please answer this question ,please fallow instruction below

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 Details:

In this assignment, you will be creating a PowerPoint presentation based on the application of the functional health assessment of a movie character. To complete this assignment, choose a movie from the following list and identify a character from the movie on whom you would like to do a health assessment. If you wish to use a character from a movie not included on the following list, get the approval of your instructor.

Films:

  1. Away From Her
  2. Lorenzo’s Oil
  3. Mask
  4. My Sister’s Keeper
  5. Philadelphia
  6. Rain Man
  7. Steel Magnolias
  8. Stepmom
  9. The Elephant Man
  10. The Mighty
  11. The Tic Code

Directions:

  1. Create a PowerPoint presentation of 10-12 slides using the template “Movie Character Presentation.”
  2. Provide an introduction and background overview of the movie character (client).
  3. Assess the client using the “Functional Health Pattern Assessment.”
  4. Based on your “observations” and thoughts, document your assessment, providing examples from the movie.
  5. Describe any observed or potential cultural, geographic, religious, ethnic, or spiritual considerations of this client.
  6. Describe two normal health patterns of the client as well as two abnormal health patterns that you observe, and provide examples.
  7. Develop an appropriate nursing diagnosis for the client based on your assessment.
  8. Identify and describe three interventions for the client: health promotion, health prevention, and maintenance.
  9. Identify at least two possible resources or community services to which you would refer this client and provide rationale for your choices.

In addition to submitting the presentation to the instructor, post your assignment to the Movie Character Health Assessment Presentation Main Forum as directed by instructor. Respond to other students’ posts in a manner that initiates or contributes to discussion. Each person should make at least three substantive comments.

While APA format is not required for the body of this assignment, solid academic writing is expected and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

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

anp-652w4d1

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THIS IS A GRADUATE NURSE PRATRITIONER PROGRAM.  REPORT MUST BE OF GRADUATE LEVEL AND STANDARD WITH APPROPRIATE REFERENCE WITHIN 5 YEARS AND 7TH EDITION APA STYLE . MINIMUM OF 350 WORDS WITH AT LEAST 2 PEER REVIEW REFERENCE. 

Please answerer all four point of the question summary in detail

 You are a new AGACNP at an urban, tertiary referral center working in the emergency department. You are presented with the following case.

  1. Patient is a 45-year-old, White male, acute care nurse practitioner (ACNP) who comes in with a chief complaint of back pain, acute on chronic. He describes severely compromising, debilitating lumbar spine pain due to a fall from a 20-foot scaffolding. There is MRI evidence of multilevel degenerative spine disease and bulging discs, with a dx of “failed back surgery.”
  2. He is prescribed the following by a local pain clinic: OxyContin 20 mg BID, with oxycodone 5 mg q. 3 hours breakthrough pain, Lyrica 100 mg at HS, Lexapro 10 mg daily, and Xanax 0.5 mg BID prn anxiety.
  3. He is receiving physical therapy as well as intermittent epidural blocks (last one was 2 weeks ago).

Summarize your actions for the following, in detail:

  1. This patient received #60 OxyContin 20 mg and #60 oxycodone 5 mg 2 weeks ago, but is saying that he has been out of medication x 2 days. He would like another prescription. What is your response?
  2. He is nauseated with emesis episodes that are too numerous to count this morning. He also has intractable diffuse abdominal pain, intermittent piloerection, and diaphoresis. What is your diagnosis for these symptoms?
  3. He admits to using many more pills than prescribed due to increased pain following a fall at home. He wants help, admits to opioid addiction, and is accepting of inpatient admission. What are your initial orders and appropriate referrals? He is requesting methadone. Can you prescribe methadone for acute/chronic pain or addiction as an AGACNP?
  4. Ethically and professionally, what are your concerns for this patient and his own ACNP practice? What resources are available to you as a prescriber to track this patient’s opioid use/abuse? What resources are available to a provider of medical care who suffers from addiction?

Professional Capstone and Practicum Reflective Journal. DUE BY 1/14

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Students are required to submit weekly reflective narratives throughout the course that will culminate in a final, course-long reflective journal due in Topic 10. The narratives help students integrate leadership and inquiry into current practice.

This reflection journal also allows students to outline what they have discovered about their professional practice, personal strengths and weaknesses, and additional resources that could be introduced in a given situation to influence optimal outcomes. Each week students should also explain how they met a course competency or course objective(s).

