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- 1. APA format with intext citation 3 scholarly references with in the last 5 years Plagiarism free with Turnitin report word count answering all the question below utilizing the provided case scenario Insomnia is one of the most common medical conditions you will encounter as a PMHNP. Insomnia is a common symptom of many mental illnesses, including anxiety, depression, schizophrenia, and ADHD (Abbott, 2016). Various studies have demonstrated the bidirectional relationship between insomnia and mental illness. In fact, about 50% of adults with insomnia have a mental health problem, while up to 90% of adults with depression experience sleep problems (Abbott, 2016). Due to the interconnected psychopathology, it is important that you, as the PMHNP, understand the importance of the effects some psychopharmacologic treatments may have on a patient’s mental health illness and their sleep patterns. Therefore, it is important that you understand and reflect on the evidence-based research in developing treatment plans to recommend proper sleep practices to your patients as well as recommend appropriate psychopharmacologic treatments for optimal health and well- being. review the case study excerpt presented. Reflect on the case study excerpt and consider the therapy approaches you might take to assess, diagnose, and treat the patient’s health needs. Case: An elderly widow who just lost her spouse. Subjective: A patient presents to your primary care office today with chief complaint of insomnia. Patient is 75 YO with PMH of DM, HTN, and MDD. Her husband of 41 years passed away 10 months ago. Since then, she states her depression has gotten worse as well as her sleep habits. The patient has no previous history of depression prior to her husband’s death. She is awake, alert, and oriented x3. Patient normally sees PCP once
- 2. or twice a year. Patient denies any suicidal ideations. Patient arrived at the office today by private vehicle. Patient currently takes the following medications: · Metformin 500mg BID · Januvia 100mg daily · Losartan 100mg daily · HCTZ 25mg daily · Sertraline 100mg daily Current weight: 88 kg Current height: 64 inches Temp: 98.6 degrees F BP: 132/86 Post a response to each of the following: · List three questions you might ask the patient if she were in your office. Provide a rationale for why you might ask these questions. · Identify people in the patient’s life you would need to speak to or get feedback from to further assess the patient’s situation. Include specific questions you might ask these people and why. · Explain what, if any, physical exams, and diagnostic tests would be appropriate for the patient and how the results would be used. · List a differential diagnosis for the patient. Identify the one that you think is most likely and explain why. · List two pharmacologic agents and their dosing that would be appropriate for the patient’s antidepressant therapy based on pharmacokinetics and pharmacodynamics. From a mechanism of action perspective, provide a rationale for why you might choose one agent over the other. · For the drug therapy you select, identify any contraindications
- 3. to use or alterations in dosing that may need to be considered based on ethical prescribing or decision-making. Discuss why the contraindication/alteration you identify exists. That is, what would be problematic with the use of this drug in individuals based on ethical prescribing guidelines or decision-making? · Include any “check points” (i.e., follow-up data at Week 4, 8, 12, etc.), and indicate any therapeutic changes that you might make based on possible outcomes that may happen given your treatment options chosen. Project Network DiagramPMT472L 3.2 CASE STUDY: NIGHTINGALE PROJECT - PART AOriginal Project Network DiagramConstruct a project network diagram for the stadium project, displaying activity ID, duration, earliest start, earliest finish, latest start, latest finish, and slack for each activity. Assume that the final activity in the diagram will have the same earliest finish and latest finish. NOTE: Copy-paste and fill in the 3x3 cell set to create building blocks for your project network diagram.ESIDEF0110SLSL??LSDURLF?10? Gantt Chart SchedulePMT472L 3.2 CASE STUDY: NIGHTINGALE PROJECT - PART AOriginal Gantt Chart ScheduleDevelop the Gantt chart schedule for the project to determine its estimated completion date.ActivityDuration (days)Start DateFinish DatePredecessor(s)1/3/171/4/171/5/171/6/171/9/171/10/171/11/ 171/12/171/13/171/16/171/17/171/18/171/19/171/20/171/23/171 /24/171/25/171/26/171/27/171/30/171/31/172/1/172/2/172/3/172 /6/172/7/172/8/172/9/172/10/172/13/172/14/172/15/172/16/172/ 17/172/20/172/21/172/22/172/23/172/24/172/27/172/28/173/1/1 73/2/173/3/173/6/173/7/173/8/173/9/173/10/173/13/173/14/173/ 15/173/16/173/17/173/20/173/21/173/22/173/23/173/24/173/27/ 173/28/173/29/173/30/173/31/174/3/174/4/174/5/174/6/174/7/17 4/10/174/11/174/12/174/13/174/14/174/17/174/18/174/19/174/2 0/174/21/174/24/174/25/174/26/174/27/174/28/175/1/175/2/175/ 3/175/4/175/5/175/8/175/9/175/10/175/11/175/12/175/15/175/16
- 5. MemoPMT472L 3.2 CASE STUDY: NIGHTINGALE PROJECT - PART AWill the project as planned meet the October 25, 2017 deadline?(Enter response)What activities lie on the critical path?(Enter response)How sensitive is this network?(Enter response) Case Study Rubric Case Study Rubric Criteria Ratings Pts This criterion is linked to a Learning Outcome(Individual + Group) Deliverables address all activity requirements. 25 pts Exemplary Deliverables address all activity requirements. 17 pts Proficient Deliverables address most activity requirements. 14 pts Marginal Deliverables address some activity requirements. 11 pts Weak Deliverables address little activity requirements. 0 pts No Credit Missing 25 pts This criterion is linked to a Learning Outcome(Individual) Content of deliverables demonstrates clear comprehension and/or skill application. 25 pts Exemplary Content of deliverables demonstrates clear comprehension
- 6. and/or skilled application of all activity concepts. 17 pts Proficient Content of deliverables demonstrates clear comprehension and/or skilled application of most activity concepts. 14 pts Marginal Content of deliverables demonstrates clear comprehension and/or skilled application of some activity concepts. 11 pts Weak Content of deliverables provides little comprehension and/or skilled application of activity concepts. 0 pts No Credit Missing 25 pts This criterion is linked to a Learning Outcome(Individual + Group) Responses include strong support. 25 pts Exemplary All responses include strong support for decisions such as logical, technically sound rationale or credible research. 17 pts Proficient Most responses include support for decisions such as logical, technically sound rationale or credible research. 14 pts Marginal Some responses include strong support for decisions such as logical, technically sound rationale or credible research. 11 pts Weak Only a few responses include strong support for decisions such as logical, technically sound rationale or credible research.
- 7. 0 pts No Credit Missing 25 pts This criterion is linked to a Learning Outcome(Individual + Group) Professional communication was applied. 25 pts Exemplary All communication is clear, professional, and respectful. 17 pts Proficient Most communication is clear, professional, and respectful. 14 pts Marginal Some communication is clear, professional, and respectful. 11 pts Weak Only a little of the communication is clear, professional, and respectful. 0 pts No Credit Missing 25 pts Total Points: 100