{"id":124578,"date":"2023-02-14T00:00:00","date_gmt":"2023-02-14T00:00:00","guid":{"rendered":"https:\/\/nursingstudybay.com\/2023\/02\/14\/advance-health-assessment-and-pharmacology\/"},"modified":"2023-02-14T00:00:00","modified_gmt":"2023-02-14T00:00:00","slug":"advance-health-assessment-and-pharmacology","status":"publish","type":"post","link":"https:\/\/www.studyproessays.com\/help\/advance-health-assessment-and-pharmacology\/","title":{"rendered":"Advance health assessment and pharmacology"},"content":{"rendered":"<p><\/p>\n<div>\n<p>\u00a0\u00a0<\/p>\n<p><strong>Discussion 1<\/strong><\/p>\n<p>With the information presented in Chapter 1 of Ball et al. in mind, consider the following:<\/p>\n<p>\u00b7 By Day 1 of this week, you will be assigned a new patient profile by your Instructor for this Discussion. <strong>Note<\/strong>: Please see the \u201cCourse Announcements\u201d section of the classroom for your new patient profile assignment.<\/p>\n<p>\u00b7 How would your communication and interview techniques for building a health history differ with each patient?<\/p>\n<p>\u00b7 How might you target your questions for building a health history based on the patient\u2019s social determinants of health?<\/p>\n<p>\u00b7 What risk assessment instruments would be appropriate to use with each patient, or what questions would you ask each patient to assess his or her health risks?<\/p>\n<p>\u00b7 Identify any potential health-related risks based upon the patient\u2019s age, gender, ethnicity, or environmental setting that should be taken into consideration.<\/p>\n<p>\u00b7 Select <strong>one<\/strong> of the risk assessment instruments presented in Chapter 1 or Chapter 5 of the <em>Seidel&#8217;s Guide to Physical Examination<\/em> text, or another tool with which you are familiar, related to your selected patient.<\/p>\n<p>\u00b7 Develop <strong>at least five<\/strong> targeted questions you would ask your selected patient to assess his or her health risks and begin building a health history.<\/p>\n<p><strong>Post <\/strong>a summary of the interview and a description of the communication techniques you would use with your assigned patient. Explain why you would use these techniques. Identify the risk assessment instrument you selected, and justify why it would be applicable to the selected patient. Provide at least five targeted questions you would ask the patient.<\/p>\n<p>New Patients profile<\/p>\n<p>\u00a0Patient Profiles:\u00a0<\/p>\n<p>#1: 26-year-old Lebanese female living in graduate-student housing:<\/p>\n<p>Assigned to Last names starting with A-H<\/p>\n<p>#2: 14-year-old biracial male living with his grandmother in a high-density public housing complex<\/p>\n<p>Assigned to Last names starting with I-Q<\/p>\n<p>#3: \u00a038-year-old Native American pregnant female living on a reservation<\/p>\n<p>Assigned to Last names starting with R-Z<\/p>\n<p>Resources for reference<\/p>\n<p>Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., &amp; Stewart, R. W. (2019). <em>Seidel&#8217;s guide to physical examination: An interprofessional approach<\/em> (9th ed.). St. Louis, MO: Elsevier Mosby.<\/p>\n<ul>\n<li>Chapter 1, \u201cThe History and \u00a0\u00a0\u00a0\u00a0\u00a0Interviewing Process\u201d<\/li>\n<\/ul>\n<p>This chapter explains the process of developing relationships with patients in order to build an effective health history. The authors offer suggestions for adapting the creation of a health history according to age, gender, and disability.<\/p>\n<ul>\n<li>Chapter 5, \u201cRecording \u00a0\u00a0\u00a0\u00a0\u00a0Information\u201d<\/li>\n<\/ul>\n<p>This chapter provides rationale and methods for maintaining clear and accurate records. The authors also explore the legal aspects of patient records.<\/p>\n<p>Sullivan, D. D. (2019). <em>Guide to clinical documentation<\/em> (3rd ed.). Philadelphia, PA: F. A. Davis.<\/p>\n<ul>\n<li>Chapter 2, &#8220;The Comprehensive History and \u00a0\u00a0\u00a0\u00a0\u00a0Physical Exam&#8221; (pp. 19\u201329)<\/li>\n<\/ul>\n<p>Deckx, L., van den Akker, M., Daniels, L., De Jonge, E. T., Bulens, P., Tjan-Heijnen, V. C. G., \u2026 Buntinx, F. (2015). Geriatric screening tools are of limited value to predict decline in functional status and quality of life: Results of a cohort study. BMC Family Practice, 16, 1\u201312.