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Bi-weekly Practicum Journaling

Throughout this course you have been describing your clinical activities in your journal. This week you will focus on a specific topic related to your practicum experience. 

Write a brief (300-word) personal reflection describing interprofessional collaboration during your experiences in the clinical setting. Reflect on your efforts as a team member to move a client along the health continuum.

Please consider the following areas:

• What professions did you interact with?
• What challenges did the interprofessional team had to overcome to deliver competent care?
• How did the interprofessional care enhance the status of a client/population?
• How might this experience affect your future practice?

As in all assignments, cite your sources in your work and provide references for the citations in APA format. Support your work, using your course lectures and textbook readings. Helpful APA guides and resources are available in the South University Online Library. Below are guides that are located in the library and can be accessed and downloaded via the South University Online Citation Resources: APA Style page. The American Psychological Association website also provides detailed guidance on formatting, citations, and references at APA Style.

• APA Citation Helper
• APA Citations Quick Sheet
• APA-Style Formatting Guidelines for a Written Essay
• Basic Essay Template

With the information presented in Chapter 1 of Ball et al. in mind, consider the following:

• By Day 1 of this week, you will be assigned a new patient profile by your Instructor for this Discussion. Note: Please see the “Course Announcements” section of the classroom for your new patient profile assignment.
• How would your communication and interview techniques for building a health history differ with each patient?
• How might you target your questions for building a health history based on the patient’s social determinants of health?
• What risk assessment instruments would be appropriate to use with each patient, or what questions would you ask each patient to assess his or her health risks?
• Identify any potential health-related risks based upon the patient’s age, gender, ethnicity, or environmental setting that should be taken into consideration.
• Select one of the risk assessment instruments presented in Chapter 1 or Chapter 5 of the Seidel’s Guide to Physical Examination text, or another tool with which you are familiar, related to your selected patient.
• Develop at least five targeted questions you would ask your selected patient to assess his or her health risks and begin building a health history.

By Day 3 of Week 1

Post a summary of the interview and a description of the communication techniques you would use with your assigned patient. Explain why you would use these techniques. Identify the risk assessment instrument you selected, and justify why it would be applicable to the selected patient. Provide at least five targeted questions you would ask the patient.

• Why are balance sheets important to healthcare organization finance and what area of the balance sheet would you consider the most critical?
• Comparing organizational costs, which costs does nursing administration have little control over and why? Which costs would be most important if you are expanding your services and considering quality improvement measures?
• Compare and contrast for-profit and not-for-profit corporate structures based on the information available from a balance sheet and an income statement? Fundamentally, what are the differences?
• Goodwill and patents are considered what types of assets? Give detailed examples and explain.
• Compare and contrast assets which are the essential economic lifeblood of a healthcare organization stability. Give detailed examples and explain.

The Assignment:
Complete the following items and incorporate them into the final version of your Academic Success and Professional Development Plan.

• With the resources specific to the MSN specialization and the, Walden University. (n.d.). Master of Science in Nursing (MSN), shared in this module, write a paragraph or make a Nursing Specialty Comparison table, comparing at least two nursing specialties that include your selected specialization and second-preferred specialization.
• Write a 2- to 3-paragraph justification statement identifying your reasons for choosing your MSN specialization. Incorporate feedback you received from colleagues in this Module’s Discussion forum.
• Identify the professional organization related to your chosen specialization for this Assignment, and explain how you can become an active member of this organization.

DOCUMENT IS ATTACHED TO ADD ASSIGNMENT TO.

MY SPECIALITY IS PSYCHIATRIC MENTAL HEALTH NURSE PRACTIONER and you can choose the other practitioner to be Family Nurse Prationer and any other of your choice. that is easier for you.

You will select one of the following articles on group therapy to evaluate for this week’s Assignment.

 Himelhoch, S., Medoff, D. R., & Oyeniyi, G. (2007). Efficacy of group psychotherapy to reduce depressive symptoms among HIV-infected individuals: a systematic review and meta-analysis. AIDS Patient Care and STDs, 21(10), 732–739. 

