Outline
1. Pick a primary care topic in your discipline (pediatric, adult, geriatric) that uses medication interventions to treat the problem.
For example (list is not inclusive):
Asthma
HTN
COPD
Type 1 DM
Type 2 DM
Osteoporosis
CHF
CAD
Allergic rhinitis
Otitis media
Depression
Pneumonia
Sepsis
2. Parts of the paper
Introduction
Preassessment history
Administration
Surveillance
Education
3. Use APA format 7th edition
4. Save your file as your last name EBP sp22
a. For example, HooperEBPsp22
5. No pdf files
Advice
Do not use WNL (within normal limits) – always describe
Avoid use of Epocrates and Uptodate exclusively. Use primary sources
Be specific about what you are exactly educating patients
Adde to surveillance visit
What are you exactly assessing for in H & P
Diagnostics to be done
ADRs that you will assess
Skills to review
NO QUOTES. This is an exercise to assess your ability to read the literature and understand the content
Rubric
I. Introduction:
-Identify primary care issue that you will be addressing
-define the topic
-Describe the issue briefly
-Designate classifications of drugs that treat this illness
-List prototype drug for each classification
IIA. Discuss and analyze the one drugs used in treatment
A. Pretherapy history and considerations prior to prescribing:
-Standards and evidenced based research
-Pharmacokinetics related to each drug
-Pharmacodynamics related to each drug
Assessment findings pertinent to prescribing
-H & P
-diagnostics
-past history
-allergy to drug or drug family
-lifespan issues (pregnancy, lactation, pediatric, older adult)
-Pertinent Medication history
II B. Medication Administration:
– How to administer to maximize effect and minimize ADR
– Action
– ADRs
-Dosage (Appropriate starting dosage throughout the life span) (maximum therapeutic dosage)
-Cost
-How to manage and minimize expected ADRs
-how and when to make dosage adjustments?
-What are the actual and potential drug interactions?
-How to identify safety issues and reduce risk of injury?
II C. Surveillance:
Discuss how to monitor for:
-the dose being administered (correct, dissatisfaction and adherence)
-therapeutic drug effect(s).
-adverse effects, toxicity, interactions
-hypersensitivity reactions
-and interpret diagnostic tests to assess therapeutic response.
-actual and/or potential interactions (drug-drug, drug-nutrient, drug-laboratory test)
Discuss prescriber interventions for the above monitoring
-Discuss factors that would disrupt adherence with the therapeutic regime
II D. Education
-drug action (in laymen’s terms)
-indications for use
-goals of treatment
-dose, frequency and route of administration
-adverse effects (expected and undesirable)
-guidelines for dose adjustment as appropriate
-missed dose plan
-appropriate action to take if adverse effects occur:
=how to manage symptoms of expected adverse effects.
=when to notify prescriber.
=when to hold/omit dose before notifying prescriber
=when to seek immediate medical attention
III. Formatting
APA format, spelling, grammar, neatness
-No spelling errors.
-No grammar errors.
-Clearly written, well-organized paper
-Correctly formatted citations include appropriate, evidence-based sources.
-Correct use of APA 7th edition format.
Category Points
10 points 8-9 points 6-7 points 3-5 points 0-2 points
I. Introduction:
-Identify primary care issue that you will be addressing
-define the topic
-Describe the issue briefly
-Designate classifications of drugs that treat this illness
-List prototype drug for each classification
Excellent, clear, comprehensive, concise description of the primary care issue. Correct treatment options presented. Classifications and prototype drugs clearly identified in rubric.
Clear, concise description of the primary care issue. Correct treatment options presented. Classifications and prototype drugs identified,
but could have included more detail.
Incomplete or information incorrect in description of the primary care issue, treatment options, classification or prototype drugs. Incomplete or information incorrect in description of the primary care issue, treatment options presented with classifications and prototype drugs that interferes in comprehension.
Incomplete, information and incorrect description of the primary care issue, classifications of drugs with prototype that interferences in comprehension.
