To Prepare for this Discussion:

· Read the Learning Resources concerning treating childhood abuse ( Below)

· Read the Child Abuse Case Study in the Learning Resources.

Post:

· What strategies would you employ to assess the patient for abuse? Explain why you selected these strategies.

· How might exposure to the media and/or social media affect the patient?

· What type of mandatory reporting (if any) is required in this case? Why?

Learning Resources ( Need 3 references).

Document: Childhood Abuse Case Study (PDF)

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 50, “Provision of Intensive Treatment:      Intensive Outreach, Day Units, and In-Patient Units” (pp. 648–664)
• Chapter 58, “Disorders of Attachment and      Social Engagement Related to Deprivation” (pp. 795–805)
• Chapter 59, “Post Traumatic Stress Disorder”      (pp. 806–821)
• Chapter 64, “Suicidal Behavior and Self-Harm”      (pp. 893–912)

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

• “Trauma- and      Stressor-related Disorders”

American Psychiatric Nurses Association. (2017). Childhood and adolescent trauma. Retrieved from http://www.apna.org/i4a/pages/index.cfm?pageID=4545

Pfefferbaum, B., & Shaw, J. A. (2013). Practice parameter on disaster preparedness. Journal of the American Academy of Child & Adolescent Psychiatry, 52(11), 1224–1238. Retrieved from http://www.jaacap.com/article/S0890-8567(13)00550-9/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. 1216–1226)

Stahl, S. M. (2014). Prescriber’s Guide: Stahl’s Essential Psychopharmacology (5th ed.). New York, NY: Cambridge University Press. 

• cial Media discussions are designed to promote dialogue between faculty and students, and students and their peers using a social media platform as inspiration. In the social media discussions, students:
  • Demonstrate understanding of concepts for the week
  • Research current data through outside sources and social media postings
  • Engage in meaningful dialogue with classmates
  • Express opinions clearly and logically, in a professional manner
• Use the rubric on this page as you compose your answers.

Discussion Question

There are many factors that will continue to impact community and population health.

1. Consider the past achievements in public health as many have implications around the globe.
2. Describe a global health concern that has impacted your community or those you care for.
3. Discuss what surveillance data could be pulled from an electronic health record (EHR) you have used or currently use in your nursing practice.
4. Take a moment to review the Twitter feed for compelling Tweets that are related to informatics, global health, and population health outcomes.
5. Share an overview the Tweet and how it is likely to impact future collaborative trends in community health.
6. Compose a 280-character or fewer Tweet that describes what you would like to see as a Tweet in the next decade related to public health achievements. Please try to be realistic, but also be visionary. Remember Twitter only allows 280 characters (this includes spaces, etc.) so you will need to be concise. It should include a hashtag. Include a reference URL if applicable. Share this Tweet in the discussion. (Note: A Twitter account is not required nor share your Tweet on social media). 
7. Your discussion post should look like:
   • Paragraph one: Describe a global health concern that has impacted your community or those you care for
   • Paragraph two: Discuss what surveillance data could be pulled from an electronic health record (EHR) you have used or currently use in your nursing practice.
   • Paragraph three: Share information from a Tweet and how it is likely to impact future collaborative trends in community health.
   • Paragraph four: Compose a 280-character Tweet that describes what you would like to see as a Tweet in the next decade related to public health achievements.
   • Resources: Where did you find your data?
8. Example: New HIV infection rates at all-time low worldwide #primaryprevention #collaborationiskey #WeGotThis #RNsunite www.HIV.gov

CASE SCENARIO

As a nurse in a healthcare organization, it has become evident that patient outcome data have been consistently declining in some patient care settings. Some of the outcomes under inspection include patient Hospital Acquired Pressure Injury (HAPI), (4% increase in the last 6 months) .

You have been asked to investigate contributing factors to the declining outcomes and participate with a team approach to developing an evidence-based practice project. As you started this exploration, you came across this article Aiken Article titled “The effects of nurse staffing and nurse education on patent deaths in hospital with different nurse work environment” , which served as a starting point for the assignment you have been given. You may need to secure some current articles to support you as you develop the clinical question. For example, you may want to retrieve peer review articles on patient HAPI.

1. Access the link to the Aiken article above and read the article. This article will provide some background information that links nurse-patient ratios to patient outcomes. The article is provided to get you started on the development of an evidence-based project (EBP).

2. Refer to the Iowa Model  to serve as a guide in the development of the EBP project. Be sure to explain, in detail, how each step of the Iowa Model supports your project development.

3. Based on the information in the article, develop a PICO question to address the problem of a decline in patient outcomes.

4. Use the format below to develop the PICO:

5. Include additional articles as background information to provide information for the problem areas identified.

6. Discuss the influence of Scripture on the imperative for utilizing current evidence to deliver safe and quality patient care.

