Effective Communication

Effective Communication

The Joint Commission reported that [poor] communication was the root cause of 66% of Sentinel Events between 1995-2005. Examine the communication and collaboration in your workplace. Include these aspects:

  • The components necessary for effective interpersonal communication.
  • Discuss the importance of interprofessional collaboration.
  • Apply components of interpersonal communication to interprofessional collaboration.
  • Discuss strategies to promote interprofessional collaboration.
  • Describe effective strategies to build interprofessional teams.
  • Cultural competence

Assignment Expectations:

Length: Between 1500 and 2000 words

Structure: Include a title page and reference page in APA format. These do not count towards the minimum word count for this assignment. Your essay must include an introduction and a conclusion.

References: Use appropriate APA style in-text citations and references for all resources utilized to answer the questions. You should utilize at least two scholarly sources

Cognitive Behavioral Therapy: Family Settings Versus Individual Settings

 Whether used with individuals or families, the goal of cognitive behavioral therapy (CBT) is to modify client behavior. Although CBT for families is similar to CBT for individuals, there are significant differences in their applications. As you develop treatment plans, it is important that you recognize these differences and how they may impact your therapeutic approach with families. For this Discussion, as you compare the use of CBT for families and individuals, consider challenges of applying this therapeutic approach to your own client families. 

 

Students will:
  • Compare the use of cognitive behavioral therapy for families to cognitive behavioral therapy for individuals
  • Analyze challenges of using cognitive behavioral therapy for families
  • Recommend effective cognitive behavioral therapy strategies for families
To prepare:
  • Review the media, Johnson Family Session 3, in this week’s Learning Resources and consider the insights provided on CBT in family therapy.
  • Reflect on your practicum experiences with CBT in family and individual settings.

 Post an explanation of how the use of CBT in families compares to CBT in individual settings. Provide specific examples from your own practicum experiences. Then, explain challenges counselors might encounter when using CBT in the family setting. Support your position with specific examples from this week’s media. 

Role and Scope DQ7

Answer the question from Chapter 7: Social Context and the Future of Professional Nursing:

How do changes in nursing education reflect nursing’s responsibility in the context of the social contract discussed earlier in this chapter?

Instructions:

Follow the 3 x 3 rule: minimum three paragraphs per DQ, with a minimum of three sentences each paragraph.

All answers or discussions comments submitted must be in APA format according to Publication Manual American Psychological Association (APA) (6th ed.) 2009 ISBN: 978-1-4338-0561-5

APA format (intext citations and references)

Plagiarism FREE

Thread: Week 10 Discussion Prompt

 

For Week 10, reply to the questions below in a one paragraph (four to five sentences) response. You are not required to respond to your peers, but you may do so if you like.

Your response is due no later than Monday, 11:59 p.m. (Pacific time).

Briefly reflect on your pathophysiology experience and address the following questions:

  • How will the knowledge of pathophysiology play into your career role?
  • What aspect of pathophysiology do you feel will be the most important moving forward?
  • Scholarly sources and citations please!!!

Case Study week 4 apn

 

Download the access codes.

Download the SOAP template to help you design a holistic patient care plan. Utilize the SOAP guidelines to assist you in creating your SOAP note and building your plan of care. You are expected to develop a comprehensive SOAP note based on the given assessment, diagnosis, and advanced nursing interventions. Reflect on what you have learned about care plans through independent research and peer discussions and incorporate the knowledge that you have gained into your patient’s care plan.  If the information is not in the provided scenario please consider it normal for SOAP note purposes, if it is abnormal please utilize what you know about the disease process and write what you would expect in the subjective and objective areas of your note.

Format

  • Your care plan should be formatted as a Microsoft Word document. Follow the current APA edition style. Your paper should be no longer than 3-4 pages excluding the title and the references and in 12pt font.
  • Name your document: SU_NSG6001_W4A2_LastName_FirstInitial.doc.
  • Submit your document to the Submissions Area by the due date assigned.

