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1) Minimum 6 full pages  (Follow the 3 x 3 rule: minimum three paragraphs per part)

Parts 1 and 2 are the same question, however you must answer both questions with references and different writing always addressing them objectively, that is, as if you were two different people. Similar responses in wording or references will not be accepted.

             Part 1: Minimum 1 page
             Part 2: minimum 1 page
             Part 3: Minimum 2 pages  
             Part 4: minimum 1 page
             Part 5: minimum 1 page

Submit 1 document per part

2)¨******APA norms
          All paragraphs must be narrative and cited in the text- each paragraphs
          Bulleted responses are not accepted
          Dont write in the first person 
          Dont copy and pase the questions.
          Answer the question objectively, do not make introductions to your answers, answer it when you start the paragraph

Submit 1 document per part

3)****************************** It will be verified by Turnitin (Identify the percentage of exact match of writing with any other resource on the internet and academic sources, including universities and data banks) 
********************************It will be verified by SafeAssign (Identify the percentage of similarity of writing with any other resource on the internet and academic sources, including universities and data banks)

4) Minimum 3 references per part not older than 5 years

5) Identify your answer with the numbers, according to the question. Start your answer on the same line, not the next
Example:
Q 1. Nursing is XXXXX
Q 2. Health is XXXX

6) You must name the files according to the part you are answering: 
Example:
Part 1.doc 
Part 2.do
__________________________________________________________________________________
Parts 1 and 2 are the same question, however you must answer both questions with references and different writing always addressing them objectively, that is, as if you were two different people. Similar responses in wording or references will not be accepted.

Part 1: Pharmacology
 
Vaginitis
R.S. is a 32-year-old woman who seeks treatment for a vaginal discharge that she has had for the past month. She is sexually active and has had the same partner for the past 6 months. She reports noticing an odor, especially after sexual intercourse. Her history reveals that she has been using a commercial douche on a biweekly basis during the past year for hygienic purposes in an attempt to prevent vaginal infections. She denies any other associated symptoms. The physical examination reveals a white vaginal discharge. Microscopic examination of the vaginal discharge shows clue cells, and the pH is 5.5.
Diagnosis: Bacterial Vaginosis 

1. List specific goals of treatment for this patient.
2. What drug therapy would you prescribe? Why?
3. Discuss specific patient education based on the prescribed therapy.
4. List one or two adverse reactions for the selected agent that would cause you to change therapy.
5. What OTC or alternative medications would be appropriate for this patient?
6.What dietary or lifestyle changes should be recommended?

Part 2: Pharmacology
 
Vaginitis
R.S. is a 32-year-old woman who seeks treatment for a vaginal discharge that she has had for the past month. She is sexually active and has had the same partner for the past 6 months. She reports noticing an odor, especially after sexual intercourse. Her history reveals that she has been using a commercial douche on a biweekly basis during the past year for hygienic purposes in an attempt to prevent vaginal infections. She denies any other associated symptoms. The physical examination reveals a white vaginal discharge. Microscopic examination of the vaginal discharge shows clue cells, and the pH is 5.5.
Diagnosis: Bacterial Vaginosis 

1. List specific goals of treatment for this patient.
2. What drug therapy would you prescribe? Why?
3. Discuss specific patient education based on the prescribed therapy.
4. List one or two adverse reactions for the selected agent that would cause you to change therapy.
5. What OTC or alternative medications would be appropriate for this patient?
6.What dietary or lifestyle changes should be recommended?

Part 3: Pharmacology
 
 
Osteoporosis
J.S., a 72-year-old woman of Asian descent, has just transferred to your practice. She had a hysterectomy 8 years ago and has not been on hormone replacement therapy. She is 5 ft 2 inches tall and weighs 102 lb. She has had a sedentary lifestyle (she was a secretary and retired 2 years ago). She drinks four glasses of wine a day. Her mother died at age 62 from complications of a hip fracture. J.S.’s sister was just diagnosed with metastatic breast cancer. You prescribe a DEXA scan, and the T-score is −2.6 SD.

Diagnosis: Osteoporosis 
1. List specific goals of therapy for J.S.
2. What drug therapy would you prescribe? Why?
3. What are the parameters for monitoring the success of the therapy?
4. Discuss specific patient education based on the prescribed therapy.
5. List one or two adverse reactions for the selected agent that would cause you to change therapy.
6. What OTC or alternative medicines might be appropriate for this patient?
7. What dietary and lifestyle changes might you recommend?
8. Describe one or two drug–drug or drug–food interactions for the selected agent.

Part 4: Community Nursing (Write in the first person)
 
Topic: Cultural Competence: Awareness, Sensitivity, and Respect

Think for a while about cultural practices and how they affect health or illness in your own family. They may be difficult to identify as such at first, but they do exist. 

1. What ideas about illness prevention does your family adhere to? 
2. What do you do when someone gets sick? What rituals does your family practice when someone dies?

Part 5: Community Nursing
 
Topic:  Care Management, Case Management, and Home Healthcare 

In thinking of five social determinants of health as identified in Healthy People 2020
1. Identify the social determinants specifically that may be barriers to home care, and explain why.
2. Identify the social determinants specifically that may be barriers case or care management services, and explain why.

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