LOR Woodruff RAD
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Dr. Ronald Aung-Din provides a strong letter of recommendation for Dr. Craig M. Woodruff. Over the past two years, Dr. Aung-Din has come to know Dr. Woodruff both professionally and personally. He trusts Dr. Woodruff as one of the compounding pharmacists who assists in caring for patients prescribed topical compounded medications. Dr. Aung-Din gives his highest recommendation for Dr. Woodruff due to his commitment to practicing pharmacy with skill and caring for patients, such as improving a compound to eliminate an unpleasant smell. Dr. Aung-Din has also been involved in an ongoing research project with Dr. Woodruff concerning a compound
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ntroduction to the case (1 page)Briefly explain and summarize .docx
ntroduction to the case (1 page)
Briefly explain and summarize the case for this Assignment. Be sure to include the specific patient factors that may impact your decision making when prescribing medication for this patient.
Decision #1 (1 page)
Which decision did you select?
Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature).
Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples.
Decision #2 (1 page)
Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature).
Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples.
Decision #3 (1 page)
Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature).
Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples.
Conclusion (1 page)
Summarize your recommendations on the treatment options you selected for this patient. Be sure to justify your recommendations and support your response with clinically relevant and patient-specific resources, including the primary literature.
Decision Point One
Start Zyprexa (olanzapine) 10 mg orally at BEDTIME
RESULTS OF DECISION POINT ONE
·
Client returns to clinic in four weeks
·
Her PANSS decreases to a partial response (decrease in positive symptoms by 25%)
·
She comes in today with a reported weight gain of 5 pounds. When questioned further on this point, she states that she can never seem to get f.
Mistakes a Psychiatrist made
Dr.Mahesh Desai- renouned Psychiatrist of Gujarat shared his mistakes while practicing in field of Psychiatry.
Building a Doctor-Patient Relationship (Additional PLUS Reading Materials)
This document provides guidance on building a cooperative relationship between patients and doctors for HIV care. It suggests that patients should (1) share their point of view, learn as much information as possible, and prepare for appointments, while doctors should (2) support their patients' interests, be flexible in their responses, and describe issues from multiple sides. It also addresses how to handle disagreements, noting that changing doctors should only be a last resort when other options cannot establish an acceptable relationship.
Doctor call presentation1
Medical representatives play an important role in sharing knowledge about new diagnostic and treatment trends with doctors. However, they are often seen only as salespeople rather than knowledge brokers. The document discusses that medical representatives should see themselves as catalysts for sharing information, not just salespeople, in order to build better relationships with doctors. It provides tips for how medical representatives can position themselves as knowledgeable resources and what doctors expect from and want to get from their interactions with medical representatives.
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This document discusses depression, particularly in doctors. It notes that depression can impair people of all ages and genders. Depression is very common in doctors and medical students, yet it is rarely treated within the medical community. Doctors have higher rates of depression, suicide, and prescription drug use than the general population. The document suggests this may be due to the stresses of medical careers and easier access to prescription drugs.
Family medicine book chap6
The document discusses building partnerships between clinicians, patients, and families in family medicine. It emphasizes the importance of developing rapport, organizing interviews effectively, and converting resistance into cooperation. It provides guidance on using open-ended questions, active listening, emphasizing strengths, and assessing motivation for change.
pharmacetical industry
- Pharmaceutical companies spent over $15 billion on drug promotion in the US in 2000, with over $4.8 billion spent on drug reps who detail drugs to physicians through one-on-one meetings.
- Drug reps are trained to develop personal relationships with physicians in order to influence their prescribing habits. They gather personal details about physicians and tailor their messaging based on the individual physician's personality and preferences.
- Reps use tactics like small gifts, flattery, and invoking feelings of friendship or obligation to encourage physicians to prescribe more of the drugs they are promoting. The goal is to increase sales by having physicians see the rep as more of a friend, rather than just a vendor.
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ntroduction to the case (1 page)Briefly explain and summarize .docx
ntroduction to the case (1 page)
Briefly explain and summarize the case for this Assignment. Be sure to include the specific patient factors that may impact your decision making when prescribing medication for this patient.
Decision #1 (1 page)
Which decision did you select?
Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature).
Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples.
Decision #2 (1 page)
Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature).
Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples.
Decision #3 (1 page)
Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature).
Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples.
Conclusion (1 page)
Summarize your recommendations on the treatment options you selected for this patient. Be sure to justify your recommendations and support your response with clinically relevant and patient-specific resources, including the primary literature.
Decision Point One
Start Zyprexa (olanzapine) 10 mg orally at BEDTIME
RESULTS OF DECISION POINT ONE
·
Client returns to clinic in four weeks
·
Her PANSS decreases to a partial response (decrease in positive symptoms by 25%)
·
She comes in today with a reported weight gain of 5 pounds. When questioned further on this point, she states that she can never seem to get f.
Mistakes a Psychiatrist made
Dr.Mahesh Desai- renouned Psychiatrist of Gujarat shared his mistakes while practicing in field of Psychiatry.
Building a Doctor-Patient Relationship (Additional PLUS Reading Materials)
This document provides guidance on building a cooperative relationship between patients and doctors for HIV care. It suggests that patients should (1) share their point of view, learn as much information as possible, and prepare for appointments, while doctors should (2) support their patients' interests, be flexible in their responses, and describe issues from multiple sides. It also addresses how to handle disagreements, noting that changing doctors should only be a last resort when other options cannot establish an acceptable relationship.
