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QUESTION
Dissussion board
Ms. C, 72 years old, has diabetes mellitus, hypertension, rheumatoid arthritis (RA), and coronary artery disease. She lives alone. She recently was discharged from the hospital after treatment for an acute myocardial infarction. She had been doing well before this admission. You are the home health nurse assigned to visit Ms. C. Ms. C’s son tells you he is concerned that his mother will not follow up with all the medications she is supposed to take. He states that she has not been very compliant with treatment in the past.
As the home health nurse, how would you approach Ms. C?
What risk factors might interfere with Ms. C’s plan of care?
What must you evaluate to include in the plan of care?
Titles of books, web pages, and journals should be italicized in the reference list for all references. There should be in text citation within the body of all postings for each reference listed in the reference list. Credentials, such as PhD, should not be listed within the reference list. When 3 or more author or listed for a work, in text citation should include the first authors' last name, followed by et al.FA2020 - RNSG 1301 Discussion Board Grading Rubric 20 Points
10 Points
5 Points
0 Points
Points Earned
Fully answers the prompt by Wednesday (11:59 p.m. CST) of the week assigned. Initial posting contains at least 2 references.
*Initial post must be aminimum of 150 words.
Fully answers the prompt by Wednesday (11:59 p.m. CST) of the week assigned. Initial posting contains less than 2 references.
*Initial post must be aminimum of 150 words.
Fully answers the prompt by Wednesday (11:59 p.m. CST) of the week assigned. No references included.
*Initial post must be aminimum of 150 words.
No initial posting by Wednesday (11:59 pm CST) or posting is less than the minimum of 150 words.
/20
Initial posting is rich in content full of thought, insight, and analysis.
Initial posting has substantial information. Thought, insight, and analysis have taken place.
Initial posting is generally competent. Information is thin and commonplace.
Initial posting is not relevant or no subject matter knowledge is evident.
/20
30 Points
20 Points
10 Point
0 Points
Points Earned
Provides a minimum of two substantive peer replies with reference by the end of the week (Sunday 11:59 pm). A minimum of one (1) reference is required per peer reply.
*Each peer reply must be aminimum of 125 words.
Provides replies to two peers with simple comments and/or reference(s) not provided. A minimum of one (1) reference is required for each peer reply. *Each peer reply must be a minimum of 125 words.
Provides only one peer reply by the end of the week (Sunday 11:59 pm). Appropriate references are not included on both peer responses.
*Each peer reply must be aminimum of 125 words.
No replies to peer postings or postings are less than the minimum of 125 words.
/30
15 Points
10 Points
5 Point
0 Points
Points Earned
Correct APA format of in-text citations (within the body of the posting) and references (in the list). Both are required to earn any points.
Less than 2 APA errors.
3-4 APA errors.
No use of APA format or 5+ errors.
/15
5 Points
3.5 Points
2 Points
0 Points
Points Earned
Spelling, grammar, punctuation, mechanics and word usage are correct and consistent with Standard American English.
Spelling, grammar, punctuation, mechanics, and word usage are adequate and consistent with Standard American English; errors do not interfere with meaning or understanding.
Spelling, grammar, punctuation, mechanics, and word usage are distracting and could interfere with meaning or understanding.
Spelling, grammar, punctuation, mechanics and/or word usage interfere with understanding and do not reflect scholarly writing.
/5
All references are relevant, scholarly, and less than 10 years old.
Some references are not relevant, scholarly, or less than 10 years old.
No use of references.
/5
5 Points
2.5 Points
0 Points
Points Earned
Posts indicate respect and consideration for peers and instructor and are written using scholarly language.
Posts indicate respect and consideration for peers and instructor but are not written using scholarly language.
No use of professionalism & netiquette.
/5
Total Points
/100
| Subject | Nursing | Pages | 4 | Style | APA |
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Answer
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Discussion Board: Medication Non-Adherence
Medication adherence is important in management of chronic diseases. Medication non-adherence may result in increased cost of care and poor health outcomes (Lam & Fresco, 2015). Method for approaching Ms. C.’s involve utilization of behavioral interventions such as cognitive behavioral therapy as well as other therapies which can treat dysfunctional cognitions, emotions, and behaviors can help modify the patient’s behavior towards treatment and improve medication adherence (Costa et al., 2015). Some of the risk factors that may interfere with Ms. C. plan of care include old age (72 years) and the fact that she lives alone. Socioeconomic variables and the cost of treatment may also interfere with the treatment plan. Besides, if care is provided by multiple providers it may be difficult for the patient to adhere with the treatment plan. Having multiple chronic disease and severity of each condition is another significant challenge (Costa et al., 2015). Important determinants of plan of care that must be evaluated include Ms. C.’s perception of the required therapy, health literacy, cognitive functioning, social support, and motivation for self-care. It should also be established whether the patient is taking multiple medications and on whether she is experiencing any adverse drug reactions, since these may contribute to medication non-adherence (Costa et al., 2015). Medication reconciliation may also be considered so as to determine if there are potential drug-drug interactions that may negatively affect treatment outcomes or result in adverse events.
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References
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Costa, E., Giardini, A., Savin, M., Menditto, E., Lahane, E., Laosa, O., Pecorelli, S., Monaco, A., & Marengoni, A. (2015). Interventional tools to improve medication adherence: review of literature. Patient Prefer Adherence, 9, 1303-1314. https://dx.doi.org/10.2147%2FPPA.S87551
Lam, W. Y., & Fresco, P. (2015). Medication adherence measures: An overview. BioMed Research International, 2015, Article ID 217047. https://doi.org/10.1155/2015/217047
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