Reply

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In order to reflect on and analyze how the relationship between health and behavior affects the social determinants of health, I would like to share the analysis based on the latter. Accredited institutions and organizations such as the WHO, consider or identify the social determinants of health in the context where human beings are born, in the life spaces where they develop, as well as in the workplace and in the social system of interactions where the person makes his life Now, the way they do their life, the behavioral actions they carry out, are the ones that in one way or another will affect the health of the human being. Many times we talk about behavior and we do not associate it with health and that is where we must gain in general culture and assimilate that this influences from the moment we obtain, for example, the information from a medical diagnosis. In this sense, people react differently and adopt dissimilar ways to their treatment, they are not always the appropriate behaviors or postures, an issue that directly affects their health and is also associated with the human resources available to deal with the disease health process (Soriano & Jiménez, 2023).

The balance that is achieved between the physical state of health and psychosocial well-being, the best state of health refers to the person. There are behaviors that contribute positively to health, there we find an adequate and balanced diet, the practice of physical activity, avoiding by all means the consumption of toxic substances, the rest that the body requires during sleep hours, avoiding self-medication, among others. However, maintaining this balance based on health, and even more so when suffering from already established diseases, requires an environment that encourages this behavior, as well as people who accompany the transit through life in a healthy way, so that the interaction with the people of the closest and social environment contribute to the positive and not to negative behaviors for health. We are biopsychosocial beings and from there we react and develop (Cereceda, 2022).

    That is why nursing within its metaparadigms contains the dialectical relationships between its main concepts (person, environment, health and nurse). In those relationships that occur from theory and practice in nursing, there is integration between patients and nurses for their transformation in the care process to achieve their necessary transformations for their healing and social integration. These relationships between health and disease are currently focused on a paradigmatic vision of holistic care for health care, where the human being must be seen as a whole, not as the simple care of its parts. A human being who, by reacting negatively, influences his health, if he does not take care of his body or attacks it with toxins, in the same way his behavior brings consequences for his health and for those around him.

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THE ASSIGNMENT: 5 PAGES

Examine 
Case Study: A Puerto Rican Woman With Comorbid Addiction. You will be asked to make three decisions concerning the medication to prescribe to this client. Be sure to consider factors that might impact the client’s pharmacokinetic and pharmacodynamic processes.

At each decision point, you should evaluate all options before selecting your decision and moving throughout the exercise. Before you make your decision, make sure that you have researched each option and that you evaluate the decision that you will select. Be sure to research each option using the primary literature.

Introduction to the case (1 page)

· Briefly explain and summarize the case for this Assignment. Be sure to include the specific patient factors that may impact your decision making when prescribing medication for this patient.

Decision #1 (1 page)

· Which decision did you select?

· Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.

· Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.

· What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature).

· Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples.

Decision #2 (1 page)

· Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.

· Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.

· What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature).

· Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples.

Decision #3 (1 page)

· Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.

· Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.

· What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature).

· Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples.

Conclusion (1 page)

· Summarize your recommendations on the treatment options you selected for this patient. Be sure to justify your recommendations and support your response with clinically relevant and patient-specific resources, including the primary literature.

BACKGROUND

Mrs. Maria Perez is a 53 year old Puerto Rican female who presents today due to a rather “embarrassing problem.”

SUBJECTIVE

Mrs. Perez admits that she has had “problems” with alcohol since her father died in her late teens. She reports that she has struggled with alcohol since her 20’s and has been involved with Alcoholics Anonymous “on and off” for the past 25 years. She states that for the past 2 years, she has been having more and more difficulty maintaining her sobriety since the opening of the new “Rising Sun” casino near her home. Mrs. Perez states that she and a friend went to visit the new casino during its grand opening at which point she was “hooked.” She states that she gets “such a high” when she is gambling. While gambling, she “enjoys a drink or two” to help calm her during high-stakes games. She states that this often gives way to more drinking and more reckless gambling. She also reports that her cigarette smoking has increased over the past 2 years and she is concerned about the negative effects of the cigarette smoking on her health.

She states that she attempts to abstain from drinking but she gets such a “high” from the act of gambling that she needs a few drinks to “even out.” She also notices that when she drinks, she doesn’t smoke “as much,” but she enjoys smoking when she is playing at the slot machines. She also reports that she has gained weight from drinking so much. She currently weights 122 lbs., which represents a 7 lb. weight gain from her usual 115 lb. weight.