Doctor call presentation1
Medical representatives play an important role in sharing knowledge about new diagnostic and treatment trends with doctors. However, they are often seen only as salespeople rather than knowledge brokers. The document discusses that medical representatives should see themselves as catalysts for sharing information, not just salespeople, in order to build better relationships with doctors. It provides tips for how medical representatives can position themselves as knowledgeable resources and what doctors expect from and want to get from their interactions with medical representatives.
The silent killer_ppp
This document discusses depression, particularly in doctors. It notes that depression can impair people of all ages and genders. Depression is very common in doctors and medical students, yet it is rarely treated within the medical community. Doctors have higher rates of depression, suicide, and prescription drug use than the general population. The document suggests this may be due to the stresses of medical careers and easier access to prescription drugs.
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The document discusses building partnerships between clinicians, patients, and families in family medicine. It emphasizes the importance of developing rapport, organizing interviews effectively, and converting resistance into cooperation. It provides guidance on using open-ended questions, active listening, emphasizing strengths, and assessing motivation for change.
pharmacetical industry
- Pharmaceutical companies spent over $15 billion on drug promotion in the US in 2000, with over $4.8 billion spent on drug reps who detail drugs to physicians through one-on-one meetings.
- Drug reps are trained to develop personal relationships with physicians in order to influence their prescribing habits. They gather personal details about physicians and tailor their messaging based on the individual physician's personality and preferences.
- Reps use tactics like small gifts, flattery, and invoking feelings of friendship or obligation to encourage physicians to prescribe more of the drugs they are promoting. The goal is to increase sales by having physicians see the rep as more of a friend, rather than just a vendor.
Medications vocab
The document discusses various topics related to medications and pharmacies. It defines key terms like prescription, pharmacy, pharmacist, and provides explanations of different types of medications. It also lists important vocabulary words for understanding pharmacy and medication, including prescription, dose, side effects, and refill. Several examples are provided to demonstrate use of these words in context.
Benevolent Despotism
The document discusses the concept of "benevolent clinical despotism" as an approach for treating patients with addiction or anxiety issues. It describes the case of Donna, a heroin addict seeking treatment for anxiety. The author considers prescribing clonazepam but is wary given her addiction history. He decides to take a "benevolent despot" approach, clearly outlining rules for treatment but being understanding of lapses. Donna follows the treatment plan for over a year with no issues, demonstrating the potential success of this non-punitive but authoritative approach.
Third Party Reporting of Patient Improvement.docx
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Joshua Davis is being highly recommended for a position by Dr. Jane Bellet. Dr. Bellet worked with Mr. Davis as a pharmaceutical representative, where he was extremely attentive and responsive to all of Dr. Bellet's and her staff's questions and concerns. Dr. Bellet has never worked with someone as hard-working in this role as Mr. Davis. She is certain he would work hard for any organization and be open to communication.
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The document discusses medications and provides information about how medications are obtained and used. It explains that a doctor provides a prescription which is then taken to a pharmacy to be filled by a pharmacist. It also defines important vocabulary related to medications, prescriptions, pharmacies, and potential side effects. Key terms are defined such as prescription, pharmacy, pharmacist, dose, side effects, and refill.
Supershrinks: An Interview with Scott Miller about What Clinicians can Learn ...
The document summarizes an interview between Dr. David Van Nuys and Dr. Scott Miller about what really works in therapy. Some key points:
1) Dr. Miller argues that while different therapeutic approaches work, there is little evidence that diagnostic categories predict treatment outcomes or what approach works best for a specific diagnosis.
2) Research shows that on average, clients who receive treatment improve more than 80% of untreated clients, but debates over diagnostic systems and treatment approaches obscure this fact.
3) The rise of managed care and evidence-based practices has intensified debates over diagnoses and approaches, even though these factors have little bearing on outcomes according to research.
4) Dr. Miller advocates shifting the
taking time out
This document describes how two homeopaths, Dorothy and Deborah, supported each other during difficult personal times by having Deborah temporarily take over Dorothy's practice. When Dorothy's father became ill, she realized she may need to take time off and asked Deborah to be her locum. Later, when Dorothy's father passed away, Deborah contacted Dorothy's clients to let them know and rescheduled or saw appointments. Both homeopaths found the arrangement beneficial - Dorothy was able to grieve without worrying about her practice, clients received continuity of care, and Deborah gained experience with a new practice. The document provides suggestions for how other homeopaths can create a similar arrangement of support.
Examine Case Study Pakistani Woman with Delusional Thought Processe.docx
Examine Case Study: Pakistani Woman with Delusional Thought Processes.
You will be asked to make three decisions concerning the medication to prescribe to this client. Be sure to consider factors that might impact the client’s pharmacokinetic and pharmacodynamic processes.
At each decision point stop to complete the following:
Decision #1
Which decision did you select?
Why did you select this decision? Support your response with evidence and references to the Learning Resources.
What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources.
Explain any difference between what you expected to achieve with Decision #1 and the results of the decision. Why were they different?
Decision #2
Why did you select this decision? Support your response with evidence and references to the Learning Resources.
