Discussion: Treatment of Sleep/Wake Disorders

The power of sleep to heal the body cannot be underestimated. Most research indicates that 7–8 hours of sleep are a minimum that people need to stay healthy. Clients who come to the PMHNP’s office frequently complain of sleep problems. It is estimated that 10–20% of patients report some type of sleeping problem.

In this Discussion, you will analyze the diagnostic criteria and evidence-based psychotherapy and psychopharmacologic treatment for sleep/wake disorders.

Learning Objectives

Students will:

· Analyze diagnostic criteria for sleep/wake disorders

· Analyze evidence-based psychotherapy and psychopharmacologic treatment for sleep/wake disorders

· Analyze criteria for referring clients to primary care physicians for treatment of sleep/wake disorders

· Compare differential diagnostic features of sleep/wake disorders

To prepare for this Discussion:

· Your Instructor will have assigned you a sleep/wake disorder, which will be the focus of your original post for this Discussion. Insomnia

· Review the Learning Resources.

By Day 3

Post:

· Explain the diagnostic criteria for your assigned Insomnia disorder.

· Explain the evidenced-based psychotherapy and psychopharmacologic treatment for Insomnia disorder.

· Describe at what point you would refer the client to their primary care physician for an additional referral to a neurologist, pulmonologist, or physician specializing in sleep disorders and explain why.

· Support your rationale with references to the Learning Resources or other academic resource.

  

nurses play as advocates for patient rights. To assist nurses in being better prepared for this role, programs such as Patient Care Partnership provide guidance.

Analyze the use of quality improvement data and discuss how this data can help empower both patients and nurses. Review the Patient Care Partnership information presented in this week’s Resources. In addition, reflect on the media presentation and the information shared by Ms. Manna on patients’ rights. 

A 5-paragraph (at least 550 words) response. Be sure to use evidence from the readings and include in-text citations. Utilize essay-level writing practice and skills, including the use of transitional material and organizational frames. Avoid quotes; paraphrase to incorporate evidence into your own writing. A reference list is required. Use the most current evidence (usually ≤ 5 years old).

· What are the best strategies the nurse can employ to empower patients and support patients’ rights to improve the quality of care? (Some considerations to keep in mind may include: providing information on effectiveness, risks, and benefits of alternative treatments.)

· In what ways can NDNQI data from dashboards or quality improvement data be used to support nurse empowerment in practice?

· How has your institution empowered the nursing staff through the use of quality improvement data?

· Provide an example of how you have personally empowered either a patient or a fellow nurse.

Resources 

http://www.qualityforum.org/Home.aspx

http://ojin.nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/TableofContents/Volume122007/No3Sept07/NursingQualityIndicators.html

Citation:  Montalvo, I., (September 30, 2007)  “The National Database of Nursing Quality IndicatorsTM (NDNQI®)” OJIN: The Online Journal of Issues in Nursing. Vol. 12 No. 3, Manuscript 2.

DOI: 10.3912/OJIN.Vol12No03Man02

Laureate Education. (Producer). (2009a). Topics in clinical nursing: Accountability and nursing practice [Video file]. Baltimore, MD: Author.

 

In this course, we consider vulnerable populations and Health Promotion and Disease Prevention standards. We look at content through the lens of pediatrics, women’s health, adults, mental health, and the elderly. Having just completed exercises related to the five levels of prevention in Week 1, consider what you have learned and how to apply Quaternary Prevention. Watch the following video and write a one-page journal submission regarding your thoughts about the use of palliative and hospice care as an option for health promotion. In what scenario(s) might this be applicable? Have you ever thought about palliative and hospice care promoting health? Why or why not?  

• End Of Life | Aging Matters | NPT Reports
  • End of Life Aging Matters Video Transcript.

You may journal in first person, and this assignment does not require references as it is your thoughts; however, be sure to review the rubric, as a minimum of one reference is required to be considered exemplary work. If you choose to use quotes or citable material, you are expected to follow APA formatting.

Grading Rubric:

 

Journal Rubric

Note: Scholarly resources are defined as evidence-based practice, peer-reviewed journals; textbook (do not rely solely on your textbook as a reference); and National Standard Guidelines. Review assignment instructions, as this will provide any additional requirements that are not specifically listed on the rubric.

Journal Rubric – 100 PointsCriteriaExemplary
Exceeds ExpectationsAdvanced
Meets ExpectationsIntermediate
Needs ImprovementNovice
InadequateTotal PointsFocus and ContentIn addition to self-reflection, the journal components are provided along with clear examples supported by course content and references that speak to how the journal content relates to the questions posed within the assignment.

Cites one or more references.

All instruction requirements noted.

45 pointsComponents of the journal are topic focused and accurately and thoroughly presented via self-reflective explanations and application of knowledge to personal and/or professional life.

All instruction requirements noted.

40 pointsComponents of the journal are summarized with minimal self-reflection or application to personal or professional life.

Synthesis of course content is present but missing depth and/or development.

Missing some instruction requirements.

35 pointsCourse content is present but there is no self-reflection noted within the journal.

Demonstrates incomplete understanding of content and/or inadequate preparation.

Missing several instruction requirements.

Submits assignment late.

