Nutrition Care Plan 

I need a brochure on the medication Xtampza ER ( oxycodone) extended-release capsules. Also I need one page to describes intended brochure audience and  describes intended use of brochure.
please follow the guide instructions in the instructions box image, because that is very important. Part A is for the brochure and part B is for the one page paper.
P.S  please follow the instructions in the instructions box images. Thank  you 

Please use the scenario below to base your paper on.  It is not the goal to necessarily change ALL medications, however, that might be the case.  In short, I am looking for concrete examples of how you back up your decisions with proper resources and guidelines.

Patient AO has a history of obesity and has recently gained 9 pounds. The patient has been diagnosed with hypertension and hyperlipidemia. Drugs currently prescribed include the following:

• Atenolol 12.5 mg daily
• Doxazosin 8 mg daily
• Hydralazine 10 mg qid
• Sertraline 25 mg daily
• Simvastatin 80 mg daily
• elect one the following factors: genetics, gender, ethnicity, age, or behavior factors.
• Reflect on how the factor you selected might influence the patient’s pharmacokinetic and pharmacodynamic processes.
• Consider how changes in the pharmacokinetic and pharmacodynamic processes might impact the patient’s recommended drug therapy.
• Think about how you might improve the patient’s drug therapy plan based on the pharmacokinetic and pharmacodynamic changes. Reflect on whether you would modify the current drug treatment or provide an alternative treatment option for the patient.

Write a 2- to 3-page paper that addresses the following:

• Explain how the factor you selected might influence the pharmacokinetic and pharmacodynamic processes in the patient from the case study you were assigned.
• Describe how changes in the processes might impact the patient’s recommended drug therapy. Be specific and provide examples.
• Explain how you might improve the patient’s drug therapy plan and explain why you would make these recommended improvements.

This is an assignment about the most contagious diseases and his pharmacological management, you may select 4-5 among them and elaborate a 3 pages Assignment, APA, 5 references.

GERD

If you can not do it please don’t accept

Mrs. B is a 55-year-old, white, female

Source: Self, reliable source

Subjective:

Chief complaint: “I have acid reflux.”   

HPI:  Patient states she has been having burning in her chest over the past 2-3 weeks. It is worse with consumption of spicy foods, alcohol and caffeinated beverages. She denies any nausea, vomiting, abdominal pain, blood in stools, food getting caught in throat or painful swallowing. She denies any chills or fever. She states she has been more stressed at work, which seemed to coincide with the onset of her symptoms. She has been taking Tums, which helps “a little.”

Allergies: NKA

Current Mediations:

Ferrous sulfate, 325 mg, daily

Clopidogrel, 75 mg, daily

Aspirin, 81 mg, daily

Ramipril, 5 mg, daily

Rosuvastatin, 20 mg, daily

Oxybutynin, 3.9 mg/24 patch

Fluoxetine, 10 mg, daily

Ibandronate, 150 mg, monthly

Tums, PRN                                                                                                                

Pertinent History: Iron deficiency anemia, STEMI (two months ago), hypertension, hyperlipidemia, urge incontinence, depression, osteoporosis

Health Maintenance. Immunizations: Immunizations and pertinent screening up-to-date

Family History:

            Father – Myocardial infarction (deceased age 52)

            Mother – Atrial fibrillation (deceased age 79)

Social History: Patient lives with her husband. She smokes 1ppd (40 pack year history). She drinks a glass of wine each evening with dinner. She denies drug use.

ROS: Incorporated into HPI

Objective:

VS – BP: 145/92, HR: 86, RR: 16, Temp 97.6, oxygenation 96%, weight: 240 lbs, height: 54 inches.

Mrs. B is alert, awake, oriented x 3.  Patient is clean and dressed appropriate for age.

ENT: The tympanic membranes are pearly gray. The nasal mucosa is pink with no discharge. The oropharynx is pink with no tonsillar erythema or exudate. There is no evidence of abnormal masses or leukoplakia. No cervical lymphadenopathy

Cardiac: No cardiomegaly or thrills; regular rate and rhythm, no murmur or gallop. No peripheral edema or jugular vein distention

Respiratory: Clear to auscultation, but decreased breath sounds

Abdomen: Bowel sounds positive. Soft, nontender, nondistended, no hepatomegaly      

ECG: Sinus rhythm

CBC: Hematocrit and hemoglobin within normal range

H pylori breath test: Negative    

Assessment:

Diagnosis: Gastro-esophageal reflux, ICD-10: K21.9

Please answer the following:

1. What is your prescribed treatment plan (include specific dosage, frequency)? Why did you choose this treatment plan? In your answer, please describe, briefly, the pharmacodynamics (1 point) and pharmacokinetics (1 point) of your treatment choice and how they influenced your choice. Please describe how the patient comorbidities influenced your choice as well (1 point).  Are there any medical interactions to your choice (1 point)? 
2. Document the education you would provide for this patient, specific to the prescribed medication. Please include information pertinent to the patient (2 points) and common potential adverse effects (2 points).

Impaired Nurses

Abimbola Oluwajana

Resurrection university

Prof. Denise Delves

Ethics

11/20/2020

Introduction

Health officers can make serious errors in their effort to provide medical results to patients (Cipher, et al 2019). Impairment in nursing involves the situation where nurses or physicians are unable to provide results which are competent in the process of delivering patient care. Impaired may be ignited by factors such as, taking drugs like alcohol (Mumba, e t al 2019. This tends to alter the normal functioning of mind. Once the standard functioning of the mind is corrupted, the chances of getting incompetent results are increased. This may therefore lead to administering wrong medications to patients. 

