Now, it’s time to turn in your 6 to 8-page semester project. Remember your project should include the following:

• A Mental Health Concern – and the Patient or Community – for your project.
• A brief history of the patient including diagnoses and medications – or a brief description of the community issue.
• Any substance abuse, addiction or violence issues surrounding this mental health problem. Describe the attempted interventions that have been made for your patient or community, and identify what has been successful and what has not. Submit a rough draft of the information gathered so far.
• Describe your thoughts regarding your patient’s or community’s mental health issue. Are there any cognitive concerns? Think about interventions that may be helpful. Include sources for evidence-based practice.
• List appropriate nursing interventions for your chosen patient or community. How will you evaluate effectiveness? Include an evaluation tool or rubric.
• Complete your Semester Project by identifying mental health resources that can be used for your chosen patient or community. Finish with an educational tool for your patient or community.

    

Consider the data that is collected and used in your sector of the health care industry.

Create a diagram that shows the sources of the data, how it is collected, how it is distributed, how it is analyzed, and how it is used.

Write a 350- to 525-word supplement document that provides additional details about the diagram and any important information that would help someone understand the content of the diagram.

Cite 3 reputable references to support your assignment (e.g., trade or industry publications, government or agency websites, scholarly works, or other sources of similar quality).

This week we will be discussing recent events in health care politics and legislation and their impact on the management of health care organizations. As a health care manager, it will be essential for you to stay up to date on health care politics and policy. 

This is your opportunity to practice finding sources of credible and interesting information! 

Please find a recent (within the past year) news article that discusses health care politics or legislation.  Then, for your original post:

• Provide an overview of your article.
• Explain how the political action or change in legislation discussed in your article might impact the health care industry.  Be sure to describe what types of organization(s) or what group(s) of stakeholders might be impacted.
• Explain how your role as a health care manager might be impacted by the changes discussed above.  Be sure to incorporate course concepts discussed earlier in the term.

Requirement: One original post and two reply posts. 250 word count, apa format, intext citations, please include references

Deadline: Saturday at 11:59 pm.

 

Discussion: The Impact of Ethnicity on Antidepressant Therapy

Case 1: The Man whose Antidepressants Stopped Working

In this case, the client exhibits symptoms of anxiety and depression (Stahl Online, n.d.). However, more information is needed to accurately diagnose this patient. In this case, it will be appropriate for the psychiatric nurse to ask the following questions given the client’s history:

1. How have your sleep and lifestyle patterns changed in the past 4 weeks? This question will help the psychiatrist nurse to understand the lifestyle patterns of the client and the behavioral trends of the patient that could be impacting the effectiveness of his medications.
2. How can you describe your depression? Do you experience suicidal thoughts? This question is aimed at understanding if the client is aware of his condition and how the disease is affecting him. It is also important to learn about the areas the client does not comprehend and how this can be improved.
3. In your own words, how you are managing your depression? Please describe. The client must be aware of the need to manage his depression including adhering to medications. This question provides more insights into the various dynamics that could be impacting the patient’s depression.

Social and Family Screening

I will direct my questions to the client’s wife because she is a key family member. The questions I will ask the client’s wife include – how has the client been dealing with depression? How have you been supporting him? What are the difficulties experienced by the client in managing his condition? Are you aware of his medications and the time he needs to take them? These questions will provide insights about the client’s social support, and what the family thinks about his condition as well as what they are doing to support him. Moreover, the children will also be asked the above questions to provide an overall observation and their own assessment of the client’s condition, including any details that the client may have missed to report.

Physical Exams and Diagnostics

In order to appropriately diagnose this client, additional physical exams will be needed. One is the physical assessments and screening of the client’s psychiatric and neurological functions. This is aimed at ruling out the other medical causes of depression (Stahl, 2013). This will involve the subjective evaluation of the client’s affect, mood, and appearance because a patient with depression may physically manifest in the form of psychomotor retardation symptoms such as slow reactivity and movement or loss of reactivity (Bennabi, et al., 2013). It will also involve psychomotor testing using available depression diagnostic tools and the DSM 5 to determine the level of depression and confirm the depression diagnosis in the client. Another diagnostic test will include hyperthyroidism tests because abnormal levels of thyroid hormones are known to have an impact on one’s moods (Stahl, 2013). A CYP450 test will also be carried out to provide insights on the antidepressant that will most likely work for this patient (Mayo Clinic, 2017).

