Assignment Information

1.   Due Date                  Sunday, November 1, 2018                   11:59 PM    Points Possible                100
2. Vila Health: Marketing Plan
   Overview
   Effective marketing plans begin with thorough external environmental  and internal organizational assessments, alignment with strategic plans,  and clear identification of directional strategies. The marketing plan  must reflect logic, cohesion, realistic interventions and costs, and  ideally work with the strengths and opportunities that fit the overall  context of the proposed service line. In this assignment, you will  develop a conceptual level marketing plan for St. Anthony Medical  Center’s Labor and Delivery service line, which is based on your  assessment. Additionally, the marketing plan will include evidence-based  recommendations and your creative insights regarding how to optimally  position and communicate the Labor and Delivery service line to  prospective consumers.
   Recall from your previous visit with the leadership team, that your  CEO has communicated a growth strategy for St. Anthony Medical Center.  The marketing director and leadership team have further determined that  the Labor and Delivery service will implement a market pull strategy  where consumers will be drawn to the organization based on some unique  feature or features of the service line (also known as differentiators).  You are competing against two other similar services at area hospitals,  so your marketing conceptual level recommendations will need to assure  that you have differentiated St. Anthony Medical Center’s Labor and  Delivery service in a competitive manner. Consider how a health care  organization might differentiate it’s service from a competitor (review  your Unit 2 readings or conduct research in the Capella University  Library on strategic marketing and differentiation strategies). You may  wish to reflect on some of the facets that you as a consumer consider  when selecting health care providers and organizations.
   Your marketing director and the Labor and Delivery unit manager would  like to discover your fresh perspective and recommendations. At a  conceptual level, given the organization’s desired target versus actual  performance, what suggestions might you offer to convert prospective  consumers into satisfied Labor and Delivery patients? Remember to assess  gaps between actual performance versus desired targets (review the  current Labor and Delivery budget to determine current versus targeted  number of deliveries, profit margin, and so forth).
   This all corresponds with steps four and five of Kotler’s Marketing Plan format in Health Care Marketing. Savvy interns will read the assignment scoring guides and construct an outline before beginning research for this activity.
   Last week, you were exposed to a lot of information about St. Anthony  Medical Center in general and the Labor and Delivery unit in  particular. You may want to consider reviewing those documents,  interviews and e-mails again while working on this unit’s assignment.
   Instructions
   Review the vision, mission, values statement, strategic directional  strategy for St. Anthony Medical Center, and assess the Labor and  Delivery service line offerings.
   • Conduct a gap analysis of St. Anthony Medical Center’s Labor and Delivery service relative to internal goals.
   • Construct a competitive analysis of St. Anthony Medical Center’s Labor and Delivery service relative to competitors.
   • Propose general or conceptual level recommendations to close gaps  such as missing services, missing marketing channels, suboptimal  profitability, and so forth.
   • Formulates insights or creative approaches that may be helpful in  construction of an action plan to implement the recommendations.
   • Submit your assignment by due date. Be sure to use current APA style and formatting throughout.

Research a health care organization or network that spans several states with in the United States (United Healthcare, Vanguard, Banner Health, etc.). Assess the readiness of the health care organization or network you chose in regard to meeting the health care needs of citizens in the next decade.

Prepare a 1,200-word paper that presents your assessment and proposes a strategic plan to ensure readiness. Include the following:

1. Describe the health care organization or network.

2. Describe the organization’s overall readiness based on your findings.

3. Prepare a strategic plan to address issues pertaining to network growth, nurse staffing, resource management, and patient satisfaction.

4. Identify any current or potential issues within the organizational culture and discuss how these issues may affect aspects of the strategic plan.

5. Propose a theory or model that could be used to support implementation of the strategic plan for this organization. Explain why this theory or model is best.

Prepare this assignment according to the APA Style Guide, and abstract is required.

The needs of the pediatric patient differ depending on age, as do the stages of development and the expected assessment findings for each stage. In a 500-750-word paper, examine the needs of a school-aged child between the ages of 5 and 12 years old and discuss the following:

Compare the physical assessments among school-aged children. Describe how you would modify assessment techniques to match the age and developmental stage of the child.
Choose a child between the ages of 5 and 12 years old. Identify the age of the child and describe the typical developmental stages of children that age.
Applying developmental theory based on Erickson, Piaget, or Kohlberg, explain how you would developmentally assess the child. Include how you would offer explanations during the assessment, strategies you would use to gain cooperation, and potential findings from the assessment.
Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to turnitin

Samanthah please

Therapy for Pediatric Clients With Mood Disorders

Mood disorders can impact every facet of a child’s life, making the most basic activities difficult for clients and their families. This was the case for 13-year-old Kara, who was struggling at home and at school. For more than 8 years, Kara suffered from temper tantrums, impulsiveness, inappropriate behavior, difficulty in judgment, and sleep issues. As a psychiatric mental health nurse practitioner working with pediatric clients, you must be able to assess whether these symptoms are caused by psychological, social, or underlying growth and development issues. You must then be able recommend appropriate therapies.

