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ZERO PLAGIARISM

5 REFERENCES

Understanding the strengths of each type of therapy and which type of therapy is most appropriate for each client is an essential skill of the Psychiatric Mental Health Nurse Practitioner. In this Discussion, you will compare Existential-Humanistic therapy to a therapy you select from the previous weeks of this course. You will identify the strengths and challenges of each and describe a fictional client that you think is best suited for each.

Learning Objectives

Students will:

• Compare types of psychotherapy

To prepare:

• Review this week’s Learning Resources
• Review this week’s media and consider the insights provided.
• Review the other types of psychotherapy presented in this course and select the one that resonates with you the most at this time

By Day 3

Post a summary of the psychotherapy that you selected and explain why it resonates with you the most at this time. Then compare the psychotherapy you selected with existential-humanistic therapy. What are the strengths and challenges of each type of psychotherapy? Describe a fictional client that you think would be best suited for the therapy you selected and one fictional client you think would be best suited for existential-humanistic therapy. Explain why.

Requirements:

You are a family nurse practitioner working in an outpatient primary care office of a large hospital system. The practice has been operating for over 15 years, and many of the administrative and clinical staff were hired when the practice opened. You have been in the practice for less than 3 months. In that short amount of time, you have witnessed several of the clinical staff engaging in heated arguments with each other, sometimes in patient areas. You overhear an argument occurring today between two staff. You pick up a patient’s chart and notice a very low blood pressure that the medical assistant failed to notify you about. When you confront the MA, she states that she was going to report the vital signs to you when she became engaged in the heated argument you overheard and forgot to notify you. 

Unfortunately, this pattern of behavior is not unusual in this practice. Working with staff who cannot cooperate effectively can negatively influence your ability to spend time with patients, can impede the flow of patients through the office, and could impact patient safety. 

Case Study Responses: 

1. Analyze the case study for potential issues for members of the healthcare team from office conflict. Contrast the potential effects for each member of the healthcare team based upon the required readings from the week. Discuss the potential ethical and legal implications for each of the following practice members: 
   • Medical assistant 
   • Nurse Practitioner 
   • Medical Director 
   • Practice 
2. What strategies would you implement to prevent further episodes of potentially dangerous patient outcomes? 
3. What leadership qualities would you apply to effect positive change in the practice? Focus on the culture of the practice. 

Letz, K. (2017). The NP guide: Essential knowledge for nurse practitioner practice. (3rd ed.). American College of Nurse Practitioner Faculty. 

• Chapter 10 Corporate Compliance/ Legal Ease

Buppert, C. (2017). Nurse practitioner’s business practice & legal guide (6th ed.). Jones & Bartlett Publishers.

• Chapter 8 Risk Management

GUIDELINES:

1. Community description.

2. Community health status (can be obtain from the department of health).

3. The role of the community as a client.

4. Healthy people 2020, leading health indictors in your community.

5. Conclusion.

Also, you must present a table as an appendix with the following topics and description;

Housing

Transportation

Race and ethnicity

Open space

Service centers

Religion and politics

Example attached. 

Plagiarism FREE

APA style

Watch the following 2 Frontline Videos, links posted here: The movie identified seven issues affecting our current healthcare system:

https://www.pbs.org/video/frontline-sick-around-the-world/ (Links to an external site.)

https://www.pbs.org/wgbh/frontline/film/sickaroundamerica/

seven issues affecting our current healthcare system:

1. Paying more, getting less
2. Treating the whole person
3. Preventing Disease
4. Overmedication
5. Overtreatment
6. An entrenched system
7. Reimbursement

Please create a thoughtful and supported post addressing the points below. Let us all do our best to create thoughtful discussions and an open forum for all opinions.

• Pick 4 of the issues listed above and answer the following questions:
  • How are these issues affecting our current system (spending/debt, Medicare, ACA, population health)?
  • Who is responsible for these issues and correcting them?
  • How can these issues be improved whether at a local/state (community health department), national (USDHHS), or global level (WHO)?
  • Which of these issues fall under the Strategic Goals of the USDHHS and Healthy People 2020?
  • What can we do as nurses?
• Your post should be at least 400 words.
• Use chapters 3 and 5 in your text and at least one scholarly article (not Wikipedia or a website).

Please be sure to validate your opinions and ideas with citations and references in APA format.

The post and responses are valued at 75 points. Please review post and response expectations. Please review the rubric to ensure that your response meets criteria.

