Lehne’s Pharmacotherapeutics for Advanced Practice Providers and Physician Assistants
Edition: 2nd

Explore current literature and clinical practice guidelines to complete the clinical treatment protocol template.

Complete the protocol outline template Links to an external site. to develop a protocol for asthma treatment. Use of the template is required. A 10% deduction will be applied if the template is not used. See the rubric.
Provide references for your protocol at the bottom of the form where indicated. References should come from the following sources:
Asthma Clinical Practice Guideline
Course Textbook (for individual medication information)
Journal Articles from within the last five years as defined by program expectations.
Follow APA grammar, spelling, word usage, and punctuation rules consistent with formal, scholarly writing.
No more than one short direct quote (15 words or less) may be used in this assignment.
First person should not be used within this assignment.
At least three scholarly references must be used for this assignment.
Abide by Chamberlain University’s academic integrity policy.
Include the following sections (detailed criteria listed below and in the grading rubric).

Pharmacological Treatment

Correctly complete all blanks for the preferred and alternative medication for each step of therapy noted in the CPG.
List medications in order according to the CPG.
List generic medication names for each category.
Provide an in-text citation under the completed table.
Treatment Differences in Adults and Children

Correctly list the first line of initial pharmacologic treatment in step one; track one for asthmatic adults. (7a on the form)
Correctly list the first line of initial pharmacologic treatment in step one, track one for asthmatic children ages 6-11. (7b on the form)
Correctly list drug dose, route, frequency, instructions, precautions, drug cost, and education for adult and pediatric clients.
Provide in-text citations under the information for adults and pediatric clients.
Treatment Monitoring

List the physical assessments required for monitoring the first-line medications prescribed to adults for track one, step one.
List the pulmonary function tests required for monitoring the first-line medications prescribed to adults for track one, step one.
List the laboratory tests required for monitoring the first-line medications prescribed to adults for track one, step one.
Provide an in-text citation under the treatment monitoring section.
Treatment Failure

Describe how you will know that treatment is not working or needs to progress.
Describe the next step if treatment is not working or needs to progress.
Describe the indicators that would demonstrate that the client requires a higher level of care.
Provide an in-text citation under the treatment failure section.

LO1 – Knowledge and Understanding – Understand the concepts of traditional capital budgeting and sources of finance. LO2 – Knowledge and Understanding -Explain the context within which financial accounting information is prepared and used.

