Journal Entry

 PLEASE FOLLOW THE INSTRUCTION BELOW

5  REFERENCES

ZERO PLAGIARISM

  • Develop diagnoses for clients receiving psychotherapy*
  • 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 10.

Select a child or adolescent 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 any legal and/or ethical implications related to counseling this client.
  • Support your position with evidence-based literature.

Special topics Nursing practice 1

 

Choose one of the following discussion question options to answer in your initial post. Please review the Discussion Rubric for detailed requirements of your posts.

Follow the Discussion Rubric Guidelines. Support your initial response post with a full-text, peer-reviewed nursing journal article published within the last five years. 

Option 1:  How Can Health Care Workers Inspire Patients?

We hear a lot of horror stories in health care. A middle-aged man sits in a waiting room for four hours without getting attention. A medication error harms an elderly woman. A child dies because his condition was not properly relayed up a chain of command.

What about when a patient has a great experience? Why don’t we hear those stories? This is one of those stories.

Please watch this video and answer the questions below:

https://youtu.be/K7PO8a-N0zU

Option 1 Questions (answer all):

1. Have you or a loved one ever been in the hospital because of an injury or an illness? Even as an RN, did you or your loved one understand everything the clinicians said to you? If not, what hindered your understanding and what could have helped you in that situation?

2. How did Melba, Luis, and Julie all contribute to a better patient experience for Gilbert?

3. How can you contribute to a better experience for your patients?

4. Gilbert believes Melba, Luis, and Julie represent what the face of health care should look like. What do you want your health care system to look like? How is your ideal different than what you typically see?

5. Like Gilbert, are you passionate about the work you do? Why or why not?

Option 2: What If We Gave Patients the Skills and Knowledge to Care for Themselves?

Long wait times in emergency departments can create problems for patients, clinicians, the hospital, and the delivery of health care.  Giving underinsured or uninsured patients the skills (and the option) to care for themselves can be an innovative solution. Healthcare providers have the potential to utilize perhaps the most natural resource available, which is human potential.

Please watch this video and answer the questions below:

https://youtu.be/37Hv5sFMNHY

Option 2 Questions (answer all):

1. Dr. Bhavan said this program was developed out of the hospital’s need for more beds. Do you think it benefits the patients, too? How?

2. What was your reaction to hearing that patients learned to hang IV fluids on a coat hanger? Do you think that creative, inexpensive solutions such as this should be used more often in health care? Why or why not?

3. Why do you think that patients who treated themselves at home had a lower readmission rate than patients treated in the hospital?

4. Dr. Bhavan said that the program was developed for patients who were uninsured or underinsured. Do you think this program should be offered to all patients, regardless of their insurance status? Why or why not?

5. How is this story an example of person- and family-centered care?

Option 3. What Does Coordinated Care Look Like?

Coordinated patient- and family-centered care should be the goal for every patient, every time. Coordinated care can result in the best outcome for the patient and less cost to the health system. 

Please watch this video and answer the questions below:

https://youtu.be/0W2UG2GxSU4

Option 3 Questions (answer all):

1. Which components of the system – more specifically, which participants and technologies – played a role in helping the patient get better?

2. Which care provider do you think played the most important role in the positive patient outcome? Please explain. Did they all contribute equally? Why or why not?

3. How was the mother using improvement science to help control her son’s asthma? Why was that important to the story?

4. According to Dr. Berwick, what would have happened to the boy if the care had been uncoordinated? Do you agree? Why or why not?

5. Have you ever witnessed a similar example of excellent coordinated care? What happened?

Discussion: 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. 

Question: 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. 

Rubric:

 

Main Posting: Response to the discusion question is reflecive with critical analysis and synthesis representive of knowledg gained from the course readings for the module and current credible sources.–

Outstanding Performance 44 (44%) – 44 (44%)Excellent Performance 40 (40%) – 43 (43%)Competent Performance 35 (35%) – 39 (39%)Proficient Performance 31 (31%) – 34 (34%)Room for Improvement 0 (0%) – 30 (30%)

Main Posting: Writing–

Outstanding Performance 6 (6%) – 6 (6%)Excellent Performance 5.5 (5.5%) – 5.5 (5.5%)Competent Performance 5 (5%) – 5 (5%)Proficient Performance 4.5 (4.5%) – 4.5 (4.5%)Room for Improvement 0 (0%) – 4 (4%)

Main Posting: Timely and full participation–

Outstanding Performance 10 (10%) – 10 (10%)Excellent Performance 0 (0%) – 0 (0%)Competent Performance 0 (0%) – 0 (0%)Proficient Performance 0 (0%) – 0 (0%)Room for Improvement 0 (0%) – 6 (6%) 

Nursing

  

Directions: End of Life
• An 80, year old woman was admitted to the hospital with pneumonia and weakness. She lives alone. Her children are supportive and help her around the house but do not live with her. Her husband of 51 years died within the last 6 months. She is grieving the loss, but she is relieved and feels guilty as he was an abusive spouse.

Question:
• How do you assist her in coping with her loss?

VARK analysis paper

 

Learning styles represent the different approaches to learning based on preferences, weaknesses, and strengths. For learners to best achieve the desired educational outcome, learning styles must be considered when creating a plan. Complete “The VARK Questionnaire,” located on the VARK website, and then complete the following:

  1. Click “OK” to receive your questionnaire scores.
  2. Once you have determined your preferred learning style, review the corresponding link to view your learning preference.
  3. Review the other learning styles: visual, aural, read/write, kinesthetic, and multimodal (listed on the VARK Questionnaire Results page).
  4. Compare your current preferred learning strategies to the identified strategies for your preferred learning style.
  5. Examine how awareness of learning styles has influenced your perceptions of teaching and learning.

In a paper (750-1,000 words), summarize your analysis of this exercise and discuss the overall value of learning styles. Include the following:

  1. Provide a summary of your learning style according the VARK questionnaire.
  2. Describe your preferred learning strategies. Compare your current preferred learning strategies to the identified strategies for your preferred learning style.
  3. Describe how individual learning styles affect the degree to which a learner can understand or perform educational activities. Discuss the importance of an educator identifying individual learning styles and preferences when working with learners.
  4. Discuss why understanding the learning styles of individuals participating in health promotion is important to achieving the desired outcome. How do learning styles ultimately affect the possibility for a behavioral change? How would different learning styles be accommodated in health promotion?

Cite to at least three peer-reviewed or scholarly sources to complete this assignment. Sources should be published within the last 5 years and appropriate for the assignment criteria.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. 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. Refer to the LopesWrite Technical Support articles for assistance. 

Practicum experience

Reflect on your overall practicum experience in this course. Then, address the following in your Practicum Journal:

  • Explain whether your therapeutic theory has changed as a result of your practicum experiences. Recall the theories you selected in Week 1

This pract.

  • Explain how you integrated the therapeutic approaches from this course in your clinical practice. Include how this helped you achieve the goals and objectives you developed in Week 1.
  • Explain how you might impact social change through your work with clients who have mental health issues.
  • Support your approach with evidence-based literature.

Alterations in pulmonary functions

 

Write a 1500-2000 word APA formatted essay of the following topics:

  • Discuss the pathophysiologic connection between asthma and allergies
  • Discuss pathophysiology of lung cancer, clinical manifestations, and diagnostic tests
  • What are the pathophysiologic changes in COPD and how does it differ from asthma?
  • Discuss the use of oxygen therapy in patients with a diagnosis of COPD. What are the benefits and the potential pitfalls?
  • Complete Case Study #13 (bacterial pneumonia) in the Bruyere textbook