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Examine Case Study: A Puerto Rican Woman With Comorbid Addiction. You will be asked to make three decisions concerning the medication to prescribe to this client. Be sure to consider factors that might impact the client’s pharmacokinetic and pharmacodynamic processes.

At each decision point, you should evaluate all options before selecting your decision and moving throughout the exercise. Before you make your decision, make sure that you have researched each option and that you evaluate the decision that you will select. Be sure to research each option using the primary literature.

Instructions for Decision Tree Assignments

I ntroduction to the case (1 page)

· You must briefly summarize the case in your own words.

· You must also highlight the specific patient factors that will impact your decision making when prescribing medication for this patient. To clearly identify patient-specific factors, please begin your sentence with, “The patient-specific factors I will consider as I make my decisions are…” Beginning your sentence with this phrase will help me recognize it and will ensure that you get credit for it. You will not get credit for simply mentioning patient-specific factors within your case summary; they must be clearly identified and revisited.

· Please note that background information on the diagnosis, diagnostic criteria, diagnostic testing, or epidemiology is NOT required. It is assumed that you know this; therefore, you should devote yourself to summarizing the case and highlighting specific patient factors that will impact your decisions rather than discussing the aforementioned items. After all, you only have one page (or less) to cover the required information.

· Be aware that the writing template and grading rubric require your introduction to end with ONE sentence that is your thesis statement. See the writing template for format and the grading rubric for details on how you are graded on this statement.

Body of your document

· The body of your document should contain three sections that are labeled as follows: decision point 1, decision point 2, and decision point 3. Each section should be one page and address the topics below. In your writing, you should be concise, clear, and thorough. Pharmacokinetics, pharmacodynamics, and specific patient factors must be considered in your writing in order to get full credit.

Decision Point 1 (1 page)

· Which decision did you select?

· Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.

· Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.

· What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature).

· Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples. *In order to receive full credit here, your ethical considerations must be clearly identified as such. You can identify them in one of two ways: (1) You can identify them within each "decision" section. For example, “My ethical considerations are….” (2) Or you can identify them separately in a new section labeled “Ethical Considerations.” This new section should be inserted after the section entitled Decision Point 3 and before the Conclusion section. Either one of these options is acceptable.

Decision Point 2 (1 page)

· Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.

· What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature).

· Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples. *See Decision #1 for more information.

Decision Point 3 (1 page)

· Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.

· What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature).

· Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples. *See Decision #1 for more information.

Conclusion (1 page)

· Summarize your recommendations on the treatment options you selected for this patient. As stated in the writing template, “The conclusion section should recap the major points of your paper. Do not introduce new information in this paragraph.”

Rubric

NURS_6630_Week10_Assignment1_Rubric

NURS_6630_Week10_Assignment1_Rubric

Criteria

Ratings

Pts

This criterion is linked to a Learning OutcomeIntroduction to the case (1 page)Briefly explain and summarize the case for this Assignment. Be sure to include the specific patient factors that may impact your decision making when prescribing medication for this patient.

10 to >8.0 pts

Excellent Point range: 90–100

The response accurately, clearly, and fully summarizes in detail the case for the Assignment.... The response accurately and clearly explains in detail the specific patient factors that impact decision making when prescribing medication for this patient.

8 to >7.0 pts

Good Point range: 80–89

The response accurately summarizes the case for the Assignment.... The response accurately explains the specific patient factors that impact decision making with prescribing medication for this patient.

7 to >6.0 pts

Fair Point range: 70–79

The response inaccurately or vaguely summarizes the case for the Assignment.... The response inaccurately or vaguely explains the specific patient factors that impact decision making with prescribing medication for this patient.

6 to >0 pts

Poor Point range: 0–69

The response inaccurately and vaguely summarizes the case for the Assignment, or is missing.... The response inaccurately and vaguely explains the specific patient factors that impact decision making with prescribing medication for this patient.

