Module 7 Discussion – AN
Module 7 Discussion
Do GROUP B CASE
Advanced Practice Clinical Reasoning and Medication Optimization in the Older Adult
After studying Module 7: Lecture Materials & Resources, discuss the following:
Discussion Purpose
The purpose of this fishbowl discussion is to strengthen advanced practice nurses’ ability to analyze complex medication regimens, apply evidence-based deprescribing principles, and communicate clinical reasoning collaboratively. Students will work in small groups to examine different aspects of medication management for an older adult and engage in professional dialogue across perspectives.
Post: Case Scenario
Mrs. P. is an 80-year-old woman recently discharged from a 24-hour observation stay after being diagnosed with acute bronchitis…
Vital Signs:
Chief Complaint:
Fishbowl Discussion Structure
You will be assigned to one discussion group (Group A, Group B, or Group C).
Each group will be responsible for leading one section of the discussion and responding to the other two sections.
Posting Rules
- Each group submits ONE collective discussion post
- Group members should collaborate before posting
- Do not submit individual posts for this discussion
Group Assignments
Group A: Deprescribing and Risk Reduction
(Lead Section)
Address the following:
- Identify one medication that may be appropriate to consider for deprescribing at this time.
- Justify your recommendation using the patient’s current symptoms, clinical findings, and evidence-based guidance for older adults.
- Discuss potential risks of continuing this medication versus benefits of deprescribing.
Group B: Medication Tapering and Symptom-Guided Management
(Lead Section)
Address the following:
- After completion of the prednisone taper, identify one medication that could reasonably be reduced or discontinued based on the patient’s reported symptom improvement.
- Describe how you would safely taper or discontinue this medication.
- Identify key clinical parameters that should be monitored during this process.
Group C: Chronic Disease Optimization and Patient-Centered Care
(Lead Section)
Address the following:
- Given the absence of heart failure exacerbation and adherence to a reduced sodium diet, identify any additional medication adjustments that could be considered.
- Explain your rationale for maintaining, adjusting, or continuing current therapy.
- Discuss how patient preferences and quality of life influence medication optimization in older adults.
Required Cross-Section Engagement
In addition to leading your assigned section, your group must also:
- Respond thoughtfully to the other two sections by:
Scholarly Expectations
- Support your discussion with current evidence or clinical guidelines appropriate for older adult care
- Use a professional, scholarly tone
- Cite sources using current American Psychological Association format
Grading Note
This discussion is graded at the group level using the discussion rubric. Evaluation will focus on:
- Depth of clinical reasoning
- Use of evidence to support recommendations
- Quality of cross-section engagement
- Professional tone and clarity
Submission Instructions:
- You should respond to at least two of your peers by extending, refuting/correcting, or adding additional nuance to their posts.
- All replies must be constructive and use literature where possible.
- Please post your initial response by 11:59 PM ET Thursday, and comment on the posts of two classmates by 11:59 PM ET Sunday.
- You can expect feedback from the instructor within 48 to 72 hours from the Sunday due date.
Grading Rubric
Your assignment will be graded according to the grading rubric, which is found by clicking the three dots in the upper right-hand corner and selecting “show rubric” from the menu.
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