NR 601 Primary Care Of The Maturing And Aged Family Practicum

Table of Contents

NR 601 Primary Care Of The Maturing And Aged Family Practicum

NR 601 Week 1 Discussion Board – Polypharmacy (2 Versions)

Polypharmacy is a common concern, especially in the elderly.

List the definitions of polypharmacy you encounter in your assigned reading. Include an additional reference from an evidence based practice journal article or national guideline.
Discuss three risk factors that can lead to polypharmacy. Explain the rationale for why each listed item is a risk factor. Riskfactors are different than adverse drug reactions. ADRs can be a result of polypharmacy, and is important, but ADRs are not arisk factor.
Discuss three action steps that a provider can take to prevent polypharmacy.
Provide an example of how your clinical preceptors have addressed polypharmacy.

Check out another question that was answered by our nursing paper writers on NR 599 Nursing Informatics For Advanced Practice

NR 601 Week 1 Discussion Board – Comprehensive Geriatric Assessment (All Domains)

Requirements:

Step 1: Review the assigned topics which are listed by student number. For example, if your student number is 2 you will discuss the functional health domain and then respond to a classmate who has posted on the psychological health domain.

Your student number:	Your-assessment domain	Your peer response domain
1 and 5	Physical health	Socioenvironmental health & quality of life measures
2 and 6	Functional health	Psychological health
3 and 7	Psychological health	Functional health
4 and 8	Socioenvironmental health & quality of life measures	Physical health

Step 2: For your assigned assessment domain:

Provide a brief 3-5 sentence summary of the components of the domain assessment*
Choose a screening tool which is appropriate for your domain. Explain the screening tool purpose, components and scoring technique*
Provide 2 references in APA format beneath the table which support your work. You may use the textbook. The second reference must be a scholarly source. ____ *All responses must be your work, in your own words.

Step 3: Paste table inside the discussion board post. Do not attach as a document.

Step 4: Respond to a peer’s post. Your assigned response to a peer requirement is listed within the assignment table. Peer response will include:

Compares peer domain to student’s assigned assessment domain, noting similarities and differences*
Peer review: discuss how your assigned peer’s screening tool can be applicable in your own future practice*

NR 601 Week 1 Weekly Clinical Goals

Please respond to this required discussion by including the following:

Weekly schedule for clinical.
Using your clinical competency checklist to guide you, please share your clinical goals for the week.
Do you anticipate barriers or opportunities specific to your clinical site and/or preceptor?

NR-601 Week 1 Readings

NR 601 Week 2 COPD Case Study Part 1 (Initial post, Faculty, Peer responses)

Case Study – Part 1

Date of visit: …. A 62 year-old Caucasian male presents to the office with persistent cough and recent onset of shortness of breath. Upon further questioning you discover the following subjective information regarding the chief complaint ….. continue

Requirements/Questions:

Briefly and concisely summarize the history and physical (H&P) findings as if you were presenting it to your preceptor using the pertinent facts from the case. May use approved medical abbreviations. Avoid redundancy and irrelevant information.
Provide a differential diagnosis (minimum of 3) which might explain the patient’s chief complaint along with a brief statement (2-3 sentences) of pathophysiology for each.
Analyze the differential by using the pertinent findings from the history and physical to argue for or against a diagnosis.
Rank the differential in order of most likely to least likely.
Identify any additional tests and/or procedures that you feel is necessary or … to help you narrow your differential. All testing decisions must … supported with an evidence-based practice (EBP) argument as to why it is necessary or pertinent in this case. If no testing is .. , you must also support this decision with EBP evidence.

NR 601 Week 2 COPD Case Study Part 2 (Initial post, faculty, peer responses)

Case Study – Part 2

You ordered a CXR and spirometry at the previous visit and he returns today to review the results. Physical exam and symptoms are … since last visit. Vital signs at this visit are: Temp-98.3, P-68, RR-20, BP 152/90, Height 68.9in., Weight 258 pounds, O2sat 94% on RA

CXR Result: No acute infiltrates or consolidations are seen. Cardiac and mediastinal silhouettes are normal. No hilar enlargement is evident. Osseous thorax is intact. Spirometry Results: … Continue

Requirements/Questions:

What is your primary (one) diagnosis for this patient at this time? (support the decision for your diagnosis with pertinent positives and negatives from the case)
Identify the corresponding ICD-10 code.
Provide a treatment plan for this patient’s primary … which includes:
- Medication*
- Any additional testing necessary for this particular … *
- Patient education
- Referral
- Follow up

Provide an active problem list for this patient based on the information given in the case.
Are there any changes that you would also make to this patient’s overall treatment plan at this time? Must provide an EBP argument for each treatment or testing decision.