10 pts

This criterion is linked to a Learning OutcomeDecision #1 (1–2 pages)• Which decision did you select?• Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.• Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.• What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature).• Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples.

20 to >17.0 pts

Excellent Point range: 90–100

The response accurately and clearly explains in detail the decision selected.... The response accurately and clearly explains in detail why the decision was selected, with specific clinically relevant resources that fully support the decision selected.... The response accurately and clearly explains in detail why the other two responses were not selected, with specific clinically relevant resources that fully support the response.... The response accurately and clearly explains in detail the outcome the student was hoping to achieve with the selected decision, with specific clinically relevant resources that fully support the response.... The response accurately and clearly explains in detail how ethical considerations impact the treatment plan and communication with patients.... Examples provided fully support the decisions and responses provided.

17 to >15.0 pts

Good Point range: 80–89

The response accurately explains the decision selected.... The response explains why the decision was selected, with specific clinically relevant resources that support the decision selected.... The response accurately explains why the other two responses were not selected, with specific clinically relevant resources that support the response.... The response accurately explains the outcome the student was hoping to achieve with the selected decision, with specific clinically relevant resources that support the response.... The response accurately explains how ethical considerations impact the treatment plan and communication with patients.... Examples provided support the decisions and responses provided.

15 to >13.0 pts

Fair Point range: 70–79

The response inaccurately or vaguely explains the decision selected.... The response inaccurately or vaguely explains why the decision was selected, with specific clinically relevant resources that inaccurately or vaguely support the decision selected.... The response inaccurately or vaguely explains why the other two responses were not selected, with specific clinically relevant resources that inaccurately or vaguely support the response.... The response inaccurately or vaguely explains the outcome the student was hoping to achieve with the selected decision, with specific clinically relevant resources that inaccurately or vaguely support the response.... The response inaccurately or vaguely explains how ethical considerations impact the treatment plan and communication with patients.... Examples provided may support the decisions and responses provided.

13 to >0 pts

Poor Point range: 0–69

The response inaccurately and vaguely explains the decision selected.... The response inaccurately and vaguely explains why the decision was selected, with specific clinically relevant resources that do not support the decision selected, or is missing.... The response inaccurately and vaguely explains why the other two responses were not selected, with specific clinically relevant resources that do not support the decision selected, or is missing.... The response inaccurately and vaguely explains the outcome the student was hoping to achieve with the selected decision, with specific clinically relevant resources that do not support the response, or is missing.... The response inaccurately and vaguely explains how ethical considerations impact the treatment plan and communication with patients, or is missing.... Examples provided do not support the decisions and responses provided, or is missing.

20 pts

This criterion is linked to a Learning OutcomeDecision #2 (1–2 pages)• Which decision did you select?• Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.• Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.• What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature).• Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples.

20 to >17.0 pts

Excellent Point range: 90–100

17 to >15.0 pts

Good Point range: 80–89

15 to >13.0 pts

Fair Point range: 70–79

13 to >0 pts

Poor Point range: 0–69

The response inaccurately and vaguely explains in detail the decision selected.... The response inaccurately and vaguely explains why the decision was selected, with specific clinically relevant resources that do not support the decision selected, or is missing.... The response inaccurately and vaguely explains why the other two responses were not selected, with specific clinically relevant resources that do not support the decision selected, or is missing.... The response inaccurately and vaguely explains the outcome the student was hoping to achieve with the selected decision, with specific clinically relevant resources that do not support the response, or is missing.... The response inaccurately and vaguely explains how ethical considerations impact the treatment plan and communication with patients, or is missing.... Examples provided do not support the decisions and responses provided, or is missing.

20 pts

This criterion is linked to a Learning OutcomeDecision #3 (1–2 pages)• Which decision did you select?• Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.• Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.• What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature).• Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples.

