6614: Gap in Practice: Assessment 2

As a leader in practice, you will use your gap analysis to provide a 12–15 slide recorded PowerPoint presentation on the critical importance of interprofessional collaboration for the provision of safe, high-quality coordinated care.
To gain help and support for your implementation of your project, it is important to guide the stakeholders through all the steps in the process. Providing the team with a detailed cohesive presentation will enhance their understanding and give a voice to any divergent opinions about the proposed changes. This type of engagement creates a platform of transparency about the coming changes needed for the improvement project. Fostering positive interprofessional communications with project stakeholders builds trust and understanding, which in turn leads to better health outcomes.  

Assessment Instructions

Assignment Summary
Now that you defined a gap in practice and started to involve your stakeholders it is time to do a presentation on the critical importance of interprofessional collaboration for the provision of safe, high-quality coordinated care. As a leader in practice, you will use your gap analysis to provide a 10–12 slide recorded PowerPoint presentation.
Grading Criteria
The numbered assignment instructions outlined below correspond to the grading criteria in the Enhancing Performance as Collaborators in Care Presentation Scoring Guide, so be sure to address each point. You may also want to review the performance level descriptions for each criterion to see how your work will be assessed.

  1. Analyze steps to improve interprofessional collaboration in an evidence-based practice for population care. 
    • Provide an overview of what needs to happen to enhance evidence-based practice.
    • Provide an explanation of the planning stages.
  2. Explain the educational services and resources selected for the population receiving care. 
    • What are the education strategies you plan to use with the population receiving the care?
  3. Summarize plans to collaborate and partner with interprofessional team members. 
    • What is the implementation process for the improved care coordination process?
    • What are your plans to collaborate and partner with the interprofessional team members?
  4. Propose the outcomes of the new process for improved interprofessional collaboration. 
    • How you will evaluate the outcomes of the new process change?
    • Provide scholarly evidence that validates the needed change.
  5. Use the scope and standards of practice for care coordination to describe any ethical considerations that supporting the need for change related to services and resources for the specific population.  
    • Include information about the ethics that support the process change.
  6. Create a professional presentation that can be used to run a working session of an interprofessional team meeting. 
    • Include a minimum of 5–7 scholarly sources.
  7. Write content clearly and logically, with correct use of grammar, punctuation, and mechanics.
  8. Additional Requirements
  • Written communication: Write clearly, accurately, and professionally, incorporating sources appropriately.
  • APA guidelines: Resources and citations are formatted according to current APA Style and Format. When appropriate, use APA-formatted headings.

Child and adolescent Psychiaty

  

Special Topics in Child and Adolescent Psychiatry

Many children face special issues that impact everyday life, whether it is within themselves, their families, or their environment. The PMHNP must be sensitive to these many issues that children and adolescents are faced with during important developmental years.

In this Discussion, you select a special population and analyze the psychological issues that the population faces. You also address the assessment and treatment needs of the population.  

Learning Objectives

Students will:

  • Analyze      psychological issues that may arise in children faced with special      circumstances
  • Evaluate      assessment measures used with children faced with special circumstances
  • Evaluate      treatment options used with children faced with special circumstances
  • Analyze cultural      influences on treatments (D)

To Prepare for the Discussion:

  • Review the      Learning Resources.
  • Select one of      the following topics for the Discussion:
    • Adoption
    • Foster care
    • Gender       dysphoria
    • Forensic issues
    • Impact of       terrorism on children

Post:

  • Write your      selected disorder in the subject line of your Discussion post.
  • Explain the      psychological issues that may result from your topic.
  • Describe the      most effective assessment measure that could be used, and explain why you      selected this.
  • Explain the      treatment options available for children and adolescents involved with      your selected disorder.
  • Explain how      culture may influence treatment.

Required Readings ( Need 3 references).

