Create a 3-5-page annotated bibliography and summary based on your research related to best practices addressing one of the health care problems or issues in the Assessment Topic Areas media piece faced by a health care organization that is of interest to you.

Introduction

In your professional life, you will need to find credible evidence to support your decisions and your plans of action. You will want to keep abreast of best practices to help your organization adapt to the ever-changing health care environment. Being adept at research will help you find the information you need. For this assessment, you will review the Assessment Topic Areas media piece and select one of the health care problems or issues to research a current health care problem or issue faced by a health care organization that is of interest to you. 

Demonstration of Proficiency

By successfully completing this assessment, you will demonstrate your proficiency in the course competencies through the following assessment scoring guide criteria:

• Competency 1: Apply information literacy and library research skills to obtain scholarly information in the field of health care.
  • Identify academic peer-reviewed journal articles relevant to a health care problem or issue and describe the criteria used for the literature search.
• Competency 2: Apply scholarly information through critical thinking to solve problems in the field of health care.
  • Assess the credibility and relevance of information sources.
  • Summarize what was learned from developing an annotated bibliography.
  • Analyze academic peer-reviewed journal articles using the annotated bibliography organizational format.
• Competency 4: Write for a specific audience, in appropriate tone and style, in accordance with Capella’s writing standards.
  • Summarize a health care problem or issue and describe a personal interest in it and experience with it.
  • Write clearly and logically, with correct use of spelling, grammar, punctuation, and mechanics.
  • Write following APA style for in-text citations, quotes, and references.

Instructions

Note: The requirements outlined below correspond to the grading criteria in the scoring guide. At a minimum, be sure to address each point. In addition, you are encouraged to review the performance-level descriptions for each criterion to see how your work will be assessed.

For this assessment, research best practices related to a current health care problem. Your selected problem or issue will be utilized again in Assessment 3. To explore your chosen topic, you should use the first two steps of the Socratic Problem-Solving Approach to aid your critical thinking.

1. View the Assessment Topic Areas media piece and select one of the health care problems or issues in the media piece to research. Write a brief overview of the selected topic. In your overview:
   • Summarize the health care problem or issue.
   • Describe your interest in the topic.
   • Describe any professional experience you have with this topic.
2. Identify peer-reviewed articles relevant to health care issue or problem.
   • Conduct a search for scholarly or academic peer-reviewed literature related to the topic and describe the criteria you used to search for articles, including the names of the databases you used. You will select four current scholarly or academic peer-reviewed journal articles published during the past 3–5 years that relate to your topic.
     • You will want to access the applicable Undergraduate Library Research Guide related to your degree (found at the NHS Learner Success Lab) for tips to help you in your search.
   • Use keywords related to the health care problem or issue you are researching to select relevant articles.
3. Assess the credibility and explain relevance of the information sources you find.
   • Determine if the source is from an academic peer-reviewed journal.
   • Determine if the publication is current.
   • Determine if information in the academic peer-reviewed journal article is still relevant.
4. Analyze academic peer-reviewed journal articles using the annotated bibliography organizational format. Provide rationale for inclusion of each selected article. The purpose of an annotated bibliography is to document a list of references along with key information about each one. The detail about the reference is the annotation. Developing this annotated bibliography will create a foundation of knowledge about the selected topic. In your annotated bibliography:
   • Identify the purpose of the article.
   • Summarize the information.
   • Provide rationale for inclusion of each article.
   • Include the conclusions and findings of the article.
   • Write your annotated bibliography in a paragraph form. The annotated bibliography should be approximately 150 words (1–3 paragraphs) in length.
   • List the full reference for the source in APA format (author, date, title, publisher, et cetera) and use APA format for the annotated bibliography. 
   • Make sure the references are listed in alphabetical order, are double-spaced, and use hanging indents.
5. Summarize what you have learned from developing an annotated bibliography.
   • Summarize what you learned from your research in a separate paragraph or two at the end of the paper.
   • List the main points you learned from your research.
   • Summarize the main contributions of the sources you chose and how they enhanced your knowledge about the topic.

Example Assessment: You may use the following to give you an idea of what a Proficient or higher rating on the scoring guide would look like:

• Assessment 2 Example [PDF].

Additional Requirements

Your assessment should also meet the following requirements:

• Length: 3–5 typed, double-spaced pages, not including the title page and reference page.
• Font and font size: Times New Roman, 12 point.
• APA template: Use the APA Style Paper Template [DOCX] as the paper format and the APA Style Paper Tutorial [DOCX] for guidance.
• Written communication: Write clearly and logically, with correct use of spelling, grammar, punctuation, and mechanics.
• Content: Provide a title page and reference page following APA style.
• References: Use at least four scholarly or academic peer-reviewed journal articles.
• APA format: Follow current APA guidelines for in-text citation of outside sources in the body of your paper and also on the reference page.

If you would like assistance in organizing your assessment, or if you simply have a question about your assessment, please do not hesitate to ask faculty or the teaching assistants in the NHS Learner Success Lab for guidance and suggestions.

Note: Faculty may use the Writing Feedback Tool when grading this assessment. The Writing Feedback Tool is designed to provide you with guidance and resources to develop your writing based on five core skills. You will find writing feedback in the Scoring Guide for the assessment, once your work has been evaluated.

Using resources such as the CDC, state and county health department websites, and various local resources, identify an opportunity for improved health behavior in an individual client. Your paper should be 1 – 2 pages in length in addition to the cover page and reference page. You should use a minimum of three references to support your work.

Be sure to cover the following:

1. Identify an opportunity to for improved health behavior in an individualized client.
2. Identify short and long term goals for the achievement of the overall health goal.
3. Using Healthy People 2020, identify which problem you are working on improving.
4. Recognize local resources to aid in the resolution of the identified problem.
5. Discuss measurements that can be used to determine the responses to interventions.

A new director decides to reorganize the department you work in.This reorganization comes about without input from the employees and many of the nurses that you oversee are feeling resentful of the change.  AS a nurse leader, identify factors that may lead to conflict and ways you can manage them. 1 page.

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