What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources.
Explain any difference between what you expected to achieve with Decision #2 and the results of the decision. Why were they different?
Decision #3
Why did you select this decision? Support your response with evidence and references to the Learning Resources.
What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources.
Explain any difference between what you expected to achieve with Decision #3 and the results of the decision. Why were they different?
Also include how ethical considerations might impact your treatment plan and communication with clients.
BACKGROUND
The client is a 34-year-old Pakistani female who moved to the United States in her late teens/early 20s. She is currently in an “arranged” marriage (her husband was selected for her since she was 9 years old). She presents to your office today following a 21 day hospitalization for what was diagnosed as “brief psychotic disorder.” She was given this diagnosis as her symptoms have persisted for less than 1 month.
Prior to admission, she was reporting visions of Allah, and over the course of a week, she believed that she was the prophet Mohammad. She believed that she would deliver the world from sin. Her husband became concerned about her behavior to the point that he was afraid of leaving their 4 children with her. One evening, she was “out of control” which resulted in his calling the police and her subsequent admission to an inpatient psych unit.
During today’s assessment, she appears quite calm, and insists that the entire incident was “blown out of proportion.” She denies that she believed herself to be the prophet Mohammad and states that her husband was just out to get her because he never loved her and wanted an “American wife” instead of her. She tells you that she knows this because the television is telling her so.
She currently weighs .
Dr. Ken Betts Reference
This letter provides a recommendation for David Brown from his work over the past 8 years as a pharmaceutical representative. The doctor praises David for his professionalism, integrity, being knowledgeable about products, finding answers to questions, and respecting doctors' time. The doctor believes David helped provide patients the best possible care and would be an asset to any new organization by promoting growth and prosperity through successful promotion of business. The doctor gives David their highest recommendation.
For this assignment, consider the following case and then using th.docx
For this assignment, consider the following case and then using the internet, course materials, and the Library, compose reasoned responses to the questions that follow.
In the mid 1970s, a nursing educator in Idaho had contact, through a student, with a female client who had chronic myelogenous leukemia. This form of leukemia can often be managed for years with little or no chemotherapy. The woman had done well for about twelve years and ascribed her good condition to health foods and a strict nutritional regime. However, her condition had turned worse several weeks before and her physician had advised her that she needed chemotherapy if she were to have any chance at survival. The physician had also advised her of the potential side effects of the therapy including hair loss, nausea, fever, and immune system suppression.
The woman consented to the therapy and signed the appropriate forms, but later, she began to have second thoughts. The nursing educator and student had given the patient one dose of the therapy when the woman began to cry and express her reservations about the therapy. She questioned the nurse about alternative treatments to the use of chemotherapy. The patient related that she had accepted the therapy because her son had advised her that this was the best treatment. She related that she had not asked about alternate forms of treatment as the physician had indicated that chemotherapy was the only treatment indicated. The nurse did not discuss the patient's concerns with the physician, and later that evening, she talked to the patient about alternate therapies. In the discussion, rather nontraditional and controversial therapies were covered including reflexology and the use of laetrile. During the talk, the nurse made it very clear that the treatments under discussion were not sanctioned by the medical community.
The patient's feelings toward alternate therapies were strengthened by the evening's conversation; however, she continued with chemotherapy. The treatments, however, did not bring remission to her crisis and she died two weeks later. Upon hearing about the conversation between the off duty nurse educator and his patient, the physician brought charges against the nurse for unprofessional conduct and interfering with the patient-physician relationship. (In re Tuma, 1977).
1. What, if anything, did the nurse do wrong?
2. Had she moved beyond her scope of practice?
3. Could the nurse's conduct be justified under the patient advocate portion of her role?
4. If you were a member of the state board for nursing and had to decide the issue of unprofessional conduct and interference with the patient-physician relationship, would you sanction the nurse?
Support your responses with evidence and cite your sources.
Length 4 pages not counting the case. At least 4 references; scholarly sources
COURSE MATERIAL INFORMATION
: Ethical Principles and Dilemmas of Confidentiality, Veracity, and Fidelity
Health care .
New text document
Dr. Jay Rosen and his wife Susan Rosen submitted a testimonial in support of allowing physicians greater ability to prescribe medical marijuana to patients. They believe that patients should have better treatment options available to them without cumbersome requirements that make it difficult for doctors to prescribe compassionately. As a urological surgeon who treats cancer patients, Dr. Rosen sees how medical marijuana could benefit patients undergoing difficult treatments by providing relief with fewer harmful side effects than other options. His wife Susan, a disabled nurse, advocates for greater physician ability to assist patients through her work with the American Cannabis Nurses Association.
Patient counselling
This document outlines the importance and process of patient counseling by pharmacists. It defines patient counseling as providing medication information to patients regarding proper use, side effects, storage, and lifestyle changes. The goals of counseling are to ensure patient understanding, compliance, and active participation in their treatment. An effective counseling session involves verbal and non-verbal communication skills, explaining the purpose and use of medications, and addressing potential adverse effects or interactions. The pharmacist should prepare, open and close the session properly while gathering patient information to provide individualized counseling.
Fall 2011 Copy
This document summarizes various dental health topics discussed in a dental office newsletter, including:
1) The dental office checks patient blood pressure at every visit to monitor for changes that could indicate health issues and risk of conditions like hypertension.
