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NURS 6512 Differential Diagnosis for Skin Conditions Lab Assignment Example

NURS 6512 Differential Diagnosis for Skin Conditions Lab Assignment

NURS 6512 Differential Diagnosis for Skin Conditions Lab Assignment Brief

Course: NURS 6512 – Advanced Health Assessment and Diagnostic Reasoning

Assignment Title: NURS 6512 Differential Diagnosis for Skin Conditions Lab Assignment

Assignment Instructions Overview

In this lab assignment, you will engage in differential diagnosis to determine the probable cause of a patient’s skin condition based on visual representations. You will utilize clinical terminologies to describe physical characteristics, formulate a differential diagnosis, and justify the most likely diagnosis using evidence-based practices and resources provided in the course.

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Understanding Assignment Objectives

The primary objective of this assignment is to develop your proficiency in differential diagnosis skills specific to dermatological conditions. By analyzing visual representations of skin abnormalities and applying clinical reasoning, you will enhance your ability to identify and prioritize potential diagnoses.

The Student’s Role

As a student, your role involves:

• Reviewing provided resources on skin conditions.
• Analyzing visual depictions of skin abnormalities.
• Using clinical terminologies to describe observed characteristics.
• Formulating a differential diagnosis of potential conditions.
• Justifying your diagnosis with evidence-based references.
• Completing and submitting a SOAP note following the Comprehensive SOAP template provided.

Competencies Measured

This assignment measures the following competencies:

• Ability to apply differential diagnosis principles.
• Proficiency in using clinical terminologies.
• Capacity to analyze and interpret visual data.
• Skill in integrating evidence-based practices into clinical decision-making.
• Capability to communicate findings effectively in a SOAP note format.

You Can Also Check Other Related Assessments for the NURS 6512 – Advanced Health Assessment and Diagnostic Reasoning Course:

NURS 6512 Diversity and Health Assessments Discussion Assignment Example

NURS 6512 Building a Comprehensive Health History Discussion Assignment Example

NURS 6512 Assessment Tools and Diagnostic Tests in Adults and Children Assignment Example

NURS 6512 Assessing the Head, Eyes, Ears, Nose, and Throat Case Study Assignment Example

NURS 6512 Assessing the Abdomen Lab Assignment Example

NURS 6512 Differential Diagnosis for Skin Conditions Lab Assignment Example

NURS 6512 – Lab Assignment: Differential Diagnosis for Skin Conditions

SOAP Note

Comprehensive SOAP NOTE

Patient Initials: N/A

Age: N/A

Gender: N/A

Student’s Name: [Your Name]

Institutional Affiliation: [Your Institution]

SUBJECTIVE DATA

Chief Complaint (CC):

Patient presents with non-scaly annular papules distributed along the nape, described as having well-defined borders and appearing reddish in color.

History of Present Illness (HPI):

A Caucasian male of unknown age with no provided medical history is observed with annular papules on the neck. No specific medications or allergies noted. Comprehensive inquiry pending into sexual/reproductive, personal/social, and immunization histories. Family history pertinent to skin conditions not disclosed.

Review of Systems:

General: No report of symptoms such as fatigue, fever, sweating, or weight changes.

HEENT: No reported changes in vision, hearing, chewing, swallowing, or nasal functions.

Neck: Presence of red lesions noted on the back of the neck.

Breasts: No history of lesions, masses, or rashes reported.

Respiratory/CV/GI/GU/MS/Psych/Neuro/Integument/Heme/Lymph/Endocrine/Allergic-Immunologic: No reported complications in any of these systems.

OBJECTIVE DATA

Physical Exam:

General: Vital signs including blood pressure, temperature, heart rate, and BMI within normal limits. No signs of fatigue or discomfort noted.

HEENT: Eyes, ears, and nose examined; no abnormalities detected.

Neck: Non-scaly annular papules observed at the nape, texture and warmth palpated.

Chest/Lungs/Heart/Peripheral Vascular/ABD/Genital/Rectal/Musculoskeletal/Neuro: No abnormalities noted in these systems.

Skin/Lymph Nodes: Non-scaly annular lesions observed at the back of the neck; assessment for lesions on other body regions recommended.

ASSESSMENT

Diagnostics:

Lab:

Recommended diagnostic procedures include dermoscopy, diascopy, and punch biopsy to further investigate the lesions and determine appropriate treatment.

Differential Diagnosis (DDx):

Tinea corporis: Red, circular, itchy rashes; common on arms and legs due to skin contact with infected persons or animals.

Pityriasis rosea: Oval rash starting on chest/back, spreading; affects young adults, often self-resolving.

Lupus: Autoimmune disorder affecting skin, joints, organs; presents with various symptoms including butterfly-shaped rashes and systemic involvement.

Guttate psoriasis: Small, red, itchy lesions; associated with streptococcal infections and genetic predisposition.

Primary Diagnosis:

Granuloma annulare: Circular, reddish lesions triggered by skin injury or specific medications; may resolve spontaneously over time or with treatment.

Discussion

Diagnosing skin conditions is challenging, especially through image interpretation without direct patient interaction. Primary diagnosis of granuloma annulare was selected based on symptoms observed. Consideration of alternative diagnoses such as tinea corporis, pityriasis rosea, and lupus is warranted due to overlapping symptoms. Further physical exams and lab assessments are necessary for accurate diagnosis and management.

References

Colyar, M. R. (2015). Advanced practice nursing procedures. Philadelphia, PA: F. A. Davis.

Dains, J. E., Baumann, L. C., & Scheibel, P. (2015). Advanced Health Assessment & Clinical Diagnosis in Primary Care-E-Book. Elsevier Health Sciences.

Halder, R. M., & Nootheti, P. K. (2014). Ethnic skin disorders overview. Journal of the American Academy of Dermatology, 48(6), S143-S148.

Detailed Assessment Instructions for the NURS 6512 Differential Diagnosis for Skin Conditions Lab Assignment

Assignment 1: Lab Assignment: Differential Diagnosis for Skin Conditions

Properly identifying the cause and type of a patient’s skin condition involves a process of elimination known as differential diagnosis. Using this process, a health professional can take a given set of physical abnormalities, vital signs, health assessment findings, and patient descriptions of symptoms, and incrementally narrow them down until one diagnosis is determined as the most likely cause.

In this Lab Assignment, you will examine several visual representations of various skin conditions, describe your observations, and use the techniques of differential diagnosis to determine the most likely condition.

