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Teaching Plan Discussion Teaching Plan Discussion Steps Complete the assigned readingsfor this week Read the following scenario: M.K. is a 59-year-old female showing the beginning signs of confusion related to dementia. She has recently started displaying odd behaviors. The other day, she could not find her way home from the shopping mall and had to be helped by the security guard. M.K.’s son took her to see the nurse practitioner (NP), who prescribed donepezil. In a post to this discussion, reply to the following two prompts: Using a listing format, describe to the patient and her son the action of donepezil and how it may help M.K. Remember to use onlynonprofessional or layman’s terms when sharing this information with the patient and her son. Using a listing format, develop a teaching plan for donepezil for this patient that includes at least 5 aspects of education related to this drug. Be specific and include details with each teaching point as needed.   Additional guidelines for completing the Discussion Assignment: Include a BOLD  prompt/question at the start of each of 3 items so it is clear which prompt is being addressed. Post should be original, in student’s own words, and directly related to the topics at hand. Use bullets, spacing, numbers, etc. to make your post reader-friendly, professional in appearance, and organized for the readers. Any prompt that requires more than one point should be  formatted with bullets rather than all points being included in one paragraph. Every assignment, post, etc. must include 7th edition APA formatted citation including: Reference Matching in-text citation One-click working link to any online resource (if applicable) Any post without correct APA citations and working links (if applicable) are incomplete and the post may have points deducted or may not receive points.   Introduction “The main centers for the ANS are located in the hypothalamus, the medulla, and the spinal cord. Nerve impulses that arise in peripheral structures are carried to these centers by different nerve fibers” (Karch, 2011). Structure and Function of the Autonomic Nervous System The ANS is often thought of as the involuntary control center of the body. This is the system responsible for the “fight or flight” response. We have little-to-no conscious control over this portion of our bodies. Have you ever tried to control your breathing? It is difficult and will quickly revert back to your own inherent and natural rhythm. Consider blinking. We can consciously blink, but luckily do not have to constantly remind ourselves to blink. The same is true for circulation and digestion. The ANS and CNS work closely together, but drugs impact each system uniquely—at times in a synergistic manner and at times detrimentally. Our responsibility as nurses is to know and understand the drugs being administered. As manager and leaders, we are also responsible for the actions and knowledge of those following us. Chapters 30-33 discuss various aspects of drugs acting upon the ANS. Chapter 30 touches on drugs you may only encounter if working in certain environments such as an ICU setting, but also includes study on commonly administered respiratory medications. Chapter 31 focuses on adrenergic blocking antagonists, primarily impacting the heart and circulation. Chapters 32 centers upon cholinergic and anti-cholinergic agents. These medications may or may not be familiar to you depending upon where you work. As you work through this chapter, consider the patient and disease processes being impacted. Readings Karch, Focus on Nursing Pharmacology, Chapters 30-33. ISBN 978-1-9751-0096-4


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