 Pessagno, R. A., & Hunker, D. (n.d.). Using Short-Term Group Psychotherapy as an Evidence-Based Intervention for First-Time Mothers at Risk for Postpartum Depression. PERSPECTIVES IN PSYCHIATRIC CARE, 49(3), 202–209. https://doi-org.ezp.waldenulibrary.org/10.1111/j.1744-6163.2012.00350.x 

I download one article, choose one of the three articles

The Assignment

In a 5- to 10-slide PowerPoint presentation, address the following:

• Provide an overview of the article you selected, including answers to the following questions:
  • What type of group was discussed?
  • Who were the participants in the group? Why were they selected?
  • What was the setting of the group?
  • How often did the group meet?
  • What was the duration of the group therapy?
  • What curative factors might be important for this group and why?
  • What “exclusion criteria” did the authors mention?
• Explain the findings/outcomes of the study in the article. Include whether this will translate into practice with your own client groups. If so, how? If not, why?
• Explain whether the limitations of the study might impact your ability to use the findings/outcomes presented in the article.

Note: The presentation should be 5–10 slides, not including the title and reference slides. Include presenter notes (no more than a half page per slide) and use tables and/or diagrams where appropriate. Be sure to support your work with specific citations from the article you selected. Support your presentation with evidence-based literature.

 Psychiatric mental health nursing practice is one of the newest disciplines to be licensed to provide psychotherapy As such, the majority of psychotherapy research is centered on other disciplines such as psychology, social work, marriage/family therapy, art therapy, psychiatry, and mental health counseling. This makes it essential for you to be able to translate current literature from other disciplines into your own clinical practice. For this Assignment, you practice this skill by examining literature on group work and group therapy and considering its applicability to your own clients. 

Rubric:

uality of Work Submitted:

The extent of which work meets the assignned criteria and work reflects graduate level critical and analytic thinking.–

Excellent 27 (27%) – 30 (30%)Good 24 (24%) – 26 (26%)Fair 21 (21%) – 23 (23%)Poor 0 (0%) – 20 (20%)

Quality of Work Submitted: The purpose of the paper is clear.–

Excellent 5 (5%) – 5 (5%)Good 4 (4%) – 4 (4%)Fair 3.5 (3.5%) – 3.5 (3.5%)Poor 0 (0%) – 3 (3%)

Assimilation and Synthesis of Ideas: The extent to which the work reflects the student’s ability to:

Understand and interpret the assignment’s key concepts.–

Excellent 9 (9%) – 10 (10%)Good 8 (8%) – 8 (8%)Fair 7 (7%) – 7 (7%)Poor 0 (0%) – 6 (6%)

Assimilation and Synthesis of Ideas: The extent to which the work reflects the student’s ability to:

Apply and integrate material in course resources (i.e. video, required readings, and textbook) and credible outside resources.–

Excellent 18 (18%) – 20 (20%)Good 16 (16%) – 17 (17%)Fair 14 (14%) – 15 (15%)Poor 0 (0%) – 13 (13%)

Assimilation and Synthesis of Ideas: The extent to which the work reflects the student’s ability to:

Synthesize (combines various components or different ideas into a new whole) material in course resources (i.e. video, required readings, textbook) and outside, credible resources by comparing different points of view and highlighting similarities, differences, and connections.–

Excellent 18 (18%) – 20 (20%)Good 16 (16%) – 17 (17%)Fair 14 (14%) – 15 (15%)Poor 0 (0%) – 13 (13%)

Written Expression and Formatting

Paragraph and Sentence Structure: Paragraphs make clear points that support well developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are clearly structured and carefully focused–neither long and rambling nor short and lacking substance.–

Excellent 5 (5%) – 5 (5%)Good 4 (4%) – 4 (4%)Fair 3.5 (3.5%) – 3.5 (3.5%)Poor 0 (0%) – 3 (3%)

Written Expression and Formatting

English writing standards:
Correct grammar, mechanics, and proper punctuation–

Excellent 5 (5%) – 5 (5%)Good 4 (4%) – 4 (4%)Fair 3.5 (3.5%) – 3.5 (3.5%)Poor 0 (0%) – 3 (3%)

Written Expression and Formatting

The paper follows correct APA format for title page, headings, font, spacing, margins, indentations, page numbers, running head, parenthetical/in-text citations, and reference list.–

Excellent 5 (5%) – 5 (5%)Good 4 (4%) – 4 (4%)Fair 3.5 (3.5%) – 3.5 (3.5%)Poor 0 (0%) – 3 (3%) 

Pick any Acute Disease: Use Guillain-Barré syndrome

Must use the sample template for your soap note.

Follow the Soap Note Rubric as a guide

Use APA format and must include minimum of 2 Scholarly Citations.

Soap notes will be uploaded to Moodle and put through TURN-It-In (anti-Plagiarism program)

Copy paste from websites or textbooks will not be accepted or tolerated. 

