Write a 350- to 525-word memo to a specific target audience at your organization.

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For this assignment, you will play the role of a chief nursing officer communicating a recent change in healthcare law, policy, or regulatory requirement.
Write a 350- to 525-word memo to a specific target audience at your organization. Your memo should include:

Target audience of the memo
An explanation of a new, or change in, regulatory requirement that affects your facility
Internal policy changes that address the regulatory requirement
The influence on nursing procedures
The influence on patient care
How the change will be implemented across the organization

Include an APA-formatted reference page for any sources used; at least three, current references are to be used for this assignment.

Describe a method for providing both the patient and family with education and explain your rationale.

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Case Study 2
Mr. P is a 76-year-old male with cardiomyopathy and congestive heart failure who has been hospitalized frequently to treat CHF symptoms. He has difficulty maintaining diet restrictions and managing his polypharmacy. He has 4+ pitting edema, moist crackles throughout lung fields, and labored breathing. He has no family other than his wife, who verbalizes sadness over his declining health and over her inability to get out of the house. She is overwhelmed with the stack of medical bills, as Mr. P always took care of the financial issues. Mr. P is despondent and asks why God has not taken him.
Question
Considering Mr. P’s condition and circumstance, write an essay of 500-750 words that includes the following:
· Describe your approach to care.
· Recommend a treatment plan.
· Describe a method for providing both the patient and family with education and explain your rationale.
· Provide a teaching plan (avoid using terminology that the patient and family may not understand).
   4�o$B 
In a short essay (500-750 words), answer the Question at the end of Case Study 1. Cite references to support your positions.
Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.
This assignment uses a grading rubric. Instructors will be using the rubric to grade the assignment; therefore, students should review the rubric prior to beginning the assignment to become familiar with the assignment criteria and expectations for successful completion of the assignment.
You are required to submit this assignment to Turnitin.

  
Case Study 1
Case Study 1
Ms. A. is an apparently healthy 26-year-old white woman. Since the beginning of the current golf season, Ms. A has noted increased shortness of breath and low levels of energy and enthusiasm. These symptoms seem worse during her menses. Today, while playing in a golf tournament at a high, mountainous course, she became light-headed and was taken by her golfing partner to the emergency clinic. The attending physician’s notes indicated a temperature of 98 degrees F, an elevated heart rate and respiratory rate, and low blood pressure. Ms. A states, “Menorrhagia and dysmenorrheal have been a problem for 10-12 years, and I take 1,000 mg of aspirin every 3 to 4 hours for 6 days during menstruation.” During the summer months, while playing golf, she also takes aspirin to avoid “stiffness in my joints.”
Laboratory values are as follows:
Hemoglobin = 8 g/dl
Hematocrit = 32%
Erythrocyte count = 3.1 x 10/mm
RBC smear showed microcytic and hypochromic cells
Reticulocyte count = 1.5%
Other laboratory values were within normal limits.
Question
Considering the circumstances and the preliminary workup, what type of anemia does Ms. A most likely have? In an essay of 500-750 words, explain your answer and include rationale.

The Impact of Intrinsic Motivation

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Assignment: The Impact of Intrinsic Motivation
Reflect for a moment on your nursing career. About what are you most passionate? When do you feel you are at your best? What brings you the greatest satisfaction in your work? Positive feelings in the workplace are usually fueled by intrinsic motivators: healthy relationships, meaningful purpose, competence, choice, and progress. As a nurse manager, it is helpful to recognize what motivates you to perform well in your own job. You should also take time to understand the motivations of employees. By speaking to staff about their interests and professional goals, nurse managers can build relationships and thus provide appropriate motivators.
For this Assignment, you examine your personal work experiences to determine which of the five intrinsic motivators are more influential in shaping your positive feelings about the workplace.
To prepare

Reflect on your work history, from your first job to your current employment.
Select one time period or situation in which you felt professionally happy, motivated, and fulfilled in your job. What do you remember most about this time period? What are, or were, the various personal and professional factors that helped to shape these feelings?
Select one time period or situation in which you felt professionally unhappy, disengaged, and unfulfilled in your job. What do you remember most about this time period? What are, or were, the various personal and professional factors that caused these feelings?
Review the selected pages from Chapter 7, “Coaching and Developing Others” in the course text, From Management to Leadership: Strategies for Transforming Health Care. Consider the potential influence of the five intrinsic motivators during your chosen time period or situation.

