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describe factors that might have influenced pharmacokinetic and pharmacodynamic processes of the patient

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As an advanced practice nurse assisting physicians in the diagnosis and treatment of disorders, it is important to not only understand the impact of disorders on the body, but also the impact of drug treatments on the body. The relationships between drugs and the body can be described by pharmacokinetics and pharmacodynamics. Pharmacokinetics describes what the body does to the drug through absorption, distribution, metabolism, and excretion, whereas pharmacodynamics describes what the drug does to the body. When selecting drugs and determining dosages for patients, it is essential to consider individual patient factors that might impact the patient’s pharmacokinetic and pharamcodynamic processes. These patient factors include genetics, gender, ethnicity, age, behavior (i.e., diet, nutrition, smoking, alcohol, illicit drug abuse), and/or pathophysiological changes due to disease. In this Discussion, you reflect on a case from your past clinical experiences and consider how a particular patient’s pharmacokinetic and pharmacodynamic processes altered his or her response to a drug.

To prepare:

· Review this week’s media presentation with Dr. Terry Buttaro, as well as Chapter 2 of the Arcangelo and Peterson text, and the Scott article in the Learning Resources. Consider the principles of pharmacokinetics and pharmacodynamics.

· Reflect on your experiences, observations, and/or clinical practices from the last five years. Select a case from the last five years that involves a patient whose individual differences in pharmacokinetic and pharmacodynamic factors altered his or her anticipated response to a drug. When referring to your patient, make sure to use a pseudonym or other false form of identification. This is to ensure the privacy and protection of the patient.

· Consider factors that might have influenced the patient’s pharmacokinetic and pharmacodynamic processes such as genetics (including pharmacogenetics), gender, ethnicity, age, behavior, and/or possible pathophysiological changes due to disease.

· Think about a personalized plan of care based on these influencing factors and patient history in your case study.

With these thoughts in mind:

Post a description of the case you selected. Then, describe factors that might have influenced pharmacokinetic and pharmacodynamic processes of the patient from the case you selected. Finally, explain details of the personalized plan of care that you would develop based on influencing factors and patient history in your case.

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    WAL_NURS6521_01_A_EN.pdf

A recent factor to be identified of reducing cost is?

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Chapter 23 – Assignment

 

Instructions:

1. Read the Care Redesign Article

2. Answer the following 7 questions:

1. Which four (4) components does the article point out are needed for the U.S. healthcare system to succeed?

2. The one recommendation form the ten cited in the Institute of Medicine Report to improve quality and reduce cost that is described in the article?

3. A recent factor to be identified of reducing cost is?

4. Name four (4) factors that influence patient outcomes described in the article.

5. Name the four (4) different nursing care delivery models and give a short description of each.

6. What is the meaning of the term “lean” as described in the article.

7. Summarize the method utilized in the study to offer a higher-quality and lower cost method for acute care in just a few sentences.

· Your paper should be:

. One (1) page

. Typed according to APA style for margins, formatting and spacing standards

. Would need an Abstract. Good reference page format, citation and APT format

. After submission, a rating of 0-15% similarity will be considered acceptable. Over 15% will not be considered acceptable.

. NOTE:  Wikipedia is not a source to be used in any of the generated work; using it will result in a “zero” for the assignment.

. I need that you FOLLOW THE APA TEMPLE that I am going to attach with the assignment.

. I need that you sent me also the plagiarism report.

How would you use morbidity and mortality in developing prevention strategies aimed at increasing attention to disease and decreasing adverse health outcomes?

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Characteristics of a person or people, geographical location, and era help to better understand the development and pervasiveness of a disease. Descriptions of persons, places, and time help to effectively describe disease and health status within a population.

Using the South University Online Library or the Internet, research about a disease of global concern (HIV, AIDS, or any such disorder). Based on your research, answer the following questions:

  • How would you use demographic data to characterize this disease?
  • How would you incorporate further research to address this disease?
  • How would you use morbidity and mortality in developing prevention strategies aimed at increasing attention to disease and decreasing adverse health outcomes?
  • Which phenomenon—morbidity or mortality—is better to study to develop preventive strategies? Why?

What voting mechanism is most appropriate for the size of the group and the specific stage of the process?

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The planning for the community building session is almost complete. The last details are how to conduct the plenary sessions for sharing information across groups to develop key priorities and themes that will need to be addressed.

There are 2 sessions that need to be planned. One is to review the work done by intact work teams. In this larger session, the goal is to spot patterns and identify themes that can be used to plan actions. These patterns or themes will come from the stop–continue–start charts developed by each functional group. In this way, not only will the changes that need to happen be identified, but aspects of effective work (those things that work well and should be continued) can also be reinforced.

 

The external consulting team strongly recommended a “cross-functional, by-level grouping” for the first step. Their aim is to promote understanding of priorities and show how different issues at different levels of the organization can be aligned. The internal consulting team is excited about being the primary facilitators for these sessions. Everyone recognizes that a structured approach will be critical (for timing and to control decision–making inputs). The approach called Nominal Group Technique (NGT) seems to be ideally suited to this task.

 

You want to prepare yourself for conducting the session. Use the library, Internet, or other resources to research NGT. Because each grouping will be of a differing size, you want to tailor the overall steps of NGT to the situation you will facilitate. To do this, you must create a meeting session plan (a document of 4–5 pages) that will answer the following questions:

·         What is the goal of the session?

·         How will the nominal group technique be used to achieve this goal?

·         How will the members of the team work together (guidelines for effective participation)?

·         What specific steps and tasks will be involved in achieving the goal?

·         How much time will be allocated to each step or task? What voting mechanism is most appropriate for the size of the group and the specific stage of the process?

·         What will the outcome look like? What will the group present to the other levels?

 

Download a sample format here. Your assignment is to complete the missing sections (in red) and develop any additional participant materials or instructions to assist the group in completing the task.