To complete this Assignment, you will choose a case study for a patient population for special consideration during prescribing practices.
To complete this Assignment, you will choose a case study for a patient population for special consideration during prescribing practices. You will consider the specific patient and determine the appropriate medication to prescribe, based on the patient specifics and medication attributes in various case studies. You will construct a 4- to 5-page paper in which you determine the medication, the dosing, necessary patient education, and potential side effects. You will also indicate why the other medications would not be appropriate, as well as any necessary labs or diagnostics that might be needed. You will develop a plan to enhance medication adherence for the nonadherent patient.
Patient 5: 27-year-old male with a diagnosis of schizophrenia. He has been hospitalized three (3) times in the past 1 year due to symptoms. When symptomatic, he becomes disorganized and paranoid. He will respond to auditory hallucinations. He will scream out at night after seeing a shadow in his room. He has delusions that the CIA is poisoning food and will not eat for multiple days. He has unintentionally hurt his mother after “slapping” food out of her hand, as he did not want her to ingest the “poisoned food.” Symptoms are treated very well with paliperidone, but he struggles to remember to take it. Med List: paliperidone palmitate, clozapine, lamotrigine
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THE ASSIGNMENT (4–5 PAGES)
Construct a paper concerning your assigned vulnerable population patient case. In your paper include the following:
Determine which medication would be most appropriate to prescribe from the assigned vulnerable population patient case medication choices.
Explain your rationale for choosing this medication. Explain why the other medications listed are not appropriate for this patient.
Explain the dosing schedule for the specific patient including the therapeutic endpoint.
Provide necessary education to the patient to review risks, benefits, and potential side effects of the medication.
Describe any necessary labs or additional diagnostics needed prior to prescribing this medication.
Explain how you might monitor efficacy or side effects of the medication.
Include any additional collaboration or education to others that would be necessary for this patient. Consider family members, home health care, primary care providers, etc.
What would you need to include in your assessment for a patient who may become nonadherent with your prescribing plan for your scenario? What are alternative treatment solutions based upon how you assessed? Describe your new treatment plan.
This Assignment requires a minimum of five (5) peer-reviewed, evidence-based scholarly references outside of course resources.Note: You will need to include the APA style formatting.Reminder: The College of Nursing requires that all papers submitted include a title page, introduction, summary, and references.
NURS_6630_Week10_Assignment2_Rubric
NURS_6630_Week10_Assignment2_Rubric
Criteria Ratings Pts
This criterion is linked to a Learning OutcomeDescribes the selected mediation and explains the selection, dosing, and necessary patient education.
20 to >18.0 ptsExcellentThe response comprehensively and clearly describes the selected medication, dosing, and patient education information. The response includes relevant, specific, and appropriate examples that fully support the selection, dosing, and patient education information. 18 to >15.0 ptsGoodThe response clearly describes the selected medication, dosing, and patient education information. The response includes relevant, specific, and accurate examples that support the selection, dosing, and patient education information. 15 to >10.0 ptsFairThe response inaccurately and vaguely describes the selected medication, dosing, and patient education information. The response includes inaccurate and irrelevant examples that may support the selection, dosing, and patient education information. 10 to >0 ptsPoorThe response includes inaccurate and vague examples that does not describe the selected medication, dosing, and patient education information, or some or all are missing. The response includes inaccurate and vague examples that do not support the selection, dosing, and patient education information, or it is missing.
20 pts
This criterion is linked to a Learning OutcomeDescribes any necessary labs or diagnostics needed prior to prescribing, as well as how side effects and efficacy will be monitored.
20 to >18.0 ptsExcellentThe response comprehensively and clearly describes needed labs and other diagnostics. The response comprehensively and clearly describes monitoring of efficacy and side effects. The response includes relevant, specific, and appropriate examples that fully support the descriptions. 18 to >15.0 ptsGoodThe response clearly describes needed labs and other diagnostics. The response clearly describes monitoring of efficacy and side effects. The response includes relevant, specific, and accurate examples that support the descriptions. 15 to >10.0 ptsFairThe response inaccurately or vaguely describes needed labs and other diagnostics. The response inaccurately or vaguely describes monitoring of efficacy and side effects. The response includes inaccurate and irrelevant examples that may support the descriptions. 10 to >0 ptsPoorThe response inaccurately and vaguely describes needed labs and other diagnostics, or it is missing. The response inaccurately and vaguely describes monitoring of efficacy and side effects, or it is missing. The response includes inaccurate and vague examples that do not support the descriptions, or it is missing.
