Unit 2 Assignment 1: Journal Purdue University Global

Unit 2 Assignment 1: Journal Purdue University Global

Unit 2 Assignment 1: Journal Purdue University Global

Journal Details

The journal document should be 3-4 pages in length. No citations are required, and no specific formatting is needed. Utilize appropriate grammar and mechanics of writing.

Topic: Expectations of course: Create a document that addresses the following:

How do you envision this course adding to your knowledge of pharmacology?
How do you think you will use knowledge of pharmacology differently as an advanced practice nurse than you do as an RN?

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What are your expectations of your advanced practice role, specifically as a prescriber?
What do you think the role of standards of care are in the prescribing process?
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Unit 2 Assignment 1: Journal
1. How do you envision this course adding to your knowledge of pharmacology?
Pharmacology is an ever-dynamic field considering advancements in new medications, demands for a patient-centered approach to medication prescribing, and extensive knowledge of disease pathophysiology. Enrolling in this course is consistent with my goal of advancing knowledge of pharmacology. By the end of this course, I should have gained adequate knowledge of multiple pharmacology-related domains, including standards of practice for prescribers, drug pharmacodynamics and pharmacokinetics, drug-drug interactions, and individual considerations that influence medication prescriptions.
Additionally, I perceive that this course will improve my professional skills and equip me with prerequisite competencies for establishing meaningful interpersonal relationships and working in professional teams. For instance, appropriate medication prescription requires a team-based approach to avoid errors, alleviate potential adverse drug reactions, and ensure patients benefit from medication trials. Therefore, completing this course will empower me to navigate complex and ever-dynamic pharmacological situations and improve patient health outcomes.
2. How do you think you will use knowledge of pharmacology differently as an advanced practice nurse than you do as an RN?
As a registered nurse, I am required to perform various pharmacology-related roles, including medication administration, patient education, regular medication reviews, documentation, and providing medication adherence support to patients. More essentially, I have to demonstrate knowledge of interpreting prescribers’ medication notes and an understanding of the various rights of medication administration (right patient, route, time, dose, the indication for medication use, and right medication). These aspects are essential to preventing medication errors and enhancing medication efficiency. Finally, I must utilize my pharmacological knowledge to operate in professional teams consisting of physicians, pharmacists, and advanced practice nurses. My role in these teams includes observing and communicating concerns regarding patients’ responses to pharmacologic interventions.
As an advanced practice nurse, I anticipate using knowledge of pharmacology in a more active role compared to RNs. Firstly, I will play a significant role in medication prescriptions, conducting comprehensive patient assessments, establishing accurate diagnoses, developing and communicating pharmacological treatment goals, and frequently reviewing medications consistent with patients’ health needs and responses. To ensure effective and efficient medication utilization, I will integrate my pharmacology knowledge into understanding medication-specific pharmacodynamic and pharmacokinetic factors that influence individual responses to medications and dose adjustments. Finally, I will collaborate with other team members, including registered nurses during role delegation and care planning to prevent errors and enhance medication utilization.
3. What are your expectations of your advanced practice role, specifically as a prescriber?
My primary expectation as an advanced practice nurse is to navigate and thrive in ever-dynamic and demanding pharmacological contexts. This expectation will be actualized by my ability to perform professional roles, including conducting comprehensive patient health assessments by focusing on subjective and objective information that informs diagnoses and medication options. Profound information to consider when assessing patients includes detailed medical history, chief complaints, patients’ psychosocial history, and past medication trials.
Secondly, I will be responsible for identifying health issues and making accurate diagnoses consistent with subjective and objective data. I will appropriately use internal and external evidence when establishing accurate diagnoses. Internal and external evidence include clinical guidelines, scholarly resources, and other resources that provide information on various conditions’ diagnostic criteria. Accurate diagnoses will inform treatment goals and medication choices.
After accurately diagnosing patients, I am supposed to determine medication options by considering patients’ health needs and other issues, including adherence capacity, self-care deficits, and social determinants of health. After settling on the ideal medications, I will develop prescription notes and order transcriptions that will enable nurses to administer medications. At this stage, I anticipate familiarizing myself with advanced technologies that enhance medication prescription processes, including computerized physician order entry (CPOE), electronic order transcription, and barcoding.
My role as an advanced practice nurse will not stop at establishing diagnoses and prescribing medications. Instead, I will collaborate with patients, family members, and other healthcare professionals in educating patients on appropriate medication use, black box warnings, and potential adverse effects/side effects. Also, I will actively participate in medication reviews and deprescription to protect patients from adverse outcomes, including polypharmacy.
4. What do you think the role of standards of care is in the prescribing process?
Standards of care provide comprehensive guidelines and requirements that underpin the expectations and roles of RNs and advanced practice nurses (APNs). In the prescribing process, care standards identify steps and expectations for healthcare professionals when determining the appropriate medications and prescribing them. Without standards of care that guide the prescribing process, prescribers would face complexities in translating their pharmacology knowledge into practice. More essentially, they may overlook the professional and ethical guidelines for accurate and patient-specific medication prescriptions.
In the ever-dynamic pharmacological field, standards of care require prescribers to adopt patient-centered and ethically viable approaches. From a patient-centered perspective, prescribers must assess patients’ health, allow patients to provide information on issues like past medication, family, and substance abuse history, and consider individual factors, including age that would significantly affect drug pharmacodynamics and pharmacokinetics. Equally, healthcare professionals must allow patients to make informed decisions consistent with their cognitive capacities. In this sense, prescribers should actively engage patients when prescribing medications and developing treatment plans. Patient engagement in medication management processes is likely to enhance response and health outcomes.
From the ethical dimension of medication management, standards of care require prescribers to uphold various bioethical principles when prescribing and reviewing medications. Firstly, it is crucial to ensure that the selected medications benefit patients and reduce the prevalence and severity of disease symptoms consistent with the beneficence principle. Secondly, they must alleviate harm, including preventing adverse side effects and drug-drug reactions in line with the non-maleficence ethical principle. Finally, prescribers must ensure justice, fairness, and respect for individual dignity when prescribing medications. These ethical principles protect patients from discriminatory and potentially harmful medication management processes.