All posts by : chebby

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 whether motivational interviewing would be effective with this client. Include expected outcomes based on this therapeutic approach. Support your approach with evidence-based literature.
• Explain any legal and/or ethical implications related to counseling this client.

ASSIGNMENT ATTACHED. PLEASE READ CAREFULLY.

Formulate one new comment of your own. It must be a logical and thoughtful response that synthesizes the comments of at least 3 classmates into one comment. Be sure to synthesize; do not simply reply to each of the 3 classmates.

1. Ashley Homme posted Sep 24, 2020 5:48 AMSubscribe

The United States is one of many developed countries. Based on the Commonwealth Fund (2017), the US is ranked last on performance and access, even though they spend the most on healthcare each year. The Commonwealth Fund (2017) has also outlined ranking of other countries compared to the US in 5 categories: care process, access, administration efficiency, equity, and health care outcomes. As mentioned above, the United States spends significantly more each year on healthcare. According to data charts, in 2014 the US spent about 16.5% of their yearly budget on healthcare. That same year, Switzerland was a close second with 11.4%, followed by Sweden, France, and then Germany (The Commonwealth Fund, 2017). With 11 countries total, the US ranked 11th for overall healthcare system performance. The top country for overall performance was the United Kingdom followed by Australia. The care process was the first of the five categories. The United Kingdom was ranked first and the United States was ranked at number (The Commonwealth Fund, 2017)5. The US fell last in access to care. The first with the best access was the Netherlands. Administrative efficiency was highest in Australia and the US was the 10 (The Commonwealth Fund, 2017). Equity showed up best in the UK and the US was last. Finally, Australia was first in health care outcomes and the US was, once again, last (The Commonwealth Fund, 2017). In Australia and the UK, healthcare spending was lower while also offering better quality healthcare performance. Even with lower costs, these countries came in first for overall, compared to the US that spent a lot on healthcare with poor quality. This goes to show that spending more on healthcare does not directly correlate to better healthcare rendered to the persons. 

The Commonwealth Fund. (2017). Mirror, Mirror 2017: International Comparison Reflects Flaws and Opportunities for Better U.S. Health Care. Retrieved September 21, 2020, from https://interactives.commonwealthfund.org/2017/july/mirror-mirror/

2. It is not a shock that the U.S. spends more on healthcare than any other country because of new and emerging technology in the country, but the U.S is currently ranked last in health care system performance and acquires poorer health. Schneider et al. (2014) state that “poor access to primary care has contributed to inadequate prevention and management of chronic diseases, delayed diagnoses, incomplete adherence to treatments, wasteful overuse of drugs and technologies, and coordination and safety problems” (para 2). Overall, the U.K. ranks the highest in system performance, ranking number 1 in the care process and equity, and number 3 in access and administrative efficiency; although it is ranked number 10 in health care outcomes, one less than the U.S. Schneider et al. (2014) mentions, “in contrast to the U.S., over the past decade the U.K. saw a larger decline in mortality amenable to health care (i.e., a greater improvement in the measure) than the other countries studied” and “(the U.S. has had the smallest decline or lowest level of improvement)” (para 22). Thanks to the UK’s National Health Service (NHS), health services are not paid for through insurance premiums and have more government impact on delivering health care, unlike the U.S. The U.S. health care system is unique because the expenditure does not match up to the outcomes in this country, compared to other countries.   

References:

Schneider, E. C., Sharnak, D. O., Squries, D., Shah, A., & Doty, M. M. (2014, July 14). Mirror, Mirror 2017: International Comparison Reflects Flaws and Opportunities for Better U.S. Health Care. Retrieved September 22, 2020, from https://interactives.commonwealthfund.org/2017/july/mirror-mirror/

3. Research shows that the U.S. spends the most money on health care compared to other high-income countries. Although the United States spends more money, United States citizens’ health quality is lower.

