Case Study #3: Insomnia and Sleep Disorders – 2025 S H age 47 reports difficulty falling asleep and staying asleep These problems have been ongoing

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Case Study #3: Insomnia and Sleep Disorders – 2025

 

S.H., age 47, reports difficulty falling asleep and staying asleep. These problems have been ongoing for many years, but she has never mentioned them to her health care provider. She has generally “lived with it” and selftreated the problem with OTC Tylenol PM. Currently, she is also experiencing perimenopausal symptoms of night sweats and mood swings. Current medical problems include hypertension controlled with medications. Past medical history includes childhood illnesses of measles, chickenpox, and mumps. Family history is positive for diabetes on the maternal side and hypertension on the paternal side. Her only medication is an angiotensinconverting enzyme inhibitor and diuretic combination for hypertension control. She generally does not like taking medication and does not take any other OTC products.

Diagnosis: InsomnIa

1. List specific goals of therapy for S.H.

2. What drug therapy would you prescribe? Why?

3. What are the parameters for monitoring the success of the therapy?

4. Discuss specific patient education based on the prescribed therapy

5. List one or two adverse reactions for the selected agent that would cause you to change therapy.

6. What would be the choice for second-line therapy?

7. What OTC and/or alternative medicines might be appropriate for this patient?

8. What dietary and lifestyle changes might you recommend?

9. Describe one or two drug–drug or drug–food interactions for the selected agent.

 Use APA 6th Edition Format and support your work with at least 3 peer-reviewed references within 5 years of publication. Remember that you need a cover page and a reference page. All paragraphs need to be cited properly. Please use headers.  All responses must be in a narrative format and each paragraph must have at least 4 sentences. Lastly, you must have at least 2 pages of content, no greater than 4 pages, excluding cover page and reference page. 

Case Study Assignment: Assessing the Head, Eyes, Ears, Nose, and Throat – 2025 Focused Thyroid Exam Chantal a 32 year old female comes into your office with complaints of feeling

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Case Study Assignment: Assessing the Head, Eyes, Ears, Nose, and Throat – 2025

  Focused Thyroid Exam Chantal, a 32-year-old female, comes into your office with complaints of “feeling tired” and “hair falling out”. She has gained 30 pounds in the last year but notes markedly decreased appetite. On ROS, she reports not sleeping well and feels cold all the time. She is still able to enjoy her hobbies and does not believe that she is depressed. 

 

Nurses conducting assessments of the ears, nose, and throat must be able to identify the small differences between life-threatening conditions and benign ones. For instance, if a patient with a sore throat and a runny nose also has inflamed lymph nodes, the inflammation is probably due to the pathogen causing the sore throat rather than a case of throat cancer. With this knowledge and a sufficient patient health history, a nurse would not need to escalate the assessment to a biopsy or an MRI of the lymph nodes but would probably perform a simple strep test.

In this Case Study Assignment, you consider case studies of abnormal findings from patients in a clinical setting. You determine what history should be collected from the patients, what physical exams and diagnostic tests should be conducted, and formulate a differential diagnosis with several possible conditions.

To Prepare
  • By Day 1 of this week, you will be assigned to a specific case study for this Case Study Assignment. Please see the “Course Announcements” section of the classroom for your assignment from your Instructor.
  • Also, your Case Study Assignment should be in the Episodic/Focused SOAP Note format rather than the traditional narrative style format. Refer to Chapter 2 of the Sullivan text and the Episodic/Focused SOAP Template in the Week 5 Learning Resources for guidance. Remember that all Episodic/Focused SOAP Notes have specific data included in every patient case.

With regard to the case study you were assigned:

  • Review this week’s Learning Resources and consider the insights they provide.
  • Consider what history would be necessary to collect from the patient.
  • Consider what physical exams and diagnostic tests would be appropriate to gather more information about the patient’s condition. How would the results be used to make a diagnosis?
  • Identify at least five possible conditions that may be considered in a differential diagnosis for the patient.
The Assignment

Use the Episodic/Focused SOAP Template and create an episodic/focused note about the patient in the case study to which you were assigned using the episodic/focused note template provided in the Week 5 resources. Provide evidence from the literature to support diagnostic tests that would be appropriate for each case. List five different possible conditions for the patient’s differential diagnosis and justify why you selected each.