To Prepare

• Review the Skin Conditions document provided in this week’s Learning Resources, and select one condition to closely examine for this Lab Assignment.
• Consider the abnormal physical characteristics you observe in the graphic you selected. How would you describe the characteristics using clinical terminologies?
• Explore different conditions that could be the cause of the skin abnormalities in the graphics you selected.
• Consider which of the conditions is most likely to be the correct diagnosis, and why.
• Search the Walden library for one evidence-based practice, peer-reviewed article based on the skin condition you chose for this Lab Assignment.
• Review the Comprehensive SOAP Exemplar found in this week’s Learning Resources to guide you as you prepare your SOAP note.
• Download the SOAP Template found in this week’s Learning Resources, and use this template to complete this Lab Assignment.

The Lab Assignment

• Choose one skin condition graphic (identify by number in your Chief Complaint) to document your assignment in the SOAP (Subjective, Objective, Assessment, and Plan) note format rather than the traditional narrative style. Refer to Chapter 2 of the Sullivan text and the Comprehensive SOAP Template in this week’s Learning Resources for guidance. Remember that not all comprehensive SOAP data are included in every patient case.
• Use clinical terminologies to explain the physical characteristics featured in the graphic. Formulate a differential diagnosis of three to five possible conditions for the skin graphic that you chose. Determine which is most likely to be the correct diagnosis and explain your reasoning using at least three different references, one reference from current evidence-based literature from your search and two different references from this week’s Learning Resources.

By Day 7 of Week 4

Submit your Lab Assignment.

Submission and Grading Information

To submit your completed Assignment for review and grading, do the following:

• Please save your Assignment using the naming convention “WK4Assgn1+last name+first initial.(extension)” as the name.
• Click the Week 4 Assignment 1 Rubric to review the Grading Criteria for the Assignment.
• Click the Week 4 Assignment 1 link. You will also be able to “View Rubric” for grading criteria from this area.
• Next, from the Attach File area, click on the Browse My Computer button. Find the document you saved as “WK4Assgn1+last name+first initial.(extension)” and click Open.
• If applicable: From the Plagiarism Tools area, click the checkbox for I agree to submit my paper(s) to the Global Reference Database.
• Click on the Submit button to complete your submission.

Grading Criteria

To access your rubric:

Week 4 Assignment 1 Rubric

Check Your Assignment Draft for Authenticity

To check your Assignment draft for authenticity:

Submit your Week 4 Assignment 1 draft and review the originality report.

Submit Your Assignment by Day 7 of Week 4

To participate in this Assignment:

Comprehensive SOAP Template

This template is for a full history and physical. For this course include only areas that are related to the case.

Patient Initials: _______ Age: _______ Gender: _______

Note: The mnemonic below is included for your reference and should be removed before the submission of your final note.

L =location

O= onset

C= character

A= associated signs and symptoms

T= timing

E= exacerbating/relieving factors

S= severity

SUBJECTIVE DATA:Include what the patient tells you, but organize the information.

Chief Complaint (CC):In just a few words, explain why the patient came to the clinic.

History of Present Illness (HPI):This is the symptom analysis section of your note. Thorough documentation in this section is essential for patient care, coding, and billing analysis. Paint a picture of what is wrong with the patient. You need to start EVERY HPI with age, race, and gender (e.g., 34-year-old AA male). You must include the seven attributes of each principal symptom in paragraph form not a list.If the CC was “headache”, the LOCATES for the HPI might look like the following example: NURS 6512 Week 4 Assignment 1- Differential Diagnosis for Skin Conditions

Location: head

Onset: 3 days ago

Character: pounding, pressure around the eyes and temples

Associated signs and symptoms: nausea, vomiting, photophobia, phonophobia

Timing: after being on the computer all day at work

Exacerbating/ relieving factors: light bothers eyes, Aleve makes it tolerable but not completely better

Severity: 7/10 pain scale

Medications:Include over-the-counter, vitamin, and herbal supplements. List each one by name with dosage and frequency.

Allergies:Include specific reactions to medications, foods, insects, and environmental factors. Identify if it is an allergy or intolerance.

Past Medical History (PMH):Include illnesses (also childhood illnesses), hospitalizations.

Past Surgical History (PSH):Include dates, indications, and types of operations.

Sexual/Reproductive History: If applicable,include obstetric history, menstrual history, methods of contraception, sexual function, and risky sexual behaviors.

Personal/Social History:Include tobacco use, alcohol use, drug use, patient’s interests, ADL’s and IADL’s if applicable, and exercise and eating habits. NURS 6512 Week 4 Assignment 1- Differential Diagnosis for Skin Conditions

Immunization History:Includelast Tdap, Flu, pneumonia, etc.

Significant Family History: Include history of parents, grandparents, siblings, and children.

Lifestyle:Include cultural factors, economic factors, safety, and support systems and sexual preference.

Review of Systems:From head-to-toe, include each system that covers the Chief Complaint, History of Present Illness, and History (this includes the systems that address any previous diagnoses).Remember that the information you include in this section is based on what the patient tells you so ensure that you include all essentials in your case (refer to Chapter 2 of the Sullivan text).

General:Include any recent weight changes, weakness, fatigue, or fever, but do not restate HPI data here.

HEENT:

Neck:

Breasts:

Respiratory:

Cardiovascular/Peripheral Vascular:

Gastrointestinal:

Genitourinary:

Musculoskeletal:

Psychiatric:

Neurological:

Skin:

Hematologic:

Endocrine:

Allergic/Immunologic:

OBJECTIVE DATA:From head-to-toe, includewhat you see, hear, and feel when doing your physical exam. You only need to examine the systems that are pertinent to the CC, HPI, and History unless you are doing a total H&P- only in this course. Do not use “WNL” or “normal.” You must describe what you see.

Physical Exam:

Vital signs: Include vital signs, ht, wt, and BMI.

General:Include general state of health, posture, motor activity, and gait. This may also include dress, grooming, hygiene, odors of body or breath, facial expression, manner, level of consciousness, and affect and reactions to people and things. NURS 6512 Week 4 Assignment 1- Differential Diagnosis for Skin Conditions

HEENT:

Neck:

Chest

Lungs:

Heart

Peripheral Vascular: Abdomen:

Genital/Rectal:

Musculoskeletal:

Neurological:

Skin:

Include any labs, x-rays, or other diagnostics that are needed to develop the differential diagnoses.

ASSESSMENT:List your priority diagnosis (es). For each priority diagnosis, list at least three differential diagnoses, each of which must be supported with evidence and guidelines. For holistic care, you need to include previous diagnoses and indicate whether these are controlled or not controlled. These should also be included in your treatment plan.

PLAN:This section is not required for the assignments in this course (NURS 6512) but will be required for future courses.

REFLECTION: This section is not required for the assignments in this course (NURS 6512) but will be required for future courses.Reflect on your clinical experience, and consider the following questions: What did you learn from this experience? What would you do differently? Do you agree with your preceptor based on the evidence?