\u00a0<\/p>\n<p>Wu, R. R., &amp; Orlando, L. A. (2015). Implementation of health risk assessments with family health history: Barriers and benefits. Postgraduate Medical Journal, (1079), 508\u2013513.\u00a0<\/p>\n<p>Lushniak, B. D. (2015). Surgeon general\u2019s perspectives: Family health history: Using the past to improve future health. Public Health Reports, (1), 3.\u00a0<\/p>\n<p>Jardim, T. V., Sousa, A. L. L., Povoa, T. I. R., Barroso, W. K. S., Chinem, B., Jardim, L., \u2026 Jardim, P. C. B. V. (2015). The natural history of cardiovascular risk factors in health professionals: 20-year follow-up. BMC Public Health, 15(1111), 1\u20137.\u00a0<\/p>\n<p><u><strong>Discussion 2<\/strong><\/u><\/p>\n<p>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.<\/p>\n<p>When selecting drugs and determining dosages for patients, it is essential to consider individual patient factors that might impact the patient\u2019s 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.<\/p>\n<p>For this Discussion, you reflect on a case from your past clinical experiences and consider how a patient\u2019s pharmacokinetic and pharmacodynamic processes may alter his or her response to a drug.<\/p>\n<p>To Prepare<\/p>\n<p>\u00b7 Review the Resources for this module and consider the principles of pharmacokinetics and pharmacodynamics.<\/p>\n<p>\u00b7 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.<\/p>\n<p>\u00b7 Consider factors that might have influenced the patient\u2019s pharmacokinetic and pharmacodynamic processes, such as genetics (including pharmacogenetics), gender, ethnicity, age, behavior, and\/or possible pathophysiological changes due to disease.<\/p>\n<p>\u00b7 Think about a personalized plan of care based on these influencing factors and patient history in your case study.<\/p>\n<p><strong>Resources for reference<\/strong><\/p>\n<p>Rosenthal, L. D., &amp; Burchum, J. R. (2018). <em>Lehne\u2019s pharmacotherapeutics for advanced practice providers<\/em>. St. Louis, MO: Elsevier.<\/p>\n<ul>\n<li>Chapter 1, \u201cPrescriptive \u00a0\u00a0\u00a0\u00a0\u00a0Authority\u201d (pp. 1\u20133)<\/li>\n<li>Chapter 2, \u201cRational Drug \u00a0\u00a0\u00a0\u00a0\u00a0Selection and Prescription Writing\u201d (pp. 5\u20139)<\/li>\n<li>Chapter 3, \u201cPromoting \u00a0\u00a0\u00a0\u00a0\u00a0Positive Outcomes of Drug Therapy\u201d (pp. 11\u201316)<\/li>\n<li>Chapter 4, \u00a0\u00a0\u00a0\u00a0\u00a0\u201cPharmacokinetics, Pharmacodynamics, and Drug Interactions\u201d (pp. 17\u201340)<\/li>\n<li>Chapter 5, \u201cAdverse Drug \u00a0\u00a0\u00a0\u00a0\u00a0Reactions and Medical Errors\u201d (pp. 41\u201349)<\/li>\n<li>Chapter 6, \u201cIndividual Variation in Drug \u00a0\u00a0\u00a0\u00a0\u00a0Response\u201d (pp. 51\u201356)<\/li>\n<\/ul>\n<p>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. <em>Journal of the American Geriatrics Society, 67<\/em>(4), 674\u2013694. doi:10.1111\/jgs.15767<\/p>\n<p>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.<\/p>\n<p>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&#8217;s kidney function and select drug-drug interactions documented to be associated with harms in older adults.<\/p>\n<p>Drug Enforcement Administration. (n.d.-a). Code of federal regulations. Retrieved February 1, 2019, from https:\/\/www.deadiversion.usdoj.gov\/21cfr\/cfr\/1300\/1300_01.htm<\/p>\n<p>This website outlines the code of federal regulations for prescription drugs.<\/p>\n<p>Drug Enforcement Administration. (n.d.-b). Mid-level practitioners authorization by state. Retrieved May 13, 2019 from https:\/\/monkessays.com\/write-my-essay\/deadiversion.usdoj.gov\/drugreg\/practioners\/index.html<\/p>\n<p>This website outlines the schedules for controlled substances, including prescriptive authority for each schedule.<\/p>\n<p>Drug Enforcement Administration. (2006). Practitioner\u2019s manual. Retrieved from https:\/\/monkessays.com\/write-my-essay\/deadiversion.usdoj.gov\/pubs\/manuals\/pract\/index.html<\/p>\n<p>This manual is a resource for practitioners who prescribe, dispense, and administer controlled substances. It provides information on general requirements, security issues, recordkeeping, prescription requirements, and addiction treatment programs.<\/p>\n<p>Drug Enforcement Administration. (n.d.