Nurs 6521 Week 9 Discussion

Discussion: Women’s and Men’s Health,

Infectious Disease, and Hematologic

Disorders

As an advanced practice nurse, you will likely experience patient encounters with

complex comorbidities. For example, consider a female patient who is pregnant

who also presents with hypertension, diabetes, and has a recent tuberculosis

infection. How might the underlying pathophysiology of these conditions affect

the pharmacotherapeutics you might recommend to help address your patient’s

health needs? What education strategies might you recommend for ensuring

positive patient health outcomes?

For this Discussion, you will be assigned a patient case study and will consider

how to address the patient’s current drug therapy plans. You will then suggest

recommendations on how to revise these drug therapy plans to ensure effective,

safe, and quality patient care for positive patient health outcomes.

Photo Credit: Getty Images

To Prepare

 Review the Resources for this module and reflect on the different health needs

and body systems presented.

 Your Instructor will assign you a complex case study to focus on for this

Discussion.

 Consider how you will practice critical decision making for prescribing appropriate

drugs and treatment to address the complex patient health needs in the patient

case study you selected.

By Day 3 of Week 9

Post a brief description of your patient’s health needs from the patient case study you

assigned. Be specific. Then, explain the type of treatment regimen you would

recommend for treating your patient, including the choice or pharmacotherapeutics you

would recommend and explain why. Be sure to justify your response. Explain a patient

education strategy you might recommend for assisting your patient with the

management of their health needs. Be specific and provide examples.

Discussion: Women and Men’s Health, Infectious Disease, and Hematologic Disorders

To Prepare

 Select a complex case study to focus on for this discussion (below).

 Consider how you will practice critical decision making for prescribing appropriate

drugs and treatment to address the complex patient health needs in the patient case

study you selected.

 You will pick 1 case to discuss for your initial post during week 9. Then complete 2 response

posts during week 10; be sure to discuss both cases.

By Day 3 of Week 9 (by Wednesday, 11:59 pm MT)

Post a description of your patient’s health needs from the patient case study you selected. Be specific.

Then, explain the type of treatment regimen you would recommend for treating your patient, including

specific medications. Be sure to justify your response. Explain a patient education strategy you might

recommend for assisting your patient with the management of their health needs. Be specific and provide

examples.

You must make at least a reference to course materials and two outside sources in your initial posting (At

least 3 sources for initial posts). You will respond to your colleagues’ posts in Week 10. You will receive a

zero if you copy/paste your initial post or another classmate’s post as your response post.

 

The week 8 threaded discussion has been graded; written assignment will be graded by

Thursday night.

Wishing you much success,

-Dr.Stanton

CASE STUDY 1

HH is a 68 yo M who has been admitted to the medical ward with community-acquired

pneumonia for the past 3 days. His PMH is significant for COPD, HTN, hyperlipidemia, and

diabetes. He remains on empiric antibiotics, which include ceftriaxone 1 g IV qday (day 3)

and azithromycin 500 mg IV qday (day 3). Since admission, his clinical status has improved,

with decreased oxygen requirements. He is not tolerating a diet at this time with complaints

of nausea and vomiting.

Ht: 5’8” Wt: 89 kg

Allergies: Penicillin (rash)

BE SURE TO REVIEW THE C&S

CASE STUDY 2

A 46-year-old, 230lb woman with a family history of breast cancer. She is up to date on

yearly mammograms.  She has a history of HTN. She complains of hot flushing, night

sweats, and genitourinary symptoms.  She had felt well until 1 month ago and she

presented to her gynecologist for her annual gyn examination and to discuss her

symptoms.  She has a history of ASCUS about 5 years ago on her pap, other than that, Pap

smears have been normal. Home medications are Norvasc 10mg qd and HCTZ 25mg qd.

Her BP today is 150/90.  She has regular monthly menstrual cycles. Her LMP was 1 month

ago.