2023 Polypharmacy is one of the biggest dangers with the elderly population The patients are being prescribed medications

2023 Nursing The reply post should be a minimum of two paragraphs with cited reference in each paragraph, no older than 5 years.

Polypharmacy is one of the biggest dangers with the elderly population The patients are being prescribed medications 2023

 

Polypharmacy is one of the biggest dangers with the elderly population. The patients are being prescribed medications by the different specialists they go to . As Primary care providers we have to be aware of this danger and always ask patients to bring a list of medications to the clinic to review with the FNP. Patients should always be encouraged to inform their primary care provider of any newly prescribed medications. Polypharmacy should always be avoided because this may lead to drug interaction leading to adverse side effects or can affect the therapeutic levels of other medications, also can lead medication non adherence. Adverse effects can occur due to overstimulation of one medication caused by another and can cause complications in the patient that may worsen health or be non reversible or difficult to treat once occur. For example a patient that has a bad kidney can harm their kidney further if they take aspirin and other NSAIDs containing drugs if this patient also takes diuretic  and ace inhibitors for blood pressure this is putting the patient at high risk for decline in kidney function and can even lead to irreversible kidney damage (Beldowski, Hersh , Hajjar, 2017). 

Another safety concern with polypharmacy is drug interactions. Patient who take many medications at one time have a higher risk of having drug interactions. There are studies that prove that taking just 5 medication predisposes patients to 80% change of liver damage due to drug interactions during metabolism. There are different types of reactions one being antagonistic , and synergistic. When an antagonist reaction occurs it diminishes the effect of another medication reducing the therapeutic effect of the medication. A synergistic interaction causes an increase in the effect of a medication which can lead to OD and toxicity of a medication if not closely monitored (Allore, Gnjidic, Tinetti, 2017).

As a FNP we can take each visit as a chance to review all medications a patient is taking and encourage patients to report any new medications prescribed by other prescribers. As nurse practitioners we should also collaborate with other physicians to reduce the number of medications a patient takes to only the most important medications. At times patients are taking medications that are not medically necessary. As a FNP if this is suspected is is important to review with a physician and the patient in order to prevent polypharmacy. It is also important to encourage patients to always carry a list of medications with them wherever they go in case of emergency. 

Reference 

Hersh, L. R., Beldowski, K., & Hajjar, E. R. (2017). Polypharmacy in the geriatric oncology population. Current oncology reports, 19(11), 73.

Gnjidic, D., Tinetti, M., & Allore, H. G. (2017). Assessing medication burden and polypharmacy: finding the perfect measure.

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2023 Behavioral and Cultural Issues in Healthcare DISCUSSION BOARD Applying a Model to Develop

2023 Nursing prof lex only

Behavioral and Cultural Issues in Healthcare DISCUSSION BOARD Applying a Model to Develop 2023

 

Behavioral and Cultural Issues in Healthcare

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DISCUSSION BOARD

 

Applying a Model to Develop an Intervention

In this week’s Discussion you will examine how the PRECEDE-PROCEDE, Intervention Mapping, and Mobilizing for Planning and Partnership (MAPP) models are used to develop intervention programs.

To prepare for this Discussion, your Instructor will assign you to one of three groups (based on your last name):

 

  • Group A: The PRECEDE-PROCEED model
  • Group B: The MAPP model
  • Group C: The Intervention Mapping model

 

Check the Announcements area for your assignments.

Next, imagine that you are a health educator or other health professional that is planning a prevention program that relates to your assigned Healthy People focus area. Your goal is to develop a program that reduces the incidence of the disease and decreases the risk factors associated with the disease.

After reviewing this week’s readings, articles from the library, credible websites, etc., you will learn how other organizations have developed programs related to this particular Healthy People assigned focus area. Have they used a planning model in their program design? If so, which model?

 

By Day 4, post a comprehensive response to the following questions:

 

(Note: Respond within the group with your assigned model in the title.)

 

  • How could you apply the assigned model to develop a culturally-competent intervention program to reduce the incidence of a particular disease?
  • Explain how some of the constructs (components) of the model would be considered in your program design.
  • What are some of the strengths and weaknesses of the planning model you were assigned?
  • Do you think the model you chose is the best model (from others mentioned in the readings or in the literature) to use for addressing this particular disease/health issue? Why or why not?

 

Be sure to cite your supporting documentation appropriately in correct APA format.  Initial postings must be 250–350 words (not including references).

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ASSIGNMENT…………………………………..

MY ASSIGNMENT IS DISABILITY

 

Welcome to In the News!

 

The In the News assignment has been designed to give you the opportunity to review current news articles about one of the Healthy People assigned focus areas addressed by the Healthy People 2020 program’s Vision, Mission, & Overarching Goals: http://healthypeople.gov/2020/.

