There are hundreds of opioid conversion calculators available online, though they are not all of good quality.  I would like to direct you to one of the opioid conversion calculators that I find to be most useful and evidence based.  Locate http://opioidcalculator.practicalpainmanagement.com/ and evaluate the following case using the calculator as necessary. Discuss your approach to the overall case and results of your calculation. 

• A 79 year old white male is taking hydrocodone/APAP 10/325 for lower back pain (pt diagnosed with degenerative disc disease several months ago). The physician had written a prescription for Vicodin® 10/325  i-ii Q4-6h prn pain with a quantity of 120.  Her expectation was that this would last the patient for one month.  The patient is now requesting refills about every 10-14 days.  He states he has been taking 2 tabs Q4h (12 tablets per day) because “the pain is so bad I just can’t stand it!”.
  • What is the problem with the way the patient is taking this medication versus the way it was prescribed
  • Based on your assessment, it is determined this patient should be converted to extended release morphine for better, more consistent pain control. Perform this conversion and provide an appropriate recommendation (drug, dose, frequency).

Migraine is a major neurological disease that affects more than 36 million men, women and children in the United States. There is no cure for migraine. Most current treatments aim to reduce headache frequency and stop individual headaches when they occur. Let’s look at a case example:

• CM is 20 years old female with severe, prolonged 2 to 3 day migraines twice per month. She has difficulty sleeping and is mildly anxious. She occasionally utilizes an inhaler for asthma.  
  • Provide an evaluation of CM’s condition including non-pharmacological interventions and treatment options
  • Is Cm a candidate for prophylactic therapy, and if so, what option would be best suited to her?

Clinical Decision Support systems improve patient safety and reduce medical errors. Write a short paragraph discussing the following questions:

How do patient safety, quality of care, and economic interests contribute to the need to identify CDS best practices and to quantify effective CDS practice? What do the authors mean when they talk about the drive “to make CDS more of a science than an art”? How can this drive help in the effort to replicate and disseminate successful CDS systems?

Posts should be no less than 250 words

Identify the roles of the nursing professional in health promotion and prevention 

Part 1:

· Go to https://health.gov/healthypeople/objectives-and-data/browse-objectives 

· Pick a health condition that is related to your group’s topic (my group topic is : Chronic Disease – pick a “chronic disease condition”). 

· Provide the following answers based on what you find 

a. What is the goal listed for this condition? 

b. Looking at the general objectives for this condition, what is one objective that through our Virtual health fair, we can work to promote through education and awareness? 

c. Thinking about our virtual health fair, list four things your group can do to help meet the objective you listed

Part 2:

· Go to https://www.countyhealthrankings.org/explore-health-rankings

· Enter the County you live in to explore “how healthy your community is” 

· Using the information from your County Health Rankings (CHR) community search, pick two of the reported measures to explore further (ex: a “quality of life measure” and a “Health Behavior measure”) 

· Provide the following answers  (a-d) based on what you find:  

a. What is the data source that CHR used to inform that “measure? 

b. Briefly mention how often is this data collected and what method they use to collect this data. 

c. In three to four sentences, talk about how you could use this data source to inform your needs assessment research? (hint: Review Part 1 of your Needs Assessment Project) 

d. Briefly define what a needs assessment is and why it is important in program planning? 

 written and formatted per APA 6th Ed   

Cover page, header, page # 

Citations: in-text & reference page