NURS 6540 Week 4 Assignment & Discussion Question

Assignment 1: Practicum – Week 3 SOAP Note

In addition to journal entries, SOAP Note submissions are a way to reflect on your practicum experiences and connect these experiences to your classroom experience. SOAP Notes, such as the ones required in this course, are often used in clinical settings to document patient care. Refer to this week’s Learning Resources for guidance on writing SOAP Notes. NURS 6540 Week 4 Assignment & Discussion Question.

KINDLY ORDER NOW FOR A CUSTOMIZED ACADEMIC PAPER

Select a geriatric patient that you examined during the last 3 weeks. The patient you select should be currently taking at least five prescription and/or over-the-counter drugs. With this patient in mind, address the following in a SOAP Note:

Subjective: What was the patient’s subjective complaint? What details did the patient provide regarding his or her personal and medical history? Include a list of prescription and over-the-counter drugs the patient is currently taking. Compare this list with the Beers Criteria and consider alternative drugs if appropriate.

Objective: What observations did you make during the physical assessment? What functional assessments were used?

Assessment: What were your differential diagnoses? Provide a minimum of three possible diagnoses. List them from top priority to least priority. NURS 6540 Week 4 Assignment & Discussion Question.

Plan: What was your plan for diagnostics and primary diagnosis? What was your plan for treatment and management including alternative therapies? What is your care plan for the patient? How would you offer caregiver support?

Reflection notes: What would you do differently in a similar patient evaluation? How might you improve your assessment, diagnosis, and/or plan through interprofessional collaboration?

Refer to this week’s Learning Resources for guidance on writing SOAP Notes.

By Day 7 of Week 4

This Assignment is due. You will submit this Week 3 SOAP Note along with your Journal Entries (from Weeks 1, 2, and 4). Practicum Time Log is Due in Week 3

NURS 6540 Week 4 Assignment & Discussion Question – Assignment: Practicum – Week 4 Journal Entry

Reflect on medication adherence issues you have encountered with geriatric patients in your practicum setting. Explain implications of these issues on patient health, as well as strategies to improve medication adherence for geriatric patients. If you did not have an opportunity to evaluate a patient with this background during the last 4 weeks, you can select a related case study or reflect on previous clinical experiences.

By Day 7 of Week 4

This Assignment is due. Please submit the Journal Entries (Weeks 1, 2, and 4), and the Week 3 SOAP Note by Day 7 of Week 4 (this week).

Note: Be sure to submit your Assignment to the appropriate submission link below.

Submissions should match the following:

Week 3 SOAP Note: Submit to the Week 4 Assignment – Part 1 submission link.

Weeks 1, 2, & 4 Journal Entry: Submit to the Week 4 Assignment – Part 2 submission link.

For the Journal Entries and Practicum Time Logs—which are assessed with a Satisfactory (S) or Unsatisfactory (U) score—the numerical grade will show as 0 points and the “S” or “U” will be posted in the Feedback area by your Instructor. These scores of 0 points do not affect your grade; they simply allow for a placeholder to place the “S” or “U” scoring. This concept also applies to Weeks 3, 7 and 11.

Submission and Grading Information

To submit your completed Assignment for review and grading, do the following:

Please save your Assignment using the following naming convention: WK4AssgnPX+lastname+first initial.

Click the Assignment Week 4 – Part X link.

Next, from the Attach File area, click on the Browse My Computer button. Find the document you saved as “WK4AssgnPX+last name+first initial.(extension)” and click Open. If you are submitting multiple files, repeat until all files are attached. NURS 6540 Week 4 Assignment & Discussion Question.

Click on the Submit button to complete your submission.

NURS 6540 Week 4 Discussion Question

Pharmacokinetic and pharmacodynamic processes differ among patients across their life spans. For geriatric patients, alterations due to aging make them especially prone to adverse drug reactions. The various health issues that affect many geriatric patients further complicate this, as the need to treat these multiple health issues often results in polypharmacy. Although treatments are frequently drugs rescribed by the health care provider, many geriatric patients also take over-the-counter (OTC) drugs. While the provider sometimes recommends these OTC drugs, patients often select the drugs on their own. This makes patient education on pharmacology key when caring for geriatric patients. Many patients assume that if drugs are available over the counter, then they are safe to take. However, due to issues related to polypharmacy and how their aging bodies process drugs, OTC drugs may have serious implications
for patients.

To prepare:

Review the American Geriatrics Society article and interactive media piece in this week’s Learning Resources.

Select one of the following over-the-counter drugs commonly used by geriatric patients:

Antacids or acid suppressants
Antidiarrheal
Antihistamines
Antimicrobial ointments
Antispasmodics for the bladder
Cough suppressants
Laxatives
Neutraceuticals (choose one; e.g., ginseng, St. John’s wart, etc.)
Pain medications (choose one; e.g., acetaminophen, ibuprofen, rub-on pain ointments/patches, etc.)
Supplements (choose one; e.g., calcium, iron, etc.)
Vaginal creams

Research the over-the-counter drug you selected. Visit a local pharmacy and explore the types/varieties of the drug that are available. NURS 6540 Week 4 Assignment & Discussion Question.

Reflect on the ingredients in each type/variety, including additional active ingredients.

Consult with the pharmacist about the ingredients in each type/variety, including how to make safe and effective clinical decisions in relation to this drug. Discuss potential interactions in frail elders and
precautions related to the drug based on Beers Criteria. If one is available, you may consult with a pharmacist at your practicum site as an alternative to visiting a pharmacy.

KINDLY ORDER NOW FOR A CUSTOMIZED ACADEMIC PAPER

Consider ways to educate elders about the OTC drug you selected.

Post on or before Day 5 a PowerPoint presentation that addresses the following:

Describe the over-the-counter drug that you selected.

Identify the types/varieties of the drug that are available.

Describe the ingredients in each type/variety including additional active ingredients.

Explain the key information that you need to know about this OTC drug to make safe and effective clinical decisions. Include potential interactions in frail elders and describe any precautions related to the drug based on Beers Criteria.

Explain how you would educate elders about the OTC drug you selected.

Read a selection of your colleagues’ responses.

Respond on or before Day 7 to at least two of your colleagues on two different days in one or more of the ways listed below. NURS 6540 Week 4 Assignment & Discussion Question.

Respond to colleagues who selected a different drug than you did.

Suggest additional interactions in frail elders that may be caused by the ingredients in your colleagues’ drugs.

Provide insights to drug-drug interactions between the drug you selected and the drugs your colleagues selected.

Validate an idea with your own clinical experiences and additional literature search.

Click on the Reply button below to reveal the textbox for entering your message. Then click on the Submit button to post your message.

NURS 6540 Week 4 Assignment & Discussion Question