Mrs. Perez is quite concerned today because she borrowed over $50,000 from her retirement account to pay off her gambling debts, and her husband does not know.

MENTAL STATUS EXAM

The client is a 53 year old Puerto Rican female who is alert and oriented to person, place, time, and event. She is dressed appropriately for the weather and time of year. Her speech is clear, coherent, and goal directed. Her eye contact is somewhat avoidant during the clinical interview. When you make eye contact with her, she looks away or looks down. She demonstrates no noteworthy mannerisms, gestures, or tics. Her self-reported mood is “sad.” Affect is appropriate to content of conversation and self-reported mood. She denies visual or auditory hallucinations, and no delusional or paranoid thought processes are readily appreciated. Insight and judgment are grossly intact; however, impulse control is impaired. She is currently denying suicidal or homicidal ideation.

Diagnosis: Gambling disorder, alcohol use disorder

Decision Point One

Vivitrol (naltrexone) injection, 380 mg intramuscularly in the gluteal region every 4 weeks

RESULTS OF DECISION POINT ONE

·
 Client returns to clinic in four weeks

·
 Mrs. Perez says she feels “wonderful” as she has not “touched a drop” of alcohol since receiving the injection

·
 Client reports that she has not been going to the casino, as frequently, but when she does go she “drops a bundle” (meaning, spends a lot of money gambling)

·
 Client She is also still smoking, which has her concerned. She is also reporting some problems with anxiety, which also has her concerned

Decision Point Two

Add on Valium (diazepam) 5 mg orally TID/PRN/anxiety

RESULTS OF DECISION POINT TWO

·
 Client returns to clinic in four weeks

·
 Mrs. Perez reports that when she first received the Valium, it helped her tremendously. She states “I was like a new person. This is a miracle drug!” However, she reports that she has trouble “waiting” between drug administration times and sometimes takes her Valium early

·
 She is asking today for an increase the Valium dose or frequency

Decision Point Three

Continue current dose of Vivitrol, increase Valium to 10 mg orally TID/PRN/anxiety. Refer to counseling for her ongoing gambling issue

Guidance to Student

Anxiety is a common side effect of Vivitrol. Mrs. Perez reports that she is doing well with this medication, and like other side effects, the anxiety associated with this medication may be transient. The psychiatric mental health nurse practitioner should never initiate benzodiazepines in a client who already has issues with alcohol, or other substance dependencies. Additionally, benzodiazepines are not to be used long-term. Problems associated with long-term benzodiazepine use include the need to increase the dose in order to achieve the same therapeutic effect. This is what we are seeing in Mrs. Perez’s case.

The most appropriate course of action in this case would be to continue the current dose of Vivitrol, while decreasing the Valium with the goal of discontinuation of the drug within the next two weeks. At that point, you would need to evaluate whether or not the side effect of anxiety associated with Vivitrol persists.

Increasing the dose of Valium would not be appropriate, neither would maintaining her on the current dose of Valium. Additionally, the client should be referred for counseling to help with her gambling addiction, as there are no FDA approved medications gambling disorder.

Medication should never be added treat side effect of another medication, unless that side effect is known to be transient (for instance, benzodiazepines are sometimes prescribed to overcome the initial problem of “activation” associated with initiation of SSRI, or SNRI therapy). However, in a client with multiple addictive disorders, benzodiazepines should never be used (unless they are only being used for a limited duration of therapy such as acute alcohol detoxification to prevent seizures).

Additionally, it should be noted that Mrs. Perez continues to engage in problematic gambling, at considerable personal financial cost. Mrs. Perez needs to be referred to a counselor who specializes in the treatment of gambling disorder, and should also be encouraged to establish herself with a local chapter of gamblers anonymous.

You need to discuss smoking cessation options with Mrs. Perez in order to address the totality of addictions, and to enhance her overall health.

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Introduction

This assessment provides an opportunity to research the literature and apply evidence to support what communication, teaching, and learning best practices are needed for a hypothetical patient with a selected health care problem.

NOTE: You are required to complete this assessment after Assessment 1 is successfully completed.

Preparation

You are encouraged to complete the Vila Health: Cultural Competence activity prior to completing this assessment. Completing course activities before submitting your first attempt has been shown to make the difference between basic and proficient assessment.

