Veterans Mental Healthcare Services

The capstone project is designed to be completed in sections. This is part one of the assignment. Veterans Mental Healthcare Services

Propose a topic for your change proposal (1,000-1,250 words).

If you are having trouble with your topic, please contact your instructor for assistance.

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Use the feedback you have received on your proposed topics in the Main Forum and the availability of evidence in peer-reviewed nursing and medical journals to support your intervention and choose a viable topic.

Based on your logic model, present a brief summary of the health care barrier or issue presented. Include the following:

1. Describe a health care barrier or issue that needs to be addressed.
2. Describe your proposed solution and how the proposed solution will resolve a barrier or issue in health care.
3. Justify major organizational resources that may be needed to accomplish changes.
4. Identify strategies to create a clear vision for internal and external stakeholders.
5. Identify stakeholders with expertise to create effective work groups or collaborators.
6. Discuss the expected outcomes for you initiating your proposal.

This assignment requires you to support your position by referencing four to six scholarly resources. At least three of your supporting references must be from peer-reviewed resources. Veterans Mental Healthcare Services

Differences Between Acute And Chronic Pain Worksheet

• The      differences between acute and chronic pain
• Clinical      presentations and etiologies for acute and chronic pain

Module 09 – Written Assignment- Differences Between Acute and Chronic Pain Worksheet

Name:

Date:

Complete all your lesson content and assigned readings. Make sure that you are focusing on:

• The differences between acute and chronic pain
• Clinical presentations and etiologies for acute and chronic pain. Differences Between Acute And Chronic Pain Worksheet

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Instructions:

• Answer the questions listed below using complete sentences.
• Use correct grammar, spelling and APA format.
• Support your answers using credible sources such as textbooks, course materials, and evidence-based articles (1 Point)

Resources:

How do I know if a source is credible?

How do I find evidence-based practice articles? Or nursing best practices?

1. Describe the differences between acute and chronic pain? (1 Point)

2. Discuss the clinical manifestations and etiologies of acute and chronic pain (3 Points) Differences Between Acute And Chronic Pain Worksheet

Biological Basis And Ethical/Legal Considerations Of Psychotherapy

Many studies have found that psychotherapy is as effective as psychopharmacology in terms of influencing changes in behaviors, symptoms of anxiety, and changes in mental state. Changes influenced by psychopharmacology can be explained by the biological basis of treatments. But how does psychotherapy achieve these changes? Does psychotherapy share common neuronal pathways with psychopharmacology?

Psychotherapy is used with individuals as well as in groups or families. The idea of discussing confidential information with a patient in front of an audience is probably quite foreign to you. However, in group and family therapy, this is precisely what the psychiatric-mental health nurse practitioner does. In your role, learning how to provide this type of therapy within the limits of confidentiality is essential.

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For this Discussion, you will consider whether psychotherapy also has a biological basis and analyze the ways in which legal and ethical considerations differ in the individual, family, and group therapy settings.

To prepare:

• Review this week’s Learning Resources, reflecting on foundational concepts of psychotherapy, biological and social impacts on psychotherapy, and legal and ethical issues across the modalities (individual, family, and group).
• Search the Walden Library databases for scholarly, peer-reviewed articles that inform and support your academic perspective on these topics. Biological Basis And Ethical/Legal Considerations Of Psychotherapy

Post an explanation of whether psychotherapy has a biological basis. Explain how culture, religion, and socioeconomics might influence one’s perspective on the value of psychotherapy treatments. Describe how legal and ethical considerations for group and family therapy differ from those for individual therapy, and explain how these differences might impact your therapeutic approaches for clients in group, individual, and family therapy. Support your rationale 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.

Respond to at least two of your colleagues on 2 different days by providing an additional scholarly resource that supports or challenges their position, along with a brief explanation of the resource.  Biological Basis And Ethical/Legal Considerations Of Psychotherapy

Factors That Influence The Development Of Psychopathology

In many realms of medicine, objective diagnoses can be made: A clavicula is broken. An infection is present. TSH levels meet the diagnostic criteria for hypothyroidism. Psychiatry, on the other hand, deals with psychological phenomena and behaviors. Can these, too, be “defined objectively and by scientific criteria (Gergen, 1985), or are they social constructions?” (Sadock et al., 2015).

Thanks to myriad advances during recent decades, we know that psychopathology is caused by many interacting factors. Theoretical and clinical contributions to the field have come from the neural sciences, genetics, psychology, and social-cultural sciences. How do these factors impact the expression, classification, diagnosis, and prevalence of psychopathology, and why might it be important for a nurse practitioner to take a multidimensional, integrative approach?

