Discuss how are individuals screened for the disease – including those with and without risk factors. Provide an example of a paper or electronic screening/survey. Discuss its reliability and what is typically done with the results/findings. Then discuss any invasive screening/testing that is done. What are the lab values that indicate positive findings? Be sure your examples are evidence-based.
Clinical Manifestations of the Disease: (5) Discuss in detail the presenting clinical manifestations of this disease (example: presenting physical/emotional behaviors, findings on physical exam, presenting concerns, etc.)(i.e. what does the client look like)
Diagnosis (5)
Discuss in detail what criteria are used to confirm diagnosis of the disease? Lab values – include both normal and abnormal values? Testing? Findings on physical examination…
Treatment (5)
Discuss at length treatment/management of the disease. What criteria are used to indicate that the disease has been stabilized? Discuss and describe in detail diagnostic testing/or labs are monitored as evidence of stabilization – include normal/abnormal values. What other treatment modalities are incorporated – nutrition, physical therapy, social services.
Pharmacologic Management (5)
Discuss pharmacotherapeutic management. Identify at least 3 medications used to treat the disease. Identify name; discuss typical dosage, frequency, expected action, potential side effects (mild and severe) and how to manage severe side effects. Identify any known contraindications to the medication.
NOTE: Be sure to include standards of care for risk assessment/screening, diagnosis, treatment and pharmacologic management of your chosen topic.
Discuss the Role of the Nurse in the Provision of Secondary Intervention (5)
Discuss the role of the nurse as provider, designer/manager/coordinator of care in the secondary preventive care of individuals, families and communities. Address any legal, ethical or professional issues that the nurse might encounter when rendering secondary care.
Tertiary Intervention
Long Term Chronic Disease Management (5)
Discuss discharge planning and long term management/care of the patient with this disease. What types of referrals, follow-ups are needed. Discuss education that needs to be completed/reinforced to support the client’s ability to function independently or with assistance. Identify routine labwork that will need to be done. Discuss typical medications at discharge – what needs to be taught to the client regarding the self-administration of these meds?
NOTE: Be sure to include standards of care for long term chronic disease management of your chosen topic.
The Role of the Nurse in Chronic Disease Management (5)
Discuss the roles of the nurse – as they relate to tertiary intervention – in supporting treatment/management of the disease in the outpatient and home setting. How does the nurse support/facilitate a return to an optimum state of wellness? Discuss any necessary home care, referrals, follow-up or changes that need to be made in the client’s living arrangement to ensure safety. Note: you do not need to include a patient education – content outline.
Be sure to discuss the role of the nurse as provider, designer/manager/coordinator of care in the tertiary care of individuals, families and communities. Address any legal, ethical or professional issues that the nurse might encounter when rendering tertiary care.
Conclusion (5)
Discuss what you learned from preparing this paper. As a health care system – what things are we doing well to manage this disease? As a health care system – what things are we not doing well and how does it negatively impact the care and well-being of clients with this disease. Are we cost-effectively managing this disease? What are the opportunities for improvement? What will be the consequences if we do not capture the opportunities for improvement? You may use first person in this section.
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