In this assessment, you will evaluate the preliminary care coordination plan you developed in Assessment 1 using best practices found in the literature.

To prepare for your assessment, you will research the literature on your selected health care problem. You will describe the priorities that a care coordinator would establish when discussing the plan with a patient and family members. You will identify changes to the plan based upon EBP and discuss how the plan includes elements of 

Healthy People 2030
.

Instructions

Note: You are required to complete Assessment 1 before this assessment.

For this assessment:

· Build on the preliminary plan, developed in Assessment 1, to complete a comprehensive care coordination plan.

Document Format and Length

Build on the preliminary plan document you created in Assessment 1. Your final plan should be a scholarly APA-formatted paper, 5–7 pages in length, not including title page and reference list.

Supporting Evidence

Support your care coordination plan with peer-reviewed articles, course study resources, and Healthy People 2030 resources. Cite at least three credible sources.

Grading Requirements

The requirements, outlined below, correspond to the grading criteria in the Final Care Coordination Plan Scoring Guide, so be sure to address each point. Read the performance-level descriptions for each criterion to see how your work will be assessed.

· Design patient-centered health interventions and timelines for a selected health care problem.

· Address three health care issues.

· Design an intervention for each health issue.

· Identify three community resources for each health intervention.

· Consider ethical decisions in designing patient-centered health interventions.

· Consider the practical effects of specific decisions.

· Include the ethical questions that generate uncertainty about the decisions you have made.

· Identify relevant health policy implications for the coordination and continuum of care.

· Cite specific health policy provisions.

· Describe priorities that a care coordinator would establish when discussing the plan with a patient and family member, making changes based upon evidence-based practice.

· Clearly explain the need for changes to the plan.

· Use the literature on evaluation as a guide to compare learning session content with best practices, including how to align teaching sessions to the Healthy People 2030 document.

· Use the literature on evaluation as guide to compare learning session content with best practices.

· Align teaching sessions to the Healthy People 2030 document.

· Apply APA formatting to in-text citations and references, exhibiting nearly flawless adherence to APA format.

· Organize content so ideas flow logically with smooth transitions; contains few errors in grammar/punctuation, word choice, and spelling.

Additional Requirements

Before submitting your assessment, proofread your final care coordination plan to minimize errors that could distract readers and make it more difficult for them to focus on the substance of your plan.

Portfolio Prompt: Save your presentation to your 
ePortfolio. Submissions to the ePortfolio will be part of your final Capstone course.

Context

Care coordination is the process of providing a smooth and seamless transition of care as part of the health continuum. Nurses must be aware of community resources, ethical considerations, policy issues, cultural norms, safety, and the physiological needs of patients. Nurses play a key role in providing the necessary knowledge and communication to ensure seamless transitions of care. They draw upon evidence-based practices to promote health and disease prevention to create a safe environment conducive to improving and maintaining the health of individuals, families, or aggregates within a community. When provided with a plan and the resources to achieve and maintain optimal health, patients benefit from a safe environment conducive to healing and a better quality of life.

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2

The use of technology in nursing education

Ivet Infante Hidalgo

Florida National university

Adult Health Nursing I-FSD_GR01

Yaimara Diaz Alameda

06/18/23


The use of technology in nursing education

Literature Review

Nursing education is vital in preparing future healthcare professionals to provide high-quality care. With the rapid advancements in technology, nursing programs have recognized potential of integrating digital tools into curricula to enhance teaching and learning experiences. Nursing programs now employ simulation equipment, virtual reality systems, and e-learning platforms for interactive modules and assessments. Virtual simulations provide hands-on practice in a safe environment, while online platforms offer access to educational resources and facilitate collaborative learning (Altmiller & Pepe, 2022). Mobile apps and wearable devices enable real-time patient monitoring and data collection. Teleconferencing and videoconferencing support remote teaching and mentoring. Electronic health records are also used to familiarize students with documentation systems. The technologies contribute to comprehensive nursing education, promoting practical experience, theoretical understanding, and adaptability in healthcare. The increased integration of technology in nursing programs has raised studies to assess its impact on nursing education.

