Use APA 6th Edition Format and support your work with at least 3 peer-reviewed references within 5 years of publication. Remember that you need a cover page and a reference page. All paragraphs need to be cited properly. Please use headers.  All responses must be in a narrative format and each paragraph must have at least 4 sentences. Lastly, you must have at least 2 pages of content, no greater than 4 pages, excluding cover page and reference page.

Case Study #3: Insomnia and Sleep Disorders 

S.H., age 47, reports difficulty falling asleep and staying asleep. These problems have been ongoing for many years, but she has never mentioned them to her health care provider. She has generally “lived with it” and self treated the problem with OTC Tylenol PM. Currently, she is also experiencing perimenopausal symptoms of night sweats and mood swings. Current medical problems include hypertension controlled with medications. Past medical history includes childhood illnesses of measles, chickenpox, and mumps. Family history is positive for diabetes on the maternal side and hypertension on the paternal side. Her only medication is an angiotensin converting enzyme inhibitor and diuretic combination for hypertension control. She generally does not like taking medication and does not take any other OTC products.

Diagnosis: InsomnIa

1. List specific goals of therapy for S.H.

2. What drug therapy would you prescribe? Why?

3. What are the parameters for monitoring the success of the therapy?

4. Discuss specific patient education based on the prescribed therapy

5. List one or two adverse reactions for the selected agent that would cause you to change therapy.

6. What would be the choice for second-line therapy?

7. What OTC and/or alternative medicines might be appropriate for this patient?

8. What dietary and lifestyle changes might you recommend?

9. Describe one or two drug–drug or drug–food interactions for the selected agent.

In 500 words or more discuss one of the roles of the informatics specialist described in the readings. (chapter 16 Sewell, J. (2016). Informatics & nursing: Opportunities & challenges (5th ed.) Lippincott, Williams & Wilkins: Philadelphia.). Look for a nursing informatics organization on the Internet and discuss information from the site about the nurse informatics role.

Please reference the book   and internet source APA style

Sewell, J. (2016). Informatics & nursing: Opportunities & challenges (5th ed.) Lippincott, Williams & Wilkins: Philadelphia.

 Utilizing Process Improvement Models in Saudi Healthcare Settings (110 points)

You have been asked by the Board of Directors to persuade stakeholders in your healthcare organization to adopt Lean Six Sigma.

In this assignment, you will write an executive summary that can be distributed to inform stakeholders about Lean Sigma and how it will benefit your organization and your plan for implementation.

In each summary, you will include the following:

• A succinct overview of the model
• The impact of the model on quality
• The impact of the model on cost
• Barriers to implementation in your organization and how you would address them
• Brief implementation plan

There are many formats for executive summaries, but they all include relevant headings and succinct descriptions.

Click on the following link to view an example of an executive summary, if desired:

Executive Summary Example Executive Summary Example – Alternative Formats

Your well-written executive summary should meet the following requirements:

• Each executive summary should be 2-to-3 pages in length, excluding the cover and reference pages.
• The summary should have its own reference page.
• Provide full APA references for the articles selected and any additional sources used, along with appropriate in-text citations.
• Provide support for your statements with in-text citations from a minimum of four scholarly articles. Two of these sources may be from the class readings, textbook, or lectures, but the others must be external.
• Formatted per Saudi Arabia Electronic University and APA formatting guidelines.
• Utilize headings to organize the content of your work.
• Make sure headings correspond to the assignment requirements.

Nursing Care of Physiologic and Psychologic Disorders PowerPoint Presentation

Discuss the Nursing care of age-related Physiologic or Psychologic Disorder.

1. Present the age-related Physiologic or Psychologic Disorder
   Choose from one: Integumentary function, Urinary function, Musculoskeletal function or Endocrine function.
2. Describe the age-related changes and common problems and conditions.
3. Summarize the nursing management appropriate for your Physiologic or Psychologic Disorder chosen

Submission Instructions:

• Presentation is original work and logically organized. 
• Followed current APA format including citation of references.
• Power point presentation with 4-6 slides were clear and easy to read. Speaker notes expanded upon and clarified content on the slides.
• Incorporate a minimum of 4 current (published within last five years) scholarly journal articles or primary legal sources (statutes, court opinions) within your work.
• Journal articles and books should be referenced according to current APA style.

Select one of the more common statistical tests used in nursing research. State which statistic you selected. What level of measurement is required for using your selected statistical test? Provide an example of how your selected statistical test could be used in a nursing research study.

Expectations

Initial Post:

· Length: A minimum of 250 words, not including references

· Citations: At least one high-level scholarly reference in APA format from within the last 5 years

Discussion: Respond to Posts in Your Own Thread

please use the text below for reference

Carlson, J.F., Geisinger, K.F., & Jonson, J.L.(Eds.) (2017). The Twentieth Mental Measurements Yearbook [Reference]. Lincoln, NE: Buros Center for Testing.

This could be based on the week 3 discussion post or it could be related to your original PICOT question.  My PICOT question is 

For elderly patients above 60 years with pressure ulcers (P) will the negative pressure wound therapy (I) as opposed to standard moist wound therapy (C) improve the healing of the pressure ulcer (O) during their two-week stay at the hospital (T).