Case Study #3: Insomnia And Sleep Disorders

S.H., age 47, reports difficulty falling asleep and staying asleep. These problems have been ongoing for many years, but she has never mentioned them to her health care provider. She has generally “lived with it” and selftreated the problem with OTC Tylenol PM. Currently, she is also experiencing perimenopausal symptoms of night sweats and mood swings. Current medical problems include hypertension controlled with medications. Past medical history includes childhood illnesses of measles, chickenpox, and mumps. Family history is positive for diabetes on the maternal side and hypertension on the paternal side. Her only medication is an angiotensinconverting enzyme inhibitor and diuretic combination for hypertension control. She generally does not like taking medication and does not take any other OTC products.

Diagnosis: InsomnIa

1. List specific goals of therapy for S.H.

2. What drug therapy would you prescribe? Why?

3. What are the parameters for monitoring the success of the therapy?

4. Discuss specific patient education based on the prescribed therapy

5. List one or two adverse reactions for the selected agent that would cause you to change therapy.

6. What would be the choice for second-line therapy?

7. What OTC and/or alternative medicines might be appropriate for this patient?

8. What dietary and lifestyle changes might you recommend?

9. Describe one or two drug–drug or drug–food interactions for the selected agent.

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Qualitative Nursing Study Discussion

Read a qualitative nursing study. If a different investigator had gone into the field to study the same problem, how likley is it that the conclusions would have been the same? How transferable are the research’s findings?

APA Style 4 paragrphs, no Abstract needed, with Citations and References

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Legislative Matrix

Student will develop a Legislative Matrix based upon the specific legislators in a residential/geographical legislative district. State and Federal legislators will be identified: State Representatives, Senators, Congressman and Governor. Each legislator’s assigned committees and any active legislation bills and/or past legislative initiatives will be identified. This information will be used to assist in the development of the Legislative Communication assignment.

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Medical ethics discussions

Complete your Week 1 required discussion prompt.

· In your own words, describe the primary difference between consequentialist and non-consequentialist approaches to ethics.

· Choose one of the major theories associated with consequentialism: what objections might be made to this theory?

· Choose one of the major theories associated with non-consequentialism: what objections might be made to this theory?

· In addition to your main response, you must also post substantive responses to at least two of your classmates’ posts in this thread. Your response should include elements such as follow-up questions, further exploration of topics from the initial post, or requests for further clarification or explanation on some points made by the classmates.

Complete your Week 2 required discussion prompt.

· In your own words, describe the difference between euthanasia and physician-assisted suicide.

· Select an argument for or against either euthanasia or physician-assisted suicide. How would you defend your argument?

· In addition to your main response, you must also post substantive responses to at least two of your classmates’ posts in this thread. Your response should include elements such as follow up questions, further exploration of topics from the initial post, or requests for further clarification or explanation on some points made by the classmates.

Complete your Week 3 required discussion prompt.

This week, we are learning about issues surrounding human genetics and eugenics, including stem cell research, cloning, and genetic testing and treatment.

· Choose and describe a scientific technique or practice related to genetics and eugenics. Provide the rationale behind the use of this technique or practice.

· Discuss your thoughts and ideas regarding the technique or practice. Is it ever justifiable? Why or why not?

Complete your Week 4 required discussion prompt.

Animal research is a necessary practice in the world of medical research, allowing scientists to develop life-saving interventions and to spot catastrophic problems before new techniques or products make their way to actual patients. However, this does not mean that we should deny that there are serious ethical issues involved.

Animal testing is not a pretty or pleasant process. It causes pain and suffering to animal subjects, and legitimate cases of abuse have been uncovered by animal rights groups. Consequently, the practice should be tightly regulated, and alternative methods should be employed whenever possible.

· Discuss a specific research study involving animals that had ethical issues.

· What were the ethical issues involved?

· What could have been done to conduct the research study differently to avoid these ethical issues?

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Quality and Safety Education for Nurses (QSEN) initiative discussion post

Directions:

Please complete the 4 scenarios. Post it in the discussion board and briefly respond to 2 classmates.

1. A nurse on a medical‑surgical unit is acquainting a group of nurses with the Quality and Safety Education for Nurses (QSEN) initiative.

a. RELATED CONTENT: List the six QSEN competencies, along with a brief description of each.