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Discussion: Factors That Influence the Development of Psychopathology

In many realms of medicine, objective diagnoses can be made: A clavicula is broken. An infection is present. TSH levels meet the diagnostic criteria for hypothyroidism. Psychiatry, on the other hand, deals with psychological phenomena and behaviors. Can these, too, be “defined objectively and by scientific criteria (Gergen, 1985), or are they social constructions?” (Sadock et al., 2015). Factors That Influence The Development Of Psychopathology

Thanks to myriad advances during recent decades, we know that psychopathology is caused by many interacting factors. Theoretical and clinical contributions to the field have come from the neural sciences, genetics, psychology, and social-cultural sciences. How do these factors impact the expression, classification, diagnosis, and prevalence of psychopathology, and why might it be important for a nurse practitioner to take a multidimensional, integrative approach?

Review this week’s Learning Resources, considering the many interacting factors that contribute to the development of psychopathology.
Consider how theoretical perspective on psychopathology impacts the work of the PMHNP.
Explain the biological (genetic and neuroscientific); psychological (behavioral and cognitive processes, emotional, developmental); and social, cultural, and interpersonal factors that influence the development of psychopathology.
explaining the implications of why, as an advanced practice nurse, it is important to adopt a multidimensional, integrative model of psychopathology. Factors That Influence The Development Of Psychopathology

Building A Health History Assignment

Effective communication is vital to constructing an accurate and detailed patient history. A patient’s health or illness is influenced by many factors, including age, gender, ethnicity, and environmental setting. As an advanced practice nurse, you must be aware of these factors and tailor your communication techniques accordingly. Doing so will not only help you establish rapport with your patients, but it will also enable you to more effectively gather the information needed to assess your patients’ health risks.

The selected patient/Scenario:

85-year-old white female living alone with no family in declining health.

To Prepare

• How would your communication and interview techniques for building a health history differ with each patient?
• How might you target your questions for building a health history based on the patient’s social determinants of health?
• What risk assessment instruments would be appropriate to use with each patient, or what questions would you ask each patient to assess his or her health risks? Building A Health History Assignment
• Identify any potential health-related risks based upon the patient’s Age, Gender, Ethnicity, or Environmental Setting that should be taken into consideration.
• Select one of the risk assessment instruments presented in Chapter 1 or Chapter 5 of the Seidel’s Guide to Physical Examination text, or another tool with which you are familiar, related to your selected patient.
• Develop at least five targeted questions you would ask your selected patient to assess his or her health risks and begin building a health history.

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The QUESTION:

Ø Write a summary of the interview and a description of the communication techniques you would use with your assigned patient.

Ø Explain why you would use these techniques.

Ø Identify the risk assessment instrument you selected and justify why it would be applicable to the selected patient.

Ø Provide at least five targeted questions you would ask the patient.

Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2019). Seidel’s guide to physical examination: An interprofessional approach (9th ed.). St. Louis, MO: Elsevier Mosby.
• Chapter 1, “The History and Interviewing Process”
This chapter explains the process of developing relationships with patients in order to build an effective health history. The authors offer suggestions for adapting the creation of a health history according to age, gender, and disability.

• Chapter 5, “Recording Information”
This chapter provides rationale and methods for maintaining clear and accurate records. The authors also explore the legal aspects of patient records.
Sullivan, D. D. (2019). Guide to clinical documentation (3rd ed.). Philadelphia, PA: F. A. Davis.
• Chapter 2, “The Comprehensive History and Physical Exam” (pp. 19–29)

Adly, N. N., Abd-El-Gawad, W. M., & Abou-Hashem, R. M. (2019). Relationship between malnutrition and different fall risk assessment tools in a geriatric in-patient unit. Aging Clinical and Experimental Research, 32(7), 1279–1287. https://doi.org/10.1007/s40520-019-01309-0

Chow, R. B., Lee, A., Kane, B. G., Jacoby, J. L., Barraco, R. D., Dusza, S. W., Meyers, M. C., & Greenberg, M. R. (2019). Effectiveness of the “Timed Up and Go” (TUG) and the Chair test as screening tools for geriatric fall risk assessment in the ED. The American Journal of Emergency Medicine, 37(3), 457–460. https://doi.org/10.1016/j.ajem.2018.06.015

Diamond-Fox, S. (2021). Undertaking consultations and clinical assessments at advanced level. British Journal of Nursing, 30(4), 238–243. https://doi.org/10.12968/bjon.2021.30.4.238. Building A Health History Assignment