Journal Entry

 PLEASE FOLLOW THE INSTRUCTION BELOW

ZERO PLAGIARISM

4 REFERENCES

Learning Objectives

Students will:
  • Develop diagnoses for clients receiving psychotherapy*
  • Evaluate the efficacy of motivational interviewing techniques 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 this week. 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 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.

Trends in Informatics (graded)

 

This is the week to really see where technology and healthcare are connecting. Select ONE of the following trends and discuss your understanding of this trend in healthcare and its potential impact on your practice as a nurse. What are the legal, privacy, and ethical considerations of this trend? (Everyone attempt to choose a different topic so that we will learn about the many advancements in technology).

  • Nanotechnology
  • Consumer health informatics (CHI)
  • Social media healthcare applications
  • Health-focused wearable technology
  • eHealth
  • Artificial Intelligence
  • Simulation
  • Computerized provider order entry (CPOE)
  • Bar Code Medication Administration (BCMA)
  • Creative measures in healthcare for use with 3D printers
  • Smart Pumps
  • Smart Rooms
  • Robotics in healthcare
  • Mobile technology in outpatient care
  • Web-based tools and software technology
  • Risk Management tools
  • Chatbots or Bots in healthcare
  • Telenursing
  • Telemedicine
  • Telepharmacy
  • Telerehabilitation
  • Teleconsultation
  • Telehospice
  • Technology advancement from your clinical practice
  • Palm Vein Technology
  • Microchip use in healthcare
  • Optical head-mounted computer glasses (Google Glass)
  • Smart hospital beds

Health assessment

  2-3 pages

· Overweight 5-year-old black boy with overweight parents who work full-time and the boy spends his time after school with his grandmother

  

· An explanation of the health issues and risks that are relevant to the child you were assigned.

· Describe additional information you would need in order to further assess his or her weight-related health.

· Identify and describe any risks and consider what further information you would need to gain a full understanding of the child’s health. Think about how you could gather this information in a sensitive fashion.

· Taking into account the parents’ and caregivers’ potential sensitivities, list at least three specific questions you would ask about the child to gather more information.

· Provide at least two strategies you could employ to encourage the parents or caregivers to be proactive about their child’s health and weight.

  

· Body-mass index (BMI) using waist circumference for children

REPLY 1

Grief

Grief is basically a natural response to losing a close person you care about. The emotional expression of grief can be physical, psychological, social, and spiritual. The physical symptoms of grief that include literal heart aches, digestive problems, headaches, nausea, dizziness, heart races, lack of sleep, and tiredness (Jakoby, 2012). The psychological symptoms of grief include; increased irritability, bitterness, numbness, preoccupation with loss, inability to show or experience joy, and detachment (Jakoby, 2012). The social impacts of grief include; isolation, withdrawal, unrealistic prospects of others, and conflict due to different grieving styles by others. The spiritual aspects of grief include; questioning one’s spiritual beliefs, loss of meaning and seeking new meaning, and strengthening one’s spiritual beliefs. 

There are various types of grieves, and they include anticipatory grief, which occurs when the person the family is caring for gets a considerable diagnosis and their health starts to worsens. During this moments, an individual experiences difficulty to talk with others since their care is still alive and may have feelings of guilt or confusion due to the kind of grief they are experiencing (Jakoby, 2012). Normal grief is when a person is able to move towards acceptance of the loss. Delayed grief occurs when the emotions and reactions of death are postponed to later on time. Complicate grief refers to normal grief that deteriorates in the long-term and impairs someone’s ability to function. Disenfranchised grief is felt when a person experiences a loss, yet others do not recognize the significance of the loss in that person’s life (Jakoby, 2012). Chronic grief is expressed in different ways that include; feelings of hopelessness, situation avoidance, and a sense of disbelief regarding the reality of the loss. Cumulative grief is occurs when someone suffers several losses usually within a short period of time. Masked grief is expressed through physical symptoms or behaviors resulting from character that are negative. Distorted grief is presented with severe feelings of anger or guilt, being hostile to others and through self-destructive characters. Exaggerated grief occurs when normal grief responses intensify, and inhibited grief occurs when a person does not externally exhibit any normal signs of grief. 

Every culture has unique set of beliefs about the meaning and purpose of life and life after death. This defines how different people from different cultures approach death. For instance, people may bear with death if they believe in life after death. Others may consider the spirit of their loved one who has died directly influences the living family members. Family members will be comforted that their loved one is watching over them. Generally, beliefs about the meaning of death assist people of a given culture to make sense of it and how to deal with the mystery. 

