RESOURCES
Required Readings
Rosenthal, L. D., & Burchum, J. R. (2021). Lehne’s pharmacotherapeutics for advanced practice nurses and physician assistants (2nd ed.) St. Louis, MO: Elsevier.Chapter 1, “Prescriptive Authority” (pp. 1–3)
Chapter 2, “Rational Drug Selection and Prescription Writing” (pp. 4–7)
Chapter 3, “Promoting Positive Outcomes of Drug Therapy” (pp. 8–12)
Chapter 4, “Pharmacokinetics, Pharmacodynamics, and Drug Interactions” (pp. 13–33)
Chapter 5, “Adverse Drug Reactions and Medication Errors” (pp. 34–42)
Chapter 6, “Individual Variation in Drug Response” (pp. 43–45)
American Geriatrics Society 2019 Beers Criteria Update Expert Panel. (2019). American Geriatrics Society 2019 updated AGS Beers criteria for potentially inappropriate medication use in older adults. Journal of the American Geriatrics Society Download Journal of the American Geriatrics Society, 67(4), 674–694. doi:10.1111/jgs.15767
American Geriatrics Society 2019 updated AGS Beers criteria for potentially inappropriate medication use in older adults by American Geriatrics Society, in Journal of the American Geriatrics Society, Vol. 67/Issue 4. Copyright 2019 by Blackwell Publishing. Reprinted by permission of Blackwell Publishing via the Copyright Clearance Center.This article is an update to the Beers Criteria, which includes lists of potentially inappropriate medications to be avoided in older adults as well as newly added criteria that lists select drugs that should be avoided or have their dose adjusted based on the individual’s kidney function and select drug-drug interactions documented to be associated with harms in older adults.
Drug Enforcement Administration. (2021). CFR – Code of Federal Regulations Title 21Links to an external site.. https://www.accessdata.fda.gov/scripts/cdrh/cfdocs…
This website outlines the code of federal regulations for prescription drugs.
Drug Enforcement Administration. (n.d.). Mid-level practitioners authorization by stateLinks to an external site.. Retrieved May 13, 2019 from http://www.deadiversion.usdoj.gov/drugreg/praction…
This website outlines the schedules for controlled substances, including prescriptive authority for each schedule.
Institute for Safe Medication Practices. (2017). List of error-prone abbreviations, symbols, and dose designationsLinks to an external site.. Retrieved from https://www.ismp.org/recommendations/error-prone-a…
This website provides a list of prescription-writing abbreviations that might lead to misinterpretation, as well as suggestions for preventing resulting errors.
Sabatino, J. A., Pruchnicki, M. C., Sevin, A. M., Barker, E., Green, C. G., & Porter, K. (2017). Improving prescribing practices: A pharmacist‐led educational intervention for nurse practitioner studentsLinks to an external site.. Journal of the American Association of Nurse Practitioners, 29(5), 248–254. doi:10.1002/2327-6924.12446
The authors of this article assess the impact of a pharmacist‐led educational intervention on family nurse practitioner (FNP) students’ prescribing skills, perception of preparedness to prescribe, and perception of pharmacist as collaborator.

A. Compare public healthcare policies at the federal and state level that affect the provision of patient care and healthcare delivery by doing the following:
1. Describe one federal and one state public healthcare policy that affect the provision of patient care and healthcare delivery.
2. Explain how each policy works (e.g., Is it mandatory? Will enforcement be necessary? Who is responsible for administering the policy?).
3. Discuss each policy’s impact on the population(s) by answering the following questions:
• What populations will benefit?
• How will they benefit?
• What populations will be negatively impacted?
• How will they be impacted?
• Does the policy impact health disparities and health equity?
4. Discuss the evidence that informs each policy, including two scholarly evidence sources published within the last five years to support your discussion.
a. Discuss whether the evidence identified in part A4 supports the chosen policies, including any modifications that should be made to each policy based on the identified evidence.
B. Explain the role of the nurse in policy development and how the nurse could impact the administration of, or the revision of, a policy at both federal and state levels.
1. Reflect on barriers to the nurse’s engagement in each of the following healthcare policy areas:
• development
• administration
• revision
2. Reflect on ways that you will engage with healthcare policy in each of the following areas in your future nursing practice:
• development
• administration
• revision
C. Acknowledge sources, using APA-formatted in-text citations and references, for content that is quoted, paraphrased, or summarized.