Therapy with Older Adults

I NEED A RESPONSE TO THIS ASSIGNMENT

2 REFERENCES

ZERO PLAGIARISM

Group psychotherapy is a psychotherapeutic treatment modality in which a group of people with the same or similar psychological and/or psychiatric disorder are composed and come together in a group, with the guidance of a professional therapist, to help one another to effect behavioral and/or personality change. “It is a modality that employs a professionally trained leader who selects, composes, organizes, and leads a collection of members to work together toward the maximal attainment of the goals for each individual in the group and for the group itself.” In group psychotherapy, certain group properties such as mutual support can be used to help provide relief from psychological and/or psychiatric disorders/problems and also afford support to group members with feelings of isolation and desperation. 

Group therapy with older adults can be a challenging moments owing to the fact that aging can be a moment or stage in the development of humans which is marked by a decline in not just the physical well-being, but it is also characterized by multiple social, emotional and psychological impairments. “This focus on extraordinary losses and the potential for diminished functional capacity may be a major hurdle in confronting our own biases and countertransference reactions as group psychotherapists working with older adults.” Despite the various types psychotherapeutic approaches in group psychotherapy, certain core principles as well as assumptions remain peculiar to it and these core principles and assumptions must be respected for a therapeutic progress to be made. 

Group Description.

The psychotherapy group is made of 4 participants who started psychotherapy group with a duration of 10 weeks. Group members met once a week with each session lasting for about 45 minutes. Group members had diagnosis with a DSM-5 criteria ranging from Schizophrenia, bipolar disorder, anxiety disorder, major depression. Age ranges between 60 to 70 years old. two of the group members had attended a group psychotherapy before while the rest were all new to group psychotherapy. Yalom, notes “Although the frequency of meetings varies from one to five times a week, the overwhelming majority of groups meet once weekly.” the group was a closed group because once it’s creation was done, no new membership was allowed.

Stage of group.

This psychotherapy group was at the norming  stage because group members had become more aligned with the group, and can work together toward the realization of the group goals common to all members and to the group in general. Wheeler, K. (2014) note “Group members become more aligned as a whole, and identify and work to a common goal.” Members at this stage of group existence have developed a sense of trust for each other and among group members. At this stage, members were contributing ideas and helping one another with their problems. They shared ideas on their individual problems and how they manage to solve their own problems. At this stage of the group, some members may form cliques and so exclude some other members of the group. The psychotherapist must be vigilant at this time to discourage the formation of such subgroups for the interest of the group.

Challenges or Issues of the group.

When people come together in a group, there is bound to be some form of challenges or problems within the group. Some of the challenges faced by psychotherapy group include the perceived goal incompatibility. The fact that different people with various psychological problems entails a different set of goals which may nit be compatible with the goals of the rest of the group members. “One important source of perplexity and discouragement for clients early in therapy is perceived goal incompatibility.” Yalom, D.I (2005). In such situation, group members may may not align the group goals with their individual goals. Some other challenges in group therapy may include lack of immediate comfort. “Clients may be frustrated by not getting enough air time in the first few minutes.” Yalom, D.I (2005). Subgrouping and extragroup socializing is another challenge that may be experienced at any stage of a group psychotherapy. The psychotherapist has the responsibility in such situations to acknowledge the differences that might exist within the group, encourage members to focus on the group goals as well as model group activity towards creative problem-solving approach. 

Therapeutic approach employed in the group.

Psychotherapeutic approaches used included cognitive behavior group therapy, in which group members had the opportunity to verbalize feelings, contribute to the problem-solving and group cohesiveness. The psychotherapist also help and guide group members through psychoeducation so group members can understand the effect of maladaptive thinking or thought process on individual behaviors. knowledge sharing among group members was also used to help group members achieve group goals. 

Recommendations.

In group psychotherapy, the therapist must identify factors that could impact group members contributions, affect group cohesiveness and attainment of group goals. Giving members the opportunity for a structured socialization helps to instill onto members the sense of positive fortification. Keeping group sessions short and brief will help group members stay focused as well as able to retain what is learned in the group.

References.

Bonhote, K., Romano-Egan, J., & Cornwell, C. (1999). Altruism and creative expressions in a long-term older adult psychotherapy group. Issues in Mental Health Nursing, 20(6), 603-617. Retrieved from 

https://doi-org10.1080/016128499248394

Sadock, J. B., Sadock, V.A., & Ruiz, P. (2015). Kaplan & Sadock’s Synopsis of Psychiatry Behavioral Sciences/Clinical Psychiatry. 

             (11th ed.). Phialdelphia, PA: Wolters Kluwer.