Depending on the cause of death and the age of a person, specific cultures perform different rituals. For instance depending on the age of the deceased person, specific cultures may define who is to present during the death ritual and the kind of ceremonies that need to be performed to the deceased. Besides, if the cause of a person’s death is suicide, some cultures perform rituals that intend to appease the gods so that the bad spirit does not come back to the community and cause more deaths (Aramesh, 2016). When a person dies from a chronic illness, some cultures perform specific rituals before death that will allow him or her to be welcomed to the spiritual world. To others loss of a child would mean wailing quietly, while that of an adult is done publicly. Additionally, the age of the deceased would define the duration the family members are expected to grieve for the deceased (Aramesh, 2016). In general, specific cultures have different cultural considerations on how they approach death. 

In conclusion, grief is an expression of someone’s feelings following dead of a loved one. Grief is expressed in different forms including; psychological, physical, social, and spiritual. Depending on the feelings and attitudes people of a specific culture hold concerning death of their loved one, they hold different death rituals in honor of the deceased. 

References

Aramesh, K. (2016). History of attitudes toward death: a comparative study between Persian and western cultures . J Med Ethics Hist Med , 9, 20-32.

Jakoby, N. (2012). Grief as a Social Emotion: Theoritical Perspectives. Death Studies , 36 (8), 679-711.

REPLY 2

 Grief

  Grief? What is it? What are the causes of grief and how does it affect somebody wholly? The simple definition of grief is the pain, sorrow of being through a sorrowful situation or experience for instance mourning the demise of a loved one or some other misfortunes that have resulted in personal loss. The loss of a loved one brings with it a lot of emotional pain as the attachments one had with deceased will have to be erased forever and not to be retrieved. After the death of a family member, there are so many transitions the ones left behind must go through to adapt to new norm. There are different symptoms that one shows when going through grief which may vary from physical, psychological, spiritual, and social responses.

 There are 8 different types of grieves that people experience. The anticipatory grief is one that begins to build when a member has got a chronic disease like cancer that got no known cure. The normal grief is the less displayed type of grief. One seems to hold up well from the outside but suffers from the inside which is completely different from the complicated grief where the bereaved may end up not going on with normal activities. The delayed grief is one that does not show up at the instance when they fall to grief but displays later even after the grieving period is over. On the hand, inhibited grief is one that a person goes tries not show their grief and tries to keep themselves busy to distract themselves from the grieving while disenfranchised is the most unique where one grieves over things other people may not find grievable like loss of a non-family member. Absent grieving on the other is one that the affected still hold up as if nothing happened to them and stay in denial while exaggerated grief is one that may seem unrealistic as even the normal functioning is not restored as fast as is supposed to.

 According to (Osterweis et al., 1984) at adulthood is when most bereavements occurs, and grieving is most at that stage of life. At the stage is when there are more life events that one goer through and that increases the rate of people they interact, and they may tend to have a large scale of people whom they are emotionally connected with. With the occurrence of the incident for instance death of a loved one, the close members will have to go through an emotional bereavement just before the symptoms being displayed physically. The most known and common response to death either if it was looked forward to or not is the disbelief, numbness  and in shock. Although some members of the family may tend to behave like they are in control but that is probably because they are yet to come face to face with the reality of the loss. Some feel like they are embroiled in a void place not knowing what to do and often not wanting to talk or interact with anybody and remain the whole time. Hallucinations and illusions tend to be the few symptoms they display. Some even go on to say that they had seen the deceased in the streets or even had appeared to them in their dreams. 

In general, the loss of a loved one tend to bring emotional and psychological torture to the kin of the deceased than even the even the physical responses. The process of coming to terms with the new situation proves to be the most traumatizing. (Utz et al., 2011) “The death of a spouse is one of the most common, yet most distressing, transitions faced by older persons.” The loss of an intimate partner proves to be the most difficult and causes a huge gap in the life of a person as they will have to fill the gap left by the deceased. For instance, the death of a wife, the man will have to take up the roles that were previously being taken care by the wife and that might be the hardest task of their lives. The few symptoms witnessed is the people lack any sense of humor when talking, they tend to avoid conduct with people and even stop doing things they had previously doing jovially but now they do not find them of any use.