2) Two patients were found to have high blood pressure readings at their dental visits and urged to follow-up with their doctors, highlighting the importance of these checks.
3) Dental health tips are provided for women, including that postmenopausal women may need to increase dental checkups to four times per year to manage dental plaque levels.
Sally Chang Professor Berney AAS 33A October 1, 2022 .docx
Sally Chang
Professor Berney
AAS 33A
October 1, 2022
Indigenous Ingredients
Your first paragraph should introduce your ingredient. What is it? Why did you select it?
What does it mean to indigenous groups in the Bay Area? Identify a recipe you found for the
ingredient. Maybe, explain where you found the recipe and if there is a website, scholar,
influencer, indigenous community member attempting to promote people eating diets rooted
in ingredients that are indigenous to the region.
Spend a paragraph talking about making the dish and all your trials and tributations. Did
you make it in your dorm? How hard was that? Did a family member help? Where did you go to
shop for the ingredient? Was the place accessible to you or did you travel thousands of miles?
Wrap your reflection essay up talking about who you ate the dish with. What did working with
the ingredient reveal to you about the world-system Okhiro discussed in his chapter. Are
ingredient that are not indigenous to the region easy to obtain? If so, how is that connected to
the world-system?
*This is just a very quick example! Cranberries are NOT indigenous to the Bay Area.
1
Nurse Practitioner Interview
Nurse Practitioner’s Credentials
The nurse practitioner (NP) I interviewed, M.R. W.R., has specialized in family nursing
practice. He achieved this after completing a master of science in nursing (M.S.N.) qualification.
He was certified by the American Nurses Credentialing Center (ANCC). The N.P.’s credential is
M.S.N., FNP-BC, indicating his highest academic qualification and area of specialization. The
N.P.N.P. is pursuing a Doctor of Nursing Practice (D.N.P.) degree, which he aspires to complete
in a year. He believes the D.N.P. would increase his competencies and marketability in nursing
practice.
Practice Setting, Job Description, and Responsibilities
Family Nurse Practitioners (F.N.P.s) work in various healthcare settings, including private
practice, community health settings, physicians’ offices, and acute and rehabilitative care
settings. F.N.P.s offer several family-oriented healthcare services, including seniors, adolescents,
infants, adults, and children. Their responsibilities include creating treatment plans, ordering and
performing diagnostic tests, prescribing medications, conducting physical assessments, and
treating illnesses. Also, F.N.P.s maintain patient records and carry out health promotion, disease
prevention, and rehabilitative programs for patients, families, and communities.
Years in Practice, Number of Patients, and Leadership Roles
M.R. W.R. has a cumulative 15-year experience in nursing practice. Of these, he spent ten
years as a registered nurse (RN) and five years as an F.N.P. He sees an average of 20 to 25
patients daily. The average age of patients is 40 years. The facility sees patients between 0 to 80
years daily with acute t.
Not All Meds Get Along: Reducing Inappropriate Medication Use
Dr. Dee Mangin, Professor of Family Medicine and the Associate Chair and Director, Research, at McMaster University, will join practicing pharmacist, and Vice President, Pharmacy Affairs, Sandra Hanna of the Neighbourhood Pharmacy Association of Canada to discuss medication risks, deprescribing and the dangers of polypharmacy in this one hour webinar. Learn more at www.asklistentalk.ca
2013 Patient Access for Florida Flyer: Lourdes Duarte
Lourdes has faced barriers to accessing her multiple sclerosis medication. She had to provide medical evidence in 2006 to gain access to a drug, and now in 2013 her insurance has denied her the same medication again. Lourdes has an aggressive form of MS that requires this specific treatment as decided by her doctor. The passage argues that treatment decisions should be made by patients and doctors, not insurance companies, and patients should not have to jump through administrative hoops to get needed medication.
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The document discusses treatments for herpes and cold sores, including prescription antiviral drugs and natural/homeopathic remedies. It notes that prescription drugs can have side effects, require frequent dosing and doctor visits. All-natural treatments are presented as a safer alternative, but finding effective natural treatments requires extensive research. The document recommends Natalie Foy's Herpes Antidote program, which provides tested natural treatments and has helped her eliminate her own outbreaks.
© 2014 Laureate Education, Inc. Page 1 of 2 Week 5 .docx
© 2014 Laureate Education, Inc. Page 1 of 2
Week 5 Case Studies
Drug Offenders
Case of Sampson
Basic Presenting Problem: Sampson is a 24-year-old single Caucasian male who
has been referred for treatment services after he was convicted of possessing
“crystal meth.” Sampson reports he has not used crystal meth more than six or
seven times in the past. He reports his first use was with his girlfriend 2 months ago,
and he has never used this substance alone. He tells you he has no history of
addiction in his past, and no one in his family has a history of addictions either. He is
employed as an assistant manager of a local bookstore and has no prior criminal
convictions. He also advises you that his girlfriend is also in a similar situation as she
is facing legal action for possession of crystal methamphetamine as well as
prostitution.
Relevant Psychological and Medical Information: Sampson was briefly seen by a
counselor when he was an adolescent and his parents were divorcing. Sampson
recalls these sessions were beneficial and helped him get through a difficult
transition. His developmental years were normal and he experienced no significant
difficulties. Sampson attended local schools and earned average grades. He went to
the local community college for 2 years but dropped out when he got his current job
as assistant manager.