In the first few days of Week 1, your Instructor will assign one of the following Healthy People assigned focus area to you based on last name. For example, the Healthy People assigned focus area, “Access to Health Services” would be assigned to “Aaronson, Robert.”

 

  • Access to Health Services
  • Arthritis, Osteoporosis, and Chronic Back Conditions
  • Cancer
  • Chronic Kidney Disease
  • Diabetes
  • Disability and Secondary Conditions(THIS IS MY CHOSSEN ASSIGNMENT PER THE PROFESSOR)
  • Environmental Health
  • Heart Disease and Stroke
  • HIV
  • Immunization and Infectious Diseases
  • Injury and Violence Prevention
  • Maternal, Infant, and Child Health
  • Mental Health and Mental Disorders
  • Nutritionand Weight Studies
  • Oral Health
  • Respiratory Diseases
  • Sexually Transmitted Diseases
  • Substance Abuse
  • Vision

 

To prepare for this assignment, keep your eyes open for an article in an online news publication that relates to your Healthy People assigned focus area. The news article should be intended for the general public. Examples of such sources follow:

· Magazines and newspapers (e.g., The New York Times)
· Health news websites (e.g., National Public Radio’s (NPR’s) “Health” section)
· News updates from government sites, such as “In the News” at the National Institutes of Health site (http://www.nih.gov/, upper right-hand corner of homepage) or “Science News” at the National Institute of Mental Health (http://www.nimh.nih.gov/science-news/index.shtml)

When you find an article:

 

  • Consider how it relates to your Healthy People assigned focus area
  • Review the current statistics stated in the article

 

In 1 to 2 paragraphs or ½ page, post a summary of the article, discussing the reason you choose this article for your assignment. Then, include a comprehensive response of 600–750 words to the following questions:

 

  • Does the article address a biomedical perspective, a prevention perspective, or both? Please explain. If you feel it only addresses one perspective, in what ways can the second perspective be addressed (i.e. through an education or prevention program, clinical trials, etc).

 

  • What levels (or level) of the social ecology of health model are addressed in the topic? See p. 15, Figure 1.1 of your text. How do these levels apply populations affected with your Healthy People 2020 assigned focus area?

NOTE: Post BOTH the article summary AND the comprehensive response together by Day 4 of week 5.
Be sure to provide a hyperlink to the article that informed your response (if applicable) and cite and reference it appropriately in your response. If you need help with APA format for citing and referencing electronic sources and articles, please visit the Writing Center (http://writingcenter.waldenu.edu) under the “APA” tab for examples.
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Personal Health and Wellness

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DISCUSSION BOARD

 

The Aging Process

 

The aging process is a complex interaction of genetic and environmental factors; therefore each individual ages differently. For example, changes in body composition, body weight, and body systems are common effects of aging. It is essential for those who are aging to maintain a healthy lifestyle to reduce the risk of disease and infection. However, the end result of aging inevitably is death. Appropriate preparation for death contributes to well-being of family and friends and brings peace of mind to the dying.

 

For this Discussion, consider the impact of aging on personal health and wellness and the importance of preparing for death.

To prepare for this Discussion:

 

  • Review Chapter 14 in Health: The Basics, 10th edition. Pay particular attention to aging and preparing for death.

 

  • Complete the Chapter 14 Personal Health Assessment “Are You Afraid of Death?” in Health: The Basics, 10th edition.
  • Think about preparing for death.

 

  • Review the media “Dimensions of Health Wheel.” Select two dimensions of health and consider how the aging process might affect each of them.

 

With these thoughts in mind:

 

Select one of the two Discussion Questions.

 

By Day 4, post a brief description of the two dimensions of health you selected. Then explain how the aging process might affect those dimensions. Finally, describe one strategy you might recommend to improve or enhance the two dimensions of health you selected for someone who is aging.

 

OR

 

By Day 4, post an example of a situation in which preparation for death was either adequately planned or inadequately planned. Explain the results and the impact of those results on family and friends. Finally, explain how this situation might influence your own preparations for death and dying.

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PROJECT

Refer to the Final Project Guidelines and submit your Final Project by Day 7.

 

  • Doucument: Final Project Guidelines (.pdf document)

    Note: This document provides guidlines and requirements for your final project.

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RESOURCES

  • Donatelle, R. J. (2013). Health: The basics, 10th edition. San Francisco, CA: Pearson Benjamin Cummings.
    • Chapter 12, “Reducing Your Risk of Cardiovascular Disease and Cancer”
    • Chapter 13, “Protecting against Infectious and Noninfectious Diseases”
    • Chapter 14, “Preparing for Aging, Death, and Dying”

 

  • Meetoo, D. (2008). Chronic diseases: The silent global epidemic. British Journal of Nursing (BJN), 17(21), 1320–1325.
    Retrieved from the Walden Library databases.

