NURS 6521N Week 10 Discussion

NURS 6521N Week 10 Discussion NURS 6521N Week 10 Discussion Permalink: https://nursingpaperessays.com/ nurs-6521n-week-10-discussion / Week 10: Women’s and Men’s Health/Infections and Hematologic Systems, Part II Bacterial and viral infections may spread through the direct contact of bodily fluids such as blood or through vectors, who help to spread infections via the blood. When you think of infections and the hematologic system, what comes to mind? NURS 6521N Week 10 Discussion Infectious diseases, such as malaria, dengue, or other hemorrhagic fevers are some examples of infections that impact the hematologic system. However, disorders of the hematologic system, such as anemia or blood clotting factor disorders, can also have a deleterious effect on a patient’s health and well-being. As an advanced practice nurse, you will need to understand the different types of pharmacotherapeutics used to treat infections and disorders of the hematologic system as you work to enhance patient-centered approaches for safe, quality, and effective care. This week, you will examine infections and hematologic disorders, as well as the types of drugs used to treat aspects of these disorders or health systems. Learning Objectives Students will: Evaluate patients for treatment of complex health issues Evaluate patients for treatment of infections Evaluate patients for treatment of hematologic disorders Analyze patient education strategies for the management and treatment of complex comorbidities Learning Resources – NURS 6521N Week 10 Discussion Required Readings (click to expand/reduce) Rosenthal, L. D., & Burchum, J. R. (2018). Lehne’s pharmacotherapeutics for advacned practice providers . St. Louis, MO: Elsevier. Chapter 44, “Anticoagulant and Antiplatelet Drugs” (pp. 451–472) Chapter 45, “Drugs for Deficiency Anemias” (pp. 473–483) Chapter 48, “Estrogens and Progestins: Basic Pharmacology and Noncontraceptive Applications” (pp. 521–533) Chapter 49, “Birth Control” (pp. 535–547) Chapter 50, “Androgens” (pp. 549–556) Chapter 51, “Drugs for Erectile Dysfunction and Benign Prostatic Hyperplasia” (pp. 557–569) Chapter 68, “Basic Principles of Antimicrobial Therapy” (pp. 769–781) Chapter 69, “Drugs That Weaken the Bacterial Cell Wall I: Penicillins” (pp. 783–790) Chapter 73, “Sulfonamides and Trimethoprim” (pp. 619–826) Chapter 74, “Drug Therapy of Urinary Tract Infections” (pp. 827–831) Chapter 75, “Antimycobacterial Agents” (pp. 833–847) Chapter 76, “Miscellaneous Antibacterial Drugs” (pp. 849–853) Chapter 77, “Antifungal Agents” (pp. 855–866) Chapter 78, “Antiviral Agents I: Drugs for Non-HIV Viral Infections” (pp. 867–886) Chapter 80, “Drug Therapy of Sexually Transmitted Diseases” (pp. 905–911) Lunenfeld, B., Mskhalaya, G., Zitzmann, M., Arver, S., Kalinchenko, S., Tishova, Y., & Morgentaler, A. (2015). Recommendations on the diagnosis, treatment and monitoring of hypogonadism in men. Aging Male, 18 (1), 5–15. doi:10.3109/13685538.2015.1004049 This article presents recommendations on the diagnosis, treatment, and monitoring of hypogonadism in men. Reflect on the concepts presented and consider how this might impact your role as an advanced practice nurse in treating men’s health disorders. Montaner, J. S. G., Lima, V. D., Harrigan, P. R., Lourenço, L., Yip, B., Nosyk, B., … Kendall, P. (2014). Expansion of HAART coverage is associated with sustained decreases in HIV/AIDS morbidity, mortality and HIV transmission: The “HIV Treatment as Prevention” experience in a Canadian setting . PLoS ONE, 9 (2) , e87872. Retrieved from https://doi.org/10.1371/journal.pone.0087872 This study examines HAART therapy and its sustainability and profound population-level decrease in morbidity, mortality, and HIV transmission. Roberts, H., & Hickey, M. (2016). Managing the menopause: An update. Maturitas, 86 (2016), 53–58. .https://doi.org/10.1016/j.maturitas.2016.01.007 This article provides an update on treatments on Vasomotor symptoms (VMS), genito-urinary syndrome of menopause (GSM), sleep disturbance, sexual dysfunction, and mood disturbance that are common during the menopause transition. Agency for Healthcare Research and Quality. (2014). Guide to clinical preventive services, 2014: Section 2. Recommendations for adults. Retrieved from http://www.ahrq.gov/professionals/clinicians-providers/guidelines-recommendations/guide/section2.html NURS 6521N Week 10 Discussion This website lists various preventive services available for men and women and provides information about available screenings, tests, preventive medication, and counseling. Document: Final Exam Study Guide (PDF) Required Media (click