The United States is the lowest ranking for overall quality of health out of the eleven high income countries. Canada is ranked number 9 out of 11. The United States and Canada are similar when comparing aspects of their healthcare system. For example, both countries are ranked below average for access to health care, equity, and health care outcomes. Additionally, Canada and the United States are ranked above average for care processes related to prevention, safety, and engagement from patients and doctors. For administrative efficiency, Canada ranks above the average while the U.S. remains below average. (The Commonwealth Fund 2017)

One major difference between Canada and the United States is that Canada provides universal health care and the U.S. does not. Non-citizens living in the United States may not qualify to receive health care. As for Canada, temporary visitors and immigrants are eligible for limited health care benefits. (American Institute of Medical Sciences & Education 2018)

References

American Institute of Medical Sciences & Education. (2020, June 24). US vs Canadian Healthcare: What Are the Differences? Retrieved September 21, 2020, from https://aimseducation.edu/blog/us-vs-canadian-healthcare-differences

The Commonwealth Fund. (2017). Mirror, Mirror 2017: International Comparison Reflects Flaws and Opportunities for Better U.S. Health Care. Retrieved September 21, 2020, from https://interactives.commonwealthfund.org/2017/july/mirror-mirror/

Hi, please I need help with my assignment. There are two files attached with their instructions. There are also two youtube videos to watch in order to answer the following questions.

Search the GCU Library and find two new health care articles that use quantitative research. Do not use articles from a previous assignment, or articles that appear in the Topic Materials or textbook.

Complete an article analysis for each using the “Article Analysis: Part 2” template.

Refer to the “Patient Preference and Satisfaction in Hospital-at-Home and Usual Hospital Care for COPD Exacerbations: Results of a Randomised Controlled Trial,” in conjunction with the “Article Analysis Example 2,” for an example of an article analysis.

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

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

Answer the following questions related to Vegetarianism.

• In the United States, 32% of adults eat a vegetarian diet (Vegetarianism in America, n.d.). What does the term “vegetarian” mean?
• Do you think vegetarian diets are practical? That is, can someone easily be a vegetarian while living the typical American life of being rushed and busy?
• Vegetarian diets are associated with a lower risk of obesity and diabetes as well as other chronic conditions (Marsh, Zeuschner, & Saunders, 2012). Clearly a vegetarian diet can be a healthy one, but can a vegetarian diet lack nutrients? If so, which nutrients may be lacking? How could these nutrients be measured in the body to determine if someone is deficient in them? Are there vegetarian foods that provide these nutrients or would supplementation be necessary? Are there any interactions to be aware of with the supplements that a vegetarian may take?
• Do you think that a vegetarian diet would be costlier than a nonvegetarian diet?
• Look at the meals you ate in your 3-days diet record. Do any of your meals contain no meat? Choose one of your meals that contain meat and modify it to be vegetarian. Would you eat the modified meal?

References:

Marsh, K., Zeuschner, C., & Saunders, A. (2012). Health implications of a
           vegetarian diet: A review. American Journal of Lifestyle Medicine, 6(3),
           250–267.

Vegetarianism in America. (n.d.). Vegetarian Times. Retrieved from
           http://www.vegetariantimes.com/article/vegetarianism-in-america/

Chapter 24: Palliative and End-of-Life Care

The hospice nurse has a unique role in the provision of end of life services. 

1. Mention important roles (at least 3) of the nurse while providing quality end -of-life care to seriously ill persons and their families. Explain your answer.

Purpose

The purpose of this assignment is to articulate a compelling practice problem. The development of a focused and accurate problem statement is foundational to drive actions and decisions to improve healthcare outcomes. Formulation of a clear and accurate practice problem statement with substantiation from primary peer-reviewed journals supports professional formation of the DNP scholar.

THE ASSIGNMENT DETAIL IS ATTACHED WITH ALL THE DETAILS TO BE COMPLETED.  MY PRACTICE PROBLEM IS GOING TO BE ON MINIMIZINING ALARM FATIGUE WITHIN THE HEALTH-CARE ENVIRONMENT.

