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1. Adolescent pregnancy is viewed as a high-risk situation because it poses serious health risks for the mother and the baby. Describe various risk factors or precursors to adolescent pregnancy. The research community and state resources devoted to adolescent pregnancy and describe at least two of these resources. Research the teen pregnancy rates for the last 10 years for your state and community. Has this rate increased or decreased? Discuss possible reasons for an increase or decrease.

2.Describe two external stressors that are unique to adolescents. Discuss what risk-taking behaviors may result from the external stressors and what support or coping mechanism can be introduced.

Goal:

Design a study guide that will assist you and your peers to translate relevant clinical guidelines and evidence-based research into evidence-based practice to promote health and prevent chronic health problems.

You must choose one of the conditions below:

• Diabetes Mellitus,
• Congestive Heart Failure,
• Chronic Kidney Disease or
• COPD.

Your study guide must include:

• Definition, etiology
• Occurrence/epidemiology
• Clinical presentation
• Diagnostic testing
• Differential diagnosis
• Non-pharmacological and pharmacological management and follow up

Submission Instructions:

• The study guide is to be clear and concise and will provide a quick reference for a specific chronic disease.
• Include your resources and guidelines used for the elaboration of the study guide.
• Please use the attached template below to completed your assignment.
  • Guide for a Selected Chronic ConditionTemplate. (ATTACHED BELLOW)
• Students will lose points for improper grammar, punctuation, misspelling, and references should be current (published within the last five years).

Name two different methods for evaluating evidence. Compare and contrast these two methods.

Pharmacokinetics and Pharmacodynamics

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.

Photo Credit: Getty Images/Ingram Publishing

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.

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.

Each week you will be expected to provide the following information to your community practice instructor through your journal entries:

1. What are your upcoming week’s specific learning goals and objectives?
2. What is your upcoming week’s detailed schedule at your community practice experience placement?
3. Were there any placement items/issues that occurred this week that you feel your instructor should be aware of that are private in nature and are more appropriately shared here than in the discussion board with your classmates?
4. Give a brief description of an objective you worked on this week. Make sure to cite at least one reference showing how your objective relates to the public health knowledge you’ve studied during this course or the public health course. You may choose to reference your e-text, journal articles, or videos you’ve studied during these courses or you may find an outside reference on your own to further enhance your public health knowledge and practices.

Learning Objectives

Students will:

• Develop diagnoses for clients receiving psychotherapy*
• Evaluate the efficacy of motivational interviewing techniques for clients*
• Analyze legal and ethical implications of counseling clients with psychiatric disorders*

* The Assignment related to this Learning Objective is introduced this week and submitted in Week 7.

Select a client whom you observed or counseled this week. Then, address the following in your Practicum Journal:

• Describe the client (without violating HIPAA regulations) and  identify any pertinent history or medical information, including  prescribed medications.
• Using the DSM-5, explain and justify your diagnosis for this client.
• Explain whether motivational interviewing would be effective with  this client. Include expected outcomes based on this therapeutic  approach. Support your approach with evidence-based literature.
• Explain any legal and/or ethical implications related to counseling this client.

 1- Discussion question: You are taking care of an 80 African-American-year-old male patient in a medical-surgical unit who was hospitalized with congestive heart failure. He is being discharged with multiple medications and home health care. Describe the steps you would take to provide patient education including cultural considerations. 

2- 3 paragraphs of 3 sentences each

3- 2 references

4- APA Style

Portfolio Assignment: The Role of the Nurse Informaticist in Systems Development and Implementation

Assume you are a nurse manager on a unit where a new nursing documentation system is to be implemented. You want to ensure that the system will be usable and acceptable for the nurses impacted. You realize a nurse leader must be on the implementation team.

To Prepare:

• Review the steps of the Systems Development Life Cycle (SDLC) and reflect on the scenario presented.
• Consider the benefits and challenges associated with involving a nurse leader on an implementation team for health information technology.

The Assignment: (2-3 pages)

In preparation of filling this role, develop a 2- to 3-page role description for a graduate-level nurse to guide his/her participation on the implementation team. The role description should be based on the SDLC stages and tasks and should clearly define how this individual will participate in and impact each of the following steps:

• Planning and requirements definition
• Analysis
• Design of the new system
• Implementation
• Post-implementation support

Ethics in Nursing

End of Life—Reflection 

Assignment: Write an essay of a minimum of 500 words that include the responses to the following questions. The rubric below instructs how this assignment will be graded. You are to use at one professional journal reference to substantiate your thoughts on the end of life care or any of the ethical principles that were in operation (or not) during the end of life simulation experience.

1. How will you use this end-of-life experience to inform your nursing practice? What specific changes will you make?

2. What communication skills did you learn and how can you use them in applying these in your profession?

3. Did you see a satisfactory resolution to the ethical dilemmas presented? What would you have done differently if you had participated in this experience?

4. Has this end-of-life simulation experience changed or deepened your opinion/beliefs about death and dying? Please elaborate.

End of Life Journal Rubric

EOL Journal Assignment 

Points Available

Points Earned

Essay of minimum of 500-word response including:

4

4

Ethical Principles/Standards Noted in Simulation

2

2

Professional journal (not more than 5 yrs old)—used to   substantiate ethical principles or other aspects of end of life care

2

2

APA format/proper citation/grammar

2

2

Ticket to Enter 

(Late submissions will result in 2 lost participation   points per day)

0

0

Please read comments in the document

10 points

10 points