In each week’s entry, students should reflect on the personal knowledge and skills gained throughout the course. Journal entries should address one or more of the areas stated below.  In the Topic 10 graded submission, each of the areas below should be addressed as part of the summary submission.

  1. New practice approaches
  2. Interprofessional collaboration
  3. Health care delivery and clinical systems
  4. Ethical considerations in health care
  5. Practices of culturally sensitive care
  6. Ensuring the integrity of human dignity in the care of all patients
  7. Population health concerns
  8. The role of technology in improving health care outcomes
  9. Health policy
  10. Leadership and economic models
  11. Health disparities

While APA style is not required for the body of this assignment, solid academic writing is expected, and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

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

ANSWER QUESTION # 8 ONLY —-The role of technology in improving health care outcomes

Literature Review Assignment

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A literature review aims to give you the opportunity to review, analyze, critique, and discuss various texts that relate to your topic. Your review should also aim to provide the reader information on why your topic is a worthy topic for study.

The objective of this literature review assignment is to help you begin reviewing your secondary sources. For this assignment you will: 

· search for articles on your topic, 

· analyze at least three (3) useful articles, and 

· evaluate how you will use the information to support your ideas for your topic.

  

Tasks:

The final goal is to get you to integrate these sources into your final report. 

  

Task 1:

Find three (3) potential   sources (published articles or other secondary sources) that relate to your   topic. (p. 125-133). Your sources should vary (books, journals,   magazine articles, web sites…)

 

Task 2:

Skim your sources carefully to  (take notes on how they relate to your   topic) and select three (3) sources for your review (p.   660-661)

 

Task 3:

Write your review (you must use the APA style). It must be written in an essay format   that contains an *introduction, body, conclusion for each source, and a reference page at the end.

*See descriptions below

How to Write Your Review:

  

Introduction (Paragraph   1):

Introduce your topic and explain your purpose for   selecting the topic. Give some background about the topic to include   specifics about the problem

 

Body (Paragraphs   2-4): 

· Each source should be   reviewed in a separate paragraph. Provide a summary of the author’s   work that includes information on the context of your proposed topic.  

· Provide a critical evaluation   of how each of your three (3)   sources contributes to your topic. (How do the articles provide   background information or provide solutions to the problem or support or   defend your beliefs about the problem? What valuable information does the   article provide that directly relates to your topic)***Keep your primary   focus on the literature.*** Include a quote or a   paraphrase (2 minimum) from each source you review and be sure to   have parenthetical citations using the APA style in your   assessment. 

· Identify questions related to your topic or   problem that your research will answer.

· Explain how you   will use the literature in your report.

 

Conclusion: 

· Provide the conclusions that your review has   led you to  draw from the literature   and explain how helpful you believe your reviews will be towards your   recommendations. 

How You Will Be Graded:

You will be evaluated on the following:

· The effectiveness of your introduction 

· The context of your topic and problem rationale 

· The critical evaluation of how the cited literature contributes to your research 

· The presentation of research questions (Do they logically follow the problem?) 

· Accuracy of in-text citations 

· Reference page 

· Style 

· Grammar and mechanics 

Topic:   

Utilizing On-Campus Counseling Services

DSICUSSION POST WEEK 5

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 Your active participation in the discussions is essential to your overall success this term. Discussion questions will help you make meaningful connections between the course content and the larger concepts of the course. These discussions give you a chance to express your own thoughts, ask questions, and gain insight from your peers and instructor. Directions For each discussion, you must create one initial post and follow up with at least two response posts. For your initial post, do the following:  Write a post of 1 to 2 paragraphs.  In Module One, complete your initial post by Thursday at 11:59 p.m. Eastern.  In Modules Two through Ten, complete your initial post by Thursday at 11:59 p.m. of your local time zone.  Consider content from other parts of the course where appropriate. Use proper citation methods for your discipline when referencing scholarly or popular sources. For your response posts, do the following:  Reply to at least two classmates outside of your own initial post thread.  In Module One, complete your two response posts by Sunday at 11:59 p.m. Eastern.  In Modules Two through Ten, complete your two response posts by Sunday at 11:59 p.m. of your local time zone.  Demonstrate more depth and thought than saying things like “I agree” or “You are wrong.” Guidance is provided for you in the discussion prompt. 

Evaluate financial ratios to differentiate profitability and liquidity across organizations.