Points for Pretherapy 20 points 15-19 points 10-14 points 5-9 points 0-4 points
IIA. Discuss and analyze the one drugs used in treatment (
A. Pretherapy history and considerations prior to prescribing:
-Standards and evidenced based research
-Pharmacokinetics related to each drug
-Pharmacodynamics related to each drug
Assessment findings pertinent to prescribing
-H & P
-diagnostics
-past history
-allergy to drug or drug family
-lifespan issues (pregnancy, lactation, pediatric, older adult)
-Pertinent Medication history
Excellent, clear, comprehensive description of preassessment history and considerations Concise, comprehensive description of preassessment history and considerations including all components but could have included more detail Incomplete or information incorrect in description of preassessment history and considerations Incomplete or information incorrect in description of preassessment history and considerations that interferes in comprehension Incomplete and information incorrect in description of preassessment history and considerations that interferes in comprehension
Points for Medication administration 20 points 15-19 points 10-14 points 5-9 points 0-4 points
II B. Medication Administration:
– How to administer to maximize effect and minimize ADR
– Action
– ADRs
-Dosage (Appropriate starting dosage throughout the life span) (maximum therapeutic dosage)
-Cost
-How to manage and minimize expected ADRs
-how and when to make dosage adjustments?
-What are the actual and potential drug interactions?
-How to identify safety issues and reduce risk of injury?
Excellent, clear, concise comprehensive summary of the administration components of prescribing identified in the rubric.
Concise, comprehensive description of administration including all components but could have included more detail Incomplete or information incorrect in description of administration Incomplete or information incorrect in description of administration that interferes in comprehension Incomplete and information incorrect in description of administration that interferes in comprehension
Points for Surveillance 20 points 15-19 points 10-14 points 5-9 points 0-4 points
II C. Surveillance:
Discuss how to monitor for:
-the dose being administered (correct, dissatisfaction and adherence)
-therapeutic drug effect(s).
-adverse effects, toxicity, interactions
-hypersensitivity reactions
-and interpret diagnostic tests to assess therapeutic response.
-actual and/or potential interactions (drug-drug, drug-nutrient, drug-laboratory test)
Discuss prescriber interventions for the above monitoring
-Discuss factors that would disrupt adherence with the therapeutic regime
Excellent, clear, concise comprehensive summary of the surveillance component of prescribing identified in the rubric.
Concise, comprehensive description of surveillance including all components but could have included more detail Incomplete or information incorrect in description of surveillance Incomplete or information incorrect in description of surveillance that interferes in comprehension Incomplete and information incorrect in description of surveillance that interferes in comprehension
Points for Education 20 points 15-19 points 10-14 points 5-9 points 0-4 points
II D. Education
-drug action (in laymen’s terms)
-indications for use
-goals of treatment
-dose, frequency and route of administration
-adverse effects (expected and undesirable)
-guidelines for dose adjustment as appropriate
-missed dose plan
-appropriate action to take if adverse effects occur:
=how to manage symptoms of expected adverse effects.
=when to notify prescriber.
=when to hold/omit dose before notifying prescriber
=when to seek immediate medical attention
Excellent, clear, concise comprehensive education plan Concise, comprehensive description of education plan including all components but could have included more detail Incomplete or information incorrect in description of education plan Incomplete or information incorrect in description of education plan that interferes in comprehension Incomplete and information incorrect in description of surveillance that interferes in comprehension
Points for format 10 points 8-9 points 6-7 points 3-5 points 0-2 points
III. Formatting
APA format, spelling, grammar, neatness
No spelling errors.
No grammar errors.
Clearly written, well-organized paper
Correctly formatted citations include appropriate, evidence-based sources.
Correct use of APA 7th edition format.
Clearly written, well-organized paper with correctly formatted citations including appropriate, evidence-based sources.
No spelling errors.
No grammar errors.
Correct use of APA 7th edition format.
Clearly written, well-organized paper with correctly formatted citations including appropriate, evidence-based sources.
1-2 spelling errors.
or
1-2 grammar errors.
Correct use of APA 7th edition format.
Clearly written, well-organized paper with correctly formatted citations including appropriate, evidence-based sources.
3-4 spelling errors.
or
3-4 grammar errors.
Correct use of APA 7th edition format.
Disorganized paper with citation mistakes or several inappropriate, not evidence-based sources.
No spelling errors.
or
No grammar errors.
Incorrect use of APA 7th edition format.
Disorganized paper with citation mistakes or several inappropriate, not evidence-based sources.
Spelling errors. Grammar errors.
Incorrect use of APA 7th edition format.
Grade
I ¬¬¬¬
II A
II B
II C
II D
III
Final Grade
Comments