One’s physical health is determined by their emotional and psychological stability. Any malfunction of either of them directly affect a person’s physical health. The bereavement period sees the bereaved may tend to stop eating. That will translate to loss of appetite and even they end reducing in weight and at some extent develop complications like intestinal ulcers. Their social life deteriorates to the extent they avoid talking to people and prefer sitting by themselves and weep all through the period. Some situation people tend to avoid public gatherings and even at transitional stage still it wots be realized as much and at times it develops into a lifetime complication

In children, toddlers display their separation f from their parents through restless ness, crying and irritability as they feel some loss in attachment. Those at the age to understand what death is experience some gap in their lives as they had personal relationship with deceased and that affects them both emotionally. It is displayed through lack of concentration ta school or even may display behaviors of insolence and violence. The trauma they go through with lack of full parental love brings out the worst in them as they lose purpose in life. As a result, some start abusing drugs to stay out of the reality remain in the world of fantasy.

As far as treatment is concerned, there is no specific biotics to be prescribed to deal with grief as the already happened incident cannot be reversed. Common and the effective therapy is by supporting yourself emotionally, psychologically by accepting the situation at hand and moving on. Acceptance is the beginning of healing process. At extreme cases one is advised to seek psychotherapist who might be help with situations as in the cases of trauma and convulsions.

REFFERENCES

Utz, R., Caserta, M., & Lund, D. (2011). Grief, Depressive Symptoms, and Physical Health among Recently Bereaved Spouses. The Gerontologist52(4), 460-471. https://doi.org/10.1093/geront/gnr110

Osterweis, M., Solomon, F., & Green, M. (1984). Bereavement: Reactions, Consequences, and Ca.: National Academies Press (US);.

 Your assignment will be graded according to the grading rubric.

200 words for each reply

Pediatric vaccines

  The objective of assignment is to provide a power point presentation about vaccines including the Flu vaccine and other vaccines in the pediatric population. Your primary goal as an FNP is to educate parents about the importance of vaccination, and understanding their beliefs and preference by being cultural sensitive in regards this controversial topic.  This presentation must include at least 13 slides and the following headings: Introduction, Clinical Guidelines EBP per CDC, Population and Risk Factors, Education, Conclusion.  

Discussion post

 

Due to the increasing percentage of older adult clients in the U.S., it is imperative that healthcare providers assess and confront their own attitudes and perceptions toward older adults.

In your initial post, address the following:

  1. Describe ageism and its impact on societal views of older adult clients.
  2. Explain how ageism can influence the healthcare provisions of older adult clients.
  3. As a healthcare provider, how can one best assess and confront attitudes, perceptions, behaviors, and biases toward older adults?

NEED 1 OR 2 REFERENCES

Respond to at least one of your peers who has different perspectives than your own.

I WILL ALSO NEED A RESPONSE ATTACHED 

Culturally Competent Care for Native Americans

  

Based on the readings, viewing the online materials & resources on the Module 4: Lecture Materials & Resources page, and your own experience, what strategies would you recommend encouraging culturally competent care of Native Americans? 

Read and watch the lecture resources & materials below early in the week to help you respond to the discussion questions and to complete your assignment(s).

(Note: The citations below are provided for your research convenience. Students should always cross reference the current APA guide for correct styling of citations and references in their academic work.)

Read

Ritter, L.A., Graham, D.H. (2017). Multicultural Health (2nd ed.). Burlington, MA: Jones and Bartlett Learning. ISBN: 9781284021028 Chapter 8

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

Your assignment will be graded according to the grading rubric.

Epidemiological Methods and Measurements

 

Assignment Requirements 

  1. Utilizing the list below, choose two research methods.  
  2. Next, find two articles, one on each of the chosen methods, from the Chamberlain College library, or you may use one that is provided within the course and one you find from the library. The articles should be related to population health and infectious disease, chronic health, occupational health, global health, genomics, or environmental health: 
    • Randomized Control Trial 
    • Cohort Study 
    • Case-Control Study 
    • Cross-Sectional
    • The articles you choose should be completely in English (this includes the reference list). They should be related to population health and speak to one of the following elements from the course: Infectious disease, chronic health, occupational health, global health, genomics or environmental health.
  3. Read each article and answer the following questions with detail for each article, include succinct definitions/examples or rationale as fitting to the question. Organize your answers using the number of the question you are answering (1-8). Your answers should provide more than a “yes” or “no”, your answers should provide examples, critical thinking, definitions, and examples. 
    1. Does the study design specify a question, goal, of the study? 
    2.  Why is this important? 
    3. Explain the methodology (Randomized Control Trial, Cohort Study, Case-Control Study).
    4. Describe the participant information, include recruitment. Is selection bias present? 
    5. How is data collected? 
    6. Are the variables identified? If yes, discuss. If no, how does this impact your interpretation of the study? 
    7. How was the data analyzed, what statistics are provided? What are potential errors related to the study design? 
    8. What are the weaknesses of the type of study design/method? 
    9. Discuss the outcomes and the implications for implementation. 
    10.   Your analysis should have in-text citations and utilize a scholarly voice with APA formatting. 
    11.  a minimum of two paragraphs of 4-5 sentences for each question answered. You should integrate in-text citation(s) and be formatted with APA and a scholarly voice.  
    12.  integrate course content (such as data and correctly used course terminology) related to the study method as well as an integration of in-text citations along with a scholarly voice and APA formatting. The textbook may be utilized as a resource. 

