Advanced Pharmacology ? HPI:?E.D a 38 -year-old Caucasian female presents to the clinic with complaint of pain, itching, inflammation, and yellow? r

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1) Minimum 12 pages  (No word count per page)- Follow the 3 x 3 rule: minimum of three paragraphs per page

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           Part 1: minimum  2 pages

           Part 2: minimum  3 pages 

           Part 3: minimum  7 pages (Due 40 hours)

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4) Minimum 3 references (APA format) per part not older than 5 years  (Journals, books) (No websites)

 Part 2: Minimum 5 references (APA format) per part not older than 5 years  (Journals, books) (No websites) 

 Part 3: Minimum 7 references (APA format) per part not older than 5 years  (Journals, books) (No websites) 

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5) Identify your answer with the numbers, according to the question. Start your answer on the same line, not the next

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Q 1. Nursing is XXXXX

Q 2. Health is XXXX

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Part 1.doc 

Part 2.doc

__________________________________________________________________________________

Part 1: Advanced Pharmacology

HPI: E.D a 38 -year-old Caucasian female presents to the clinic with complaint of pain, itching, inflammation, and “yellow” right great toe. She noticed that the toe was moderately itching after she took a shower at the gym. She did not pay much attention. About two weeks after the itching became intense and she applied Benadryl cream with only some relief. She continued going to the gym and noticed that the itching got worse and her toe nail started to change color. She also indicated that the toe got swollen, painful and turned completely yellow 2 weeks ago. She applied lotrimin AF cream and it did not help relief her symptoms. She has not tried other remedies. Denies associated symptoms of fever and chills. 

PMH:

Diabetes Mellitus, type 2.

Surgeries: None

Allergies: Augmentin

Medication: Metformin 500mg PO BID.

Vaccination History: Immunization is up to date and she received her flu shot this year.

Social history:

College graduate married and no children. She drinks 1 glass of red wine every night with dinner. She is a former smoker and quit 6 years ago.

Family history:

Both parents are alive. Father has history of DM type 2, Tinea Pedis. mother alive and has history of atopic dermatitis, HTN.

Primary Diagnosis: Proximal subungual onychomycosis

1. Specify when to refer the patient after therapy and why? Provide rationale (One paragraph)

2. Describe three non-pharmacological approaches to Onychomycosis?  (One paragraph)

3. Provide patient education. Keep in mind the past medical history of this patient  (One paragraph)

Part 2: Complementary and alternative healthcare 

“Every serious illness is a spiritual crisis because it is a confrontation with one’s own mortality. Every nurse, regardless of personal belief, must recognize that religion or spirituality or both are often an essential part of the lives of those entrusted to her or his care. To avoid these issues is to fail to truly be a nurse healer because the nurse’s task is to address the physical, psychological, and spiritual needs of clients.” (Fontaine, 2019).

1. Introduction (One paragraph)

2. Discussing how nurses can incorporate faith and prayer in the care of patients (Two paragraphs)

3. How the nurses, regardless of their own personal religious beliefs and worldviews, must respect the faith and prayer in the care of patients (Two  paragraphs)

4. What is the benefit to nurses and patients when the nurses incorporate faith and prayer in the care of patients (Three  paragraphs)

5. Conclusion  (One  paragraph) 

Part 3: Crisis in nursing intervention (Due 40 hours)

Topic: Chemical Dependency: The Crisis of Addiction

1. Abstract (One paragraph)

2. What is Chemical dependency? (Two paragraphs)

3. Describe the Statistics data/ Incidence at: (Three paragraphs)

a. Global

b. National

c. Local (Florida)

4. Sociocultural determinants of substance abuse (Three paragraphs)

5. Describe 2 models of addiction (Two paragraphs)

6. Describe dynamics of addiction (Two paragraphs)

 7. Describe interventions Strategies: (Three paragraphs)

a. Psychological

b.Pharmacological

c. Non-pharmacological)

8. Describe considerations of management of behaviors in Partner, including (Two paragraphs)

a. Family considerations

b. Challenges in the care of patients with this social issue.

9. Describe different perspectives that support the identification of clinical problems from (Two paragraphs)

a. One evidence-based practice guidelines/research

b. One nursing theories

10. Conclusion (One paragraph)