A young woman sought psychological services after her cardiologist referred her for stress management and treatment of “heart attack” symptoms. This 36-year-old woman had the world by the tail. Marketing director for a local high-tech firm, she was in line for promotion to vice president. She drove a new sports car, traveled extensively, and was socially active.

Although on the surface everything seemed fine, she felt that, “the wheels on my tricycle are about to fall off. I’m a mess.” Over the past several months she had attacks of shortness of breath, heart palpitations, chest pains, dizziness, and tingling sensations in her fingers and toes. Filled with a sense of impending doom, she would become anxious to the point of panic. Every day she awoke with a dreaded feeling that an attack might strike without reason or warning.

On two occasions, she rushed to a nearby hospital emergency room fearing she was having a heart attack. The first episode followed an argument with her boyfriend about the future of their relationship. After studying her electrocardiogram, the emergency room doctor told her she was “just hyperventilating” and showed her how to breathe into a paper bag to handle the situation in the future. She felt foolish and went home embarrassed, angry and confused. She remained convinced that she had almost had a heart attack.

Her next severe attack occurred after a fight at work with her boss over a new marketing campaign. This time she insisted that she be hospitalized overnight for extensive diagnostic tests and that her internist be consulted. The results were the same–no heart attack. Her internist prescribed a tranquilizer to calm her down.

Convinced now that her own doctor was wrong, she sought the advice of a cardiologist, who conducted another battery of tests, again with no physical findings. The doctor concluded that stress was the primary cause of the panic attacks and “heart  

  

Title of Your Paper

Your Name

Stratford University

NSG 291

  

Title of Your Paper

Include a brief snapshot of the patient history / case study. Do Not copy information directly from the article. Highlight a few important facts that you noted in the case study.

Plan

Causes of Stress (Module 1)

Determine the most likely causes of stress and relaxation techniques you could suggest to this patient. Explain why these techniques would help her in the moment. 

Short-term Alternative Therapies (Module 2)

Are there alternative therapies that may be useful to promote? 

Consider the patient’s age, career, and mental status.

Questions to Ask (Module 3)

List question you would ask this patient to assess her current situation in a non-judgmental and therapeutic way.

Are there any safety issues, irrational thought processes, or personality traits evident from the case study that you would be concerned about?

Long Term Plan (Module 4)

What coping interventions would you suggest for this patient based on the assessment you made in the previous sections of this paper?

Support Networks (Module 5)

What support networks do you think would be best to suggest to this patient and why?

Conclusion

Provide a brief summary of how you would follow up on this patient to determine if the interventions were successful. What would you expect to find in a reduction of stress?

  

References

Must cite at least one scholarly source. List references used in APA format.

  

Shi, L. (2014). Overview of health policy. In Introduction to health policy (pp. 3-27). Chicago: Health Administration Press. Please See Attachment with Reading Reference

Shi, L. (2014). Federal health policymaking. In Introduction to health policy (pp. 31-52). Chicago: Health Administration Press. 

Shi, L. (2014). Health policymaking at the state and local levels and in the private sector. In Introduction to health policy (pp. 53-73). Chicago: 

POLICYMAKING IN THE GOVERNMENT AND THE PRIVATE SECTOR

Assignment Overview

Health policymaking happens at all levels of government and for a wide variety of topics. The private sector also plays a considerable role in the process. This assignment will give you the opportunity to demonstrate your knowledge of how policymaking happens in government and the roles of various entities as well as the numerous stakeholders.

Homework Case Assignment

After reading the background materials for Module 1, please address the following questions.

· Compare and contrast policymaking at the federal, state, and local levels. How are they similar? How are they different?

· What is the role of the private sector in policymaking?

· Identify the various stakeholders in health policymaking. Why is it important to seek input from all involved?