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Scenario

A presidential election year is on the horizon. Control of the White House may shift political parties. Whenever there is potential for a shift in political parties, defense spending could end up being reduced. You are presently a support analyst for a financial fund administrator with an extensive amount of money invested in the Boeing Corporation, a publicly traded company. Part of Boeing’s operations are in defense contracting, such as the manufacturing of military aircraft and helicopters. You must evaluate the current stability of Boeing to determine whether to recommend moving money from this investment to another investment.

Instructions

Write a management report to your fund administrator that:

  • Explains the different liquidity, profitability, and solvency ratios that are used to assess the financial health of a corporation.
  • Computes the liquidity, profitability, and solvency ratios using the 2018 Boeing Corporation’s financial statements.
  • Computes the liquidity, profitability, and solvency ratios of Airbus, a passenger plane competitor, using the 2018 financial statements.
  • Compares and contrasts the financial ratios of Boeing and Airbus.
  • Provides a recommendation, supported by the ratio calculations, as to whether you believe Boeing is stable enough compared to the competitor that if defense funding is reduced, the company will continue to prosper.

Use Mergent Online to access financial statements for Boeing and Airbus

https://www.mergentonline.com/basicsearch.php

biology lab- water quality

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Create Word document with responses to the following:

  1. Review the locations that were tested by the class. Create a hypothesis to investigate using the class data (these do not have to relate to your individual project or to specific sources of pollution but they can!). They need to be answerable based upon the data the class is collected. Make sure to make it specific, clear and testable.
  2. What are the dependent and independent variables for your hypothesis.
  3. What are confounders in this experiment (be thorough)?
  4. What are constants for this experiment (be thorough)? 
  5. Summarize the class data so that you can answer your hypothesis. For example, you will need to graph the data related to your hypothesis and create a summary table with tallies, averages, etc. You must produce at least one graph and one table (both must be electronically generated). Don’t forget to properly title and label.  See first Module for tutorial about how to sort in Excel. You may need to create a new column in Excel to classify the water bodies depending on your hypothesis. Ask your lab instructor if you need help.

3. Is your hypothesis supported by the class data? Answer by referring to specific aspects of the data and explaining how you reached your conclusion.

4. Form a conclusion. Think about the larger concept of water pollution and implications. 

Attached is the class data

Applied Sociology

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 Instructions:

What: You will choose a current issue of social justice, research it, and write an analysis of the topic, using support from your research, and including knowledge gained and referenced from your textbook.

How:  should be 4-6 pages in length, double spaced, Times New Roman, 12 point font. Should include a title page and a reference page (these two pages are not included in the required 5-6 pages).

Some questions to consider while researching and writing about your topic:
• Why is this topic controversial?
• What are some of the causes?
• What are some of the effects?
• Who does it affect? (who = social class, race/ethnicity, age range)
• Is it happening all over the U.S., or are there regions where it is more of (or less of) an issue?
• What needs to happen for it to change?
• What is being done about it? What is NOT being done about it?
• Who (person, group or organization) might have the power to improve or fix it?

 

The Textbook is:

Making a Difference: Using Sociology to Create a Better World, 1st ed.

By: Michael Schwalbe

Please let me know if it is needed and I will try and upload the textbook

100 work positive reply due tonight ay 8 pm three references

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 The disorder in my discussion being presented is Generalized Anxiety Disorder (GAD). GAD is one of the most prevalent psychiatric conditions in the United States. Individuals with a poor health status are at a greater risk for GAD. Other factors include being female, lower socioeconomic class, poor education, and a large amount of lifestyle stress (Locke et al., 2015).

          The exact cause for GAD is unknown. However, studies have shown that patients with GAD have shown more significant activity in parts of the brain related to mental activity and introspective thinking after anxiety episodes. Additional studies involving twins have shown that a person’s environment and genetic make-up affect whether or not an individual will be diagnosed with GAD (Locke et al., 2015).

          In the patient diagnosed with GAD, I first chose Zoloft 50 mg oral daily for treatment. I decided on this medication because Zoloft is a selective serotonin reuptake inhibitor (SSRI), and SSRIs are the preferred treatment choice for patients with GAD (Locke et al., 2015). After four weeks of taking Zoloft, the patient had a HAM-A score of 18.

          The HAM-A or Hamilton Anxiety Rating Scale was first used in 1959 and is a survey of 14 questions. Both psychological and somatic symptoms relating to anxiety are assessed in the HAM-A questionnaire.   If patients score greater than 17, then symptoms considered are mild. However, a score of 25-30 indicates moderate to severe anxiety (Thompson, 2015). The patient in the scenario originally had a HAM-A score of 26 that decreased to 18 after one month of taking Zoloft. This was a significant improvement.