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NURS 6521 Off Label Drug Use in Pediatrics Assignment Example

NURS 6521 Off-Label Drug Use in Pediatrics Assignment

NURS 6521 Off Label Drug Use in Pediatrics Assignment Brief

Course: NURS 6521 – Advanced Pharmacology

Assignment Title: NURS 6521 Off-Label Drug Use in Pediatrics Assignment

Assignment Instructions Overview

In this assignment, you will explore the common practice of off-label drug use in pediatric patients. Off-label use refers to the administration of FDA-approved medications in ways not specified on their labels, particularly common in pediatrics due to limited research on children-specific dosages and formulations. Your task is to investigate the circumstances under which off-label drug use is justified in pediatric care and propose strategies to enhance the safety of such practices.

Understanding Assignment Objectives

The primary objectives of this assignment are to deepen your understanding of off-label drug use in pediatric populations, critically analyze the safety implications associated with this practice, and propose evidence-based strategies to mitigate risks. By the end of this assignment, you should be able to articulate the rationale for off-label prescribing in pediatrics, identify specific safety measures to enhance drug administration safety from infancy through adolescence, and integrate scholarly sources to support your arguments.

The Student’s Role

As a student in NURS 6521, you are tasked with assuming the role of an advanced practice nurse specializing in pediatric care. Your role involves critically evaluating the appropriateness of off-label drug use in various pediatric conditions, advocating for patient safety through informed prescribing practices, and communicating your findings in a scholarly format adhering to APA guidelines.

Competencies Measured

This assignment assesses your ability to:

• Analyze the ethical and clinical considerations of off-label drug use in pediatrics.
• Evaluate strategies to optimize drug safety and effectiveness in pediatric patients.
• Apply evidence-based practices to support recommendations for off-label drug use in pediatric care.

You Can Also Check Other Related Assessments for the NURS 6521 – Advanced Pharmacology Course:

NURS 6521 Discussion Pharmacokinetics and Pharmacodynamics Assignment Example

NURS 6521 Ethical and Legal Implications of Prescribing Drugs Assignment Example

NURS 6521 Pharmacotherapy for Cardiovascular Disorders Assignment Example

NURS 6521 Asthma and Stepwise Management Assignment Presentation Example

NURS 6521 Pharmacotherapy for Gastrointestinal and Hepatobiliary Disorders Assignment Example

NURS 6521 Diabetes and Drug Treatments Discussion Paper Assignment Example

NURS 6521 Decision Tree for Neurological and Musculoskeletal Disorders Assignment Example

NURS 6521 Decision Making When Treating Psychological Disorders Discussion Assignment Example

NURS 6521 Off Label Drug Use in Pediatrics Assignment Example

Circumstances under Which Children Should be Prescribed Drugs for Off-label Use

Off-label drug use in pediatric patients occurs under specific circumstances where approved medications do not have pediatric dosing guidelines or when alternative treatments are ineffective or unavailable. According to Panther et al. (2017), more than half of FDA-approved drugs lack pediatric labeling, necessitating clinical judgment and reliance on professional guidelines such as those from the American Academy of Pediatrics (AAP). For instance, conditions like attention deficit hyperactivity disorder (ADHD) may require off-label use of medications when standard therapies fail or are inappropriate due to side effects (Panther et al., 2017). Another example is the use of certain antibiotics in neonates, where few drugs are specifically approved for this age group due to limited research and clinical trials.

Strategies to Make the Off-label Use and Dosage of Drugs Safer for Children from Infancy to Adolescence

The safety of off-label drug use in pediatrics can be enhanced through several strategies. First, maximizing inpatient settings for administering such medications allows for closer monitoring of adverse effects (Tanemura et al., 2019). This approach is crucial as pediatric patients may exhibit different pharmacokinetic profiles compared to adults, affecting drug metabolism and potential side effects (Tanemura et al., 2019). Additionally, leveraging electronic health records (EHRs) enables healthcare providers to calculate precise dosages based on age, weight, and renal function, minimizing errors in dosing calculations and improving patient safety (Corny et al., 2015).

Furthermore, healthcare professionals should systematically document adverse reactions associated with off-label drug use, contributing to evidence-based practice and informing future prescribing decisions (Corny et al., 2015). Pharmacists’ involvement in pediatric care settings also plays a critical role, providing expertise in medication management and ensuring informed decision-making regarding off-label prescriptions.

An example of an off-label drug requiring meticulous attention is Budesonide, an inhaled corticosteroid used for asthma management. Due to challenges in inhaler technique among children, there is a risk of improper administration leading to ineffective treatment or overdose (Corny et al., 2015). Newer asthma medications like mometasone and ciclesonide pose similar challenges due to limited data on pediatric use, necessitating cautious prescribing until further evidence is available (Corny et al., 2015).

References

Corny, J., Lebel, D., Bailey, B., & Bussières, J. F. (2015). Unlicensed and off-label drug use in children before and after pediatric governmental initiatives. The Journal of Pediatric Pharmacology and Therapeutics, 20(4), 316-328.

Panther, S. G., Knotts, A. M., Odom-Maryon, T., Daratha, K., Woo, T., & Klein, T. A. (2017). Off-label prescribing trends for ADHD medications in very young children. The Journal of Pediatric Pharmacology and Therapeutics, 22(6), 423-429.

Tanemura, N., Asawa, M., Kuroda, M., Sasaki, T., Iwane, Y., & Urushihara, H. (2019). Pediatric off-label use of psychotropic drugs approved for adult use in Japan in the light of approval information regarding pediatric patients in the United States: a study of a pharmacy prescription database. World Journal of Pediatrics, 15(1), 92-99.

Detailed Assessment Instructions for the NURS 6521 Off Label Drug Use in Pediatrics Assignment

Assignment: Off-Label Drug Use in Pediatrics

The unapproved use of approved drugs, also called off-label use, with children is quite common. This is because pediatric dosage guidelines are typically unavailable, since very few drugs have been specifically researched and tested with children.

When treating children, prescribers often adjust dosages approved for adults to accommodate a child’s weight. However, children are not just “smaller” adults. Adults and children process and respond to drugs differently in their absorption, distribution, metabolism, and excretion.

Children even respond differently during stages from infancy to adolescence. This poses potential safety concerns when prescribing drugs to pediatric patients. As an advanced practice nurse, you have to be aware of safety implications of the off-label use of drugs with this patient group.

