Case Study: https://cdn-media.waldenu.edu/2dett4d/Walden/NURS/6630/DT/week_08/index.html

 

You will be asked to make three decisions concerning the medication to prescribe to this client. Be sure to consider factors that might impact the client’s pharmacokinetic and pharmacodynamic processes.

At each decision point, you should evaluate all options before selecting your decision and moving throughout the exercise. Before you make your decision, make sure that you have researched each option and that you evaluate the decision that you will select. Be sure to research each option using the primary literature.

Introduction to the case (1 page)

• Briefly explain and summarize the case for this Assignment. Be sure to include the specific patient factors that may impact your decision making when prescribing medication for this patient.

Decision #1 (1 page)

• Which decision did you select?
• Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
• Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
• What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature).
• Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples.

Decision #2 (1 page)

• Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
• Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
• What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature).
• Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples.

Decision #3 (1 page)

• Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
• Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
• What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature).
• Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples.

Conclusion (1 page)

• Summarize your recommendations on the treatment options you selected for this patient. Be sure to justify your recommendations and support your response with clinically relevant and patient-specific resources, including the primary literature.

References to include:

 

• Stahl, S. M. (2021). Stahl’s essential psychopharmacology: Neuroscientific basis and practical applications (5th Ed.) Cambridge University Press.
  • Chapter 13, “Impulsivity, Compulsivity, and Addiction” (pp. 538-578)

 

• Salmon, J. M., & Forester, B. (2012). Substance abuse and co-occurring psychiatric disorders in older adults: A clinical case and review of the relevant literature. Journal of Dual DiagnosisLinks to an external site., 8(1), 74–84. https://doi.org/10.1080/15504263.2012.648439

1. Create a presentation of 10-15 slides or screens excluding the title and references.

• Your slides/screen should include titles, main ideas, bullet points, and relevant images, charts, graphs, etc.  

1. In your presentation:

• Describe an ethical situation, based on the chosen topic, that can get in the nurse’s way of practicing ethically. Describe the situation clearly and concisely.
• Identify how this situation relates to one provision within the Code of Ethics for Nurses.
• Identify two ethical principles that may arise when facing this situation.
• Discuss how a nurse might lessen the impact of the situation on the nurse’s practice.
• In addition to the course texts, cite and reference a minimum of two (2) additional scholarly sources to support your work.
• Close with a summary of your topic, and APA formatted reference slide(s).

What steps do you take to locate primary and peer-reviewed research articles when performing a literature search?

What resources are available to you to engage in a meaningful and successful literature search?

As you have explored throughout this course, Walden University provides vast resources for student support to ensure success in their academic program of study. When it comes to research and using Library resources, several support mechanisms are available to you as well.

Taking the first step to think about a research topic or area of interest and filtering that topic using a series of keywords and operations will be a fundamental component for performing a literature search in Walden Library’s databases. While the ultimate goal is to produce a set or results that match your search criteria, you must keep in mind that that the quality of the research articles obtained will likely vary. Thus, you must critically examine and analyze the aims of the research produced and how it aligns, confirms, or negates your topic or area of research. As you develop proficiency in this area, you will discover that you can extract content themes and frameworks to enhance future research and the need to identify additional research support.

For this Assignment, consult the Walden Library webinars and resources provided. These resources serve as a general good first step for performing literature searches and engaging with the databases of research available to you. Think about a research topic or area of interest to focus on for this Assignment. Then, search the Walden Library to locate and retrieve peer-reviewed research articles that pertain to your topic or area of interest. 

6-paragraph assignment in which you do the following:

•  a 1-pararaph introduction of how you conducted your literature search and the databases consulted in your search in relation to your practice area or area of interest. Be specific and provide examples.
• a 1-paragraph summary of each of the articles you have selected (a total of 3 paragraphs).
•  1 paragraph that synthesizes the three articles using a scholarly voice.
•  a final paragraph in which you discuss the differences between summarizing and synthesizing research. Be specific and provide examples.

• Shea, C. M., Jacobs, S. R., Esserman, D. A., Bruce, K., & Weiner, B. J. (2014). Organizational readiness for implementing change: A psychometric assessment of a new measureLinks to an external site.. Implementation Science, 9(7), 1–15.
• Walden University. (2021). DNP capstone resources NURS 8702 and NURS 8703Links to an external site.. Office of Research and Doctoral Studies. https://academicguides.waldenu.edu/research-center/program-documents/dnp-8702-8703
• Walden University. (n.d.). Subject research: Nursing.Links to an external site. Walden Library. https://academicguides.waldenu.edu/library/subject/nursing
• Walden University. (n.d.). Using evidence: Synthesis.Links to an external site. Writing Center. https://academicguides.waldenu.edu/writingcenter/evidence/synthesis
• Westlake, C. (2012). Practical tips for literature synthesis. Clinical Nurse Specialist,Links to an external site. 26(5), 244–249. https://doi.org/10.1097/NUR.0b013e318263d766

 

• In what ways could an understanding of systems theory and complexity science impact the role of the NP?
• Take a few minutes to reflect on the NP practice model that is most predominant in advanced practice environments you have observed. Are you satisfied with the demonstrated level of interprofessional collaboration?
• Briefly consider what appears to be the driving practice model for advanced practice nursing in your state. If your state lags behind in its practice model language, what might you do to facilitate change?