NSG6005-Advanced Pharmacology CP01

Week 1 Discussion – Due

Apr 29, 2021 11:59 PM

NSG6005-Advanced Pharmacology CP01

WEEK 1

Discussion Question Initial Response:

Post your initial writing to the discussion questions in the appropriate thread in the Discussion Area no later than Day 3 of the week.*

*You will not be able to see the postings from your peers until you have made your initial post.

Participation Responses:

Peer Response #1. Due no later than Day 5 of the week.Peer Response #2: Due no later than Day 7 of the week.Faculty Response: Respond to any questions left by your faculty no later than end of day on Day 7 of the week.

*Failure to follow the above instructions may lead to loss of points per the rubric.

Guidelines: Support your responses with scholarly academic references using APA style format. Assigned course reading and online library resources are preferred. Weekly lecture notes are designed as overviews to the topic for the respective week and should not serve as a citation or reference. In your discussion question response, provide a substantive response that illustrates a well-reasoned and thoughtful response; is factually correct with relevant scholarly citations, references, and examples; demonstrates a clear connection to the readings In your participation responses to your peers, comments must demonstrate thorough analysis of postings and extend meaningful discussion by building on previous postings.

Note: Review South University’s Substantive Participation Policy Criteria, Helpful Tips, and Late Policy available by clicking on the South University Policy and Guidelines navigation tab. The late policy applies to late discussion question responses.

Discussion Question 1

For these questions, please read the following case study and then respond to the questions noted below.

Ms. BD is a 33-year-old G2P1 African-American female who presents to your clinic today complaining of unusual fatigue, nausea, and vomiting for the last five days. She has a medical history of chronic hypertension (HTN) that was diagnosed shortly after her first pregnancy two years ago and GERD. MS. BD’s blood pressure is controlled on Lisinopril-Hydrochlorothiazide 20/12.5mg by mouth twice a day, and GERD controlled on Bismuth Subsalicylate 262mg by mouth every 6 hours as needed. During the interview, you learn that she is single, sexually active, has one partner and that her menses is ten days late. She performed a home pregnancy the three days after missing her menstrual cycle, and the results were inconclusive. She states she feels terrible and needs relief. She has no other medical problems, symptoms, or concerns.

Assessment: Physical examination is unremarkable. BP128/68, HR is 74, Urine human chorionic gonadotropin (HCG) positive, beta HCG sent, potassium 4.2, bloodurea nitrogen (BUN) 14, creatinine is 0.6, Alanine aminotransferase (ALT) 29, White blood cells (WBCs) 6.5, hemoglobin (Hgb) 12.8, hematocrit (Hct) 39, and platelets 330,000.

  1. List the additional questions you would need to ask this patient. Explain.
  2. What is the safety profile of Lisinopril-hydrochlorothiazide and bismuth subsalicylate in pregnant women? What are the possible complications to the pregnant woman and her fetus?
  3. What is the importance of assessing laboratory values when prescribing medications? How might the laboratory values, in this case, impact your treatment plan?
  4. Would you make any changes to Ms. BD’s blood pressure and GERD medications? Explain. If yes, what would you prescribe? Discuss the medications safety in pregnancy, mechanism of action, route, the half-life; how it is metabolized in and eliminated from the body; and contraindications and black box warnings.
  5. How does ethnopharmacology apply to this patient if she were NOT pregnant? Explain.
  6. What health maintenance or preventive education do you provide in this client case based on your choice of medications/treatment?
  7. Would you treat this patient or refer her? Explain. If you refer, where would you refer this patient?

Week 1 Discussion

Discussion Topic

Due April 29 at 11:59 PM

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Write a 1,250- to 1,750-word paper in which you explain your position on national health care spending in the United States. Include information on the following:

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Whether the spending is too much or not enough
Where the nation should add or cut, and why
How the public’s health care needs are paid for, such as being financed by various payers, while indicating the percent of total expenditures they represent

Provide a forecast of the following:

The future economic needs of the health care system
Why these needs must be addressed
How you envision these needs will be financed

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Whether the spending is too much or not enough
Where the nation should add or cut, and why

 
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Mg401 Discussion Post 6

   Read the case study. Answer the discussion questions and post to the discussion:
Initial Post: Respond to every aspect of the discussion prompt with originality. Demonstrate an exceptional familiarity with the text and topics being covered and utilize text/lecture note/PowerPoint references. Respond to your initial post with at least 300 words  Post initial post by 11:59 p.m., Thursday, CT.  Case Study

Integrating Teams at Hernandez and Associates

Marco Hernandez is president of Hernandez & Associates Inc., a full- service advertising agency with clients across North America. The company provides a variety of marketing services to support its diverse group of clients. Whether called on to generate a strategic plan, create interactive Web sites, or put together a full-blown media campaign, the team at Hernandez & Associates prides itself on creative solutions to its clients’ marketing challenges.

The firm was founded in 1990 with an emphasis in the real estate industry. It quickly expanded its client base to include health care, as well as food and consumer products. Like many small firms, the company grew quickly in the “high-flying” 1990s, but its administrative costs to obtain and serve businesses also skyrocketed. And, as with many businesses, the agency’s business was greatly affected by the terrorist attacks of September 11, 2001, and the economic downturn that followed. Clients’ shrinking budgets forced them to scale back their business with Hernandez & Associates, and staff cutbacks meant that clients needed more marketing support services as opposed to full-scale campaigns.

Hernandez & Associates now faced a challenge—to adapt its business to focus on what the clients were asking for. Specifically, clients, with their reduced staffs, were looking for help responding to their customers’ re- quests and looking for ways to make the most of their limited marketing budgets. Its small, cohesive staff of 20 employees needed to make some fast changes.

As president of Hernandez & Associates, Marco Hernandez knew his team was up for the challenge. He had worked hard to create an environment to support a successful team—he recruited people who had solid agency experience, and he consistently communicated the firm’s mission to his team. He made sure the team had all the resources it needed to succeed and constantly took stock of these resources. He had built his team as he built his business and knew the group would respond to his leadership. But where to start? Getting the team to under- stand that growth depended on a shift in how it served its clients was not difficult—each of the employees of the small firm had enough con- tact with the clients that they knew client needs were changing. But making significant changes to the status quo at Hernandez & Associates would be difficult. Group roles had to change—creative folks had to think about how to increase a client’s phone inquiries and Web site visits; account people needed a better understanding of the client’s desire for more agency leadership. And everyone needed a better sense of the costs involved. The company as a whole required a more  integrated approach to serving clients if they hoped to survive. Marco needed a plan. Discussion Questions Like many leaders, Marco has a team in place and does not have the luxury of building a new team to adapt to the changing business environment his firm now faces. Use the TLM to help Marco diag- nose the problems faced by the firm and identify leverage points for change. Consider the major functions of the TLM—input, process, and out- put. Where do most of the firm’s challenges fall? What are the team’s goals for outputs? Identify potential resources for Marco and his team in implementing a strategy to change the way they do business at Hernandez & Associates. References

Hughes, R. L., Ginnett, R. C., & Curphy, G. J. (2015). Leadership: enhancing the lessons of experience (pp. 436-437). New York, NY: McGraw-Hill Education.

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