Case of Carol
Basic Presenting Problem: Carol is being referred for treatment by her parole officer
after she “tested positive” for marijuana during a random drug screening. Carol is a
39-year-old divorced female who was released on parole after serving 6 years for
assault with a deadly weapon. She has been arrested over 17 times and has a
lengthy history of drug abuse. Carol reports that she has no interest in treatment
because she does not believe marijuana should be illegal. She has the family
support of her mother and aunt. She is presently employed as a clerk at a local
automotive-part manufacturing plant. Carol has no children and has no significant
debt.
Relevant Psychological and Medical Information: Carol reports dropping out of high
school at the age of 16 when she first started using drugs and encountering legal
difficulties. At the age of 17, while in a juvenile detention center, she had to have a
© 2014 Laureate Education, Inc. Page 2 of 2
complete hysterectomy after cancer was discovered in her uterus. She has not had
further complications from surgery or cancer. She has remained cancer free since
the surgery. Carol did see a mental health counselor briefly during her first period of
incarceration as an adult for “depression” related to the criminal conviction.
© 2014 Laureate Education, Inc. Page 1 of 7
Treatment Outcome Models
The Case of Sandy:
Sandy Lee is a 28-year-old woman who was arrested and convicted of trafficking in
cocaine. As a component of her incarceration, the court required her to participate in a
residentia.
What is clinical pharmacist
Clinical pharmacists work directly with physicians, patients, and other healthcare professionals to ensure that prescribed medications optimize patient health outcomes and care coordination. They assess patient health problems and medication regimens, evaluate medication appropriateness and effectiveness, identify untreated issues that could benefit from medication, advise patients on proper medication use, and consult with physicians on therapy selection.
Communicating prescribing decisions v1.4
This is a draft e-learning module for the Prescribe Project (http://ow.ly/uO53A). It is about how to improve communication with patients and colleagues around prescribing decisions.
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Medications vocab
The document discusses various topics related to medications and pharmacies. It defines key terms like prescription, pharmacy, pharmacist, and provides explanations of different types of medications. It also lists important vocabulary words for understanding pharmacy and medication, including prescription, dose, side effects, and refill. Several examples are provided to demonstrate use of these words in context.
Benevolent Despotism
The document discusses the concept of "benevolent clinical despotism" as an approach for treating patients with addiction or anxiety issues. It describes the case of Donna, a heroin addict seeking treatment for anxiety. The author considers prescribing clonazepam but is wary given her addiction history. He decides to take a "benevolent despot" approach, clearly outlining rules for treatment but being understanding of lapses. Donna follows the treatment plan for over a year with no issues, demonstrating the potential success of this non-punitive but authoritative approach.
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Reproting of outcome studies is often subjective. This collection of real leterrs, emails, and Facebook posting provides third party documentation and validation of the efficacy of treatment, without the subjective bias of the party doing the treatment.
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Joshua Davis is being highly recommended for a position by Dr. Jane Bellet. Dr. Bellet worked with Mr. Davis as a pharmaceutical representative, where he was extremely attentive and responsive to all of Dr. Bellet's and her staff's questions and concerns. Dr. Bellet has never worked with someone as hard-working in this role as Mr. Davis. She is certain he would work hard for any organization and be open to communication.
Medicine
The document discusses medications and provides information about how medications are obtained and used. It explains that a doctor provides a prescription which is then taken to a pharmacy to be filled by a pharmacist. It also defines important vocabulary related to medications, prescriptions, pharmacies, and potential side effects. Key terms are defined such as prescription, pharmacy, pharmacist, dose, side effects, and refill.
Supershrinks: An Interview with Scott Miller about What Clinicians can Learn ...
The document summarizes an interview between Dr. David Van Nuys and Dr. Scott Miller about what really works in therapy. Some key points:
1) Dr. Miller argues that while different therapeutic approaches work, there is little evidence that diagnostic categories predict treatment outcomes or what approach works best for a specific diagnosis.
2) Research shows that on average, clients who receive treatment improve more than 80% of untreated clients, but debates over diagnostic systems and treatment approaches obscure this fact.
3) The rise of managed care and evidence-based practices has intensified debates over diagnoses and approaches, even though these factors have little bearing on outcomes according to research.
4) Dr. Miller advocates shifting the
taking time out
This document describes how two homeopaths, Dorothy and Deborah, supported each other during difficult personal times by having Deborah temporarily take over Dorothy's practice. When Dorothy's father became ill, she realized she may need to take time off and asked Deborah to be her locum. Later, when Dorothy's father passed away, Deborah contacted Dorothy's clients to let them know and rescheduled or saw appointments. Both homeopaths found the arrangement beneficial - Dorothy was able to grieve without worrying about her practice, clients received continuity of care, and Deborah gained experience with a new practice. The document provides suggestions for how other homeopaths can create a similar arrangement of support.
Examine Case Study Pakistani Woman with Delusional Thought Processe.docx
Examine Case Study: Pakistani Woman with Delusional Thought Processes.
You will be asked to make three decisions concerning the medication to prescribe to this client. Be sure to consider factors that might impact the client’s pharmacokinetic and pharmacodynamic processes.