to expand/reduce) Laureate Education (Producer). (2019h ). Pathopharmacology: Pharmacology and immunological disorders: Improvements in medications and drug administration [Video file]. Baltimore, MD: Author. Note: The approximate length of this media piece is 8 minutes. Nurse Manager, Bette Nunn discusses how technology has improved the practice of administering drugs and created new and improved drug therapies. The importance of using technology as well as a patient’s knowledge of their own drug history is also discussed. Accessible player –Downloads– Download Video w/CC Download Audio Download Transcript Discussion: Women’s and Men’s Health, Infectious Disease, and Hematologic Disorders To Prepare Review the resources for this module and reflect on the different health needs and body systems presented. Review your peers case studies from Week 9. Consider how you will practice critical decision making for prescribing appropriate drugs and treatment to address the complex patient health needs in the patient case study you selected. Photo Credit: Getty Images By Day 6 of Week 10 Read a selection of your colleagues’ responses from Week 9 and respond to at least two of your colleagues on two different days who were assigned a different patient case study, and provide recommendations for alternative drug treatments to address the patient’s pathophysiology. Be specific and provide examples. Note: For this Discussion, you are required to complete your initial post before you will be able to view and respond to your colleagues’ postings. Begin by clicking on the “Post to Discussion Question” link, and then select “Create Thread” to complete your initial post. Remember, once you click on Submit, you cannot delete or edit your own posts, and you cannot post anonymously. Please check your post carefully before clicking on Submit! Sample Discussion Introduction The treatment of patients with suspected Community-acquired pneumonia (CAP) includes first assessing the need for hospitalization using a mortality prediction tool, for example, Pneumonia Severity Index, together with clinical judgment (Lutfiyya et al., 2006). In the presented case, the patient HH is a 68 yo M who has been admitted to the medical ward with community-acquired pneumonia for the past three days. There are indications that his PMH is significant for COPD, HTN, hyperlipidemia, and diabetes. Current medication includes ceftriaxone 1 g IV qday (day 3) and azithromycin 500 mg IV qday (day 3). The patient’s clinical status has significantly improved since admission, as evident in decreased oxygen requirements. The discussion presents an analysis of the assigned case study for a patient with a moderate risk of CAP and considers how to address the patient’s current drug therapy plans. Recommendations have been put forward on how to revise the drug therapy plans to ensure effective, safe, and quality patient care for positive health outcomes. NURS 6521N Week 10 Discussion Brief Description of the Patient’s Health Needs from The Patient Case Study Assigned The assigned scenario presents the case of a patient with a moderate risk of CAP, alongside hypertension, hypermedia, and diabetes. Further assessment indicates that the patient is on empirical antibody therapy, taking into consideration that the causative organism for their condition is yet to be established. The identified health needs for the patient include both treatment and management of their condition. The process is undertaken by identifying the causative organism associated with their condition alongside the specific antibiotic therapy that should be administered. Taking into account that the patient also suffers from diabetes, the causative organism associated with their condition is mostly bacterium, particularly Klebsiella pneumonia. As noted by Rosenthal and Burchum (2018), Klebsiella pneumonia is harmless bacteria that thrive in the intestines but can cause severe infections when they spread to other body parts (Bordon et al., 2020). Sputum staining and other identification procedures have been recommended to confirm the patient suffers from CAP caused by Klebsiella pneumonia. The patient needs to be educated about their condition, particularly the risk of spread, and measures to observe to prevent transmission to other people. Patient health needs also include considering health characteristics such as age, chronic illnesses, and history of smoking. Smoking worsens symptoms among patients with the condition. A healthy diet rich in zinc and vitamin C is also recommended. Diabetes control is also important through healthy eating and exercising. Treatment decisions are based