She presents with coughing and wheezing which she stated started about three weeks ago. She is currently 25 weeks pregnant.  

 Diagnose the patient based on the above findings 

  Resouces

• Milstead, J. A., & Short, N. M. (2019). Health policy and politics: A nurse’s guide (6th ed.). Jones & Bartlett Learning
  • Chapter 7, “Health Policy and Social Program Evaluation” (pp. 116–124 only)
• Glasgow, R. E., Lichtenstein, E., & Marcus, A. C. (2003). Why don’t we see more translation of health promotion research to practice? Rethinking the efficacy-to-effectiveness transitionLinks to an external site.. American Journal of Public Health, 93(8), 1261–1267.
• Shiramizu, B., Shambaugh, V., Petrovich, H., Seto, T. B., Ho, T., Mokuau, N., & Hedges, J. R. (2016). Leading by success: Impact of a clinical and translational research infrastructure program to address health inequitiesLinks to an external site.. Journal of Racial and Ethnic Health Disparities, 4(5), 983–991.
• Williams, J. K., & Anderson, C. M. (2018) Omics research ethics considerationsLinks to an external site.. Nursing Outlook, 66(4), 386–393.
• Document: Healthcare Program/Policy Evaluation Template (Word document)

To Prepare:

• Review the Healthcare Program/Policy Evaluation Analysis Template provided in the Resources.
• Select an existing healthcare program or policy evaluation, or choose one of interest to you.
• Review community, state, or federal policy evaluations and reflect on the criteria used to measure the effectiveness of the program or policy described.

The Assignment: (2–3 pages)

Based on the program or policy evaluation you selected, complete the Healthcare Program/Policy Evaluation Analysis Template. Be sure to address the following:

• Describe the healthcare program or policy outcomes.
• How was the success of the program or policy measured?
• How many people were reached by the program or policy selected?
• How much of an impact was realized with the program or policy selected?
• At what point in program implementation was the program or policy evaluation conducted?
• What data was used to conduct the program or policy evaluation?
• What specific information on unintended consequences was identified?
• What stakeholders were identified in the evaluation of the program or policy? Who would benefit most from the results and reporting of the program or policy evaluation? Be specific and provide examples.
• Did the program or policy meet the original intent and objectives? Why or why not?
• Would you recommend implementing this program or policy at your place of work? Why or why not?
• Identify at least two ways that you, as a nurse advocate, could become involved in evaluating a program or policy after one year of implementation.

Advanced Psychopharmacology and Health Promotion

Unit 5 Medications for Depression and Anxiety Related Disorders 800W. APA. 4 references due 9-29-23.

Case Study:

A 24-year-old female presents to your office stating that she is troubled by headaches and fatigue. She says that she always feels tired and can’t sleep well, often waking up early if she gets to sleep at all. She describes her headaches as dull, aching, and generalized. These symptoms began about three weeks ago and have been getting worse. She reports a lack of interest in her usual activities, even the ones that she used to enjoy. She also reports that she is missing work due to fatigue and inability to concentrate. Although both her children are in school, she is concerned that she is “losing them”. She is worried that she might have “something bad” because she has difficulty concentrating and is having frequent crying spells. She reports a loss of appetite, with a weight loss of 10 pounds in the last month.

The patient has no significant past medical or psychiatric history and takes no regular medications. However, she takes ibuprofen for headaches. She denies using alcohol or drugs. The patient is married, with two elementary school-age children.

1.

1. What diagnosis do you believe may apply to this individual?

2. What classifications of medications can be used to treat this disorder? Which medication do you recommend and why?

Responses need to address all components of the question, demonstrate critical thinking and analysis and include peer-reviewed journal evidence to support the student’s position.

Please be sure to validate your opinions and ideas with in-text citations and corresponding references in APA format.

Please review the rubric to ensure that your response meets the criteria.

What does Descartes say about being infallible certain?

Two sentences I can’t be wrong about 

1. I am thinking 

2. I think, therefore, I am

Develop an intervention (your capstone project), as a solution to the patient, family, or population problem you've defined. Submit the proposed intervention to the faculty for review and approval. This solution needs to be implemented (shared) with your patient, family, or group. You are not to share your intervention with your patient, family, or group or move on to Assessment 5 before your faculty reviews/approves the solution you submit in Assessment 4. In a separate written deliverable, write a 5–7 page analysis of your intervention.

Please submit both your solution/intervention and the 5–7 page analysis to complete Assessment 4.

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Introduction

In your first three assessments, you applied new knowledge and insight gleaned from the literature, from organizational data, and from direct consultation with the patient, family, or group (and perhaps with subject matter and industry experts) to your assessment of the problem. You’ve examined the problem from the perspectives of leadership, collaboration, communication, change management, policy, quality of care, patient safety, costs to the system and individual, technology, care coordination, and community resources. Now it’s time to turn your attention to proposing an intervention (your capstone project), as a solution to the problem.

Preparation

In this assessment, you’ll develop an intervention as a solution to the health problem you’ve defined. To prepare for the assessment, think about an appropriate intervention, based on your work in the preceding assessments, that will produce tangible, measurable results for the patient, family, or group. In addition, you might consider using a root cause analysis to explore the underlying reasons for a problem and as the basis for developing and implementing an action plan to address the problem. Some appropriate interventions include the following:

· Creating an educational brochure.

