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Minimum of 250 words with at least 1 peer review reference in 7th edition apa style

• Why is skilled communication among health professionals so difficult to achieve? How will you overcome the use of ineffective communication?

 Select Health Policy Analysis Paper on a local, state, or federal policy that you have explored along with recommendations based upon the analysis. • Analyze and evaluate the Health Policy • Identify application of health policy into clinical practice. ➢ Your paper must have an Introduction and a Conclusion ➢ Maximum of 6 pages (not including Title and Reference page). ➢ APA format ➢ At least 5 references within 5 years. 

 Mason, D.J., Gardner, D. B., Outlaw, F. H., & O’Grady, E. T. (2016). Policy & Politics in Nursing and Health Care, 7th Edition. St. Louis, Missouri, Elsevier 

 I NEED A RESPONSE TO THIS ASSIGNMENT

ZERO PLAGIARISM

2 REFERENCES

Diagnosis to Consider and Codes

            Major Depressive Disorder, recurrent moderate F33.1

            Generalized anxiety disorder 41.1

Rationale for Diagnosis

            Major Depressive Disorder, recurrent moderate-The patient meets at least the required five criteria needed for a MDD diagnosis (American Psychiatric Association, 2013). He is in a low mood for a better part of the day (American Psychiatric Association, 2013), most days as he spends the day lying on the couch. He has stopped volunteering at a nursing home, which meets marker number two: a decrease of pleasure in activities (American Psychiatric Association, 2013). He also has both insomnia and hypersomnia because he cannot fall asleep and then spends the day on the couch (American Psychiatric Association, 2013). Next, he has a fatigue in which he believes himself to be moving in slow motion (American Psychiatric Association, 2013).  Lastly, he has been having recurrent thoughts regarding death, as he has had a recent diagnosis of prostate cancer, and his father’s current health status (American Psychiatric Association, 2013).

            GAD- He meets the criteria for this because he has had anxiety and worry for over six months, he has difficulty controlling the anxiety, and the anxiety is manifested by being fatigued easily, with sleep disturbances, and restlessness when he attempts to fall asleep (American Psychiatric Association, 2013).

Tests and Tools

            For MDD, I would use the Hamilton Depression Rating scale or the Patient health Questionnaire.  I would also check the T3, T4, CBC, CMP, and A1C of the patient to rule out any external factors.  For GAD, I would use the Beck Anxiety Inventory (BAI) or the GAD-7 for measurement of the symptom’s severity.

Differential Diagnosis to Consider

For MDD I would consider Posttraumatic Stress disorder and adjustment disorder (American Psychiatric Association, 2013). I would also consider anxiety disorder due to another medical condition (American Psychiatric Association, 2013).

Treatment Strategy and Rationale

            For this patient, I would recommend therapy, to include CBT, and possibly family therapy. Recommendation of these items addresses the depression head on, including the family may be beneficial to the patient’s treatment (Depression, 2020). I would like to trial bupropion with this patient and recommend an increase of activity with alternative approaches like seeking religious counseling (if he is religious). I would also recommend attending a support group for the loss of his wife and the impending death of his father. 

Safety

With this patient, I would develop a safety plan to put in place in case the patient developed and SI.  I would also identify a person close to the patient, who would be willing to listen to the patient in a crisis or would be able to hold possible weapons for the patient.  I would also provide crisis line numbers to the patient in the event of a crisis occurring after hours.

Psychopharmacology

             Since this patient has trialed Effexor, Prozac, Zoloft, Lexapro and duloxetine, I would trial bupropion for this patient I would titrate up to 300mg per day to see if there has been any improvement in mood and adjust or switch from that point. 

Diagnostic Tests

            I would use the PHQ depression scale and the HAM and the GAD-7 tests to monitor and track the progression or the digression of the diagnosis.

Psychotherapy

            I would begin with supportive listening and CBT.  If after a few sessions, this did not provide any relief, I would adjust my approach to fit the patient’s needs.

Psychoeducation

            This would be most advantageous to the patient because this would empower the patient to understand about depression, giving the patient an opportunity to talk about their experiences and to be a part of their treatment plan (Depression an Information Guide, 2020). If he includes his family, it would also be beneficial to them by learning about the signs and symptoms of depression and what they can do to assist them (Depression an Information Guide, 2020).

Standard Guidelines

            For MDD, I would establish a therapeutic alliance, complete a psychiatric assessment, evaluate the patient’s safety, establish an appropriate treatment setting, coordinate and collaborate with other providers (Practice Guideline for the Treatment of Patients with Major Depressive Disorder, 2020). I would continue to monitor and adjust treatments as necessary to his psychiatric status and integrate measurements such as the PHQ (Practice Guideline for the Treatment of Patients with Major Depressive Disorder, 2020). I would also provide education to both the patient and with approval, the patient’s family (Practice Guideline for the Treatment of Patients with Major Depressive Disorder, 2020).

