Ipsum
Select a nursing theorist of choice and research him/her. Identify their key contribution to nursing and explain its importance in healthcare. 500 – 550 words and 3 or more scholarly sources.
mental health
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case study week 8
2
Insomnia
31-year-old Male
BACKGROUND
This week, we examine a 31-year-old male who presents to the office with a chief complaint of insomnia.
SUBJECTIVE
Patient is a 31-year-old male. He states that his insomnia has gotten progressively worse over the past 6 months. Per the patient, he has never been a “great sleeper” but is now having difficulty both falling asleep and staying asleep at night. The problem began approximately 6 months ago after the sudden loss of his fiancé. The patient states this is affecting his ability to perform his job, which is a forklift operator at a local chemical company. The patient states he has used diphenhydramine in the past to sleep but does not like the way it makes him feel the morning after. He states he has fallen asleep on the job due to lack of sleep from the night before. The patient's medical record from his previous physician states that he has a history of opiate abuse, which began after he broke his ankle in a skiing accident and was prescribed hydrocodone/apap (acetaminophen) for acute pain management. The patient has not received a prescription for an opiate analgesic in 4 years. The patient states recently he has been using alcohol to help him fall asleep, approximately four beers prior to bed.
MENTAL STATUS EXAM
The patient is alert and oriented to person, place, time, event. He makes good eye contact and is dressed appropriately for time of year. He denies auditory/visual hallucinations. Judgement, insight, and reality contact are all intact. Patient denies suicidal/homicidal ideation, and is future oriented.
Decision Point One
Select what you should do:
Zolpidem: 10 mg daily at bedtime
Trazodone 50 mg po at bedtime
Hydroxyzine: 50 mg daily at bedtime
Examine
Case Study: Pharmacologic Approaches to the Treatment of Insomnia in a Younger Adult. You will be asked to make three decisions concerning the medication to prescribe to this patient. Be sure to consider factors that might impact the patient’s pharmacokinetic and pharmacodynamic processes.
At each decision point, you should evaluate all options before selecting your decision and moving throughout the exercise. Before you make your decision, make sure that you have researched each option and that you evaluate the decision that you will select. Be sure to research each option using the primary literature.
Introduction to the case (1 page)
· Briefly explain and summarize the case for this Assignment. Be sure to include the specific patient factors that may impact your decision making when prescribing medication for this patient.
Decision #1 (1 page)
· Which decision did you select?
· Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
· Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
· What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature).
· Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples.
Decision #2 (1 page)
· Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
· Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
· What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature).
· Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples.
Decision #3 (1 page)
· Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
· Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
· What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature).
· Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples.
Conclusion (1 page)
· Summarize your recommendations on the treatment options you selected for this patient. Be sure to justify your recommendations and support your response with clinically relevant and patient-specific resources, including the primary literature.
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CHANGE IMPLEMENTATION AND MANAGEMENT PLAN
It is one of the most cliché of clichés, but it nevertheless rings true: The only constant is change. As a nursing professional, you are no doubt aware that success in the healthcare field requires the ability to adapt to change, as the pace of change in healthcare may be without rival.
As a professional, you will be called upon to share expertise, inform, educate, and advocate. Your efforts in these areas can help lead others through change. In this Assignment, you will propose a change within your organization and present a comprehensive plan to implement the change you propose.
To Prepare:
- Review the Resources and identify one change that you believe is called for in your organization/workplace.
- This may be a change necessary to effectively address one or more of the issues you addressed in the Workplace Environment Assessment you submitted in Module 4. It may also be a change in response to something not addressed in your previous efforts. It may be beneficial to discuss your ideas with your organizational leadership and/or colleagues to help identify and vet these ideas.
- Reflect on how you might implement this change and how you might communicate this change to organizational leadership.
The Assignment (5-6-minute narrated PowerPoint presentation):
Change Implementation and Management Plan
Create a 5- or 6-slide narrated PowerPoint that presents a comprehensive plan to implement changes you propose.
Your narrated presentation should be 5–6 minutes in length.
Your Change Implementation and Management Plan should include the following:
- An executive summary of the issues that are currently affecting your organization/workplace (This can include the work you completed in your Workplace Environment Assessment previously submitted, if relevant.)
- A description of the change being proposed
- Justifications for the change, including why addressing it will have a positive impact on your organization/workplace
- Details about the type and scope of the proposed change
- Identification of the stakeholders impacted by the change
- Identification of a change management team (by title/role)
- A plan for communicating the change you propose
- A description of risk mitigation plans you would recommend to address the risks anticipated by the change you propose
Alternate Submission Method
You may also use Kaltura Personal Capture to record your narrated PowerPoint. This option will require you to create your PowerPoint slides first. Then, follow the Personal Capture instructions outlined on the Kaltura Media UploaderLinks to an external site. page. This page will walk you through downloading the tool and help you become familiar with the features of Personal Capture. When you are ready to begin recording, you may turn off the webcam option so that only “Screen” and “Audio” are enabled. Start your recording and then open your PowerPoint to slide show view. Once the recording is complete, follow the instructions found on the “Posting Your Video in the Classroom Guide” found on the Kaltura Media page for instructions on how to submit your video. For this option, in addition to submitting your video, you must also upload your PowerPoint file which must include your speaker notes.
Nursing
Make 1st posting by Thursday. Make 2 responses to peer postings by Sunday.
Discussion 3:
1. Describe one health care policy related to health care access and tell how it relates. How does the policy address health equities and disparities?
2. Explain which segment(s) of the Public Health Nursing Wheel relates to the effects of economics/health care access and health care policy you just described. That is, tell which outer segment(s) and which segment(s): Systems-focused, Community-focused, Individual-focused, Population-Based/Case Finding, or Population-Based. (Your response may be one or more segment(s).)