Week 1 Discussion: Cellular regulation/inflammation/infection alterations (USLOs 1, 2, 3)
Discussion Overview: Throughout this course, discussions and assignments will focus on various members of the fictional Collins-Kim family. To learn more about the family, go to the interactive family tree diagram and then click on the medical cards for each family member to learn important background information on each member. For this week’s discussion, you will focus on the factors that influence pathology and cellular regulation/inflammation/infection alterations.
Discussion Instructions:
Review the Collins-Kim family background and then thoroughly explain how culture, financial, environmental, and genetic factors can influence this family’s exposure, risk factors, and development of certain disease processes. Support all four with scholarly sources.
Select TWO specific family members and answer the following prompts for each family member selected:
Explain the lifespan considerations for each of the 2 selected family members. Support with a scholarly source.
Explain what cellular regulation/inflammation/infection alterations can you anticipate for each of the 2 selected family members based on what you know about the family. Support with a scholarly source.

In this discussion, you will research a quality and safety issue that relates to Family Nurse Practitioner (FNP). Use the following questions as a guideline to write your initial discussion post. What does the research indicate?
How do you see it impacting FNP?
Do you see it relating to the core competencies for FNP?
Does it promote interprofessional practice (IPP)?
From family nurse practitioner (FNP) how can we improve interprofessional practice (IPP) to deliver the highest level of care?
APA Format, One Page Reference list, No plagiarism, References to be used should be within 5 years.