-c). Registration. Retrieved February 1, 2019, from https:\/\/www.deadiversion.usdoj.gov\/drugreg\/index.html<\/p>\n<p>This website details key aspects of drug registration.<\/p>\n<p>Fowler, M. D. (2015). <em>Guide to the code of ethics for nurses with interpretive statements: Development, interpretation, and application<\/em>. Silver Spring, Maryland: American Nurses Association, 2015.\u00a0<\/p>\n<p>This resource introduces the code of ethics for nurses and highlights critical aspects for ethical guideline development, interpretation, and application in practice.<\/p>\n<p>Institute for Safe Medication Practices. (2017). List of error-prone abbreviations, symbols, and dose designations. Retrieved from https:\/\/www.ismp.org\/recommendations\/error-prone-abbreviations-list<\/p>\n<p>This website provides a list of prescription-writing abbreviations that might lead to misinterpretation, as well as suggestions for preventing resulting errors.<\/p>\n<p>Ladd, E., &amp; Hoyt, A. (2016). Shedding light on nurse practitioner prescribing. The Journal for Nurse Practitioners, 12(3), 166\u2013173. doi:10.1016\/j.nurpra.2015.09.17<\/p>\n<p>This article provides NPs with information regarding state-based laws for NP prescribing.<\/p>\n<p>Sabatino, J. A., Pruchnicki, M. C., Sevin, A. M., Barker, E., Green, C. G., &amp; Porter, K. (2017). Improving prescribing practices: A pharmacist\u2010led educational intervention for nurse practitioner students. Journal of the American Association of Nurse Practitioners, 29(5), 248\u2013254. doi:10.1002\/2327-6924.12446<\/p>\n<p>The authors of this article assess the impact of a pharmacist\u2010led educational intervention on family nurse practitioner (FNP) students\u2019 prescribing skills, perception of preparedness to prescribe, and perception of pharmacist as collaborator.<\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>\u00a0\u00a0 Discussion 1 With the information presented in Chapter 1 of Ball et al. in mind, consider the following: \u00b7 By Day 1 of this\u2026<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[10601,10596,10882,479,537,172,478,10597,10599,10595],"tags":[10524,10522,10890,10561,10883,10889,10515,10521,10696,10518,10888,10887,10886,10885,10884,10525],"class_list":["post-124578","post","type-post","status-publish","format-standard","hentry","category-assignment-help-by-uks-no-1-writing-service","category-assignment-writers-canada-university-cost","category-free-ai-english-assignment-writers-china","category-nursing-course-hero","category-nursing-essay-pro","category-nursing-study-bay","category-nursing-study-pool","category-professional-assignment-writers-usa","category-uae-1-cheap-assignment-writing-service","category-write-a-word-essay","tag-apa-citation-format-assignment","tag-assignment-writers-australia-college-student","tag-best-nursing-case-study-writing-services","tag-buy-essay-usa","tag-case-study-nursing-writing-services-for-care-plans","tag-free-nursing-case-study-writing-services","tag-help-write-a-page-assignment","tag-i-need-someone-to-do-my-assignment-within-hours","tag-need-assistance-completing-the-assignment","tag-need-to-write-an-essay","tag-nursing-case-studies-with-answers","tag-nursing-case-study-paper-example","tag-nursing-case-study-template-examples-of-case-studies-nursing","tag-pharmacology-case-study","tag-soap-note-case-study","tag-write-pages"],"_links":{"self":[{"href":"https:\/\/www.studyproessays.com\/help\/wp-json\/wp\/v2\/posts\/124578","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.studyproessays.com\/help\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.studyproessays.com\/help\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.studyproessays.com\/help\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.studyproessays.com\/help\/wp-json\/wp\/v2\/comments?post=124578"}],"version-history":[{"count":0,"href":"https:\/\/www.studyproessays.com\/help\/wp-json\/wp\/v2\/posts\/124578\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.studyproessays.com\/help\/wp-json\/wp\/v2\/media?parent=124578"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.studyproessays.com\/help\/wp-json\/wp\/v2\/categories?post=124578"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.studyproessays.com\/help\/wp-json\/wp\/v2\/tags?post=124578"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}