Discussion: Comprehensive Integrated Psychiatric Assessment

Discussion: Comprehensive Integrated Psychiatric Assessment

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Many assessment principles are the same for children and adults; however, unlike with adults/older adults, where consent for participation in the assessment comes from the actual client, with children it is the parents or guardians who must make the decision for treatment. Issues of confidentiality, privacy, and consent must be addressed. When working with children, it is not only important to be able to connect with the pediatric patient, but also to be able to collaborate effectively with the caregivers, other family members, teachers, and school counselors/psychologists, all of whom will be able to provide important context and details to aid in your assessment and treatment plans.

Some children/adolescents may be more difficult to assess than adults, as they can be less psychologically minded. That is, they have less insights into themselves and their motivations than adults (although this is not universally true). The PMHNP must also take into consideration the child’s culture and environmental context. Additionally, with children/adolescents, there are lower rates of neurocognitive disorders superimposed on other clinical conditions, such as depression or anxiety, which create additional diagnostic challenges.

In this Discussion, you review and critique the techniques and methods of a mental health professional as the practitioner completes a comprehensive, integrated psychiatric assessment of an adolescent. You also identify rating scales and treatment options that are specifically appropriate for children/adolescents.  Discussion: Comprehensive Integrated Psychiatric Assessment

To Prepare

• Review the Learning Resources and consider the insights they provide on comprehensive, integrated psychiatric assessment. Watch the Mental Status Examination B-6 and Simulation Scenario-Adolescent Risk Assessment videos.
• Watch the YMH Boston Vignette 5 video and take notes; you will use this video as the basis for your Discussion post.

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By Day 3 of Week 1

Based on the YMH Boston Vignette 5 video, post answers to the following questions:

• What did the practitioner do well? In what areas can the practitioner improve?
• At this point in the clinical interview, do you have any compelling concerns? If so, what are they?
• What would be your next question, and why?

Then, address the following. Your answers to these prompts do not have to be tailored to the patient in the YMH Boston video.

• Explain why a thorough psychiatric assessment of a child/adolescent is important.
• Describe two different symptom rating scales that would be appropriate to use during the psychiatric assessment of a child/adolescent.
• Describe two psychiatric treatment options for children and adolescents that may not be used when treating adults.
• Explain the role parents/guardians play in assessment. Discussion: Comprehensive Integrated Psychiatric Assessment

Support your response with at least three peer-reviewed, evidence-based sources and explain why each of your supporting sources is considered scholarly. Attach the PDFs of your sources.

Read a selection of your colleagues’ responses.

By Day 6 of Week 1

Respond to at least two of your colleagues on 2 different days by offering additional insights or alternative perspectives on their analysis of the video, other rating scales that may be used with children, or other treatment options for children not yet mentioned. Be specific and provide a rationale with evidence.

 

Vignette 5 – Assessing for Depression in a Mental Health Appointment

 

Nursing Leadership Research Paper

Some advocacy strategies leaders use to create positive change are empathy, healing, and building community. In the health care setting nurse leaders must abide by ethical principles such as beneficence, nonmaleficence, and justice. Initiating change at the bedside can be accomplished in a variety of ways such as advocating for important issues and inspiring fellow nurses through role modeling, idea sharing, and mentoring (Grand Canyon University, 2018). Nurse leaders must advocate to preserve human dignity, patient equality, and for patients to be free from suffering. Other keys to advocacy include collaboration, cooperation, transparency, and consistency. Collaboration also known as shared governance can provide opportunities to produce positive change at the bedside. By evaluating the bigger picture of wellness, and looking at specific areas of weakness, solutions can be easier to establish. Leaders should be passionate and serve a purpose that is intent on advocating for others to create positive change. Nursing Leadership Research Paper

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The influence of leadership can be far-reaching in practice and improving patient outcomes even when not in a formal role. Describe advocacy strategies that you can use as a leader to create positive change in your current workplace. In response to peers, describe a time when you provided leadership and the outcome. Was there anything that you would do differently?

