Analyze ethical and legal implications related to prescribing bipolar therapy to clients across the lifespan .

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Bipolar disorder is a unique disorder that causes shifts in mood and energy, which results in depression and mania for clients. Proper diagnosis of this disorder is often a challenge for two reasons: 1) clients often present as depressive or manic, but may have both; and 2) many symptoms of bipolar disorder are similar to other disorders. Misdiagnosis is common, making it essential for you to have a deep understanding of the disorder’s pathophysiology. For this Assignment, as you examine the client case study in this week’s Learning Resources, consider how you might assess and treat clients presenting with bipolar disorder.
Learning Objectives
Students will:

Assess client factors and history to develop personalized plans of bipolar therapy for clients
Analyze factors that influence pharmacokinetic and pharmacodynamic processes in clients requiring bipolar therapy
Evaluate efficacy of treatment plans
Analyze ethical and legal implications related to prescribing bipolar therapy to clients across the lifespan ..

 
The Assignment
Examine Case Study: An Asian American Woman With Bipolar Disorder. You will be asked to make three decisions concerning the medication to prescribe to this client. Be sure to consider factors that might impact the client’s pharmacokinetic and pharmacodynamic processes.
At each decision point stop to complete the following:



Chronic obstructive pulmonary disease (COPD) is the coexistence of chronic bronchitis and emphysema. Compare emphysema and chronic bronchitis.

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Mucor is a fungus, a specie of moulds commonly found in the soil, plant surfaces, rotten foods and in the digestive system. (Mucor- Wikipedia).
Pathophysiology:  Fungus usually affect people whose immune system has been compromised/weakened by other health conditions, healthy people can also be affected. It mostly affects the sinuses or the lungs by inhalation of the fungal pores in the air. It can also enter through an impaired skin integrity such as cuts, scrapes, burns or trauma. (Mucormycosis|Fungal Disease|CDC, 2015). Reactivation of latent infection can also, result in fungal pneumonia. Once the fungi is in the alveoli it can travel in the spaces between the cells and adjacent alveoli via connecting pores. Invasion of the fungi in the alveoli triggers the immune response to send out neutrophils from WBCs to attack the microorganism. The neutrophils destroy the attacking organism but then release cytokines in that process leading to general activation of immune system causing the fever, fatigue and chiles noted in fungal or bacterial pneumonia. The alveoli is then filled up with the fluid leaked from surrounding blood vessels and neutrophils causing an impairment in gas exchange. (Fungal Pneumonia-Wikipedia).

Comment2
Chronic obstructive pulmonary disease (COPD) is the coexistence of chronic bronchitis and emphysema. Compare emphysema and chronic bronchitis. What are the hallmark assessment findings for each? What should your patient teaching include? How does COPD affect the hematologic system? Describe the pathophysiology.



Describe how you would assure that your selected communication strategy is demonstrating appropriate cultural competence for this population

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There are many news items published every day that relate to infectious disease, including updates on infectious disease incidence and prevalence, newly emerging or resurging  disease outbreaks, scientific breakthroughs, and research study findings. When communicating information about infectious disease, it is important to consider culture and the appropriate strategies for engaging and communicating with diverse populations.  
              In this Assignment, you will a find a current news item on an infectious disease topic and prepare a paper describing the importance of cultural competence in communicating public health information about the risks associated with the infectious agent in the selected news item, and a strategy to communicate the risk of the infectious agent to a specific cultural group.

Find a news item published in the last 30 days that interests you and that relates to the public health burden of infectious disease. Research the pathophysiology and epidemiology of the infectious disease and a population that may be disproportionally impacted by this disease. Prepare a 4 to 5 page paper that includes the following: 

An APA style title page, including your name, date, course and section, and title 
APA style headings for each section below

Describe the cause of the infectious disease that is in the news item you chose (identify the organism, route of infection, host or environment, person to person transmission, vectors, etc) 
Describe the health risk from this infectious disease (morbidity, mortality, outcomes) and how it may be prevented
Describe the overall importance of cultural competence in communicating public health content. Support your answer 
Choose a specific cultural group that may be disproportionally impacted by this disease and explain what you believe is the most effective way to communicate risk and prevention information related to the organism and provide examples 
Describe how you would assure that your selected communication strategy is demonstrating appropriate cultural competence for this population 

Cite the sources within your text in APA style 
Include an APA formatted reference list at the end of your paper. 

Note: The title page and References page do not count towards the paper’s page requirement.



Explain how diuretics, receptor antagonists, angiotensin converting enzyme antagonists, and angiotensin receptor antagonists reduce blood pressure in individuals with primary hypertension.

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CLINICAL CASE DECISION INSTRUCTIONS

Your comments should be substantiated and substantive. Postings require two citations from 1 scholarly journal and/or 1 outside textbook. Textbooks assigned to this course may be used for an additional citation only.   
Each of the two references must be from a different reference source.
To gain full credit for the assignment, the response must be a full page, but no more than three (3) pages in length, which includes the reference list.
Students are required to use APA format, proper citations, and references.  Students using direct quotes from referenced sources in the body of the paper must include quotations.
Students will be assigned to a question.

Clinical Decision Case study.
Begin with a Head-Toe assessment, you decide if it should be treated as episodic with rationale.
You have been assigned two (2) cases to provide analysis. All cases should include the following
a. Pathophysiology and pharmacology of the disease
b. Expected signs and symptoms of the disease.
c. Nursing Diagnosis with a plan of care.
d. All questions pertaining to the case as listed under each case. 
You have been assigned two (2) cases to provide analysis. 
C1.  Mr. Bush, a 45-year-old middle school teacher arrives at the emergency department by EMS ground transport after he experienced severe mid-sternal chest pain at work. On arrival to the ED,
a.  What priority interventions you would initiate?
b. What information would you require to definitively determine what was causing Mr. Bush’s chest pain?
C2. Explain how diuretics, receptor antagonists, angiotensin converting enzyme antagonists, and angiotensin receptor antagonists reduce blood pressure in individuals with primary hypertension.