Find an article on Present on Admission (POA) and provide a 200 to 300 words overview of the article.   Give a brief overview of the article, and explain how this article would help you understand Present on Admission indicators. Use APA format and reference in APA format. (10 points =9 points for the article and 1 point for the reference in APA format. )

 Part 2 

A list of HAC can be found on https://www.health.ny.gov/health_care/medicaid/quality/hac/policy/ and https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/HospitalAcqCond/Hospital-Acquired_Conditions.html

For this assignment you will chose one of the HAC conditions and find an article on how a facility can prevent the condition. Examples would be reductions of hospital-acquired pneumonia, injuries from falls while in the hospital, or operating on the wrong site.

Explain what actions a healthcare facility can do to prevent the HAC condition you chose, and analyze current regulations and established guidelines for HACs. Your report on your findings should have a heading of the condition you researched (ex: How to Reduce Fall Risk in a Hospital), the paper should be at least 250 words. You also need to reference the article you chose, and use APA format for assignment and reference.

Identify and discuss the three primary ethical principles articulated in the Belmont Report on which the standards of ethical conduct in research are based, and analyze those procedures that every researcher must incorporate to comply with said principles. Each student must expose the information obtained from the search for it.

this is an assignment that must be 2 pages long with 15% or less of plagiarism MUST BE 15% OR LESS WILL DISPUTE AND REVIEW IF IS NOT LESS THAN 15%

o Typed according to APA style for margins 7 edition, formatting and spacing

standards. Please include RUNNING HEAD ON THE PAPER

o Would need an Abstract. Good 5 reference page format, References no more

than 5 year old.

o After submission, a rating of 0-15% similarity will be considered acceptable. Over

15% will not be considered acceptable.

o NOTE:  Wikipedia is not a source to be used in any of the generated work; using it

will result in a “zero” for the assignment.

o I need that you sent me also the plagiarism report.

Directions

1. Please review the infographic as way to guide you in getting started with your assignment: Developing an Assignment with Integrity (Links to an external site.)
2. View a short tutorial with tips for completing this assignment: Healthcare Policy Assignment Tutorial (Links to an external site.)
3.  (Links to an external site.)This assignment will be in the format of a PowerPoint presentation (Bullet points may be used).
4. You are educating your peers through this presentation regarding a federal bill you believe may be of interest to nurses.
5. Go to https://www.govtrack.us/congress/bills/subjects/health/6130 (Links to an external site.)
6. Choose a health-related federal bill of interest. Read through the bill and develop a summary in your own words. Include the bill number and name.
7. Here is a link to our U.S. legislative process (bill to law) for review, if needed: https://www.congress.gov/legislative-process (Links to an external site.)
8. For those not familiar with the development of a PowerPoint slideshow, the following link to the Microsoft Office 365 Training (Links to an external site.) may be helpful.
9. Include the following information in your presentation
   • Title slide (Your name, NR451, session, Healthcare Policy assignment)
   • Bill name and number (indicate either H.B. or S.B.)
   • Bill summary (in your own words)
   • Address how this bill might impact professional nursing practice standards if passed? If not passed?
   • How might the bill impact your own nursing practice?
   • How might you communicate your concerns about or support for this bill based on nursing practice, standards, or patient outcomes?
   • How might this bill impact your community?
   • References slide to include the Bill source in APA format.
   • No more than 12 slides

Template

There is no required form or template for this assignment. Please use PowerPoint best practices throughout your presentation.

Best Practices

The following are best practices in preparing this presentation.

• Review directions and rubric thoroughly prior to beginning assignment.
• Watch the short video tutorials on tips for completing the assignment and on developing a PowerPoint. Incorporate graphics, clip art, or photographs to increase interest.
• Make slides easy to read with short bullet points and large font.
• Please see the grading criteria and rubrics on this page.
• Please use your browser’s File setting to save or print this page.

Scholarly Sources and Citations

• Cite all sources on the appropriate slides with (author, year) as well as on the Reference slide.
• Spell check for spelling and grammar errors prior to final submission.

**Academic Integrity**

Chamberlain College of Nursing values honesty and integrity. All students should be aware of the Academic Integrity policy and follow it in all discussions and assignments.

By submitting this assignment, I pledge on my honor that all content contained is my own original work except as quoted and cited appropriately. I have not received any unauthorized assistance on this assignment.

The Assignment: 5 pages

Examine Case Study: Pharmacologic Approaches to the Treatment of Insomnia in a Younger Adult. You will be asked to make three decisions concerning the medication to prescribe to this patient. Be sure to consider factors that might impact the patient’s pharmacokinetic and pharmacodynamic processes.