The use of templates is ok, but the Patient History, CC, HPI, The Assessment and Plan should be of your own work and individualized to your made up patient. 

Begin reviewing and replying to peer postings/responses early in the week to enhance peer discussion. See the rubric for participation points. Participate in the discussion by asking a question, providing a statement of clarification, providing viewpoints with a rationale, challenging aspects of the discussion, or indicating relationships between two or more lines of reasoning in the discussion. Always use constructive language, even in criticism, to work toward the goal of positive progress.

Peer 1

After reviewing the Healthy People 2020 topics and objectives for some, I have identified objectives that are amenable to parish nurse intervention. First and foremost, faith communities can contribute to the accomplishment of these objectives and accomplish the goal of improving the health of the public by integrating body, mind, and spirit, offering a way to promote health, healing, and wellness of the individuals, families, and communities (Pappas-Rogich & King, 2014). Florence Nightingale first showed the need for nursing to honor the psychological and spiritual aspects to help promote health, but the 19th and 20th centuries have shown health care to be more concerned with curing illness and providing medically prescribed treatment instead (Pappas-Rogich & King, 2014). Faith community nursing (FCN) assists families to become more engaged participants in the care of personal and communal resources (Pappas-Rogich & King, 2014). There has been evidence to show church-based programs have formed great impacts on varieties of health behaviors, especially in the range of nutrition and physical activity and have had greater lasting effects on individuals that make a change by linking it between healthy behavior and taking care of God’s child (Pappas-Rogich & King, 2014). These health messages and activities can then be shared with friends, family, and even social media that may help reach greater populations and have a positive effect towards improving health. The trust between community nurses and parish nurses within the community can help develop partnerships to obtain these goals.

Reference

Pappas-Rogich, M. & King, M. (2014). Faith-based nursing: supporting healthy people 2020 initiatives. Journal of Christian Nursing, 3 (4), 1-7. doi: 10.1097/CNJ.0000000000000104

Peer 2

In this week’s lecture we continue to learn about the nursing profession. Likewise, we focused on several specialty areas in nursing as they relate the progression of healthcare. In this week’s discussion I’ll focus on the role different health departments play in healthcare. Programs in public health have become an essential component in healthcare as it has show to improve the health of a population (Lancaster, M, J 2020). Corresponding my local and state health department, have a major role when it comes to establishing health promotion. In my current state, the health department is known as the Pennsylvania Department of Health. My states department of health plays a role in health promotion by promoting healthy lifestyle habits, education on disease prevention, and ensuring that the community has access to receive quality care in the state of Pennsylvania (Department of Health, 2020).

The goal of Health People 2020, it to promote healthy living amongst people of all ages. By having public health nurses, my local health departments is able to educate the community on risk factors associated with various diseases, offer health screenings, and education and resources to maintain a health life. In addition, federal public health departments create reforms to establish funding for activities pertaining to public health, so that the community can achieve quality living as a whole (Lancaster, M, J, 2020).  Public health nurses can patients change unhealthy habits at the primary prevention level by offering immunizations and local sports teams for the community. Likewise public health nurses can also promote health behaviors by conduction community clinics that offer health screenings such a blood pressure readings (Ali & Katz, 2015). Ultimately, it is our job as a community to preserve our environment, actively participate in exercise, and maintain a good nutrition because it will allow us to improve the world of healthcare as a community.

References

Ali, A., & Katz, D. L. (2015, November). Disease Prevention and Health Promotion: How Integrative Medicine Fits. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4615581/. 

Department of Health. (2020). About the Department of Health. Department of Health. https://www.health.pa.gov/About/Pages/About.aspx. 

Lancaster, M.S. J. Public Health Nursing. [South University]. Retrieved from https://digitalbookshelf.southuniversity.edu/#/books/9780323582247/ 

Your Assignment is a PowerPoint presentation (USE ATTACHED POWERPOINT TEMPLATE)that summarizes your Population-Based Nursing Care Plan Project. Include a minimum of 7 slides (15 maximum) and the information as presented in the weekly Practicum Discussions.

Attached are discussions with the information which needs to be included. This is the accumulated information from last 4 weeks. May need to add information as needed

Remember target population in geriatric and the primary problem is high blood pressure.