At each decision point stop to complete the following:
Decision #1
Which decision did you select?
Why did you select this decision? Support your response with evidence and references to the Learning Resources.
What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources.
Explain any difference between what you expected to achieve with Decision #1 and the results of the decision. Why were they different?
Decision #2
Why did you select this decision? Support your response with evidence and references to the Learning Resources.
What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources.
Explain any difference between what you expected to achieve with Decision #2 and the results of the decision. Why were they different?
Decision #3
Why did you select this decision? Support your response with evidence and references to the Learning Resources.
What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources.
Explain any difference between what you expected to achieve with Decision #3 and the results of the decision. Why were they different?
Also include how ethical considerations might impact your treatment plan and communication with clients.
BACKGROUND
The client is a 34-year-old Pakistani female who moved to the United States in her late teens/early 20s. She is currently in an “arranged” marriage (her husband was selected for her since she was 9 years old). She presents to your office today following a 21 day hospitalization for what was diagnosed as “brief psychotic disorder.” She was given this diagnosis as her symptoms have persisted for less than 1 month.
Prior to admission, she was reporting visions of Allah, and over the course of a week, she believed that she was the prophet Mohammad. She believed that she would deliver the world from sin. Her husband became concerned about her behavior to the point that he was afraid of leaving their 4 children with her. One evening, she was “out of control” which resulted in his calling the police and her subsequent admission to an inpatient psych unit.
During today’s assessment, she appears quite calm, and insists that the entire incident was “blown out of proportion.” She denies that she believed herself to be the prophet Mohammad and states that her husband was just out to get her because he never loved her and wanted an “American wife” instead of her. She tells you that she knows this because the television is telling her so.
She currently weighs .
Dr. Ken Betts Reference
This letter provides a recommendation for David Brown from his work over the past 8 years as a pharmaceutical representative. The doctor praises David for his professionalism, integrity, being knowledgeable about products, finding answers to questions, and respecting doctors' time. The doctor believes David helped provide patients the best possible care and would be an asset to any new organization by promoting growth and prosperity through successful promotion of business. The doctor gives David their highest recommendation.
For this assignment, consider the following case and then using th.docx
For this assignment, consider the following case and then using the internet, course materials, and the Library, compose reasoned responses to the questions that follow.
In the mid 1970s, a nursing educator in Idaho had contact, through a student, with a female client who had chronic myelogenous leukemia. This form of leukemia can often be managed for years with little or no chemotherapy. The woman had done well for about twelve years and ascribed her good condition to health foods and a strict nutritional regime. However, her condition had turned worse several weeks before and her physician had advised her that she needed chemotherapy if she were to have any chance at survival. The physician had also advised her of the potential side effects of the therapy including hair loss, nausea, fever, and immune system suppression.
The woman consented to the therapy and signed the appropriate forms, but later, she began to have second thoughts. The nursing educator and student had given the patient one dose of the therapy when the woman began to cry and express her reservations about the therapy. She questioned the nurse about alternative treatments to the use of chemotherapy. The patient related that she had accepted the therapy because her son had advised her that this was the best treatment. She related that she had not asked about alternate forms of treatment as the physician had indicated that chemotherapy was the only treatment indicated. The nurse did not discuss the patient's concerns with the physician, and later that evening, she talked to the patient about alternate therapies. In the discussion, rather nontraditional and controversial therapies were covered including reflexology and the use of laetrile. During the talk, the nurse made it very clear that the treatments under discussion were not sanctioned by the medical community.
The patient's feelings toward alternate therapies were strengthened by the evening's conversation; however, she continued with chemotherapy. The treatments, however, did not bring remission to her crisis and she died two weeks later. Upon hearing about the conversation between the off duty nurse educator and his patient, the physician brought charges against the nurse for unprofessional conduct and interfering with the patient-physician relationship. (In re Tuma, 1977).
1. What, if anything, did the nurse do wrong?
2. Had she moved beyond her scope of practice?
3. Could the nurse's conduct be justified under the patient advocate portion of her role?
4. If you were a member of the state board for nursing and had to decide the issue of unprofessional conduct and interference with the patient-physician relationship, would you sanction the nurse?
Support your responses with evidence and cite your sources.
Length 4 pages not counting the case. At least 4 references; scholarly sources
COURSE MATERIAL INFORMATION
: Ethical Principles and Dilemmas of Confidentiality, Veracity, and Fidelity
Health care .
New text document
Dr. Jay Rosen and his wife Susan Rosen submitted a testimonial in support of allowing physicians greater ability to prescribe medical marijuana to patients. They believe that patients should have better treatment options available to them without cumbersome requirements that make it difficult for doctors to prescribe compassionately. As a urological surgeon who treats cancer patients, Dr. Rosen sees how medical marijuana could benefit patients undergoing difficult treatments by providing relief with fewer harmful side effects than other options. His wife Susan, a disabled nurse, advocates for greater physician ability to assist patients through her work with the American Cannabis Nurses Association.
Patient counselling
This document outlines the importance and process of patient counseling by pharmacists. It defines patient counseling as providing medication information to patients regarding proper use, side effects, storage, and lifestyle changes. The goals of counseling are to ensure patient understanding, compliance, and active participation in their treatment. An effective counseling session involves verbal and non-verbal communication skills, explaining the purpose and use of medications, and addressing potential adverse effects or interactions. The pharmacist should prepare, open and close the session properly while gathering patient information to provide individualized counseling.