          At the first follow-up visit, I would increase the Zoloft to 75 mg. With a HAM-A score of 10 on the follow-up visit, I would not change the dosage of Zoloft at that time and continue to schedule follow-up visits with the patient. Since GAD is a chronic disorder, it is recommended that medication therapy continues for twelve months before considering a slow wean off Zoloft (Rosenthal & Burchum, 2018). I would also highly suggest that the patient undergo psychotherapy treatment. It has been shown that patients with moderate to severe GAD show more significant improvements when medication and psychotherapy are combined (Locke et al., 2015).

  References

Locke, A. B., Nell, K., & Schultz, C. D. (2015). Diagnosis and Management of Generalized Anxiety Disorder and Panic Disorder in Adults. American Family Physician, 91(9), 617–623.

Rosenthal, L. D., & Burchum, J. R. (2018). Lehne’s Pharmacotherapeutics for Nurse Practitioners and Physician Assistants (1st ed.). Elsevier .

Thompson, E. (2015). Hamilton rating scale for anxiety (ham-a). Occupational Medicine, 65(7), 601–601. https://doi.org/10.1093/occmed/kqv054

100 word reply due tomorrow at 9 am

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Case: An elderly widow who just lost her spouse. 

Subjective:  A patient presents to your primary care office today with chief  complaint of insomnia. Patient is 75 YO with PMH of DM, HTN, and MDD.  Her husband of 41 years passed away 10 months ago. Since then, she  states her depression has gotten worse as well as her sleep habits. The  patient has no previous history of depression prior to her husband’s  death. She is awake, alert, and oriented x3. Patient normally sees PCP  once or twice a year. Patient denies any suicidal ideations. Patient  arrived at the office today by private vehicle. Patient currently takes  the following medications: 

•           Metformin 500mg BID 

•           Januvia 100mg daily 

•           Losartan 100mg daily 

•           HCTZ 25mg daily 

•           Sertraline 100mg daily 

 Current weight: 88 kg

Current height: 64 inches

Temp: 98.6 degrees F

BP: 132/86 

             Insomnia is a disorder linked with difficulty in sleep quality,  initiating or maintaining sleep, along with substantial distress and  impairments of daytime functioning. Its prevalence ranges from 10 to 15%  among the general population, with higher rates seen among females,  divorced or separated individuals, those with loss of loved ones, and  older people (Bollu & Kaur, 2019). Insomnia can simply be defined as  a sleep disorder where the patient has trouble falling asleep or  staying asleep. According to Krystal et al (2019), it is a common  condition that is linked with noticeable deterioration in function and  quality of life, mental and physical morbidity. The complaints of  insomnia are present in 60–90% of patients with major depression,  Complaints of disrupted sleep are very common in patients suffering from  depression, (Wichniak, etal., 2017).

Questions you might ask the patient and rationale

             The diagnosis and treatment of insomnia rely mainly on a thorough sleep  history to address the precipitating factors as well as maladaptive  behaviors resulting in poor sleep (Bollu & Kaur, 2019).

What  is your sleep pattern including how many hours of sleep do you get at  night prior to your husband’s demise and what it has been in the 10  months since his death? Does she perform certain rituals or do something  special before she sleeps. This assesses if the insomnia started before  or after the husband’s death. This provides a clue to insomnia that may  be related to bereavement.

What  time do you go to bed every night and what is your normal routine  before going to bed? This is to check if the patient is doing something  differently which has disrupted her normal routine and caused insomnia. 

How  often do you wake up to urinate at night? This question is asked to  assess for nocturia due to diabetes that may lead to insomnia. Nocturia  can prevent the patient from having a good night’s sleep. ,  changes in  blood glucose levels at night causesto hypoglycemic and hyperglycemic  episodes, nocturia and associated depression and insomnia ( Khandelwal  et al., 2017).

Do  you sleep during the day time. This provides information that evaluates  if day time sleeping may be affecting her ability to sleep at night.

Are  you  taking your medications as prescribed? This patient takes  sertraline for depression. Did the insomnia start after the pt started  taking sertraline or after the death of her husband.   