To Prepare

• Review the interactive media piece in this week’s Resources and reflect on the types of drugs used to treat pediatric patients with mood disorders.
• Reflect on situations in which children should be prescribed drugs for off-label use.
• Think about strategies to make the off-label use and dosage of drugs safer for children from infancy to adolescence. Consider specific off-label drugs that you think require extra care and attention when used in pediatrics.

By Day 5 of Week 11

Write a 1-page narrative in APA format that addresses the following:

• Explain the circumstances under which children should be prescribed drugs for off-label use. Be specific and provide examples.
• Describe strategies to make the off-label use and dosage of drugs safer for children from infancy to adolescence. Include descriptions and names of off-label drugs that require extra care and attention when used in pediatrics.

Reminder: The College of Nursing requires that all papers submitted include a title page, introduction, summary, and references. The Sample Paper provided at the Walden Writing Center offers an example of those required elements (available at http://writingcenter.waldenu.edu/57.htm). All papers submitted must use this formatting.

Submission and Grading Information

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NURS 6521 Decision Tree for Neurological and Musculoskeletal Disorders Assignment Example

NURS 6521 Decision Tree for Neurological and Musculoskeletal Disorders Assignment

NURS 6521 Decision Tree for Neurological and Musculoskeletal Disorders Assignment Brief

Course: NURS 6521 – Advanced Pharmacology

Assignment Title: NURS 6521 Decision Tree for Neurological and Musculoskeletal Disorders Assignment

Assignment Instructions Overview

This assignment requires students to engage with an interactive media piece focusing on patient case studies involving neurological and musculoskeletal disorders. Each student will analyze the symptoms presented in the case study assigned by the instructor and develop a decision tree for diagnosis and treatment.

Understanding Assignment Objectives

The primary objective of this assignment is for students to demonstrate their ability to assess and treat patients presenting symptoms of neurological and musculoskeletal disorders. By engaging with interactive media resources, students will integrate theoretical knowledge with practical decision-making skills in clinical scenarios.

The Student’s Role

Students will critically analyze the patient case study provided through the assigned interactive media piece. They will formulate three key decisions regarding the diagnosis and treatment of the patient based on the symptoms and disorder presented. Each decision should be supported by evidence-based literature and consider potential co-morbidities and patient-specific factors.

Competencies Measured

This assignment measures students’ competencies in:

• Clinical reasoning and decision-making in neurology and musculoskeletal health.
• Application of evidence-based practice in patient assessment and treatment planning.
• Integration of theoretical knowledge with practical clinical scenarios.
• Communication of diagnostic and treatment strategies based on patient-centered care principles.

You Can Also Check Other Related Assessments for the NURS 6521 – Advanced Pharmacology Course:

NURS 6521 Discussion Pharmacokinetics and Pharmacodynamics Assignment Example

NURS 6521 Ethical and Legal Implications of Prescribing Drugs Assignment Example

NURS 6521 Pharmacotherapy for Cardiovascular Disorders Assignment Example

NURS 6521 Asthma and Stepwise Management Assignment Presentation Example

NURS 6521 Pharmacotherapy for Gastrointestinal and Hepatobiliary Disorders Assignment Example

NURS 6521 Diabetes and Drug Treatments Discussion Paper Assignment Example

NURS 6521 Decision Making When Treating Psychological Disorders Discussion Assignment Example

NURS 6521 Off-Label Drug Use in Pediatrics Assignment Example

NURS 6521 Decision Tree for Neurological and Musculoskeletal Disorders Assignment Example

Case Summary

A 43-year-old white male presents with chronic pain following a work-related fall seven years ago, resulting in hip injury. His pain is accompanied by ambulation difficulties necessitating crutches. Referred for psychiatric evaluation due to skepticism from his family doctor regarding the legitimacy of his pain, the patient denies depression but acknowledges significant life disruptions due to pain, including job loss and strained relationships. A diagnosis of complex regional pain syndrome (CRPS) has been previously made by a neurologist. Despite significant impact on his personal and professional life, he denies depression. Previous treatment attempts include unsuccessful pain management due to side effects.

Decision 1

Initiation of Savella (milnacipran) for pain management at 12.5 mg orally once daily, escalating to 50 mg twice daily over a one-week titration schedule was chosen. Savella, an SNRI and NMDA antagonist, is selected for its potential to modulate pain signaling by enhancing neurotransmitter availability, thereby alleviating pain hypersensitivity associated with CRPS (Stanton-Hicks, 2018). Alternative treatments like Amitriptyline were avoided due to potential side effects that could compromise patient compliance (Benzon, Liu & Buvanendran, 2016).

Expected Outcome

Anticipated outcomes included significant pain reduction (3/10), improved ambulation without crutches, and enhanced quality of life. These expectations were based on the analgesic properties of Savella documented in literature (Stanton-Hicks, 2018).

Difference between Expected Outcome and Actual Outcome

Following four weeks of treatment, the patient reported reduced pain intensity (4/10), but with persistence of morning exacerbations and nocturnal awakenings due to pain. Side effects such as sweating, sleep disturbances, and elevated blood pressure were noted, necessitating dosage adjustment (Finnerup et al., 2015).

Decision 2

Dosage reduction of Savella from 50 mg orally once daily to 25 mg twice daily was implemented to manage side effects while maintaining therapeutic efficacy. This decision aimed to balance pain management with minimizing adverse reactions, aligning with evidence suggesting dosage adjustments can mitigate drug-related symptoms (Stanton-Hicks, 2018).

Expected Outcome

Expected outcomes included continued pain relief, improved functional capacity, and resolution of drug-related side effects, fostering a return to normal activities and improved mood (Benzon, Liu & Buvanendran, 2016).

Difference between Expected Outcome and Actual Outcome

Despite dosage adjustment, the patient’s pain levels worsened, necessitating continued use of crutches and a reported pain intensity of 7 on a 10-point scale, indicating inadequate pain management. Although Savella-related side effects abated, functional improvement was limited (Murnion, 2018).

Decision 3

Transition to a split dosing regimen of Savella, 50 mg orally in the morning and 25 mg at bedtime, was chosen to capitalize on the observed diurnal pain pattern, aiming for enhanced pain control throughout the day. This decision was supported by literature suggesting optimized pain management through tailored dosing schedules (Finnerup et al., 2015).

Expected Outcome

Anticipated outcomes included further pain reduction (3/10), improved ambulation without aids, and stabilization of mood disturbances. Expected resolution of Savella-related side effects was also anticipated (Stanton-Hicks, 2018).

Difference between Expected Outcome and Actual Outcome

Following four weeks, the patient reported modest pain reduction, improved ambulation, and a pain intensity level of 4 on a 10-point scale. While mood and functional improvements were noted, complete pain resolution was not achieved, reinforcing the chronic nature of CRPS management (Benzon, Liu & Buvanendran, 2016). Comprehensive pain management strategies including adjunctive therapies were recommended to optimize outcomes (Murnion, 2018).

