Purpose

The purpose of this interactive discussion is to allow for a discovery of the clinical decision-making process that guides the appropriate clinical use of pharmacologic agents used in the treatment of acute disorders across the adult lifespan. The development of evidence-based prescribing practice supports the professional formation of the AGACNP practice role.

Activity Learning Outcomes

Through this discussion, the student will demonstrate the ability to:

1. Summarize the clinical utilization of pharmaceutical agents for specific diseases with rationale. (COs 1, 2, 3, 5, 6)
2. Evaluate alternative perspectives on clinical management of selected diseases with pharmaceutical agents and articulate a substantial rationale that supports further discussion and healthy debate. (COs 1, 2, 3, 5, 6)

Due Date

The initial response to the chosen discussion question is due by Wednesday 11:59 pm MT. Subsequent posts, including substantive responses to peer(s) and faculty questions, must occur by Sunday 11:59 pm MT. A total of 3 substantive posts are required on 3 different days.

A 10% late penalty will be imposed for initial discussions posted after the deadline on Wednesday at 11:59 pm MT, regardless of the number of days late. NOTHING will be accepted after 11:59 pm MT on Sunday (0 points are earned).

A 10% penalty will be imposed for not entering the minimum number of interactive dialogue posts (3) OR not posting on the minimum required number of days (3). NOTHING will be accepted after 11:59 pm MT on Sunday (0 points are earned).

Total Points Possible

This assignment is worth 100 points.

Preparing the Assignment

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

1. Answer the question that corresponds with the 1st letter of your last name only, do not respond to any other questions in your initial post (see table below).
2. Post your initial response to the discussion question by the due date.
3. Post substantial replies to peer and faculty by the due date.
4. 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.

If your name begins with the letters…

Answer this question…

A-G

You are working in the Emergency Department and a 20-year-old female with history of intravenous drug abuse presents with concern of septic shock. What are the considerations in choosing the appropriate antibiotic for this patient? Explain your thought process, questions you would need to ask, and what antibiotic you would order, and when.

H-M

How does the empiric pharmacological therapy differ in a patient with healthcare-associated meningitis (such as a neurosurgical patient with an external ventricular drain) as compared to a healthy adult with community-acquired bacterial meningitis? Explain your rationale.

N-S

You are admitting a 78-year-old male smoker with hx of asthma into the intensive care unit for a diagnosis of hospital acquired pneumonia. He was admitted three weeks ago with pneumonia and discharged to home on azithromycin after a 2-day hospitalization. What antimicrobial treatment will you order on his ICU admission now? Explain your rationale.

T-Z

What would be the alternative empiric pharmacological therapy for a 50-year-old male with a history of anaphylaxis to cephalosporins? Explain your rationale.

**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. 

Last name initial is P.

References can’t be no more than 5 years old, unless it’s a recent CPG.

Week 2 Ethical Health Promotion Paper

Find a scholarly, peer-reviewed article no more than four years old that discusses an ethical health promotion-related issue.

In your paper:

· Briefly summarize the presented issue.

· Describe your thoughts on the role health care professionals should play in resolving the ethical issue.

· Provide specific theories and refer to specific ethical codes to support your position.

Your paper should be 2–3 pages long. Use APA to cite and reference the article and any other optional sources you use. Adhere to APA formatting throughout your paper.

Rubric

NURS_561_DE – Paper/Essay Rubric

NURS_561_DE – Paper/Essay Rubric
Criteria	Ratings	Pts
This criterion is linked to a Learning OutcomeContent	40 to >31.6 pts Meets Expectations The writer clearly and effectively responds to the assignment. 31.6 to >23.6 pts Approaches Expectations The response to the assignment is generally adequate but may not be thorough. 23.6 to >0 pts Not Meeting Expectations The writer does not respond to the assignment.	40 pts
This criterion is linked to a Learning OutcomeFocus and Detail	30 to >23.7 pts Meets Expectations There is one clear, well-focused topic. Main ideas are clear and are well supported by detailed and accurate information. 23.7 to >17.7 pts Approaches Expectations There is one clear, well-focused topic. Main ideas are clear but are not well supported by detailed information. 17.7 to >0 pts Not Meeting Expectations The topic and main ideas are not clear.	30 pts
This criterion is linked to a Learning OutcomeOrganization	20 to >15.8 pts Meets Expectations The introduction is inviting, states the main topic, and provides an overview of the paper. Information is relevant and presented in a logical order. The conclusion is strong. 15.8 to >11.8 pts Approaches Expectations The introduction states the main topic and provides an overview of the paper. A conclusion is included. 11.8 to >0 pts Not Meeting Expectations There is no clear introduction, structure, or conclusion.	20 pts
This criterion is linked to a Learning OutcomeMechanics and APA	10 to >7.9 pts Meets Expectations The assignment consistently follows current APA format and is free from errors in formatting, citation, and references. No grammatical, spelling, or punctuation errors. All sources are cited and referenced correctly. 7.9 to >5.9 pts Approaches Expectations The assignment consistently follows current APA format with only isolated and inconsistent mistakes and/or has a few grammatical, spelling, or punctuation errors. Most sources are cited and referenced correctly. 5.9 to >0 pts Not Meeting Expectations The assignment does not follow current APA format and/or has many grammatical, spelling, or punctuation errors. Many sources are cited and referenced incorrectly, or citations and references are missing.	10 pts
Total Points: 100

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Here’s a question I have for you this week. Compare and contrast the TAPS Health Assessment Tool and the CAPS Health Assessment Tool. Try creating a side-by-side chart so that at a quick glance you can identify the similarities and the differences. The differences are key as this is how to tell them apart.

Post a description of experiences or observations about how nurse informaticists and/or data or technology specialists interact with other professionals within your healthcare organization. Suggest at least one strategy on how these interactions might be improved. Be specific and provide examples. Then, explain the impact you believe the continued evolution of nursing informatics as a specialty and/or the continued emergence of new technologies might have on professional interactions.

BY DAY 6 O

& Mastrian, K. G. (2022). 
Nursing informatics and the foundation of knowledge (5th ed.). Jones & Bartlett Learning.

· Chapter 25, “The Art of Caring in Technology-Laden Environments” (pp. 595–607)

· Chapter 26, “Our Expanding Realities” (pp. 611–624)

· Mosier, S., Roberts, W. D., & Englebright, J. (2019). A Systems-Level Method for Developing Nursing Informatics Solutions: 

The Role of Executive LeadershipLinks to an external site.
. 
JONA: The Journal of Nursing Administration, 
49(11), 543-548.

· Ng, Y. C., Alexander, S., & Frith, K. H. (2018). 

Integration of Mobile Health Applications in Health Information Technology InitiativesLinks to an external site.
: Expanding Opportunities for Nurse Participation in Population Health. 
CIN: Computers, Informatics, Nursing, 
36(5), 209-213.

· Sipes, C. (2016). Project management: 

Essential skill of nurse informaticistsLinks to an external site.
. 
Studies in Health Technology and Informatics, 225, 252-256.