Identify people in the patient’s life you would need to speak to or get feedback from to further assess the patient’s situation

Children

Are  there are things that disrupts her sleep?  for example, music/TV noise  or crying/playing children. This is important to ascertain that her  condition is not caused by environmental factors. Epidemiologic research  according to Johnson et al (2018) has shown that social features of  environments, family, social cohesion, safety, noise, and neighborhood  disorder can cause changes in sleep patterns; and other factors like  light, noise, traffic, etc., can also affect sleep and is attributed to  sleep disorders among adults and children.

What  does she do when she wakes up at night? does she eat, drink coffee or  smoke. This is to determine if midnight activities may hinder her from  falling asleep.

Does  she complain of having a hard time falling asleep or sleeping for a  short period and waking up, unable to go back to sleep? This assesses  how sleep and rest she may be getting.

Who  caters to the needs of this patient? This is to assess if she is well  cared for or if the patient is concerned about her self care.

Relatives

Has the patient complained to you about difficulty falling asleep?

Does the patient complain about waking up in the middle of the night and finding it hard to go back to sleep?

Who does the patient leave with?

 Friends

Does she complain of feeling tired because of not sleeping?

 Does this patient communicate appropriately or is she withdrawn when you see her?

When did you see the patient last?

Primary care physician

Has  this patient complained about any sleep problems in the past? This  provides collaboration between health care providers to ensure proper  management and delivery of patient-centered care.

Physical Exams

Psychiatric evaluation: A  mental health evaluation should be done to assess the patient’s overall  mental state including presenting symptoms, thoughts, feelings, or  behavior. PMHNP’s can use the Geriatric Depression Scale (GDS) which is a  self-reported measure of depression in the older adult. Cornell Scale  for Depression in Dementia (CSDD). The CSDD focuses on an interview with  a family member or caregiver as well as with the patient and is  confirmed for use in patients with or without dementia. Also, the   Zung  Self-Rating Depression Scale (SDS) which is used as a screening tool,  covering affective, psychological and somatic symptoms associated with  depression.

Polysomnogram ( sleep study):  can be performed  to diagnose sleep disorders such as insomnia

Sleep diary:  Evaluating the patient’s sleep patterns through a sleep diary provides  information on the patient’s sleep pattern and a diagnosis of insomnia.

Epworth Sleepiness Scale: This a questionnaire used to evaluate  daytime sleepiness.

Thyroid function test: Production of little or much thyroid hormone, can affect  sleep.

HBA1C:  The patient has a history of diabetes, monitoring her HbA1C is  important. This is because Individuals with a diagnosis of diabetes  report higher rates of insomnia, poor sleep quality, excessive daytime  sleepiness ( Khandelwal et al., 2017).

Actigraphy:  is an objective measurement of  sleep schedule,  rest-activity patterns used to help confirm insomnia.

Lab test: such as random glucose test,  liver function test, complete blood count, Erythrocyte Sedimentation Rate, kidney function test.

Differential diagnosis

 Late-life spousal bereavement : bereavement is known to cause  depression and complicated grief ( Holm etal., 2019).

Late  life depression (LLD) Predisposing factors include previous clinical  depression, persistent sleep difficulties, female gender,  being widowed  or divorced ( Blackburn etal., 2017). Complicated grief

Medicated-related insomnia

 Sleep apnea. Sleep apnea is considered to be prevalent  in more in persons with diabetes ( Khandelwal et al., 2017).

             The most likely differential diagnosis, in my opinion, would be  late-life spousal bereavement. (LLSB). The patient was diagnosed with  MDD, she lost her husband (died) ten months ago, and she is still  suffering from depression and insomnia.  Being widowed causes  impairments in sleep (Monk et al., 2008).

Pharmacologic Agents

Sertraline  (SSRI) causes insomnia as a side effect. Augmenting sertraline with a  different medication in the elderly may lead to polypharmacy. Therefore,  switching sertraline with a medication to help with MDD and insomnia  will be more helpful. I would choose to stop sertraline and start  trazadone. sedative antidepressants (such as trazadone 25-50mg) are a  safe  when given in low doses and are given in patient groups where  hypnotics are contraindicated, e.g., in the elderly and patients with  sleep apnea (Wichniaketal., etal., 2017). Trazodone is an antidepressant  that functions by inhibiting serotonin transporter and serotonin type 2  receptors. Trazodone in low doses provides a sedative effect for sleep  through antagonism of 5-HT-2A receptor, H1 receptor, and  alpha-1-adrenergic receptors ( Shin & Saadabadi., 2020). Trazodone  also improves apnea and hypopnea episodes in patients known to have   with obstructive sleep apnea (OSA), and it  does not worsen hypoxemic  episodes. This patient can be started on trazadone 25- 50mg at bedtime.