20 pts
This criterion is linked to a Learning Outcome20Explains why the other medications are not appropriate
20 to >18.0 ptsExcellentThe response comprehensively and fully details why other medications are not appropriate. The response includes relevant, specific, and appropriate examples that fully support the explanation. 18 to >15.0 ptsGoodThe response clearly details why other medications are not appropriate. The response includes relevant, specific, and accurate examples that support the explanation. 15 to >10.0 ptsFairThe response inaccurately or vaguely details why other medications are not appropriate. The response includes inaccurate and irrelevant examples that may support the explanation. 10 to >0 ptsPoorThe response includes inaccurate and vague examples that do not support why other medications are not appropriate, or it is missing. The response includes inaccurate and vague examples that do not support the explanation, or it is missing.
20 pts
This criterion is linked to a Learning OutcomeProvides any additional collaboration or education necessary for the patient
20 to >18.0 ptsExcellentThe response accurately and clearly provides all additional necessary information. The response includes relevant, specific, and appropriate examples the information. 18 to >15.0 ptsGoodThe response accurately provides all additional necessary information. The response includes relevant, specific, and accurate examples that support the information. 15 to >10.0 ptsFairThe response inaccurately or vaguely provides all additional necessary information. The response includes inaccurate and irrelevant examples that may support the information. 10 to >0 ptsPoorThe response inaccurately and vaguely provides all additional necessary information, or it is missing. The response includes inaccurate and vague examples that do not support the information, or it is missing.
20 pts
This criterion is linked to a Learning OutcomeWritten Expression and Formatting—Paragraph Development and Organization: Paragraphs make clear points that support well-developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are carefully focused—neither long and rambling nor short and lacking substance. A clear and comprehensive purpose statement and introduction is provided which delineates all required criteria. Writes succinctly 4–5 page paper.
10 to >7.0 ptsExcellentParagraphs and sentences follow writing standards for flow, continuity, and clarity. A clear and comprehensive purpose statement, introduction, and conclusion is provided, which delineates all required criteria. Writes succinctly 4–5 page paper. 7 to >4.0 ptsGoodParagraphs and sentences follow writing standards for flow, continuity, and clarity 80% of the time. Purpose, introduction, and conclusion of the Assignment is stated yet is brief and not descriptive. Writes succinctly 4–7 page paper. 4 to >1.0 ptsFairParagraphs and sentences follow writing standards for flow, continuity, and clarity 60%–79% of the time. Purpose, introduction, and conclusion of the Assignment is vague or off topic. Writes succinctly 8–9 page paper. 1 to >0 ptsPoorParagraphs and sentences follow writing standards for flow, continuity, and clarity less than 60% of the time. No purpose statement, introduction, or conclusion was provided. Does not write succinctly 10+ page paper.
10 pts
This criterion is linked to a Learning Outcome5Written Expression and Formatting—English writing standards:
Correct grammar, mechanics, and proper punctuation
5 to >4.0 ptsExcellentUses correct grammar, spelling, and punctuation with no errors. 4 to >3.0 ptsGoodContains a one or two grammar, spelling, and punctuation errors. 3 to >1.0 ptsFairContains three or four grammar, spelling, and punctuation errors. 1 to >0 ptsPoorContains five or more grammar, spelling, and punctuation errors that interfere with the reader’s understanding.
5 pts
This criterion is linked to a Learning Outcome5Written Expression and Formatting: The paper follows correct APA format for title page, headings, font, spacing, margins, indentations, page numbers, parenthetical/in-text citations, and reference list.
5 to >4.0 ptsExcellentUses correct APA format with no errors. 4 to >3.0 ptsGoodContains a one or two APA format errors. 3 to >1.0 ptsFairContains three or four APA format errors. 1 to >0 ptsPoorContains five or more APA format errors.
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