Question 1:

The Value of Comparative Policy Analysis

After reviewing the background materials and doing your own research, discuss the value in looking at other countries’ policy successes and failures. How can it be beneficial to health policy development in our own country?

Be sure to support your answer with citations from reliable sources.

Question 2:

Reflection

Your comments will be graded on how well they meet the Discussion Requirements posted under “Before You Begin.”

A poem by T. S. Eliot says, “We had the experience but missed the meaning.” As your experience in this course comes to a close, I don’t want you to miss the meaning of the materials you have read, papers you have written, and discussions we have had throughout the session. They are more than a series of assignments and grades—the end result should be an improvement in your higher-order thinking and your ability to make connections between thoughts and ideas. You can achieve that through reflection, the art of taking charge of your own mind. Reflection is a mental process that challenges you to use critical thinking to examine the course information, analyze it carefully, make connections with previous knowledge and experience, and draw conclusions based on the resulting ideas.

A well-cultivated critical thinker (Paul & Elder, 2008):

• raises vital questions and problems, formulating them clearly and precisely;
• gathers and assesses relevant information, using abstract ideas to interpret it effectively; comes to well-reasoned conclusions and solutions, testing them against relevant criteria and standards;
• thinks open mindedly within alternative systems of thought, recognizing and assessing, as need be, their assumptions, implications, and practical consequences; and
• communicates effectively with others in figuring out solutions to complex problems.

For this discussion, take some time to reflect upon two concepts that you learned in this course.

• What are the concepts?
• What insight or ideas did you gain from learning each of these concepts?
• Were there aspects of the concepts that you would challenge?
• What is the importance of these concepts to public health?
• How will you use this new wisdom in your current or future career? 

In order to earn maximum credit, the comment should be more than your opinion, and more than a quick “off the top of your head” response. Be sure to support your statements, cite sources properly, cite within the text of your comments, and list your reference(s). The response must be a minimum of 250 words.

Britton, B. & Serrat (2013). Reflective Practice. Retrieved from http://www.slideshare.net/Celcius233/reflective-practice-27714069

Eliot, T. S. (1943). Four Quartets. The Dry Salvages, pt. 2.3. Harcourt: New York.

Paul, R. & Elder, L. (February 2008). The Miniature Guide to Critical Thinking Concepts and Tools. Foundation for Critical Thinking Press.

After responding to the Reflective Discussion above, please complete an anonymous Course Evaluation Survey. Instructors are not able to view course evaluation reports until after the grade submission period is over. Thank you for your feedback.

PLEASE FOLLOW THE INSTRUCTION BELOW

ZERO PLAGIARISM

4 REFERENCES

Students will:

• Develop diagnoses for clients receiving psychotherapy*
• Evaluate the efficacy of therapeutic approaches for clients*
• Analyze legal and ethical implications of counseling clients with psychiatric disorders*

* The Assignment related to this Learning Objective is introduced this week and submitted in Week 7.

Select a client whom you observed or counseled that suffers from a disorder related to trauma. Then, address the following in your Practicum Journal:

• Describe the 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 this client.
• Explain whether any of the therapeutic approaches in this week’s Learning Resources would be effective with this client. Include expected outcomes based on these therapeutic approaches. Support your approach with evidence-based literature.
• Explain any legal and/or ethical implications related to counseling this client.

To prepare:

Review the information in the Practicum Project Plan Overview document as needed. The overview describes the elements that must be included in your plan.

Reflect on the development of your Practicum Project Plan thus far. Address any questions you have and/or identify areas in need of further consideration or improvement. How can you craft your proposal objectively yet persuasively?

Develop any outstanding components of your Practicum Project Plan. For instance, you may need to continue your review of the literature that justifies your project and create your project timeline.

Review the information on scholarly writing in this week’s Learning Resources; be sure to integrate these principles as you develop your Practicum Project Plan. 

Write a 4- to 6-page scholarly paper in which you formulate a detailed plan for the problem or issue you are examining at your practicum site. Your paper should include the following:

 How does a nurse know what (if any) knowledge in a research study is usable for clinical practice? What would a critical thinker look for in the evidence before deciding to change? What influence do credibility and clinical significance have on your decisions to integrate research-based evidence into your practice? 

two reference one paragraph response with incite citation 

one of your reference please use text book 

 Houser, J. (2018). Nursing research: Reading, using, and creating evidence (4th ed.). Jones & Bartlett. 

Attention Wizard Kim. 

Week 6 Discussion: Practicum professional Development Objectives/ Progress Appraisal  3 pages. 

Rubrics 

 Richard is a 50-year-old male with nasal congestion, sneezing, rhinorrhea, and postnasal drainage. Richard has struggled with an itchy nose, eyes, palate, and ears for 5 days. As you check his ears and throat for redness and inflammation, you notice him touch his fingers to the bridge of his nose to press and rub there. He says he’s taken Mucinex OTC the past 2 nights to help him breathe while he sleeps. When you ask if the Mucinex has helped at all, he sneers slightly and gestures that the improvement is only minimal. Richard is alert and oriented. He has pale, boggy nasal mucosa with clear thin secretions and enlarged nasal turbinates, which obstruct airway flow but his lungs are clear. His tonsils are not enlarged but his throat is mildly erythematous 

Use the Episodic/Focused SOAP Template and create an episodic/focused note about the patient in the case study to which you were assigned using the episodic/focused note template provided in the Week 5 resources. Provide evidence from the literature to support diagnostic tests that would be appropriate for each case. List five different possible conditions for the patient’s differential diagnosis and justify why you selected each.

