You are an AGACNP for a local endocrine specialty group. You see patients each morning in the clinic and you round in the hospital doing new consults in the afternoons and evenings. Please choose one of the following endocrine disorders and indicate if it is chronic, complex acute, or critical. Summarize the risk factors, etiology, clinical manifestations, and common presentation of the endocrine disorder you have chosen. Write your management plan including appropriate diagnostic tests and clinical interventions for both treatment and preventative care of your geriatric patient. Please try to avoid duplicating topics. Support your answer with two or three peer-reviewed resources.

• Diabetes Mellitus (DM) Types I or II
• Diabetes Insipidus
• Diabetic Ketoacidosis (DKA)
• Hyperosmolar Hyperglycemic Nonketotic Syndrome (HHNS)
• Multiple Endocrine Neoplasia Type 1
• Myxedema Coma
• Thyroid Crisis/Storm
• Hypothyroidism
• Subclinical Hypothyroidism
• Hashimoto’s Thyroiditis
• Adrenal Insufficiency (Addison’s)
• Adrenal Crisis
• Pheochromocytoma
• Symptoms of Inappropriate Antidiuretic Hormone (SIADH)
• Acromegaly
• Panhypopituitarism
• Hyperprolactinemia
• Gigantism
• Cushing’s Syndrome
• Polycystic Ovarian Syndrome

Discuss cultural and age-related considerations in the care of diabetes mellitus type 2 in the adult-geriatric population. What challenges exist with compliance, financial implications, and diabetic complications?

Identify one pharmacological and nonpharmacological preventative intervention within evidence-based practice and standards of care for diabetes mellitus patients to reduce cardiovascular, renal, neurovascular, and integumentary risks.

Support your answer with two or three peer-reviewed resources.

Step 1: Consider a problem related to health that impacts society that is important to address. Why do you believe this problem is important to society in general? Use data to explain your reasons. Outline a policy recommendation to address this problem, Why do you suppose that this policy would be successful in addressing the problem? What impact in health outcomes do you expect to see if the policy is enacted?

Purpose

The purpose of this discussion is to explore the DNP-prepared nurse’s role in meeting the mission of the organization through effective operational planning, budgeting, policy development, and determining the allocation of resources.

This week, you will have an opportunity to explore a financial challenge in your practice setting.

Instructions

Reflect upon your readings and professional experience and address this financial challenge in your practice setting.

• Identify and examine a financial challenge in your current practice setting ( Sanitas Medical Center in Miami). Detail the strategies you would employ as a DNP-prepared nurse to resolve this financial challenge. Propose how you might decrease expenses and/or improve revenue.