 

This week, as you examine antidepressant therapies, you explore the assessment and treatment of pediatric clients with mood disorders. You also consider ethical and legal implications of these therapies.

 

Photo Credit: GettyLicense_185239711.jpg

 

Assignment: Assessing and Treating Pediatric Clients With Mood Disorders

 

When pediatric clients present with mood disorders, the process of assessing, diagnosing, and treating them can be quite complex. Children not only present with different signs and symptoms than adult clients with the same disorders, but they also metabolize medications much differently. As a result, psychiatric mental health nurse practitioners must exercise caution when prescribing psychotropic medications to these clients. For this Assignment, as you examine the client case study in this week’s Learning Resources, consider how you might assess and treat pediatric clients presenting with mood disorders.

 

Note: This Assignment is the first of 10 assignments that are based on interactive client case studies. For these assignments, you will be required to make decisions about how to assess and treat clients. Each of your decisions will have a consequence. Some consequences will be insignificant, and others may be life altering. You are not expected to make the “right” decision every time; in fact, some scenarios may not have a “right” decision. You are, however, expected to learn from each decision you make and demonstrate the ability to weigh risks versus benefits to prescribe appropriate treatments for clients.

 

Learning Objectives

 

Students will:

 

Assess client factors and history to develop personalized plans of antidepressant therapy for pediatric clients

 

Analyze factors that influence pharmacokinetic and pharmacodynamic processes in pediatric clients requiring antidepressant therapy

 

Evaluate efficacy of treatment plans

 

Analyze ethical and legal implications related to prescribing antidepressant therapy to pediatric clients

 

Learning Resources

 

Note: To access this week’s required library resources, please click on the link to the Course Readings List, found in the Course Materials section of your Syllabus.

 

Required Readings

 

Note: All Stahl resources can be accessed through the Walden Library using this link. This link will take you to a log-in page for the Walden Library. Once you log into the library, the Stahl website will appear.

 

Stahl, S. M. (2013). Stahl’s essential psychopharmacology: Neuroscientific basis and practical applications (4th ed.). New York, NY: Cambridge University Press.

 

 

 

Note: To access the following chapters, click on the Essential Psychopharmacology, 4th ed tab on the Stahl Online website and select the appropriate chapter. Be sure to read all sections on the left navigation bar for each chapter.

 

Chapter 6, “Mood Disorders”

 

Chapter 7, “Antidepressants”

 

Stahl, S. M. (2014b). The prescriber’s guide (5th ed.). New York, NY: Cambridge University Press.

 

 

 

Note: To access the following medications, click on the The Prescriber’s Guide, 5th ed tab on the Stahl Online website and select the appropriate chapter. Be sure to read all sections on the left navigation bar for each chapter.

 

 

 

Review the following medications:

 

amitriptyline

 

bupropion

 

citalopram

 

clomipramine

 

desipramine

 

desvenlafaxine

 

doxepin

 

duloxetine

 

escitalopram

 

fluoxetine

 

fluvoxamine

 

imipramine

 

ketamine

 

mirtazapine

 

nortriptyline

 

paroxetine

 

selegiline

 

sertraline

 

trazodone

 

venlafaxine

 

vilazodone

 

vortioxetine

 

 

 

Magellan Health, Inc. (2013). Appropriate use of psychotropic drugs in children and adolescents: A clinical monograph. Retrieved from https://www.magellanprovider.com/media/11740/psychotropicdrugsinkids.pdf

 

Rao, U. (2013). Biomarkers in pediatric depression. Depression & Anxiety, 30(9), 787–791. doi:10.1002/da.22171

 

Note: Retrieved from Walden Library databases.

 

Vitiello, B. (2012). Principles in using psychotropic medication in children and adolescents. In J. M. Rey (Ed.), IACAPAP e-Textbook of Child and Adolescent Mental Health. Geneva: International Association for Child and Adolescent Psychiatry and Allied Professions. Retrieved from http://iacapap.org/wp-content/uploads/A.7-PSYCHOPHARMACOLOGY-072012.pdf

 

Poznanski, E., & Mokros, H. (1996). Child Depression Rating Scale–Revised. Los Angeles, CA: Western Psychological Services.

 

Note: Retrieved from Walden Library databases.

 

Required Media

 

Laureate Education (2016e). Case study: An African American child suffering from depression [Interactive media file]. Baltimore, MD: Author.

