Details:

In nursing practice, accurate identification and application of research is essential to achieving successful outcomes. Being able to articulate the information and successfully summarize relevant peer-reviewed articles in a scholarly fashion helps to support the student’s ability and confidence to further develop and synthesize the progressively more complex assignments that constitute the components of the course change proposal capstone project.

For this assignment, the student will provide a synopsis of eight peer-reviewed articles from nursing journals using an evaluation table that determines the level and strength of evidence for each of the eight articles. The articles should be current within the last 5 years and closely relate to the PICOT statement developed earlier in this course. The articles may include quantitative research, descriptive analyses, longitudinal studies, or meta-analysis articles. A systematic review may be used to provide background information for the purpose or problem identified in the proposed capstone project. Use the “Literature Evaluation Table” resource to complete this assignment.

While APA style is not required for the body of this assignment, solid academic writing is expected, and in-text citations and references should be presented using APA documentation 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 not required to submit this assignment to LopesWrite.

Read a selection of your colleagues’ responses and respond to at least two of your colleagues on two different days who were assigned a different patient case study, and provide recommendations for alternative drug treatments to address the patient’s pathophysiology. Be specific and provide examples.

                                      Main Post

Women’s and Men’s Health, Infectious Disease, and Hematologic Disorders

Patients today are much sicker than they used to be. The advanced practice nurse needs to manage all comorbidities in the plan of care. In this post, I will discuss the patient’s health care needs and a recommended treatment plan, including pharmacotherapeutic choices. Also, I will present an education strategy to assist the patient in managing their disease conditions. The patient has a history of hypertension, myocardial infarction, hyperlipidemia angina, and diabetes type two. Her needs center around the management of these comorbidities. Also, I noticed that her serum creatinine is on the high end of the range if not outside of it. This fact is not surprising considering her diabetes. The case reports that she was doing well until about a month ago. It was tempting to consider adding another medication to the regimen. However, I believe that either the metoprolol is not high enough to manage her current disease state or she has been missing doses, and I am leaning toward the latter. If withdrawn suddenly, the drug can increase the incidence and intensity of anginal attacks. Metoprolol is the first-line drug for stable angina and should be working (Rosenthal & Burchum, 2018).  

A review of her current drug therapy appears appropriate. Aspirin, simvastatin, and metformin are competent choices, and the doses are adequate. My plan would include an assessment of how she takes medication at home and manages them before making any changes. If this were in order, I would increase the metoprolol to 75 mg twice a day and set a follow-up appointment in two weeks. I prefer to increase the dose of metoprolol first before adding any new drug because of polypharmacy considerations, and the drug does not require renal adjustment (Epocrates, 2019). This fact is beneficial to consider because she has diabetes. Assuming that the patient has missed doses over the last month, the priority is to determine why. Costa et al. (2015) recommend explaining how to take medication, discussing reluctance to take drugs, and a conversation about the patient’s beliefs and knowledge about their health and treatment. I believe that this is a great strategy to use with the patient. Medication adherence is troubling and particularly so with the elderly who have multiple medications and conditions. I think it is essential for the patient and provider to be partners in the plan of care. The patient must agree to it and fully understand their conditions and the purpose of each medication. 

 

                                          References

Costa, E., Giardini, A., Savin, M., Menditto, E., Lehane, E., Laosa, O., … Marengoni, A. (2015). Interventional tools to improve          medication adherence: review of literature. Patient Preference And Adherence, 9, 1303–1314. doi:10.2147/PPA.S87551Epocrates. (2019). Metoprolol Tartrate Adult Dosing. Retrieved from https://online.epocrates.com/drugs/25501/metoprolol-        tartrate/Adult-DosingRosenthal, L. D., & Burchum, J. R. (2018). Lehne’s pharmacotherapeutics for advanced practice providers. St. Louis, MO:        Elsevier.

 

The purpose of this paper is to help you critically evaluate nursing theory. This Assignment will be completed using the three stages of the evaluation process. Select one nursing theory (grand, middle range theory) that best suits your area of practice. Discuss your rationale for selecting that theory over the other nursing theories.
Use Chinn and Kramer (2014) components of theory description: Purpose Concepts Definitions Relationship StructureAssumptions Use McEwen and Wills (2014) criteria for theory analysis: Theory’s  origin Unique focus Content  Use McEwen and Wills (2014) criteria for theory evaluation: Significance Comprehensiveness of the content Logical congruence (consistency & Clarity) Credibility Contribution to nursing Concluding statements summarize the content.

Paper should be 5 pages in length, excluding the title and references pages.

Please be sure to support your paper using 5 peer-reviewed resources.  

Additional Instructions: Your assignment should be typed into a Word or other word processing document, formatted in APA style. The assignments must include Running head A title page with Assignment name Your name Professor’s name Course A reference page

 

McEwen and Wills (2011): Chapter 20

Wong, C., & Cummings, G. (2009). Authentic leadership: A new theory for nursing or back to basics? Journal of Health Organization and Management, 23(5), 522-38. doi:http://dx.doi.org/10.1108/14777260910984014

Click on the link above found in ProQuest to reach your required reading. If the link does not work, use the APA citation to locate the article within ProQuest on the Library Tab in Blackboard.

 Conduct a community observation of an Alcoholic Anonymous meeting in your area.

 

 In this assignment, you will conduct a discrete and respectful community observation of an Alcoholics Anonymous meeting. Locate and attend a local Alcoholics Anonymous meeting in your area. Explain to the meeting leader that you are a nursing student studying community resources. Write a two page summary of your experience describing the clientele (be sure to respect members’ anonymity), meeting, and topics. Apply your nursing knowledge to evaluate the quality and effectiveness of this particular resource.  Assignment Details: Perform the following tasks: • Complete the reading assignment and the interactive lesson before attempting this assignment. • Attend a local Alcoholics Anonymous meeting in your area o Introduce yourself to the meeting leader and explain to him/her that you are a nursing student who is studying community resources. o Conduct your community observation and take notes if necessary. • Write a two-page summary of your experience o Describe the clientele (respecting members’ anonymity), meeting, and topics. o Apply your nursing knowledge to evaluate the quality and effectiveness of this particular resource. o 

Use APA format. • 

Include the proper file naming convention: NUR206_wk9_assn_jsmith_mmddyyy