Essay Two Assignment Instructions:

The Hobbesian concept of a social contract has been manifested in the United States as liberal Democracy. That is, our chosen method of political organization is an electoral democracy and our political system is rooted in the philosophy of Classical Liberalism.

Inherent in Classical Liberalism (and in our political life) is the tension between the idea that government’s role should be largely limited to national defense and the protection of individual freedoms or rights. While the other linked, yet at times contradictory, idea is that government should have a role in promoting the larger social good: protecting the interests of most from the few who might abuse them. Representations of these differing ideas can be found in the writings of John Locke and Jeremy Bentham. respectively. One can find the tension between these ideas at the heart of many of the controversies surrounding health policy.

In your essay please discuss the following:

A. How might the tensions in Liberal Democracy, described above, come into play for opponents or supporters of partial repeal of the Affordable Care Act health insurance reform? [you will want to refer back to some of the material from Module 5. One potential focus could be the ‘individual mandate’ (see p. 186 from prior readings in Mason et al.) or you may opt for a different focus relevant to the ACA and potential repeals] in the Affordable Care Act health insurance reform (see Mason p. 466).

B. How might these tensions come into lay in a different public health issue such as obesity  or health impact of air pollution and carbon emission? (one paragraph)

C. How is your political analysis of these issues (A and B) affected by your values as a nurse an aspects of your own political philosophy?

Reflect on the handoff process.
In a 2- to 3-page essay, answer the following questions:

What impact does poor handoff have on an organization?
What impact does poor handoff have on a patient?
Compare and contrast two (2) hand-off processes that organizations use to assist with poor transition of care within facilities.
How will you, as a manager, ensure a smooth process at your facility?
Support your opinions with evidence from your prior learning experiences and external, peer-reviewed sources
Your paper should be 23 pages in length and follow current APA formatting and citation

As an advanced practice nurse assisting physicians in the diagnosis and treatment of disorders, it is important to not only understand the impact of disorders on the body, but also the impact of drug treatments on the body. The relationships between drugs and the body can be described by pharmacokinetics and pharmacodynamics.

Pharmacokinetics describes what the body does to the drug through absorption, distribution, metabolism, and excretion, whereas pharmacodynamics describes what the drug does to the body.

When selecting drugs and determining dosages for patients, it is essential to consider individual patient factors that might impact the patients pharmacokinetic and pharmacodynamic processes. These patient factors include genetics, gender, ethnicity, age, behavior (i.e., diet, nutrition, smoking, alcohol, illicit drug abuse), and/or pathophysiological changes due to disease.

For this Discussion, you reflect on a case from your past clinical experiences and consider how a patients pharmacokinetic and pharmacodynamic processes may alter his or her response to a drug.

To Prepare
Review the Resources for this module and consider the principles of pharmacokinetics and pharmacodynamics.
Reflect on your experiences, observations, and/or clinical practices from the last 5 years and think about how pharmacokinetic and pharmacodynamic factors altered his or her anticipated response to a drug.
Consider factors that might have influenced the patients pharmacokinetic and pharmacodynamic processes, such as genetics (including pharmacogenetics), gender, ethnicity, age, behavior, and/or possible pathophysiological changes due to disease.
Think about a personalized plan of care based on these influencing factors and patient history in your case study.

Post a description of the patient case from your experiences, observations, and/or clinical practice from the last 5 years. Then, describe factors that might have influenced pharmacokinetic and pharmacodynamic processes of the patient you identified. Finally, explain details of the personalized plan of care that you would develop based on influencing factors and patient history in your case. Be specific and provide examples.

USE: Bipolar Disorder as your case scenario and combination of mood stabilizers.  Some common mood stabilizers used include Lithium, Lamotrigine, Carbamazepine, and valproic acid.