For this policy brief, you will pick one health issue to discuss. It should be between 2-4 pages (1,500 words) and must include the sections listed below. The purpose of a policy brief is to give your reader a high-level overview of the issue at hand and then recommend a policy or policies to address the problem. Think of it as a vehicle to provide policy advice to someone who is not an expert in that topic.

1. Pick a single topic
2. No more than 2-4 pages (1,500 words)
3. Policy Brief Template (must include these sections)
   1. Title
   2. Scope of Problem
   3. Policy Options
   4. Policy Recommendation
   5. Reference Page

A career adviser meets with a student regarding exploring career paths in the health information management (HIM) field. The student loves coding, but doesn’t think she could sit for extended periods of time due to an old back injury. She also likes to have a variety of tasks and responsibilities in her job duties that would allow her to interact with patients and other medical staff. Her career adviser explains there are many career choices within the profession, and it is possible for her to incorporate her love of coding into other HIM settings.

1. If you were the student, what specific HIM, coding career and certification organizations would you check to learn more about your ideal career path?

2. What is your ideal career path in the HIM field?

3. List three possible job titles that might include coding with a variety of other work tasks.

Describe recommendations for carbohydrate intake and health risks caused by low or excessive intakes.
Describe the regulation of blood glucose, conditions caused by blood glucose imbalance, and types of diabetes.

John has recently learned about advance directives in a healthcare legal aspects course he has taken. The information he has obtained, along with his knowledge of the Terri Schiavo case (2005) has convinced him of the benefits of executing an advance directive if he were to become incompetent. John is aware that his grandparents may not be informed about the purpose and function of advance directives which he now feels are important for them to consider.

1. What should John consider in deciding what type of advance directive is best for him?

2. What might John say to his grandparents about advance directives?

Health information researchers learned from the food industry (specifically cereal) on the best way to relate drug information in an understandable form. Another Example: “Spillover” is a book by David Quammen or “Zoobiquity” by Barbara Natterson-Horowitz. These titles reveal the need for Veterinarians to partner with Physicians as many diseases are Zoonotic. Discuss other fields/disciplines that have potential to contribute innovations to healthcare and what they would look like.   Be creative.

How is technology and innovation more than medical devices and drugs?

How can technology and innovation be viewed as more than just relating to medical devices or drugs.

[Critical Reading]

1. What does it mean and take to be a critical reader?

2. Why is critical reading considered an active process of discovery?

3. Why is critical reading important and in what way is critical reading related to critical writing?

4. What are the different ways to become a critical reader?

1. Discuss the role genetics plays in the development of bipolar 2 disorders.  
2. Explain how the hypothalamic-pituitary-adrenal (HPA) system may be associated with bipolar type 2 disease.
3. Discuss the role inflammatory cytokines play in the development and exacerbation of bipolar type 2 symptoms
4. Discuss the role of the amygdala in bipolar disorder.
5. How does neurochemical dysregulation contribute to bipolar disorders?
6. What is the status of the use of nutraceuticals in management of depression?
7. What are pnictogens and how do they contribute to the development of panic attack symptoms?
8. How does the GABA-benzodiazepine (BZ) receptor systems contribute to panic attacks/disorders?
9. Describe the areas of the brain that are associated with social anxiety disorder.
10. How is oxytocin associated with anxiety disorder (SAD)?
11. Discuss the role of neurotransmitters in the expression of generalized anxiety disorder (GAD).  
12. Explain the structural brain changes that occur in people with GAD.
13. Describe the changes seen in the brain structure in patients with PTSD.
14. Briefly discuss the role glucocorticoids may have on the development of PTSD.
15. What is primary pathophysiology of obsessive-compulsive disorder (OCD?
16. Describe the role the dorsal anterior cingulate cortex (dACC) has in reinforcement of obsessive behaviors.

Discuss the Disturbances in Oxygen Exchange and Utilization- Obstructive Disorders of the Lungs

• What are some strategies you can use, as a health care manager, to overcome human resources challenges?
• What current or future challenges do you believe you will have to overcome?

My topic for the assessment is Falls in residential aged care facility. |How are we going to prevent the fall in aged care facility along with rational for implementing this policy in the workplace for improving quality and safety in aged care facility. The description and criteria for the assessment is given below.

Description: For this task, students will be asked to develop an evidence-based policy (EBP) to address quality and safety as a component of their role as health service managers. The policy should address key components of policy-writing for public safety including, but not limited to definitions, guiding principles, patient expectations, roles and responsibilities, standards, clinical governance and incident management.

Criteria: - Clearly and concisely describes the issue that is being addressed by the policy with rationale and justification for managing the quality and safety issue

- Outlines the quality and safety issue that being addressed by the policy as well as ongoing monitoring

- Provides information and instruction for how the issue will be addressed with the workplace including worker training

- Policy document is structured appropriately and is consistent with HSM practices - Use of academic writing, language and tone

Gina, a 35 year old patient, has allergic rhinitis. Her prescription include:

• Loratidine 5mg/day
• Fluticasone 2 nasal inhalations per day

Previously, she had taken over-the-counter drugs and asked if she should continue to take the OTC drug with her prescriptions. She had never used a nasal inhaler before.

1. What additional information is needed from Gina concerning her health problems?

2. What is your response to Gina concerning the use of OTC drugs with her prescription drugs?

3. How would you instruct Gina to use a nasal inhaler? Explain your answer.

4. What are the similarities and differences between loratidine and diphenhydramine? Could one of those antihistamines be more effective than the other? Explain your answer.

5. What would you suggest to decrease allergens such as dust and mites in the home

Case scenario:

Maria, a 55 year-old patient, was recently diagnosed with bronchial asthma. Her mother and three brothers also have asthma. In the past year, Maria has had three asthmatic attacks that were treated with prednisone and an albuterol inhaler. At a clinic visit today, prednisone is prescribed for 4 weeks and the order is written as follows:

Day 1: 1 tablet four times a day

Day 2: 1 tablet three times a day

Day 3: 1 tablet two times a day

Day 4: 1 tablet in the morning

Day 5: ½ tablet in the morning

Questions:

1. Explain the purpose for the use of prednisone during the asthmatic attack. Explain why the dosage is decreased (tapered) over a period of 5 days.

2. Can Cromolyn sodium be substituted for prednisone during the asthmatic attack? Explain your answer.

3. Maria is prescribed Albuterol. What effect does albuterol have in controlling asthma?

4. For each drug dose, Maria is to take two puffs of albuterol administered by inhaler. What instructions should she be given concerning the use of inhaler?

To minimize the frequency of Maria’s asthmatic attacks, the doctor prescribes aminophylline 1200 mg/day in divided doses. The albuterol inhalation is to be taken as needed. Nursing interventions include patient history of asthmatic attacks and physical assessment.

5. When taking the patient’s history, what should the nurse include concerning asthmatic attacks? What physical assessment would suggest an asthmatic attack?

6. What type of drug is aminophylline? Why should the nurse asks Maria if she smokes?

7. What are the side effects, adverse reaction, and drug interactions related to aminophylline?

8. What nonpharmacologic measures can the nurse suggest that may decrease the frequency of asthmatic attacks?

9. Which are appropriate rescue medications used for acute asthmatic attack? Which drugs are used as preventive medications?