Wheeler, K. (2014). Psychotherapy for the Advanced Practice Psychiatric Nurse. A How-to Guide for Evidence-based Practice.

             (2nd ed.). New York, NY: Springer Publishing Company.

Yalom, I.D. (2005). The Theory and Practice of Group Psychotherapy.

              (5th ed.). New York, NY: Perseus Books Group.

Surveillance Database

 

Instructions

Surveillance Database

Explore the CDC Wonder website. Select a potential health problem from the following CDC Wonder Databases:

  • Environment
  • Mortality
  • Population

Tasks:

Using the South University Online Library or the Internet, research your selected surveillance database. Based on your research, create a 3- to 4-page Microsoft Word report that covers the following aspects in detail:

  • Describe and explain the main surveillance data collected in the database of interest.
  • Describe the aspects of how clinical and administrative systems contribute data used in public health surveillance.
  • Analyze how existing surveillance systems and health information systems serve forces driving change, including healthcare reform and bioterrorism (anthrax, food/water contamination and air borne contaminations).

Submission Details:

  • Support your responses with examples. Cite any sources in APA format.

Ques check 2

QUESTION 1
1. A 45-year-old male comes to the clinic with a chief complaint of epigastric abdominal pain that has persisted for 2 weeks. He describes the pain as burning, non-radiating and is worse after meals. He denies nausea, vomiting, weight loss or obvious bleeding. He admits to bloating and frequent belching.  
PMH-+ for osteoarthritis, seasonal allergies with frequent sinusitis infections.  
Meds-Zyrtec 10 mg po daily and takes it year-round, ibuprofen 400-600 mg po prn pain 
Family Hx-non contributary  
Social history-recently divorced and expressed concern at how expensive it is to support 2 homes. Works as a manager at a local tire and auto company. He has 25 pack/year history of smoking, drinks 2-3 beers/day, and drinks 5-6 cups of coffee per day. He denies illicit drug use, vaping or unprotected sexual encounters.  
Breath test in the office revealed + urease. 
The healthcare provider suspects the client has peptic ulcer disease.
1 of 2 Questions:
What factors may have contributed to the development of PUD? 
1 points   
QUESTION 2
1. A 45-year-old male comes to the clinic with a chief complaint of epigastric abdominal pain that has persisted for 2 weeks. He describes the pain as burning, non-radiating and is worse after meals. He denies nausea, vomiting, weight loss or obvious bleeding. He admits to bloating and frequent belching.  
PMH-+ for osteoarthritis, seasonal allergies with frequent sinusitis infections.  
Meds-Zyrtec 10 mg po daily and takes it year-round, ibuprofen 400-600 mg po prn pain 
Family Hx-non contributary  
Social history-recently divorced and expressed concern at how expensive it is to support 2 homes. Works as a manager at a local tire and auto company. He has 25 pack/year history of smoking, drinks 2-3 beers/day, and drinks 5-6 cups of coffee per day. He denies illicit drug use, vaping or unprotected sexual encounters.  
Breath test in the office revealed + urease. 
The healthcare provider suspects the client has peptic ulcer disease.
2 of 2 Questions:
How do these factors contribute to the formation of peptic ulcers? 
1 points   
QUESTION 3
1. A 36-year-old morbidly obese female comes to the office with a chief complaint of “burning in my chest and a funny taste in my mouth”. The symptoms have been present for years but patient states she had been treating the symptoms with antacid tablets which helped until the last 4 or 5 weeks. She never saw a healthcare provider for that. She says the symptoms get worse at night when she is lying down and has had to sleep with 2 pillows. She says she has started coughing at night which has been interfering with her sleep. She denies palpitations, shortness of breath, or nausea. 
PMH-HTN, venous stasis ulcers, irritable bowel syndrome, osteoarthritis of knees, morbid obesity (BMI 48 kg/m2) 
Family history-non contributary   
Medications-amlodipine 10 mg po qd, dicyclomine 20 mg po, ibuprofen 600 mg po q 6 hr prn 
Social hx- 15 pack/year history of smoking, occasional alcohol use, denies vaping    
The health care provider diagnoses the patient with gastroesophageal reflux disease (GERD). 
Question:
The client asks the APRN what causes GERD. What is the APRN’s best response? 
   
