Develop a nursing care plan

Develop a nursing care plan for a patient with bladder cancer.

Anti-depression medication

You are working in a primary care outpatient clinic as a nurse on Anti-depression medication. Miss Brown is a 23-year-old female who has been a patient for several years. She has no medical problems, works full time in sales, is single, and lives by herself. She is 6 weeks pregnant.  She takes a daily multivitamin.

The provider just saw her and prescribed an anti-depressant in order to treat her depression.  She is having trouble with motivation, she is worried about this pregnancy, and she generally is feeling like she is worthless.  The provider asks you to finish the visit with Miss Brown by providing some instructions related to her new medication as well as plan a follow-up phone visit from the nurse to check on her.

  • List at least 3 major drug anti-depressant drug classes that could be used to treat depression in a young pregnant woman.
    1. Drug class 1
    2. Drug class 2
    3. Drug class 3
  • Name 3 drugs that are considered safe in early pregnancy? NOTE: these do not have to be antidepressants, but they must be category B
    1. drug 1
    2. drug 2
    3. drug 3
  • Describe the mechanism of action, side effects, and any nursing implications for the one classification or specific drug (name the drug) you anticipate would most likely be the drug of choice for this patient’s depression. (3 points)
    1. mechanism of action
    2. side effects
    3. NI
  • What patient instructions would you give her? What does she need to be aware of as she starts her new medication? (2 points)
  • At two weeks, the prescriber asks you to call the patient, check on her, and use a standardized assessment tool. Which standardized depression screening tool is best for this patient? What are 3 questions critical to ask a patient who is just starting anti-depression medication? What symptoms (side effects) would you notify the provider about? (3 points)

 

Identify risk factors for bladder cancer.

Identify the risk factors for bladder cancer from a Patient with Bladder Cancer / Urinary Diversion.

Sympathetic and parasympathetic divisions

Compare and contrast the overall responses of the sympathetic and parasympathetic divisions, including specific effects at various visceral effectors.

Therapeutic responses when assessing pain

What are examples of therapeutic responses when assessing pain

Discuss pathophysiology of lung cancer

Discuss pathophysiology of lung cancer, clinical manifestations, and diagnostic tests

Methods of communicating research results

Discuss three methods of communicating research results and explain why it is important to communicate these results in the nursing field.

Systematic review to conduct research

How do you use the systematic review to conduct research on the role of psychiatric mental health nurses, the role of the psychiatrist, and the unmet needs of psychiatry patients?

List three current peer-review journals as references.