Physical health assessment principles specific to the advanced practice role – Nursing – 2025 Through this assignment the student will demonstrate the ability to Identify and articulate advanced assessment health

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Physical health assessment principles specific to the advanced practice role – Nursing – 2025

  

Through this assignment, the student will demonstrate the ability to:

  1. Identify and articulate advanced assessment health history and physical examination techniques which are relevant to a      focused body system (CO 1) 
  2. Differentiate normal and abnormal findings with regard to a disease or condition that impacts the body system (CO 2)
  3. Adapt advanced assessment skills if necessary to suit the needs of specific patient populations (CO 4) 

PLEASE REVIEW THE TWO ATTACHMENTS BEFORE ACCEPTING. 1ST IS THE SOAP NOTE AND 2ND IS THE ASSIGNMENT DETAILS AND RUBRIC. MUST BE DONE ACCORDINGLY. APA NEWEST EDITION (6TH ED.). SCHOLAR JOURNALS WITHIN 5 YEARS (2015 – PRESENT). 

MUST BE READY BY DUE DATE 

Module 6 Case Study – 2025 Module 6 Case Study The Condescending Dental Hygienist Read the attached case

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Module 6 Case Study – 2025

Module 6 Case Study: The Condescending Dental Hygienist

Read the attached case study with a focus on the key management issues.  

Using the resources provided at the end of this case study, answer the plan development and response questions as indicated in APA format.

Use a minimum of 3 scholarly references, listed in APA format. Do not use personal opinion to complete this assignment, it is based on legal and ethical issues, use scholarly sources to find your answer.

Essay – 2025 Read chapter 3 watch Week 6 Lectures and watch the films Gone Baby Gone and

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Essay – 2025

Read chapter 3, watch Week 6 Lectures, and watch the films “Gone Baby Gone” and “Sleepers”. Pick one movie and apply Kant’s moral philosophy to judge the MAIN FINAL action. For “Gone Baby Gone” judge Patrick’s final decision and for “Sleepers” judge the priest’s final decision. Judging any other action in the movie is an automatic zero. 500 words minimum in MLA format. Due on February 16th before 11:59 pm that night. Minimum 3 sources from LIRN Code: 24439 You must apply Kant’s 3 premises (course materials) for 50 points and Michael Sandel’s 3 contrasts (Week 6 Lecture “Mind your Motive”) for 50 points.

Strategies for Success PowerPoint Presentation of Practicum Project: NURS 4210 – 2025 There is no limit on the number of slides but as a rule anticipate around 15 to 17

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Strategies for Success PowerPoint Presentation of Practicum Project: NURS 4210 – 2025

There is no limit on the number of slides but, as a rule, anticipate around 15 to 17.

  • Be sure you have a title page on the presentation including your name and the title of the project
  • Describe the population group then their health problem providing data to support
    • We are interested in learning the focus of the project—the problem, and the group you determined was at highest risk for developing that problem. For example: The overall rate of chlamydia in my community is XX%; however, the highest risk group in my community for contracting chlamydia is 15-24-year-old Native American women at XX%. Or the rate of obesity in my state is XX% but the group at highest risk for developing obesity in my state are White men aged 45-59. Their rate of obesity is XX%, which is higher than the other groups.
  • Describe the results of your community assessment and how this information impacts the health of the highest risk group.
    • You will rely primarily on the results of the windshield survey and the resources you located from the community assessment to determine the impact upon the highest risk group. Perhaps you found that there are no STD clinics in your community or few to no physicians/mid-levels who accept Medicaid and your highest risk population is low income. Let us know strengths and weaknesses and how the population at highest risk is impacted. What gaps are present?
    • Identify any interviews or collaborative efforts that you engaged in to bolster your assertions. These should be noted as personal communications in the body of the PPP and not in references.
  • Developed possible evidence-based culturally appropriate interventions aimed at primary prevention specific to the community and the population at highest risk.
    • This takes some creative thinking. If you are working on lowering the prevalence of heart disease, for example, we don’t need a review of the American Heart Association website information. We all know eating more fruits and vegetables is better than consuming processed foods, and that exercise benefits virtually everyone, so don’t just regurgitate that information. Think of something that is specific to the high-risk population that you have identified. Maybe the parents of boys need more information about the benefits of HPV vaccination since the girls’ parents are already getting the immunization for their daughters. You would educate the boys’ parents differently than the girls’ parents. You will approach young African American men at high risk for stroke due to early onset hypertension differently than you will explain the risks of untreated hypertension to a group of Hispanic or Asian women. Tell us something unique that applies to the problem in your community. If you have one super unique idea, that is good enough. It is not enough to restate one idea from the American Diabetes Association website that we all know by heart.
  • Choose a way to measure the success of your intervention. We are looking for how much effect you believe your intervention might have on decreasing prevalence in the rate of disease you identified. Let us know how this new intervention might work and how you might define success. This discussion is based on the notion that all PH offices work on slim budgets and often don’t want to keep funding a program that is ineffective or change in behavior can’t be measured. We understand it often takes years for significant changes in prevalence rates but need to talk about it anyway.
  • Presented to a community professional. The name of your mentor should be on this slide.
  • Described role as a health care leader in the community. Any time we improve the health of the community membership, it is a good thing. How would you describe your impact on the community as you lead the citizens at high risk for disease or condition to better health? How do you see yourself as a health care leader?
  • The references you used in the development of the project belong at the end of the presentation in APA format. 

