All posts by : chebby

Review your problem or issue and the study materials to formulate a PICOT question for your capstone project change proposal. A PICOT question starts with a designated patient population in a particular clinical area and identifies clinical problems or issues that arise from clinical care. The intervention used to address the problem must be a nursing practice intervention. Include a comparison of the nursing intervention to a patient population not currently receiving the nursing intervention, and specify the timeframe needed to implement the change process.  Formulate a PICOT question using the PICOT format (provided in the assigned readings) that addresses the clinical nursing problem.

The PICOT question will provide a framework for your capstone project change proposal.

In a paper of 500 words, clearly identify the clinical problem and how it can result in a positive patient outcome.

Describe the problem in the PICOT question as it relates to the following:

1. Evidence-based solution
2. Nursing intervention
3. Patient care
4. Health care agency
5. Nursing practice

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 LopesWrite. Refer to the LopesWrite Technical Support articles for assistance. 

 Disease: Hemorrhoids 

Patient care decisions should be supported by timely clinical information, reflecting the best evidence possible (Institute of Medicine 2013). Present and future professional nurses must be able to use informatics and technology to facilitate critical decision-making for optimal patient outcomes (Massachusetts Department of Higher Education Nursing Initiative 2016). Nursing clinical informatics competencies involve the collection and use of patient data for analysis and dissemination. Nursing informatics with computer science was established to create innovative ways to provide quality care to our patients. Evidence based practice is a cornerstone to making NI better for the future. Without EBP there would be no such thing. 

What I see for the future is that technology would be expanding at a faster rate. There would be less hands on and more robotics. What I mean by this is that robots would be administering meds at the bedside, documenting task, and even doing patient consults. I believe that this would be in the near future to come because it would cut the need for nursing staff in half and it would be cost effective for the company. The only thing that would be the downfall to this is that robots do not pose interpersonal skills so patient questions would go unanswered and in would block the communication to building a rapport. We have already advanced to telemedicine which in some cases can be beneficial to the patient being seen by the physician. 

Another thing that would probably be good for the up and coming future would be if we could use the pyxis like we use Alexa and Siri. If we could give them voice commands where it could dispense patient medications that are due just by giving the first and last name of the patient would cut down on the time spent pulling meds. Instead of your taking 30mins to 1 hour pulling meds could just take about 15 to 20 mins. Modern technology is advancing so much that some of us cannot not keep up with the new demands of the workplace. In nursing we are always learning new things and we must continue to learn as we advance in our careers in order to be successful. New media offer new possibilities in teaching and learning. However, the appropriation of new knowledge and skills in dealing with technology, especially for older adults, is a critical challenge. This needs to be considered against the background of the digital divide. Which describes, among other things, the lack of information on the ability of older adults to use technology among those who have access to ICTs and new media in healthcare. In conclusion informatics will be changing for the better.

Reference 

Institute of Medicine. (2013). Core measurement needs for better care, better health, and lower costs: Counting what counts, workshop summary. Washington, DC: National Academies Press. doi:10.17226/18333 

Massachusetts Department of Higher Education Nursing Initiative. (2016). Massachusetts nursing of the future nursing core competencies. Retrieved from https://www.mass.edu/nahi/documents/NOFRNCompetencies_updated_March2016.pdf (Links to an external site.) 

Reply 2

The origin of health informatics began in the 1950s when computers were introduced into healthcare. Computers allowed new technology to expand the fields of medicine and nursing education (Nelson, 2014, p. 596). Today, health informatics takes the information technology that exists and applies it to systems in place already, creating a more innovative vision for healthcare. This can be accomplished by reviewing the current trends, as well as offering tools for predicting the future. Health professionals and informatics specialists can then prepare their leadership roles in planning effective future healthcare information systems (Nelson, 2014, p. 612).  