Urgent Care and Primary Care

You receive a fax from a local urgent care clinic describing the recent visit of a patient that has come to the primary clinic where you work. You notice this patient has been seeking care at the urgent care clinic and has not been seen by the primary care health care providers for more than a year. The manager asks you to educate patients about urgent care clinics and traditional primary care clinics.

Distinguish between two health care models.

Include the following aspects in the assignment:

Ø  Expand on what urgent care and primary care is.

Ø  Describe the advantages and disadvantages of each

Ø  Explain the difference in the quality of care provided at each facility

Ø  How many of each type of facilities (urgent care and primary care offices) exist in the U.S. and tell me your personal experience with utilizing them.

 Describe a time when you recognized your values had an impact on your decision. How might this affect clinical reasoning at the bedside?  

Course reflection assignment is part of the portfolio that students must complete during last class of the program. This assignment is due on week #15. Course reflection assignment has a value of 100 points. It accounts for 20% of the final grade.

Please read guidelines, grading criteria / Rubric and all details regarding the Course Reflection assignment due on week #8 (Monday, October 19 at 11:59 PM EST).

Discuss the applicability of the theory of culture care diversity and universality to discover nursing knowledge and provide culturally congruent care. Take into consideration the current trends of consumers of health care, cultural diversity factors, and changes in medical and nursing school curricula. The following are examples of trends you may use as a thread to start your discussion:

a. The importance of transcultural nursing knowledge in an increasingly diverse world

b. The growth of lay support groups to provide information and sharing of experiences and support for clients, families, and groups experiencing chronic, terminal, or life-threatening illnesses or treatment modalities from diverse or similar cultures

c. Cultural values, beliefs, health practices, and research knowledge in undergraduate and graduate nursing curricula across the life span

d. Inclusion of alternative or generic care in nursing curricula, such as medicine men, Native American healers, curers, and herbalists in the Southwest and selected substantiated Chinese and Ayurvedic medicine methods shown to be effective for the treatment of both acute and chronic diseases

e. The increased access to health care information from the Internet and the growing number of books, audio recordings, and video recordings published on health maintenance, alternative medicine, herbs, vitamins, minerals, and over-the-counter medications and preparations

f. Spiraling health care costs; use of health maintenance organizations, preferred provider organizations (PPO), or internal plan provider lists; lack of health insurance; increased reliance on self-diagnosis, treatment, and care; and increased availability of diagnostic kits for home-based self-diagnostic testing

g. Problems related to cultural conflicts, stress, pain, and cultural imposition practices

h. Increased suspiciousness and mistrust or distrust of cultural, religious, and political groups because of increased terrorist activities worldwide

Copy and paste no references

1. What changes in veins occur to create varicose veins?
2. What is the disease process with superior vena cava syndrome?
3. How does atherosclerosis cause an aneurysm?
4. What are the differences between healthy vessel walls and those that promote clot formation?
5. What are the causes of pulmonary emboli?
6. What can trigger an immune response within the bloodstream that can result in an embolus?
7. Describe thromboangiitis obliterans (Buerger disease).
8. Describe Raynaud disease.
9. What is the cause of the hypertrophy of the myocardium associated with hypertension?
10. What pathologic change occurs to the kidney’s glomeruli as a result of hypertension?
11. What is the primary mechanism of atherogenesis?
12. What is the effect of oxidized low-density lipoproteins (LDLs) in atherosclerosis?
13. Which inflammatory cytokines are released when endothelial cells are injured?
14. What alteration occurs in injured endothelial cells which contributes to atherosclerosis?
15. Differentiate between ischemia and infarction.
16. Which of the lipids is manufactured by the liver and primarily contains cholesterol and protein?
17. Which elevated lipid value may be protective of the development of atherosclerosis?
18. What are the risk factors for developing coronary artery disease?
19. Which risk factor increases the risk of developing coronary artery disease up to threefold?
20. How does nicotine increases atherosclerosis?
21. Which lab test is an indirect measure of atherosclerotic plaque?
22. Cardiac cells can withstand ischemic conditions and still return to a viable state for how many minutes?
23. Which form of angina occurs most often during sleep as a result of vasospasms of one or more coronary arteries?
24. What is the expected electrocardiogram pattern for a person when a thrombus in a coronary artery lodges in the vessel and the infarction extends through the myocardium from the endocardium to the epicardium?
25. How does angiotensin II increase the workload of the heart after a myocardial infarction?
26. How long after a myocardial infarction is the scar tissue that forms most vulnerable to injury?
27. What are the enzyme indicators of a myocardial infarction?
28. A patient complains of sudden onset of severe chest pain that radiates to the back and worsens with respiratory movement and when lying down. These clinical manifestations are indicative of which disease?
29. What is the significance of the pulsus paradoxus that occurs as a result of pericardial effusion?
30. Biventricular dilation is the result of which form of cardiomyopathy?
31. Which form of cardiomyopathy is characterized by ventricular dilation and grossly impaired systolic function, leading to dilated heart failure?
32. The hallmark of which form of cardiomyopathy is a disproportionate thickening of the interventricular septum?
33. Which form of cardiomyopathy is usually caused by an infiltrative disease of the myocardium, such as amyloidosis, hemochromatosis, or glycogen storage disease?
34. Which are the clinical manifestations of aortic stenosis?
35. Aortic and mitral regurgitation as well as mitral stenosis are caused by which common disease?
36. Which predominantly female valvular disorder is thought to have an autosomal dominant inheritance pattern, as well as being associated with connective tissue disease?
37. Which disorder causes a transitory truncal rash that is nonpruritic and pink with erythematous macules that may fade in the center, making them appear as a ringworm?
38. Infective endocarditis is most often caused by which type of microorganism?
39. What are risk factors for infective endocarditis?
40. What is the most common cardiac disorder associated with acquired immunodeficiency syndrome (AIDS) resulting from myocarditis and infective endocarditis?
41. What contributes to the physiologic changes that mediate ventricular remodeling?
42. In systolic heart failure, what effect does angiotensin II have on stroke volume?
43. A patient is diagnosed with pulmonary disease and elevated pulmonary vascular resistance. Which heart failure may result from this condition?

