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Please no plagiarism and i want quality work on this. 

1. Identify a clinical topic and related nursing practice issue you think needs to be changed. 
2. Locate a systematic review on your topic from the CCN Library databases. Be sure this involves nursing actions.
3. Work through each step of the ACE Star Model as outlined on the assignment form (Star Points 1-5: Discovery, Summary, Translation, Implementation, and Evaluation). Respond to the instructions provided on the form.
4. Follow the activities and thinking of Nurse Daniel in Weeks 1-6 in the ‘Illustration’ part of each lesson. He will be working through a clinical topic and nursing practice issue to demonstrate a change (ACE Star Model and systematic review).
5. Work on a portion of the process each week, as the illustration unfolds.

Part III: Data Collection Procedures & Measurement Tools/Instruments

· Describe ALL methods to collect data in detail (i.e. interview, survey, observation……etc.)

· Describe each measurement tool/instrument used to measure/assess outcomes in the study in detail.

Part IV: Results/Findings

Participant Characteristics/Sociodemographic Findings

· Describe participant characteristics or sociodemographic status

· Must be objective, descriptive, and comprehensive

Assessing and Treating Clients with Bipolar Disorder

Introduction

Bipolar disorder is attributed to the instability in the emotions of a person and may occur as a result of the genes of the patient. Stahl et al. (2019) record that other than the genetic possibility, the occurrence of a bipolar disorder may be blamed on the neurons or biological operation of the organs of the patient. Typically, bipolar disorder arises in the changes in the moods of patients frequently. A patient with bipolar disorder could be difficult to get the best diagnosis since the patient may have varying depressive moods and the diagnosis may be made wrongly to be other health conditions such as depression. A patient with bipolar disorder may, therefore, be seen to have symptoms similar to other health issues. This paper seeks to discuss the treatment for a patient who is diagnosed with bipolar disorder.

Decision Point 1

The three options that are there for selection to help in treating the patient are Begin Lithium 300 mg orally Bid, Begin Risperdal 1 mg orally, or Begin Seroquel XR 10o mg orally at HS. The choice that is selected for the patient to use to treat the health concern is Begin Lithium 300 mg orally Bid.

Decision Rationale

Begin Lithium 300 mg orally Bid is selected for use by the patient for the management of the change in moods. The patient is reported to have swings in his moods and the use of this medication will help in the management of the frequent changes in his moods. This medication is therefore selected with the need for the treatment of the patient by handling the symptoms that are recorded due to bipolar disorder (Landersdorfer et al., 2017). The medication is expected to help in the management of the change in moods since it acts on the neurotransmitters and hence allowing for management of the moods that a patient may have.

Desired Treatment Goals

 The manic symptoms that are recorded are as well expected to be reduced by the use of this medication. As such, this medication is selected to ensure that the exaggerated moods of the patient are managed. Gozutok et al. (2019) add that the use of this medication is as well important for treating issues of anxiety and issues of having loud speaking.

Outcomes of the decision

After four weeks the patient is brought back to the healthcare facility for follow up and is found that the patient has not fully been compliant with the use of the medication since there are instances that he used the medication and in other instances did not use the medication. The patient is reported to have had no change in his condition.

Decision Point 2

The selected option for this case is the use of Begin Seroquel XR 100 mg orally at HS. The patient should have had an increase in the dose for the medication but there must be a change of medication. Other than the increase in the dosage, the patient must be educated on the importance of compliance with the use of the medication

Decision Rationale

The use of this medication is because it will help in the process of determination of the easy ways of management of mood changes in the health setting. Thus, there is an ease in the process of patient care to ensure that one can eliminate the process of change. These efforts that are taken into account are expected to help in ensuring that cases of mood changes are managed effectively as opined by Garriga et al. (2017). This medication is as well of importance in the process of management of the working of the neurotransmitters.

Desired Treatment Goals

Outcomes

The outcomes that are attained with the use of this medication are seen after four months when the patient makes a visit to the healthcare facility and it found that the patient has had an addition of weight. The patient as well points out that he has had an incidence of dry mouth and instance of constipation. The positive response found in this case is that there is an improvement in the mania condition since there is a reduction in the occurrences. The patient indicates that there has been a rise in instances where he has a good mood. The complaint presented by the patient is that the medication has had an extensive case of side effects. There is a need therefore for handling the side effect that is seen in the use of this medication to ensure that it does not affect the quality of well-being of the patient. There is a need as well for handling the issues of education of the patient on the healthcare measures that should be put into an account at all times for the best aspect of health that should be taken into account. The education as well should be in line with the need for having a better understanding of the challenges that are faced in the process of decision making and the need for compliance to the use of the medication.