on assessing the need for hospitalization through the use of a prediction tool for increased mortality, for example, the Pneumonia severity index, combined with clinical judgment (Rosenthal & Burchum, 2018). Explanation on the Clinical Regimen Recommended for Treating the Patient Initial treatment for patients with CAP is based on physical examination findings, lab results, and patient characteristics. Making a choice between outpatient and inpatient treatment is crucial, considering the possible risk of death from CAP. Low-risk patients can be safely treated as outpatients, whereas those with high pneumonia severity index are admitted for more specialized care. The primary goal of pharmacotherapy for patients with CAP is to eradicate the causative pathogens, resolve the clinical symptoms of the condition, minimize hospitalization, and prevent reinfection. The choice of medication is based on the pharmacokinetic profile, adverse reactions, drug interactions, and cost-effectiveness (Lutfiyya et al., 2006). For the presented case, patient evaluation is focused on the severity of the condition, comorbidities, age, previous exposure, and epidemiological setting. The pharmacotherapeutics choice to treat the patient as an outpatient for low-risk cases of CAP, the preferred antibiotics include Macrolides (level A), Fluoroquinolones (level A), and Doxycycline (Vibramycin). In moderate and high-risk cases, the preferred antibiotics include Intravenous beta-lactam (cefotaxime [Claforan] or ceftriaxone [Rocephin]) plus a macrolide (level A) or a fluoroquinolone alone (level A) (Lutfiyya et al., 2006). Alternative antibiotics choice for patient treatment includes amoxicillin/clavulanate, but it is important to consider that the patient has a drug allergy for Penicillin (rash); thus, the option is not recommended. The treatment plan for CAP includes empiric antibiotics, but consideration should be given to the causative microorganism when planning the antibiotic therapy. This can be achieved through performing a sputum gram stain, urinary antigen test, and PCR. The tests are essential to establish the most effective antibiotic to treat the condition effectively. Education Strategy Recommended for the Patient The patient education strategy that I would recommend for assisting my patient with the management of their health needs includes how to cope with the symptoms of the condition, maintaining hygiene to avert community spread, and adherence to medication. The patient will be advised to Take deep breaths and cough multiple times to loosen mucus and get it out of the lungs. They will also be guided on hand hygiene using either soap and water or alcohol-based hand rub after blowing their nose or using the bathroom and before eating. Other management practices include coughing into the elbow or sneezing to a tissue to prevent transmission, quitting smoking, keeping hydrated to loosen mucus in the lungs, and eating a balanced diet for quick recovery. NURS 6521N Week 10 Discussion References Bordon, J., Slomka, M., Gupta, R., Furmanek, S., Cavallazzi, R., Sethi, S., … & University of Louisville Pneumonia Study Group. (2020). Hospitalization due to community-acquired pneumonia in patients with chronic obstructive pulmonary disease: incidence, epidemiology and outcomes. Clinical Microbiology and Infection, 26(2), 220-226. doi: 10.1016/j.cmi.2019.06.025. Epub 2019 Jun 26 Lutfiyya, M. N., Henley, E., Chang, L. F., & Reyburn, S. W. (2006). Diagnosis and treatment of community-acquired pneumonia. American family physician, 73(3), 442-450. Rosenthal, L. D., & Burchum, J. R. (2018). Lehne’s pharmacotherapeutics for advanced practice providers. St. Louis, MO: Elsevier. Submission and Grading Information Grading Criteria To access your rubric: Week 9 Discussion Rubric Post by Day 3 of Week 9 and Respond by Day 6 of Week 10 To Participate in this Discussion: Week 9 Discussion Rubric Detail – NURS 6521N Week 10 Discussion Select Grid View or List View to change the rubric’s layout. Name: NURS_6521_Week9_Discussion_Rubric Grid View List View Excellent Good Fair Poor Main Posting 45 (45%) – 50 (50%) Answers all parts of the discussion question(s) expectations with reflective critical analysis and synthesis of knowledge gained from the course readings for the module and current credible sources. Supported by at least three current, credible sources. Written clearly and concisely with no grammatical or spelling errors and fully adheres to current APA manual writing rules and style. 