The Public Health Intervention Wheel is found at The Minnesota Department of Health at http://www.health.state.mn.us/divs/opi/cd/phn/wheel.html
3. Visit Healthy People 2030 Priorities at https://health.gov/healthypeople/priority-areas List the three priority areas for Healthy People 2030. Read about social determinants on the same Healthy People 2030 website. Describe two social determinants of health that directly relate to the three priority areas for Healthy People 2030.
Include at least two citations and references in your initial discussion posting (WHO website is okay to use for this discussion). Use APA format. Respond to a minimum of two other classmates regarding their post. Your responses to peers should be substantial. Substantial postings are more than just saying “I agree.” Substantial postings add to the point made, provide more information, ask a probing question, or share an experience. End your initial posting with a question to your classmates that furthers discussion on the topic. Also, see the discussion grading rubric. Please write or paste your posting in the discussion box instead of attaching it in a document. Thanks!
Synthesis and Application #3 initial posting due on 10/5/23 by 11:59 pm and two replies to peers due by 10/8/23 by 11:59 pm
Nursing Homework assistance
Nursing Opportunities Assignment: Total Possible Points = 110
Students will select a Contemporary Nursing Career Opportunity to write about. Careers should focus on the role that requires education at the Bachelor’s level or higher. You must get approval from the instructor for the topic. Students are expected to discuss all of the following:
- expectations and responsibilities of the role itself
- education requirements for the chosen career path,
- salary ranges and demand for the role
- pros/cons of the role
- impact of the role on nursing or healthcare trends/issues
I CHOSE NURSE ANESTHETIST (CRNA)
Assigment .Apa seven . All instructions attached.
Learning Activity Content
1.
Top of Form
This week's learning activity will consist of the following:
· Visit the PRIME nursing website and review the case study titled “Stress Management for Patients with Rheumatoid Arthritis”:
Summarize the article and respond to the following questions- this assignment should be minimally 2 pages- not counting the cover page and references:
1-What sampling technique was used in this study?
2-What concerns might you have about reliability and validity in this study, and why? Explain.
3-Were there any flaws or discrepancies in the study? Why or why not?
Hum Ecology & Environment w1
Hum Ecology & Environment week 1 discussion.
Instructions
Pick any one question and respond in an original discussion post by midnight, Day 4 of Week 1.
After the initial post, you must provide substantive responses to
at least 2 of your classmates’ posts and remain
active on at least 2 additional days during Week 1.
There are 2 parts to this week’s discussion forum – Answer both parts in the same post.
First:
Introduce yourself to your peers. State how far along you are in the program, where you work, your future goals, and any experiences you would like to share. Brief info about me so you can develop a brief introduction: (Heidi Lugo, I’ll be graduating in March 2024, I work at Mercy Hospital in 7c med-surgical floor, goals (become a nurse practitioner))
Next, pick
one of the two questions and answer.
1. How would you explain climate change to someone? What aspects would you include, and why? Next, how does climate change intersect with race and gender in its impact on people's health? Support your post with data. Lastly, can you think of areas impacted by climate change that the unit did not cover? How can nurses help in addressing this environmental concern? (USLOs 1.1, 1.2, 1.3, 1.4)
OR
2. Pick two recent events in the past five years that you think are climate-change-related and describe them briefly. Next, discuss why you consider them as environmental concerns. What measures could be taken at individual and institutional levels to prevent such events from occurring again? And how can nurses advocate for addressing this ecological concern? (USLOs 1.1, 1.2)
Each week, your discussion will be graded on a point scale. To successfully complete each weekly discussion assignment, you will need to address all items included in the discussion topic/question
thoroughly.
Your input should be in your own words (to avoid plagiarism), demonstrating your understanding and comprehension of the topic. Be sure to support all your posts (initial post + responses) with specific references to the assigned readings, lecture material, and other relevant research you find appropriate in APA format.
Role Of The Healthcare Administrator
By now you know that administrative responsibilities in health care facilities are managed by professionals who oversee medical facility processes, have in-depth knowledge of regulatory requirements, and have a thorough understanding of the complexities involved in patient care. Drawing upon what you have learned in this course, imagine you have been invited to an annual meeting for a large national health care company. You have been asked to speak to a group of managers and directors about the strategic role of health care administrators and must prepare a comprehensive overview of the political, legal, and ethical aspects of the health care administrator’s role.
Instructions
For this assignment, create a professional, narrated presentation focused on the political, legal, and ethical aspects of the health care administrator’s role. Your target audiences are professionals in the industry who do not have a thorough understanding of your work.
Create a PowerPoint (or Prezi) and record the presentation using Kaltura. Follow the content outline below and use speaker notes to cover the required topics listed here:
Provide an overview of the political, legal, and ethical aspects specific to the health care administrator’s role (2-3 slides).
Summarize how the different aspects you identified above overlap and interface (1-2 slides).
Provide three examples of the duties and responsibilities involved in health care administration, such as risk management, policy, and procedure, regulatory compliance, ethics board, compliance officer, et cetera (2-3 slides).
List two types of jobs or titles often found in health care delivery settings that are focused on risk management and regulatory compliance; including a review of the importance and benefits of these functions within the health care system (1-2 slides).
Summarize how the political, legal, and ethical issues affect patients and staff including the patient benefits (2-3 slides).
Summarize how the political, legal, and ethical issues affect the financial and business operations of a health care facility (2-3 slides).
Summarize the health care administrator’s role in regard to political, legal, and ethical issues related to an issue such as a data breach, a HIPAA or EMTALA violation, et cetera. Review the implications of this function if mishandled (2-3 slides).
Note: The presentation should not exceed 15 slides (with speaker notes), including a title slide and reference slide.
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