QUESTION 4
1. A 34-year-old construction worker presents to his Primary Care Provider (PCP) with a chief complaint of passing foul smelling dark, tarry stools. He stated the first episode occurred last week, but it was only a small amount after he had eaten a dinner of beets and beef. The episode today was accompanied by nausea, sweating, and weakness. He states he has had some mid epigastric pain for several weeks and has been taking OTC antacids. The most likely diagnosis is upper GI bleed which won’t be confirmed until further endoscopic procedures are performed.
Question:
What factors can contribute to an upper GI bleed? 
1 points   
QUESTION 5
1. A 64-year-old steel worker presents to his Primary Care Provider (PCP) with a chief complaint of passing bright red blood when he had a bowel movement that morning. He stated the first episode occurred last week, but it was only a small amount after he had eaten a dinner of beets and beef. The episode today was accompanied by nausea, sweating, and weakness. He states he has had some left lower quadrant pain for several weeks but described it as “coming and going”. He says he has had a fever and abdominal cramps that have worsened this morning. The likely diagnosis is lower GI bleed secondary to diverticulitis.
Question:
What can cause diverticulitis in the lower GI tract? 
1 points   
QUESTION 6
1. A 48-year-old man presents to his gastroenterologist for increasing abdominal girth and increasing jaundice. He has a long history of alcoholic cirrhosis and has multiple admissions for encephalopathy and GI bleeding from esophageal varices. He has been diagnosed with portal hypertension and tells the APRN that he was told he had chronic, non-curable cirrhosis.    
Question:
How does cirrhosis cause portal hypertension? 
1 points   
QUESTION 7
1. A 48-year-old man presents to his gastroenterologist for increasing abdominal girth and increasing jaundice. He has a long history of alcoholic cirrhosis and has multiple admissions for encephalopathy and GI bleeding from esophageal varices. He has been diagnosed with portal hypertension. The increased abdominal girth has been progressive, and he says it is getting hard to breathe. The APRN reviews his last laboratory data and notes that the total protein is 4.6 gm/dl and the albumin is 2.9 g/dl. Upon exam, he has icteric sclera, jaundice, and abdominal spider angiomas. There is a significant fluid wave when percussed. The APRN tells the patient that he has ascites.  
Question:
Discuss how ascites develops as a result of portal hypertension. 
UESTION 8
1. A 45-year-old man with known alcoholic cirrhosis, portal hypertension, and ascites is brought to the ED by his family due to increasing confusion. The family states that he had been stumbling for several days but had not fallen. The family also noted that he had been “flapping his hands” as well. Labs in the ED reveal Hgb 9.4 g/dl, Hct 28.0 %, ammonia (NH3) level is 159 μmol/L. The APRN informs the family that the patient has developed hepatic encephalopathy (HE). 
Question:
Explain how hepatic encephalopathy develops in patients with cirrhosis of the liver.
1 points   
QUESTION 9
1. A 65-year-old man with a history of atrial fibrillation presents to his PCP’s office 2 months after suffering from a myocardial infarction.  He declined anticoagulation due to fear he would bleed to death. He has had sudden-onset, moderately severe diffuse abdominal pain that began 18 hours ago. He has been vomiting, and he has had several episodes of diarrhea, the last of which was bloody. He has a fever of 100.9 ˚ F. CBC reveals WBC of 15,000/mm3. 
Question:
What is the most likely mechanism behind his current symptoms?  
1 points   
QUESTION 10
1. A 46-year-old Caucasian female presents to the PCP’s office with a chief complaint of severe, intermittent right upper quadrant pain for the last 3 days. The pain is described as sharp and has occurred after eating french fries and cheeseburgers and radiates to her right shoulder. She has had a few episodes of vomiting “green stuff”. States had fever and chills last night which precipitated her trip to the office. She also had some dark orange urine, but she thought she was dehydrated.  
Physical exam: slightly obese female with icteric sclera as well as generalized jaundice. Temp 101˚F, pulse 108, respirations 18. Abdominal exam revealed rounded abdomen with slightly hypoactive bowel sounds. + rebound tenderness on palpation of right upper quadrant. No tenderness or rebound in epigastrium or other quadrants. Labs demonstrate elevated WBC, elevated serum alanine aminotransferase (ALT) and aspartate aminotransferase (AST) levels. Serum bilirubin (indirect) 2.5 mg/dl.  Abdominal ultrasound demonstrated enlarged gall bladder, dilated common bile duct and multiple stones in the bile duct. The APRN diagnoses the patient with acute cholecystitis and refers her to the ED for further treatment. 
Question 1 of 2:
Describe how gallstones are formed and why they caused the symptoms that the patient presented with. 
1 points   
QUESTION 11
1. A 46-year-old Caucasian female presents to the PCP’s office with a chief complaint of severe, intermittent right upper quadrant pain for the last 3 days. The pain is described as sharp and has occurred after eating french fries and cheeseburgers and radiates to her right shoulder. She has had a few episodes of vomiting “green stuff”. States had fever and chills last night which precipitated her trip to the office. She also had some dark orange urine, but she thought she was dehydrated.  
Physical exam: slightly obese female with icteric sclera as well as generalized jaundice. Temp 101˚F, pulse 108, respirations 18. Abdominal exam revealed rounded abdomen with slightly hypoactive bowel sounds. + rebound tenderness on palpation of right upper quadrant. No tenderness or rebound in epigastrium or other quadrants. Labs demonstrate elevated WBC, elevated serum alanine aminotransferase (ALT) and aspartate aminotransferase (AST) levels. Serum bilirubin (indirect) 2.5 mg/dl.  Abdominal ultrasound demonstrated enlarged gall bladder, dilated common bile duct and multiple stones in the bile duct. The APRN diagnoses the patient with acute cholecystitis and refers her to the ED for further treatment. 
Question 2 of 2:
Explain how the patient became jaundiced.
1 points   
QUESTION 12
1. Ruth is a 49-year-old office worker who presents to the clinic with a chief complaint of abdominal pain x 2 days. The pain has significantly increased over the past 6 hours and is now accompanied by nausea and vomiting. The pain is described as “sharp and boring” in mid epigastrum and radiates to the back. Ruth admits to a long history of alcohol use, and often drinks up to a fifth of vodka every day.  
 
