discussion 1 pharm

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A 23-year-old biracial (Black Asian) female arrives at the clinic for an evaluation. She has lost 30 pounds in 6 weeks without trying. She complains of feelings of guilt about her symptoms and everyday sadness that does not go away.  She also states she is not able to stay asleep and has difficulty concentrating.  Her family is Jamaican and has used herbal teas, not a psychiatrist in the past to treat these symptoms.

  • Discuss how the principles of good prescribing should be applied to this case.  
  • Describe a cultural consideration that may affect medication adherence for this patient.

Submission Instructions:

  • Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources.  Your initial post is worth 8 points.
  • You should respond to at least two of your peers by extending, refuting/correcting, or adding additional nuance to their posts. Your reply posts are worth 2 points (1 point per response.) 
  • All replies must be constructive and use literature where possible.
  • Please post your initial response by 11:59 PM ET Thursday, and comment on the posts of two classmates by 11:59 PM ET Sunday.
  • Late work policies, expectations regarding proper citations, acceptable means of responding to peer feedback, and other expectations are at the discretion of the instructor.
  • You can expect feedback from the instructor within 48 to 72 hours from the Sunday due date.

Theoretical framework

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Please see the attachment for instructions

Case Study #1

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 A 72-year-old woman presents to her regular primary care physician (PCP) with a 2-day history of fatigue, malaise 

pn 2 m8 written

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An 8-year-old girl comes to your ambulatory care clinic with complaints of left ear pain for the past 3 days. She had respiratory infection a week ago. On physical examination, the tympanic membrane is bulging.

Answer the following questions:

  1. What else should you ask the client?
  2. What teaching would you reinforce to prevent the recurrence of otitis media?
  3. What expected outcomes would be specific to this situation?

PSYCHOTHERAPY FOR CLIENTS WITH ADDICTIVE DISORDERS

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See attachement for instructions 

Recommendations for Life Stages

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A person’s nutrient needs may change for a variety of reasons, but the most influential is stage-of-life. In this discussion, you will examine two stages of life chosen from the following:

  • Infancy
  • Childhood
  • Adolescence
  • Adulthood
  • Older adulthood
  • Pregnancy and Lactation

For your initial post, address the following:

  1. Identify the two life stages of life you will discuss and list their names in the title of your initial post.
  2. Research and describe the current nutrient recommendations for the life stages you selected.
  3. Suggest foods that would be beneficial for each of the life stages you selected and explain why.

Comprehensive Psychiatric Evaluation

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Assignment 

  • Create a Comprehensive Psychiatric Evaluation Note on the patient presented in the video using the template provided in the Learning Resources. There is also a completed template provided as an exemplar and guide:
  • Include at least five scholarly resources to support your assessment and diagnostic reasoning.

Case study: 

GI & Musculoskeletal

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This Discussion has 2 parts:

  1. GI
    • Make a comprehensive list of relevant information to gather when assessing abdominal pain.
    • How do you assess for masses in the abdomen and how you would document such findings?
    • Describe your findings on a previous patient that you have encountered where you have palpated a mass in the abdomen.
  2. Musculoskeletal
    • Define, Compare, and Contrast the following conditions:
      • Osteoarthritis
      • Rheumatoid Arthritis

revisit 3W D

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please follow all directions

Diagram

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    Scenario 1
    You are working in risk management and need to track medication administration errors and adverse events for patients over a 6-month period. You are receiving information from the inpatient areas, outpatient clinics, and home health. 

Using the scenario, create a diagram of WK 3 proposed database using Microsoft Word.

  • Include the additions made in Week 4.
  • Complete the diagram first, but place it as the final page or pages of your submission. The diagram is separate from the required page count.

In the narrative portion of the assignment: 2 to 3 pages. Provide current references to support narrative.

  • Explain how your diagram articulates your planned design.
  • Explain the principles behind selecting key fields and defining relationships. Be specific and support your response with evidence.
  • Write a sample PICOT question (i.e., a query) you might ask based on the information in the database created during Weeks 3 and 4 to demonstrate your understanding of the connection between data and research.
  • List the tables in the database that you would need to include when answering your question.