Conclusion

Effective management of complex regional pain syndrome (CRPS) necessitates a comprehensive approach that integrates tailored pharmacological interventions with non-pharmacological strategies. Pharmacotherapy, such as the use of medications like Savella, is pivotal in alleviating symptoms; however, adjustments must be personalized to achieve optimal balance between efficacy and tolerability. Concurrently, holistic care involving physical therapy, lifestyle modifications, and psychological support is indispensable for enhancing outcomes in chronic pain conditions like CRPS. By combining these approaches, healthcare providers can address the multifaceted nature of CRPS and improve overall patient well-being and functional outcomes.

References

Benzon, H. T., Liu, S. S., & Buvanendran, A. (2016). Evolving definitions and pharmacologic management of complex regional pain syndrome.

Finnerup, N. B., et al. (2015). Pharmacotherapy for neuropathic pain in adults: a systematic review and meta-analysis. The Lancet Neurology, 14(2), 162-173.

Murnion, B. P. (2018). Neuropathic pain: current definition and review of drug treatment. Australian prescriber, 41(3), 60.

Stanton-Hicks, M. (2018). Complex regional pain syndrome. In Fundamentals of Pain Medicine (pp. 211-220). Springer, Cham.

Detailed Assessment Instructions for the NURS 6521 Decision Tree for Neurological and Musculoskeletal Disorders Assignment

Assignment: Decision Tree for Neurological and Musculoskeletal Disorders

For your Assignment, your Instructor will assign you one of the decision tree interactive media pieces provided in the Resources. As you examine the patient case studies in this module’s Resources, consider how you might assess and treat patients presenting symptoms of neurological and musculoskeletal disorders.

To Prepare

• Review the interactive media piece assigned by your Instructor.
• Reflect on the patient’s symptoms and aspects of the disorder presented in the interactive media piece.
• Consider how you might assess and treat patients presenting with the symptoms of the patient case study you were assigned.
• You will be asked to make three decisions concerning the diagnosis and treatment for this patient. Reflect on potential co-morbid physical as well as patient factors that might impact the patient’s diagnosis and treatment.

By Day 7 of Week 8

Write a 1- to 2-page summary paper that addresses the following:

• Briefly summarize the patient case study you were assigned, including each of the three decisions you took for the patient presented.
• Based on the decisions you recommended for the patient case study, explain whether you believe the decisions provided were supported by the evidence-based literature. Be specific and provide examples. Be sure to support your response with evidence and references from outside resources.
• What were you hoping to achieve with the decisions you recommended for the patient case study you were assigned? Support your response with evidence and references from outside resources.
• Explain any difference between what you expected to achieve with each of the decisions and the results of the decision in the exercise. Describe whether they were different. Be specific and provide examples.

You will submit this Assignment in Week 8.

Submission and Grading Information

To submit your completed Assignment for review and grading, do the following:

• Please save your Assignment using the naming convention “WK8Assgn+last name+first initial.(extension)” as the name.
• Click the Week 8 Assignment Rubric to review the Grading Criteria for the Assignment.
• Click the Week 8 Assignment  You will also be able to “View Rubric” for grading criteria from this area.
• Next, from the Attach File area, click on the Browse My Computer Find the document you saved as “WK8Assgn+last name+first initial.(extension)” and click Open.
• If applicable: From the Plagiarism Tools area, click the checkbox for I agree to submit my paper(s) to the Global Reference Database.
• Click on the Submitbutton to complete your submission.

 Submit Your Assignment by Day 7 of Week 8

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NURS 6521 Pharmacotherapy for Gastrointestinal and Hepatobiliary Disorders Assignment Example

NURS 6521 Pharmacotherapy for Gastrointestinal and Hepatobiliary Disorders Assignment

NURS 6521 Pharmacotherapy for Gastrointestinal and Hepatobiliary Disorders Assignment Brief

Course: NURS 6521 – Advanced Pharmacology

Assignment Title: NURS 6521 Pharmacotherapy for Gastrointestinal and Hepatobiliary Disorders Assignment

Assignment Instructions Overview

The assignment focuses on understanding and applying pharmacotherapy principles for gastrointestinal (GI) and hepatobiliary disorders. Students will analyze a case study to formulate a diagnosis and design a drug therapy plan based on patient symptoms, medical history, and current medications. The goal is to address the underlying cause of symptoms rather than managing them superficially.

Understanding Assignment Objectives

Students are tasked with:

• Reviewing a provided case study to identify symptoms and pertinent medical details.
• Formulating a diagnosis considering possible GI/hepatobiliary disorders or alternative systemic causes.
• Developing a comprehensive drug therapy plan tailored to the patient’s specific condition and existing medications.
• Justifying the selected drug therapy plan with evidence-based reasoning.

The Student’s Role

As a student undertaking this assignment, your role is to critically analyze clinical data, integrate pharmacotherapy knowledge, and demonstrate clinical reasoning skills. You will synthesize information from the case study to propose an effective treatment strategy that aligns with best practices in advanced nursing practice.

Competencies Measured

This assignment assesses competencies in:

• Diagnostic reasoning: Ability to interpret symptoms and medical history to reach a logical diagnosis.
• Pharmacotherapeutic knowledge: Application of drug therapy principles specific to GI and hepatobiliary disorders.
• Patient-centered care: Designing a treatment plan that considers individual patient factors and preferences.
• Evidence-based practice: Justifying treatment decisions with current research and clinical guidelines.

You Can Also Check Other Related Assessments for the NURS 6521 – Advanced Pharmacology Course:

NURS 6521 Discussion Pharmacokinetics and Pharmacodynamics Assignment Example

NURS 6521 Ethical and Legal Implications of Prescribing Drugs Assignment Example

NURS 6521 Pharmacotherapy for Cardiovascular Disorders Assignment Example

NURS 6521 Asthma and Stepwise Management Assignment Presentation Example

NURS 6521 Diabetes and Drug Treatments Discussion Paper Assignment Example

NURS 6521 Decision Tree for Neurological and Musculoskeletal Disorders Assignment Example

NURS 6521 Decision Making When Treating Psychological Disorders Discussion Assignment Example

NURS 6521 Off-Label Drug Use in Pediatrics Assignment Example

NURS 6521 Pharmacotherapy for Gastrointestinal and Hepatobiliary Disorders Assignment Example

Introduction

Gastrointestinal (GI) and hepatobiliary disorders often present with similar symptoms, making diagnosis challenging. This paper examines a case study of a patient presenting with symptoms indicative of a GI/hepatobiliary disorder. The diagnosis, rationale, and a recommended drug therapy plan are discussed based on the patient’s medical history and current medications.