 

 

 

Note: This case study will serve as the foundation for this week’s Assignment.

 

Optional Resources

 

El Marroun, H., White, T., Verhulst, F., & Tiemeier, H. (2014). Maternal use of antidepressant or anxiolytic medication during pregnancy and childhood neurodevelopmental outcomes: A systematic review. European Child & Adolescent Psychiatry, 23(10), 973–992. doi:10.1007/s00787-014-0558-3

 

Gordon, M. S., & Melvin, G. A. (2014). Do antidepressants make children and adolescents suicidal? Journal of Pediatrics and Child Health, 50(11), 847–854. doi:10.1111/jpc.12655

 

Seedat, S. (2014). Controversies in the use of antidepressants in children and adolescents: A decade since the storm and where do we stand now? Journal of Child & Adolescent Mental Health, 26(2), iii–v. doi:10.2989/17280583.2014.938497

 

To prepare for this Assignment:

 

Review this week’s Learning Resources. Consider how to assess and treat pediatric clients requiring antidepressant therapy.

 

The Assignment

 

Examine Case Study: An African American Child Suffering From Depression. You will be asked to make three decisions concerning the medication to prescribe to this client. Be sure to consider factors that might impact the client’s pharmacokinetic and pharmacodynamic processes.

 

At each decision point stop to complete the following:

 

Decision #1

 

Which decision did you select?  See below.

 

Why did you select this decision? Support your response with evidence and references to the Learning Resources.

 

What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources.

 

Explain any difference between what you expected to achieve with Decision #1 and the results of the decision. Why were they different?

 

Decision #2

 

Why did you select this decision? Support your response with evidence and references to the Learning Resources.

 

What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources.

 

Explain any difference between what you expected to achieve with Decision #2 and the results of the decision. Why were they different?

 

Decision #3

 

Why did you select this decision? Support your response with evidence and references to the Learning Resources.

 

What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources.

 

Explain any difference between what you expected to achieve with Decision #3 and the results of the decision. Why were they different?

 

Also include how ethical considerations might impact your treatment plan and communication with clients.

 

 

 

BACKGROUND INFORMATION

 

The client is an 8-year-old African American male who arrives at the ER with his mother. He is exhibiting signs of depression.

 

Client complained of feeling “sad”

 

Mother reports that teacher said child is withdrawn from peers in class

 

Mother notes decreased appetite and occasional periods of irritation

 

Client reached all developmental landmarks at appropriate ages

 

Physical exam unremarkable

 

Laboratory studies WNL

 

Child referred to psychiatry for evaluation

 

Client seen by Psychiatric Nurse Practitioner

 

 

 

MENTAL STATUS EXAM

 

Alert & oriented X 3, speech clear, coherent, goal directed, spontaneous. Self-reported mood is “sad”. Affect somewhat blunted, but child smiled appropriately at various points throughout the clinical interview. He denies visual or auditory hallucinations. No delusional or paranoid thought processes noted. Judgment and insight appear to be age-appropriate. He is not endorsing active suicidal ideation, but does admit that he often thinks about himself being dead and what it would be like to be dead.

 

 

 

The PMHNP administers the Children’s Depression Rating Scale, obtaining a score of 30 (indicating significant depression)

 

 

 

 

 

RESOURCES

 

§ Poznanski, E., & Mokros, H. (1996). Child Depression Rating Scale–Revised. Los Angeles, CA: Western Psychological Services.

 

 

 

 

 

Decision Point One

 

Select what the PMHNP should do:

 

Begin Zoloft 25 mg orally daily

 

Begin Paxil 10 mg orally daily

 

Begin Wellbutrin 75 mg orally BID

 

 

 

Case Study of the above client

 

Decision Point One

 

I selected  Zoloft 25 mg orally daily

 

RESULTS OF DECISION POINT ONE

 

Client returns to clinic in four weeks

 

No change in depressive symptoms at all

 

Decision Point Two

 

Increase dose to 50 mg orally daily

 

RESULTS OF DECISION POINT TWO

 

Client returns to clinic in four weeks

 

Depressive symptoms decrease by 50%. Cleint tolerating well

 

Decision Point Three

 

Maintain current dose

 

Guidance to Student

 

At this point, sufficient symptom reduction has been achieved. This is considered a “response” to therapy. Can continue with current dose for additional 4 week to see if any further reductions in depressive symptoms are noted. An increase in dose may be warranted since this is not “full” remission- Discuss pros/cons of increasing drug dose with client at this time and empower the client to be part of the decision. There is no indication that the drug therapy should be changed to an SNRI at this point as the client is clearly responding to this therapy