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.

Sample Solution

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PK Village offers, in select locations, full car detailing services. Using a proprietary app, customers make reservations before 10:00PM for the next day. Upon dropping their vehicle for service, customers are offered transportation to destinations located within the service area (5 miles).

Customers are notified though the app when their vehicles are ready for pick-up. They can then confirm pick-up time and location.

Reservations are taken for service starting at 6:30 AM. The last reservation is taken for 3:00 PM. Customers are promised to have their vehicles ready by 8:00 PM, Monday through Saturday. This service is not offered on Sundays.

PK Village offers six different types of detailing services. The estimated time to complete these services, as well as their observed percentages are shown in the table below.

Based on reliable forecasts, the manager of one of PK Village’s detailing shops is expecting the throughput shown below for the last week of January.

PK Village employs a mix of full and part-time detailers. Full time detailers work Monday through Saturday in 8-hour shifts (including a one-hour beak). Part time detailers work 4-hour shifts without breaks. On a fully-allocated basis, the hourly costs of full-time detailers is $11.75. Part-time detailers’ cost is 15% higher.

Deliverables:

Create an Excel spreadsheet to estimate the number of FTEs required every day of the week and produce a graph showing vehicle throughput and FTE requirements over the planning period.
Prepare a letter addressed to the operations manager of PK Village’s Auto Detailing Shop with your staffing recommendation for the week being planned.
The note should have sections
(a) describing the opportunity or problem,
(b) listing assumptions made in the analysis, and
(c) explaining the methodology used, along with
(d) justified recommendations.

Sample Solution

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