             A second drug choice is an antidepressant mirtazapine. It is effective  in managing major depressive disorder and has sedative properties which  is helpful in relieving sleep problems like insomnia and can be used in  the elderly. Mirtazapine is known as an atypical antidepressant with an  off label use for insomnia. It works by exerting antagonist effects on  the central presynaptic alpha-2-adrenergic receptors, causing an  elevated release of serotonin and norepinephrine. Mirtazapine is also  sometimes called a noradrenergic and specific serotonergic  antidepressant (NaSSA). I would recommend starting the patient on 15 mg  of mirtazapine at bedtime. Mirtazapine is known to treat MDD in patients  that were no unresponsive to SSRIs. I prefer to start this patient on  trazadone, rather than mirtazapine. Mirtazapine has side effects of  increased appetite, increased weight gain and this patient is already  obese with weigh 88kg, height 64 inches (bmi 34.4), increased  cholesterol. Further increase in weight would increase risk for  cardiovascular problems. Trazadone is quickly absorbed and has a faster  onset with hypnotic properties. This makes it more appropriate for this  patient.

Identify any contraindications to / Ethnicities

             A consideration for administration of trazadone is the age of this  patient. The dose in the elderly should not be more than 100 mg/day.  There is a  risk for orthostatic hypotension is in the elderly,  especially in the elderly with with pre-existing heart conditions  (hypertension) ( ( Shin & Saadabadi., 2020). The metabolism of  trazadone should also be considered in different ethnicities as poor  CYP2D6 metabolizers are known to have therapeutic response.  In the  Asian ethnicity, medications that metabolized by CYP2D6 should not be  prescribed (Kitada, 2003). Therefore, if this patient is Asian  increasing the dose of trazadone will be considered or choosing a  different medication to enable the patient get a full effect of the  drug. If the patient were of Asian descent, I would have to decide on  increasing the dose of Trazadone if they were a poor metabolizer or  choosing another medication that was not affected by CYP2D6.

Check Points

Monitor  the patient closely after changing her drug therapy. Side effects of  the medication should be clearly explained to the patient and family  importantly if hallucination is noted, immediate report to the PMHNP for  discontinuation of the medication. The patient should be   be monitored  for suicide ideation, especially at the beginning of the treatment or  when the dose is modified (Shin & Saadabadi., 2020).  I would  observe how this patient will adjust to trazadone 25-50mg in 4 weeks to  determine dose adjustment. 

References

Blackburn, P., Wilkins-Ho, M., Wiese, B. (2017). Depression in older adults: Adults and management. BCMJ, 59 (3).

            https://bcmj.org/articles/depression-older-adults-diagnosis-and-management

Bollu, P., Kaur, H. ( 2019). Sleep Medicine: Insomnia and Sleep. The Journal of Missouri State   Medication Association, 116(1), 68–75.

            https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6390785/

Khandelwal, D., Dutta, D., Chittawar, S., Kalra, S. (2017). Sleep disorders in type 2 diabetes.       Indian Journal of Endocrinology and Metabolism,  21(5), 758–761. doi:    10.4103/ijem.IJEM_156_17

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5628550/

Kitada M. (2003) Genetic polymorphism of cytochrome P450 enzymes in Asian populations:

            Focus on CYP2D6. International Journal of Clinical Pharmacological

            Research,23(1),31-5. https://pubmed.ncbi.nlm.nih.gov/14621071/

Holm,  N. Severinsson, E., Berland, A. (2019). The meaning of bereavement  following spousal     loss: A qualitative study of the experiences of  older adults. https://doi.org/10.1177/2158244019894273

            https://journals.sagepub.com/doi/full/10.1177/2158244019894273

Monk, T. H., Germain, A., & Reynolds, C. F. (2008). Sleep disturbance in bereavement.

            Psychiatric Annals, 38(10), 671–675. https://doi.org/10.3928/00485713-20081001-06

Shin, J., Saadabadi., A. (2020). Trazodone. StatPearls. https://www.ncbi.nlm.nih.gov/books/NBK470560/

Wichniak, A., Wierzbicka, A., Walęcka, M., Jernajczyk, W. (2017). Effects of Antidepressants    on sleep. Current Psychiatry Reports, 19 (9), 63. doi: 10.1007/s11920-017-0816-4

            https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5548844/