Our textbook further explains these changes by dividing the scope of change into three levels. The first level of change makes the process in use more efficient without changing the process or goal. An example of this would be for health care to completely move from paper documentation to an electronic way of inputting patient information. As I have discussed in other posts, this can be achieved by providing organizations that rely on pen and ink with the resources they need to provide all their cases electronic devices for accessing the plan of care for patients and medication administration records. Having patients check in to doctor’s offices with an iPad versus a clipboard and paper is another way the first level of change can occur. Second level changes involve changing how a specific outcome is achieved (Nelson, 2014, p. 614). An example of this today is the rise of telehealth medicine. Allowing patients more access to therapies and physicians through the phone offers more accessibility to those quarantining or social-distancing due to COVID-19. Telehealth medicine allows clinics the opportunity to limit the number of clients that are in a room to minimize risks for other patients and healthcare workers. Another example would be the initiation of apps for accessing health information and scheduling appointments. Phone applications can be downloaded and used at the discretion of patients 24/7 rather than patients calling the doctor for test results, medication refills, appointment scheduling, and taking printouts of visit summaries. The third level of change alters the process and refocuses the goal at the societal and institutional level (Nelson, 2014, p. 614). Phones have had the ability to track location since cell towers were installed. This past summer, location tracking has taken on a new role in the life of coronavirus. Digital contact tracing has become popular with governments of various countries to identify infected individuals and tracing people they have been in contact with. The process uses Bluetooth technology that logs when devices are near another device associated with an infected user for a prolonged period (Frith & Saker, 2020). Changing how phone tracking is used to benefit the community and allowing health agencies to monitor those who should be social-distancing due to a positive COVID-19 virus. The use of technology in this way  shows how a third level change can reflect the changes happening in our society. However, some oppose digital contact tracing because of HIPAA and surveillance concerns. My hope for the future of informatics is to successfully find the balance between technology and patient-centered care. Taking into consideration what nurses need to do their jobs most efficiently, improving patient care to be most accessible, and seamlessly integrate technology into the community to improve health in our neighborhoods is my vision of the future of health informatics.  

References 

Frith, J., & Saker, M. (2020). It Is All About Location: Smartphones and Tracking the Spread of COVID-19. Sage Journals. https://doi.org/10.1177/2056305120948257 (Links to an external site.) 

Nelson, R., & Staggers, N. (2014). Health Informatics: An Interprofessional Approach (2nd ed.). Mosby. 

Edited by Wood, Carmen on Oct 7 at 12:46pm

All replies must be constructive and use literature where possible.

Your assignment will be graded according to the grading rubric.