Which intrinsic motivators seem to resonate more with your own perceptions of job fulfillment?
Which motivators do you believe have greater influence on your professional well-being?

Review the media, “Fostering a Positive Workplace.” How can nurse leaders use their awareness of the five motivators to engage and retain nursing staff?

To complete
By Day 7 of Week 8
Submit a 3- to 5-page paper in which you do the following:

Appraise a time when you have felt professionally fulfilled. Describe the setting, your job title, and the roles and responsibilities in which you were engaged. Identify your own key intrinsic motivators and explain how these were evident in this situation. Cite specific examples.
Appraise a time when you have felt professionally unfulfilled. Describe the setting, your job title, and the roles and responsibilities in which you were engaged. Explain the motivator(s) that were absent and how this impacted your professional performance. Cite specific examples.
Discuss how you, as a nurse manager, might implement organization- or department-wide changes that would create an environment that engages staff through one or more intrinsic motivators.

Pediatric Bipolar Depression

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 Discussion: 
                        Pediatric Bipolar Depression 
                        Disorder Debate
Some debate in the literature exists specific to whether or not bipolar disorder can be diagnosed in childhood. While some have anecdotally argued that it is not possible for children to develop bipolar disorder (as normal features of childhood confound the diagnosis), other sources argue that pediatric bipolar disorder is a fact.
In this Discussion, you engage in the debate theory that bipolar depression can or cannot be diagnosed in children and adolescents.
Some debate in the literature exists specific to whether or not bipolar disorder can be diagnosed in childhood. While some have anecdotally argued that it is not possible for children to develop bipolar disorder (as normal features of childhood confound the diagnosis), other sources argue that pediatric bipolar disorder is a fact.
In this Discussion, you engage in a debate as to whether pediatric bipolar disorder is possible to diagnose.

                                                                     Assignment
· Evaluate diagnosis of pediatric bipolar depression disorder
· Analyze consequences to diagnosing/failing to diagnose pediatric bipolar 
   depression disorder
· The instructor wants you to take the position FOR and not against the issue of 
   diagnosing pediatric bipolar depression disorder.
· Review the Learning Resources concerning the controversy over the diagnosis of 
  pediatric bipolar depression disorder.
· Based on the position FOR, justify that pediatric bipolar depression disorder 
  should be diagnose

                          N.B: YOU ARE DEBATING FOR.

                                                     Learning Resources
Required Readings
Sadock, B. J., Sadock, V. A., & Ruiz, P. (2014). Kaplan & Sadock’s synopsis of psychiatry: Behavioral sciences/clinical psychiatry (11th ed.). Philadelphia, PA: Wolters Kluwer.

Chapter 31, “Child Psychiatry” (pp. 1226–1253)

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author.

“Bipolar and Related      Disorders”
“Depressive Disorders”

Zeanah, C. H., Chesher, T., & Boris, N. W. (2016). Practice parameter for the assessment and treatment of children and adolescents with reactive attachment disorder and disinhibited social engagement disorder. Journal of the American Academy of Child & Adolescent Psychiatry, 55(11), 990–103. Retrieved from http://www.jaacap.com/article/S0890-8567(16)31183-2/pdf

Stahl, S. M. (2014). Prescriber’s Guide: Stahl’s Essential Psychopharmacology (5th ed.). New York, NY: Cambridge University Press. 

                     Optional Resources
Thapar, A., Pine, D. S., Leckman, J. F., Scott, S., Snowling, M. J., & Taylor, E. A. (2015). Rutter’s child and adolescent psychiatry (6th ed.). Hoboken, NJ: Wiley Blackwell. 

Chapter 62, “Bipolar      Disorder in Childhood” (pp. 858–873)
Chapter 63, “Depressive Disorders in Childhood      and Adolescence” (pp. 874–892)