6 replies 

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.

Respond to the prompts after each scenario. 

Scenario 1: 

Justin is a front-office assistant at a local physician’s office. On a busy day at the office, Justin is consumed by patients and their needs. While helping a patient, Sarah, the other front-office assistant, calls Justin over to answer questions regarding the patient intake process. Justin explains the process to Sarah and then continues to work with the patient at his window. Later that day, Justin reflects on the situation and is frustrated that he had to stop working with his patient to explain a process to Sarah that he has already explained a dozen times. Justin takes to social media to express his frustrations with Sarah and her inability to take care of patients properly even though she has been trained. 

Write a 175- to 260-word response to the following prompts: 

• Explain how Sarah might perceive Justin’s actions.
• Explain the ramifications of using social media as an outlet for voicing frustrations about a co-worker.  
• Provide an example of a more effective communication method to use in this situation. 

Scenario 2: 

Jana works in a long-term care facility that cares for all types of patients. She receives emails from multiple co-workers throughout the day, and today she receives the following email from Sean: 

“Hi Jana, 

I noticed that I DIDN’T receive your monthly report yesterday. I NEED to get it as soon as possible TODAY so that I can finish the final report.  

Thanks, Sean”

Write a 175- to 260-word response to the following prompts: 

• Explain how Jana might perceive the tone of this email.
• Describe whether you perceive Sean’s tone to be appropriate or inappropriate.
• Provide an example of a more effective communication method to use in this situation.

Scenario 3:  

Robert is an older patient checking in at the window of his local retail health clinic. The office assistant is taking Robert’s insurance card and asking a couple of follow-up questions. Robert asks the assistant to speak up because of some background noise. The assistant starts speaking slower and enunciates her words instead of speaking louder.  

Write a 175- to 260-word response to the following prompts:  

• Explain how Robert might perceive the office assistant’s reaction.
• Explain the ramifications of communicating with patients in this manner.
• Provide an example of a more effective communication method to use in this situation.

Cite a minimum of one reference to support your assignment.

Format your assignment according to APA guidelines. 

Submit your assignment (the three responses) in one document.

 Reflection Assignment 2: Meeting Essential VIII

This week, reflect on ethical principles and your understanding of ethical decision-making frameworks as they have evolved over the course of your RN-BSN program at WCU. Identify specific ethical standards and moral conduct codes. How does your academic work support evidence of meeting the following?

Essential VIII: Professionalism and Professional Values

• Outcome #1:Demonstrate the professional standards of moral, ethical, and legal conduct.

Review your past academic work, evaluate your effectiveness at meeting this program essential, and ponder the impact that this proficiency will have on your future.

Identify how you met the essential by referring to the assignment(s) specifically in your response. Additionally, reflect on and make connections between your academic experience and real-world applications. 

Recommended: Refer to work you completed for NURS 521 Ethics in Heath Care and NURS 510 Policy, Organization, and Financing of Health Care, as well as other courses, to gather academic examples and evidence of having met this essential.

Your reflection should be 1 page and APA Style. Reference and cite any sources you use.

Discussion: The Inclusion of Nurses in the Systems Development Life Cycle

In the media introduction to this module, it was suggested that you as a nurse have an important role in the Systems Development Life Cycle (SDLC). With a focus on patient care and outcomes, nurses may not always see themselves as contributors to the development of new systems. However, as you may have observed in your own experience, exclusion of nurse contributions when implementing systems can have dire consequences.

In this Discussion, you will consider the role you might play in systems development and the ramifications of not being an active participant in systems development.

To Prepare:

• Review the steps of the Systems Development Life Cycle (SDLC) as presented in the Resources.
• Reflect on your own healthcare organization and consider any steps your healthcare organization goes through when purchasing and implementing a new health information technology system.
• Consider what a nurse might contribute to decisions made at each stage of the SDLC when planning for new health information technology.

By Day 3 of Week 9

Post a description of what you believe to be the consequences of a healthcare organization not involving nurses in each stage of the SDLC when purchasing and implementing a new health information technology system. Provide specific examples of potential issues at each stage of the SDLC and explain how the inclusion of nurses may help address these issues. Then, explain whether you had any input in the selection and planning of new health information technology systems in your nursing practice or healthcare organization and explain potential impacts of being included or not in the decision-making process. Be specific and provide examples.

Learning Resources

Note: To access this module’s required library resources, please click on the link to the Course Readings List, found in the Course Materials section of your Syllabus.

Required Readings

McGonigle, D., & Mastrian, K. G. (2017). Nursing informatics and the foundation of knowledge (4th ed.). Burlington, MA: Jones & Bartlett Learning.
Chapter 9, “Systems Development Life Cycle: Nursing Informatics and Organizational Decision Making” (pp. 175–187)
Chapter 12, “Electronic Security” (pp. 229–242)
Chapter 13, “Workflow and Beyond Meaningful Use” (pp. 245–261)

Agency for Healthcare Research and Quality. (n.d.a). Health IT evaluation toolkit and evaluation measures quick reference guide. Retrieved September 27, 2018, from
https://healthit.ahrq.gov/health-it-tools-and-resources/evaluation-resources/health-it-evaluation-toolkit-and-evaluation-measures-quick-reference

Agency for Healthcare Research and Quality. (n.d.b). Workflow assessment for health IT toolkit. Retrieved September 27, 2018, from https://healthit.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit

Required Media

Louis, I. (2011, August 17). Systems development life cycle (SDLC) [Video file]. Retrieved from https://www.youtube.com/watch?v=xtpyjPrpyX8

Laureate Education (Producer). (2018). Interoperability, Standards, and Security [Video file]. Baltimore, MD: Author.
Accessible player –Downloads–Download Video w/CCDownload AudioDownload Transcript

Laureate Education (Producer). (2018). Managing Health Information Technology [Video file]. Baltimore, MD: Author.

no more than 21% plagiarims

Discussion – Week 9 

REPLY:to another student-one page/three references

COLLAPSE

Top of Form

     MAIN POSTING 6050

     Evaluation is an invaluable component of all policy programs.  It provides data, commentary, and critical evidence for ongoing improvement, enhancement, and effectiveness of programs. It helps policymakers, administrators, clinicians, financial stakeholders, and the public understand what works and what needs to change to improve the health and well-being of individuals and communities (Milstead & Short, 2019).