NR 601 Week 2 Weekly Clinical Goals

Please respond to this required discussion by including the following:

Weekly schedule for clinical.
Using your clinical competency checklist to guide you, please share your clinical goals for the week.
Do you anticipate barriers or opportunities specific to your clinical site and/or preceptor?

NR 601 Week 2 Test Your Knowledge (100% Correct Collection)

NR 601 Week 2 Test Your Knowledge (March 2021)

Question: Which obstructive lung disease is classified as reversible? asthma
Question: How many hours per day of supplemental oxygen therapy has been shown to reduce mortality … with COPD?
Question: Obstruction is … as a reduction in the FEV1/FVC ratio. What is a normal FEV1/FVC ratio?
Question: Which of the following is most common pathogen responsible for community acquired pneumonia (CAP)?
Question: The nurse practitioner student is assessing a patient with chronic obstructive pulmonary disease (COPD). This patient would be most likely to demonstrate which of the following lung changes?

NR 601 Week 2 Test Your Knowledge (Jan 2021)

Question: How many hours per day of supplemental oxygen therapy has been … to reduce mortality … with COPD?
Question: The nurse practitioner student is assessing a patient with chronic obstructive pulmonary disease (COPD). This patient would be most likely to demonstrate which of the following lung changes?
Question: Which of the following is total volume of air a patient is able to exhale in the first second, during maximal effort?
Question: A >12% change from pre-bronchodilator to post-bronchodilator results indicate which of the following ?
Question: The nurse practitioner is assessing a client who presents with complaints of sleeping difficulty. He wakes up suddenly, multiple times a night, feeling short of breath. His partner reports snoring and intermittent gasping. The nurse practitioner suspects which of the following conditions?

NR 601 Week 2 Test Your Knowledge (Nov 2020)

Question: The nurse practitioner is assessing a client who presents with complaints of sleeping difficulty. He wakes up suddenly, multiple times a night, feeling short of breath. His partner reports snoring and
Question: The amount of air exhaled in 1 second (FEV1), if normal, should be at least which of the following?
Question: … of the following is total volume of air a patient is able to exhale in the first second, during maximal effort?
Question: Which obstructive lung disease is classified as reversible?
Question: A >12% change from pre-bronchodilator to post-bronchodilator results indicate which of the following ?

NR 601 Week 3 Psychiatric Disorders and Screening (Collection)

Research screening tools for depression and anxiety.

Choose one screening tool for depression and one screening tool for anxiety that you feel are appropriate to screen KB.
Explain why you chose that particular tool for KB. Score KB based on the information provided (not all data may … provided). Include what questions could be scored, and your chosen score. Assume that any question topics not … are not a concern at this time.

2. Identify your next step for evaluation and treatment for KB. Include any necessary physical medicine evaluation.

3. What medication, if any, would you recommend for treatment? Provide the rationale. This should include the medication class, mechanism of action of the medication and why this medication is appropriate for KB. Include initial prescribing information and education to include side effects and when KB should notice

4. If the medication works as expected, when should KB expect to start feeling better? Include an EBP reference to support this information.

NR 601 Week 3 Weekly Clinical Goals

Please respond to this required discussion by including the following:

Weekly schedule for clinical.
Using your clinical competency checklist to guide you, please share your clinical goals for the week.
Do you anticipate barriers or opportunities specific to your clinical site and/or preceptor?

NR 601 Week 4 Clinical VISE Assignment (Collection)

Purpose:

The VISE assignment (Virtual Interactive Student Evaluation) is to evaluate student progress in clinical, based on per course clinical objectives. This will be a mid-term check to identify and assist students who may be struggling with clinical critical thinking and communication. Students who do not pass the VISE on the first attempt will be placed on a clinical PIP and given a second attempt at passing the VISE prior to course end. The student must successfully pass the VISE to pass clinical within a course.

Directions:

These will be done by phone between the VP and the student sometime between the beginning of Week 3 and the end of Week 5. Immediately following the VISE the VP and student will do the mid-term phone call check-in and review of clinical. VPs should have clinical logs pulled up to review with the student.

601 VISE-This virtual check builds upon skills learned in NR 511 and emphasizes appropriate conversation with patients, succinct data gathering, and the patient clinical experience. The VP will enter the student’s clinical logs and pick one patient (with a minor acute illness) that the student has documented from clinical. The VP will then review that log and note with the student that the patient is calling back for one of the following.

Medication failure
Worsening of symptoms
Failure to improve
Allergic reaction/rash to medication
New symptom

The job of the student in this situation is not necessarily to pick treatment. But to data gather with the patient so that an appropriate decision can … made. And also provide patient education on home care or follow-up.