 

  • Luepker, R. V. (2011). Cardiovascular disease: Rise, fall, and future prospects. Annual Review of Public Health, 32, 1–3.
    Retrieved from the Walden Library databases.
  • Document: Final Project Guidelines (.pdf document)

    Note: This document provides guidlines and requirements for your final project.

 

Media

 

  • Laureate Education, Inc. (Executive Producer). (2012). Personal Health and Wellness: Dimensions of Health Wheel [Multimedia], Baltimore, MD: Author.

 

Optional Resources

 

  • Phelan, E. A., Anderson, L. A., LaCriox, A. Z., & Larson, E. B. (2004). Older adults’ views of “successful aging” — How do they compare with researchers’ definitions? Journal of The American Geriatrics Society, 52(2), 211–216.
    Retrieved from the Walden Library databases.

 

  • Emanuel, L., Bennett, K., & Richardson, V. E. (2007). The dying role. Journal of Palliative Medicine, 10(1), 159–168.
    Retrieved from the Walden Library databases.

 

 

 

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2023 Week 4 Discussion Question Polypharmacy is a frequent concern Discuss two or three common

2023 Nursing Week 4 discussion. polypharmacy

Week 4 Discussion Question Polypharmacy is a frequent concern Discuss two or three common 2023

 

Week 4 Discussion Question .Polypharmacy is a frequent concern

  • Discuss two or three common risk factors for polypharmacy. Explain the reason for why each listed item is a risk factor.
  • Discuss two to three interventions you can take as a Nurse Practitioner student in your clinical practice to prevent polypharmacy complications.
  • In your clinical practice as a nurse, what interventions have you observed to be most effective to prevent polypharmacy?

Use 2 to 3 journals no older than 5 years. Use APA, at least 6 to 7 complete paragraph of 6 t0 7 sentences including all  the questions. 

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2023 Week 5 Nursing Care Models Paper Purpose The purpose of this assignment is to identify nursing care models

2023 Nursing YHTOMIT

Week 5 Nursing Care Models Paper Purpose The purpose of this assignment is to identify nursing care models 2023

Week 5 Nursing Care Models Paper

 

Purpose

The purpose of this assignment is to identify nursing care models utilized in today’s various health care settings and enhance your knowledge of how models impact the management of care and may influence delegation. You will assess the effectiveness of models and determine how you would collaborate with a nurse leader to identify opportunities for improvement to ensure quality, safety and staff satisfaction.

Course Outcomes

Completion of this assignment enables the student to meet the following course outcomes.

CO#1: Apply leadership concepts, skills, and decision making in the provision of high quality nursing care, healthcare team management, and the oversight and accountability for care delivery in a variety of settings. (PO #2)

CO#2: Implement patient safety and quality improvement initiatives within the context of the interprofessional team through communication and relationship building. (PO #3)

CO#3: Participate in the development and implementation of imaginative and creative strategies to enable systems to change. (PO #7)

CO#6: Develop a personal awareness of complex organizational systems and integrate values and beliefs with organizational mission. (PO #7)

CO#7: Apply leadership concepts in the development and initiation of effective plans for the microsystems and/or system-wide practice improvements that will improve the quality of healthcare delivery. (PO #2, and #3)

CO#8: Apply concepts of quality and safety using structure, process, and outcome measures to identify clinical questions as the beginning process of changing current practice. (PO#8)

Due Dates

This assignment is to be submitted to the Dropbox by Sunday, 11:59 p.m. MT, end of Week 5.

Points

This assignment is worth 200 points.

Directions

1.     Read your text, Finkelman (2012), pp- 118- 127.

2.     Observe staff in delivery of nursing care provided. Practice settings may vary depending on availability. 

3.     Identify the model of nursing care that you observed. Be specific about what you observed, who was doing what, when, how and what led you to identify the particular model.

4.     Write a 5 page paper that includes the following:

5.     Review and summarize two scholarly resources (not including your text) related to the nursing care model you observed in the practice setting.

6.     Review and summarize two scholarly resources (not including your text) related to a nursing care model that is different from the one you observed in the practice setting.

7.     Discuss your observations about how the current nursing care model is being implemented. Be specific.

8.     Recommend a different nursing care model that could be implemented to improve quality of nursing care, safety and staff satisfaction. Be specific.

9.     Provide a summary/conclusion about this experience/assignment and what you learned about nursing care models.

10.  Write your paper using APA format. Submit to the Dropbox.

 

 

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