250 words for each reply

 ATI RN Fundamentals Proctored Focus Can an RN delegate to the LPN to provide tracheostomy care to a client with pneumonia? A nurse on a med-surg unit has received change-of-shift report & will care for 4 clients. Which of the following client’s needs may the nurse assign to a assistive personnel (AP)? A nurse is delegating the ambulation of a client who had knee arthroplasty 5 days ago to an AP. Which of the following information should the nurse share with the AP? Select All. An RN is making assignments for client care to a LPN at the beginning of the shift. Which of the following assignments should the LPN question? A nurse is preparing an in-service program about delegation. Which of the following elements should she identify when presenting the 5 rights of delegation? Select all. A nurse manager of a med-surg unit is assigning care responsibilities for the oncoming shift. A client is awaiting transfer back to the unit from the PACU following thoracic surgery. To which staff member should the nurse assign to this client? A nurse observes an AP reprimanding a client for not using the urinal properly. The AP tells him she will put a diaper on him if he does not use the urinal more carefully next time. Which of the following torts is the AP committing? An adult client who is competent tells the nurse that he is thinking about leaving the hospital against medical advice. The nurse believes that this is not in the client’s best interest, so she administers a PRN sedative med that the client has not requested along w/his usual meds. Which of the following tort has the nurse committed? A client who will undergo neurosurgery the following week tells the nurse in the surgeon’s office that he will prepare his advance directives before he goes to the hospital. Which of the following statements by the client indicates to the nurse that he understands advance directives? A client is about to undergo an elective surgical procedure. Which of the following actions are appropriate for the nurse who is providing pre-op care regarding informed consent? Select all. A nurse has noticed several occasions in the past week when another nurse on the unit seemed drowsy & unable to focus on the issue at hand. Today, she found the nurse asleep in a chair in the break room when she was not on break. Which of the following actions should the nurse take? A nurse is preparing info for a change-of-shift report. Which of the following info should the nurse include in the report? A nurse enters a client’s room & finds him sitting in his chair. He states, “I fell in the shower, but I got myself back up & into my chair.” How should the nurse document this in the client’s chart? A nursing instructor is reviewing documentation w/a group of nursing students. Which of the following legal guidelines should they follow when documenting a client’s record? Select all that apply The skin barrier covering a client’s intestinal fistula keeps falling off when she stands up to ambulate. The nurse has reapplied it twice during the shift, but it remains intact only when the client is supine in bed. The nurse telephoned the physical therapist about the difficulties containing the drainage from the fistula, so the therapist didn’t ambulate the client today. The client sat in a chair during lunch w/an absorbent pad over the fistula. The client ate all the food on her tray. The wound care nurse confirmed that she will see the client later today. The client states she feels frustrated at not having physical therapy, but the nurse thinks the client welcomed having a day to rest. Which of the following information should the nurse include in the change-of-shift report? Select all that apply. A nurse is receiving a provider’s prescription by telephone for morphine for a client who is reporting moderate to severe pain. Which of the following nursing actions are appropriate? Select all that apply A nurse is caring for an older adult client who lives alone & is to be discharged in 3 days. He states that it is difficult to prepare adequate nutritious meals at home for just 1 person. To which of the following members of the health care team should the nurse refer him? A goal for a client who has difficulty w/self-feeding due to rheumatoid arthritis is to use adaptive devices. The nurse caring for the client should initiate a referral w/which of the following members of the inter-professional care team? A client who is postop following a knee arthroplasty is concerned about the adverse effects of the medication he is receiving for pain management. Which of the following members of the inter-professional care team may assist the client in understanding the medication’s effects? Select all that apply. A client who has had a cerebrovascular accident has persistent problems w/dysphagia. The nurse caring for the client should initiate a referral w/which of the following members of the inter-professional care team? A nursing instructor is acquainting a group of nursing students w/the roles of the various members of the health care team they will encounter on a medical-surgical unit. When she gives examples of the types of tasks CNAs may perform, which of the following client activities should she include? Select all. A nurse in a provider’s office is preparing to assess a young adult male client’s musculoskeletal system as part of a comprehensive physical examination. Which of the following findings should the nurse expect? Select all. A nurse is evaluating a client’s neurosensory system. To evaluate stereo-gnosis, she would ask the client to close his eyes & identify which of the following items? A nurse is assessing a client who reports pain when the nurse evaluates the internal rotation of her right shoulder. Which of the following activities is this problem likely to affect? A nurse is preforming a neurosensory examination for a client. Which of the following tests should the nurse preform to test the client’s balance? Select all. A nurse is collecting data from an older adult client as part of a neurosensory examination. Which of the following findings should the nurse expect as changes associated w/aging? Select all. A nurse is providing discharge instructions to a client who has a prescription for the use of oxygen in his home. Which of the following should the nurse teach the client about using oxygen safely in his home? Select all. A nurse educator is conducting a parenting class for new parents. Which of the following statements made by a participant indicates a need for further clarification & instruction? A home health nurse is discussing the dangers of carbon monoxide poisoning w/a client. Which of the following information should the nurse include in her counseling? A nurse educator is presenting a module on basic first aid for newly licensed home health nurses. The nurse educator evaluates the teaching as effective when the newly licensed nurse states the client who has heat stroke will have which of the following? A home health nurse is discussing the dangers of food poisoning w/a client. Which of the following info should