Technology has been found to facilitate collaborative learning among nursing students, promoting teamwork, communication, and interprofessional collaboration. Männistö et al. (2019) conducted systematic review intended to evaluate the efficiency of educational interventions in digital collaborative learning within the nursing curriculum. The review followed rigorous guidelines and entailed published RCTs between 2003 and 2018. The researchers searched multiple databases for relevant studies and independently evaluated their quality using established criteria. Total of five RCTs involving 647 nursing students were included in the review. The findings consistently established favorable influence of digital collaborative learning on students' knowledge and nursing abilities. Using collaborative education in digital settings facilitated interaction and collaboration among nursing students. It improves their capacity to solve problems, satisfaction, and desire to learn.

Männistö et al. (2019) review concludes that digital collaborative learning holds great potential for enhancing nursing students' competence, knowledge, and satisfaction. Online discussion boards, video conferencing, and shared virtual spaces allow students to connect with peers, exchange ideas, and engage in collaborative problem-solving activities. As digital tools and teachers' proficiency in utilizing them continue to improve, evidence suggests that effectiveness of collaborative learning in digital contexts is rising in nursing education. The authors recommend systematically incorporating digital collaborative learning across various nursing courses, highlighting its ability to enhance learning results for students in higher education.

Integrating technology in nursing education supports the development of critical thinking skills. Singh and Masango (2020) investigate student nurses' perspectives on using information technology (IT) in nursing education. It aimed to identify their challenges regarding IT use and recommend strategies for improving IT utilization in nursing education. Singh and Masango chose quantitative non-experimental descriptive research design. The study was conducted at a private nursing education institution in Kwa-Zulu Natal, South Africa. The sample consisted of 244 student nurses who completed self-administered structured questionnaire. Most respondents were young adults familiar with IT and belonged to Millennial or Net Generation. However, despite their familiarity with IT, most did not possess formal IT qualifications or receive IT training before entering the nursing programs. The respondents reported frequent use of IT for communication, internet searches, and academic purposes, but they showed varying levels of competence in different IT skills.

The study found that information technology (IT) in nursing education provides opportunities for students to engage in interactive learning experiences, access wealth of information resources, and participate in collaborative activities. Students engage in problem-solving exercises, analyze complex scenarios, and develop critical thinking abilities. Student nurses reported frequent IT use for internet searches, communication, and academic purposes. Engaging in the activities requires students to evaluate and analyze information contributes to development of critical thinking skills. Simulation devices and interactive video conferencing enabling students to practice clinical judgment in a secure setting, enhancing critical thinking abilities. Singh and Masango (2020) also revealed that student nurses perceived technology as valuable tool for accessing medical videos, medical applications, and medical databases. Students interact with online case studies, virtual patient scenarios, and mobile applications. The resources facilitate independent learning allowing students to explore different perspectives, analyze complex healthcare situations, evaluate evidence, and make informed decisions.

Technology improves clinical competency in nursing education. Hack-Polay et al. (2022) investigated technology role in enhancing nursing education and promoting resilience among nursing students. It utilized mixed-method approach collecting 54 nursing students data and 20 health professionals in Australia and United Kingdom. The findings indicate improvement in nursing students' confidence in mental health nursing practice after clinical experience in mental health settings. Hands-on exposure to technology and its integration into healthcare practices enhanced students' abilities to handle complex situations and effectively communicate with patients. Virtual simulations and augmented reality tools offer safe and controlled environment to practice clinical skills. Qualitative interviews with health professionals also reveal that exposure to emerging technologies helps nurses develop modern capabilities. The study emphasizes that technology upskills nurses for contemporary healthcare settings. The findings suggest that AI, digital technology, and health-related engineering equipment foster faster responses, improved accuracy, and enhanced quality of care. It reduces professional stress by critically aiding and providing support in diagnosis and patient. Technologies facilitate repeated practice, feedback, and self-assessment, increasing clinical competency and confidence in real-life patient care settings.

Conclusion

Technology integration in nursing education has revolutionized future healthcare professionals' teaching and learning experiences. Digital tools like simulation equipment, virtual reality systems, e-learning platforms, mobile apps, and wearable devices enhance nursing education. Collaborative learning in digital environments effectively promotes teamwork, communication, problem-solving abilities, and motivation for learning. Information technology facilitates interactive learning experiences, critical thinking development, and access to information resources. Technology improves clinical competency through hands-on practice, enhances communication skills, and prepares nurses for modern healthcare settings.

