Chat with us, powered by LiveChat Select one drug to treat the diagnosis(es) or symptoms. List medication class and mechanism of action for the chosen medication. Write the prescription in prescription format - Tutorie

Select one drug to treat the diagnosis(es) or symptoms. List medication class and mechanism of action for the chosen medication. Write the prescription in prescription format

  1. Select one drug to treat the diagnosis(es) or symptoms.
  2. List medication class and mechanism of action for the chosen medication.
  3. Write the prescription in prescription format.
  4. Provide an evidence-based rationale for the selected medication using at least one scholarly reference. Textbooks may be used for additional references but are not the primary reference.
  5. List any side effects or adverse effects associated with the medication.
  6. Include any required diagnostic testing. State the time frame for this testing (testing is before medication initiation or q 3 months, etc.). Includes normal results range for any listed laboratory tests.
  7. Provide a minimum of three appropriate medication-related teaching points for the client and/or family.

Preparing the Discussion

Follow these guidelines when completing each component of the discussion. Contact your course faculty if you have questions.

General Directions

Review the provided case study to complete this week’s discussion.

Include the following sections:

1. Application of Course Knowledge: Answer all questions/criteria with explanations and detail.

a. Select one drug to treat the diagnosis(es) or symptoms.

b. List medication class and mechanism of action for the chosen medication.

c. Write the prescription in prescription format.

d. Provide an evidence-based rationale for the selected medication using at least one scholarly reference. Textbooks may be used for additional references but are not the primary reference.

e. List any side effects or adverse effects associated with the medication.

f. Include any required diagnostic testing. State the time frame for this testing (testing is before medication initiation or q 3 months, etc.). Includes normal results range for any listed laboratory tests.

g. Provide a minimum of three appropriate medication-related teaching points for the client and/or family.

2. Integration of Evidence: Integrate relevant scholarly sources as defined by program expectations:

a. Cite a scholarly source in the initial post.

b. Cite a scholarly source in one faculty response post.

c. Cite a scholarly source in one peer post.

d. Accurately analyze, synthesize, and/or apply principles from evidence with no more than one short quote (15 words or less) for the week.

e.  Include a minimum of two different scholarly sources per week. Cite all references and provide references for all citations.

3. Engagement in Meaningful Dialogue: Engage peers and faculty by asking questions, and offering new insights, applications, perspectives, information, or implications for practice.

a. Peer Response: Respond to at least one peer on a topic other than the initially assigned topic.

b. Faculty Response: Respond to at least one faculty post.

c. Communicate using respectful, collegial language and terminology appropriate to advanced nursing practice.

4. NR546 W5 Case Study Discussion Rubric

Criteria

Ratings

Pts

Application of Course Knowledge

view longer description

40 pts

Excellent

All requirements met.

36 pts

V. Good

5 requirements met.

33 pts

Satisfactory

4 requirements met.

20 pts

Needs Improvement

1-3 requirements met.

0 pts

Unsatisfactory

No requirements met.

/ 40 pts

Integration of Evidence

view longer description

20 pts

Excellent

All requirements met.

18 pts

V. Good

4 requirements met.

16 pts

Satisfactory

3 requirements met.

10 pts

Needs Improvement

1-2 requirements met.

0 pts

Unsatisfactory

No requirements met.

/ 20 pts

Engagement in Meaningful Dialogue

view longer description

30 pts

Excellent

All requirements met.

24 pts

Satisfactory

2 requirements met.

15 pts

Needs Improvement

1 requirement met.

0 pts

Unsatisfactory

No requirements met.

/ 30 pts

Professionalism in Communication

view longer description

5 pts

Excellent

0-1 errors.

4 pts

V. Good

2-3 errors.

3 pts

Satisfactory

4-5 errors.

2.5 pts

Needs Improvement

6-7 errors.

0 pts

Unsatisfactory

More than 7 errors.

/ 5 pts

Reference Citation

view longer description

5 pts

Excellent

0-1 errors.

4 pts

V. Good

2 errors.

3 pts

Satisfactory

3-4 errors.

2.5 pts

Needs Improvement

5-6 errors.

0 pts

Unsatisfactory

More than 6 errors.

