NURS6531 Week 9 Discussion: Chronic Back Pain
NURS6531 Week 9 Discussion: Chronic Back Pain
Patients frequently present with complaints of pain such as chronic back pain. They often seek medical care with the intent of receiving drugs to manage the pain. Typically, for this type of pain, narcotic drugs are often prescribed. This can pose challenges for you as the advanced practice nurse prescribing the drugs. While there is a process for evaluating back pain, it can be difficult to assess the intensity of a patient’s pain because pain is a subjective experience. Only the person experiencing the pain truly knows whether there is a need for drug treatments. This makes it important for you, as the prescriber, to watch for red flags and warning signs of abuse. In this Discussion, you explore the ethical implications of prescribing narcotics to patients with chronic back pain.
To prepare:
Review this week’s media presentation on evaluating back pain, as well as Chapter 15 of the Buttaro et al. text in the Learning Resources. Reflect on the evaluation process for a patient with a history of back pain.
Consider how you might evaluate a patient that presents with back pain. Think about potential red flags and warning signs of drug abuse.
Reflect on the ethical implications of prescribing narcotics for chronic back pain.
Think about what you would prescribe and why.
Post on or before Day 3 a description of how you might evaluate a patient who presents with back pain. Then, describe potential red flags and warning signs of drug abuse. Explain the ethical implications of prescribing narcotics for chronic back pain. Finally, explain what you would prescribe for patients and why.
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Week 10 Discussion: Stroke Prevention Media
Note: You will complete this week’s Discussion after you complete this week’s Assignment
In this Discussion, you provide and receive feedback on the stroke prevention media created in this week’s Assignment. This exchange between you and your colleagues is an opportunity to practice your interprofessional collaboration skills, which are an essential rudiment of nursing practice. In clinical settings, you must be able to articulately express your thoughts and communicate with colleagues. This Discussion is designed to help you improve this skill, as well as encourage you to listen to your colleagues and acknowledge that all views are valid and worthy of consideration. As you review the stroke prevention media piece created by your colleagues, keep the best interests of the specific patient population in mind. Use the feedback you receive to refine your own stroke prevention media prior to submitting the final Assignment in Week 11.
Post on or before Day 4 a description of the stroke prevention media piece that you created. Include the details of your educational media, and if possible, a copy of the actual media piece. Explain why you selected the particular type of media and how and why it is suitable for your patient population.
Week 11 Discussion: Diabetes
In the United States, 25.6 million adults age 20 years or older have diabetes (American Diabetes Association, 2011). If not properly treated and managed, these millions of diabetic patients are at risk for several alterations including heart disease, stroke, kidney failure, neuropathy, and blindness. Proper treatment and management is the key for diabetic patients, and as the advanced practice nurse providing care for these patients, it is your responsibility to facilitate this process. Patient education is critical, as is working with patients to establish a regular pattern for daily activities such as eating and taking medications. When developing care plans for patients, you must keep the projected outcomes of treatment in mind, as well as patient preferences and other factors that might impact adherence to treatment and management plans. In this Discussion, you draw from your Practicum Experience and consider factors that impact the education and treatment of patients with diabetes.
To prepare:
Review Chapter 205 in Part 17 of the Buttaro et al. text.
Reflect on the clinical presentation of diabetes, as well as your Practicum Experiences and observations. Select a case from these experiences that involve a diabetic patient. When referring to the patient, make sure to use a pseudonym or other false form of identification. This is to ensure the privacy and protection of the patient.
Recall the medical details of the patient in the case that you selected including patient history, clinical presentation, physical exams, diagnostics, and the recommended treatment plan.
Select one of the following patient factors: genetics, gender, ethnicity, age, or behavior. Reflect on how this factor might impact the treatment plan and patient education strategies.
Post on or before Day 3 a description of the case that you selected including the diabetic patient’s medical details. Then, explain how the factor that you selected might impact the treatment plan and patient education strategies.