· Producing an educational voice-over PowerPoint presentation or video focusing on your topic.

· Creating a teaching plan for your patient, family, or group.

· Recommending work process or workflow changes addressing your topic.

Plan to spend at least 3 direct practicum hours working with the same patient, family, or group.

In addition, you may wish to complete the following:

· Review the assessment instructions and scoring guide to ensure that you understand the work you will be asked to complete and how it will be assessed.

· Conduct sufficient research of the scholarly and professional literature to inform your work and meet scholarly expectations for supporting evidence.

Note: As you revise your writing, check out the resources listed on the Writing Center’s 

Writing Support
 page.

Instructions

Complete this assessment in two parts: (a) develop an intervention as a solution to the problem and (b) submit your proposed intervention, with a written analysis, to your faculty for review and approval.

Part 1

Develop an intervention, as a solution to the problem, based on your assessment and supported by data and scholarly, evidence-based sources.

Incorporate relevant aspects of the following considerations that shaped your understanding of the problem:

· Leadership.

· Collaboration.

· Communication.

· Change management.

· Policy.

· Quality of care.

· Patient safety.

· Costs to the system and individual.

· Technology.

· Care coordination.

· Community resources.

Part 2

Submit your proposed intervention to your faculty for review and approval.

In a separate written deliverable, write a 5–7 page analysis of your intervention.

· Summarize the patient, family, or population problem.

· Explain why you selected this problem as the focus of your project.

· Explain why the problem is relevant to your professional practice and to the patient, family, or group.

In addition, address the requirements outlined below. These requirements correspond to the scoring guide criteria for this assessment, so be sure to address each main point. Read the performance-level descriptions for each criterion to see how your work will be assessed. In addition, note the additional requirements for document format and length and for supporting evidence.

· Define the role of leadership and change management in addressing the problem.

· Explain how leadership and change management strategies influenced the development of your proposed intervention.

· Explain how nursing ethics informed the development of your proposed intervention.

· Include a copy of the intervention/solution/professional product.

· Propose strategies for communicating and collaborating with the patient, family, or group to improve outcomes associated with the problem.

· Identify the patient, family, or group.

· Discuss the benefits of gathering their input to improve care associated with the problem.

· Identify best-practice strategies from the literature for effective communication and collaboration to improve outcomes.

· Explain how state board nursing practice standards and/or organizational or governmental policies guided the development of your proposed intervention.

· Cite the standards and/or policies that guided your work.

· Describe research that has tested the effectiveness of these standards and/or policies in improving outcomes for this problem.

· Explain how your proposed intervention will improve the quality of care, enhance patient safety, and reduce costs to the system and individual.

· Cite evidence from the literature that supports your conclusions.

· Identify relevant and available sources of benchmark data on care quality, patient safety, and costs to the system and individual.

· Explain how technology, care coordination, and the utilization of community resources can be applied in addressing the problem.

· Cite evidence from the literature that supports your conclusions.

· Write concisely and directly, using active voice.

· Apply APA formatting to in-text citations and references.

Additional Requirements

·
Format: Format the written analysis of your intervention using APA style. 

APA Style Paper Tutorial [DOCX]
 is provided to help you in writing and formatting your paper. Be sure to include:

· A title page and reference page. An abstract is not required.

· Appropriate section headings.

·
Length: Your paper should be approximately 5–7 pages in length, not including the reference page.

·
Supporting evidence: Cite at least five sources of scholarly or professional evidence that support your central ideas. Resources should be no more than five years old. Provide in-text citations and references in APA format.

·
Proofreading: Proofread your paper, before you submit it, to minimize errors that could distract readers and make it more difficult for them to focus on its substance.

Portfolio Prompt: Save your intervention to your 
ePortfolio. After you complete your program, you may want to consider leveraging your portfolio as part of a job search or other demonstration of your academic and professional competencies.

Competencies Measured

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

· Competency 1: Lead people and processes to improve patient, systems, and population outcomes.

· Define the role of leadership and change management in addressing a patient, family, or population health problem and includes a copy of intervention/solution/professional product.

· Competency 3: Transform processes to improve quality, enhance patient safety, and reduce the cost of care.

· Explain how a proposed intervention to address a patient, family, or population health problem will improve the quality of care, enhance patient safety, and reduce costs to the system and individual.

· Competency 4: Apply health information and patient care technology to improve patient and systems outcomes.

· Explain how technology, care coordination, and the utilization of community resources can be applied in addressing a patient, family, or population health problem.

· Competency 5: Analyze the impact of health policy on quality and cost of care.

· Explain how state board nursing practice standards and/or organizational or governmental policies guided the development of a proposed intervention.

· Competency 6: Collaborate interprofessionally to improve patient and population outcomes.

· Propose strategies for communicating and collaborating with a patient, family, or group to improve outcomes associated with a patient, family, or population health problem.

· Competency 8: Integrate professional standards and values into practice.

· Write concisely and directly, using active voice.

· Apply APA formatting to in-text citations and references