American Academy of Child & Adolescent Psychiatry (AACAP). (2012c). Practice parameter on gay, lesbian, or bisexual sexual orientation, gender nonconformity, and gender discordance in children and adolescents. Journal of the American Academy of Child & Adolescent Psychiatry, 51(9), 957–974. Retrieved from http://www.jaacap.com/article/S0890-8567(12)00500-X/pdf

American Academy of Child & Adolescent Psychiatry (AACAP). (2011). Practice parameter for child and adolescent forensic evaluations. Journal of the American Academy of Child & Adolescent Psychiatry, 50(12), 1299-1312. Retrieved from http://www.jaacap.com/article/S0890-8567(11)00883-5/pdf

American Nurses Association. (2014). Psychiatric-mental health nursing: Scope and standards of practice (2nd ed.). Washington, DC: Author.

· Standards 11 “Communication” (page 75)

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author.

· “Somatic Symptom and Related Disorders”

· “Other Conditions That May Be a Focus of Clinical Attention”

· “Assessment Measures”

· “Cultural Formulation”

Human Rights Campaign. (n.d.). Growing up LGBT in America. Retrieved June 8, 2017, from http://assets.hrc.org//files/assets/resources/Growing-Up-LGBT-in-America_Report.pdf?_ga=1.83582870.1279387255.1493224749

Lee, T., Fouras, G., & Brown, R. (2015). Practice parameter for the assessment and management of youth involved with the child welfare system. Journal of the American Academy of Child & Adolescent Psychiatry, 54(6), 502–517. Retrieved from http://www.jaacap.com/article/S0890-8567(15)00148-3/pdf

Sadock, B. J., Sadock, V. A., & Ruiz, P. (2014). Kaplan & Sadock’s synopsis of psychiatry: Behavioral sciences/clinical psychiatry (11th ed.). Philadelphia, PA: Wolters Kluwer.

· Chapter 31, “Child Psychiatry” (pp. 1279–1323)

Optional Resources

Thapar, A., Pine, D. S., Leckman, J. F., Scott, S., Snowling, M. J., & Taylor, E. A. (2015). Rutter’s child and adolescent psychiatry (6th ed.). Hoboken, NJ: Wiley Blackwell. 

· Chapter 19, “Legal Issues in the Care and Treatment of Children With Mental Health Disorders” (pp. 239–249)

· Chapter 49, “Forensic Psychology” (pp. 636–647)

PRACTICE PATTERNS

 

Why do you think many healthcare practitioners are often unwilling to change practice patterns, based on research findings? Some practitioners criticize evidence-based practice as “cookbook care.” Considering these perceptions, how would you utilize your education and experiences in planning the implementation of a major change? PLEASE INCLUDE INTEXT-CITATION AND REFERENCE. THIS IS NOT AN ESSAY

NUR501- REPLY TO CHLOE

Personhood

The concept of personhood, as defined by Schoenhofer, is a central concept of the theory of Nursing as Caring Theory.  Nursing as Caring Theory is grand nursing theory developed by Theorists Boykin and Schoenhofer that evolved from theories of Paterson and Zderad (Duffy, Donnell, & Snowden, 2014).  The ideologies of these theorists are cultivated around a care model that evaluates and defines nursing as a discipline and a profession as it relates to the patient and the nurse.

The field of nursing has progressed from a bedside profession to an advance art of discipline. The evolution of nursing from a profession to an advance discipline was made possible due to advancement, analysis, and applications of principles of medicine and philosophy. Philosophically personhood is defined as the status of being a person.  Nursing embodies this concept and adapts it to each individual meaningfully and appropriately.  Theorists Boykin and Schoenhofer developed the grand nursing theory of Nursing as Caring around the central ideas of “the between”, “the call for nursing”, ”the nursing response”, and “personhood” (Duffy, Donnell, & Snowden, 2014). These four central ideas are interconnected and offer a conceptual framework in caring for patients and enhance and afford the ability for all those involved in the nursing process the ability to be “a person”; an integral role for the nurse and patient because without this authenticity the nursing process will not be able to reach its fullest potential (Schoenherr, 2002).

