Pharmacotherapy for Gastrointestinal and Hepatobiliary Disorders

 

 

Gastrointestinal (GI) and hepatobiliary disorders affect the structure and function of the GI tract. Many of these disorders often have similar symptoms, such as abdominal pain, cramping, constipation, nausea, bloating, and fatigue. Since multiple disorders can be tied to the same symptoms, it is important for advanced practice nurses to carefully evaluate patients and prescribe a treatment that targets the cause rather than the symptom.
Once the underlying cause is identified, an appropriate drug therapy plan can be recommended based on medical history and individual patient factors. In this Assignment, you examine a case study of a patient who presents with symptoms of a possible GI/hepatobiliary disorder, and you design an appropriate drug therapy plan.
This week the topic is gastrointestinal and hepatobiliary disorders. There is a one-page paper. Please make sure to look at the rubric before writing your paper and after to make sure all required topics are addressed. Using the case posted in the announcements, explain your diagnosis, describe an appropriate drug therapy plan including doses, and justify why you would recommend this drug therapy plan
Patient HL comes into the clinic with the following symptoms: nausea, vomiting, and diarrhea. The patient has a history of drug abuse and possible Hepatitis C. HL is currently taking the following prescription drugs:
• Synthroid 100 mcg daily
• Nifedipine 30 mg daily
• Prednisone 10 mg daily
To Prepare
• Review the case study assigned by your Instructor for this Assignment
• Reflect on the patient’s symptoms, medical history, and drugs currently prescribed.
• Think about a possible diagnosis for the patient. Consider whether the patient has a disorder related to the gastrointestinal and hepatobiliary system or whether the symptoms are the result of a disorder from another system or other factors, such as pregnancy, drugs, or a psychological disorder.
• Consider an appropriate drug therapy plan based on the patient’s history, diagnosis, and drugs currently prescribed.

Write a 1-page paper that addresses the following:
• Explain your diagnosis for the patient, including your rationale for the diagnosis.
• Describe an appropriate drug therapy plan based on the patient’s history, diagnosis, and drugs currently prescribed.
• Justify why you would recommend this drug therapy plan for this patient. Be specific and provide examples

Sample Solution

mpany, affecting retention rates of employees leaving Nike, following to an effect in employee morale. This suggests that Nike, will need to change this strategic direction to be at a competitive advantage and maintain their lead in the market.

Furthermore, Nike can improve their strategy with a renewal of their lifecycle. Renewal is inevitability in the lifecycle of an old organisation, for example, Nike bringing out a new line of shoes. Starting out with the introduction (Miller and Friesen, 1984), where new shoes are released in the market with advertisement for customers to recognise. Then, growth of the new product where customers willing to pay the price and sales are slowly increasing. Next, is the maturity where sales from the shoes are at their highest and stock is low. Lastly, in the lifecycle there’s a decline period of the shoe range decreasing in popularity. The drivers of change in this sector from looking at the lifecycle are the growth in emerging markets, especially in China where markets are developing from the customers with a desire in sport (Forbes, 2015).

The Ansoff matrix (Figure 8) portrays Nike’s growth in their existing market and also shows the direction set for Nike’s organisation strategy. Nike’s market penetration is increasing due to them opening new retail stores in the global market, this would show that Nike’s strategic direction is to increase their market presence globally. Product development is Nike’s most intense growth strategy because of their ability to create products using technology and other factors to enhance sales and make competition in the market. The market development allows Nike to enter new markets like China with the product development, as total sales in China increased to 20% (Jiang, 2018). Diversification is Nike’s least growth strategy as it can be seen as a financial risk, if the product doesn’t sell in the new markets. However, to improve they could sell a wider range in products.

In Nike’s Corporate Social Responsibility statement, they have shown their reduction in waste to be environmentally beneficial. Footwear and apparel have decreased by 2.5% in their carbon footprint per unit in 2017 (Sustainable Business Report, 2017). This shows that Nike have been influenced by the environment and are willing to change, by adapting to the needs of the environment and being sustainable. Also, 96% of finished goods from Nike footwear manufacturing waste was recycled and converted into energy (Sustainable Business Report, 2017). Nike will need to continue to focus on minimising their environmental footprint in the future so that their business strategy is to succeed. This links to Carroll’s CSR pyra

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