Tag: Health Medical

I’m working on a nursing discussion question and need guidance to help me learn.

A 41-year-old obese male patient is diagnosed with congestive heart failure (CHF). He is told to begin a moderate exercise routine with a healthy diet and is prescribed several medications — including a diuretic.

1. Based on your knowledge of the kidney and the disease of CHF, what factors would be important in selecting a specific diuretic? How would you explain to this patient how it works?
2. If this patient developed a disease that caused the renal blood flow to be diminished, how might this impact the medication he is taking for his congestive heart failure? As his health care provider, how would you change his treatment in this situation?

In a Microsoft Word document of 5-6 pages formatted in APA style, develop the introduction for your project. Please note that the title and reference pages should not be included in the total page count of your paper. Be sure to focus on one (1) disease but three (3) audiences (patient, family and staff development). The introduction should:

• Contain the title of the lesson.
• Identify and describe the learners.
• Describe the educational setting:
  • Staff development
  • Patient education
  • Family education
• Include learner assessments:
  • Educational level
  • Developmental level
  • Readiness to learn, and so forth.
• Provide a purpose and rationale for selecting the topic/disease.
• Describe the philosophical or theoretical basis for teaching approaches used in the lesson.
• Support criteria with relevant examples and journal articles.

On a separate references page, cite all sources using APA format. Helpful APA guides and resources are available in the South University Online Library. Below are guides that are located in the library and can be accessed and downloaded via the South University Online Citation Resources: APA Style page. The American Psychological Association website also provides detailed guidance on formatting, citations, and references at APA Style.

Assignment Content

1. 
   
   This week’s focus is on the nurse leader’s role in this and in similar projects.
   Consider and discuss the nurse leader’s role at each stage of your project. In your introductory paragraph to the paper, summarize the nurse leader’s role in your project in regard to:

   • Defining / identifying / assessing the problem or issue (from Week 1)
   • Determining the scope / frequency of the problem (from Week 2)
   • Providing support for research and the need for the change (from Week 3)
   • And supporting with planning and implementation of the project (from Week 4)

   In separate sections of the paper (organized using APA Level 1 headings), identify the actions that a nurse leader would take with regards to the following:

   • Communication with stakeholders
   • Training
   • Budget
   • Change management
   • Include a specific change management theory that is appropriate to this project, and why it is applicable.
   • What authority do they have?

   You must cite two scholarly references other than the text to support your assertions.
   Format your assignment as one of the following:

   • Minimum 875-word paper; the maximum word count (not including references) is 1000 words – your paper must be organized using APA Level I headings for the assignment requirements noted above.

   • 7- to 10-slide PowerPoint or Keynote presentation (this slide count does not include the title and reference slides, which are required); you must include a minimum of 100 words of “speaker’s notes” per slide in addition to the slide content.

   You may also use the following with approval by your instructor:

   • 7- to 10-minute oral presentation
   • Infographic

   Submit your assignment.

2. This must be on ventilator-associated pneumonia (VAP), as in previous weeks.

• 5-1 Final Project Milestone Two: Technology Solutions and RecommendationsAssignmentThis assignment is the second milestone that you will complete for your final project. This is an important practice opportunity to draft this section now and get instructor feedback that will help you improve upon your final submission. This is graded differently than the final project given this is a practice opportunity. Review the rubric for full details.If you have not already reviewed your feedback from your instructor on Milestone One do so now. Make any corrections or adjustments to improve upon that section of your draft so that you are working from good premises before beginning this Milestone which depends on that information.To complete this assignment, review the Final Project Template and Milestone Two Guidelines and Rubric documents.

Post your cost comparison document from Unit 2. Assuming you might prescribe this drug for your patient, how would you minimize cost or assist the patient in getting the medication at the lowest cost possible. What resources are available to reduce drug costs? Find at least 2 resources for free or reduced cost medications.

• 4-2 Journal: Polypharmacy and AddictionAssignmentAfter completing the Module Four readings, compose and submit your journal assignment. Select only one of the topics (either A or B) listed below. Then, reflect on and answer the subsequent questions.

  (A) Polypharmacy

  • What does polypharmacy mean? Begin by defining this term, and providing one example.
  • What factors might complicate polypharmacy among older adults? Discuss one potential solution or polypharmacy prevention tool as related to the factors your provided.
  • Consider your own experiences: hypothetically, if asked by a health professional about your medications, would you consider occasional acetaminophen (Tylenol), ibuprofen (Motrin), or a daily vitamin in providing an answer? Why or why not?
  • Lastly, reflect on why you chose option A (polypharmacy) as opposed to option B (addiction).

  – OR -(B) Addiction

  • What are some common addictions among older adults and why is addiction a problem among older adults?
  • Addiction is often untreated among older adults; friends, family, and even health professionals may approach an older adult’s addiction from a perspective of, “They’re old—they have earned it,” or “Let them enjoy (cigarettes, alcohol, etc.).” Why might this be? What is problematic about this perspective?
  • What is one way to combat or treat addiction among older adults?
  • Lastly, reflect on why you chose option B (addiction) as opposed to option A (polypharmacy).