The call of nursing is the initial step in the methodology of the Nursing is Caring Theory.  It is during this stage the nurse accepts the ‘call’ to nurture.  The call of the nurse is then proceeded by the ‘nurse’s response’. This nurse response is a testament to all her knowledge and experiences and the ability to translate and relate to the task at hand.  Once the nurse’s knowledge and experiences are uniquely appropriated for the environment, trust is gained from the patient and the acknowledge they are seen as a person and able to exhibit their personhood to the nurse.  Nurses must do this on a daily basis and multiple times within in the day due to the various dynamics they are faced with, different patient demographics, their caregivers, and other staff members.  When a nurse enters the environment of the patient it is where they are most vulnerable and allowed to exihibit personhood and adapt their abilities and develop their abilities to care for the patient.  It is in this raw instance of vulnerability and personhood that a nurse is able to be receptive and learn the needs of the patient and afford them the best care.

The most impactful and meaningful takeaway from Nursing as Caring Theory is that, above all else, nurses instinctively and inertly will act upon the intent to help, heal, and nurture.  Due to the ubiquitous nature of the discipline and profession of nursing, a nurse can easily adapt their nursing response to be suitable for the environment and call of nursing and appropriate to be purposeful for each individual.  This flexibility and adaptability of a nurse is a skillset that facilitates the holistic art of nursing that is conducive to learning, teaching, healing, and promoting wellness in individuals.

ReferencesDuffy, T., Donnell, A., & Snowden, A. (2014). Pioneering Theories in Nursing. Andrews UK.Schoenherr, S. O. (2002). Choosing personhood: Intentionality and the theory of nursing as caring. Holistic Nursing Practice16(4), 36-40.

NURS 6003/NURS 6003A/NURS 6003F/NRSE 6003C/NURS 6003N/NURS 6003C: Transition to Graduate Study for Nursing

  

2nd rerply

RE: Discussion – Week 6-one page three references

COLLAPSE

    The peer review article I chose, was about using acetaminophen for pain management post op laparoscopic surgery ( Annals of Medicine and Surgery, 2017).  I decided to use this topic, because I have been working in the ortho floor lately, and noticed a lot of physicians prescribing Tylenol to patients post op, around the clock. I kept asking the charge nurse and other nurses why, and nobody seemed to have a definite answer, as to why. Doctors would explain to me, that it was way to prevent prescribing hard core pain medications, instead. Due to the fact, that when the patients are discharged, they will not be able to get that IV Dilaudid, at home. 

    I searched for my article using the Walden University. I found the search for this article on the website, to be easy and user-friendly. On top of the search, the library gave me additional topics related to my search. Similar to Youtube, you can continue clicking on interesting things, and the next thing you know, two hours have passed, and you are reading on why cats have 9 lives! In other words, I found the Walden University library to be very useful for me and my colleagues. I would so recommend it to not just my colleagues, but to the whole Walden University campus, and future colleagues to com

Case Study Mr. M

 

It is necessary for an RN-BSN-prepared nurse to demonstrate an enhanced understanding of the pathophysiological processes of disease, the clinical manifestations and treatment protocols, and how they affect clients across the life span.

Evaluate the Health History and Medical Information for Mr. M., presented below.

Based on this information, formulate a conclusion based on your evaluation, and complete the Critical Thinking Essay assignment, as instructed below.

Health History and Medical Information

Health History

Mr. M., a 70-year-old male, has been living at the assisted living facility where you work. He has no know allergies. He is a nonsmoker and does not use alcohol. Limited physical activity related to difficulty ambulating and unsteady gait. Medical history includes hypertension controlled with ACE inhibitors, hypercholesterolemia, status post appendectomy, and tibial fracture status postsurgical repair with no obvious signs of complications. Current medications include Lisinopril 20mg daily, Lipitor 40mg daily, Ambien 10mg PRN, Xanax 0.5 mg PRN, and ibuprofen 400mg PRN.