Decision Point 3

The decision that is made in this case concerning the need for having a better direction of care that allows for the patients to be well informed of the best healthcare direction needed. There is a need as well for ensuring that the healthcare providers can reach out to the patients to ensure that the side effects of the medication are is handled. As such, the decision will be useful for the determination of the option that is attained concerning the side effects and the healing and making a comparison of the best option to be made. The choice, in this case, is to discontinue Seroquel and go back to Lithium.  

Decision Rationale

The reasons for discontinuing the use of Seroquel and go back to Lithium is because the use of Seroquel has resulted in side effects that may not be preferable and can be avoided. As alluded by Yatham and Kesavan (2017), the use of lithium 300 mg orally daily allows for the patients to have effective management of the issue of bipolar disorder and has fewer side effects as compared to the use of Seroquel.

Desired Treatment Goals

The use of this medication will be of importance in that it allows for the reduction of issues of noncompliance with the effective education of patients. The patient will have to receive education on the issues of compliance with the use of medication and the necessary options that should be handled concerning the process of care for patients. The patient as well should be informed of the expectation with the adherence to the use of the medication. This will be a motivation for the patient to adhere to the medication and get the best health standards.

Patient Outcome

The expectation for the use of this medication was to have a better health standard for the patient. When the patient comes to the healthcare facility for follow up after four weeks, it is found that the patient has a change in mood and that the condition of the patient has become better and that the quality of life of the patient has improved. The process ensured that there is an improvement in the quality of health and that the issue of manic moods is managed.

Ethical and Legal Consideration

In the process of provision of care and the treatment plan for patients, one must consider the ethical standards. First, the process of care mustn’t be affected by the condition that is in place and that the use of the medication should not affect the health of the patient. The healthcare providers as well should act in a way to ensure that the process of care for patients is genuine and that there is the avoidance of any issues of poor health. This includes the kind of medication that is to be used and the dosage that is to be given to the patient. It is the importance that they are in linewith the require protocols of management of issues of bipolar disorder.

As their names imply, the honeyguide bird and the honey badger both share an affinity for honey. Honeyguide birds specialize in finding beehives but struggle to access the honey within. Honey badgers are well-equipped to raid beehives but cannot always find them. However, these two honey-loving species have learned to collaborate on an effective means to meet their objectives. The honeyguide bird guides honey badgers to newly discovered hives. Once the honey badger has ransacked the hive, the honey guide bird safely enters to enjoy the leftover honey.

Much like honeyguide birds and honey badgers, nurses and health professionals from other specialty areas can—and should—collaborate to design effective programs. Nurses bring specialties to the table that make them natural partners to professionals with different specialties. When nurses take the requisite leadership in becoming involved throughout the healthcare system, these partnerships can better design and deliver highly effective programs that meet objectives.

In this Assignment, you will practice this type of leadership by advocating for a healthcare program. Equally as important, you will advocate for a collaborative role of the nurse in the design and implementation of this program. To do this, assume you are preparing to be interviewed by a professional organization/publication regarding your thoughts on the role of the nurse in the design and implementation of new healthcare programs.

To Prepare:

• Review the Resources and reflect on your thinking regarding the role of the nurse in the design and implementation of new healthcare programs.

see attached and:

https://www.nursingworld.org/practice-policy/advocacy/

https://www.cdc.gov/injury/pdfs/policy/Brief%204-a.pdf

https://www.congress.gov/

• Select a healthcare program within your practice and consider the design and implementation of this program….choose a specific healthcare program to use
• Reflect on advocacy efforts and the role of the nurse in relation to healthcare program design and implementation.

The Assignment: (2–4 pages)

In a 2- to 4-page paper, create an interview transcript of your responses to the following interview questions:

• Tell us about a healthcare program, within your practice. What are the costs and projected outcomes of this program?
• Who is your target population?
• What is the role of the nurse in providing input for the design of this healthcare program? Can you provide examples?
• What is your role as an advocate for your target population for this healthcare program? Do you have input into design decisions? How else do you impact design?
• What is the role of the nurse in healthcare program implementation? How does this role vary between design and implementation of healthcare programs? Can you provide examples?
• Who are the members of a healthcare team that you believe are most needed to implement a program? Can you explain why?