Create a poster presentation to communicate an implementation plan to bridge the gap between the evidence you will research and clinical practice. You will then record audio of no more than five minutes presenting your poster.
Introduction
Master’s-level nurses need to be able to think critically about the evidence, outcomes data, and other relevant information they encounter throughout their daily practice. Often the evidence or information that a nurse encounters, researches, or studies is not presented in the exact context of that nurse’s practice. A key skill of the master’s-level nurse is to transfer evidence from the context in which it was presented and apply it to a different context in order to maximize the benefit to patients in that new context.
Professional Context
Master’s-level nurses understand the importance of utilizing evidence-based practice in their healthcare setting. The challenge is bridging the gap between the evidence and clinical practice. “This is the way we’ve always done it,” is a common response and may not indicate evidence-based practice is being utilized. Furthermore, when a practice problem is identified, what are the steps to communicate the need for change with the interprofessional team?
One way to communicate the need for quality improvements, as well as your plans for achieving specific changes, is through a presentation poster. This type of communication tool is used both in the workplace and at professional and academic conferences. Being able to convey the essence and value of a project in a compelling and succinct way is a valuable skill, and it is vital within the constraints of a single poster.
Scenario
You have been asked to give a poster presentation based around your work and research on a clinical problem in your practice setting. The purpose is to lay out the evidence and a potential implementation plan to your colleagues in order to bridge the gap between the evidence and the practice to improve the quality and outcomes of care.
Instructions
Identify a clinical problem in your work setting and develop an implementation plan to carry out your evidence-based practice proposal using a poster presentation. You may use the Poster Presentation Template [PPTX] to help structure and organize your assessment submission.
Your Implementation Plan should include the following:
Background on the clinical problem.
PICOT question.
Stakeholders that will be impacted.
Action plan for implementation.
Potential barriers to project implementation.
Baseline data that will be needed to evaluate outcomes.
Search strategy and databases used.
Summary of the evidence with a critical appraisal of its quality.
The bullet points below correspond to the grading criteria in the scoring guide. Be sure that your poster presentation addresses all of them.
Develop a PICOT question for a chosen clinical problem.
Include a graphic that is relevant to the clinical problem.
Provide a background on the clinical problem identified.
Outline an action plan to implement the EBP project that includes:
The recommended practice change.
Proposed timeline for implementation.
The tools or resources that will be needed to support the project.
Identify the stakeholders and potential barriers to project implementation.
Who are the stakeholders that will be impacted?
What are the potential barriers, such as a lack of knowledge, time, skill level, motivation, or resources that could impact project implementation?
Propose outcome criteria to evaluate the evidence-based practice project.
How will outcomes be measured?
How do your outcomes align with the Quadruple Aim?
Evaluate the evidence that supports the need for practice change.
In the notes section of your poster presentation:
Describe your search strategy and databases that were used.
Summarize your findings with a critical appraisal of the quality and relevance of your resources.
Convey purpose of the poster presentation in an appropriate tone and style, incorporating supporting evidence and adhering to organizational, professional, and scholarly communication standards.
Integrates relevant and credible sources of evidence to support assertions, using current APA style.
If you choose not to use the provided template, there are templates in PowerPoint or on the Internet that can help you get a start designing your poster.
Before starting to record your presentation make sure you have:
Set up and tested your microphone and headset using the installation instructions provided by the manufacturer. You only need to use the headset if your audio is not clear or high quality when captured by the microphone.
Practice using the equipment to ensure the audio quality is sufficient.
Consult Using Kaltura for guidance on how to record your presentation and upload it in the courseroom.
Microsoft PowerPoint also allows you to record your narration with your slides. If you choose this option, simply submit your presentation to the appropriate area of the courseroom. Your narration will be included with your stories.
Remember to practice delivering and recording your presentation multiple times to ensure effective delivery.
Submission Requirements
Font and font size: Appropriate size and weight for a presentation, generally 24–28 points for headings; no smaller than 18 points for bullet-point text. Use a suitable professional typeface, such as Times or Arial, throughout the presentation.
Length of presentation: No more than five minutes.
Number of references: Cite a minimum of 3–5 sources of current scholarly or professional evidence that support your evaluation, recommendations, and plans. Current source material is defined as no older than five years unless it is a seminal work.
APA formatting: Resources and citations are formatted according to current APA style.
Competencies Measured
By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and scoring guide criteria:
Competency 1: Apply evidence-based practice to plan patient-centered care.
Outline an action plan to implement the evidence-based practice project that includes the recommendations for practice change, a timeline, and tools or resources needed.
Competency 2: Apply evidence-based practice to design interventions to improve population health.
Identify the stakeholders and potential barriers to project implementation.
Competency 3: Evaluate outcomes of evidence-based interventions.
Develop a PICOT question for a chosen clinical problem.
Propose outcome criteria for evaluating the evidence-based practice project and how the outcomes will be measured.
Competency 4: Evaluate the value and relative weight of available evidence upon which to make a clinical decision.
Evaluate the value and relevance of the evidence that supports the need for a practice change.
Competency 5: Synthesize evidence-based practice and academic research to communicate effective solutions.
Convey purpose of the poster presentation in an appropriate tone and style, incorporating supporting evidence and adhering to organizational, professional, and scholarly communication standards.

Guidelines for Patient Care Study
Course participants are required to select a patient whom he / she has taken care of during the
clinical practicum period and write a patient care study on the patient. It is expected that course
participants will apply their knowledge in surgical nursing to formulate a care plan and applying a problem solving approach.
Suggested format for Patient Care Study
1. Anonymity must be maintained and approval or consent must be obtained if required
2. Cover page with
– Title of the patient care study
– Name of course participant
– Class No. of course participant
3. Table of contents
4. Introduction / Learning Objectives
5. Diagnosis & Applied Physiology
6. Patient’s profile
– Past health history
– Reasons for surgical consultation
7. Nursing assessment
8. Nursing care planning
– Identification of patient’s problems
– setting of goals & expected outcomes
9. Implementation of care (with rationales)
10. Evaluation of care
– evaluate progress towards expected outcomes
– review plans in accordance with evaluation data
11. Related pharmacology and procedures involved
12. Case Summary / Conclusion
14. Recommendation
15. References
Case: Mr Yu, 59 years old