Points from the rubric will be assigned according to how completely all the rubric points are addressed and explained.

Evidence-Based Practice Proposal – Section D: Change Model – 2025 Evidence Based Practice Proposal Section D Change Model Roger s diffusion of innovation theory is a particularly

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Evidence-Based Practice Proposal – Section D: Change Model – 2025

     

Evidence-Based Practice Proposal – Section   D: Change Model

Roger’s diffusion of innovation theory is a particularly good theoretical framework to apply to an EBP project. However, students may also choose to use change models, such as Duck’s change curve model or the transtheoretical model of behavioral change. Other conceptual models, such as a utilization model (Stetler’s model) and EBP models (the Iowa model and ARCC model) can also be used as a framework for applying your evidence-based proposal in clinical practice. Apply one of the above models and carry your implementation through each of the stages, phases, or steps identified in the chosen model.

In 750 words (not including the title page and references page), discuss applying one of the change models to the implementation plan:

1. Identify the selected model or theoretical framework and discuss its relevance to your project.

2. Discuss each of the stages in the change model/framework.

3. Describe how you would apply each stage in your proposed implementation.

In addition, create a conceptual model of the project. Although you will not be submitting the conceptual model you design in Topic 4 with the narrative, you will include the conceptual model in the appendices for the final paper.

You are required to cite three to five sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and nursing content.

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

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

Rubric 

Change Model Application

65.0

A comprehensive discussion of an appropriate change model applied to the implementation plan is thoroughly developed with supporting details.

Required Sources

5.0

Number of required resources is met. Sources are current, and appropriate for the assignment criteria and nursing content.

Organization and Effectiveness

20.0

Thesis Development and Purpose

7.0

Thesis is comprehensive and contains the essence of the paper. Thesis statement makes the purpose of the paper clear.

Argument Logic and Construction

8.0

Clear and convincing argument that presents a persuasive claim in a distinctive and compelling manner. All sources are authoritative.

Mechanics of Writing (includes spelling, punctuation, grammar, language use)

5.0

Writer is clearly in command of standard, written, academic English.

Format

10.0

Paper Format (Use of appropriate style for the major and assignment)

5.0

Documentation of Sources (citations, footnotes, references, bibliography, etc., as appropriate to assignment and style)

5.0

You are required to submit this assignment to LopesWrite. Please refer to the directions in the Student Success Center.

All my papers for this class will be based on the below PICOT statement. This is one paper. 

PICOT Statement

(P) – Population/ problem:There has been an increase case of death among Asian Americans due to cancer.

(I) – Intervention: Reliable policy, procedure establishment and provision of necessary education to address the problem of cancer are important factors. The government should make sure there are credible institutions to train nursing professionals. The government should also make sure there are adequate public awareness classes given to ensure general population has adequate knowledge about the disease process.

(C) – Americans born and raised in united states. 

(O) The above intervention will help to fight against cancer in early detection and curb its spread. Government organizations and non government organizations should work in collaboration with the public and the society to make sure the problem of cancer is addressed and public is educated about the early detection and treatment modalities.