Using 200-300 words APA format with at least two references. Sources must be published within the last 5 years. Nursing Leadership Research Paper

Nursing Leadership Advocacy Paper

Leadership is an essential element that required in attaining quality underlying organizational desired objectives and goals. When leadership fails to deliver the best results, nursing organizations are more likely to produce substandard results. As a nursing leader, effective communication is essential that can be used to advocate positive changes. Communicating to team members about undergoing organizational changes is relevant because it helps create a broader awareness (Krepia & Prezerakos, 2018). When employees have an awareness of what is happening, they are able to cooperate because they know what is expected from them. Besides, problem-solving skills are one of the essential skills components for advocating positive change in healthcare organizations. Problem-solving skills enable individuals in the organization to come up with appropriate solutions based on critical thinking. For instance, when adopting various changes, medical practitioners face challenges that need them to come up with appropriate decisions based on logical thinking. Typically, problem-solving skills create positive changes in the healthcare workplace because it empowers collaboration and cohesion among team members. Fundamentally, effective communication and empowering problem-solving skills in an organization play an integral role in advocating positive changes. Nursing Leadership Advocacy Paper

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Developing positive changes in an organization depends on the quality of leadership employed when embracing specific changes. For example, when an organization aligns with leadership, adopting positive changes will be easier. Therefore, developing practical, tailored leadership qualities subsequently helps in creating positive changes in the workplace. Influential motivation and self-motivation are leadership skills that play an integral role in empowering positive changes; leaders equip employees with motivation and influence them to follow specific directions of achieving desired goals (Shen & Pierce, 2018). Typically, quality leaders empower self-motivation to employees towards embracing positive changes. Importantly, designing appropriate leadership qualities subsequently helps in creating positive changes in healthcare organizations. Nursing Leadership Advocacy Paper

The influence of leadership can be far-reaching in practice and improving patient outcomes even when not in a formal role. Describe advocacy strategies that you can use as a leader to create positive change in your current workplace. In response to peers, describe a time when you provided leadership and the outcome. Was there anything that you would do differently?

Using 200-300 words APA format with at least two references. Sources must be published within the last 5 years. Nursing Leadership Advocacy Paper

 

 

Pain Management Case Study

Mr. Will, a 67-year-old patient, is postoperative day 2 after a coronary artery bypass graft operation to revascularize his coronary arteries that were significantly blocked. He has a midline incision of his chest and a 7-inch incision on the inner aspect of his right thigh where a saphenous vein graft was harvested and used to vascularize the blocked coronary artery. The surgeon ordered Oxycodone 5 mg every 4 hours PRN for moderate pain and Oxycodone 10 mg every 4 hours PRN for severe pain. (Learning Objectives 7 and 8)Pain Management Case Study

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1. Considering the patient’s age, what medication administration considerations should the nurse incorporate into the pain management plan and why?
2. What measures should the nurse provide the patient to prevent adverse effects of analgesic agents from occurring?
3. What nonpharmacologic pain management methods should the nurse teach to Mr. Will to assist with pain management?

2. Mr. Rogers is 2 days postoperative of a thoracotomy for removal of a malignant mass in his left chest. His pain is being managed via an epidural catheter with morphine (an opioid analgesic). As the nurse assumes care of Mr. Rogers, he is alert and fully oriented, and states that his current pain is 2 on a 1-to-10 scale. His vital signs are 37.8 – 92 – 12, 138/82. (Learning Objective 6) Pain Management Case Study

1. What are benefits of epidural versus systemic administration of opioids?
2. The nurse monitors Mr. Rogers’ respiratory status and vital signs every 2 hours. What is the rationale for these frequent assessments?
3. The nurse monitors Mr. Rogers for what other complications of epidural analgesia?
4. Mr. Rogers complains of a severe headache. What should the nurse do?
5. Mr. Rogers’ epidural morphine and decreased mobility increase his chances of constipation. What interventions should be included in his plan of care to minimize constipation? Pain Management Case Study

 

Concepts Of Healthcare Informatics

As a healthcare leader, it is important to realize you will be tasked to evaluate and select an EHR as part of an upgrade or a new implementation. In either scenario, it is important to be equipped with all the necessary information for a quality assessment of the vendor and platform to be selected.   Concepts Of Healthcare Informatics

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As such, Healthcare leaders must have access tools, techniques and a solid methodology in place to perform for selecting a vendor. Some organizations plan the electronic health record (EHR) implementation step internally and develop the selection criteria they wish to use. Other practices select EHR software and then begin the planning to support the selected EHR system. Most practices develop an initial plan to identify their key goals, conduct a vendor assessment, select an EHR system that supports these goals, and finalize their plan after the selection. While setting internal goals can be an easy task, conducting a vendor assessment to support the organization goals can be challenging. Some organizations use The National Learning Consortium (NLC), (a virtual and evolving body of knowledge and tools designed to support healthcare providers and IT professionals) to assist with working towards the implementation, adoption, and Meaningful Use of certified EHR systems.  Concepts Of Healthcare Informatics