*NURSING > DISCUSSION POST > Chamberlain College of Nursing NR 601 WEEK 1&2 PART 1 (All)

Chamberlain College of Nursing NR 601 WEEK 1&2 PART 1

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My clinical schedule this week was Tuesday, Wednesday and Thursday. I am hoping to get more experience with acute conditions during this clinical rotation. I have seen a lot of chronic issues and fo... llow-ups. I would like to get more experience with more critical acute issues that would cause me to critically think. In regard to the clinical competency checklist I have been able to check off a few items such as restless leg syndrome and hypothyroidism. I am happy to be checking some things off the list, but there are days that I am not able to check anything off because it is chronic issues that I have already had in my previous practicum course. The barriers that I anticipate for my clinical site/preceptor is that we don't get a lot of procedures because she has not gone thru any additional training to learn to suture or to treat specific injuries. I did get a chance this week to help with an EKG, which it was nice to be more hands on in regard to a test. The MA's do most of the tests that are ordered so that we can see other patients. Another barrier that with my preceptor is that she does not see any patients under the age of 18 nor does she perform women's health exams, so these are two areas that I am lacking. I am currently working on establishing sites to get these experiences in the very near future.  Tokpah Miller Tokpah Miller Jul 11, 2019Jul 11, 2019 at 9:19pm Manage Discussion Entry Dr. Sizemore and Class, My clinical schedule for this week is Wednesday and Thursday. My clinical goal this week is to make sure I am seeing patients between the ages of 50 to 80 years old for a wellness exam. I want to get more training in doing prostate exams, and PFT. I want to be able to look at the PFT result and interpret the findings to help me understand the exercise for this week lecture. I do not anticipate any barriers at this time, I am just hoping to get the right patients for the right experience. My preceptor is always willing to teach me new things and I am very grateful for that. If not done this week, I will have to do at some point during this clinical rotation as the opportunity arises. This is a graded discussion: 50 points possible due Jul 21, 2019 Week 2: Polypharmacy Discussion1818 unread replies.3737 replies. Students will not receive credit for any discussions posted after Sunday 11:59pm MT. Polypharmacy is a common concern, especially in the elderly.  List the definitions of polypharmacy you encounter in your assigned reading. Include an additional reference from an evidence based practice journal article or national guideline.  Discuss three risk factors that can lead to polypharmacy. Explain the rationale for why each listed item is a risk factor. Risk factors are different than adverse drug reactions. ADRs can be a result of polypharmacy, and is important, but ADRs are not a risk factor.  Discuss three action steps that a provider can take to prevent polypharmacy.  Provide an example of how your clinical preceptors have addressed polypharmacy. Discussion Guiding Principles The ideas and beliefs underpinning the discussions guide students through engaging dialogues as they achieve the desired learning outcomes/competencies associated with their course in a manner that empowers them to organize, integrate, apply and critically appraise their knowledge to their selected field of practice. The use of discussions provides students with opportunities to contribute level-appropriate knowledge and experience to the topic in a safe, caring, and fluid environment that models professional and social interaction. The ebb and flow of a discussion is based upon the composition of student and faculty interaction in the quest for relevant scholarship. Participation in the discussion generates opportunities for students to actively engage in the written ideas of others by carefully reading, researching, reflecting, and responding to the contributions of their peers and course faculty. Discussions foster the development of members into a community of learners as they share ideas and inquiries, consider perspectives that may be different from their own, and integrate knowledge from other disciplines. Participation Guidelines Students must post a minimum of two times in each graded discussion. The two posts in each individual discussion must be on separate days. Posting twice on two different days meets the minimum requirement however for full credit, the student must post at least three substantive posts on three different days. The student must provide an answer to each graded discussion topic posted by the course instructor, by Wednesday, 11:59 p.m. MT, of each week. If the student does not provide an answer to each graded topic (not a response to a student peer) before the Wednesday deadline, 5 points are deducted for each discussion in which the late entry occurs (up to a 10 point deduction for that week). Subsequent posts, including essential responses to peers, must occur by Sunday, 11:59 p.m. MT at the end of each week. Week 8 onlySubsequent posts, including essential responses to peers, must occur by Saturday, 11:59 p.m. MT of Week 8. Direct Quotes Good writing calls for the limited use of direct quotes. Direct quotes in discussions are to be limited to one short quotation (not to exceed 15 words). The quote must add substantively to the discussion. Points will be deducted under the grammar, syntax, APA category. **To see view the grading criteria/rubric, please click on the 3 dots in the box at the end of the solid gray bar above the discussion board title and then Show Rubric. Search entries or author Filter replies by unread Unread Collapse replies Expand replies Subscribed  Collapse SubdiscussionZiki Wongyip Ziki Wongyip Jul 14, 2019Jul 14, 2019 at 10:09pm Manage Discussion Entry List the definitions of polypharmacy you encounter in your assigned reading. Include an additional reference from an evidence-based practice journal article or national guideline. Polypharmacy defined as prescribing many drugs, prescribing five or more drugs, or prescribing potentially inappropriate medications among (KennedyMalone and Martin-Plank, 2014). The most commonly used definition of polypharmacy was five or more medications daily. Polypharmacy definition ranges from the use of a large number of drugs to the use of potentially inappropriate medications, medication underuse, and medication duplication (Masnoon, Shakib, Kalisch-Ellett, & Caughey, 2017). Thus, polypharmacy is defined in various ways. Discuss three risk factors that can lead to polypharmacy. Explain the rationale for why each listed item is a risk factor. Risk factors are different than adverse drug reactions. ADRs can be a result of polypharmacy, and is important, but ADRs are not a risk factor. The incidence of polypharmacy increases with age, and it is reported to be approximately 35%–40% in the elderly aged >75 years. Increase in the number ofan elderly population with prolonged life expectancy is associated with multiple comorbid diseases and increase the need for health care. This may cause the elderly population to be in the forefront of drug consumption. The need for longterm use of drugs due to chronic diseases leads to concomitant use of many medications. Besides, undesirable adverse effects of drugs can easily occur owing to long-term use, drug-drug interactions, and age-related changes in metabolic processes. For these reasons, the use of multiple medications leads to a vicious circle that is difficult to break. Longer life expectancy and higher frequency of chronic illness, especially those aged >65 years, were risk factors for using multiple drugs (Önal and Durukan, 2018). Aging is a significant risk factor that can lead to polypharmacy. Studies have shown that elderly people with chronic diseases have more tendency toward polypharmacy because patients may visit different doctors and take many prescriptions, the use of medication for symptoms rather than diagnosis, taking non-prescription drug sales without awareness of the physicians, and the tendency of elderly patients to use medicines taken from family members or friends (Önal and Durukan, 2018). Polypharmacy is more common in older people who have multiple health problems and are cared for by different doctors. These doctors might not talk about the patient together and may not know all the medicines a person is taking. This means that, over time, older people with multiple health problems can end up with a long list of drugs recommended by different doctors. Visiting numerous doctors is another factor that contributes to polypharmacy. Surprisingly, gender is also a risk factor for polypharmacy. Higher rate of polypharmacy was found in older female persons. More than half of the patients were females in primary care practice; they use more drugs. This difference in prescription patterns can be attributed to gender-related health behavioral factors such as willingness to seek health care (Gutiérrez-Valencia et al., 2018). Also, female life expectancy is longer than males. Longer life expectancy and higher frequency of chronic illness in women, especially those aged >65 years, were risk factors for using multiple drugs (Önal and Durukan, 2018). A strong relationship between polypharmacy and older female patients. Discuss three action steps that a provider can take to prevent polypharmacy [Show More]

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