31 points45Application of Knowledge through Critical ThinkingCritical analysis is supported with information from scholarly resource(s), offering new insight into the context of the assignment.

Student indicates how the experience will have an impact on their professional practice.

All instruction requirements noted.

45 pointsThe journal submission presents findings and knowledge gained from the assignment. An obvious link between the assignment and nursing is noted.

Submission provides clarification of the assignment by answering all posed questions.

All instruction requirements noted.

40 pointsJournal content may be confusing, unclear, or incomplete–lacking clarification or new information.

The student alluded to a practice application, but the information provided was not clear.

Not all questions posed are addressed.

Missing some instruction requirements.

35 pointsSubmission is primarily a summation of the assignment without further synthesis or analysis of course content.

Application of knowledge is limited, with no direct application to clinical practice discussed.

Demonstrates incomplete understanding of content and/or inadequate preparation.

More than one question posed is not addressed.

Missing several instruction requirements.

Submits assignment late.

31 points45OrganizationWell-organized content with a clear and complex purpose statement and argument content. Writing is concise with a logical flow of ideas.

5 pointsOrganized content with an informative purpose statement, supportive content, and summary statement. Argument content is developed with minimal issues in content flow.

4 pointsPoor organization and flow of ideas distract from content. Narrative is difficult to follow and frequently causes reader to reread work.

Purpose statement is noted.

3 pointsIllogical flow of ideas. Prose rambles. Purpose statement is unclear or missing.

Demonstrates incomplete understanding of content and/or inadequate preparation.

No purpose statement.

Submits assignment late.

2 points5APA Referencing, Grammar, and SpellingCorrect applicable APA formatting with no errors.

The writer correctly identifies reading audience, as demonstrated by appropriate language (avoids jargon and simplifies complex concepts appropriately).

There are no spelling, punctuation, or word-usage errors.

5 pointsThe writer demonstrates correct usage of formal English language in sentence construction.

There are minimal to no grammar, punctuation, or word-usage errors.

4 pointsThe writer occasionally uses awkward sentence structure. Problems with word usage (evidence of incorrect use of thesaurus) and punctuation persist, often causing some difficulties with grammar.

Multiple grammar, punctuation, or word usage errors.

3 pointsThe writer struggles with limited vocabulary and has difficulty conveying meaning such that only the broadest, most general messages are presented.

Grammar and punctuation are consistently incorrect. Spelling errors are numerous.

Submits assignment late.

2 points 

 

View the scenario called “Critical Decision Making for Providers” found in the Allied Health Community media (https://lc.gcumedia.com/hlt307v/allied-health-community/home.html).

In a 750‐1,200 word paper, describe the scenario involving Mike, the lab technician, and answer the following questions:

1. What were the consequences of a failure to report?
2. What impact did his decision have on patient safety, on the risk for litigation, on the organization’s quality metrics, and on the workload of other hospital departments?
3. As Mike’s manager, what will you do to address the issue with him and ensure other staff members do not repeat the same mistakes?

A minimum of three academic references from credible sources are required for this assignment.

Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a grading rubric. Instructors will be using the rubric to grade the assignment; therefore, students should review the rubric prior to beginning the assignment to become familiar with the assignment criteria and expectations for successful completion of the assignment.

You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

 

Case Management Implementation Plan 

Create a plan to implement case management at your workplace.  What is your recommended plan for the use of case managers in your organization for patients with your chosen chronic illness?  Identify people within your organization who are stakeholders or would support your plan.  Whose support do you need to get your plan implemented?  Identify your goals – what do you hope to accomplish with your case management plan?

Often, starting with our goals helps – it’s a backwards design.  As we think about a case management plan we are proposing for our workplace, what do we want to accomplish?  Remember – goals should be measurable.  For example, if the chosen chronic disease is diabetes, one goal may be:

• Clients will have decreased incidences of hyperglycemia requiring hospitalization

Once we determine what we want to accomplish, we can begin to construct our plan to achieve the goal.  To achieve this goal, our plan may include providing education in a manner the client can understand (being sensitive to cultural needs), access to phone support, or inputting glucose readings into their electronic health record for documentation the case manager can evaluate and use to reach out to the client. 

To put this plan in action, whose support would we need?  Primary Care Physicians, Utilization Review personnel, and the Chief Financial Officer would all have an interest in optimizing patient health and reducing costs.

Reading and Resources

Read Ferrier, G. D., & Trivitt, J. S. (2013). Incorporating quality into the measurement of hospital efficiency: A double DEA approach. Journal of Productivity Analysis, 40(3), 337-355. https://search.proquest.com/docview/1448800469?accountid=169658

Search the site for US Department of Health and Human Services “Hospital Compare” and use the interactive database to compare and contrast health plans, hospitals, etc. How might you use this site with patients as a case manager?

Additional Instructions:

• All submissions should have a title page and reference page.
• Utilize a minimum of two scholarly resources.
• Adhere to grammar, spelling and punctuation criteria.
• Adhere to APA compliance guidelines.
• Adhere to the chosen Submission Option for Delivery of Activity guidelines.

Submission Options:

Choose One:

Instructions:

Paper

• 4 to 6-page paper. Include title and reference pages.