Draft an announcement and agenda for a meeting with stakeholders to present the key aspects of a plan to adopt the new or upgraded Telehealth technology proposed in ASSESSMENT 1. Then, develop and record a 10-15 slide audiovisual presentation. 

**This assignment requires audiovisual recording, therefore, speaker notes must be on the powerpoint so that I can complete that portion**

MUST INCLUDE:

-Meeting announcement and agenda

-Powerpoint presentation with speaker notes. 

Accurately diagnosing depressive disorders can be challenging given their periodic and, at times, cyclic nature. Some of these disorders occur in response to stressors and, depending on the cultural history of the client, may affect their decision to seek treatment. Bipolar disorders can also be difficult to properly diagnose. While clients with a bipolar or related disorder will likely have to contend with the disorder indefinitely, many find that the use of medication and evidence-based treatments have favorable outcomes.

To Prepare:

• Review this week’s Learning Resources. Consider the insights they provide about assessing and diagnosing mood disorders.
• Download the Comprehensive Psychiatric Evaluation Template, which you will use to complete this Assignment. Also review the Comprehensive Psychiatric Evaluation Exemplar to see an example of a completed evaluation document. 
• By Day 1 of this week, select a specific video case study to use for this Assignment from the Video Case Selections choices in the Learning Resources. View your assigned video case and review the additional data for the case in the “Case History Reports” document, keeping the requirements of the evaluation template in mind.
• Consider what history would be necessary to collect from this patient.
• Consider what interview questions you would need to ask this patient.
• Identify at least three possible differential diagnoses for the patient. 

Complete and submit your Comprehensive Psychiatric Evaluation, including your differential diagnosis and critical-thinking process to formulate a primary diagnosis. Incorporate the following into your responses in the template:

• Subjective: What details did the patient provide regarding their chief complaint and symptomology to derive your differential diagnosis? What is the duration and severity of their symptoms? How are their symptoms impacting their functioning in life? 
• Objective: What observations did you make during the psychiatric assessment?  
• Assessment: Discuss the patient’s mental status examination results. What were your differential diagnoses? Provide a minimum of three possible diagnoses with supporting evidence, listed in order from highest priority to lowest priority. Compare the DSM-5 diagnostic criteria for each differential diagnosis and explain what DSM-5 criteria rules out the differential diagnosis to find an accurate diagnosis. Explain the critical-thinking process that led you to the primary diagnosis you selected. Include pertinent positives and pertinent negatives for the specific patient case.
• Reflection notes: What would you do differently with this client if you could conduct the session over? Also include in your reflection a discussion related to legal/ethical considerations (demonstrate critical thinking beyond confidentiality and consent for treatment!), health promotion and disease prevention taking into consideration patient factors (such as age, ethnic group, etc.), PMH, and other risk factors (e.g., socioeconomic, cultural background, etc.).

• Make the case that one organizational challenge best meets the criteria for a doctoral capstone project.
• What You Need to Know: Learn what to look for in an organizational challenge to identify opportunities for a potential doctoral capstone project.

In determining whether the current climate of healthcare represents an opportunity for evidence-based improvement for my current organization, I would say that the pandemic has shined the light on patient safety and the Department of Defense health crisis. The current organization I am reviewing is the Defense Health Agency under which my facility the 23rd Medical Group falls under. There is sufficient evidence in literature to substantiate the DoD’s response to the current health crisis of COVID-19 given past health outbreaks. Steps of evidence-based practice (EBPs) can be reviewed from the viewpoint of conducting research and generating knowledge. One such way is the Agency for Healthcare Research and Quality (AHRQ) and patient safety models of transferring information from knowledge, social marketing, social, and organizational innovation, and behavior change. Steps of knowledge transfer through the AHRQ model represent three major stages. Knowledge creation and distillation of conducting research from various delivery systems and transportability to real-world health settings. 

With EBP diffusion and dissemination involves collaboration with other professional healthcare leaders in other organizations to distribute knowledge that forms the basis of action. Case in point, the sharing of information from the Centers of Disease Control to military leaders during the pandemic and getting information to audiences. The third stage involves execution and getting health organizations to adopt and use evidence-based research results. The key to EBP is getting the organization to adopt and sustain change into practice (Titler, 2008). The body of evidence that supports the challenge is based on the current pandemic. There is sufficient evidence both in military and civilian healthcare to warrant an opportunity of improvement. Based on what we have learned during the course of the last 20-months, the range of available sources of information have become more widely available. Rising disease rates, limited, funding, and the scientific basis for intervention demands the use of proven strategies to improve population health. EBP approaches and health surveillance along with policymaking are necessary tools to eradicate pandemics and change health-behaviors. The key elements of EBP in public health and military health is:

Engaging the community in assessment and decision-making

Using data and information systems

Making decisions based on peer-reviewed evidence

Applying program planning frameworks

Conducting sound evaluation and disseminating what is found

What has transpired and become a challenge that many organizations have faced, is that many EBP health interventions are implemented on the basis of political and media pressure (Jacobs, Jones, Gabella, Spring, & Brownson,  2012). The evidence I found comparing civilian health facilities to Air Force facilities is that more civilian data is available. While the other military services have reported numbers and responses, there is limited data specific to my site. I do not believe it is population specific but site specific because of a HIPAA related release that happened in July of 2020. This unauthorized disclosure set off a media frenzy via social media for my current facility. Therefore, sharing information is more guarded. On the other hand, with the increase of the COVID delta variant, more opportunities exist for more evidence to become present. Current metrics are that 59,337 Air Force members (military, dependents, civilian, and contractors) have been affected (Af.mil, 2021). Possible outcomes for my organization is an increase in operations that cater to the increase of manpower hours devoted to COVID screening and vaccinations.   

Instructions
Review the following ethical dilemmas:

1. John Doe has decided to clone himself. He is sterile. He cannot find anyone to marry him. He wishes to have children. He knows that he will not be able to love a child that is adopted or not connected directly to him biologically. He will be making use of a new procedure that involves taking his skin cells to produce a twin. The twin starts out as an embryo and grows into a child. The child in this case will have the same genetic information as John Doe. John Doe and his child will be twins.
2. Jane Doe is eighteen. For as long as she can remember she has been sexually attracted to other females. Her parents belong to a religion that has a religious text stating that God forbids one to be a lesbian. This religion goes on further to say that lesbians will be punished in the afterlife. Jane Doe is debating whether she should tell her parents about her sexual attraction. She has not yet decided if she should come out to her parents and live as a lesbian now that she is a legal adult.
3. Joe and Mary are a couple. Before becoming sterile, they had a child. This child died of a rare disease. Joe and Mary miss their child terribly. They have heard that there is a new IVF procedure that can ensure that they can have another child. However, their religion forbids using IVF.
   Use the resources assigned for this week and additional research,

Instructions
Select two of the situations above and then address 2 of the following:

1. What is the relation between ethics and religion? Formulate and investigate the relation.
2. For each case, determine the ethical path of conduct. Then, determine what paths of conduct would be unethical
3. For each case, what would emotivism say to appraise what you determine is the ethical form of conduct?
4. For each case, would a natural law ethicist agree with what you say is the ethical form of conduct? Why or why not?
5. Articulate, explain, and evaluate in each case an approach that makes use of divine command ethics.

Writing Requirements (APA format)

• Length: 2-3 pages (not including title page or references page)
• 1-inch margins
• Double spaced
• 12-point Times New Roman font
• Title page
• References page (minimum of 2 scholarly sources)