2. A nurse is teaching a group of newly licensed nurses about the various nursing roles they can aspire to after they achieve mastery in basic nursing skills.

a. RELATED CONTENT: Describe at least five types of advance practice nursing roles, including a brief description of their primary responsibilities.

3. A nurse is teaching a group of newly licensed nurses about the process of resolving ethical dilemmas.

a. UNDERLYING PRINCIPLES: Define the ethical decision‑making process.

b.  NURSING INTERVENTIONS: List the steps of making an ethical decision

4. A nurse is teaching a group of newly licensed nurses about avoiding liability for negligence. Use the ATI Active Learning Template: Basic Concept to complete this item.

a. UNDERLYING PRINCIPLES: List the five elements necessary to prove negligence.

b. NURSING INTERVENTIONS: List at least four ways nurses can avoid liability for negligence.

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Adolescence: Contemporary Issues And Resources

Research the range of contemporary issues teenagers face today. In a 500-750-word paper, choose one issue (besides teen pregnancy) and discuss its effect on adolescent behavior and overall well-being. Include the following in your submission:

1.Describe the contemporary issue and explain what external stressors are associated with this issue.

2.Outline assessment strategies to screen for this issue and external stressors during an assessment for an adolescent patient. Describe what additional assessment questions you would need to ask and define the ethical parameters regarding what you can and cannot share with the parent or guardian.

3.Discuss support options for adolescents encountering external stressors. Include specific support options for the contemporary issue you presented.

Prepare this assignment according to the guidelines found in the APA Style

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

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Interviewing A Professional Nurse

Topic: Interviewing a Professional Nurse or Interview a nurse professional with years of experience.

Write her/his opinion about:

  1. Teamwork and its Importance
  2. Patient-care and Adaptability
  3. Time Management in Nursing
  4. Communication Style 

Motivation and core values in nursing

  • 5 pages (excluding title-page and reference page) 
  • APA style paper 
  • 5 references within 5 years.
  • Include a heading for each of the topics in the numbers written above

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climate change challenges faced by mitigation planners

Available on Monday, March 30, 2020 12:00 AM EDT until Monday, April 13, 2020 11:30 PM EDT  Unlocked: Monday, March 30, 2020 12:00 AM EDT – Monday, April 13, 2020 11:30 PM EDT. Must post first.

Why are partners necessary beyond the local level agencies or departments for mitigation planning? Who are the essential state and federal mitigation partners that might contribute to mitigation planning and the development of a Local Mitigation Plan?

Week Three Discussion Two

 Available on Monday, March 30, 2020 12:00 AM EDT until Monday, April 13, 2020 11:30 PM EDT  Unlocked: Monday, March 30, 2020 12:00 AM EDT – Monday, April 13, 2020 11:30 PM EDT. Must post first.

Please describe the challenges that local mitigation planners face in the ever-changing world of climate change? Please describe in detail the areas that mitigation planners should address in their development of a mitigation plan?

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Health System Project Proposal

The document, will be scanned using the software Turnitin. Before the assignment can be uploaded, you will be required to agree with the plagiarism pledge. If you have any questions about this process, please refer to Canvas instructions for further clarification.

This paper is to be a summation, which is sometimes defined as a summary or argument reviewing the principal points made and expressing conclusions. This paper is to be a summation of the key points of the topics explored in assigned and recommended references (readings, videos, etc.), as well as in our weekly discussion postings in Canvas. Recall that you were given a semester-long scenario

You have been hired by a health system, which includes a large hospital and several outpatient centers located in different communities. This health system has never hired advanced practice nurses (APNs) before, but it now feels that the only way it will survive the current direction of health care is to incorporate APNs into its hospital and outpatient centers as soon as possible. You have been hired to be the project manager to help the health system with this endeavor. The health system understands that you are not yet an expert on all the elements of advanced practice nursing and how APN practice fits into the current U. S. health care system. Your job is to learn as much as you can about APNs and health care in general, and as you acquire this information, you will be sharing with the rest of the class what you have learned and how you think that information can be applied to your project with this health system. Your first task is to give the health system a name of your choosing, but try to avoid a name that is already taken by a currently existing hospital or system. Obviously, drawing from your experience with your current and/or previous employers is a logical approach, but do avoid “naming names.”