     There are some opportunities that exists for RN and APRNs to actively participate in policy review.  One of such opportunity is by joining a professional organization, these organizations often have lobbyists that bring nursing issues to Capitol Hill.  An example of such an organization is the American Nurses Association (ANA) which helps the RNs and the APRNs to understand how they can engage in policy review.  Nurses can participate in policy review on local, state, and federal levels (American Nurses Association, 2020).

     Another opportunity for RNs and APRNs to participate in policy review is through the workplace. The nurses are professionals who have the responsibility and capacity to influence the existing healthcare delivery programs.  A major role of the RNs and APRNs is to promote quality health and this can be achieved by participating in policy review.  Nonetheless, these opportunities have their challenges.  Some nurses do not want to belong to professional organizations due to financial obligations and time constraints.  In the workplace, nurses are not even aware of the policies that need to be reviewed.

     Strategies to better advocate for or communicate the existence of these opportunities to participate in policy review is to create awareness of the benefits of professional organizations to nurses. Nursing schools need to include healthcare policy education as part of their curriculum as well as encourage some form of political involvement.  Employers need to provide nurses with the time and resources to help them participate in policy review.  According to Laureate Education (2018), policy evaluation helps us to know if we are achieving our goals, if we are off the mark, and how we can improve.

1) Complications of Cancer

Class the paper due this week focuses on cancer and asks you to discuss complications of cancer and the side effects of treatment. It is important that you differentiate between the two. Complications are caused by the cancer and not related to medication or treatment. Side effects are a result of treatment. To earn credit for one substantial reply, provide an example of a general complication caused by cancer and discuss the pathophysiology why it occurs. I do not want an essay on cancer. To earn credit provide only the information requested and share your source. Hint our pathophysiology text should be used to answer this question and complete your paper not the American Cancer Society. We introduce the ACS site as a source you would share with your patients.

One   common complication of Cancer

Related   pathophysiology (why It occurs)

Current   scholarly source designed for health care professionals

Reference

2) Our readings discuss that cancer has modifiable (behavior, social, environment) and unmodifiable risk factors (genetic, age, gender). In your paper you will need to include both modifiable and non modifiable factors.

Research a type of cancer and share two causes of the cancer,state if they are modifiable or non modifiable  Please do not post “smoking causes lung cancer”, do research and learn something beyond what the consumer knows. If you want to cover lung cancer research which types of lung cancer are related to smoking. This will be a great thread to get ideas for the paper.

Type   of Cancer

Cause   of the type of cancer

cause   of the cancer

Reference

Optional CAT #3 interventions for side effects caused by Cancer treatment

Class there are several types of treatments from cancer including surgery, radiation, various chemotherapies, immune therapy. Each has side effects, some for which the patient can apply interventions and some which require nursing or medical interventions. Choose a treatment for cancer, list one major complication and provide two nursing or medical interventions to prevent, lesson  or treat the side effect. Use the table below to earn credit.

Your source should be a pathophysiology text, med surg text or other source designed for health care professionals.

Cancer Treatment

Side Effect of Treatment

Nursing/ medical intervention to prevent or treat it.

1

2

 Reference

see attahed

The patient’s mother expressed her cultural and spiritual practices in her daughter’s room singing as she entered the room, sprinkled tobacco around the patient’s bed, and decorating a hospital room with eagle feathers and crystals. The mother also performed a cultural ritual by moving her hands back and forth above her daughter. Another issue is the patient’s nurse behaving terse, dismissive, and disrespectful of the mother’s actions.

A culturally competent action in this case would have notify the patient’s mother of hospital’s visiting hours ending, letting her know the earliest she can arrive the next day when visiting hours open, and if any of the items the mother laid in her daughter’s room are valuable. The patient’s nurse should also communicate to the mother a chance to collect the items she’s distributed in the hospital room because the tobacco, feathers, and crystals create obstacles for the health care providers to treat her daughter.

The patient’s mother practiced a combination of holistic, aromatherapy, and energy therapies. The eagle feather and crystal employed holistic and natural therapy by unblocking, focusing, and directing energy. Forming a circle of tobacco around the patient supposedly creates an energy allowing the healer to connect with the patient. Singing and hand movements to and fro the girl’s body is another form of energy therapy.

As a future nurse, communicating to the patient’s mother for any spiritual preferences the nurse could accommodate for the patient. I would provide what I can to accommodate both the mother and her daughter, within the healthcare facility’s abilities. I’d offer the mother if there were any religious group or leader that would be helpful to the patient. I would lean on building a safe, respectful relationship aiming to accomplish high expectations and respect for equality and diversity as my guiding principles in this situation.

Brandenberger, Julia, et al. “A Systematic Literature Review of Reported Challenges in Health Care Delivery to Migrants and Refugees in High-Income Countries – the 3C Model.” BMC Public Health, vol. 19, no. 1, 14 June 2019, bmcpublichealth.biomedcentral.com/articles/10.1186/s12889-019-7049-x, 10.1186/s12889-019-7049-x. Accessed 11 Nov. 2020.

‌

Reply to Thread