Case Study – Depressive Disorder

 

Post a treatment plan for the older adult client in the Week 10: Case Study found in this week’s Learning Resources. Be sure to address the following in your post:

  • Which diagnosis should be considered?
  • What is the DSM-V Coding for the diagnosis you are considering?
  • What is your rationale for the diagnosis? Be sure and link the  client’s signs and symptoms to the DSM-V diagnostic criteria to support  your diagnosis.
  • What tests or tools should be considered to help identify the correct diagnosis?
  • What differential diagnosis should be considered?
  • What Treatment Strategy would you recommend?
  • What treatment would you prescribe and what is the rationale?
  • Safety
  • Psychopharmacology
  • Diagnostic Tests
  • Psychotherapy
  • Psychoeducation
  • What standard guidelines would you use to treat or assess this patient?
  • Clinical Note: Is depression a normal part of aging?

Support your approach with evidence-based literature.

** No plagiarism 

** Four references required

** Case study of client attached (Diagnosis -Depressive Disorder)

Advocacy through Legislation

 

Nurses often become motivated to change aspects within the larger health care system based on their real-world experience. As such, many nurses take on an advocacy role to influence a change in regulations, policies, and laws that govern the larger health care system.

For this assignment, identify a problem or concern in your state, community, or organization that has the capacity for advocacy through legislation. Research the issue and use the “Advocacy Through Legislation” template to complete this assignment.

You are required to cite to a minimum of three sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and relevant to nursing practice. 

While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center. 

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. 

You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance. 

AttachmentsNRS-440VN-RS4-AdvocacyThroughLegislation.docx 

Special topics in nursing practice.

 

Read one of the journal articles below and answer the all the questions in your initial response post.  

Responses to classmates must be to an article other than the one you discussed in your initial response post.

Your initial response post must be supported with the article you chose and one other scholarly source or credible website to support your discussion.  Credible websites include .org and .gov in the URL. Articles that include .com or .edu in the URL are not credible sources. Do not use Wikipedia, Wiki websites, or blogs as they are not credible sources. Provide proper APA format citations and references.

  1. Name of the article
  2. Authors (are they nurses?)
  3. A summary of the patient population (in your own words)
  4. A synopsis of the study results (in your own words)
  5. Why is this study important to nursing practice (in general)?
  6. Why is this study important to YOUR nursing practice or personal life?
  7. Provide any examples of your experiences with genomics in your nursing practice.
  8. Why is this study important to patients, families, and the community?

Articles: Please write the Article # you chose in the subject bar.

#1 Holistic Nursing in the Genetic/Genomic Era

Sharoff, L. (2016). Holistic nursing in the genetic/genomic era. Journal of Holistic Nursing, 34(2), 146-153. doi:10.1177/0898010115587401

#2 Genetics and Genomics of Pathogens: Fighting Infections with Genome-Sequencing Technology

Plavskin, A. (2016). Genetics and genomics of pathogens: Fighting Infections with genome-sequencing technology. MEDSURG Nursing, 25(2), 91-96. Retrieved from https://www.amsn.org/professional-development/periodicals/medsurg-nursing-journal

#3 Genetics in the Clinical Setting: What Nurses Need to Know to Provide the Best Patient Care.

Montgomery, S., Brouwer, W. A., Everett, P. C., Hassen, E., Lowe, T., McGreal, S. B., …Eggert, J. (2017). Genetics in the clinical setting: What nurses need to know to provide best patient care, American Nurse Today, 12(10), 10-16.

#4 Pharmacogenetics and Implications for Nursing Practice

Cheek, D. J., Bashore, L., & Brazeau, D. A. (2015). Pharmacogenetics and implications for nursing practice, Journal of Nursing Scholarship, 47(6), 496-504. doi:10.111/jnu.12168

#5 An Overview of the Genomics of Metabolic Syndrome

Taylor, J. Y., Kraja, A. T., de las Fuentes, L., Stanfill, A. G., Clark, A., & Cashion, A. (2013). An overview of the genomics of metabolic syndrome. Journal of Nursing Scholarship, 45(1), 52-59. doi:10.111/j.1547-5069.2012.01484

#6 Ethical, Legal, and Social Issues in the Translation of Genomics into Health Care

Badzek, L., Henaghan, M., Turner, M., & Monsen, R. (2013). Ethical, legal, and social issues in the translation of genomics into health care. Journal of Nursing Scholarship, 45(1), 15-24. doi:10.111/jnu.12000

Nursing Project

Developing a Care Plan

There are two parts to the comprehensive nursing care plan assignment. In Week 5 you are required to submit a draft of your care plan. In Week 6 you will submit your final nursing care plan based on feedback from your instructor and your continued work.

In a Microsoft Word document of 4-5 pages formatted in APA style, begin to develop a comprehensive care plan for the aggregate based on the health risks faced by the aggregate that you identified in the risk assessment. 

In your paper, address the following:

  • Propose two (2) priority-nursing diagnoses based on the major health risks identified during the risk assessment for the aggregate
    • Include strategies to address the nursing diagnoses and identified risks of aggregate.
    • Support your strategies with at least two journal articles.
  • Develop a disaster management plan with the following components:
    • List of disasters that might affect your aggregate (take into consideration the geographical location of the aggregate, past history, etc.).
    • Strategies for handling at least two disasters from the list.
    • Recommendations for a disaster supplies kit.

On a separate references page, cite all sources using APA format. Helpful APA guides and resources are available in the South University Online Library. Below are guides that are located in the library and can be accessed and downloaded via the South University Online Citation Resources: APA Style page. The American Psychological Association website also provides detailed guidance on formatting, citations, and references at APA Style.

• APA Citation Helper
• APA Citations Quick Sheet
• APA-Style Formatting Guidelines for a Written Essay
• Basic Essay Template

Please note that the title and reference pages should not be included in the total page count of your paper.

PICOT element

Practice Question 2: In the adult critical care population, does a research-based skin care integrity bundle, compared to standard care, influence the incidence of hospital-acquired pressure injuries over an 8-10 week time period?

· Identify the PICOT elements.

· What are key search terms identified in the practice question?

Conduct a library search using these search terms to locate a research study addressing this practice problem and consider the following.

· What is the research-evidence based intervention in the study?

· What is the quantifiable outcome(s)? How will the outcome(s) be measured? What potential reliable and valid measurements/tools may be used to measure this quantifiable data?

· Is this practice question answerable within 8-10 weeks? Why or why not?

Advanced Pharmacology

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.

parse, Erickson, Tomlin and Swain

 

Discussion Question:

“Nursing should not ‘borrow’ theories from other disciplines.” Refute this statement by providing specific examples from your current nursing practice. Describe the importance of increased nursing collaboration with other disciplines.

Your initial posting should be at least 400 words in length and utilize at least one scholarly source other than the textbook.