It was also noted that any of you could be hired as the project manager whether your education is that of a health administrator, nursing educator, or an APN, since this is a project that could be handled by someone with any of these degrees.

This paper is to take the form of a final project proposal—although you must maintain strict adherence to APA format including a title page, abstract, citations within the body of the document, and a reference list.

The “outline” for this paper will be the topics that were contained in the weekly discussion questions.  It will be a challenge to summarize and organize the volumes of material that you have acquired over the semester; not every topic will deserve equal attention in this paper. Your task, therefore, it to consider what the senior leaders of a health system really need to know in order to create positions for APNs that will help the organization provide quality, accessible, and cost-effective care. This paper should not reiterate platitudes about nursing doctrine; rather, it should address the expected realities of health care in the near and distant future and how effective utilization of APNs might ensure a health system’s success in dealing with those realities.

REMEMBER: The target audience for this paper is the senior/executive leadership of your organization, not the course faculty; therefore, you do not need to explain everything you learned about the U.S. health system that they would already know (probably better than you); see the notes in the criteria below for further explanation.  But you do need to provide enough detail to help the senior leaders understand the unique aspects of employing APNs, as well as how APN practice might fit into the business model of the organization within the specific context of your state and community.   Remember to address whether or not you will use all four types of APNs and whether PAs will be in the team.  The paper should be a maximum of 15 pages—title page, abstract, or reference list do NOT count toward the page requirement.

Please note that APA format requires (section) level headings. Minimally, there should be headings at levels 1 & 2, using the criteria below as the names for those headings. See page 62 in your APA manual for correct formatting of level headings.  The order of those headings should be in the order that is listed below. (Note: It is always advisable to follow the order of a criteria list provided by faculty because it facilitates the grading process. This manner of organization applies to grant writing, too!) Appropriate subheadings (i.e., levels 3, 4, or 5 are acceptable, but not necessarily required. It will be your decision to ascertain the number of headings needed to help you organize your thoughts as well as enhance its readability. Scholarly papers are not novels; it is vital that such papers be written in clear, precise, and logical fashion.

The paper is worth 140 points and will be graded according to the following criteria:

1. Overall scholarly tone, adherence to APA format, including grammar, punctuation, spelling, sentence construction, etc. Minimum of five references not including your text. (10 points)

2. Health care system BRIEFLY described, including the state located and which type of APNs would be added to the system, what type of services they would deliver, as well if PAs would be added (and what services they would deliver). (10 points)

3. Ability to convey the following issues involved when employing APNs in health systems:

a. What education/certification is required? (Do not copy and paste elements of the practice act; just summarize the basics.  Also, it is not necessary to list the names of certifying bodies.) (10 points)

b. Pertinent details of scope of practice of how each APN specialty would be used specifically in your health system.   (Again, do not copy and paste elements of the practice act; just summarize the basics Do not include history of APN specialties and do not explain the legislative/regulatory process. Just explain the basics of what constitutes legal practice in your state.  At this point, only discuss those types of APNs that will be used in the system.)  (20 points)

c. What are the elements of health system credentialing and privileging of APNs? Including whether APNs will have admitting privileges? (Do not explain the general issue of credentialing and privileging; simply explain what you expect your system would need to do.) (15 points)

d. What are the quality/safety issues of hiring APNs? Quality and safety are two interrelated but separate issues. Explain the quality and safety issues and how you plan to address these issues? (15 points)

e. Explain the basic liability/risk management issues when hiring APN’s. How will you prevent or avert liability and risk issues? (Do not explain the elements of ethical principles and theory; just focus on the unique aspects of liability/risk management for APNs.)  (20 points)

f. Explain how APNs fit into the interdisciplinary/interprofessional team. Can an APN lead an interprofessional team? Explain how APNs collaborate within this team. (20 points)

g. Explain the economic impact of using APNs in a health system. Describe how using APNs will benefit your health system. Do not explain the basics of Medicare and Medicaid or other reimbursement, just what elements of these programs are specific or unique to APNs and how reimbursement.) Include how APN care impacts healthcare cost. (20 points)

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