SU NSG6340 All Weeks Discussions Latest 2020 August

NSG6340 Adult Health Primary Care

Week 1 Discussion

Select an innovative care delivery model for the elderly that you have had experience with or have heard about.  Discuss the risks and benefits of this type of care delivery.  Discuss the measurement of effectiveness of this model.  What are the risks to the elderly population with this type of care delivery.  What challenges still face the care providers?

 

NSG6340 Adult Health Primary Care

Week 2 Discussion

Outline a preventive services plan for either a male or female in one of the following age groups.

55-64; 65-74; 75-84; >84

Identify services that include Screening, Counseling, Immunization, and Chemoprophylaxis. Be sure to support your plan with a minimum of 3 sources of high level evidence.

 

NSG6340 Adult Health Primary Care

Week 3 Discussion

Select a patient from your clinical practicum (be sure to delete any identifying information) who is over the age of 65 and taking 5 or more medications.  Write a review of the patient’s pharmacotherapy plan identifying pharmacotherapy problems by applying principles of geriatric prescribing and the Beers criteria to your patient.  Identify a plan to manage the patient’s disease profile that follows the Beers criteria and principles of geriatric prescribing.

 

NSG6340 Adult Health Primary Care

Week 4 Discussion

You are seeing a 79-year-old male in your clinic.  Mr. A has been a patient of yours for several years.  Today his wife is with him and reports that Mr. A has been more forgetful and she is concerned.  Mr. A made several wrong turns getting home from Church last week, today he was unable to locate the clinic when driving today. He became quite angry when Mrs. A suggested she should drive today.  There is a dent on the fender of the car that Mr. A cannot describe how it happened.  Mr. A also had a bruise on his arm that day.  Mrs. A does not like to leave Mr. A home alone for any period of time any longer as he gets anxious then agitated.  One week ago, Mr. A  called 911 convinced that Mrs. A had been abducted when she was taking the garbage to the curb.  She was only out of the house for 5 minutes.

During your exam you conduct a Folstein MMSE.  Mr. A scores 21/30.  When testing for Visual Fields, he shows deficits in bilateral peripheral vision of approximately 15 degrees.  He has slowed motor movements, and decreased rotation of his head/neck, showing limitation of rotation to 40 degrees in both directions without discomfort.   Mr. A has a slightly shuffled gait, but no instability.  The remainder of your workup shows Mr. A does not have further deficits.  Your diagnosis is Early Dementia, and you reassure Mrs. A that the limitations he exhibits in peripheral vision and neck range of motion can be considered a normal aging change for him.

Discuss the concerns regarding Mr. A’s continued driving.  What assessments should be done to determine Mr. A’s driving skills?  What is the obligation of the provider in this circumstance?  Outline a plan of care for how to proceed with Mr. and Mrs. A.

 

NSG6340 Adult Health Primary Care

Week 5 Discussion

Complete your Aquifer Case Study for this week (FM22:  79-year-old male with new onset of unilateral weakness).  During the evaluation of your patient, you use 2 tools to assess his functional status.  Discuss the tools that you opted to use for the evaluation of your patient.  How were these tools developed and what does the research indicate about the reliability and validity of these instruments?  Identify and discuss a minimum of 2 additional tools that have been developed for similar assessments.  

 

NSG6340 Adult Health Primary Care

Week 6 Discussion

Initial Post:  Select one of the topics for this week and outline the demographics, pathophysiology, clinical manifestations, morbidity, mortality, evaluation, and management of the disorder.

Responses to peers:  Provide a clinical example from your RN or Student NP experience on the posted topic.  Discuss how the presentation and or management of your clinical example matched or was different from the presentation posted.

 

NSG6340 Adult Health Primary Care

Week 7 Discussion

This week you will present a diagnosis to your peers.

Initial Post:  Review one of the sensory systems, elder abuse, or substance abuse in the elderly that we explored this week and present a diagnosis from these systems.  For example, from vision you might select glaucoma or from hearing, you might select prespycussis.   Identify the incidence, demographics, etiology, clinical presentation, diagnosis and management of the diagnosis that you selected.   

Responses to peers:  Provide a clinical example from your RN or Student NP experience on the posted topic.  Discuss how the presentation and or management of your clinical example matched or was different from the presentation posted.

 

 

 

NSG6340 Adult Health Primary Care

Week 8 Discussion

Initial Post: Select one of the topics for this week and outline the demographics, pathophysiology, clinical manifestations, morbidity, mortality, evaluation, and management of the disorder. 

Responses to peers:  Provide a clinical example from your RN or Student NP experience on the posted topic.  Discuss how the presentation and or management of your clinical example matched or was different from the presentation posted.

 

NSG6340 Adult Health Primary Care

Week 9 Discussion

Initial Post:  Select one of the topics for this week and outline the demographics, pathophysiology, clinical manifestations, morbidity, mortality, evaluation, and management of the disorder.

Responses to peers:  Provide a clinical example from your RN or Student NP experience on the posted topic.  Discuss how the presentation and or management of your clinical example matched or was different from the presentation posted.

 

NSG6340 Adult Health Primary Care

Week 10 Discussion

Initial Post:  Select one of the topics for this week and outline the demographics, pathophysiology, clinical manifestations, morbidity, mortality, evaluation, and management of the disorder.

Responses to peers:  Provide a clinical example from your RN or Student NP experience on the posted topic.  Discuss how the presentation and or management of your clinical example matched or was different from the presentation posted.