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Health, Medicine, Nursing
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Topic:

Description of the CPG: The American College of Physicians (ACP)

Coursework Instructions:

Nursing situation
My nursing situation involves a new 54 year old uncontrolled diabetic male patient with PMH of hypertension, Hyperlipidemia, Chronic kidney disease stage 3 and BPH. During his second visit to review labs, A1C was 10.7, his med list reviewed and was on app.roprgpriate medications to manage his disease. Through investigation and counseling, patient reveals he was unable to afford his meds because he was uninsured. Patient was of Hatjan descent and was using herbal remedies to manage his disease. I completed the forms "for prescription assistance program and was able to receive his medications free of charge. I believe it’s important as providers to discuss affordability of medications with patients when implementing treatment plans.PICOT
(P) In Haitian American men between the ages of 50-65 with diabetes
(I) Does the use of medication questionnaire assist primary care providers to determine the
need for prescription assistance programs/medication compliance
(C) compared to patients who are not administered the medication questionnaire during office visit
(O) better management of A1C (T) within 12 weeks period
Briefly address the following content areas:
Appreciation: What did you appreciate about the class? I appreciate the professors calm spirit, she thoroughly reviewed the class expectations.
Critical reflection: What changes would make the class better meet your needs?
No changes as of yet since today was the first day of class
Affirmation: Conclude the closing by sharing at least one personal affirmation statement: "I will devote ample amount of time to the class for a successful term.


 


Description
Discussion Board: Unit 3 Quality Improvement and Outcomes
For this discussion board, identify a Clinical Practice Guideline relevant to your area of interest from your PICOT question. CPG's can be found via the web from the National Guideline Clearinghouse and Professional Organizations or in professional journals.
For the discussion board, briefly summarize the guideline including developers, method of development (literature used), and major recommendations. In relation to your current practice, respond to the following:
1. Do the guideline recommendations vary from your current practice and if so, how?
2. If you were to implement the guideline in your practice, what resources would you need?
3. How would the quality of care and safety be affected by the implementation of the guideline? Identify an outcome that could be measured as a result of the guideline implementation.

Coursework Sample Content Preview:

Clinical Practice Guideline
Name of Student
Name of Professor
Course Title
Date
Institution
Clinical Practice Guideline: Oral Pharmacologic Treatment of Type 2 Diabetes
Description of the CPG: The American College of Physicians (ACP) created this guideline to state and describe its verification and present scientific endorsement on the management of diabetes type 2 using an oral pharmacological treatment. The guideline is a report from an analysis of the authenticity of oral anesthetic for type 2 diabetes performed in 2015 through composed clinical examination and structured, random and experimental analysis. The study comprised quality evaluation of data, extraction of information and qualitative summaries of results based on the evidence of numerous databases. Some of the interpositions were metformin, metformin, thiazolidinediones, sulfonylureas, dipeptidyl peptidase-4 (DPP-4) inhibitors, and sodium-glucose cotransporter-2 (SGLT-2) inhibitors (Qaseem et al., 2017).
Recommendation 1: ACP recommends that during the process of pharmacologic therapy, physicians assign metformin to patients with diabetes type 2 for glycemic control.
Recommendation 2: ACP recommends that, during the second process of pharmacologic therapy, physicians add a thiazolidinedione, an SGLT-2 inhibitor, or a DPP-4 inhibitor to metformin for a...
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