Fall 2011 Copy
This document summarizes various dental health topics discussed in a dental office newsletter, including:
1) The dental office checks patient blood pressure at every visit to monitor for changes that could indicate health issues and risk of conditions like hypertension.
2) Two patients were found to have high blood pressure readings at their dental visits and urged to follow-up with their doctors, highlighting the importance of these checks.
3) Dental health tips are provided for women, including that postmenopausal women may need to increase dental checkups to four times per year to manage dental plaque levels.
Sally Chang Professor Berney AAS 33A October 1, 2022 .docx
Sally Chang
Professor Berney
AAS 33A
October 1, 2022
Indigenous Ingredients
Your first paragraph should introduce your ingredient. What is it? Why did you select it?
What does it mean to indigenous groups in the Bay Area? Identify a recipe you found for the
ingredient. Maybe, explain where you found the recipe and if there is a website, scholar,
influencer, indigenous community member attempting to promote people eating diets rooted
in ingredients that are indigenous to the region.
Spend a paragraph talking about making the dish and all your trials and tributations. Did
you make it in your dorm? How hard was that? Did a family member help? Where did you go to
shop for the ingredient? Was the place accessible to you or did you travel thousands of miles?
Wrap your reflection essay up talking about who you ate the dish with. What did working with
the ingredient reveal to you about the world-system Okhiro discussed in his chapter. Are
ingredient that are not indigenous to the region easy to obtain? If so, how is that connected to
the world-system?
*This is just a very quick example! Cranberries are NOT indigenous to the Bay Area.
1
Nurse Practitioner Interview
Nurse Practitioner’s Credentials
The nurse practitioner (NP) I interviewed, M.R. W.R., has specialized in family nursing
practice. He achieved this after completing a master of science in nursing (M.S.N.) qualification.
He was certified by the American Nurses Credentialing Center (ANCC). The N.P.’s credential is
M.S.N., FNP-BC, indicating his highest academic qualification and area of specialization. The
N.P.N.P. is pursuing a Doctor of Nursing Practice (D.N.P.) degree, which he aspires to complete
in a year. He believes the D.N.P. would increase his competencies and marketability in nursing
practice.
Practice Setting, Job Description, and Responsibilities
Family Nurse Practitioners (F.N.P.s) work in various healthcare settings, including private
practice, community health settings, physicians’ offices, and acute and rehabilitative care
settings. F.N.P.s offer several family-oriented healthcare services, including seniors, adolescents,
infants, adults, and children. Their responsibilities include creating treatment plans, ordering and
performing diagnostic tests, prescribing medications, conducting physical assessments, and
treating illnesses. Also, F.N.P.s maintain patient records and carry out health promotion, disease
prevention, and rehabilitative programs for patients, families, and communities.
Years in Practice, Number of Patients, and Leadership Roles
M.R. W.R. has a cumulative 15-year experience in nursing practice. Of these, he spent ten
years as a registered nurse (RN) and five years as an F.N.P. He sees an average of 20 to 25
patients daily. The average age of patients is 40 years. The facility sees patients between 0 to 80
years daily with acute t.
Not All Meds Get Along: Reducing Inappropriate Medication Use
Dr. Dee Mangin, Professor of Family Medicine and the Associate Chair and Director, Research, at McMaster University, will join practicing pharmacist, and Vice President, Pharmacy Affairs, Sandra Hanna of the Neighbourhood Pharmacy Association of Canada to discuss medication risks, deprescribing and the dangers of polypharmacy in this one hour webinar. Learn more at www.asklistentalk.ca
2013 Patient Access for Florida Flyer: Lourdes Duarte
Lourdes has faced barriers to accessing her multiple sclerosis medication. She had to provide medical evidence in 2006 to gain access to a drug, and now in 2013 her insurance has denied her the same medication again. Lourdes has an aggressive form of MS that requires this specific treatment as decided by her doctor. The passage argues that treatment decisions should be made by patients and doctors, not insurance companies, and patients should not have to jump through administrative hoops to get needed medication.
How to treat_herpes
The document discusses treatments for herpes and cold sores, including prescription antiviral drugs and natural/homeopathic remedies. It notes that prescription drugs can have side effects, require frequent dosing and doctor visits. All-natural treatments are presented as a safer alternative, but finding effective natural treatments requires extensive research. The document recommends Natalie Foy's Herpes Antidote program, which provides tested natural treatments and has helped her eliminate her own outbreaks.
© 2014 Laureate Education, Inc. Page 1 of 2 Week 5 .docx
© 2014 Laureate Education, Inc. Page 1 of 2
Week 5 Case Studies
Drug Offenders
Case of Sampson
Basic Presenting Problem: Sampson is a 24-year-old single Caucasian male who
has been referred for treatment services after he was convicted of possessing
“crystal meth.” Sampson reports he has not used crystal meth more than six or
seven times in the past. He reports his first use was with his girlfriend 2 months ago,
and he has never used this substance alone. He tells you he has no history of
addiction in his past, and no one in his family has a history of addictions either. He is
employed as an assistant manager of a local bookstore and has no prior criminal
convictions. He also advises you that his girlfriend is also in a similar situation as she
is facing legal action for possession of crystal methamphetamine as well as
prostitution.