I also attached rubric

FOLLOWING IS INFORMATION THAT MUST BE INCULDED IN PP. MUCH HAS BEEN COVERED IN DISCUSSION POSTS. JUST NEED TO MAKE WURE IT IS ALL COVERED. ALSO MAKE SURE THERE ARE IN TEXT CIATIONS AND REFERENCE PGE

Overall Purpose for Practicum: Develop a potential project to improve the health of a specific population of interest or a population at risk.

This practicum is designed to help you develop as a scholar practitioner and health leader to promote positive social change in your own community. In this practicum experience you will focus on primary prevention of a health problem in your community (see text for definition.)  You already possess the knowledge and skills to help those who are acutely ill. This experience will help learn how to prevent a health problem in a specific population at risk at the community and system level of care (see text for definition). Consequently, because you are well aware of how to care for individuals you will now develop leadership and advocacy skills to improve the health of the community.  Collaborating with other professionals and community members in your community will be the key to a successful practicum and project. Collaborate with each other in the discussions, with your instructor, with health care professionals (nurses and other disciplines), with local and state departments of health, and most importantly with the population you hope to help. As an advocate, you will promote positive social change through collaboration with families, communities, and professionals in the health care system. You will develop a culturally relevant proposal that could improve health outcomes for a specific population at risk in your community. 

Answer the following questions as you develop your evidence-based, culturally appropriate intervention for your community:

What health issue, problem, or disparity in health outcomes is of concern to you as a scholar practitioner in your community? What gaps in knowledge and care do you see as possible causes for the health issue? What does the health data tell you about the health issue? What does the literature tell you about the health issue? How can you learn about the health issue and about possible solutions from the viewpoint of families, community as a whole, and health professionals in your community? What evidence is there to support your proposal? What is one avenue you could advocate for improved health outcomes and know when a change has taken place?

Suggestions for the Project

Each week’s activities are geared to help you move along with your proposal. Use this time well and utilize some aspect of discussion and assignments in this course (e.g. windshield survey) to support your proposal as well.

Following is things to keep in mind for each wk/make sure to incorporate into powerpont

Week 1: Identification of a Population in Your Community

As a community of practice your task for this week is to collaborate with professionals across the health care system and with your community of practice in the discussion in order to find a gap in care or social determinant that often results in poor health care outcomes. You will begin to take the lead in advocating for and collaborating with others to improve the health care outcomes for populations at risk.

Week 2: Practicum: Epidemiology: Define Your Population and Selected Problem

This week, you will further refine your population and problem and compare your suspicions about this problem to local, state, and national data on the topic. Your practicum project should come into clear focus as you continue to analyze related health data, and you should consider how you, as the nurse, might help them avoid development of the problem in the first place (primary prevention measures).

Week 3: Practicum: Population Cultural Considerations and Genetic Predispositions

This week, you will identify any genetic predisposition your chosen population has to a particular disease and develop primary practice interventions that reflect the cultural considerations of the population. Then, you will develop culturally appropriate, measureable interventions to help your population members maintain an optimal state of health, avoiding the problem that you identified them being at risk for developing.

Week 4: Evidence-Based Practice and Evaluation of the Project Through Measureable Goals

Dr. Marcia Stanhope (2016) explained that evidence-based public health practice refers to those decisions made by using the best available evidence, data and information systems and program frameworks; engaging community stakeholders in the decision-making process; evaluating the results; and then disseminating that information to those who can use the informatio 

Assignment:

Complete ALL of the bullet points below:

Compare and contrast each of the three questions related to Managed Care Organizations, Medicare, and Medicaid with one another and explain how they were similar and different to each other.

• Managed care organizations emphasize physicians’ responsibilities      to control patient access to expensive hospitalization and specialty care,      a principle dubbed “gatekeeping.” Some argue that      “gatekeeping” is unethical because it introduces financial      factors into treatment decisions. Others say it improves quality by      promoting the use of the most appropriate levels of care.
• Medicare is an area that often gets overlooked and is      seen as a burden financially. Discuss alternatives to ease the drain on      Medicare resources.
• Medicaid is shouldering an ever-increasing burden of      cost for long-term care for the elderly, with enormous impacts on state      budgets throughout the nation. Discuss alternatives to ease this drain on      Medicaid resources.

Please submit one APA formatted table, (minimum 750 words) that highlights the above content make sure to include a title and reference page. The assignment should have a minimum of two (2) scholarly sources, in addition to the textbook.

 Describe the clinical manifestations, physical findings and clinical management of the following cardiovascular system diseases: Congenital heart diseases 

POWER POINT PRESENTATION