  PICO  FORMAT

Patient/Problem/Population: 

______________________________________________________________________________________________________________________________________________

Intervention: ________________________________________________________________________________________________________________________________________________

Comparison: (if applicable) ____________________________________________________________________________________________________________________________________________________

Outcome: ____________________________________________________________________________________________________________________________________________________

I. Based on the content above, write out your question in sentence format: ____________________________________________________________________________________________________________________________________

II. Based on your work above, make a list of possible search terms that may be used in the literature search:

___________________________ ________________________________

___________________________ ________________________________ 

__________________________ ________________________________

 Patient safety culture remains the number one concern for all facilities. How can you ensure that patient safety is maintained on a unit where you are the nurse leader? 

Week 2 Assignment: Conflict Resolution Model Submission 

This week, you will identify the conflict resolution model for your research paper. To gain a more complete understanding, refer to the assignment details above and instructions before beginning this assignment.

Compose a one- to two-page paper that addresses the following:

• A description of the model
• The reason you selected this model over others

Format, cite, and reference according to APA Style.

To assist you, download the Conflict Resolution Table.(use the link for the table) 

https://learn.westcoastuniversity.edu/bbcswebdav/pid-5018147-dt-content-rid-78596356_1/xid-78596356_1

List of Conflict Models( you can selected the model you want use from here)

• The Circle of Conflict model
• The Triangle of Satisfaction model
• The Boundary model
• The Interests/Rights/Power model
• The Dynamics of Trust model
• The Dimensions of Conflict model
• The Social Styles model

journal two parts

see attached

Examine Case Study: An Elderly Hispanic Man With Major Depressive Disorder. You will be asked to make three decisions concerning the medication to prescribe to this client. Be sure to consider factors that might impact the client’s pharmacokinetic and pharmacodynamic processes.

• At each decision point stop to complete the following: 
  • Decision #1 
    • Which decision did you select?
    • Why did you select this decision? Support your response with evidence and references to the Learning Resources.
    • What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources.
    • Explain any difference between what you expected to achieve with Decision #1 and the results of the decision. Why were they different?
  • Decision #2 
    • Why did you select this decision? Support your response with evidence and references to the Learning Resources.
    • What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources. 
    • Explain any difference between what you expected to achieve with Decision #2 and the results of the decision. Why were they different?
  • Decision #3 
    • Why did you select this decision? Support your response with evidence and references to the Learning Resources.
    • What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources.
    • Explain any difference between what you expected to achieve with Decision #3 and the results of the decision. Why were they different?
• Also include how ethical considerations might impact your treatment plan and communication with clients.

BACKGROUND INFORMATION

The client is a 32-year-old Hispanic American male who came to the United States when he was in high school with his father. His mother died back in Mexico when he was in school. He presents today to the PMHNPs office for an initial appointment for complaints of depression. The client was referred by his PCP after “routine” medical work-up to rule out an organic basis for his depression. He has no other health issues with the exception of some occasional back pain and “stiff” shoulders which he attributes to his current work as a laborer in a warehouse. 

SUBJECTIVE

During today’s clinical interview, client reports that he always felt like an outsider as he was “teased” a lot for being “black” in high school. States that he had few friends, and basically kept to himself. He describes his home life as “good.” Stating “Dad did what he could for us, there were 8 of us.” He also reports a remarkably diminished interest in engaging in usual activities, states that he has gained 15 pounds in the last 2 months. He is also troubled with insomnia which began about 6 months ago, but have been progressively getting worse. He does report poor concentration which he reports is getting in “trouble” at work. 

MENTAL STATUS EXAM

The client is alert, oriented to person, place, time, and event. He is casually dressed. Speech is clear, but soft. He does not readily make eye contact, but when he does, it is only for a few moments. He is endorsing feelings of depression. Affect is somewhat constricted, but improves as the clinical interview progresses. He denies visual or auditory hallucinations, no overt delusional or paranoid thought processes readily apparent. Judgment and insight appear grossly intact. He is currently denying suicidal or homicidal ideation. The PMHNP administers the “Montgomery- Asberg Depression Rating Scale (MADRS)” and obtained a score of 51 (indicating severe depression).

RESOURCES

§ Montgomery, S. A., & Asberg, M. (1979). A new depression scale designed to be sensitive to change. British Journal of Psychiatry, 134, 382-389.

