The Archie Norman case from the video and readings describes a successful leadership intervention to transform a company on the verge of collapse. As you read the case and the article and view the video, think about the five (5) principles that leaders use to mobilize people to do adaptive work as outlined in the Heifetz and Laurie article. Your assignment is to write a 500-750 word, single-spaced paper that addresses the following questions.

First, analyze the leadership style of Archie Norman. Specifically, to what extent, in your opinion, did Norman’s leadership behavior reflect the principles in the Heifetz and Laurie article? Be sure to provide examples.

Second, now that you have applied the principles of leadership to the case study, apply your learnings to your “real-life” experience—either work or outside of work, and specifically, think of a situation where the leader either applied or should have applied the five principles. Describe the situation briefly, discuss how the principles were applied (or why they should have been), and what happened—either positive or negative. Be specific; use examples.

Watch: video

View: “Steve Tappin Interviews Archie Norman, …” (Transcript)

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Order Instructions
Prompt:

For the discussion board this week please include answers to these questions:

If prescribing trazadone for sleep to a male patient what side effect should you include in your education? What about cardiac effects of trazadone with some other psychotropics? What test could you order for a baseline with this medication to monitor?

What is important to educate your patients on when prescribing SSRIs/SNRIs in regards to how long it takes to take full effect and the black box warnings?

What labs could help you identify an organic contributor to depressive symptoms?

What are some specifiers from the DSM 5 for depressive disorders?

Case Study Week One

Case study: Amanda – a 42-year-old with recurrence of a manic episode Amanda is a 42-year-old lady who has suffered from bipolar disorder since she was 22 years of age, and has had five acute episodes. Her bipolar disorder usually manifests itself as a manic episode although she did have one instance of severe depression during which time she attempted to take her own life.

Amanda was prescribed lithium as a mood stabilizer since her first episode which has helped her to be symptom free for several periods, and so function as a full-time mother to two small children and hold down a part-time job. Amanda, who had been taught to monitor her mood, noticed that it had started to become manic. Her family had also noticed marked pressure of speech and that she appeared to be spending a large amount of money on presents for the children, for her sister’s children and on goods for the house. As a consequence of this she accumulated considerable debt on her credit card. Acting on a prior agreement with Amanda, and her previously agreed authority with the credit card company, Amanda’s husband arranged for her credit card to be suspended and for some of the goods to be returned. Amanda herself recognized these as her usual symptoms of mania and contacted her community psychiatric nurse who referred her for psychiatric treatment. Amanda’s lithium dose was increased.

However, her mood continued to deteriorate and she became very manic and also to show signs of psychotic episodes. The multi-disciplinary community mental health team in consultation with Amanda and her family decided that Amanda would be better treated in hospital.

In the hospital, you are her PMHNP. Follow the directives for a treatment plan (in the assignment explanation). What would your primary diagnosis be? What medications would you change her to from the Lithium and why? Would you place an order for CBT or Behavioral therapy and why? Make your orders very clear, and use in-text citations, black box warnings for the meds, and what each med is being used for.

With this new course of treatment that you have ordered, and the inpatient stay in the psychiatric hospital, what outcomes do see being obtainable for Amanda? Do you need any blood test or medical tests? If yes, explain what they are and why.

List all 5 components of a suicide risk assessment, in addition to any other questions you may have for Amanda.

Use in-text citations, based your criterion off of the DSM-5, and use citations for the drugs you choose, and the non-pharm treatments as well.

For the case below complete the following areas for the case study presented:

Any differential diagnoses (Include a short line indicating why each one should be considered for the case)
Your diagnosis and reasoning
Any additional questions you would have asked
Medication recommendations along with your rationale. Note possible side effects or issues to address if attempting to obtain consent.
Any labs and why they may be indicated (including ruling out any organic causes of depression)
Screener scales or diagnostic tools that may be beneficial
Additional resources to give (Therapy modalities, support groups, activities, etc.) Make sure to include a hotline and support group in this section of your plan.
Discuss and answer questions related to the case presentations on the discussion board. You will need to utilize all of your nursing skills when evaluating the data.

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Order Instructions
Analyze the ACA from a consumer and professional perspective.
Identify the need for continued healthcare reform within the US
Discussion questions (links to objectives # 3, #5).
Identify two key components of the ACA that positively impacted Americans.
When the ACA was first initiated, the Marketplace (site for signing up for insurance plans) offered many options for Americans seeking healthcare insurance coverage. Within two years, many insurance companies withdrew from offering ACA policies to those eligible. Explain your thoughts as to why this occurred and whether there should have been provisions in the ACA to prevent this.
Support your findings/views with a minimum of two references.

Please use attached documents to do this discussion.

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BLOG:

HOW HAS NURSING INFORMATICS AND TECHNOLOGY IMPACTED YOUR PRACTICE?

It is March 2020, and COVID-19 has resulted in lockdowns and stay-at-home orders nationwide. Patients are fearful to visit healthcare offices and hospitals, for routine care or other illnesses. As a result, virtual technologies are introduced to bridge the gap between healthcare needs and an emerging pandemic. Patients are encouraged to schedule visits virtually and seek care in new ways.

While the impacts of COVID-19 in 2020 were immediate, how might these changes influence the capabilities of healthcare beyond a pandemic? How might these changes become permanent or even facilitate further change and innovation?