References

Altmiller, G., & Pepe, L. H. (2022). Influence of technology in supporting quality and safety in nursing education.
Nursing Clinics of North America,
57(4), 551–562. https://doi.org/10.1016/j.cnur.2022.06.005

Hack-Polay, D., Mahmoud, A. B., Ikafa, I., Rahman, M., Kordowicz, M., & Verde, J. M. (2022). Steering resilience in nursing practice: Examining the impact of digital innovations and enhanced emotional training on nurse competencies.
Technovation,
120, 102549. https://doi.org/10.1016/j.technovation.2022.102549

Männistö, M., Mikkonen, K., Kuivila, H., Virtanen, M., Kyngäs, H., & Kääriäinen, M. (2019). Digital collaborative learning in nursing education: a systematic review.
Scandinavian Journal of Caring Sciences,
34(2), 280–292. https://doi.org/10.1111/scs.12743

Singh, F., & Masango, T. (2020). Information technology in nursing education: Perspectives of student nurses.
The Open Nursing Journal,
14(1), 18–28. https://doi.org/10.2174/1874434602014010018

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you are going to participate in a discussion on a novel or movie.  Please choose one of the stories below and read the novel or watch the movie.  You’ll participate in the discussion thread below related to the story you choose. 

  1. Fault in Our Stars novel by Green (2012) or Fault in Our Stars movie (2014)
  2. Still Alice novel by Genova (2009) or Still Alice movie (2014)

This family story discussion has two parts:

Part 1:Construct Grid (ALL)

Using the blank construct grid, choose 8 constructs relevant to the family in the novel/movie and complete those rows of the grid.  Share your completed constructs with your discussion group and explain why you chose them. 

Part 2:  Family Story Discussion Fault in Our Stars

The rest of the focus for this week is the Fault in Our Stars book or movie discussion. I am providing the following list of questions to jump start the discussion. You don’t need to answer all of the questions. This is meant to be a free-flowing conversation, and I expect each of you will add your questions throughout the discussion.

Each of you can tell us how you experienced the story, and pick one of the questions below to answer if these help focus your thoughts.

  1. John Green uses the voice of a teenage girl to tell this story. Why do you think he choose to do this? Was it effective? How would it have been different if he had told the story from a different voice? How does voice relate to family nursing practice?
  2. What does the title, Fault in Our Stars, mean?
  3. How would you describe the two main characters, Hazel and Gus?
  4. How do Hazel and Gus relate to their cancer?
  5. At one point in the book, Hazel states, “Cancer books suck.” What is she really meaning?
  6. How do Hazel and Gus change, in spirit, over the course of the novel?
  7. Why is “An Imperial Affliction” written by Peter Van Houten Hazel’s favorite book?
  8. How many of you looked to see if, “An Imperial Affliction” was an actual book?
  9. What do you think about the author Peter Van Houten?
  10. Why it was so important for Hazel and Gus to learn what happens after the heroine dies in the An Imperial Affliction?

Part 2:  Family Story Discussion Still Alice

The rest of the focus for this week is the Still Alice book or movie discussion. Below, you’ll find a list of questions to jump start the discussion. You don’t need to answer all of the questions. This is meant to be a free-flowing conversation, and I expect each of you will add your questions throughout the discussion.

Each of you can tell us how you experienced the story, and pick one of the questions below to answer if these help focus your thoughts.

Participate in a book discussion by choosing and answering one of the questions below. 

  1. Why do you think the author named the book “Still Alice?”
  2. How is Alzheimer’s not only Alice’s diagnosis but also her family’s?
  3. How does Alzheimer’s affect roles in a household? 
  4. Why do you think the author wrote the book from third person narrative, taking away from the personal connection? 
  5. Or, write your own question related to the novel and answer it.

EVIDENCE-BASED PROJECT, PART 2: ADVANCED LEVELS OF CLINICAL INQUIRY AND SYSTEMATIC REVIEWS

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To Prepare:

  • Develop a PICO(T) question to address the clinical issue of interest you identified for the “search database Assignment” This PICOT question will remain the same for the entire course.
  • Use the key words from the PICO(T) question you developed and search at least four different databases in the Walden University Library. Identify at least four relevant systematic reviews or other filtered high-level evidence, which includes meta-analyses, critically-appraised topics (evidence syntheses), critically-appraised individual articles (article synopses). The evidence will not necessarily address all the elements of your PICO(T) question, so select the most important concepts to search and find the best evidence available.
  • Reflect on the process of creating a PICO(T) question and searching for peer-reviewed research.