 Curley, A.L. & Vitale, P.A. (2016). Population-Based Nursing: Concepts and Competencies for Advanced Practice (2nd ed.). 

Assignment

 

Assignment Content

  1. In Week 3, you should have begun soliciting recommendations from current or previous employers or supervisors. If not, begin soliciting recommendations via LinkedIn or contact them directly by email or telephone. Be polite and professional in your solicitation. Try and acquire the recommendations before the end of the week.

    Write a 700- to 1,050-word paper that evaluates the recommendations you received, and those you did not.
    Consider the following:

    • Who did you reach outto and what is their relation to you?
    • Who responded andwhat did they have to say?
    • Was there anything inthe recommendation you felt was missing?
    • Who did not respond?Is there a reason why they might not have responded?
    • What didthis assignment teach you about your professional relationships with current orprevious employers or supervisors?
    • What can you do to strengthen weak professional relationships?
    • Include copies of the recommendations in your paper.

      Cite 3 reputable references to support your assignment (e.g., trade or industry publications, government or agency websites, scholarly works, or other sources of similar quality).

      Format your assignment according to APA guidelines.
       

Forms of Nursing Inquiry: Quality improvement (QI), Research, and Evidence-Based Practice (EBP)

 

Select either EBP, research, or QI and identify how the selected approach is implemented to improve outcomes at your workplace.

            Nursing practice involves three inquiries that are significant to healthcare outcomes.  Since the inception of the nursing profession, many advancements have occurred.  Healthcare will continue to evolve through research leading to evidence-based practice (EBP), and consistently including quality improvement (QI).  Nurses are particularly instrumental with their knowledge base and skills learned.  Quality improvement (QI), research, and evidence-based practice (EBP) each have a role in nursing.  Although their aims, methods, and outcomes differ, the common goal is to promote optimal outcomes.   

            Quality improvement (QI) is a model implementing change.  When problems are identified, the process for quality improvement is executed (Zaccagnini & White, 2017).  QI is utilized in identifying performance gaps within nursing practice, process, or systems.  It is applied throughout units, departments, and organizations.  The Quality Improvement Model (QIM) contains four phases: Plan, Do, Study, and Act [PDSA] (Joyce, et al., 2019).  Working in the public/community health setting, nursing care is directed towards prevention.  The key is to educate patients and ensure their competency with their healthcare.  The QIM is implemented at my workplace from evaluating the patients’ behaviors based on their understanding of preventive care and continuing regularly scheduled appointments.  Typically, in public/community health facilities, monthly meetings are held with the providers to review measures defined by the Uniform Data System (UDS).  Facilities receive standardized reporting for review to compare to other facilities, then establish goals to increase the patients’ outcomes. 

How do you know this approach is utilized?

             QI is the approach utilized because it is referenced at every provider meeting.  On a smaller comparison, quality improvement is separated into the different departments and for each provider.  QI is a huge component considered in bonus compensation as well. 

Is this selected approach used apart from or in conjunction with the other approaches?

 Quality improvement (QI) is used in conjunction with research and evidence-based practice (EBP).  Meetings also consist of providing feedback relating to research and EBP.

Can one approach be effectively applied without the others? Why or why not?

 Although each inquiry is aimed to promoting optimal outcomes in healthcare, one approach can effectively be applied without the use of another in some instances.  They can be applied separately because there are differences in their aims, methods, and outcomes.  Each inquiry has a unique process yet complement one another for best practice (Mick, 2015). QI identifies the problem using an active approach for ideal results.  Research uses a scientific approach and in turn produces new education.  EBP tests the research to create new practice.  On other occasions, one approach may not be as effective without the other because each has an added value in some form.   

Hello I need a comment for this post at least 2 paragraphs and the sources no later than 5 years.