Chapter 34: Alterations of Cardiovascular Function in Children

Study Questions

1. When does most cardiovascular development occur?
2. What is the function of a patent opening between the left and right atria in a fetus?
3. At birth what is the most important change that takes place?
4. The foramen ovale is covered by a flap that creates a check valve allowing blood to flow unidirectionally from the _____ to the _____.
5. When does systemic vascular resistance in infants begin to rise?
6. Congenital heart defects that cause acyanotic congestive heart failure usually involve what kind of shunt?
7. Congenital heart defects that cause hypoxemia, and therefore cyanosis, usually involve what kind of shunt?
8. Which congenital heart defects occur in trisomy 13, trisomy 18, and Down syndrome?
9. An infant has a continuous-machine type of murmur best heard at the left upper sternal border throughout systole and diastole. The infant has a bounding pulse and a thrill on palpation. These clinical findings are consistent with which congenital heart defect?
10. The infant diagnosed with a small patent ductus arteriosus (PDA) is likely to present with what clinical manifestations?
11. An infant has a crescendo-decrescendo systolic ejection murmur located between the second and third intercostal spaces along the left sternal border. There is also a wide fixed splitting of the second heart sound. These clinical findings are consistent with which congenital heart defect?
12. An infant has a loud, harsh, holosystolic murmur and systolic thrill that can be detected at the left lower sternal border that radiates to the neck. These clinical findings are consistent with which congenital heart defect?
13. How do children with tetralogy of Fallot compensate to relieve hypoxic spells?
14. What is the location coarctation of the aorta (COA)?
15. Classic manifestations of a systolic ejection murmur, cyanosis of the lower extremities, and decreased or absent femoral pulse are indicative of an older child with which congenital defect?
16. What is the most important clinical manifestation of aortic coarctation in the neonate?
17. Which heart defect produces a systolic ejection murmur at the right upper sternal border that transmits to the neck and left lower sternal border with an occasional ejection click?
18. Which heart defect produces a systolic ejection click at the upper left sternal border with a thrill palpated at the upper left sternal border?
19. Describe the cardiac defect of transposition of the great vessels.
20. Describe the cardiac defect of total anomalous pulmonary venous return.
21. Which heart defect results in a single vessel arising from both ventricles providing blood to both the pulmonary and systemic circulations?

After reading the profiles of the healthcare administrators provided in Chapter 4 of the course text as well as reviewing the challenges and changes described in Chapter 5, please respond to the following:

• Discuss the key themes discovered among the profiles of the healthcare administrators/managers.
• Evaluate the growth/changes described in healthcare management. What will be the impact on the health system (both direct and non-direct) of these changes?

1000 words , atleast 3 peer reviewed sources in APA format