At each decision point, you should evaluate all options before selecting your decision and moving throughout the exercise. Before you make your decision, make sure that you have researched each option and that you evaluate the decision that you will select. Be sure to research each option using the primary literature. 

Introduction to the case (1 page)

• Briefly explain and summarize the case for this Assignment. Be sure to include the specific patient factors that may impact your decision making when prescribing medication for this patient.

Decision #1 (1 page)

• Which decision did you select?
• Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
• Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
• What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature).
• Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples.

Decision #2 (1 page)

• Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
• Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
• What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature).
• Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples.

Decision #3 (1 page)

• Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
• Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
• What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature).
• Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples.

Conclusion (1 page)

• Summarize your recommendations on the treatment options you selected for this patient. Be sure to justify your recommendations and support your response with clinically relevant and patient-specific resources, including the primary literature.

BACKGROUND

This week, we examine a 31-year-old male who presents to the office with a chief complaint of insomnia. 

SUBJECTIVE

Patient is a 31-year-old male. He states that his insomnia has gotten progressively worse over the past 6 months. Per the patient, he has never been a “great sleeper” but is now having difficulty both falling asleep and staying asleep at night. The problem began approximately 6 months ago after the sudden loss of his fiancé. The patient states this is affecting his ability to perform his job, which is a forklift operator at a local chemical company. The patient states he has used diphenhydramine in the past to sleep but does not like the way it makes him feel the morning after. He states he has fallen asleep on the job due to lack of sleep from the night before. The patient’s medical record from his previous physician states that he has a history of opiate abuse, which began after he broke his ankle in a skiing accident and was prescribed hydrocodone/apap (acetaminophen) for acute pain management. The patient has not received a prescription for an opiate analgesic in 4 years. The patient states recently he has been using alcohol to help him fall asleep, approximately four beers prior to bed.

MENTAL STATUS EXAM

The patient is alert and oriented to person, place, time, event. He makes good eye contact and is dressed appropriately for time of year. He denies auditory/visual hallucinations. Judgement, insight, and reality contact are all intact. Patient denies suicidal/homicidal ideation, and is future oriented.

Decision Point One

Trazodone: 50–100 mg daily at bedtime 

RESULTS OF DECISION POINT ONE

• Patient returns to clinic in 2 weeks
• Patient states medication works well but gives him an unpleasant side effect of a prolonged erection of the penis, approximately 15 minutes after waking 
• Patient states this makes it difficult to get ready for work or go downstairs and have coffee with his girlfriend and daughter in the morning
• Patient denies auditory/visual hallucinations and is future oriented

Decision Point Two

Explain that priapism is a side effect of trazodone that should diminish over time. Continue dose 

RESULTS OF DECISION POINT TWO

• Patient returns to clinic in 2 weeks
• Patient states priapism has diminished over time
• Patient denies auditory/visual hallucinations and is future oriented 
• Patient states trazodone is effective at 50 mg dose but sometimes wakes up following day with next-day drowsiness
• Patient denies auditory/visual hallucinations and is future oriented

Decision Point Three

Continue dose. Explain to patient he may split the 50 mg tablet in half. The decreased dose should minimize next-day drowsiness. Follow up in 4 weeks 

Guidance to Student
Trazodone is a selective serotonin reuptake inhibitor that has a low side effect profile. It would not be prudent to prescribe sonata as it carries with it the risk of complex sleep behaviors. Hydroxyzine is an antihistamine with strong sedative properties. However, many patients complain of anticholinergic adverse effects the following morning, such as Xerostomia and Xerophthalmia.
The patient is presenting with excessive somnolence. It would be prudent to reduce the dose of trazodone by 50% and reassess in 4 weeks. 

Basic concept and system disorder assignment.

This a research which is not in a form of essay but templates detailing all the areas that need to be worked on. Cite source in APA format. Four pages including title page and reference.

An example: Basic concept is mobility and system disorder will be fractured hip.

Renal failure basic concept and systems disorder.

1.Complete the three areas of the basic concept template describing this concept in detail.

Under basic concept talk about the related content (delegation, levels of prevention, advanced directives) underlying principles and nursing intervention (who, when, how why).

Complete an analysis reviewing how the selected concept and systems disorder is related.

2.Complete all areas of the systems disorder template.

Talk about alterations in health (diagnosis), Pathophysiology relating to the patient, health promotion and disease prevention.

Assessment: risk factors, expected findings, lab test, safety consideration and diagnostic procedures.

Patient centered care: nursing care, medication, patient education, complications, therapeutic procedures, interprofessional care.