Data-Based Changes  Write an essay addressing each of the following points/questions. Be sure to completely answer all the questions for each number item.

Data-Based Changes  Write an essay addressing each of the following points/questions. Be sure to completely answer all the questions for each number item. There should be three sections, one for each item number below, as well the introduction (heading is the title of the essay) and conclusion paragraphs. Separate each section in your paper with a clear heading that allows your professor to know which bullet you are addressing in that section of your paper. Support your ideas with at least three (3) citations in your essay. Make sure to reference the citations using the APA writing style for the essay. The cover page and reference page do not count towards the minimum word amount. Review the rubric criteria for this assignment.  Identify one aspect of big data and data mining that is interesting to you. Explain the concept and how it might bring value to healthcare. Describe the concept of continuity planning. If you were the director or manager for your current workplace, describe the preparedness program you would recommend. Locate an article discussing the use of informatics in healthcare education of the general public or of nursing students. Discuss the benefits and drawbacks to using technology in this situation and recommendations from the author. Do you feel this use of technology is a viable method of educating (the public or nursing students)? Why or why not? Assignment Expectations:  Length: 500 words per essay prompt/section (1500 total for this assignment)  Structure: Include a title page and reference page in APA style. These do not count towards the minimal word amount for this assignment. All APA Papers should include an introduction and conclusion.  References: Use the appropriate APA style in-text citations and references for all resources utilized to answer the questions. Include at least three (3) scholarly sources to support your claims.  Rubric: This assignment uses a rubric for scoring. Please review it as part of your assignment preparation and again prior to submission to ensure you have addressed its criteria at the highest level.  Format: Save your assignment as a Microsoft Word document (.doc or .docx) or a PDF document (.pdf)  File name: Name your saved file according to your first initial, last name, and the module number (for example, “RHall Module 1.docx”)

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…heart disease remains the No. 1 killer in America; nearly half of all Americans have high blood pressure, high cholesterol, or smoke—some of the leading risk factors for heart disease—Murphy et al., 2018.

…heart disease remains the No. 1 killer in America; nearly half of all Americans have high blood pressure, high cholesterol, or smoke—some of the leading risk factors for heart disease—Murphy et al., 2018. Despite the high mortality rates associated with cardiovascular disorders, improved treatment options do exist that can help address those risk factors that afflict the majority of the population today.

As an advanced practice nurse, it is your responsibility to recommend appropriate treatment options for patients with cardiovascular disorders. To ensure the safety and effectiveness of drug therapy, advanced practice nurses must consider aspects that might influence pharmacokinetic and pharmacodynamic processes such as medical history, other drugs currently prescribed, and individual patient factors.

Reference: Murphy, S. L., Xu, J., Kochanek, K. D., & Arias, E. (2018). Mortality in the United States, 2017. Retrieved from https://www.cdc.gov/nchs/products/databriefs/db328.htm

To Prepare

· Review the Resources for this module and consider the impact of potential pharmacotherapeutics for cardiovascular disorders introduced in the media piece.

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

· Select 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.

ASSIGNMENT: 

CASE STUDY: Patient HM has a history of atrial fibrillation and a transient ischemic attack (TIA). The patient has been diagnosed with type 2 diabetes, hypertension, hyperlipidemia and ischemic heart disease. Drugs currently prescribed include the following:
• Warfarin 5 mg daily MWF and 2.5 mg daily T, TH, Sat, Sun
• Aspirin 81 mg daily
• Metformin 1000 mg po bid
• Glyburide 10 mg bid
• Atenolol 100 mg po daily
• Motrin 200 mg 1–3 tablets every 6 hours as needed for pain

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.

REQUIRED READINGS

Rosenthal, L. D., & Burchum, J. R. (2018). Lehne’s pharmacotherapeutics for advanced practice providers. St. Louis, MO: Elsevier.

· Chapter 34, “Review of Hemodynamics” (pp. 335–340)

· Chapter 35, “Diuretics” (pp. 341–349)

· Chapter 36, “Drugs Acting on the Renin-Angiotensin-Aldosterone System” (pp. 351–362)

· Chapter 37, “Calcium Channel Blockers” (pp. 363–369)

· Chapter 38, “Vasodilators” (pp. 371–373)

· Chapter 39, “Drugs for Hypertension” (pp. 375–388)

· Chapter 40, “Drugs for Heart Failure” (pp. 389–402)

· Chapter 41, “Antidysrhythmic Drugs” (pp. 403–418)

· Chapter 42, “Prophylaxis of Atherosclerotic Cardiovascular Disease: Drugs That Help Normalize Cholesterol and Triglyceride Levels” (pp. 419–439)

· Chapter 43, “Drugs for Angina Pectoris” (pp. 441–450)

· Chapter 44, “Anticoagulant and Antiplatelet Drugs” (pp. 451–472)

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Competencies for Nurse Leaders

Competencies for Nurse Leaders

Using the Vestal article, “Managing Your Talent Forward,” consider the following points for this discussion:

  • How are you developing your DNP leadership skills in your DNP project?
  • How do you envision that your leadership skills will transform organizations and systems?
  • What does it mean to you to manage your talent forward?

Your initial post should be succinct and demonstrate clarity of thought and precision in writing. Support your discussion with at least two references other than the required readings. Use appropriate and accurate APA formatting.

Course Closure and Reflection

A final step in each part of your DNP program is an evaluation of each course, reflection on what you have learned, and consideration for how you can apply this new knowledge and skills to your professional practice.

For your initial post to this discussion, write a brief evaluation of what you have learned in this course and how you will apply your new knowledge and skills to your professional career and development as a DNP-prepared nurse professional.

  • Identify at least two areas of new knowledge that you have acquired.
  • Discuss how and where you might apply the new knowledge to your current (or future) nursing practice.
  • Discuss what you have learned as a result of this course about your own strengths and weaknesses in nursing management.
  • Discuss the knowledge gaps that still exist related to the content in this course. How will you fill those gaps?

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There is probably no greater responsibility that the psychiatric mental health nurse practitioner assumes than the responsibility of prescribing medications.

Assignment 2: Week 2 Practicum Journal: Safe Prescribing

There is probably no greater responsibility that the psychiatric mental health nurse practitioner assumes than the responsibility of prescribing medications. While someone can be harmed by psychotherapy, the level and intensity of the harm generally does not come to the same level of harm that can occur from improper prescribing. The PMHNP must understand his/her responsibility both at a state and federal level when it comes to prescribing medications.

In this Practicum Journal Assignment, you will explore the legalities associated with prescribing controlled substances, as well as what a DEA number is, how to obtain one, and, most importantly, how to prescribe controlled substances in your state.

Students will:
  • Analyze roles of the Drug Enforcement Administration
  • Analyze PMHNP responsibilities when issued a DEA number
  • Analyze DEA number application procedures
  • Analyze state requirements for safe prescribing and prescription monitoring
  • Analyze PMHNP responsibilities for safe prescribing and prescription monitoring
  • Analyze Schedule II-V drug levels

To prepare for this Practicum Journal:

  • Review the Learning Resources.

In 2-3 pages:

  • Describe the role of the Drug Enforcement Administration (DEA) as it pertains to the PMHNP.
  • Explain your responsibilities when having a DEA number.
  • Explain how you apply for a DEA number.
  • Explain your state’s requirements for a safe prescribing and prescription monitoring program. Explain your responsibility as a PMHNP to follow these requirements.
  • Provide an example of a drug you may prescribe from each of the Schedule II-V drug levels.

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