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.

ASSIGNMENT: 

The case assignment for this week is as follows: 

Patient HL comes into the clinic with the following symptoms: nausea, vomiting, and diarrhea. The patient has a history of drug abuse and possible Hepatitis C. HL is currently taking the following prescription drugs:

• Synthroid 100 mcg daily

• Nifedipine 30 mg daily • Prednisone 10 mg daily

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.

REQUIRED READINGS

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

Chapter 62, “Drugs for Peptic Ulcer Disease” (pp. 703–714)

Chapter 63, “Laxatives” (pp. 715–722)

Chapter 64, “Other Gastrointestinal Drugs” (pp. 723–735)

Chapter 78, “Antiviral Agents I: Drugs for Non-HIV Viral Infections” (pp. 867–886)

Chalasani, N., Younossi, Z., Lavine, J. E., Charlton, M., Cusi, K., Rinella, M., . . . Sanya, A. J. (2018). The diagnosis and management of nonalcoholic fatty liver disease: Practice guidance from the American Association for the Study of Liver Diseases. Hepatology, 67(1), 328–357. Retrieved from https://aasldpubs.onlinelibrary.wiley.com/doi/pdf/10.1002/hep.29367

This article details the diagnosis and management of nonalcoholic fatty liver disease. Review this article to gain an understanding of the underlying pathophysiology as well as the suggested pharmacotherapeutics that might be recommended to treat this disorder.

First,  think about your individual health and health risks, by considering what genetic diseases or problems are prevalent in your family.  Do you  have a predisposition to breast cancer, diabetes, hypertension or any other disease? You may consider your own health risks or those of other individuals such as a family member or friend. Then, in a paper of 750–1,000 words, address the following:

Part I: Evaluating Risk for Disease

• What genetic diseases or problems did you identify to be potential issues?
• Choose one of these diseases and provide an introduction of the disease, including the reason why this would be considered to be a genetic/inherited disease?
•  Discuss the major signs/symptoms of the disorder. Research the mode of inheritance for your chosen disease and provide a thorough discussion of the mode of inheritance. If you are not able to find a specific mode of inheritance, provide a hypothesis for the mode of inheritance. Explain your reasoning thoroughly.
• What information would help an individual who has been recently diagnosed with the disease?
• What would you say to a family member who is also at risk for developing the disease? What should they know about passing this disease trait to their children?

Each question must be fully answered with 2-3 full paragraphs per answer . Cite each answer. 

1. Fully profile a Power Assertive Rapist. 
2. Describe the role of fantasy for serial killers.  How does  it affect their crimes?   How does fantasy develop? 
3. Our  book defines four forms of autoeroticism.  Name and provide a short description of each. 
4. As we studied the chapter readings and researched the cases  involving Satanic and Cult-related murders, what are the roots of Satanism and who had the greatest influence on those who find Satanism so attractive? 
5. Name and explain what is Geography Profiling and what role  does it play in the criminal profiling process? List the elements included in a Geographic Profile…
6. Fully  discuss the existing legislations regarding Internet gambling and suggest remedies for the existing chaos at the international level. (chapter 8)
7. Why  is the use of consent searches dangerous when evidence relating to a high-technology crime is involved?
8.   Discuss in detail the USA Patriot Act. Do you think it infringes upon the right to privacy of the American citizens?  Elaborate.
9. What is the chain of custody and why is it such an important consideration when dealing with digital evidence?
10. Discuss three ways that consent can be withdrawn.

How important do you believe first impressions will be for you in your occupation? How do you use impression management to influence others’ perceptions of you? Do you think you have influenced your peers’ perceptions of you in this class? If so, how? 200 word minimum w/cited references.
*Tipton, D. (2017). Personal and professional growth for health care professionals. Burlington, MA: Jones & Bartlett Learning.

In your role as coach and/or mentor you will likely need to help teachers understand how to make connects between the following three processes (a) making meaning of documentation evidence to (b) planning for goals and (c) learning experiences for children. After reading chapter six, and the scenario below, respond to the discussion prompt:

Imagine that you are a coach who is supporting a teacher who is observing her students during small group activity time. The teacher records a lot of dialogue (words and actions) of the children arguing about “the rules” for putting away materials. You ask the teacher to identify a question of interest for both her and the children based on what she learned from her documentation. The question is, “What are the rules (procedures) in our classroom?” As her mentor, you want to begin her inquiry with “backwards planning.” The formula you present to the teacher is as follows:

1. a) The desired result for the children is to . . .
2. b) The observational evidence of the children shows . . .
3. c) Possible learning experiences could then be . . .

Together, you and the teacher decide to approach the inquiry the following way:

1. a) The desired result for the children is to . . . learn classroom rules.
2. b) The observational evidence of the children shows . . . confusion about routines and interest in figuring them out.
3. c) Possible learning experiences could then be . . . engaging in experiences that allow the child many ways to hear stories and repeat, describe, and act out a sequence of daily events used in the classroom community, making signs that remind children of the rules, etc.

In your group response address the questions below. Groups are encouraged to share thoughts and options for answering the questions, and use the Chapter 6 Appendix A Form, to support your explanations. Each group member must provide potential answers to at least two of the questions and must contribute to deciding on the response for all five questions. As in the previous weeks, one group member should post the groups final responses and include the name of the contributing

• How might you support this teacher in relating the goal to a professional value, standard, or competency?
• What are some ways to support how the teacher might be more effective in this area?
• How might you support this teacher from a strengths-based perspective?
• How could the teacher gather evidence before and after implementation of the inquiry?

Select an artifact or image created in 1000–1300 C.E. using the textbook or other academic resource, such as a museum or library website. Artifacts can include written works, laws, codes, buildings, maps, art, rituals, dance, holidays, and so on; for this exercise, if your choice is not tangible itself, be sure to include a weblink or textbook page number for a related physical relic. Your answer should explain how your chosen artifact (and relic) reflects the character of this period. Support your insight with at least one example of a connection to a specific political, economic, or religious development to which it relates.

Assignment Content

1. Different social behaviors occur within society as well as social inequalities. How do these social behaviors and social inequalities develop? This assignment requires you to examine these concepts in more depth and explain what you have learned.

   Write a 350- to 525-word summary of the concepts related to deviance and social inequalities.
   Ensure you do the following:

   • Describe the concept of deviance.
   • Describe how each sociological perspective explains deviance.
   • Describe factors that contribute to social inequalities.
   • Include a minimum of one source.

     Submit your summary.