In a 2-page paper, address the following: 

• Summarize the key points of both experiential family therapy and narrative family therapy. 
• Compare experiential family therapy to narrative family therapy, noting the strengths and weakness of each.
• Provide a description of a family that you think experiential family therapy would be appropriate, explain why, and justify your response using the Learning Resources. 

Part 2: Family Genogram

Develop a genogram for the client family you selected. The genogram should extend back at least three generations (parents, grandparents, and great grandparents).

Less than 10 % similarity

References APA

This is another student post to which i have to react adding some extra information related this post. 

short answers. 

Marijuana or cannabis is the leaves of the plant called Cannabis Sativa. It is a form of drug due to its chemical composition. The legalization of the marihuana has been an intense debate over the years. Even though there are an enormous amount of people that consider marihuana to be a very dangerous type of drug, It has been proven that cannabis also has some benefits in some aspects of society. 

I can anticipate the legalization of marihuana in in come states of the USA will bring positive and also negatives effects within the youngest population. Some of these negative impacts will be social problems and criminal issues. School dropouts, family miscommunication are some of these common social problems. According to MacCoun (2010) it has been proven that marihuana reduces the ability to concentrate since it will produce distorted thoughts leading to alienation. Marihuana reduces stress, leading to a sense of relaxation and dissociation and there will be a considerable increase of school dropouts as has already happened in some states (2010)

Marijuana or cannabis has also been linked to an increase in crime. The reason is because marijuana will change the individual’s reality perception, right from wrong and alters the mental functions, specially within the young population that are still growing up. (Green et al., 2010). A study by Bennett et al. (2008), confirms the theoretical link between cannabis use and crimes. In addition, the addictive components of cannabis, could engage children and adolescents to perform crimes in order to obtain money to buy marijuana. 

References

Harley, M., Kelleher, I., Clarke, M., Lynch, F., Arseneault, L., Connor, D., … & Cannon, M. (2010). Cannabis use and childhood trauma interact additively to increase the risk of psychotic symptoms in adolescence. Psychological medicine, 40(10), 1627-1634. Retrieved from http://journals.cambridge.org/action/displayAbstract?fromPage=online&aid=7878597&fileId=S0033291709991966 

Green, K. M., Doherty, E. E., Stuart, E. A., & Ensminger, M. E. (2010). Does heavy adolescent marijuana use lead to criminal involvement in adulthood? Evidence from a multiwave longitudinal study of urban African Americans. Drug and alcohol dependence, 112(1), 117-125. Retrieved from http://www.sciencedirect.com/science/article/pii/S037687161000205X 

Reply to this discussion post (site sources if applicable)

For my capstone project, I will be implementing a sepsis handoff communication tool to help increase patient outcomes and decreased mortality. In my facility, we have a mortality rate of 11.2% and a compliance of only 52-58% with our sepsis protocol, which is believed to be due to poor communication. One internal method of disseminating my evidence-based change proposal can be by putting tri-fold posters in each break room for staff members to read when they have a time, whether changing or eating their meals. Here nurses and physicians will be able to see the reasoning why change is needed, background statistics and what the tool entails. It is important that this group understands the evidence-based change proposal because nurses and physicians are the two main healthcare professionals that play a role in sepsis care. Nurses and physicians work together to implement interventions and treatments to fight a septic infection. They are the one’s who will be using this sepsis tool in hopes of improving communication.

Like all aspects of nursing, sepsis is a dignosis that is rapidly changing as the years go on. Evidence-based practice (EBP) is constantly changing how we do things in our daily practice. As healthcare professionals, we rely on data from other facilities to implement new changes in our facility. The same goes from us. Data that we find can get put together in a research journal that other hospitals can use. If this quality initiative is proven to be effective in promoting communication through a sepsis handoff tool, other facilities may begin to implement this tool and save more lives. 

Looking at one’s own mind can be tricky. For example, how do we know if what we are thinking and feeling is actually normal? Or if being sad is really depression? Or being happy is really a state of complete denial of reality?

In contrast to physical health, mental health does not have the same clarity of disease as breaking a bone, rupturing an artery, or having a viral infection. No – mental health is more…well, mental. It’s more in our heads, in our minds, and in the processes we use to think about things like mental health in the first place. Is “Behavioral Health” the same as “Mental Health?” Please start with your distinctions, if any, to provide context for the rest of your post.

But despite its lack of clarity, mental health is a real thing nevertheless. For example, the National Institute of Mental Health (NIMH) has noted that: “Everyone occasionally feels blue or sad. But these feelings are usually short-lived and pass within a couple of days. When you have depression, it interferes with daily life and causes pain for both you and those who care about you. Depression is a common but serious illness.” See: NIMH

But it’s not just depression that is at issue. According to the Anxiety and Depression Association of America (AADA), It’s not uncommon for someone with depression to also suffer form an anxiety disorder or vice versa. Further:

• Anxiety disorders are the most common mental illness in the U.S., affecting 40 million adults in the United States age 18 and older (18% of U.S. population).
• Anxiety disorders are highly treatable, yet only about one-third of those suffering receive treatment.

 So, bottom line is that mental health issues like excessive anxiety and depression are no joke – either at a personal level or at the macro level of the US healthcare system.

But while millions of people suffer from mental health issues, it is also noted above that millions of suffering people are left undiagnosed and untreated.

So what should we do? How can we significantly improve our ability to help people in need of mental health treatment?  

What should we do about the stigma that some attach to seeing a mental health professional?

What about the equal stigma of being labeled as someone who is “mental?”

How do we, as healthcare professionals, best reach out to those that desperately need assistance –without making anyone think we are looking for “crazy” people?

Overall – what is the best way to address the large and underserved need for mental health care?