All posts by : chebby

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

• The Institute of Medicine’s report, The Future of Nursing: Leading Change, Advancing Health, addresses the need for nursing leadership; it discusses the potential for nursing to lead improvement and redesign the healthcare delivery system. Take a look at the video Transforming Care at the Bedside: Empowering Better Nursing Care to see what some nurses have done to improve healthcare in their facilities. Based on your nursing experience, what change would you like to implement to improve care? What are the first steps you would take to implement the change?

video link : https://www.youtube.com/watch?v=_CtXFdITU8w

1 page with at least 1 reference

 Respond to  your  colleagues who argued the opposite side as you by countering their  argument with evidence. Identify at least two consequences to support  your position. 

NOTE( my position is against the issue of diagnosing pediatric bipolar depression disorder)

Please cite References

                                                       Main Post

Pediatric Bipolar Depression

The  American Psychiatric Association (2013) requires one manic episode or  one hypomanic episode along with one depressive episode for a diagnosis  of Bipolar Disorder. There has been some controversy over using the  diagnosis of Pediatric Bipolar Disorder (PBD) due to what some believe  was over-diagnosis resulting in a higher prevalence of the disorder in  the United States, showing up to a 40-fold increase in the diagnosis in  the previous decade (Van Meter, Moreria & Younstrom, 2019).  

Arguing FOR the Diagnosis

While  there was some debate for a period of time regarding over-diagnosis of  PBD, Van Meter et al. (2019) suggest that rates of pediatric bipolar  disorder are not increasing and the rate is not higher in the United  States once meta-analysis is utilized to critically evaluate previous  data. Some previous criticism of PBD resulted in the APA (2013)  establishing the newer diagnosis of Disruptive Mood Disregulation  Disorder which addressed the primary issue of children presenting for  treatment with significant and pervasive irritability. An important  distinction that must be made is the difference between PBD and DMDD:  PBD has discrete episodes of irritability (mania) whereas in DMDD the  irritability is chronic and nonepisodic (Findling & Chang, 2018). 

With  no other diagnosis available in the past, it is possible that some of  these kids ended up with a PBD diagnosis for what was likely DMDD;  still, this fact does not negate the necessity for a PBD diagnosis to be  available. In fact, between 50-66% of adults with well-documented  bipolar disorder report having had symptoms prior to age 19 (Findling  & Chang, 2018). As has been well-established, earlier treatment and  intervention result in better outcomes (McGorry & Mei, 2018).

The  International Society for Bipolar Disorders Task Force (Goldstein et  al., 2017) found that the previous studies which resulted in much of the  debate appeared to be more influenced by training, conceptualization,  and insurance as opposed to true differences in prevalence. While the  Task Force acknowledges the need for more studies to more accurately  assess for hypomania and differentiation of PBD from non-mood  psychopathology, a need to recognize and diagnose PBD still remains.  McGorry and Mei (2018) make the case for earlier intervention for PBD  due to the fact that (1) earlier treatment is more effective, and (2)  recurrence is often associated with structural  changes in the brain.  Considering this fact, and the new understanding that previous  “over-diagnosis” was probably not actually over-diagnosis, recognizing  and treating PBD remains a critical piece of pediatric psychiatry. 

My Takeaway

When  I began reading about pediatric bipolar disorder, I was initially  inclined to think that it would be difficult to differentiate PBD from  normal childhood mood swings. However, the more I read, the more clear  it became that by accurately diagnosing PBD, the better the outcomes.  Also, one thing that I noticed in several studies was the necessity for a  “structured interview” in the diagnostic process. I have not seen that  done in real life, but it inspired me enough that I found a handbook and  manual, the Structured Clinical Interview for DSM-V, from the American Psychiatric Association Publishing arm that I purchased for my own resources (https://www.appi.org/Products/Interviewing/SET-of-SCID-5-CV-and-SCID-5-CV-Users-Guide).  The bottom-line, for me, is to make sure that I remain open to what new  research shows and to remember that I will never know everything and  that I can always learn something new.

References

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders

(5th ed.). Washington, DC: Author.

Findling, R.L. & Chang, K.D. (2018). Improving the Diagnosis and Treatment of Pediatric Bipolar

Disorder. Journal of Clinical Psychiatry, 79(2), 62-69. 

Goldstein, B.I., Birmaher, B., Carlson, G.A., DelBello, M.P., Findling, R.L., Fristad, M., 

Kowatch, R.A., Miklowitz, D.J., Nery, F.G., Perez-Algorta, G., Van Meter, A., Zeni, C.P.,

Correll, C.U., Kim, H.W., Wozniak, J., Chang, K.D., Hillegers, M. & Youngstrom, E.A. 

(2017). The International Society for Bipolar Disorders Task Force report on pediatric

bipolar disorder: Knowledge to date and directions for future research. Bipolar Disorders,

19, 524-543. Doi: 10.111/bdi.12556.

Van Meter, A., Moreira, A.L., & Youngstrom, E. (2019). Updated Meta-Analysis of 

Epidemiologic Studies of Pediatric Bipolar Disorder. Journal of Clinical Psychiatry, 80(3),

e1-e11. doi: 10.4088/JCP.18r12180.

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Select two clients you observed or counseled this week during a group therapy session for CHILDREN AND ADOLESCENT Note: The two clients you select must have attended the same group session. 

Then, address in your Practicum Journal the following:

• Using the Group Therapy Progress Note in this week’s Learning Resources, document the group session.
• Describe each client (without violating HIPAA regulations), and identify any pertinent history or medical information, including prescribed medications.
• Using the DSM-5, explain and justify your diagnosis for each client.
• Explain any legal and/or ethical implications related to counseling each client.
• Support your approach with evidence-based literature.

Read chapters 18 and 19 of the class textbooks and review the PowerPoint presentations located in the PowerPoint folder. Once done answer the following questions.

1. Identified and explain situations that make populations underserved and apply the recommendations from Healthy People 2020 initiatives to meet individual, family, and population health needs.

2. Are there legal obligations that you can identify in relation to rural, correctional, LGBTQ, or homeless health? Give specific examples and what your resource would be to address these issues.

3.  Explain the different types of disasters and how they may vary, the primary goal of simulation in disaster preparedness and the phases involved in disaster planning

A minimum of 3 evidence-based references no older than 5 years must be used 

APA format (intext citations and references)

800 words

Plagiarism FREE