NR 601 Week 4 Weekly Clinical Goals

Please respond to this required discussion by including the following:

Weekly schedule for clinical.
Using your clinical competency checklist to guide you, please share your clinical goals for the week.
Do you anticipate barriers or opportunities specific to your clinical site and/or preceptor?

NR 601 Week 5 Case Study Assignment (Collection of Multiple Versions)

NR 601 Week 5 Case Study Assignment: Subjective, Objective Info Using National Diabetes Guidelines

NR-601 Week 5 Case Study Assignment: Mrs R., 56-Year Old Hispanic Female

NR 601 Week 5 Case Study Assignment: Mr. Jones 57 year old African American male

NR-601 Week 5 Case Study Assignment: Mrs G., 56-Year Old Hispanic Female

NR 601 Week 5 Case Study Assignment: Mrs Wu., 59- Year Old Asian Female

NR-601 Week 5 Case Study Assignment: Mrs Wong 59 Year-old Female

NR 601 Week 5 Case Study Assignment: Subjective, Objective Information Using National Diabetes Guidelines

NR 601 Week 5 Case Study Assignment: Mrs R., 56-Year Old Hispanic Female

The purpose of this case study is to present Mrs. R., a 56- year old Hispanic female, follow up visit in the clinic with the chief complaint of fatigue and weight gain. The onset of Mrs. R’s symptoms began three months ago. She reports going to the gym and exercising twice a week, at the gym she walks on the treadmill for 30 minutes in the effort of losing weight in which she has not lost any weight.

The purpose of this case study is the analysis of objective and subjective findings in order to diagnose and construct a plan of management of Mrs. R’s chief complaint. To include the National Diabetes Guidelines which will be applied to the patient’s management plan.

This paper will comprise of primary diagnosis, secondary diagnosis and differential diagnosis for Mrs. R, along with a plan for management and treatment of the primary diagnosis, secondary diagnosis, and the differential diagnosis. Involving diagnostics, medications, education, referrals and follow-up care. Furthermore, this paper will include the discussion of medication cost of all prescribed and ( OTC) over- the- counter medications.

NR 601 Week 5 Case Study Assignment: Mr Jones (2 Versions)

The purpose of this assignment is a review of the case study of Mr. Jones, a 57 year old African American male who has returned to the clinic for a follow up visit regarding his hyperlipidemia and weight loss. Today Mr. Jones has reported an increase in fatigue, a weight gain of eight pounds, increased hunger, increased thirst, increased urination, and waking often at night to urinate.

The case study is to analyzed regarding subjective and objective data presented in the case study in order to form an appropriate … and develop a management plan. The American Diabetes Association Diabetes Care guideline (2018) will be utilized in developing the diagnosis and patient care plan.

Lastly, a SOAP note will … provided to compile the data discussed in a succinct manner for easy interpretation.

NR 601 Week 5 Case Study Assignment: Mrs G., 56-Year Old Hispanic Female

This case study implies to Mrs. G whom is a 56-year-old Hispanic female with complaints of fatigue, weight gain, hunger, thirst, and frequent urination.

A primary, secondary and differential diagnoses for Mrs. G will … identified and discussed throughout the paper based on symptoms and laboratory results. Specifically, diabetes mellitus type II (primary), hyperlipidemia (secondary), and possible hormonal imbalance such as estrogen deficiency (differential diagnosis) are among the specific diagnoses to … mentioned along with a brief pathophysiology, pertinent positives, and pertinent negatives.

Additionally, an assessment, evidence-based practice, plan of diagnostics, medications, education, referrals, follow ups, and medication cost will be included in the case study.

NR 601 Week 5 Case Study Assignment: Mrs Wu., 59- Year Old Asian Female

The purpose of this case study is to present Mrs. Wu., a 59- year old Asian female, who presented to clinic to follow up with her recent diagnosis of right knee arthritis. However, her chief complaints for this visit is increased fatigue and weight gain.

The onset of Mrs. Wu’s symptoms began 12 weeks ago. She reports going to the health club and exercising twice a week, at the gym she walks on the treadmill for 30 minutes and lifts light weights in the effort of losing weight in which she has not lost any weight in fact she gained 4 pounds. She also reports, exercise seems to make her even more hungry and thirsty. She also reports, urinating more frequently in the past three months.

The purpose of this case study is the analysis the objective and subjective findings in order to diagnose and construct a plan of management for Mrs. Wu’s chief complaint. In this paper, the National Diabetes Guidelines will be applied to the patient’s management plan.

This paper will comprise of primary diagnosis, secondary diagnosis and differential diagnosis for Mrs. Wu, along with a plan for management and treatment of the primary diagnosis, secondary diagnosis, and the differential diagnosis. Involving diagnostics, medications, education, referrals and follow-up care. Furthermore, this paper will include the discussion of medication cost of all prescribed and (OTC) over- the- counter medications and SOAP note.