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 What is a definition of family that encompasses the different family structures prevalent today? Discuss the importance of acknowledging nontraditional family structures. Explain how family systems theory can be used to better understand the interactions of a modern family (traditional or nontraditional).  

add references, 250 words

1. You are going to present data that has been collected to your administrative group. The focus is on outcome measures and the data collected is unplanned readmission rates at two different hospitals. What format would you choose to display your data and why? What information would you include with the data?
   
2. Identify at least two stakeholder agency reporting sources. How do these external reporting groups contribute to or hinder CQI?
   
3. Select an effective current health policy that focuses on or affects population health. What components of this policy make it effective? Conduct research on its history and the factors that influenced its development

Assignment

Part 1: Comprehensive Client Family Assessment

Use Major depressive disorder and anxiety disorder or any other mood disorder

Create a comprehensive client assessment for your selected client family that addresses (without violating HIPAA regulations) the following:

• Demographic information
• Presenting problem
• History or present illness
• Past psychiatric history
• Medical history
• Substance use history
• Developmental history
• Family psychiatric history
• Psychosocial history
• History of abuse and/or trauma
• Review of systems
• Physical assessment
• Mental status exam
• Differential diagnosis
• Case formulation
• Treatment plan

Part 2: Family Genogram

Develop a genogram for the client family you selected. The genogram should extend back at least three generations (parents, grandparents, and great grandparents).

Rubric:

Quality of Work Submitted:

The extent of which work meets the assignned criteria and work reflects graduate level critical and analytic thinking.–

Excellent (90-100) 27 (27%) – 30 (30%)Good (80-89) 24 (24%) – 26 (26%)Fair (70-79) 21 (21%) – 23 (23%)Poor (0-69) 0 (0%) – 20 (20%)

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

Excellent (90-100) 5 (5%) – 5 (5%)Good (80-89) 4 (4%) – 4 (4%)Fair (70-79) 3.5 (3.5%) – 3.5 (3.5%)Poor (0-69) 0 (0%) – 3 (3%)

Assimilation and Synthesis of Ideas: The extent to which the work reflects the student’s ability to:

Understand and interpret the assignment’s key concepts.–

Excellent (90-100) 9 (9%) – 10 (10%)Good (80-89) 8 (8%) – 8 (8%)Fair (70-79) 7 (7%) – 7 (7%)Poor (0-69) 0 (0%) – 6 (6%)

Assimilation and Synthesis of Ideas: The extent 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.–

Excellent (90-100) 18 (18%) – 20 (20%)Good (80-89) 16 (16%) – 17 (17%)Fair (70-79) 14 (14%) – 15 (15%)Poor (0-69) 0 (0%) – 13 (13%)

Assimilation and Synthesis of Ideas: The extent 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.–

Excellent (90-100) 18 (18%) – 20 (20%)Good (80-89) 16 (16%) – 17 (17%)Fair (70-79) 14 (14%) – 15 (15%)Poor (0-69) 0 (0%) – 13 (13%)

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.–

Excellent (90-100) 8 (8%) – 8 (8%)Good (80-89) 7 (7%) – 7 (7%)Fair (70-79) 6 (6%) – 6 (6%)Poor (0-69) 0 (0%) – 5 (5%)

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

Excellent (90-100) 7 (7%) – 7 (7%)Good (80-89) 6 (6%) – 6 (6%)Fair (70-79) 5 (5%) – 5 (5%)Poor (0-69) 0 (0%) – 4 (4%) 

Refer back to the interview and evaluation you conducted in the Topic 2 Family Health Assessment assignment. Identify the social determinates of health (SDOH) contributing to the family’s health status. In a 750-1,000 word paper, create a plan of action to incorporate health promotion strategies for this family. Include the following:

1. Describe the SDOH that affect the family health status. What is the impact of these SDOH on the family? Discuss why these factors are prevalent for this family.
2. Based on the information gathered through the family health assessment, recommend age-appropriate screenings for each family member. Provide support and rationale for your suggestions.
3. Choose a health model to assist in creating a plan of action. Describe the model selected. Discuss the reasons why this health model is the best choice for this family. Provide rationale for your reasoning.
4. Using the model, outline the steps for a family-centered health promotion. Include strategies for communication.

Cite at least three peer-reviewed or scholarly sources to complete this assignment. Sources should be published within the last 5 years and appropriate for the assignment criteria.

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. Refer to the LopesWrite Technical Support articles for assistance.