For this assignment, the title page and headings are required. Please use the info provided Review the elements and paper example provided in the Guidelines for Your Paper Format and Paper Example as needed. A minimum of two (2) references are required. Cite and reference your source/s as appropriate using APA format and style (7th ed.). this is the information i want formatted: Mental Status Assessment and Care Planning:A Case Analysis of Grief and Substance Use in Geriatric CareIntroductionThis report analyzes a case scenario involving A.H., a 67-year-old Hispanic male presenting for pneumonia follow-up at a primary care facility, with concerning behavioral changes following his daughter’s death in an alcohol-related motor vehicle accident.2.1 Analysis of A, B, C, and T ComponentsFrom the provided scenario, the following mental status elements are present:Appearance (Present):Disheveled appearance is specifically notedPhysical presentation suggests self-care deficitBehavior (Present):Slurred speechPresence of mint smell on breath, potentially masking alcoholAttendance at follow-up appointment indicates some level of health-seeking behaviorCognition (Not Explicitly Provided):While slurred speech might suggest cognitive impairment, no direct assessment of orientation, memory, or executive function is providedAdditional cognitive testing would be necessaryThought Processes (Not Explicitly Provided):No information about thought content, organization, or potential delusionsNo indication of suicidal ideation or grief processing patterns2.2 Additional Assessment Needs and ToolsSeveral validated assessment tools would be beneficial for a comprehensive evaluation:Mental Status Assessment:Mini-Mental State Examination (MMSE) for cognitive screeningGeriatric Depression Scale (GDS) to evaluate depression riskSubstance Use Screening:AUDIT-C (Alcohol Use Disorders Identification Test-Concise)CAGE questionnaire for alcohol use assessmentGrief Assessment:Inventory of Complicated Grief (ICG)Texas Revised Inventory of GriefAdditional information needed includes:Timeline of daughter’s deathPrevious mental health historyCurrent living situation and support systemCultural considerations regarding grief expressionCurrent medication listPattern and quantity of alcohol use2.3 Family and Community Support ImplicationsThe case requires a comprehensive support approach:Family Support:Assessment of existing family support networkEducation for family members about grief and substance useFamily counseling resources for shared grief processingCommunity Resources:Grief counseling services specializing in traumatic loss Cultural-specific support groups for Hispanic elderlySubstance abuse treatment programs with geriatric expertiseTransportation assistance for healthcare appointmentsHome health services if needed for pneumonia recoveryCare Coordination:Primary care provider coordination with mental health servicesRegular monitoring of both physical and mental health status. Connection with local senior services for additional support. References:McDougall, G. J. (1990). A review of screening instruments for assessing cognition and mental status in older adults. The Nurse Practitioner, 15(11), 21-29. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6751405/Substance Abuse and Mental Health Services Administration. (2023). SAMHSA’s National Helpline. U.S. Department of Health and Human Services. https://www.samhsa.gov/find-help/helplines/national-helplineWatts, S. C., Bhutani, G. E., Stout, I. H., Ducker, G. M., Cleator, P. J., McGarry, J., & Day, M. (2002). Mental health in older adult recipients of primary care services: Is depression the key issue? Identification, treatment and the general practitioner. International Journal of Geriatric Psychiatry, 17(5), 427-437. https://onlinelibrary.wiley.com/doi/abs/10.1002/gps.632

The purpose of this week’s discussions is to address the type of information HH needs to gather in coming up with creative alternatives to use in the MDQ decision making model. Useful information involves researching anything that the decision maker needs to know that might influence the decision making process. This includes experience from past or future situations as well as factual information. Even though the decision maker has no control over future events, information needs to be gathered to anticipate outcomes, consequences or actions when acting on Hannah’s Hats alternatives. CREATING ALTERNATIVES: In Building the Decision, the decision maker will create FOUR viable alternatives. The case study mentions several obvious alternatives, such as: Partnering with the investors or increasing E-commerce sales. However, NONE of these alternatives are strong enough on their own to meet all the objectives HH would like from the decision. Harry must look for ways to combine them with other possibilities to make stronger alternatives. The expectation is to create alternatives that are creative, demonstrate critical thinking, use additional research, and meet as many of the objectives as possible. Remember: The alternatives must satisfy as many objectives as possible. Discuss in one paragraph the type of information that Hannah’s Hats needs to gather to make a decision. Discuss the biases and traps that should be avoided in gathering, selecting, and interpreting information. Watch your predisposition to select information that is in your comfort zone or might lead to a problem solving approach rather than a decision making one. Create FOUR possible alternatives for Hanna’s Hats. Discuss each of these alternatives in separate paragraphs by explaining the alternative in detail, pointing out the biases, and potential consequences. Additional research will be required to support their viability.

Estate of Ronald Armstrong v. Village of Pinehurst, 810 F.3d 892 (4th Cir. 2016) [pp. 208–212]

Required Textbook: Joel Samaha. 2018. Criminal Procedure (10 th ed.) Cengage. ISBN-13: 978-1-305-96900-1

Case briefing

• Facts – What happened in this case? What are underlying facts that gave rise to the case?
• Legal issue – What is being appealed? What is the legal issue?
• Holding – What is the decision of the appellate court? Did they reverse the lower court decision or affirm it?
• Reasoning – What is the reasoning behind the holding of the majority opinion?
• Are there any dissents? Concurring opinions?