Physical Exam: 
Temp 102.2F, BP 90/60, respirations 22. Pulse Oximetry 92% on room air. 
General: thin, pale white female in obvious pain and leaning forward. Moving around on exam table and unable to sit quietly. 
CV-tachycardic. RRR without gallops, rubs, clicks or murmurs 
Resp-decreased breath sounds in both bases with poor inspiratory effort 
Abd- epigastric guarding with tenderness. No rebound tenderness. Negative Cullen’s and + Turner’s signs observed.  Hypoactive bowel sounds x 2 upper quadrants, and no bowel sounds heard in both lower quadrants.  
 
The APRN makes a tentative diagnosis of acute pancreatitis based on history and physical exam and has the patient transferred to the ER where laboratory and radiographic exams reveal acute pancreatitis. 
Question:
Explain how pancreatitis develops and the role alcohol played in this patient’s case.
1 points   
QUESTION 13
1. A 23-year-old bisexual man with a history of intravenous drug abuse presents to the clinic with a chief complaint of fever, fatigue, loss of appetite, nausea, vomiting, abdominal pain, and dark urine. He says the symptoms started about a month ago and have gotten steadily worse. He admits to reusing needles and had unprotected sexual relations with a man “a couple months ago”.  
PMH-noncontributory.   
Social/family history-works occasionally as a night clerk in a hotel. Parents without illnesses. Admits to bisexual sexual relations and intravenous heroin use. He has refused drug rehabilitation. 3 year/pack history of tobacco but denies vaping.  
Physical exam unremarkable except for palpable liver edge 2 fingerbreadths below costal margin. No ascites or jaundice appreciated.  
The APRN suspects the patient has Hepatitis B given the strong history of risk factors. She orders a hepatitis panel which was positive for acute Hepatitis B. 
Question:
What are the important hepatitis markers that indicated the patient had acute hepatitis B? 
1 points   
QUESTION 14
1. Hannah is a 19-year-old college sophomore who came to Student Health with a chief complaint of lower abdominal pain. She says the pain has been present for 2 months and she has had multiple episodes of diarrhea alternating with constipation, and anorexia. She says she has lost about 10 pounds in these 2 months without dieting. The abdominal pain has gotten worse in the last 2 hours, but she thought she had “the GI bug” like other students at her Synagogue had.  
Physical exam-noncontributory except for the abdomen which was lightly distended with no visible masses. Normoactive BS x 4. Diffuse tenderness throughout but increased pain on deep palpation LUQ & LLQ. Slight guarding but no rebound tenderness or rigidity. 
Rectal-tight anal sphincter and patient grimacing in pain during exam. Slightly + guaiac stool. 
 