If you think of a better practice let us discuss it first

Read read attachment in its entirely.  Please follow all instruction to the format they are requesting

 Theory Development and Evaluation

In the field of nursing, it’s important to examine the science and art of theory development and evaluation. One of the most critical components to nursing is the idea of theory development as it helps to advance knowledge of the discipline. Historically, most nursing theorists did not set out to create a nursing theory. Most published authors began building a theory as a way to improve care delivered to patients, either through improving direct clinical practice or by educating future nurses (Alejandro, 2017). These theorists were considered risk takers with lifetime commitments to the nursing profession as a whole (Alejandro, 2017). By seeking to improve and change the way nurses’ practice, researchers have been able to study ways in which to create standard works from evidence-based practice as a working theory (Butts & Rich, 2015). The different components of a theory such as the concepts, statements, and theoretical assertions further explain the said theory and its importance.  

Furthermore, nursing theories set forth into motion the better understanding of nursing phenomena and guide scholarly development of the science of nursing practice through research (Butts & Rich, 2015). A nursing theory aims to address a phenomenon of a particular interest that is being proposed with several considerations follow, such as its completeness and logic, internal consistency, and correspondence with empirical findings. The basics of the theory also need to be determined whether it has been defined operationally for testing (Butts & Rich, 2015). By analyzing in this way, the researcher is able to further develop the theory in a logical manner (Butts & Rich, 2015). The theory is developed by accumulating scientific evidence with rigorous research to either refute or support the proposed statements. Nursing theory development is not hard to understand, they are created in a pursued systematic scholarly effort. Strict development of nursing theories, then, is a high priority for the future of the discipline and the practice of nursing profession (Alejandro, 2017). 

Overall, the systematic development of theories allows for best implementation and peer evaluation. The one aspect that all theories have in common, of each approaching theory development in a precise, systematic manner, allows for one to make the stages of development explicit. Nurses must systematically assess their proposed theory of nursing and then publish it for the nursing community to review and debate engages in a process that is critical to advancement of theory development (Alejandro, 2017). Then, as the scholarly work is published as literature and peer-reviewed, other nurse theoreticians and researchers review and critique the adequacy of the logical processes used in the development of the theory (Alejandro, 2017). These unbiased reviewers are able to evaluate with fresh eyes the relation of the theory to practice and other available research findings (Gray, Grove, & Sutherland, 2018). Overall, theories are explicit and open to question and examination as part of their development and implementation (Nilsen,2015).  However, if deductions from a theory are incorrect, the theory can be adapted, extended or abandoned. Theories are more consistent with existing facts, which usually means a hypothesis based on an established theory is a more educated guess (Gray, Grove, & Sutherland, 2018). Furthermore, theories give individual facts a meaningful context and contribute towards building an integrated body of knowledge (Alejandro, 2017). 

References

Alejandro, J. (2017, February). Lessons learned through nursing theory : Nursing2020. Retrieved December 3, 2020, from https://journals.lww.com/nursing/Fulltext/2017/02000/Lessons_learned_through_nursing_theory.12.aspx 

Butts, J. & Rich, K. (2015). Philosophies and Theories for Advanced Nursing Practice (3rd edition) Sudbury, MA: Jones and Bartlett Learning ISBN:978-1-284-11224-5 

Gray, J., Grove, S. & Sutherland, S. (2018). Burns and Grove’s The Practice of Nursing Research: Appraisal, Synthesis, and Generation of Evidence (8th ed.).St. Louis, Missouri: Elsevier. ISBN: 978-0323377584 

Nilsen, P. (2015). Making sense of implementation theories, models and frameworks. Implementation science : IS, 10, 53. https://doi.org/10.1186/s13012-015-0242-0 (Links to an external site.)

• Describe and discuss the nurse’s role in health promotion and disease prevention in older adults. Share an example from your personal experience as a RN.
• Name and elaborate on at least three screening/preventive procedure that must be done in older adults.
• Define and discuss three common End-of-life documents that you as nurse must be familiar with to be able to educate older adults.

Submission Instructions:

• Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources.