Patient AO has a history of obesity and has recently gained 9 pounds. The patient has been diagnosed with hypertension and hyperlipidemia. Drugs currently prescribed include the following:
Atenolol 12.5 mg daily
Doxazosin 8 mg daily
Hydralazine 10 mg qid
Sertraline 25 mg daily
Simvastatin 80 mg daily
Review the above case study.
Select one the following factors: genetics, gender, ethnicity, age, or behavior factors.
Reflect on how the factor you selected might influence the patient’s pharmacokinetic and pharmacodynamic processes.
Consider how changes in the pharmacokinetic and pharmacodynamic processes might impact the patient’s recommended drug therapy.
Think about how you might improve the patient’s drug therapy plan based on the pharmacokinetic and pharmacodynamic changes. Reflect on whether you would modify the current drug treatment or provide an alternative treatment option for the patient.
Write a 2- to 3-page paper that addresses the following:
Explain how the factor you selected might influence the pharmacokinetic and pharmacodynamic processes in the patient from the case study you were assigned.
Describe how changes in the processes might impact the patient’s recommended drug therapy. Be specific and provide examples.
Explain how you might improve the patient’s drug therapy plan and explain why you would make these recommended improvements.
Inspiration and Discipline That Brings Employee Satisfaction in Healthcare Precious stone Mullen Task: Read the accompanying situations and answer the inquiries in passage group. The response for every situation ought to be 2 pages long. Your last accommodation ought to be 4-5 pages long. Situation 1: With the proceeded with spotlight on oversaw care, your workers are concerned that concentrating on cost cutting will diminish the nature of patient consideration. As a wellbeing administrations chairman, you are stressed over the proceeded with disappointment. Create three systems that would rouse and expand representative fulfillment. Keeping staff persuaded is a significant piece of the board in any industry. Moreover, the high pressure nature of oversaw care means actualizing approaches and strategies in regards to work place inspiration and bolster which at that point creates representative fulfillment are imperative to hold qualified social insurance experts (Cardenas, 2014). Keeping your social insurance staff connected with and spurred can be especially if the human services office is short-staffed or frequently incorporates transitory faculty or gliding medical caretakers. Notwithstanding, even in a work place condition that searches for any way to cut expenses, there are still approaches to persuade staff and can help improve execution and resolve (Leviticus, 2014). In the event that I were a wellbeing administrations executive, one measure any I would actualize is to just exploit my staff's qualities. This would enable my staff to feel progressively sure and achieved, which could then expand my whole group's proficiency. At the point when colleagues are doled out to employments that match their qualities, they are then ready to finish their errands in a shorter timeframe. Since they are completing their required errands sooner, they will at that point furnishing staff with more opportunity to finish extra assignments. For instance, if I somehow happened to relegate a confounded or bewildered patients to a social insurance proficient who blossoms with these sorts of patients, I would most likely expand the patient ability to coordinate with the medicinal services proficient and reduce the requirement for various staff individuals to be engaged with irrelevant issues (Leviticus, 2014). Besides, in the event that I were a wellbeing administrations head searching for approaches to persuade my staff, I would make it a point to request their criticism about social insurance issues all the time. I might want to energize discourse about their day by day challenges with things like work routines, persistent consideration, emergency clinic condition, or some other distressing oversaw care issues they are confronting. I would make an assortment of choices for them to express their musings and thoughts in a positive, proactive manner, while debilitating ineffective fussing, whimpering and grumbling. I would search for their criticism on their most incessant difficulties in the oversee care office that they manage by holding gatherings executing recommendation boxes and even with month to month or quarterly reviews. I would make a point to keep my solicitations for staff input that would produce positive arrangements, not simply negative sentiments, tattle or conclusions (Cardenas, 2014). Likewise, on the off chance that I were a wellbeing administrations director searching for approaches to persuade my staff, I would furnish them with chances to exhibit just as experience initiative in their calling on a reliable premise. I would likewise timetable colleagues with initiative propensities for assignments like driving division staff gatherings, examine data on current restorative issues or even guide somebody utilizing their very own encounters. At long last, yet not comprehensively, I would relegate my human services colleagues to lead little gathering sessions for shared finding out about such issues as nursing strategies, emergency clinic approaches, and patient consideration patterns and duties. Along these lines, by making initiative chances, my group would then be able to produce their own critical thinking capacities. (Cardenas, 2014). At long last, however absolutely not thoroughly, on the off chance that I were a wellbeing administrations head searching for approaches to inspire my staff, I would actualize strategies that would remunerate my group for the greatness they bring to the oversaw consideration office. I think remunerating accomplishments in my staff causes them staff remain spurred and effectively included. I would recognize their greatness in our week after week staff gatherings, praise them through email or post of their