Case Study Analysis

Patient Information

• Current Medications: Synthroid, nifedipine, prednisone
• Symptoms: Abdominal pain, cramping, nausea, bloating, fatigue

Diagnosis

The patient likely has acute gastroenteritis, an inflammation of the stomach and intestines usually caused by infection from bacteria, viruses, or parasites. The symptoms of vomiting, diarrhea, nausea, and abdominal pain align with this condition (Ibrahim et al., 2016). The patient’s use of prednisone, an immunosuppressant, may increase susceptibility to infections, supporting this diagnosis.

Rationale for Diagnosis

Acute gastroenteritis is characterized by sudden onset of GI symptoms. The patient’s symptoms and the immunosuppressive nature of prednisone suggest a viral or bacterial infection as the underlying cause. Synthroid (for hypothyroidism) and nifedipine (for hypertension) do not directly relate to these symptoms but may influence the overall management plan.

Differential Diagnosis

Other conditions to consider include:

• Irritable Bowel Syndrome (IBS)
• Peptic Ulcer Disease
• Hepatitis
• Gallbladder Disease

However, the acute nature and symptom profile most strongly indicate gastroenteritis.

Drug Therapy Plan

Medication

• Ondansetron 8mg: Administered to control nausea and vomiting by blocking serotonin receptors in the brain and gut.
• Rehydration Solutions: Oral rehydration salts (ORS) to manage dehydration caused by diarrhea and vomiting.
• Probiotics: To restore gut flora and reduce the duration of diarrhea.
• Continue Prednisone with Tapering Plan: Gradually reduce prednisone dosage to prevent adrenal insufficiency and flare-ups of underlying conditions.

Justification

Ondansetron is effective in preventing nausea and vomiting, reducing discomfort and preventing further dehydration (Parker et al., 2018). ORS are crucial in managing fluid and electrolyte loss, ensuring proper hydration (CDC, 2020). Probiotics can help restore the natural balance of the gut microbiota, improving recovery from gastroenteritis (Suez & Elinav, 2017). Tapering prednisone prevents adverse effects associated with sudden discontinuation, maintaining the patient’s immune response without abrupt suppression (WebMD, n.d.).

Conclusion

The diagnosis of acute gastroenteritis is supported by the patient’s symptoms and medical history, particularly the use of prednisone. The recommended drug therapy plan, including ondansetron, ORS, probiotics, and a tapered prednisone schedule, addresses both symptom relief and underlying health maintenance. Proper management ensures effective treatment of the acute condition while safeguarding the patient’s overall health.

References

Parker, S. E., Van Bennekom, C., Anderka, M., & Mitchell, A. A. (2018). Ondansetron for treatment of nausea and vomiting of pregnancy and the risk of specific birth defects. Obstetrics & Gynecology, 132(2), 385-394.

CDC. (2020). Oral Rehydration Solutions (ORS). Retrieved from https://www.cdc.gov/cholera/ treatment/rehydration.html

Suez, J., & Elinav, E. (2017). Probiotics in the next-generation sequencing era. Gut Microbes, 8(2), 133-136.

Batlle, L., Mattie, R., & Irwin, R. (2016). A medication combination for the treatment of central poststroke pain via the adjuvant use of prednisone with gabapentin: a case report. PM&R, 8(3), 278-281.

WebMD. (n.d.). Can tapering off prednisone cause a flare? Retrieved from https://www.webmd.com/drug-medication/qa/can-tapering-off-prednisone-cause-a-flare

Detailed Assessment Instructions for the NURS 6521 Pharmacotherapy for Gastrointestinal and Hepatobiliary Disorders Assignment

Assignment: Pharmacotherapy for Gastrointestinal and Hepatobiliary Disorders

Gastrointestinal (GI) and hepatobiliary disorders affect the structure and function of the GI tract. Many of these disorders often have similar symptoms, such as abdominal pain, cramping, constipation, nausea, bloating, and fatigue. Since multiple disorders can be tied to the same symptoms, it is important for advanced practice nurses to carefully evaluate patients and prescribe a treatment that targets the cause rather than the symptom.

Once the underlying cause is identified, an appropriate drug therapy plan can be recommended based on medical history and individual patient factors. In this Assignment, you examine a case study of a patient who presents with symptoms of a possible GI/hepatobiliary disorder, and you design an appropriate drug therapy plan.

To Prepare

Review the case study assigned by your Instructor for this Assignment

Reflect on the patient’s symptoms, medical history, and drugs currently prescribed.

Think about a possible diagnosis for the patient. Consider whether the patient has a disorder related to the gastrointestinal and hepatobiliary system or whether the symptoms are the result of a disorder from another system or other factors, such as pregnancy, drugs, or a psychological disorder.

Consider an appropriate drug therapy plan based on the patient’s history, diagnosis, and drugs currently prescribed.

By Day 7 of Week 4

Write a 1-page paper that addresses the following:

• Explain your diagnosis for the patient, including your rationale for the diagnosis.
• Describe an appropriate drug therapy plan based on the patient’s history, diagnosis, and drugs currently prescribed.
• Justify why you would recommend this drug therapy plan for this patient. Be specific and provide examples.

Reminder: The College of Nursing requires that all papers submitted include a title page, introduction, summary, and references. The Sample Paper provided at the Walden Writing Center offers an example of those required elements (available at http://writingcenter.waldenu.edu/57.htm). All papers submitted must use this formatting.

Submission and Grading Information

To submit your completed Assignment for review and grading, do the following:

• Please save your Assignment using the naming convention “WK4Assgn+last name+first initial.(extension)” as the name.
• Click the Week 4 Assignment Rubric to review the Grading Criteria for the Assignment.
• Click the Week 4 Assignment  You will also be able to “View Rubric” for grading criteria from this area.
• Next, from the Attach File area, click on the Browse My Computer Find the document you saved as “WK4Assgn+last name+first initial.(extension)” and click Open.
• If applicable: From the Plagiarism Tools area, click the checkbox for I agree to submit my paper(s) to the Global Reference Database.
• Click on the Submitbutton to complete your submission.

Submit Your Assignment by Day 7 of Week 4

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NURS 6521 Pharmacotherapy for Cardiovascular Disorders Assignment Example

NURS 6521 Pharmacotherapy for Cardiovascular Disorders Assignment

NURS 6521 Pharmacotherapy for Cardiovascular Disorders Assignment Brief

Course: NURS 6521 – Advanced Pharmacology

Assignment Title: NURS 6521 Pharmacotherapy for Cardiovascular Disorders Assignment

Assignment Instructions Overview

This assignment focuses on the pharmacotherapy for cardiovascular disorders, emphasizing the critical role of advanced practice nurses in recommending and managing treatment options. It highlights the importance of understanding and considering various patient-specific factors that influence pharmacokinetic and pharmacodynamic processes. Students are required to review relevant resources, analyze a case study, and reflect on how specific factors affect drug therapy plans.