the nurse include in her counseling? Select all. A nurse is caring for a client diagnosed w/severe acute respiratory syndrome (SARS). The nurse is aware that health care professionals are required to report communicable & infectious diseases. Which of the following illustrate the rationale for reporting? Select all. A nurse is contributing to the plan of care for a client who is being admitted to the facility w/a suspected diagnosis of pertussis. Which of the following should the nurse include in the plan of care? Select all. A nurse is caring for a client who presents w/linear clusters of fluid-containing vesicles w/some crustings. Which of the following should the nurse suspect? A nurse is caring for a client who reports severe sore throat, pain when swallowing, & swollen lymph nodes. The client is experiencing which of the following stages of infection? A nurse educator is reviewing w/a newly hired nurse the difference in clinical manifestations of a localized vs. a systemic infection. The nurse indicates understanding when she states that which of the following are clinical manifestations of a systemic infection? Select all. A nurse is teaching a young adult client about health promotion & illness prevention. Which of the following statements by the client indicates an understanding of the teaching? A nursing instructor is explaining the various stages of the lifespan to a group of nursing students. The nurse should offer which of the following behaviors by a young adult as an example of appropriate psychosocial development? A nurse is counseling a young adult who describes having difficulty dealing w/several issues. Which of the following problems the client verbalized should the nurse identify as the priority for further assessment & intervention? A nurse is reviewing safety precautions w/a group of young adults at a community health fair. Which of the following recommendations should the nurse include specifically for this age group? Select all. A nurse is reviewing the CDC’s immunization recommendations w/a young adult client. Which of the following recommendations should the nurse include in this discussion? Select all. A nurse is caring for an 82-yr-old client in the ER who has an oral body temp of 38.3 C (101 F), a pulse rate of 114/min, & a RR of 22/min. He is restless & his skin is warm. Which of the following are appropriate nursing interventions for this client? Select all. A nurse is instructing an AP in caring for a client who has a low platelet count as a result of chemo. Which of the following is the nurse’s priority instruction for measuring vital signs for this client? A nurse is instructing a group of nursing students in measuring a client’s RR. Which of the following guidelines should the nurse include? Select all. A nurse who is admitting a client who has a fractured femur obtains a BP reading of 140/94 mmHg. The client denies any history of HTN. Which of the following actions should the nurse take next? A nurse is performing an admission assessment on a client. When measuring her vital signs, the nurse finds that her radial pulse rate 68/min & her simultaneous apical pulse rate is 84/min. What is the client’s pulse deficit? A nurse is caring for a client who will perform fecal occult blood testing at home. Which of the following info should the nurse include when explaining the procedure to the client? A nurse is talking w/a client who reports constipation. When the nurse discusses dietary changes that can help prevent constipation, which of the following foods should the nurse recommend? A nurse is caring for a client who has had diarrhea for the past 4 days. When assessing the client, the nurse should expect which of the following findings? Select all. A nurse is preparing to administer a cleansing enema to an adult client in preparation for a diagnostic procedure. Which of the following are appropriate steps for the nurse to take? Select all. While a nurse is administering a cleansing enema, the client reports abdominal cramping. Which of the following is the appropriate intervention? A nurse is caring for a client who has been sitting in a chair for 3 hrs. Which of the following problems is the client at risk for developing? A nurse is caring for a client who is on bed rest. Which of the following interventions should the nurse implement to maintain the patency of the client’s airway? A nurse is caring for a client who is postop. Which of the following nursing interventions reduce the risk of thrombus development? Select all. : A nurse is instructing a postop client about the sequential compression device the provider has prescribed. Which of the following statements should indicate to the nurse that the client understands the teaching? To promote the safe use of a cane for a client who is recovering from a minor musculoskeletal injury of the left lower extremity, which of the following instructions should the nurse provide? Select all that apply. A nurse is assessing the pain level of a client who has come to the ER reporting severe abd. pain. The nurse asks the client whether he has nausea & has been vomiting. The nurse is assessing which of the following? A nurse is assessing a client who is reporting severe pain despite analgesia. The nurse can best assess the intensity of the client’s pain by: A nurse is obtaining history from a client who has pain. The nurse’s guiding principle throughout this process should be that: A nurse is caring for a client who is receiving morphine via a PCA infusion device after abdominal surgery. Which of the following statements indicates that the client knows how to use the device? A nurse is monitoring a client who is receiving opioid analgesia for adv effects of the med. Which of the following effects should the nurse anticipate? Select all. A nurse is assessing a client who takes haloperidol (Haldol) for the tx of schizophrenia. Which of the following findings should the nurse document as extrapyramidal symptoms (EPS)? Select all. A nurse is providing teaching about managing anticholinergic effects for a client who has a new prescription for oxybutunin (Ditropan XL). Which of the following are appropriate to include in the teaching? Select all. A nurse is reviewing the reported meds of a client who was recently admitted. The meds include cimetidine (Tagamet) & imipramine hydrochloride (Tofranil). Knowing that cimetidine decreases the metabolism of imipramine hydrochloride, the nurse should identify that this combination is likely to result in which of the following effects? A nurse in an outpatient clinic is caring for a client who states she is trying to get pregnant. The client currently takes a Category D pregnancy risk med for the control of seizures. Which of the following statements by the nurse is appropriate? A nurse in an outpatient surgical center is admitting a client for a laparoscopic procedure. The client has a prescription for preoperative diazepam (Valium). Prior to administering the med, which of the following actions is the highest priority? A nurse is preparing to administer methylprednisolone acetate (Depo-Medrol) 