Case 1
The Case: The man whose antidepressants stopped working
The Question: Do depressive episodes become more difficult to treat and more recurrent over time?
The Dilemma: When can you stop antidepressant treatment and what do you do if medications that worked in the past no longer work? 

Write a response to the following:

• List three questions you might ask the patient if he or she were in your office. Provide a rationale for why you might ask these questions.
• Identify people in the patient’s life you would need to speak to or get feedback from to further assess the patient’s situation. Include specific questions you might ask these people and why.
• Explain what physical exams and diagnostic tests would be appropriate for the patient and how the results would be used.
• List three differential diagnoses for the patient. Identify the one that you think is most likely and explain why.
• List two pharmacologic agents and their dosing that would be appropriate for the patient’s antidepressant therapy based on pharmacokinetics and pharmacodynamics. From a mechanism of action perspective, provide a rationale for why you might choose one agent over the other.
• For the drug therapy you select, identify any contraindications to use or alterations in dosing that may need to be considered based on the client’s ethnicity. Discuss why the contraindication/alteration you identify exists. That is, what would be problematic with the use of this drug in individuals of other ethnicities?
• If your assigned case includes “check points” (i.e., follow-up data at week 4, 8, 12, etc.), indicate any therapeutic changes that you might make based on the data provided.
• Explain “lessons learned” from this case study, including how you might apply this case to your own practice when providing care to patients with similar clinical presentations

 Hello Class,
I obtained an associate’s degree in nursing from William Rainey Harper College (https://www.harpercollege.edu/Links to an external site.). It is a community college located in Palatine Illinois. In 1967, the doors opened at William Rainey Harper College and they began nursing classes that same year. The two-year program served as a bridge for those students who previously became a Licensed Practical Nurse. It provided me with a sound clinical foundation and laid the framework for my continuing education. Going forward I will be curious how they will maintain enrollment in the program because of the national strategy to have entry-level nurses obtain a bachelor’s degree.
I am looking forward to hearing about the nursing school you previously attended. How did it affect you and nursing in the present and future?
Roma 

 Betty, the chief nursing officer, had to make a decision about buying 120 new hospital beds for patient rooms. After she interviewed nurse mangers at the units where the beds were going to be placed, Betty compiled her findings and decided to contact a well-known equipment company to obtain prices and contracts. The equipment company’s executive salesperson, Jim, discussed options at length with her and invited her and her significant other to an upcoming all-expenses-paid lavish retreat at a five-star hotel in Hawaii to see demonstrations of the beds and to hear a comprehensive sales pitch. Betty thought to herself, “We badly need some relaxation and stress relief. Hawaii would be so much fun. Would it be wrong for us to go?”

• If you were Betty, what would you do? Give your rationale. Justify your answer with an ethical framework—a theory, approach, or principle.
• Do you consider this situation a conflict of interest? Why or why not? Give your rationale.
• What policies, if any, should be in place regarding a scenario such as this one?  Do you have any such policies in place at work for similar situations? Do such policies impact day-to-day activities in any way?  Explain.

 Describe the strategy a healthcare organization can use to lower its cost of care. What types of IT applications could they use to help them achieve this goal? If the organization has a strategy of improving the quality of its care, what types of IT applications might it consider? Compare these two lists of applications and discuss the organization’s course of action.

Requirements:

– 2 pages 

– Cite a minimum of three articles to support your statements. 

– APA writing standard 

Discussion question 1

List and discuss the six [6] steps to developing an ad campaign.

Discussion Question 2

Recently, the physician marketing task force at State University Medical Center developed a physician referral directory and advertisement. The target was primary care physicians in the region who could refer patients to State University for tertiary care. A cardiologist who was an undergraduate English major chaired the committee and drafted the materials. Three months after distribution of the advertisement and directory, responses were disappointing. Explain how this process could have been improved to increase likely response

Discussion Questions 3

List and discuss each of the major components of the communications model

Discussion Questions 4

At a local hospital, a decision was made recently to downsize the nursing staff. The local television station sent a reporter and camera crew to interview the administrator regarding the impact of this action on patient care. After spending 20 minutes filming the interview, the reporter left. That evening a 15-second segment of the interview was shown that left an unfavorable impression regarding the impact on quality. The administrator wondered what went wrong. Explain how more control could have been used to send out the message about the downsizing.