Relevant Psychological and Medical Information: Sampson was briefly seen by a
counselor when he was an adolescent and his parents were divorcing. Sampson
recalls these sessions were beneficial and helped him get through a difficult
transition. His developmental years were normal and he experienced no significant
difficulties. Sampson attended local schools and earned average grades. He went to
the local community college for 2 years but dropped out when he got his current job
as assistant manager.
Case of Carol
Basic Presenting Problem: Carol is being referred for treatment by her parole officer
after she “tested positive” for marijuana during a random drug screening. Carol is a
39-year-old divorced female who was released on parole after serving 6 years for
assault with a deadly weapon. She has been arrested over 17 times and has a
lengthy history of drug abuse. Carol reports that she has no interest in treatment
because she does not believe marijuana should be illegal. She has the family
support of her mother and aunt. She is presently employed as a clerk at a local
automotive-part manufacturing plant. Carol has no children and has no significant
debt.
Relevant Psychological and Medical Information: Carol reports dropping out of high
school at the age of 16 when she first started using drugs and encountering legal
difficulties. At the age of 17, while in a juvenile detention center, she had to have a
© 2014 Laureate Education, Inc. Page 2 of 2
complete hysterectomy after cancer was discovered in her uterus. She has not had
further complications from surgery or cancer. She has remained cancer free since
the surgery. Carol did see a mental health counselor briefly during her first period of
incarceration as an adult for “depression” related to the criminal conviction.
© 2014 Laureate Education, Inc. Page 1 of 7
Treatment Outcome Models
The Case of Sandy:
Sandy Lee is a 28-year-old woman who was arrested and convicted of trafficking in
cocaine. As a component of her incarceration, the court required her to participate in a
residentia.
What is clinical pharmacist
Clinical pharmacists work directly with physicians, patients, and other healthcare professionals to ensure that prescribed medications optimize patient health outcomes and care coordination. They assess patient health problems and medication regimens, evaluate medication appropriateness and effectiveness, identify untreated issues that could benefit from medication, advise patients on proper medication use, and consult with physicians on therapy selection.
Communicating prescribing decisions v1.4
This is a draft e-learning module for the Prescribe Project (http://ow.ly/uO53A). It is about how to improve communication with patients and colleagues around prescribing decisions.
Similar to LOR Woodruff RAD (20)
Supershrinks: An Interview with Scott Miller about What Clinicians can Learn ...
Supershrinks: An Interview with Scott Miller about What Clinicians can Learn ...
Examine Case Study Pakistani Woman with Delusional Thought Processe.docx
Examine Case Study Pakistani Woman with Delusional Thought Processe.docx
For this assignment, consider the following case and then using th.docx
For this assignment, consider the following case and then using th.docx
Sally Chang Professor Berney AAS 33A October 1, 2022 .docx
Sally Chang Professor Berney AAS 33A October 1, 2022 .docx
Not All Meds Get Along: Reducing Inappropriate Medication Use
Not All Meds Get Along: Reducing Inappropriate Medication Use
2013 Patient Access for Florida Flyer: Lourdes Duarte
2013 Patient Access for Florida Flyer: Lourdes Duarte
© 2014 Laureate Education, Inc. Page 1 of 2 Week 5 .docx
© 2014 Laureate Education, Inc. Page 1 of 2 Week 5 .docx
LOR Woodruff RAD
- 1. To Whom It May Concern: I am writing this letter of recommendation for Dr. Craig M. Woodruff. Dr. Woodruff and I have gotten to know each other on both a professional and personal level over thepast two years. I have used Dr. Woodruff as one of the compounding pharmacists I trust to assist in taking care of my patients to whomI prescribe topical compounded medications to treat Epilepsy, Parkinson’s, MultipleSclerosis, Migranes and ADHD along with other conditions. I give my highest recommendation for Dr. Woodruff, as I have seen the commitment he has to practice his art and profession with skill and caring for his patients. One example of this was when a compound I prescribe used to have a smell to it that was theresult of Apomorphinereacting with a certain brand of DMSO. Dr. Woodruff did not rest until he figured out the offending chemical and was able to improve the product. He did not take the answer he was getting from other compounding shops “Yes it smells but we don’t get many complaints” as acceptable. I have also been involved in an ongoing research project with Dr. Woodruff concerning a compound that we came up with in concert with a NursePractitioner. This compound has the potentialto radically change the landscape of a certain patient population’s condition. His commitment to improving patient’s lives thru compounding is one of the greatest I have ever seen. To him it’s not just another prescription- Hetreat’s it like it’s for his loved one. When evaluating Dr. Woodruff for a position, I hopeyou will take this letter into consideration. In my twenty-eight years of Neurology practice I can honestly say that Dr. Woodruff is one of the better compounding pharmacists I have worked with. Without hesitation I can say that he will be an asset to any organization utilizing his skills. I would be happy to discuss my recommendation or address any questions you may have. I thank you considering this letter of reference for Dr. Woodruff. Sincerely Yours, Dr. Ronald Aung-Din M.D. Neurology Practice of Ronald Aung-Din M.D. 3501 Cattleman Drive Sarasota, Florida 34232 941-342-9477 aungdinmd@verizon.net