Foundations and Essentials for the Doctor of Nursing Practice
Discussion response
Ethics and the DNP-Prepared Nurse
Discussion response
Ethics and the DNP-Prepared Nurse
Post your cost comparison document from Unit 2. Assuming you might prescribe this drug for your patient, how would you minimize cost or assist the patient in getting the medication at the lowest cost possible. What resources are available to reduce drug costs? Find at least 2 resources for free or reduced cost medications. Respond to two other student posts as per the discussion board rubric.
This is my paper from week 2
Comparing pharmacological alternatives, prescription, and over-the-counter drugs stand out. A good example is “Lisinopril,” a hypertension treatment, and “Ibuprofen,” a painkiller. Consider 10mg “Lisinopril” prescription medication. Both brand-name and generic versions exist. Retail chains, small pharmacies, and internet platforms charge various prices for Lisinopril, which is also affected by geography in the US. In contrast, “Ibuprofen” is an over-the-counter painkiller available without a prescription. Its range of formulas and amounts makes it affordable and widely used. Comparing the generic and brand-name versions of Lisinopril, which have the same active component but cost less, may show the economic benefits of choosing the generic. This comparison between prescription and OTC drugs shows how regulation, accessibility, and cost affect pharmaceuticals. Starting the prescription drugs, Lisinopril is commonly prescribed for the management of hypertension. For a 10mg dose, let us examine the price differences between brand and generic options at different types of pharmacies in different locations in the United States.
Prescription Drug – Lisinopril 10mg (30 tablets)
1. Large Chain Pharmacy – Walgreens (Chicago, IL):
Brand: Prinivil – Cash Price: $45.00
Generic: Lisinopril – Cash Price: $12.00
2. Grocery Store Associate Pharmacy – Publix (Atlanta, GA):
Brand: Zestril – Cash Price: $43.00
Generic: Lisinopril – Cash Price: $10.00
3. Privately Owned Local Pharmacy – Victory Pharmacy (Seattle, WA):
Brand: Qbrelis – Cash Price: $47.00
Generic: Lisinopril – Cash Price: $11.00
4. Pharmacy Associated with Big Box Store – Walmart (Dallas, TX):
Brand: Prinizide – Cash Price: $50.00
Generic: Lisinopril – Cash Price: $9.00
Lisinopril 10mg (30 pills) price among pharmacies and geolocations gives useful information into pharmaceutical cost trends. The study found that generic Lisinopril is much cheaper than brand-name versions at all drugstore types and locations. Walgreens in Chicago sells Prinivil for $45.00 and Lisinopril for $12.00. Zestril, the brand, costs $43.00 at Publix, an Atlanta supermarket store associate pharmacy, whereas Lisinopril costs $10.00. Victory Pharmacy, a Seattle-based private pharmacy, sells Qbrelis for $47.00 and Lisinopril for $11.00. Walmart in Dallas follows this pattern, selling Prinizide for $50 and Lisinopril for $9.00. The consistent price disparity emphasizes the economic logic of adopting generic products wherever available, particularly for financially strapped people seeking cheaper healthcare. This report highlights the significant influence of pharmacy choice on patient spending, pushing consumers to be cautious and aware of the pharmaceutical market.
Over-the-Counter Drug – Ibuprofen 200mg (100 tablets):
1) Large Chain Pharmacy – CVS (New et al.):
Brand: Advil – Cash Price: $10.00
Generic: Ibuprofen – Cash Price: $7.00
2) Grocery Store Associate Pharmacy – Kroger (Houston, TX):
Brand: Motrin – Cash Price: $9.00
Generic: Ibuprofen – Cash Price: $6.00
3) Privately Owned Local Pharmacy – Greenway Pharmacy (San et al.):
Brand: Nurofen – Cash Price: $11.00
Generic: Ibuprofen – Cash Price: $7.50
4) Pharmacy Associated with Big Box Store – Target (Minneapolis, MN):
Brand: Up & Up – Cash Price: $8.00
Generic: Ibuprofen – Cash Price: $5.00
Ibuprofen 200mg (100 pills) pricing across pharmacies and locales reveals an interesting price difference between brand-name and generic choices. This difference highlights the constant benefit of generic versions, supporting the pharmaceutical industry trend. In huge chain pharmacies like CVS in New York City, Advil costs $10.00, and Ibuprofen costs $7.00. Kroger, a Houston grocery store associate pharmacy, sells Motrin for $9.00 and generic Ibuprofen for $6.00. San Francisco's privately held Greenway Pharmacy follows this approach. Brand-name Nurofen costs $11.00, whereas generic Ibuprofen costs $7.50. Even in 'big box' pharmacy sections, Target in Minneapolis perpetuates the idea with $8.00 Up & Up and $5.00 generic Ibuprofen. The constancy of this pattern supports the economic case for buying generic drugs. This decision saves customers money and emphasizes educated consumption. This research highlights how competition and price tactics shape customer choices in the market. It promotes intelligent pharmaceutical selections and cost-effective solutions by encouraging active healthcare expenditure evaluation.