Understanding Assignment Objectives

The primary objective of this assignment is to ensure that students can effectively recommend appropriate pharmacotherapy for cardiovascular disorders while considering individual patient factors such as genetics, gender, ethnicity, age, or behavioral factors. Students should demonstrate their ability to assess how these factors influence pharmacokinetics (absorption, distribution, metabolism, and excretion of drugs) and pharmacodynamics (drug effects and mechanisms of action), and make informed adjustments to optimize patient outcomes.

The Student’s Role

As an advanced practice nurse, the student’s role involves critically analyzing a patient case study to understand the impact of selected factors on drug therapy. The student must:

• Review relevant academic and clinical resources.
• Select and reflect on one specific factor (genetics, gender, ethnicity, age, or behavior).
• Analyze how the chosen factor influences pharmacokinetic and pharmacodynamic processes.
• Discuss how these changes might affect the recommended drug therapy.
• Propose improvements or alternatives to the current drug therapy plan, supported by clinical evidence.

Competencies Measured

This assignment measures several key competencies, including:

• Clinical Assessment Skills: The ability to assess patient-specific factors and their impact on drug therapy.
• Pharmacology Knowledge: Understanding the principles of pharmacokinetics and pharmacodynamics and their application to cardiovascular disorders.
• Critical Thinking: Analyzing complex clinical scenarios and making evidence-based decisions to optimize drug therapy.
• Communication: Clearly articulating the rationale for modifying or recommending drug therapy in written form.
• Ethical and Patient-Centered Care: Ensuring that drug therapy recommendations are safe, effective, and tailored to individual patient needs.

You Can Also Check Other Related Assessments for the NURS 6521 – Advanced Pharmacology Course:

NURS 6521 Discussion Pharmacokinetics and Pharmacodynamics Assignment Example

NURS 6521 Ethical and Legal Implications of Prescribing Drugs Assignment Example

NURS 6521 Asthma and Stepwise Management Assignment Presentation Example

NURS 6521 Pharmacotherapy for Gastrointestinal and Hepatobiliary Disorders Assignment Example

NURS 6521 Diabetes and Drug Treatments Discussion Paper Assignment Example

NURS 6521 Decision Tree for Neurological and Musculoskeletal Disorders Assignment Example

NURS 6521 Decision Making When Treating Psychological Disorders Discussion Assignment Example

NURS 6521 Off-Label Drug Use in Pediatrics Assignment Example

NURS 6521 Pharmacotherapy for Cardiovascular Disorders Assignment Example

Introduction

Cardiovascular disorders remain a significant health challenge, especially in the aging population. Advanced practice nurses (APNs) must recommend effective and safe treatment options, considering patient-specific factors that influence pharmacokinetics and pharmacodynamics. This paper examines the impact of age on these processes and discusses potential improvements in drug therapy plans for elderly patients with cardiovascular disorders.

Influence of Age on Pharmacokinetics and Pharmacodynamics

Aging significantly affects pharmacokinetic and pharmacodynamic processes, altering drug absorption, distribution, metabolism, and excretion. Age-related changes include decreased renal function, reduced hepatic blood flow, increased body fat, and decreased muscle mass and total body water, all of which impact drug efficacy and safety (Van den Anker, Reed, Allegaert & Kearns, 2018).

Absorption

In elderly patients, the absorption of drugs can be slower due to decreased gastrointestinal motility and reduced secretion of digestive enzymes (Cossart et al., 2019). These changes can impair the bioavailability of medications, requiring adjustments in drug dosing and administration schedules.

Distribution

The increase in body fat and decrease in lean body mass and total body water in elderly patients affect drug distribution. Lipophilic drugs may have an increased volume of distribution, leading to prolonged drug action, while hydrophilic drugs may have a reduced volume of distribution, resulting in higher plasma concentrations and potential toxicity (Cossart et al., 2019).

Metabolism

Aging is associated with decreased liver volume and hepatic blood flow, impairing drug metabolism. This can lead to higher plasma concentrations of drugs metabolized by the liver, increasing the risk of adverse effects (Van den Anker et al., 2018). For example, elderly patients may experience prolonged effects and toxicity from drugs like statins, which are metabolized in the liver.

Excretion

Reduced renal function in elderly patients decreases drug clearance, resulting in higher plasma drug levels and increased risk of toxicity (Rosenthal & Burchum, 2018). This is particularly concerning for drugs with a narrow therapeutic index, such as atenolol and other cardiovascular medications.

Impact on Recommended Drug Therapy

The patient is currently prescribed atenolol, doxazosin, hydralazine, sertraline, and simvastatin. Each of these drugs requires careful consideration in elderly patients due to altered pharmacokinetic and pharmacodynamic processes.

Atenolol

Atenolol, a beta-blocker, is used to treat hypertension but can lead to increased sensitivity and side effects in elderly patients. The increased absorption and plasma concentration of atenolol in older adults necessitate a lower dosage to prevent adverse effects like bradycardia and hypotension (Wang et al., 2019).

Doxazosin

Doxazosin, an alpha-blocker, can cause severe side effects such as dizziness and fainting due to increased sensitivity and plasma concentration in elderly patients. Co-administration with beta-blockers like atenolol can exacerbate these effects, leading to dangerously low blood pressure (Abdi & Campbell, 2018).

Sertraline

Sertraline, used for hyperlipidemia, can cause gastrointestinal complications, which are more severe in elderly patients due to decreased mucous lining and impaired drug absorption. This can lead to reduced drug efficacy and increased side effects (Chen et al., 2016).

Simvastatin

Simvastatin, a statin for high cholesterol, can impair liver function and cause muscle problems, particularly in the elderly. The increased risk of liver failure and muscle issues necessitates careful monitoring and potential dosage adjustments (Rosenthal & Burchum, 2018).

Improving the Patient’s Drug Therapy Plan

To optimize the patient’s drug therapy plan, several adjustments are recommended:

• Discontinue Atenolol and Doxazosin: Given the risk of severe hypotension and cardiovascular complications, these drugs should be replaced with a safer alternative. Thiazide diuretics, such as hydrochlorothiazide at a low dose (12.5 mg), are recommended as a first-line treatment for hypertension in elderly patients due to their efficacy and lower risk of severe side effects (Rosenthal & Burchum, 2018).
• Adjust Simvastatin Dosage: To reduce the risk of diabetes and other side effects, the dose of simvastatin should be lowered to 40 mg. This adjustment helps mitigate the potential adverse effects while maintaining its efficacy in managing hyperlipidemia.
• Non-Pharmacologic Treatments: Incorporate lifestyle modifications, including regular exercise, weight control, and dietary changes (low sodium, sugar, and fat intake), to support pharmacologic treatments and reduce the need for multiple medications (AHA, 2019).