Assignment Expectations

1. Conduct additional research to gather sufficient information to justify/support your analysis.

2. Limit your response to a maximum of 3 pages.

3. Support your paper with a minimum of 3 reliable sources. The course textbook counts as one, and at least one of the others should be a peer-reviewed article. Use the following link for additional information on how to recognize peer-reviewed journals: http://www.angelo.edu/services/library/handouts/peerrev.php

4. Please use the following resource for evaluating information found on the internet to ensure that you are using reliable sources: https://www.library.georgetown.edu/tutorials/research-guides/evaluating-internet-content

5. You may use the following source to assist in your formatting your assignment: https://owl.english.purdue.edu/owl/resource/560/01/.

 

350-word article that evaluates the cost of the health care workforce. Your article should:

• Identify three key drivers of labor costs within a specific health care service, facility, or other health sector-related occupation (e.g., labor supply, productivity improvement, technology, or personnel benefit design)
• Evaluate current industry solutions or remediation activities to address the identified labor costs
• Predict future changes (e.g., policy, funding, or public support) that might exacerbate or accelerate the solutions

During the last 5 weeks, you have explored various body systems: neurological, cardiovascular, respiratory, and hematological. These four systems work together along with other body systems to complete a myriad of functions. For this reason, when disorders occur within one body system, it can create potentially devastating effects throughout the entire body. For instance, Parkinson’s disease is a disorder of the central nervous system, yet its alterations actually affect multiple body systems from the cardiovascular system to the gastrointestinal system. In this Assignment, you examine alterations associated with disorders, as well as the impact of the alterations on multiple body systems.

To Prepare

• From the list below, select a disorder of interest to you:                   
  • Alzheimer’s disease
  • Asthma in children
  • Chronic obstructive pulmonary disease (COPD)
  • Congestive heart failure
  • Hepatic disease (liver disease)
  • Hypertension
  • Hyperthyroidism and hypothyroidism
  • Seizures
  • Sepsis
• Identify alterations associated with your selected disorder. Consider the pathophysiology of the alterations. Think about how these alterations produce pathophysiological changes in at least two body systems.
• Reflect on how patient factors such as genetics, gender, ethnicity, age, and behavior might impact the pathophysiology of the alterations you identified, as well as the diagnosis and treatment of your selected disorder. 
• Review the “Mind maps—Dementia, Endocarditis, and Gastro-oesophageal Reflux Disease (GERD)” media in the Week 2 Learning Resources. Use the examples in the media as a guide to construct a mind map for the disorder you selected. Consider the epidemiology and clinical presentation of your selected disorder.

select any one you can write very well, that ok by me.

To Complete

Develop a 5- to 10-slide PowerPoint presentation that addresses the following:

• Describe your selected disorder, as well as associated alterations. Explain the pathophysiology of the alterations, including changes that occur in at least two body systems.
• Explain how genetics, gender, ethnicity, age, and behavior might impact the pathophysiology of the alterations you identified, as well as diagnosis and treatment of your selected disorder.
• Construct a mind map for the disorder you selected. Include the epidemiology, pathophysiology of alterations, risk factors, and clinical presentation, as well as the diagnosis and treatment of the disorder.

Rubric:

Quality of Work Submitted:
The extent of which work meets the assigned criteria and work reflects graduate level critical and analytic thinking.

Quality of Work Submitted:
The purpose of the paper is clear.

Assimilation and Synthesis of Ideas:
The extend to which the work reflects the student’s ability to:
Understand and interpret the assignment’s key concepts.

Assimilation and Synthesis of Ideas:
The extend to which the work reflects the student’s ability to:
Apply and integrate material in course resources (i.e. video, required readings, and textbook) and credible outside resources.

Assimilation and Synthesis of Ideas:
The extend to which the work reflects the student’s ability to:
Synthesize (combines various components or different ideas into a new whole) material in course resources (i.e. video, required readings,  textbook) and outside, credible resources by comparing different points of view and highlighting similarities, differences, and connections.

Written Expression and Formatting
Paragraph and Sentence Structure: Paragraphs make clear points that support well developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are clearly structured and carefully focused–neither long and rambling nor short and lacking substance.

Written Expression and Formatting
English writing standards: Correct grammar, mechanics, and proper punctuation

Written Expression and Formatting
The paper follows correct APA format for title page, headings, font, spacing, margins, indentations, page numbers, running head, parenthetical/in-text citations, and reference list.