10 mg by IV bolus. The amount available is 40 mg/mL. How many mL should the nurse administer? (round to nearest tenth) A nurse is preparing to administer lactated Ringer’s (LR) IV 100 mL over 15min. The nurse should set the infusion pump to deliver how many mL/hr? (round to nearest whole number) A nurse is preparing to administer 0.9% sodium chloride (0.9% NaCl) 250 mL IV to infuse over 30min. The drop factor of the manual IV tubing is 10 gtt/mL. The nurse should set the manual IV infusion to deliver how many gtt/min? (round to nearest whole number) A nurse is caring for a client who is at high risk for aspiration. Which of the following is an appropriate nursing intervention? A nurse is preparing a presentation about basic nutrients for a group of high school athletes. She should explain that which of the following is the body’s priority energy reserve? A nurse is caring for a client who is on a low-residue diet. The nurse should expect to see which of the following foods on the client’s meal tray? A nurse is caring for a client who weighs 80 kg (176 lb) and is 1.6 m (5 ft 3 in) tall. Calculate her BMI & determine whether this client is obese based on her BMI. . A nurse in a senior center is counseling a group of older adults about their nutritional needs & considerations. Which of the following info should the nurse include? Select all. A nurse is caring for a client who is 1 day postop following a total knee arthroplasty. The client states his pain level is a 10 on a scale of 0-10. After reviewing the client’s medication administration record, which of the following medications should the nurse administer? A nurse is teaching a client about taking multiple oral meds at home to include time-release capsules, liquid meds, enteric-coated pills, & narcotics. Which of the following statements by the client indicates an understanding of the teaching? A nurse is teaching a client how to administer medication through a jejunostomy tube. Which of the following instructions should the nurse include in the teaching? A nurse educator is teaching a module on pharmacokinetics to a group of newly licensed nurses. Which of the following statements by a newly licensed nurse indicates an understanding of the 1st-pass effect? A nurse is teaching an adult client how to administer ear drops. Which of the following statements by the client indicates understanding of the proper technique? A nurse prepares to administer an injection of morphine (Duramorph) to a client who reports pain. Prior to administering, the nurse is called to another room to assist another client onto a bedpan. She asks a 2nd nurse to give the injection. Which of the following actions should the 2nd nurse take? A nurse is preparing to administer a med to a client. The med was scheduled for administration at 0900. Which of the following are acceptable administration times for this med? Select all. A nurse is working w/a newly hired nurse who is administering meds to clients. Which of the following actions by the newly hired nurse indicates an understanding of med error prevention? A nurse educator is teaching a module on safe med administration to newly hired nurses. Which of the following statements by the newly hired nurse indicate understanding of the nurse’s responsibility when implementing med therapy? Select all. A nurse is preparing to administer digoxin (Lanoxin) to a client who states, “I don’t want to take that med. I do not want one more pill.” Which of the following responses by the nurse is appropriate in this situation? A nurse is assessing a client who has an acute resp. infection that puts her at risk for hypoxemia. Which of the following findings are early indications that should alert the nurse that the client is developing hypoxemia? Select all. A nurse is caring for a client who is having difficulty breathing. The client is lying in bed & is already receiving oxygen therapy via nasal cannula. Which of the following interventions is the nurse’s priority? A nurse is preparing to preform endotracheal suctioning for a client. Which of the following are appropriate guidelines for the nurse to follow? Select all. A nurse is caring for a client who has a tracheostomy. Which of the following actions should the nurse take each time he provides tracheostomy care? Select all. A provider is discharging a client with a prescription from home oxygen therapy via nasal cannula. Client & family teaching by the nurse should include which of the following? Select all. A nurse is delivering an enteral feeding to a client who has an NG tube in place for intermittent feedings. When the nurse pours water into the syringe after the formula drains from the syringe, the client asks the nurse why the water is necessary. Which of the following is an appropriate response by the nurse? A nurse is preparing to instill an enteral feeding to a client who has an NG tube in place. Which of the following is the nurse’s highest assessment priority before performing this procedure? A nurse is caring for a client who is receiving continuous enteral feedings. Which of the following nursing interventions is the highest priority when the nurse suspects aspiration of the feeding? A nurse is caring for a client in a long-term care facility who is receiving enteral feedings via NG tube. Which of the following is an appropriate nursing action prior to administering the tube feeding? Select all that apply A nurse is preparing to insert an NG tube for a client who requires gastric decompression. Which of the following actions should the nurse perform prior to beginning the procedure? Select all. An adolescent who has diabetes mellitus is 2 days postop following an appendectomy. The client is tolerating a regular diet. He has ambulated successfully around the unit w/assistance. He requests pain meds Q 6-8 hr while reporting pain at a 2 on a scale of 1-10 after receiving the med. His incision is approximated & free of redness, w/scant serous drainage on the dressing. Which of the following risk factors for poor wound healing does this client have? Select all. A nurse is assessing a client who is 5 days post op following abd. surgery. The surgeon suspects an incisional wound infection & has prescribed antibiotic therapy for the nurse to initiate after collecting wound & blood specimens for culture & sensitivity. Which of the following assessment findings should the nurse expect? Select all. A nursing instructor is reviewing the wound healing process w/a group of nursing students. They should be able to identify which of the following alterations as a wound or injury that heals by secondary intention? Select all. A client who had abd. surgery 24 hr ago reports a pulling sensation & pain in his surgical incision. The nurse checks the client’s surgical wound & finds the wound separated w/viscera protruding. Which of the following interventions is appropriate? Select all. A nurse is caring for an older adult client who is at risk for developing pressure ulcers. Which of the following interventions should the nurse use to help maintain the integrity of the client’s skin? Select all. 

