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Week 2 discussion

Discussion Part I: Assessment of Psychosocial Health
Conditions

In acute care settings, patients with psychosocial health
conditions may present with a variety of complex symptoms that require
comprehensive assessment. The results from this assessment are crucial to
developing a diagnosis and creating an individualized treatment plan for a
patient. For this Discussion, you focus on the assessment as you consider case
studies of patients with psychosocial health conditions. You determine what
history should be collected from the patients as well as what physical exams and
diagnostic tests should be conducted, and you formulate a differential
diagnosis with several possible conditions.

To prepare:

Review this week’s media in Assessment of Psychosocial
Health Conditions and select one of the three case studies.

With the case study you selected in mind, reflect on the
patient information provided.

Think about the health history you would need to collect
from the patient.

Consider what physical exams and diagnostic tests would be
appropriate to help you gather more information about the patient’s condition.
Reflect on how results might be used to make a diagnosis.

Identify at least five possible conditions to consider in a
differential diagnosis for the patient.

Post on or before Day 3 a description of the health history
you would need to collect from the patient in the case study you selected.
Explain what physical exams and diagnostic tests would be appropriate and how
the results would be used to make a diagnosis. List five possible conditions
for the patient’s differential diagnosis and justify why you selected each.

Read a selection of your colleagues’ responses.

Respond on or before Day 6 to at least two of your
colleagues on two different days who selected different case studies than you.
Analyze the possible conditions from your colleagues’ differential diagnoses.
Determine which of the conditions you would reject and why. Identify the most
likely condition and justify your reasoning.

Discussion Part II: Pharmacology

To Prepare:

Read the following articles to enhance your knowledge of commonly
prescribed medications:

Sutphen, S. (2006). New drugs; New overdoses: Highlights
from the American College of Emergency Physicians meeting (ACEP). Retrieved
from http://www.medscape.com/viewarticle/548191_3

All of the following medications are commonly prescribed in
the acute care setting. Choose one of the drugs below to discuss. (This is a
good way for you to prepare for clinical practice, because you will get to know
the drugs you will prescribe for patients.). Focus your discussion on the
hospital or ICU setting and IV usage.

Benztropine,

Clomipramine

Physostigmine

Diphenhydramine,

Scopolamine

Droperidol

Valproate

Haloperidol

Ketamine

Note: When sharing your initial post, select a topic that
has not yet been discussed. If all topics have been discussed, then you may
select that topic again, but select a different drug within the medication group.

For this Discussion, address 1 of the following options.
Post by day 3:

Option 1: Post a description of a patient you have taken
care of (inpatient as an RN, or as an NP student) who has been prescribed the
medication you selected. Include the scenario, indication, dosing,
complications, and outcome. Then explain whether or not you would have ordered
the same drug and same dose.

Option 2: Conduct an evidence-based drug search on the drug
you selected and post an explanation of any possible issues. Are there any drug
interactions? Any black box warnings? To what type of patient would you
prescribe this medication?

Option 3: Post an explanation of the properties of the drug
you selected, including usages and dosing in the hospital or ICU. Discuss a
patient to whom you would prescribe this medication.

Note: To be considered as one of your required responses,
your pharmacology rationale must include a supporting reference.

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