The Assignment (Evidence-Based Project)

Part 2: Advanced Levels of Clinical Inquiry and Systematic Reviews

Create a decorative 6- to 7-slide PowerPoint presentation in which you do the following:

  • Identify and briefly describe your chosen clinical issue of interest.
  • Describe how you developed a PICO(T) question focused on your chosen clinical issue of interest.
  • Identify the four research databases that you used to conduct your search for the peer-reviewed articles you selected.
  • Provide APA citations of the four relevant peer-reviewed articles at the systematic-reviews level related to your research question. If there are no systematic review level articles or meta-analysis on your topic, then use the highest level of evidence peer reviewed article.
  • Describe the levels of evidence in each of the four peer-reviewed articles you selected, including an explanation of the strengths of using systematic reviews for clinical research. Be specific and provide examples.

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 Post your cost comparison document from Unit 2. Assuming you might prescribe this drug for your patient, how would you minimize cost or assist the patient in getting the medication at the lowest cost possible. What resources are available to reduce drug costs? Find at least 2 resources for free or reduced cost medications. Respond to two other student posts as per the discussion board rubric.

Instructions: APA format discussion. 1 page length is fine. 3 references at least. nothing less. I posted the assignment from unit 2 below. 

Professional Development Plan

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Assistance please.

case study week 8

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2

Insomnia
31-year-old Male

76-year-old Iranian Male

 

BACKGROUND

This week, we examine a 31-year-old male who presents to the office with a chief complaint of insomnia.

SUBJECTIVE

Patient is a 31-year-old male. He states that his insomnia has gotten progressively worse over the past 6 months. Per the patient, he has never been a “great sleeper” but is now having difficulty both falling asleep and staying asleep at night. The problem began approximately 6 months ago after the sudden loss of his fiancé. The patient states this is affecting his ability to perform his job, which is a forklift operator at a local chemical company. The patient states he has used diphenhydramine in the past to sleep but does not like the way it makes him feel the morning after. He states he has fallen asleep on the job due to lack of sleep from the night before. The patient's medical record from his previous physician states that he has a history of opiate abuse, which began after he broke his ankle in a skiing accident and was prescribed hydrocodone/apap (acetaminophen) for acute pain management. The patient has not received a prescription for an opiate analgesic in 4 years. The patient states recently he has been using alcohol to help him fall asleep, approximately four beers prior to bed.

MENTAL STATUS EXAM

The patient is alert and oriented to person, place, time, event. He makes good eye contact and is dressed appropriately for time of year. He denies auditory/visual hallucinations. Judgement, insight, and reality contact are all intact. Patient denies suicidal/homicidal ideation, and is future oriented.

Decision Point One

Select what you should do:

Zolpidem: 10 mg daily at bedtime

Trazodone 50 mg po at bedtime

Hydroxyzine: 50 mg daily at bedtime

Examine
 Case Study: Pharmacologic Approaches to the Treatment of Insomnia in a Younger Adult. You will be asked to make three decisions concerning the medication to prescribe to this patient. Be sure to consider factors that might impact the patient’s pharmacokinetic and pharmacodynamic processes.

At each decision point, you should evaluate all options before selecting your decision and moving throughout the exercise. Before you make your decision, make sure that you have researched each option and that you evaluate the decision that you will select. Be sure to research each option using the primary literature.

Introduction to the case (1 page)

· Briefly explain and summarize the case for this Assignment. Be sure to include the specific patient factors that may impact your decision making when prescribing medication for this patient.

Decision #1 (1 page)

· Which decision did you select?

· Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.

· Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.

· What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature).

· Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples.

Decision #2 (1 page)

· Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.

· Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.

· What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature).

· Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples.

Decision #3 (1 page)

· Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.

· Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.

· What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature).

· Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples.

Conclusion (1 page)

· Summarize your recommendations on the treatment options you selected for this patient. Be sure to justify your recommendations and support your response with clinically relevant and patient-specific resources, including the primary literature.

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Fundamental M5

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Assignment Content

1. Complete the
ATI Systems Disorder template for your assigned respiratory topic. Every box on the template must be completed, a citation is needed for every box, and your reference list must be included (APA).