NR 601 Week 5 Case Study Assignment: Mrs Wong 59 Year-old Female

The purpose of this assignment is to review a case study involving the patient, Mrs. Wong, who is a 59 year-old female of Asian descent presenting to the clinic to follow up for her prior diagnosis of arthritis of the right knee.

This extensive review includes multiple topics including primary, secondary, and differential diagnosis, management and treatment plans of each of these diagnosis, diagnostic testing, medication review and prescription, patient education, as well as consultations and referrals and follow up care for the patient.

In addition, we will also discuss contributing factors such as medication cost for prescription as well as over the counter medications, possible barriers to treatment, and will also include a clinical chart SOAP note for this patient.

NR 601 Week 5 Weekly Clinical Goal

Two clinical goals include:

Identifying issues in Menstruation and Abnormal Uterine Bleeding, treatments and complications.
My second goal is to learn about the different benign disorders of the vagina, treatments and complications. I will also use different resources like APEA to assist in learning.

NR 601 Week 6: Post Menopausal Sexuality Issues in the Maturing and Older Adult Discussion (Multiple Versions)

Ageism and gender bias can affect who and how we ask about sexual health, sexual activity, and concerning symptoms. Depending on your own level of comfort and cultural norms this can be a tough conversation for some providers. But this is an important topic and as our videos discussed, women are wanting us to ask about sexual concerns. This week we also reviewed sexually transmitted diseases and the effects of ageism on time to diagnosis so it is necessary to ask these questions and provide good education for all patients. You will not know any needs unless you ask.

Discussion Questions:

Review the required NAMS videos. What was the most surprising thing you learned about in the videos? Explain why it was surprising.
What is GSM? What body systems are involved? How does this affect a woman’s quality of life?
What treatment does Dr Shapiro recommend?
Review one aspect of treatment that Dr Shapiro recommends and include an EBP journal article or guideline recommendation in addition to referencing the video in your response.

Sexuality and the older adult

What is your level of comfort in taking a complete sexual history? Is this comfort level different for male or female patients? If so, why?
How will this information impact the way you will interact with your mature and elderly clients?

Discussion Guiding Principles

The ideas and beliefs underpinning the discussions guide students through engaging dialogues as they achieve the desired learning outcomes/competencies associated with their course in a manner that empowers them to organize, integrate, apply and critically appraise their knowledge to their selected field of practice. The use of discussions provides students with opportunities to contribute level appropriate knowledge and experience to the topic in a safe, caring, and fluid environment that models professional and social interaction. The ebb and flow of a discussion is based upon the composition of generates opportunities for students to actively engage in the written ideas of others by carefully reading, researching, reflecting, and responding to the contributions of their peers and course faculty. Discussions foster the development of members into a community of learners as they share ideas and inquiries, consider perspectives that may be different from their own, and integrate knowledge from other disciplines.

NR 601 Week 6 Weekly Clinical Goals

Please respond to this required discussion by including the following:

Weekly schedule for clinical.
Using your clinical competency checklist to guide you, please share your clinical goals for the week.
Do you anticipate barriers or opportunities specific to your clinical site and/or preceptor?

NR 601 Week 7 Reflection (Multiple Versions)

Reflect back over the past eight weeks and describe how the achievement of the course outcomes in this course have prepared you to meet the MSN program outcome #5, the MSN Essential VIII, and the Nurse Practitioner Core Competency # 8 Ethics Competencies.

Nursing Program Outcome #5

Advocates for positive health outcomes through compassionate, evidence-based, collaborative advanced nursing practice. (Extraordinary nursing)

Masters Essential VIII: Clinical Prevention and Population Health for Improving Health

Design patient-centered and culturally responsive strategies in the delivery of clinical prevention and health promote on interventions and/or services to individuals, families, communities, and aggregates/clinical populations.
Integrate clinical prevention and population health concepts in the development of culturally relevant and linguistically appropriate health education, communication strategies, and interventions.

NONPF: #8 Ethics Competencies

Integrates ethical principles in decision making.
Evaluates the ethical consequences of decisions.
Applies ethically sound solutions to complex issues related to individuals, populations and systems of care

Review the assignment rubric for specific requirements for this reflection post.

NR 601 Week 7 Weekly Clinical Goal

Please respond to this required discussion by including the following:

Weekly schedule for clinical.
Using your clinical competency checklist to guide you, please share your clinical goals for the week.
Do you anticipate barriers or opportunities specific to your clinical site and/or preceptor?

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NR 601 Primary Care Of The Maturing And Aged Family Practicum