Comparing brand names with generic prescription and over-the-counter medications shows that generics are cheaper across pharmacies. This cost disparity supports educated consumption by choosing generic versions. The results highlight the importance of pharmacy selection in determining medicine procurement costs as individuals traverse the complicated healthcare environment. The long-term trend shows that well-informed healthcare choices may save money and ensure access to excellent treatments.
Introduction
Many organizations work to better local and global communities' quality of life and promote health and safety in times of crisis. As public health and safety advocates, nurses must be cognizant of how such organizations help certain populations. As change agents, nurses must be aware of factors that impact the organization and the services that it offers. Familiarity with these organizations enables the nurse to offer assistance as a volunteer and source of referral.
This assessment provides an opportunity for you gain insight into the mission, vision, and operations of a community services organization.
Preparation
You are interested in expanding your role as a nurse and are considering working in an area where you can help to promote equal opportunity and improve the quality of life within the local or global community. You are aware of several nonprofit organizations and government agencies whose work contributes to this effort in some way. You have particular interest in one of these organizations but would like to know more about its contributions to public health and safety improvements. You would like to report the results of your research in a scholarly paper that you could submit for publication.
Research a local, national, or global nonprofit organization or government agency selected from the
Assessment 02 Supplement: Community Resources [PDF]
Download Assessment 02 Supplement: Community Resources [PDF]resource. Determine how the selected organization or agency contributes to public health and safety improvements, promotes equal opportunity, and improves the quality of life within the community. Submit your findings in a 3–5 page report.
As you begin to prepare this assessment, it would be an excellent choice to complete the Nonprofit Organizations and Community Health activity. Complete this activity to gain insight into promoting equal opportunity and improving the quality of life in a community. The information gained from completing this activity will help you succeed with the assessment.
Note: As you revise your writing, check out the resources listed on the Writing Center's
Writing Support page.
Instructions
First, select one of the local, national, or global nonprofit organizations or government agencies presented in the
Assessment 02 Supplement: Community Resources [PDF]
Download Assessment 02 Supplement: Community Resources [PDF]resource.
Then research the nonprofit organization or government agency that you selected. Determine how the organization or agency contributes to public health and safety improvements, promotes equal opportunity, and improves the quality of life within the community. Submit your findings in a 3–5 page report structured according to the following specifications:
Document Format and Length
Format your paper using APA style.
· Refer to the
APA Style Paper Tutorial [DOCX] to help you in writing and formatting your paper. Be sure to include:
· A title page and references page. An abstract is not required.
· Appropriate section headings.
· Your paper should comprise 3–5 pages of content plus title and references pages.
Supporting Evidence
Cite at least three credible sources from peer-reviewed journals or professional industry publications published within the past 5 years that support your research findings.
Graded Requirements
The research requirements, outlined below, correspond to the grading criteria in the assessment scoring guide, so be sure to address each point.
· Explain how the organization's mission and vision enable it to contribute to public health and safety improvements.
· Include examples of ways a local and/or global initiative supports organizational mission and vision and promotes public health and safety.
· Evaluate an organization's ability to promote equal opportunity and improve the quality of life in the community.
· Consider the effects of social, cultural, economic, and physical barriers.
· Assess the impact of funding sources, policy, and legislation on the organization's provision of services.
· Consider the potential implications of funding decisions, policy, and legislation for individuals, families, and aggregates within the community.
· Explain how an organization's work impacts the health and/or safety needs of a local community.
· Consider how nurses might become involved with the organization.
· Organize content so ideas flow logically with smooth transitions; contains few errors in grammar/punctuation, word choice, and spelling.
· Apply APA formatting to in-text citations and references exhibiting nearly flawless adherence to APA format.
· Write with a specific purpose and audience in mind.
· Adhere to scholarly and disciplinary writing standards and APA formatting requirements.
Additional Requirements
Before submitting your paper, proofread it to minimize errors that could distract readers and make it difficult for them to focus on your research findings.
Competencies Measured
By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and scoring guide criteria:
Competency 1: Analyze health risks and health care needs among distinct populations.
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· Explain how an organization's work impacts the health and/or safety needs of a local community.
Competency 2: Propose health promotion strategies to improve the health of populations.
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· Explain how an organization's mission and vision enable it to contribute to public health and safety improvements.
Competency 3: valuate health policies, based on their ability to achieve desired outcomes.
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· Assess the impact of funding sources, policy, and legislation on an organization's service delivery.