1)  Submit 1 document per part

Part 1: Complete the file “Template Soap Note”  taking into account the following information:

     Diagnosis:   (D64.9) Anemia, unspecied 

      Female

      39 Years

Part 2: Complete the file “Template Soap Note” taking into account the following information:

     Diagnosis:    (G44.51) Hemicrania continua 

      Female

      62 Years

Part 3: Complete the “Template Soap Note”  taking into account the following information:

        Diagnosis:    (E73.9) Lactose intolerance, unspecied 

         Male

         58 years

2)¨******APA norms, please use headers

          All paragraphs must be narrative and cited in the text- each paragraphs

          Bulleted responses are not accepted

          Dont write in the first person 

          Dont copy and pase the questions.

          Answer the question objectively, do not make introductions to your answers, answer it when you start the paragraph

         Submit 1 document per part

3) It will be verified by Turnitin and SafeAssign

4) Minimum 4 references per part not older than 5 years

Create a pamphlet using your choice of publishing software to educate the staff for which you are the nurse leader. The pamphlet must cover a current patient safety issue.

Examples include:

• Teaching aging adults to care for themselves at home
• Teaching patients about the possible implications of polypharmacy and providing the skills to avoid self-medication errors
• Other appropriate safety issues such as workplace safety

If you have a question about a specific topic, check with your instructor.

Your pamphlet must include the following items:

1. At least five tips describing preventive care for the patient
2. Information that should be shared with family or caregivers
3. Local resources in the community that might be available for this type of safety concern
4. At least three references published in the last five years; APA format must be used

These are my assignment for week 10 and week 11 with rubrics attached, please read carefully to understand its two different tasks that require 7th edition of APA format and a minimum of 3 references

Mental illness is explained as social, emotional, and psychological wellbeing. Most people are unaware that they have a mental illness that can affect their daily lives. According to the Canadian nursing journal 2017, 350 million people worldwide suffer from depression, and more than 800,000 worldwide die from suicide each year. Waters, Furukawa, and Jorissen (2018) states that mental illness affects 5% of the United States population and is associated with increased morbidity and mortality, which is very costly. This cost includes hospitalization and emergency room visits. I can relate to this statistic, in the emergency room that I was working approximately 1 out of 40 patients present with either suicidal thoughts, depression, anxiety, or simply just feeling down.

        Week one lesson mention that mental health is the cause of most premature death and disability for both male and female. As per global burden diseases, it’s one of the top illnesses in the nation and worldwide. According to the national institute of health, mental illness accounts for 13 % of the global disease burden, with major depression being the largest contributor. The emergency room that I worked in was a covid designated center in the New York City area. The effect of this pandemic was so devastating to our patients, families, and employees.  The aftereffect has left most of the patients and staff with anxiety and depression. I have triage patient that comes to the ER after catching covid with complains that they are now experiencing anxiety and not sleeping well. This is putting a strain on their health, causing new-onset high blood pressure, weight loss, and loss of appetite. “the covid 19 pandemic will create unpresidential health and social challenges both in the US and international” (Druss B.G,2020).

