MN551 Unit 3 Discussion

Part 1

MN551 Unit 3 Discussion 

Topic: Hypertension

A 56-year-old patient with newly diagnosed stage 1 hypertension has been referred to you for counseling regarding lifestyle modifications. He is married, with four children — two in high school, two in college. His job as a senior vice-president for a major retail chain requires that he work long hours and frequently eat at restaurants. He smokes two packs of cigarettes a day, has a body mass index (BMI) of 29 kg/m2, and a waist-hip ratio of 1.6. He usually drinks one to two dry martinis to relax after he gets home from work. In 300 words:

1. How would you develop a realistic plan to help this patient reduce his blood pressure and prevent complications?
2. Which risk factors would be among your top two or three priorities for this patient, and what interventions or recommendations would you provide for modifying these?

Discussion Rubric: Thorough identification of the importance of the subject matter to the individual, clinical, and professional. Supports discussion concepts through personal experience and evidence-based information. Provides a well-written reflection that is clearly connected to the outcomes and clinical insight. With thorough reflection and content. No grammar, word usage, or punctuation errors. Overall style is consistent with professional work. Writing style facilitates communication. APA format. Provides three references that are relevant to the content and published within the last five years.

Unit 3: Pathophysiology: Concepts of Altered Health States 

Porth's Pathophysiology: Concepts of Altered Health States Edition: 10th (2018) Author: Norris, Tommie L. / Lalchandani, Rupa Publisher: Lippincott

• Chapter 25: “Structure and Function of the Cardiovascular System”
• Chapter 26: “Disorders of Blood Flow and Blood Pressure Regulation”
• Chapter 27: “Disorders of Cardiac Function, and Heart Failure, and Circulatory Shock”
• Chapter 28: “Disorders of the Cardiac Conduction and Rhythm”

Part 2

MN551 Assignment Instruction

Select one of the case studies below for your assignment. In your discussion, be sure to apply knowledge of the physiologic alterations in bodily systems in response to disease processes.

Assignment Direction: Case Study 1: Disorders of Hemostasis

Leona is 52 years old and smokes. She is also overweight and has atherosclerosis. When she was given a 2-week vacation from work, she packed up her bags and flew from Minnesota to Sydney, Australia, for the trip she always wanted to take. Unfortunately, just 3 days after she arrived, she was hospitalized when her left calf became inflamed, causing her considerable pain. The physician attending to her told her she developed a deep vein thrombosis.

1. Explain, using your knowledge of hypercoagulability, why the trip to Australia contributed to Leona’s DVT? Why was Leona already at risk for thrombus development?
2. How does Leona’s atherosclerosis affect platelet function? Conversely, what is the effect of increased platelet activity on the development of atherosclerosis?
3. How do atherosclerosis and immobility promote changes in blood coagulation?
4. When Leona was in hospital, she received heparin therapy. Explain why this course of action was taken to treat her DVT. Why was she not given heparin tablets to take back to the hotel with her?

Case Study Assignment Requirements:

• Make sure all of the topics in the case study have been addressed.
• Cite at least three references in your case study paper; this may include peer-reviewed journal articles, textbooks, or evidence-based practice websites to support the content.
• All reference sources must be within 5 years.
• Do not use sources such as Wikipedia or UpToDate as a reference.
• Assignments must have at least four full pages of analytic content, double-spaced (the cover and reference pages do not count in the page count, but must be included with the assignment), and follow APA 7th edition format.

Assignment Unit 3 Rubric

 

Part 3

Instruction: Be sure to cite principles of therapeutic communication as well as individual patient characteristics in your discussion.

Therapeutic communication is important to ensure patients are part of treatment planning. Provide discussion 300 words of the following:

1. How would you evaluate a patient’s ability to understand your instruction and their current knowledge base about their problem? What characteristics of the patient would be helpful?
2. How would you be certain that the patient understands your medication instruction?
3. What methods of therapeutic communication would be useful in advanced practice?

Discussion Rubric: Thorough identification of the importance of the subject matter to the individual, clinical, and professional. Supports discussion concepts through personal experience and evidence-based information. Provides a well-written reflection that is clearly connected to the outcomes and clinical insight. With thorough reflection and content. No grammar, word usage, or punctuation errors. Overall style is consistent with professional work. Writing style facilitates communication. APA format. Provides three references that are relevant to the content and published within the last five years.

Unit 3 Reading:  Pharmacotherapeutics for Advanced Practice Nurse Prescribers Edition: 5th (2019) Author: Robinson, Marylou and Woo, Teri

Pharmacotherapeutics for NP Prescribers

• Chapter 17: “Drugs affecting the Gastrointestinal System”
• Chapter 36: “Gastroesophageal Reflux and Peptic Ulcer Disease”
• Chapter 22: “Drugs Affecting the Integumentary System”
• Chapter 34: “Dermatological Conditions”
• Chapter 26: “Drugs Used to Treat Eye and Ear Disorders”

Part 4

MN553 Unit 3 Assignment 

Part 1

Choose a drug that is used for the GI system. Write a legal prescription for the drug for a fictitious patient. You are the provider. Be sure your prescription includes all legally correct patient information, provider information, medication information as well as any special instructions to the pharmacist. Your writing Assignment should include all the legal elements of a prescription.

Part 2

Write a 250–300-word paper to describe the pharmacokinetics and pharmacodynamics of the drug as well as specific patient education about the chosen drug. Reference your work using correct APA formatting. Utilize correct professional writing including grammar, punctuation, and mechanics.

Direction: Before finalizing your work, you should:

• be sure to read the Assignment description carefully (as displayed above);
• consult the Grading Rubric (under Course Resources) to make sure you have included everything necessary; and
• adhere to correct grammar and spelling.

Assignment Unit 3 Rubric

Assignment Criteria	Level III
Criteria 1	Level III Max Points Points:10
Part 1 –Patient/provider information	All legally required patient and provider information is provided
Criteria 2	Level III Max Points Points:10
Part 1 – Legal attributes of a written prescription for medication	All required information to prescribe a drug is present
Criteria 3	Level III Max Points Points: 10
Part 2 –drug kinetics, dynamics and education for a chosen medication	Displays complete understanding of the kinetics, dynamics and  education of the chosen drug
Criteria 4	Level III Max Points Points: 5
College-level academic writing	Professional, peer-reviewed, advanced practice references are used Grammar and mechanics of writing demonstrate graduate level work
Criteria 5	Level III Max Points Points: 5
Citations and Formatting	There is a strong attempt to cite all sources using APA style.  Minor paper formatting errors may occur.  Minor in-text citation errors may occur.  All authorship is clear and retrievable.
Maximum Total Points	40
Minimum Total Points	33 points minimum