Competency 4: Integrate principles of social justice in community health interventions.
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· Evaluate an organization's ability to promote equal opportunity and improve the quality of life in a community.
Competency 5: Apply professional, scholarly communication strategies to lead health promotion and improve population health.
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· Organize content so ideas flow logically with smooth transitions; contains few errors in grammar/punctuation, word choice, and spelling.
· Apply APA formatting to in-text citations and references exhibiting nearly flawless adherence to APA format.
Review the terms Stratified Sampling, Cluster Sampling, Random Sampling, and Systematic Sampling from “The Visual Learner: Statistics,” located in the Topic 2 Resources.
For this question you are divided into groups based on your last name. Identify your given sampling method using the first letter of your last name.
Use the assigned sampling method to answer the following question:
Imagine that you are conducting a patient satisfaction survey at your health care facility. How would the assigned sampling method be applied in this case? What are the strengths and weakness of the assigned sampling method in this scenario?
Initial discussion question posts should be a minimum of 200 words and include at least two references cited using APA format. Responses to peers or faculty should be 100-150 words and include one reference. Refer to “HLT-362V Discussion Question Rubric” and “HLT-362V Participation Rubric,” located in Class Resources, to understand the expectations for initial discussion question posts and participation posts, respectively.
Discuss what is happening on a cellular level with the disease process. Be careful to realize that patients have co-morbidities and you may need to discuss the other diseases impact on the pathophysiology and care of the patient. Three (3) resources after 2008 are required along with APA format.
A 38 year female old med student goes to her physician with complaints of arthralgia and a new rash on her face bilaterally. The rash get worse when in the sun. When she is fatigued, she complains of a sharp pain in her chest when taking a deep breath. She has experienced this before, but this present episode has been the worst she has ever felt. An exam was completed and tests ordered. The following results are:
Physical:
Temperarture, respiratory rate, and BP normal, Heart rate regular and normal
Facial rash macular over the bridge of her nose and cheeks. Discoid scaling also noted on her extensor surfaces of her arms.
Joint pain and stiffness and pain in hands on active and passive motion
Pleural friction rub auscultated with deep respiration
Other systems examined normal.
Labs:
Serum electrolytes – normal
Hemoglibin and Hematocrit – low
Platelet count – slightly low
White blood cells – normal
BUN and Creatinine – elevated
Urine – Positive for Protein
CXR – Small pleural effusion noted
Antinuclear antibody (ANA) – positive
Anti-DNA antibodies – positive
Diagnosis: Systemic Lupus Erythematosus (SLE)
Questions:
1. What is the common descriptive term for this patient’s facial rash and why?
1. What does sunlight do to people with this disease that they are taught t avoid it?
1. Which lab results indicate renal dysfunction. Is this dysfunction related to SLE? Why or why not?
1. State the other signs and symptoms of SLE that are manifested in this patients physical exam and labs? Give the rationale for each.
1. What is the pathophysiology behind SLE causing widespread tissue damage?
1. What is discoid lupus and is it different from SLE?
1. What type of teaching and management plan will be need to be devised by the APN for this patient?
1.
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Answer the following questions in a one or two-page summary of the following questions:
1. Describe the
four physical assessment techniques discussed in the textbook. Why is it important to perform the assessment techniques in order?
2. Describe the significant characteristics of a general survey. Why is the general survey important?
3.
Conduct a pain assessment on a family member/friend using
one of the pain scales that are discussed in the textbook. Document your findings in a summarized format. (see instructions below).
You may conduct the pain assessment on a fellow student, friend, or family member. Remember to secure their permission.
Include both subjective and objective data when performing the pain assessment &
don't forget to ask the “PQRST” questions using the process described in the textbook.
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Screening is the administration of measures or tests to distinguish individuals who may have a condition from those who probably do not have it. Discuss the advantages and disadvantages of screening.
Iron Deficiency anemia
1. The week’s topics were choosen from the following website:
Agency for Healthcare Research and QualityLinks to an external site.
2. Reply to the following prompt:
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· Describe the diagnostic or screening tool selected, its purpose, and what age group it targets.
· Has it been specifically tested in this age group?
· Next, discuss the predictive ability of the test. For instance, how do you know the test is reliable and valid? What are the reliability and validity values? What are the predictive values? Is it sensitive to measure what it has been developed to measure, for instance, HIV, or depression in older adults, or Lyme disease? Would you integrate this tool into your advanced practice based on the information you have read about the test, why or why not?
3. You should include a minimum of two (2) scholarly articles from the last five (5) years (3 is recommended).
4. Your work should have in-text citations integrating at a minimum one scholarly article and the course textbook. APA format should be utilized to include a reference list. Correct grammar, spelling, and APA should be adhered to when writing, work should be scholarly without personalization or first – person use.
Please see attachment