20 to >17.0 pts

Excellent Point range: 90–100

17 to >15.0 pts

Good Point range: 80–89

15 to >13.0 pts

Fair Point range: 70–79

13 to >0 pts

Poor Point range: 0–69

20 pts

This criterion is linked to a Learning OutcomeConclusion (1 page)• Summarize your recommendations on the treatment options you selected for this patient. Be sure to justify your recommendations and support your response with clinically relevant and patient-specific resources, including the primary literature.

15 to >13.0 pts

Excellent Point range: 90–100

The response accurately and clearly summarizes in detail the recommendations on the treatment options selected for this patient.... The response accurately and clearly explains a justification for the recommendations provided, including clinically relevant resources that fully support the recommendations provided.

13 to >11.0 pts

Good Point range: 80–89

The response accurately summarizes the recommendations on the treatment options selected for this patient.... The response accurately explains a justification for the recommendation provided, including clinically relevant resources that support the recommendations provided.

11 to >10.0 pts

Fair Point range: 70–79

The response inaccurately or vaguely summarizes the recommendations on the treatment options selected for this patient.... The response inaccurately or vaguely explains a justification for the recommendations provided, including clinically relevant resources that inaccurately or vaguely support the recommendations provided.

10 to >0 pts

Poor Point range: 0–69

The response inaccurately and vaguely summarizes the recommendations on the treatment options selected for this patient, or is missing.... The response inaccurately and vaguely explains a justification for the recommendations provided, including clinically relevant resources that do not support the recommendations provided, or is missing.

15 pts

This criterion is linked to a Learning OutcomeWritten Expression and Formatting - Paragraph Development and Organization: Paragraphs make clear points that support well-developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are carefully focused—neither long and rambling nor short and lacking substance. A clear and comprehensive purpose statement and introduction are provided that delineate all required criteria.

5 to >4.0 pts

Excellent Point range: 90–100

Paragraphs and sentences follow writing standards for flow, continuity, and clarity.... A clear and comprehensive purpose statement, introduction, and conclusion are provided that delineate all required criteria.

4 to >3.5 pts

Good Point range: 80–89

Paragraphs and sentences follow writing standards for flow, continuity, and clarity 80% of the time....Purpose, introduction, and conclusion of the assignment are stated, yet they are brief and not descriptive.

3.5 to >3.0 pts

Fair Point range: 70–79

Paragraphs and sentences follow writing standards for flow, continuity, and clarity 60%–79% of the time.... Purpose, introduction, and conclusion of the assignment is vague or off topic.

3 to >0 pts

Poor Point range: 0–69

Paragraphs and sentences follow writing standards for flow, continuity, and clarity < 60% of the time.... No purpose statement, introduction, or conclusion were provided.

5 pts

This criterion is linked to a Learning OutcomeWritten Expression and Formatting - English writing standards: Correct grammar, mechanics, and proper punctuation

5 to >4.0 pts

Excellent Point range: 90–100

Uses correct grammar, spelling, and punctuation with no errors.

4 to >3.5 pts

Good Point range: 80–89

Contains a few (1 or 2) grammar, spelling, and punctuation errors.

3.5 to >3.0 pts

Fair Point range: 70–79

Contains several (3 or 4) grammar, spelling, and punctuation errors.

3 to >0 pts

Poor Point range: 0–69

Contains many (≥ 5) grammar, spelling, and punctuation errors that interfere with the reader’s understanding.

5 pts

This criterion is linked to a Learning OutcomeWritten Expression and Formatting - The paper follows correct APA format for title page, headings, font, spacing, margins, indentations, page numbers, parenthetical/in-text citations, and reference list.

5 to >4.0 pts

Excellent Point range: 90–100

Uses correct APA format with no errors.

4 to >3.5 pts

Good Point range: 80–89

Contains a few (1 or 2) APA format errors.

3.5 to >3.0 pts

Fair Point range: 70–79

Contains several (3 or 4) APA format errors.

3 to >0 pts

Poor Point range: 0–69

Contains many (≥ 5) APA format errors.

5 pts

Total Points: 100