      The stakeholders who are affected by mental health are nurses, mental health providers, health care facilities, insurance companies, family, and the community. Stakeholders involved in the resolution are the WHO executive board. They are urgings people to protect the rights of people with mental illness. Mental illness can affect anyone at any given time.

The clinical practice guideline used is APA (America Psychiatric Association), provide evidence-based recommendation for the treatment and assessment of mental illness. It can also assist in clinical decision making by presenting systematical development. APA’s guideline development process intended to meet standards for the development of “trustworthy” practice guidelines recommended by the National Academy of Medicine, formerly the Institute of Medicine (IOM). The standards address transparency, management of conflicts of interest, the composition of writing groups, the use of systematic reviews of evidence, articulation, and rating of recommendations, external review, and updating.

    The intervention I would propose is that as a healthcare worker, we should educate ourselves on how to identify and treat early mental illness before it gets severed. We need to look at the person as a whole and figure out what’s the underlining cause of the disease and provide early interventions instead of only looking at the disease itself. By doing so, we might be able to prevent premature death and disability and help patients live a healthy normal life.

References

Canadian Nursing Journal, (2017). Mental Disorder-Epidemiology-Canada, 113(1)18-18 (1p)

Waters, H.C; Furukawa, M.F; Jorissen, S, L. (2018). Community Mental Health Journal,54(8) 1101-1108(8p)

Druss, B.G. (2020). Addressing the Covid-19 Pandemic in Population with Serious Mental Health. American Medical Association, 77(9) 891-892.

Chamberlain College of Nursing. (2019). NR-701 Week 1: The Practice Problem: National Issues and Nonresearch Evidence [Online lesson]. Downers Grove, IL: Adtalem

I NEED A COMMENT FOR THIS POST WITH AT LEAST TWO-THREE  PARAGRAPH AND TWO SOURCES NO LATER THAN FIVE YEARS

2 part assignment

Purpose

The purpose of this activity is to deepen learning through reflective inquiry. This activity will allow for expansion in self-awareness, identification of knowledge gaps, and assessment of learning goals.

Preparing the Assignment

Follow these guidelines when completing each component of this assignment. Contact your course faculty if you have questions. It is each student’s responsibility to save and maintain all artifacts required in the e-Portfolio (Links to an external site.).

1-Write a brief 1-2 paragraph weekly reflection addressing the questions posed in the Reflect section of each weekly module. 

Week 1

o  What were the most important concepts you learned in week 1?

o  Why are these concepts important?

o  How will they prepare you for your future role as a DNP-prepared nurse?

o  In what ways do you feel prepared for your new role? In what ways do you feel unprepared?

Week 2

o  Provide one specific example of how you achieved the weekly objectives.

o  What do you value most about your learning this week?

o  What else do you need to explore to further grow as a DNP practice scholar?

Week 3

o  Provide one specific example of how you achieved the weekly objectives.

o  What personal values, if any, were challenged this week?

o  What values can you reaffirm or want to reconsider after this learning?

Week 4

o  Provide one specific example of how you achieved the weekly objectives.

o  What concepts, theories, models, tools, techniques, and resources in this week did you find most valuable?

o  What issues had you not considered before?

Week 5

o  Provide one specific example of how you achieved the weekly objectives.

o  How might you use this information in your future role as a DNP practice scholar?

o  What topics, if any, had you not considered before?

Week 6

o  Provide one specific example of how you achieved the weekly objectives.

o  What knowledge do you still need to demonstrate competency in the weekly concepts?

o  What skills do you need to continue developing to apply these concepts?

Week 7

o  Provide one specific example of how you achieved the weekly objectives.

o  What are the core values and best practices that define the roles of the DNP practice scholar?

o  How will this knowledge improve your effectiveness as a DNP practice scholar?

o  What skills do you need to implement these best practices and how will you develop them?

Reflection on Learning

Requirements:
1. Addresses all aspects of the weekly reflection
2. Assesses own learning
3. Assesses value of the learning experience

Includes no fewer than 3 requirements for weekly reflection.

Writing Organization and Mechanics

Requirements:

-Grammar and mechanics are free of errors.

-Presents information using clear and concise language in an organized manner (0-1 errors in English grammar, spelling, syntax, and punctuation).

Please answer each week separated 2