  To successfully complete this assignment, view the Journal Guidelines and Rubric PDF document.

Read chapters 9 and 10:

1. A) What does using best practices in physical education meant to you? Use references to support your idea. B) How are the best practices for lesson design presented in chapter 10 preferable to the “roll out the ball and let them play” philosophy? Provide specific examples and references.
2. Which of the 11 teaching styles in physical education would you use to teach a new skill? Why? Provide a specific example (i.e. movement concepts (over, under, around) – guided discovery) Choose one website from the Technology section in chapter 10. Discuss what you learned about the website, what you liked about the website, and how it could help you as a future physical educator. Be sure to reference the website.

Quantitative Research Article Critique

Goal: Conduct a critical appraisal of literature that demonstrates an understanding of quantitative research.

Using Chapter 18 Table 18-1 Summary of Major Content Sections of a Research Report and Related Critical Appraisal Guidelines, write a critique of a quantitative research article that you have read related to your clinical practice.

• You should respond to your peers by extending, refuting/correcting, or adding additional nuance to their posts.
• All replies must be constructive and use literature where possible.

Mabel Cristina Rodriguez

St. Thomas University

Advanced Clinical Pharmacology

Dr. Magdaleina Joseph

Discussion # 5

Diabetes is a disease in which your blood glucose levels are too high. Glucose comes from the foods we eat and insulin, a hormone in our body, helps the glucose enter your cells in order to provide energy to our body. There are differences between Type 1 and Type 2 diabetes. Type 1 diabetes means your body is unable to make insulin. In Type 2, your body either does not make insulin or is unable to use it well. Type 2 is the more common of the 2, and with not enough insulin in the body, glucose remains in your blood and your blood sugar rises.

Over time, having excess glucose in your body can be dangerous to your health. It can damage your kidneys, eyes and nerves. Being diabetic can also have serious effects on your heart. Heart disease and strokes have been reported with some patients who are diabetic. While we cannot do anything to prevent Type 1 diabetes, there is a lot we can do to prevent Type 2. Type 2 diabetics need to change their diet and lifestyle if they want to reverse or maintain their blood levels stable. Diet and exercise are what is recommended first before a medication regimen is recommended.

In this case, Ms. Jones is said to be 60 years old and obese. Changing her diet and adding exercise will definitely help improve her condition and maintain her levels stable. Although she is concerned about her diagnosis and having to give herself shots, she needs to be told that the medication Glyburide she has been prescribed is an oral medication, not an injectable as it would be with Type 1 diabetes. Glyburide, along with others in its class of sulfonylureas, exerts its mechanism of action based on increasing the secretion of insulin from beta cells in the pancreas (Affres et al., 2020). This medication is used along with diet and exercise for the management of Type 2 diabetes. Glyburide works by helping the pancreas produce insulin, which is needed in order to break down sugar in the body. It also helps the body use insulin efficiently, but only for those whose bodies produce insulin naturally. It is important to note that for those who are unable to produce insulin at all, as in the case of Type 1 diabetics, this medication would not work.

Patient adherence to recommended treatment regimen is one of the key contributors to quality health outcomes in T2DM (Balkhi et al., 2019). Ms. Jones should be properly educated on oral antidiabetics, especially glyburide which has been prescribed to her. Ms. Jones needs to understand that this medication will help control her blood sugar but will not cure diabetes. She should also be told to take the medication each day at the same time and if a dose is missed, it should be taken as soon as she remembers. The medication is best taken with breakfast at the start of the day. Ms. Jones should watch for signs and symptoms of hyperglycemia such as increased thirst or urination. Avoid alcohol and tanning beds while on this medication and report any side effects such as severe skin rash, dark urine, jaundice, fever, chills or mouth sores, to your health care provider immediately. Ms. Jones should also understand this medication is prescribed along with diet and exercise and therefore, she needs to maintain a healthy diet and add exercise daily in order to obtain maximum results and lower the risk of complications.

References

Affres, H., Senat, M., Letourneau, A., Deruelle, P., Coustols-Valat, M., Bouchghoul, H., &

Bouyer, J. (2020). Glyburide therapy for gestational diabetes: Glycemic control, maternal hypoglycemia, and treatment failure. Diabetes & Metabolism, 101210. https://doi.org/10.1016/j.diabet.2020.11.002 (Links to an external site.)

Balkhi, B., Alwhaibi, M., Alqahtani, N., Alhawassi, T., Alshammari, T. M., Mahmoud, M.,

Almetwazi, M., Ata, S., & Kamal, K. M. (2019). Oral antidiabetic medication adherence and glycemic control among patients with type 2 diabetes mellitus: a cross-sectional retrospective study in a tertiary hospital in Saudi Arabia. BMJ open, 9(7), e029280. https://doi.org/10.1136/bmjopen-2019-029280