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Week 2 assignment
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The Ethics and Legalities of Medication Error Disclosure
American writer Nikki Giovanni once said: “Mistakes are a
fact of life. It is the response to the error that counts” (Goodreads, 2012).
Whenever you make an error when writing a prescription, you must consider the
ethical and legal implications of your error—no matter how seemingly
insignificant it might be. You may fear the possible consequences and feel
pressured not to disclose the error. Regardless, you need to consider the
potential implications of non-disclosure. How you respond to the prescription
error will affect you, the patient, and the health care facility where you
practice. In this Assignment, you examine ethical and legal implications of
disclosure and nondisclosure of personal error.
Consider the following scenario:
You are working as an advanced practice nurse at a community
health clinic. You make an error when prescribing a drug to a patient. You do
not think the patient would know that you made the error, and it certainly was
not intentional.
To prepare:
Consider the ethical implications of disclosure and
nondisclosure.
Research federal and state laws for advanced practice
nurses. Reflect on the legal implications of disclosure and nondisclosure for
you and the health clinic.
Consider what you would do as the advanced practice nurse in
this scenario including whether or not you would disclose your error.
Review the Institute for Safe Medication Practices website
in the Learning Resources. Consider the process of writing prescriptions. Think
about strategies to avoid medication errors.
By Day 7
Write a 2- to 3- page paper that addresses the following:
Explain the ethical and legal implications of disclosure and
nondisclosure. Be sure to reference laws specific to your state.
Describe what you would do as the advanced practice nurse in
this scenario including whether or not you would disclose your error. Provide
your rationale.
Explain the process of writing prescriptions including
strategies to minimize medication errors.
Week 4
assignment
Asthma and Stepwise Management
Asthma is a respiratory disorder that affects children and
adults. Advanced practice nurses often provide treatment to patients with these
disorders. Sometimes patients require immediate treatment making it essential
that you recognize and distinguish minor asthma symptoms from serious,
life-threatening symptoms. Since symptoms and attacks are often induced by a
trigger, advanced practice nurses must also help patients identify their
triggers and recommend appropriate management options. Like many other
disorders, there are various approaches to treating and managing care for
asthmatic patients depending on individual patient factors. One method that
supports the clinical decision-making of drug therapy plans for asthmatic
patients is the stepwise approach, which you explore in this Assignment.
To prepare:
Consider drugs used to treat asthmatic patients including
long-term control and quick relief treatment options for patients. Think about
the impact these drugs might have on patients including adults and children.
Review Chapter 25 of the Arcangelo and Peterson text.
Reflect on using the stepwise approach to asthma treatment and management.
Consider how stepwise management assists health care
providers and patients in gaining and maintaining control of the disease.
By Day 7
Write a 2- to 3- page paper that addresses the following:
Describe long-term control and quick relief treatment
options for asthma patients, as well as the impact these drugs might have on
patients.
Explain the stepwise approach to asthma treatment and
management.
Explain how stepwise management assists health care
providers and patients in gaining and maintaining control of the disease.
Week 6
assignment
Diabetes and Drug Treatments
Diabetes is an endocrine system disorder that affects
millions of children and adults (ADA, 2011). If left untreated, diabetic
patients are at risk for several alterations including heart disease, stroke,
kidney failure, neuropathy, and blindness. There are various methods for
treating diabetes, many of which include some form of drug therapy. The type of
diabetes as well as the patient’s behavior factors will impact treatment
recommendations. In this Assignment, you compare types of diabetes including
drug treatments for type 1, type 2, gestational, and juvenile diabetes.
To prepare:
Review this week’s media presentation on the endocrine
system and diabetes, as well as Chapter 46 of the Arcangelo and Peterson text
and the Peterson et al. article in the Learning Resources.
Reflect on differences between types of diabetes including
type 1, type 2, gestational, and juvenile diabetes.
Select one type of diabetes.
Consider one type of drug used to treat the type of diabetes
you selected including proper preparation and administration of this drug.
Then, reflect on dietary considerations related to treatment.
Think about the short-term and long-term impact of the
diabetes you selected on patients including effects of drug treatments.
By Day 7
Write a 2- to 3- page paper that addresses the following:
Explain the differences between types of diabetes including
type 1, type 2, gestational, and juvenile diabetes.
Describe one type of drug used to treat the type of diabetes
you selected including proper preparation and administration of this drug.
Include dietary considerations related to treatment.
Explain the short-term and long-term impact of this diabetes
on patients including effects of drugs treatments.
Week 8
assignment
Antimicrobial Agents
Antimicrobial agents are essential components in the
treatment of various bacterial infections as they help to kill or prevent the
growth of microbes such as bacteria, fungi, and protozoans. Prior to the
discovery of antimicrobial agents, treatment options for patients with
bacterial infections were limited. For many patients, treatment often resulted
in the amputation of limbs or even death. Today, treatment options for
bacterial infections typically have a more positive prognosis. Due to the
various types of infections presented in patients, it is essential to be able to
identify the underlying cause of the infection—whether bacterial or
viral—before recommending drug treatments. This will help you identify whether
or not an antimicrobial agent would be appropriate and which specific agent
would target the infection. In this Assignment, you consider the appropriate
use of antimicrobial agents for infections.
To prepare:
Review this week’s media presentation on principles of
antimicrobial therapy, as well as Chapter 8 of the Arcangelo and Peterson text.
Consider the categories of antimicrobial agents.
Think about differences between viral and bacterial
infections.
Reflect on why proper identification of the infection is key
to selecting the proper antimicrobial agent.
By Day 7
Write a 2- to 3- page paper that addresses the following:
Describe the categories of antimicrobial agents.
Describe differences between viral and bacterial
infections.Explain why proper identification of viral and bacterial infections
is key to selecting the proper antimicrobial agent.
Week 10 assignment
Cancer and Women’s and Men’s Health
The American Cancer Society estimates that by the end of
2012, more than 226,000 women will be diagnosed with breast cancer and more
than 241,000 men will be diagnosed with prostate cancer (American Cancer Society,
2012a; American Cancer Society 2012b). With such prevalence of women’s and
men’s cancers, patient education and preventive services are essential. In
clinical settings, advanced practice nurses must assist physicians in educating
patients on risk factors, preventive services, and for patients diagnosed with
cancer, on potential drug treatments. The clinical implications of women’s and
men’s cancer greatly depend on early detection, which is primarily achieved
through preventive services. In this Assignment, you consider the short-term
and long-term implications of cancer and drug treatments associated with
women’s and men’s health, as well as appropriate preventive services.
To prepare:
Select a type of cancer associated with women’s or men’s
health such as breast, cervical, or ovarian cancer in women and prostate cancer
in men.
Locate and review articles examining the type of cancer you
selected.
Review the U.S. Preventive Services Task Force article in
the Learning Resources. Think about available preventive services that
providers might recommend for patients at risk of this type of cancer.
Select two of the following factors: genetics, gender,
ethnicity, age, or behavior. Reflect on how these factors might impact
decisions related to preventive services.
Consider drug treatment options for patients diagnosed with
the type of cancer you selected including short-term and long-term implications
of the treatments.
By Day 7
Write a 2- to 3- page paper that addresses the following:
Describe available preventive services that providers might
recommend for patients at risk of the type of cancer you selected.
Explain how the factors you selected might impact decisions
related to preventive services.
Describe drug treatment options for patients diagnosed with
the type of cancer you selected. Explain the short-term and long-term
implications of these treatments.
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