This discussion contains 2 parts:
Part 1: Neurological
List the risk factors for cerebrovascular accidents and why?
What cultures are at higher risk and why?
Describe the 0 to 4+ scale for scoring deep tendon reflexes.
What would you expect to find in a patient with diabetic peripheral neuropathy?
Share any experience you have encountered and elaborate.
Part 2: Genitalia
Identify and explain positions other than the lithotomy in which a pelvic examination can be performed.
Why are women at a higher risk of UTI than males?
What would you educate to decrease the risk of UTI?
Summarize the pros and cons of newborn circumcision.
Describe the following signs on a female examination:
Chadwick
Goodell
Name the characteristics of the following type of hernias:
Indirect inguinal
Direct inguinal

Submission Instructions:
Your initial post should be at least 500 words, formatted and cited in proper current APA style with support from at least 2 academic sources. Your initial post is worth 8 points.
Discussion Rubric
Criteria Ratings Points
Identification of Main Issues, Problems, and Concepts
Distinguished – 5 points
Identify and demonstrate a sophisticated understanding of the issues, problems, and concepts.
Excellent – 4 points
Identifies and demonstrate an accomplished understanding of most of issues, problems, and concepts.
Fair – 2 points
Identifies and demonstrate an acceptable understanding of most of issues, problems, and concepts.
Poor – 1 point
Identifies and demonstrate an unacceptable understanding of most of issues, problems, and concepts.
5 points
Use of Citations, Writing Mechanics and APA Formatting Guidelines
Distinguished – 3 points
Effectively uses the literature and other resources to inform their work. Exceptional use of citations and extended referencing. High level of APA precision and free of grammar and spelling errors.
Excellent – 2 points
Effectively uses the literature and other resources to inform their work. Moderate use of citations and extended referencing. Moderate level of APA precision and free of grammar and spelling errors.
Fair – 1 point
Ineffectively uses the literature and other resources to inform their work. Moderate use of citations and extended referencing. APA style and writing mechanics need more precision and attention to detail.
Poor – 0 points
Ineffectively uses the literature and other resources to inform their work. An unacceptable use of citations and extended referencing. APA style and writing mechanics need serious attention.
3 points
Response to Posts of Peers
Distinguished – 2 points
Student constructively responded to two other posts and either extended, expanded or provided a rebuttal to each.
Fair – 1 point
Student constructively responded to one other post and either extended, expanded or provided a rebuttal.
Poor – 0 points
Student provided no response to a peer’s post.

2 points
Total Points 10

Imagine you are the lead researcher of a team working on a cure for cancer. The research is done and your group has made great progress. In your own words, explain to the rest of the group in 200 words how you plan to implement the results. What are the key steps in implementation and how does this affect the final implementation phase? 3 scholarly apa citations

DC is a 46-year-old female who presents with a 24-hour history of RUQ pain. She states the pain started about 1 hour after a large dinner she had with her family. She has had nausea and an instance of vomiting before presentation.
PMH: Vitals:
HTN Temp: 98.8oF
Type II DM Wt: 202 lbs
Gout Ht: 5’8”
DVT – Caused by oral BCPs BP: 136/82
HR: 82 bpm
Current Medications: Notable Labs:
Lisinopril 10 mg daily WBC: 13,000/mm3
HCTZ 25 mg daily Total bilirubin: 0.8 mg/dL
Allopurinol 100 mg daily Direct bilirubin: 0.6 mg/dL
Multivitamin daily Alk Phos: 100 U/L
AST: 45 U/L
ALT: 30 U/L
Allergies:
Latex
Codeine
Amoxicillin
PE:
Eyes: EOMI
HENT: Normal
GI: Nondistended, minimal tenderness
Skin: Warm and dry
Neuro: Alert and Oriented
Psych: Appropriate mood
-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.