Decision Point One

Select what the PMHNP should do:

Begin zoloft 25 mg orally daily

Begin Effexor XR 37.5 mg orally daily

Begin Phenelzine 15 mg orally TID

Decision Point One

Begin zoloft 25 mg orally daily

RESULTS OF DECISION POINT ONE

• Client returns to clinic in four weeks
• Reports a 25% decrease in symptoms
• Client is concerned over the new onset of erectile dysfunction

Decision Point Two

Select what the PMHNP should do next:

Decrease dose to 12.5 mg orally daily 

Continue same dose and counsel client

Add augmenting agent such as Wellbutrin IR 150 mg in morning

Decision Point Two

Add augmenting agent such as Wellbutrin IR 150 mg in morning

RESULTS OF DECISION POINT TWO

• Client returns to clinic in four weeks
• Client stated that depressive symptoms have decreased even more and his erectile dysfunction has abated
• Client reports that he has been feeling “jittery” and sometimes “nervous” 

Decision Point Three

Select what the PMHNP should do next:

Discontinue Zoloft altogether and continue with Wellbutrin 

Change Wellbutrin to XL 150 mg orally daily in AM

Add Ativan 0.5 mg orally TID/PRN for anxiety

Decision Point Three

Change Wellbutrin to XL 150 mg orally daily in AM

Guidance to Student
The PMHNP should be aware that Zoloft or Wellbutrin could be responsible for the client complaints of Jitteriness. This feeling is usually temporary with SSRIs, however. The cause of the client’s complaint of “jitteriness” is most likely related to the Wellbutrin immediate release. As a result, the most appropriate answer would be to change the Wellbutrin to an extended release formulation. It would not be appropriate to add Ativan as the PMHNP should never add an additional medication to treat the side effect of another medication without first attempting to modify/change the medication causing the side effect. 

Module 1 – Case

LEADERSHIP IN HEALTH EDUCATION AND SECURING FUNDING FOR HEALTH EDUCATION PROGRAMS

Assignment Overview

Health educators often serve as directors or coordinators of the health education projects or programs. If these projects/programs are to be successful, they must know how to work effectively as leaders of the teams they supervise. To this end, this module focuses on styles of leadership and some of the duties they perform.

As the program director at a local community based organization you have conducted a needs assessment and determine that members of your service population are increasingly at risk for diabetes. Your executive director has asked that you develop an intervention to address this problem but that you also identify funding agencies that award grants in support of diabetes prevention programs

Case Assignment

There are two parts to this assignment both have multiple requirements.

Part I: After reading Community Tool Box Chapter 13, Section 3 (i.e., Styles of Leadership), write an essay in which you reflect upon your own leadership style. Please ensure that your paper addresses the following specific questions:

• Of the styles presented-autocratic, managerial, demographic, and collaborative-which best characterizes you? Why?
• Which style(s) do you believe to be most effective for health educators? Why?
• Which do you think are least effective? Again, please explain.

NOTE: Please ensure that you support your analysis with evidence from background readings and additional scholarly sources.

Part II: Read Chapter 42, Sections 4-5 of the Community Tool Box (i.e., Applying for Grant: The General Approach and Writing a Grant) and, after doing so, write a three-page paper in which you describe the steps you will take to secure funding for your diabetes prevention program. Your paper should clearly delineate:

• Two potential funding sources (these can be foundations, the government, or private businesses/corporations)
• Eligibility requirements for grants from these agencies/organizations and the extent to which your program and organization satisfy these
• The funding mechanism, i.e., Call for Proposal (CFP), Request for Proposals (RFP), Request for Applications (RFA), Program Announcement, etc.
• The timeline for submission and review of your grant proposal

NOTE: For clarification, you are not being asked to develop an intervention for this assignment; you are however being asked to explore funding possibilities for such.

Length for Part 1 should be 2-3 pages.

Length for Part 2 should be 3-pages. 

Assignment Expectations

Assessment and Grading: Your paper will be assessed based on the performance assessment rubric that is linked within the course. Review it before you begin working on the assignment.

The following guidance appears only in Module 1, but it applies to the assignments throughout the course:

File format:   Your work should be prepared using Microsoft Word, PowerPoint, or Excel depending upon the assignment instructions. For assignments requiring video or voice recordings, use media formats that are supported by MyTLC Courses as noted in our Trident Support page.

 In-text citations and references: Be sure that all information and ideas in your papers are supported by in-text citations and corresponding references at the end of the paper. 

Scholarly sources:   At least three scholarly sources should be included in your paper. Online sources must be limited to credible professional and scholarly publications such as peer-reviewed journal articles, e-books, or specific webpages on websites from a university, government, or nonprofit organization (these have extensions .edu, .gov, or .org). Presenting consumer sources such as e-magazines, newspapers, Wikipedia, WebMD, or other commercial websites (these have extensions .com) as references is not appropriate. 

Scholarly writing:   Use an academic paper format, not an essay based on your opinions or experience. Avoid using the first person in writing. Synthesize what you learned from the sources you read; write papers in your own words; and cite sources within the text, as well as include a properly formatted reference list. 

Use of direct quotes: Use of direct quotes should be avoided. Only use direct quotes when preserving the exact words of an author is necessary. In the rare instance that directly quoted material is used, it must be properly cited (with quotation marks and page numbers in the in-text citation); quotes should not exceed 5-10% of the total paper content. 

The Writing Style Guide that is linked on the TLC Portal homepage under My Resources will help clarify expectations. 

Research legislation that has occurred within the last 5 years at the state or federal level as a result of nurse advocacy. Describe the legislation and what was accomplished. What additional steps need to be taken to continue advocacy for this issue?