40 (40%) – 44 (44%) Responds to the discussion question(s) and is reflective with critical analysis and synthesis of knowledge gained from the course readings for the module. At least 75% of post has exceptional depth and breadth. Supported by at least three credible sources. Written clearly and concisely with one or no grammatical or spelling errors and fully adheres to current APA manual writing rules and style. 35 (35%) – 39 (39%) Responds to some of the discussion question(s). NURS 6521N Week 10 Discussion One or two criteria are not addressed or are superficially addressed. Is somewhat lacking reflection and critical analysis and synthesis. Somewhat represents knowledge gained from the course readings for the module. Post is cited with two credible sources. Written somewhat concisely; may contain more than two spelling or grammatical errors. Contains some APA formatting errors. 0 (0%) – 34 (34%) Does not respond to the discussion question(s) adequately. Lacks depth or superficially addresses criteria. Lacks reflection and critical analysis and synthesis. Does not represent knowledge gained from the course readings for the module. Contains only one or no credible sources. Not written clearly or concisely. Contains more than two spelling or grammatical errors. Does not adhere to current APA manual writing rules and style. Main Post: Timeliness 10 (10%) – 10 (10%) Posts main post by day 3 0 (0%) – 0 (0%) 0 (0%) – 0 (0%) 0 (0%) – 0 (0%) Does not post by day 3 First Response 17 (17%) – 18 (18%) Response exhibits synthesis, critical thinking, and application to practice settings. Responds fully to questions posed by faculty. Provides clear, concise opinions and ideas that are supported by at least two scholarly sources. Demonstrates synthesis and understanding of learning objectives. Communication is professional and respectful to colleagues. . Responses to faculty questions are fully answered, if posed. Response is effectively written in standard, edited English. 15 (15%) – 16 (16%) Response exhibits synthesis, critical thinking, and application to practice settings. Responds fully to questions posed by faculty. Provides clear, concise opinions and ideas that are supported by at least two scholarly sources. Demonstrates synthesis and understanding of learning objectives. Communication is professional and respectful to colleagues. . Responses to faculty questions are fully answered, if posed. Response is effectively written in standard, edited English. 13 (13%) – 14 (14%) Response is on topic and may have some depth. Responses posted in the discussion may lack effective professional communication. Responses to faculty questions are somewhat answered, if posed. Response may lack clear, concise opinions and ideas, and a few or no credible sources are cited. 0 (0%) – 12 (12%) Response may not be on topic and lacks depth. Responses posted in the discussion lack effective professional communication. Responses to faculty questions are missing. No credible sources are cited. Second Response 16 (16%) – 17 (17%) Response exhibits synthesis, critical thinking, and application to practice settings. Responds fully to questions posed by faculty. Provides clear, concise opinions and ideas that are supported by at least two scholarly sources. Demonstrates synthesis and understanding of learning objectives. Communication is professional and respectful to colleagues. . Responses to faculty questions are fully answered, if posed. Response is effectively written in standard, edited English. 14 (14%) – 15 (15%) Response exhibits critical thinking and application to practice settings. Communication is professional and respectful to colleagues. Responses to faculty questions are answered, if posed. Provides clear, concise opinions and ideas that are supported by two or more credible sources. Response is effectively written in standard, edited English. NURS 6521N Week 10 Discussion 12 (12%) – 13 (13%) Response is on topic and may have some depth. Responses posted in the discussion may lack effective professional communication. Responses to faculty questions are somewhat answered, if posed. . Response may lack clear, concise opinions and ideas, and a few or no credible sources are cited. 0 (0%) – 11 (11%) Response may not be on topic and lacks depth. Responses posted in the discussion lack effective professional communication. Responses to faculty questions are missing. No credible sources are cited. Participation 5 (5%) – 5 (5%) Meets requirements for participation by posting on three different days. 0 (0%) – 0 (0%) 0 (0%) – 0 (0%) 0 (0%) – 0 (0%) Does not meet requirements for participation by posting on 3 different days Total Points: 100 Name: NURS_6521_Week9_Discussion_Rubric Get a 10 % discount on an order above $ 100 Use the following coupon code : NURSING10