(T) – one year

week 1 SN – 2025 Each week you are required to enter your patient encounters into CORE Your faculty will be checking to

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week 1 SN – 2025

 Each week, you are required to enter your patient encounters into CORE. Your faculty will be checking to ensure you are seeing the right number and mix of patients for a good learning experience. You will also need to include a minimum of one complete SOAP note using the Pediatric SOAP Note template. The SOAP note should be related to the content covered in this week, and the completed note should be submitted to the Dropbox. When submitting your note, be sure to include the reference number from CORE. 

capstone – 2025 In this assignment students will pull together the change proposal project components they have been working on

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capstone – 2025

 

In this assignment, students will pull together the change proposal   project components they have been working on throughout the course to   create a proposal inclusive of sections for each content focus area in   the course. At the conclusion of this project, the student will be   able to apply evidence-based research steps and processes required as   the foundation to address a clinically oriented problem or issue in   future practice.

Students will develop a 1,250-1,500 word paper that includes the   following information as it applies to the problem, issue, suggestion,   initiative, or educational need profiled in the capstone change proposal:

  1. Background
  2. Problem statement
  3. Purpose of the     change proposal
  4. PICOT
  5. Literature search strategy   employed
  6. Evaluation of the literature
  7. Applicable     change or nursing theory utilized
  8. Proposed implementation     plan with outcome measures
  9. Identification of potential     barriers to plan implementation, and a discussion of how these could     be overcome
  10. Appendix section, if tables, graphs, surveys,     educational materials, etc. are created

Review the feedback from your instructor on the Topic 3 assignment,   PICOT Statement Paper, and Topic 6 assignment, Literature Review. Use   the feedback to make appropriate revisions to the portfolio components   before submitting.

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

This assignment uses a rubric. Please review the rubric prior to   beginning the assignment to become familiar with the expectations for   successful completion.

You are required to submit this assignment to LopesWrite

Assignment: Academic Success and Professional Development Plan Part 6: Finalizing the Plan – 2025 At some point in every construction project efforts turn from design and the focus moves to actual construction

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Assignment: Academic Success and Professional Development Plan Part 6: Finalizing the Plan – 2025

 

At some point in every construction project, efforts turn from design and the focus moves to actual construction. With the vision in place and the tools secured, the blueprint can be finalized and approved. Then it is time to put on hardhats and begin work.

Throughout the course you have developed aspects of your Academic and Professional Development Plan. You have put a great deal of thought into your vision and goals, your academic and professional network of support, research strategies and other tools you will need, the integrity of your work, and the value of consulting the work of others. With your portfolio in place, it is now time to finalize your blueprint for success.

Much as builders remain cognizant of the building standards as they plan and begin construction, nurses must remain mindful of the formal standards of practice that govern their specialty. A good understanding of these standards can help ensure that your success plan includes any steps necessary to excel within your chosen specialty.

In this Assignment you will continue developing your Academic Success and Professional Development Plan by developing the final component: a review of your specialty standards of practice. You will also submit your final version of the document, including Parts 1–5.

To Prepare:

  • Review the scope and standards of practice or competencies related to your chosen specialty.
  • Download the Nursing Specialty Comparison Matrix.
  • Examine professional organizations related to the specialization you have chosen and identify at least one to focus on for this assignment.
  • Reflect on the thoughts you shared in the Discussion forum regarding your choice of a specialty, any challenges you have encountered in making this choice, and any feedback you have received from colleagues in the Discussion.

The Assignment:
Complete the following items and incorporate them into the final version of your Academic Success and Professional Development Plan.

  • Write a paragraph that provides a detailed comparison at least two nursing specialties, including your selected specialization and second-preferred specialization.
  • Write a clear and accurate 2- to 3-paragraph justification statement identifying your reasons for choosing your MSN specialization. Provide sufficient evidence of incorporating feedback you received from colleagues in this week’s Discussion Forum.
  • Clearly identify and accurately describe in detail the professional organization related to the specialization you have chosen to focus on for this assignment and explain how you can become an active member of this organization.

Note: Your final version of the Academic Success and Professional Development Plan should include all components as presented the Academic Success and Professional Development Plan template. Make all corrections to each part based on faculty feedback and submit a final and edited copy of the template (Part 1-Part 6) in correct APA format.