/ 5 pts

Late Penalty Deduction

view longer description

0 pts

No Points Deducted

Posts submitted on time; no points deducted.

0 pts

Points Deducted

Posts submitted late. 10% deduction in points for initial posts entered after Wednesday.

/ 0 pts

Total Participation

view longer description

0 pts

No Points Deducted

Posts submitted on a minimum of two separate days; no points deducted.

0 pts

Points Deducted

Participation requirement not met. 10% deduction in points for not posting on a minimum of two separate days.

,

NR 546 Week 5 Case Study

09.24 MWS

Subjective Objective

The client M.L. is a 34-year-old, Hispanic

female being seen for a psychiatric evaluation

at an outpatient clinic.

Client’s Chief Complaints:

“I feel sad. I can't seem to enjoy anything

anymore, and it's affecting my sleep and

appetite.”

History of Present Illness

M.L. reports a six-month history of persistent

sadness, loss of interest in activities, and

constant feelings of anxiety. She has trouble

sleeping, poor appetite, and frequent fatigue.

M.L. also mentions having trouble

concentrating and feeling overwhelmed by

daily tasks.

She denies any thoughts of self-harm or suicide

but admits to feelings of hopelessness about her

future.

Past psychiatric history: Denies any history of

previous psychiatric diagnoses or treatment for

depression. However, she acknowledges a

family history of depression, with her sister and

mother having been diagnosed and treated for

the condition; this is the client’s first contact

with a mental health provider.

Past Medical History: none

Family History

• Father is alive and well.

• Mother is alive, has depression and

being treated.

• One sister 36, with depression

Social History

• Lives alone in an apartment.

Physical Examination:

Height: 5’7″, weight: 140 lb.

General: Well-nourished female appears stated age

Mental status exam:

Appearance: Appropriate dress for age and situation, well

nourished, poor eye contact, slumped posture

Alertness and Orientation: Alert, fully oriented to person‚

place‚ time‚ and situation,

Behavior: Cooperative

Speech: Soft, flat

Mood: Depressed

Affect: Constricted, congruent with stated mood

Thought Process: Logical‚ linear

Thought content: Expresses feelings of worthlessness and

hopelessness. Denies thoughts of suicide‚ self-harm‚ or

passive death wish. Denies homicidal ideation.

Perceptions: Denies experiencing any perceptual

disturbances, such as auditory or visual hallucinations. No

evidence of psychosis, not responding to internal stimuli.

Memory: Recent and remote WNL

Judgement/Insight: Insight is fair, Judgement is fair

Attention and observed intellectual functioning: Attention

intact for the purpose of assessment. Able to follow

questioning.

Fund of knowledge: Good general fund of knowledge and

vocabulary

Musculoskeletal: Normal gait

NR 546 Week 5 Case Study

09.24 MWS

• Works as a customer service

representative.

• High school graduate with some college

education.

• Smokes socially, 1-2 cigarettes per

week.

• Drinks alcohol occasionally, 1-2 times

per month.

• No current recreational drug use.

• Few close friends and limited social

interactions outside of work.

Trauma history:

• Reports emotional abuse during

childhood from father

• Denies history of physical or sexual

abuse

Review of Systems

• General: Fatigue and low energy levels.

• Cardiovascular: No chest pain or

palpitations.

• Respiratory: Occasional shortness of

breath related to asthma.

• Gastrointestinal: Poor appetite and

occasional nausea.

• Musculoskeletal: No joint pain or

muscle aches.

• Neurological: No headaches or seizures.

• Sleep: Difficulty falling asleep and

staying asleep, averaging 4-5 hours per

night

Allergies: NKDA

Primary diagnosis: Major Depressive Disorder, single episode,

moderate with anxious distress (F32.1)

,

Required Prescriptions Components

How to Write the prescription in prescription format.

• Patient name

• Name of medication, including medication strength (e.g. Escitalopram 10 mg)

• SIG: quantity, route, and frequency (1 tab po daily)

• Number of tablets/capsules to dispense (Disp #30)

• Number of refills

• Prescriber name

• License number

• DEA number, if applicable

Include all components for the prescription writing requirement for the case studies.

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