For this Discussion, you will explore the impact of digital technology on nursing practice. Consider the influence these technologies may have on nursing practice, and what skills you might need to hone in on in order to address these needs.

·       Review the Learning Resources for this week and focus on the article, “How COVID-19 Accelerated the Digital Transformation of Healthcare.”

·       Reflect on the impacts of the COVID-19 pandemic on healthcare and nursing practice.

·       Consider your nursing background and professional interests as you view the video.

·       What potential skills, knowledge, or competencies might you need to develop for your healthcare organization or nursing practice given the impacts of the COVID-19 pandemic?

Post a response to your blog describing your own experiences with digital changes and how the COVID-19 has affected your healthcare organization or nursing practice. Address the following:

·       Summarize how informatics has impacted or changed nursing practice, especially with the effects of the COVID-19 pandemic. Provide an example from your personal or professional experience. Be sure to also include the name of the professional organization you belong to. 

·       Explain how established informatics competencies may influence quality of care, safety improvements, and any other changes since the pandemic for excellence in nursing practice. Be specific. What would you need to do to develop skills, knowledge, and competencies in order to apply the technology?

·       Describe your informatics strengths and preferences, as well as potential challenges and areas for development.

·       Do you think the information technology framework discussed in the Ye, et al. (2020) article is applicable in the U.S. to manage COVID and other major pandemics? How much of what is discussed do we currently use?

·       Describe one strategy for enhancing and updating your project management and informatics skills and competencies. You will reflect on this again in Week 11 and application to the development of your dissertation.

WEEKLY RESOURCES

·       Sipes, C. (2020). Project management for the advanced practice nurse (2nd ed.). Springer Publishing.

o   Chapter 4, “Planning: Project Management—Phase 2” (pp. 75–120) 

·       American Nurses Association. (2015). Nursing informaticsLinks to an external site.: Scope and standards of practice (2nd ed.).

o   “Evolution of Nursing Informatics Competencies” (pp. 37–41)

o   “The Future of Nursing Informatics” (pp. 52–62)

o   “Standard 3: Outcomes Identification” (p. 71)

o   “Standard 4: Planning” (p. 72)

·       American Hospital Association. (n.d.). Innovative models of care delivery: Addressing transitions across the care continuumLinks to an external site.. https://www.aha.org/system/files/media/file/2019/05/Innovative-Models-of-Care.pdf

·       Guest in VSee. (2020). 7 ways technology is transforming the nursing fieldLinks to an external site.. VSee.com. https://vsee.com/blog/technology-transforming-nursing-field

·       Jason, C. (2020). How COVID-19 accelerated the digital transformation of healthcareLinks to an external site.. EHR Intelligence. https://ehrintelligence.com/news/how-covid-19-accelerated-the-digital-transformation-of-healthcare

·       Lu, A. C., Cannesson, M., & Kamdar, N. (2020). The tipping point of medical technology: Implications for the postpandemic eraLinks to an external site.. Anesthesia and Analgesia, 131(2), 335–339. https://doi.org/10.1213/ANE.0000000000005040

·       The Medical Futurist. (2020). 10 ways technology is changing healthcareLinks to an external site.. https://medicalfuturist.com/ten-ways-technology-changing-healthcare/

·       Vaishya, R., Haleem, A., Vaish, A., & Javaid, M. (2020). Emerging technologies to combat the COVID-19 pandemic. Journal of Clinical and Experimental Hepatology, 10(4), 409–411. https://doi.org/10.1016/j.jceh.2020.04.019

·       Ye, Q., Zhou, J., & Wu, H. (2020). Using information technology to manage the COVID-19 pandemic: Development of a technical framework based on practical experience in ChinaLinks to an external site.. JMIR Medical Informatics, 8(6), Article e19515. https://doi.org/10.2196/19515

·       Zipfel, N., van der Nat, P. B., Rensing, B. J. W. M., Daeter, E. J., Westert, G. P., & Groenewoud, A. S. (2019). The implementation of change model adds value to value-based healthcare: A qualitative studyLinks to an external site.. BMC Health Services Research, 19(1), 643. https://go.openathens.net/redirector/waldenu.edu?url=https://doi.org/10.1186/s12913-019-4498-y

Media Resources

·       Schade, M. (2016, January 11). How to do a GAP AnalysisLinks to an external site.. [Video]. YouTube. https://www.youtube.com/watch?v=8xXReyiFtBY

·       Project Manager. (2014, June 2). What is a work breakdown structureLinks to an external site.? [Video]. YouTube.https://www.youtube.com/watch?v=wEWhnodF6ig

·       Project Manager. (2016, March 11). Gantt Charts, Simplified – The Project Management TrainingLinks to an external site.. [Video]. YouTube.https://www.youtube.com/watch?v=cGkHjby1xKM

Optional Resources

·       Howarth, M. L., Probyn, J. E., & Maz, J. (2017). Project management techniques to maximise success with researchLinks to an external site.. British Journal of Cardiac Nursing, 12(3), 116–119. doi:10.12968/bjca.2017.12.3.116

·       Rew, L., Cauvin, S., Cengiz, A., Pretorius, K., & Johnson, K. (2020). Application of project management tools and techniques to support nursing intervention researchLinks to an external site.. Nursing Outlook, 68(4), 396–405. https://doi.org/10.1016/j.outlook.2020.01.007

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Quality- We are experienced and have access to ample research materials.

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Confidential- We never share or sell your personal information to third parties.

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