accomplishment by means of web based life. Likewise, I would suggest my colleagues for expert or medical clinic grants or maybe even offer them another title overhaul as a method for demonstrating my group that the amount I value their diligent work. At long last, however unquestionably not thoroughly I would considered dispensing them a prime parking space for the colleague in the oversaw consideration office who surpasses desires each on a month to month premise or give gift vouchers when my group surpasses a specific goal(Leviticus, 2014). Thusly, I accept if I somehow happened to actualize these measure, my group would be urged to keep on exceeding expectations at their post in the oversaw consideration office and be fulfilled in their activity since they'll realize their work matters and is valued. Situation 2: Pretend that you are another medical caretaker administrator, you have picked to choose the positive order way to deal with overseeing worker practices. Rundown the means in the positive control approach and clarify how you would apply it to the medical attendants that you direct. The positive control approach is one that displays the job of an order as one that attempts to manage the negative conduct of representatives to improve them laborers. It is a way to deal with control that utilizations restorative activity so as to create greater profitability, improved execution and an increasingly successful workforce. Albeit brutal, negative discipline is compelling for delivering momentary outcomes, this methodology will demonstrate vain on the grounds that negative control regularly creates worker disappointment, higher truancy rates, low work environment efficiency and high turnover. Positive order notwithstanding, attempts to address the negative representative conduct by first guiding the workers of what is normal from them, at that point giving an oral cautioning, and pursued by a composed cautioning. Simply after those means are measures, for example, end or release considered. Here are the progression to positive control. Directing is the main essential advance of the positive order process. This progression would offer me the chance to seclude the medical caretaker's conduct issues with the goal that I can offer the person in question potential arrangements. When I'm advising a medical caretaker, I will probably make worker that person mindful of the office's approaches, methods and guidelines. Regularly, the attendants need to be a gainful individual from the office and just need a superior comprehend of the guidelines. At that point during the directing I can have a superior comprehension of the medical attendant's perspective with the goal that we can both concede to the most ideal approach to hold fast to the office's standard. In this manner, I accept the directing advance can without much of a stretch take care of a significant number of the issues that emerge in a medical caretaker's conduct. The second step in positive control would be an oral cautioning. This progression can likewise be given during directing in any case, it will in general be more angry. This is the point at which I would turn out to be significantly even more a manager than a companion and help my medical caretaker to remember the conduct that requires rectification. On the off chance that anyway the medical caretaker's conduct has not been improved by guiding or oral cautioning, I would then actualize the third step of positive control which is a composed cautioning. This progression requires documentation that amendment was given however the conduct is unaltered. The composed cautioning is the place the medical attendant and I would work out an arrangement to address the issue with the goal that it would not emerge going ahead. On the off chance that the medical attendant neglects to get positive order through guiding, oral cautioning, or composed cautioning, I would then actualize the fourth step in the positive control approach which is a last cautioning. When I execute a last cautioning, I would hold a gathering that would accentuates to the medical caretaker exactly how significant it is that the person right his or her improper activities. This isn't a stage I would wish to execute in light of the fact that I would need to demand that the individual in question take a non-paid vacation day. I would recommend to my medical caretaker that the person in question utilize this day to choose if his or her activities merit amending so as to stay with the office. While I would not appreciate actualizing this progression, I can perceive how it very well may be very successful in exhibiting to my medical caretaker the reality of the issue that is made by his or her unseemly conduct and that it can never again be enduring at this office. At last, if the medical attendant won't submit to directing, react to an oral cautioning, or a composed cautioning and appear to be unaltered by a last cautioning, at that point and at exactly that point would I actualize the fifth and last advance in positive control and that is to release the attendant from his or her obligations. As troublesome as it might be to release a worker it is vital in the event that I need to keep up the positive idea of the office in general. What I truly acknowledge about positive order is that it advances critical thinking rather discipline. Positive control incorporates positive showdown with the medical attendant with the issue conduct and along these lines furnishes that person with the chance to be supported. I would then educate the person in question regarding the organization strategies and systems. Subsequently, I accept positive control gives the most chances to long haul representative fulfillment since workers will comprehend the remedy procedure without inclination pressured or put down (Industrial Relations – Naukrihub.com, 2014). References Cardenas, H. (2014). Systems to Motivate Staff Nurses. Recovered January 12, 2014, from Chron.com: http://smallbusiness.chron.com/procedures spur staff-medical attendants 15427.html>GET ANSWER