Case Scenario

Over the past 2 months, Mr. M. seems to be deteriorating quickly. He is having trouble recalling the names of his family members, remembering his room number, and even repeating what he has just read. He is becoming agitated and aggressive quickly. He appears to be afraid and fearful when he gets aggressive. He has been found wandering at night and will frequently become lost, needing help to get back to his room. Mr. M has become dependent with many ADLs, whereas a few months ago he was fully able to dress, bathe, and feed himself. The assisted living facility is concerned with his rapid decline and has decided to order testing.

Objective Data

  1. Temperature: 37.1 degrees C
  2. BP 123/78 HR 93 RR 22 Pox 99%
  3. Denies pain
  4. Height: 69.5 inches; Weight 87 kg

Laboratory Results

  1. WBC: 19.2 (1,000/uL)
  2. Lymphocytes 6700 (cells/uL)
  3. CT Head shows no changes since previous scan
  4. Urinalysis positive for moderate amount of leukocytes and cloudy
  5. Protein: 7.1 g/dL; AST: 32 U/L; ALT 29 U/L

Critical Thinking Essay

In 750-1,000 words, critically evaluate Mr. M.’s situation. Include the following:

  1. Describe the clinical manifestations present in Mr. M.
  2. Based on the information presented in the case scenario, discuss what primary and secondary medical diagnoses should be considered for Mr. M. Explain why these should be considered and what data is provided for support.
  3. When performing your nursing assessment, discuss what abnormalities would you expect to find and why.
  4. Describe the physical, psychological, and emotional effects Mr. M.’s current health status may have on him. Discuss the impact it can have on his family.
  5. Discuss what interventions can be put into place to support Mr. M. and his family.
  6. Given Mr. M.’s current condition, discuss at least four actual or potential problems he faces. Provide rationale for each.

You are required to cite to a minimum of two sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and relevant to nursing practice.

Prepare this assignment according to the guidelines found in the APA Style Guide. An abstract is not required. 

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

You are required to submit this assignment to LopesWrite.

Newspaper Op–Ed Article

The Op-Ed must be your original work.  Develop an Op-Ed to a newspaper of your choice based on the information below.

Topic

For a country of your choice:  (Africa)

1. Select the key nutrition issues faced by the country.

2. Determine who they most affect.

3. List key risk factors.

4. Describe their link with health and economic development.

5. Discuss the impact that globalization has had on these issues.

6. Discuss what might be done to address the nutrition issues in cost-effective ways.

Format

1. Your Op-Ed should be written as you are the expert on the subject.

2. It should be a minimum of 300 words to a maximum of 700 words.

3. Use Times Roman 12-point font.

4. Use a 1-inch margin.

5. No figures or tables.

6. Include resources. Opinions necessitate evidence and support. Whatever your statistics, numbers and data have to say about your issue, work them into the article in an interesting and compelling way. You can’t just be good with words. You need to back up your words.

7. Use professional language.

8. Submit via Turnitin

NO Plagiarism 

Textbook : Global Health 101

4thEdition

Author: Richard Skolnik

Publisher: Jones and Bartlett Learning

Year: 2019

5 sps

Assess the culture of the organization for potential challenges in incorporating the nursing practice intervention. Use this assessment when creating the strategic plan.

Write a 150-250 word strategic plan defining how the nursing practice intervention will be implemented in the capstone project change proposal.

Martes

What are social determinants of health?  Explain how social determinants of health contribute to the development of disease.  Describe the fundamental idea that the communicable disease chain model is designed to represent. Give an example of the steps a nurse can take to break the link within the communicable disease chain.

Resources within your text covering international/global health, and the websites in the topic materials, will assist you in answering this discussion question.

Due Date: Tuesday 22

WEEK 7 Discussion Prompt 1 PHARMACOLOGY

Hormone therapies offer many benefits and risks, but they may sometimes have side effects. Choose one form of therapy (for example; progestin, estrogen, a combined therapy, systemic, or local therapy). Discuss the benefits, risks, and side effects for the therapy you chose.