Conclusion

Age significantly influences pharmacokinetic and pharmacodynamic processes, requiring careful consideration in drug therapy plans for elderly patients. By adjusting dosages, discontinuing certain medications, and incorporating non-pharmacologic treatments, advanced practice nurses can improve the safety and efficacy of cardiovascular pharmacotherapy in older adults.

References

Abdi, E., & Campbell, A. (2018). Urological symptoms and side effects of treatment. In The MASCC Textbook of Cancer Supportive Care and Survivorship (pp. 469-503). Springer, Cham.

Chen, S. T., Narvaez, T. A., Harwood, D. G., Leskin, L. P., Brommelhoff, J. A., Bussel, N., & Sultzer, D. L. (2016). Sertraline for the treatment of depression in vascular cognitive impairment. The American Journal of Geriatric Psychiatry, 24(3), S171-S172.

Cossart, A. R., Cottrell, W. N., Campbell, S. B., Isbel, N. M., & Staatz, C. E. (2019). Characterizing the pharmacokinetics and pharmacodynamics of immunosuppressant medicines and patient outcomes in elderly renal transplant patients. Translational andrology and urology, 8(Suppl 2), S198.

Rosenthal, L. D., & Burchum, J. R. (2018). Lehne’s pharmacotherapeutics for advanced practice providers. St. Louis, MO: Elsevier.

Van den Anker, J., Reed, M. D., Allegaert, K., & Kearns, G. L. (2018). Developmental changes in pharmacokinetics and pharmacodynamics. The Journal of Clinical Pharmacology, 58, S10-S25.

Wang, Q., Xiang, B., Chen, S., & Ji, Y. (2019). Efficacy and safety of oral atenolol for the treatment of infantile haemangioma: A systematic review. Australasian Journal of Dermatology, 60(3), 181-185.

Detailed Assessment Instructions for the NURS 6521 Pharmacotherapy for Cardiovascular Disorders Assignment

Assignment: Pharmacotherapy for Cardiovascular Disorders

…heart disease remains the No. 1 killer in America; nearly half of all Americans have high blood pressure, high cholesterol, or smoke—some of the leading risk factors for heart disease…

—Murphy et al., 2018

Despite the high mortality rates associated with cardiovascular disorders, improved treatment options do exist that can help address those risk factors that afflict the majority of the population today.

As an advanced practice nurse, it is your responsibility to recommend appropriate treatment options for patients with cardiovascular disorders. To ensure the safety and effectiveness of drug therapy, advanced practice nurses must consider aspects that might influence pharmacokinetic and pharmacodynamic processes such as medical history, other drugs currently prescribed, and individual patient factors.

Reference: Murphy, S. L., Xu, J., Kochanek, K. D., & Arias, E. (2018). Mortality in the United States, 2017. Retrieved from https://www.cdc.gov/nchs/products/databriefs/db328.htm

To Prepare

• Review the Resources for this module and consider the impact of potential pharmacotherapeutics for cardiovascular disorders introduced in the media piece.
• Review the case study assigned by your Instructor for this Assignment.
• Select one the following factors: genetics, gender, ethnicity, age, or behavior factors.
• Reflect on how the factor you selected might influence the patient’s pharmacokinetic and pharmacodynamic processes.
• Consider how changes in the pharmacokinetic and pharmacodynamic processes might impact the patient’s recommended drug therapy.
• Think about how you might improve the patient’s drug therapy plan based on the pharmacokinetic and pharmacodynamic changes. Reflect on whether you would modify the current drug treatment or provide an alternative treatment option for the patient.

By Day 7 of Week 2

Write a 2- to 3-page paper that addresses the following:

• Explain how the factor you selected might influence the pharmacokinetic and pharmacodynamic processes in the patient from the case study you were assigned.
• Describe how changes in the processes might impact the patient’s recommended drug therapy. Be specific and provide examples.
• Explain how you might improve the patient’s drug therapy plan and explain why you would make these recommended improvements.

Reminder: The College of Nursing requires that all papers submitted include a title page, introduction, summary, and references. The College of Nursing Writing Template with Instructions provided at the Walden Writing Center offers an example of those required elements (available at https://academicguides.waldenu.edu/writingcenter/templates/general#s-lg-box-20293632). All papers submitted must use this formatting.

Submission and Grading Information

To submit your completed Assignment for review and grading, do the following:

• Please save your Assignment using the naming convention “WK2Assgn+last name+first initial.(extension)” as the name.
• Click the Week 2 Assignment Rubric to review the Grading Criteria for the Assignment.
• Click the Week 2 Assignment  You will also be able to “View Rubric” for grading criteria from this area.
• Next, from the Attach File area, click on the Browse My Computer Find the document you saved as “WK2Assgn+last name+first initial.(extension)” and click Open.
• If applicable: From the Plagiarism Tools area, click the checkbox for I agree to submit my paper(s) to the Global Reference Database.
• Click on the Submitbutton to complete your submission.

Submit Your Assignment by Day 7 of Week 2

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Are you overwhelmed with complex nursing assignments, tight deadlines, or specific instructions that seem challenging to meet? Look no further – ReliablePapers.com is your go-to destination for all your nursing paper writing needs! Our expert nursing essay writers are dedicated to providing you with high-quality, original, and customized nursing papers that guarantee the best grades possible.

Why choose ReliablePapers.com?

1. Professional Nursing Writers: Our team of professional writers specializes in nursing essay papers, ensuring your assignment is in the hands of experts who understand the writing of nursing topics.
2. Affordable Prices: We understand the financial constraints of college students. Our online nursing papers are available at very cheap prices, making our services accessible to all. Whether you need assistance with nursing coursework writing, want to buy a nursing essay online, or are in search of reliable nursing assignment help, we’ve got you covered.
3. Customized Nursing Paper Solutions: Whether you need assistance with a complex topic, have a tight deadline, or are seeking a guide on how to write your nursing assignment, we’ve got you covered. Our writers will tailor their approach to meet your specific needs.
4. Originality Guaranteed: Say goodbye to plagiarized papers! Our writers will provide you with an outstanding nursing essay paper written from scratch, ensuring it adheres to any topic, deadline, and instructions you provide.

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