Importance of studying impaired Nursing

It helps us understand the technical know-how of nursing and risks associated with substance use. For instance, it equips us with the knowledge of recognizing impairment among nurses in the workplace (Baxley, et al 2019). This helps ensure that patients care is only delivered by physicians or nurses who are sober.

Nursing Scope of Practice and its significance 

The According to an Association by American Nurses(ANA), helps to identify all legal activities, procedures and routes that a specific person is allowed to execute. It may also be grounded by education experiences and demonstrated competence (Snow, et al, 2019). In the context of nursing, the scope of practise ensures that nurses provide most competent and high quality work.

Importance of Impaired Nursing 

Currently, researchshown by an Association from America, (ANA) shows that an impaired nurse cannot provide results competent results, as he or she does not meet the vital standards of profession. This may end- up making serious medical inaccuracies.

Conclusion

To conclude, health care system ought to put in place measures of competency testing across hospitals in the world. This is to ensure that, only the people who meet the standards of health care administer them.

References

Mumba, M. N., Baxley, S. M., Cipher, D. J., & Snow, D. E. (2019). Personal Factors as  Correlates and Predictors of Relapse in Nurses With Impaired Practice. Journal of  addictions nursing, 30(1), 24-31.

This will be done weekly and according to what we will be studying for that week, and will begin Week 2, and end Week 9.

Each student will be responsible for preparing one presentation on pharmacological management of the disease or pharmacological applications of a drug or group of drugs.

1. Each student will clearly write a title for this topic. Examples are ‘Pharmacological Management of Deep Vein Thrombosis and/or Pulmonary Embolisms Using Anticoagulants/Thrombolytics and Nursing Implications’ or ‘Pharmacological Effects of Anti-hypertensive Medications in the Management of Hypertension and Nursing Implications’.
   • Nursing Implications are the nursing related consequences and what you as the nurse should be looking for in the treatment and care of your patient.
2. Students must get their title approved by the professor before the deadline shown in your schedule. Unapproved titles will not be accepted
3. The presentation must identify the Pharmacodynamic properties and actual/potential effects on the patient.
4. This is worth 20 points. 
5. Power point 8 slides Topic  PHARMACOLOGIC THERAPY IN GERD USING PPI’s  

A nurse practice scholar must locate credible evidence to address nursing practice problems. Conduct a brief literature search and select a source of evidence to address a practice problem at your workplace. Address the following.

• Describe your strategy for searching for evidence.
• Who wrote the selected source?
• Who is the intended audience?
• How current is the evidence?
• Are there bibliographies, citations, references, or footnotes?
• Do the sources cited appear credible? Why or why not?
• What creative action can you take in sharing evidence with others at your workplace? 

Developing a Culture of Evidence-Based Practice

As your EBP skills grow, you may be called upon to share your expertise with others. While EBP practice is often conducted with unique outcomes in mind, EBP practitioners who share their results can both add to the general body of knowledge and serve as an advocate for the application of EBP.

In this Discussion, you will explore strategies for disseminating EBP within your organization, community, or industry.

To Prepare:

• Review the Resources and reflect on the various strategies presented throughout the course that may be helpful in disseminating effective and widely cited EBP.
  • This may include: unit-level or organizational-level presentations, poster presentations, and podium presentations at organizational, local, regional, state, and national levels, as well as publication in peer-reviewed journals.
• Reflect on which type of dissemination strategy you might use to communicate EBP.

By Day 3 of Week 10

Post at least two dissemination strategies you would be most inclined to use and explain why. Explain which dissemination strategies you would be least inclined to use and explain why. Identify at least two barriers you might encounter when using the dissemination strategies you are most inclined to use. Be specific and provide examples. Explain how you might overcome the barriers you identified.

 zero plagiarism

five references

please follow the information below

Students will:

• Create progress notes
• Create privileged notes
• Justify the inclusion or exclusion of information in progress and privileged notes
• Evaluate preceptor notes

To prepare:

• Reflect on the client family you selected for the Week 3 Practicum Assignment.

Assignment

Part 1: Progress Note

Using the client family from your Week 3 Practicum Assignment, address in a progress note (without violating HIPAA regulations) the following:

• Treatment modality used and efficacy of approach
• Progress and/or lack of progress toward the mutually agreed-upon client goals (reference the treatment plan for progress toward goals)
• Modification(s) of the treatment plan that were made based on progress/lack of progress
• Clinical impressions regarding diagnosis and or symptoms
• Relevant psychosocial information or changes from original assessment (e.g., marriage, separation/divorce, new relationships, move to a new house/apartment, change of job)
• Safety issues
• Clinical emergencies/actions taken
• Medications used by the patient, even if the nurse psychotherapist was not the one prescribing them
• Treatment compliance/lack of compliance
• Clinical consultations
• Collaboration with other professionals (e.g., phone consultations with physicians, psychiatrists, marriage/family therapists)
• The therapist’s recommendations, including whether the client agreed to the recommendations
• Referrals made/reasons for making referrals
• Termination/issues that are relevant to the termination process (e.g., client informed of loss of insurance or refusal of insurance company to pay for continued sessions)
• Issues related to consent and/or informed consent for treatment
• Information concerning child abuse and/or elder or dependent adult abuse, including documentation as to where the abuse was reported
• Information reflecting the therapist’s exercise of clinical judgment

Note: Be sure to exclude any information that should not be found in a discoverable progress note.

Part 2: Privileged Note

Based on this week’s readings, prepare a privileged psychotherapy note that you would use to document your impressions of therapeutic progress/therapy sessions for your client family from the Week 3 Practicum Assignment.

In your progress note, address the following:

• Include items that you would not typically include in a note as part of the clinical record.
• Explain why the items you included in the privileged note would not be included in the client family’s progress note.
• Explain whether your preceptor uses privileged notes. If so, describe the type of information he or she might include. If not, explain why.