Clinical Note: Is depression a normal part of aging?

Some would consider depression to be a normal part of aging. However, that is a common misconception because people become more susceptible to sadness and anxiety (CDC, 2020). This increased risk may be from chronic health conditions, misdiagnosis, and undertreatment of symptoms (CDC, 2020). Being able to accurately identify and treat depression in an aging person needs to be a fundamental part of a PMHNP’s repertoire. Knowing the signs and the symptoms in an aging patient is key to identifying and accurately diagnosing depression.  

Reference

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders             (5th ed.). Washington, DC: Author.

Depression an Information Guide (2020). [Ebook]. Retrieved from http://www.camh.ca/-  /media/files/guides-and-publications/depression-guide-en.pdf

Depression is Not a Normal Part of Growing Older | Healthy Aging | CDC. (2020). Retrieved 28 October 2020, from https://www.cdc.gov/aging/mentalhealth/depression.htm

Depression | NAMI: National Alliance on Mental Illness. (2020). Retrieved 28 October 2020,      from https://www.nami.org/About-Mental-Illness/Mental-Health-Conditions/Depression

Gautam, S., Jain, A., Gautam, M., Vahia, V. N., & Grover, S. (2017). Clinical Practice     Guidelines for the management of Depression. Indian journal of psychiatry, 59(Suppl 1),                   S34–S50. https://doi.org/10.4103/0019-5545.196973

Practice Guideline for the Treatment of Patients with Major Depressive Disorder. (2020).             [Ebook]. Retrieved from             https://psychiatryonline.org/pb/assets/raw/sitewide/practice_guidelines/guidelines/mdd.p              df

Compare the EBP competencies for Practicing Registered Nurses and Advanced Practice Nurses:

1. Identify the competencies that you are currently meeting. Provide examples as to how you are meeting them.

2. Discuss how you will plan to meet the EBP competencies for Advanced Practice Nurses as you are pursuing the nurse practitioner role (Advanced Practice) or seeking advanced nursing practice via the leadership track.

 ZERO PLAGIARISM

FIVE REFERENCES

The adolescent population is often referred to as “young adults,” but in some ways, this is a misrepresentation. Adolescents are not children, but they are not yet adults either. This transition from childhood to adulthood often poses many unique challenges to working with adolescent clients, particularly in terms of disruptive behavior. In your role, you must overcome these behaviors to effectively counsel clients. For this Discussion, as you examine the Disruptive Behaviors media in this week’s Learning Resources, consider how you might assess and treat adolescent clients presenting with disruptive behavior.

Learning Objectives

Students will:

• Assess clients presenting with disruptive behavior
• Analyze therapeutic approaches for treating clients presenting with disruptive behavior
• Evaluate outcomes for clients presenting with disruptive behavior

To prepare:

• Review this week’s Learning Resources and reflect on the insights they provide.
• View the media, Disruptive Behaviors. Select one of the four case studies and assess the client.
• For guidance on assessing the client, refer to pages 137-142 of the Wheeler text in this week’s Learning Resources.

Post an explanation of your observations of the client in the case study you selected, including behaviors that align to the criteria in DSM-5. Then, explain therapeutic approaches you might use with this client, including psychotropic medications if appropriate. Finally, explain expected outcomes for the client based on these therapeutic approaches. Support your approach with evidence-based literature.

Please I need help with these questions. There are two links to a youtube video to watch and will be used to answer the questions in appendix H. The files are attached below, thank you.

Title: Medicaid and Medicare

Paper type Dissertation Chapter – Discussion

Paper format APA

Course level Master

Subject Area Nursing

# pages 1   ( or 300 words Minimum)

Spacing Double Spacing

# sources 3

Paper Details

Summarize ways in which health insurance fails, as people get older. Distinguish between Medicaid and Medicare. Determine whether your state has expanded Medicaid. Why would states choose not to participate in Medicaid expansion?

Week 4: Sample

The most common sampling method is the convenience sample; therefore, many of the studies that you find for evidence use this sampling method. What are the implications of using a convenience sample on the way that you interpret and use the findings?

Compare the sampling strategies for quantitative studies with qualitative studies. What negative effects could occur if you used a quantitative sampling method for a qualitative study and vice versa?

Not all EBP projects result in statistically significant results. Define clinical significance, and explain the difference between clinical and statistical significance. How can you use clinical significance to support positive outcomes in your project?

Need a 4 page paper for nursing course needed for today