Differential Diagnoses

1. Major depressive disorder. This is because the client has experienced severe and recurring episodes of depression, and according to the DSM 5, recurring symptoms predispose patients to treatment-resistant depression (American Psychiatric Association, 2013).
2. Bipolar disorder
3. Unipolar depression

Pharmacologic Agents for the Client

In the case study, the patient previously responded well to sertraline (Stahl Online, n.d.). As a result, sertraline will be one of the chosen medications. Sertraline is an SSRI that is well absorbed and metalized. Strapline reduces both depressive and anxiety symptoms. The recommended starting dose for sertraline is 50mg, which will be increased after one week to between 75mg and 100mg (Lewis, et al., 2019). The second antidepressant medication is venlafaxine which is also an SSRI. Studies indicate that venlafaxine’s active components are effective inhibitors of the norepinephrine and the serotine reuptake of dopamine. The initial dosage for this medication will be 75mg for the first 3-5 days then increasing the dosage to between 100mg and 225mg (Stahl, 2013).

In terms of the pharmacokinetics of the two drugs above, the two medications appear to work better in females (Gibiino, Marsano, & Serretti, 2014). However, venlafaxine seems to work better for this patient. This is because venlafaxine targets to inhibit the absorption of both serotine and norepinephrine while sertraline only targets to inhibit the reabsorption of serotine alone (Stahl, 2013). With both serotine and norepinephrine significantly impacting moods and emotions, venlafaxine is better compared to sertraline.

Contraindications of the Drugs

Studies indicate that venlafaxine may have greeter effects on Caucasians. Caucasians were found to have more positively responded to venlafaxine when compared to sertraline (Gibiino, Marsano, & Serretti, 2014). The greater effects mean that Caucasians could be extensive metabolizers and thus doses should be normalized based on this factor. While the effects of ethnicity may be minimal, it is important to monitor how this client will respond to the medication. Other ethnicities may respond more slowly to venlafaxine.

Lessons Learned

As a nurse, I have learned fundamental concepts and lessons from analyzing this case that will help deal with clients and patients with similar conditions. I have learned the nature of major depressive disorder, and the need to prescribe the appropriate treatment regimen. This is because inappropriate treatment regimens can result in the development of treatment-resistant depression. This can further complicate the management of illness in those patients. Therefore, nurses need to be careful in making prescription decisions.

i need a response , 1 page

Zero plagiarism

2 references not more than five years

 

Cultural Competence in Ethical Decision Making

Read chapter 14 of the class textbook and review the attached PowerPoint presentation.  Once done, please present an essay on health care inequity and how a moral philosophy affects the decision making of nurses.

Make sure that the essay includes the following.

1.  Include the ramifications of the unequal treatment of health care for a group and include the implications for both health care providers and patients.
2.  What health issues may be better addressed by a nursing care staff with knowledge about inequity and the ethical principles and theories of human rights?

INSTRUCTIONS:

As stated in the syllabus present your assignment in an APA format word document, Arial 12 font attached to the forum in the discussion tab of the blackboard titled “Week 14 discussion questions” and the SafeAssign exercise in the assignment tab of the blackboard(which is mandatory).  A minimum of 3 evidence-based references besides the class textbook no older than 5 years must be used and quoted according to APA guidelines.  You must post two replies to any of your peers sustained with the proper references no older than 5 years in two different days to verify attendance and as well make sure the references are properly quoted and mention to whom you are replying to.  The reply is a comment to your peer, not an extension of what you posted in your assignment.  What I mean is that you can’t post in your replies the same that you posted in your assignment.   A minimum of 800 words is required.  Please make sure to follow the instructions as given and use either spell-check or Grammarly before you post your assignment.  I will also pay close attention to spelling and/or grammar.  Please review the rubric attached to the lecture.  You must present the assignment according to how it is posted, answering the questions by number and essay-style assignments will not be accepted unless otherwise specified.  I’ve been grading a lot of assignments with quite a few spelling/grammar errors.  As a BSN student, you should be able to present an assignment according to APA and without errors.  This reflects our University.