Objective(s)

Compare cognitive behavioral therapy and rational emotive behavioral therapy

• Include references      immediately following the content.
• Use APA style for your      journal entry and references.

Assignment

Gastrointestinal and Hepatobiliary Disorders

As an advanced practice nurse, you will likely encounter patients who will present with symptoms affecting the gastrointestinal (GI) tract. Of special note, is the consideration that most symptoms concerning the GI tract are non-specific and therefore, diagnosing diagnoses of the GI tract require thoughtful and careful investigation. Similarly, hepatobiliary disorders may also mirror many of the signs and symptoms that patients present when suffering from GI disorders.

How might you tease out the specific signs and symptoms between these potential disorders and body systems? What drug therapy plans will best address these disorders for your patients?

This week, you examine GI and hepatobiliary disorders. You will review a patient case study and consider those factors in recommending and prescribing a drug therapy plan fo your patient.

Learning Objectives

Students will:

· Evaluate diagnoses for patients with gastrointestinal and hepatobiliary disorders

· Justify drug therapy plans based on patient history and diagnosis

QUESTION

Assignment: Pharmacotherapy for Gastrointestinal and Hepatobiliary Disorders

Gastrointestinal (GI) and hepatobiliary disorders affect the structure and function of the GI tract. Many of these disorders often have similar symptoms, such as abdominal pain, cramping, constipation, nausea, bloating, and fatigue. Since multiple disorders can be tied to the same symptoms, it is important for advanced practice nurses to carefully evaluate patients and prescribe a treatment that targets the cause rather than the symptom.

Once the underlying cause is identified, an appropriate drug therapy plan can be recommended based on medical history and individual patient factors. In this Assignment, you examine a case study of a patient who presents with symptoms of a possible GI/hepatobiliary disorder, and you design an appropriate drug therapy plan.

To Prepare

· Review the case study assigned by your Instructor for this Assignment

· Reflect on the patient’s symptoms, medical history, and drugs currently prescribed.

· Think about a possible diagnosis for the patient. Consider whether the patient has a disorder related to the gastrointestinal and hepatobiliary system or whether the symptoms are the result of a disorder from another system or other factors, such as pregnancy, drugs, or a psychological disorder.

· Consider an appropriate drug therapy plan based on the patient’s history, diagnosis, and drugs currently prescribed.

Write a 1-page paper that addresses the following:

· Explain your diagnosis for the patient, including your rationale for the diagnosis.

· Describe an appropriate drug therapy plan based on the patient’s history, diagnosis, and drugs currently prescribed.

· Justify why you would recommend this drug therapy plan for this patient. Be specific and provide examples.

Reminder: The School of Nursing requires that all papers submitted include a title page, introduction, summary, and references.

CASE STUDY

Write a 1-2 page paper that addresses the following:

Explain your diagnosis for the patient, including your rationale for the diagnosis.

Describe an appropriate drug therapy plan based on the patient’s history, diagnosis, and drugs currently

prescribed.

Justify why you would recommend this drug therapy plan for this patient.

Be specific and provide examples.

 

Case:

 

Patient HL comes into the clinic with the following symptoms: nausea, vomiting, and diarrhea. The patient has a history of drug abuse and possible Hepatitis C.       HL is currently taking the following prescription drugs:

Synthroid 100 mcg daily 

Nifedipine 30 mg daily 

Prednisone 10 mg daily

Work with what you have,  at the end of the assignment, provide your improved prescription LIST.

It’s important that you carefully read the requirements and follow rubric

This week, we’re discussing gastrointestinal and hepatobiliary disorders. Below is the case for this week’s assignment along with the directions for the assignment.

Patient HL comes into the clinic with the following symptoms: nausea, vomiting, and

diarrhea. The patient has a history of drug abuse and possible Hepatitis C. HL is

currently taking the following prescription drugs:

• Synthroid 100 mcg daily
• Nifedipine 30 mg daily
• Prednisone 10 mg daily

Write a 1-page paper that addresses the following:

• Explain your diagnosis for the patient, including your rationale for the diagnosis.
• Describe an appropriate drug therapy plan based on the patient’s history, diagnosis, and drugs currently prescribed.
• Justify why you would recommend this drug therapy plan for this patient. Be specific and provide examples.
• APA citation 3 to 5 References within 5 years

ournal

After completing the Shadow Health modules on the respiratory and cardiovascular systems, choose one abnormal finding in your patient’s assessment. Analyze the assessment finding and discuss the potential health risks associated with it. Using the Healthy People 2020 Topic and Objectives list of potential health promotion topics, discuss a potential patient education handout you would propose to use for health promotion for risk. Considering the health literacy resources provided in this module and the Wilson (2009) article, what factors will you consider in evaluating the readability of health education resources for your patient?

Cardiovascular Assessment performed

-Abnormal findings of Ms Jones include: After Inspection of her Right Lower Extremity, her right leg is noted with 1+ meaning slight pitting edema while her left left has no edema or visible abnormal findings. Upon Palpation of her Right Tibial Pulse and her Right Dorsalis Pedis Pulse I observed No Thrill but pulse is 1+ indicating Diminished or barely palpable pulses.

– Chest Inspection – symmetric with no visible abnormal findings.

– All other assessments such as Palpation bilaterally of all other Pulses throughout the body, Auscultaion of Pulses and Heart sounds, and Inspection of Jugular Venous Distention all came back normal with no abnormal findings.

-Ms. Jones is a 28 year old African American whom presented to Shadow General hospital with a wound to the bottom of her right foot that has increasingly gotten worse (swollen, puffy, pus discharge)

-She voiced no heart issues, no heart surgeries no cholesterol or high blood pressure issues

Weighs about 195 lbs

-Assessed her BP at a CVS store on her own which read 140 over 80 or 90 as she said.

-She has family history of high blood pressure and high cholesterol

-Never has issues with swelling only to her right foot where wound is present.

-Wound has inhibited her from walking for 3 days and since coming to hospital she’s been in the hospital bed since.

• Integrate the components of a system-specific health assessment
• Implement data collection techniques in a system-specific health assessment
• Analyze health assessment findings to promote health education