Based on her history and current symptoms, the APN arranges for a consult with a gastroenterologist who diagnoses Hannah with ulcerative colitis (UC). 
Question:
How does ulcerative colitis develop in a susceptible person?  
1 points   
QUESTION 15
1. A 64-year-old woman with long standing coronary artery disease presents to the clinic with lower extremity swelling, abdominal distension, and shortness of breath. Patient states she has a 30-pound weight gain in 6 weeks and is now requiring 3 pillows to sleep.  
On physical exam the patient is a well-developed, well-nourished female exhibiting signs of respiratory distress with use of accessory muscles. Blood pressure 150/80, pulse 105, respirations 28 and labored. Body weight 89 kg. HEENT was unremarkable. Cardiac exam had an S1, S2 and S3 without S4 or murmur. Respiratory exam was positive for bilateral rales 1/2 up both lung fields. Abdomen was enlarged with a positive fluid wave. Lower extremities were remarkable for 3+ pitting edema. 
Laboratory data was significant for an increase in K+ from 3.4 mmol/l to 6.1 mmol/l in 2 weeks, BUN increased from 18 mg/dl to 104 mg/dl, and creatinine increased from 0.8 mg/dl to 6.9 mg/dl.  
CXR revealed congestive heart failure. The APRN calls the cardiologist on call who admits the patient to the hospital and orders a nephrology consult.  
She was diagnosed with exacerbation of congestive heart failure (CHF) and acute kidney injury (AKI).  
Question:
What type of acute kidney injury does the patient have and what factors contributed to this diagnosis? 
1 points   
QUESTION 16
1. The APRN is giving a pathophysiology lecture to APRN students on renal blood flow, related hormones, and glomerular filtration rate.  
Question:
What would be the most important concept of glomerular filtration rate that the APRN should address? 
1 points   
QUESTION 17
1. The APRN is giving a pathophysiology lecture to APRN students on renal blood flow, glomerular filtration rate, autoregulation, and related hormone factors regulating renal blood flow 
Question:
What would be the most important concept of autoregulation that the APRN should address? 
1 points   
QUESTION 18
1. The APRN is giving a pathophysiology lecture to APRN students on renal blood flow, glomerular filtration rate, autoregulation, and related hormone factors regulating renal blood flow 
Question:
What would be the most important concept of hormonal regulation that the APRN should address? 
1 points   
QUESTION 19
1. A 28-year-old female comes to the clinic with a chief complaint of right flank pain, urinary frequency, and foul-smelling urine. The symptoms have been present for 3 days but this morning, the patient states she had a fever of 101 F and thought she should get it checked out. Physical exam noncontributory with the exception of right costovertebral angle (CVA) tenderness upon percussion. Urine dipstick shows + blood, + bacteria and + white blood cells. Renal ultrasound reveals right staghorn renal calculus and the patient was diagnosed with acute pyelonephritis.  
Question:
How does a renal calculi calculus contribute to acute pyelonephritis? 
1 points   
QUESTION 20
1. Mr. Kent is a 45-year-old African American male with a history of Type 2 diabetes, hypertension, and hyperlipidemia. His renal function has slowly decreased over the past 4 years and his nephrologist has told him that his GFR has decreased to 15cc ml/min and will soon need renal dialysis for chronic renal failure.  
Question:
How does chronic renal failure develop? 
1 points   
 

Nursing Information Management And Technology Discussion W3

TASK

Post your initial response to the topic below.

Technology’s Impact on Population Health

Topic 1

Advances in technology have fed the explosion of wearable devices and patient self-monitoring.

How can nurses leverage this technology to promote healthy lifestyles and improved compliance with self-care and monitoring?

As in all assignments, cite your sources in your work and provide references for the citations in APA format. Support your work, using your course lectures and textbook readings. Helpful APA guides and resources are available in the University Online Library. Below are guides that are located in the library and can be accessed and downloaded via the  University Online Citation Resources: APA Style page. The American Psychological Association website also provides detailed guidance on formatting, citations, and references at APA Style.