Treatment Plan for Psychotherapy

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Examine Case 3: You will be asked to make three decisions concerning the diagnosis and treatment for this client. Be sure to consider co-morbid physical as well as mental factors that might impact the client’s diagnosis and treatment.

At each Decision Point, stop to complete the following:

· Decision #1: Differential Diagnosis

o Which Decision did you select?

o Why did you select this Decision? Support your response with evidence and references to the Learning Resources.

o What were you hoping to achieve by making this Decision? Support your response with evidence and references to the Learning Resources.

o Explain any difference between what you expected to achieve with Decision #1 and the results of the Decision. Why were they different?

· Decision #2: Treatment Plan for Psychotherapy

o Why did you select this Decision? Support your response with evidence and references to the Learning Resources.

o What were you hoping to achieve by making this Decision? Support your response with evidence and references to the Learning Resources.

o Explain any difference between what you expected to achieve with Decision #2 and the results of the Decision. Why were they different?

· Decision #3: Treatment Plan for Psychopharmacology

o Why did you select this Decision? Support your response with evidence and references to the Learning Resources.

o What were you hoping to achieve by making this Decision? Support your response with evidence and references to the Learning Resources.

o 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 and their families.

Discussion: Creating, Developing, and Leading Effective Teams

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Coming together is a beginning. Keeping together is progress. Working together is success.
—Henry Ford

A critical skill for all nurse managers is the ability to create, develop, and lead effective teams. When people are part of an effective and well-functioning team, they are more productive and have a stronger commitment to the organization. Nurse managers have a responsibility to create teams that fulfill functional needs within their units or departments. These can include leadership teams, ad hoc project teams, or primary work teams.

As a nurse manager, there is a variety of ways that you can enhance team functioning. The first step is developing the structural elements of the team and then designing the team with the appropriate membership. Just as you must critically examine each application during the employment process, so will you critically examine the skills and attributes of each employee before appointing him or her to a collective team.

In this week’s Discussion, you lay the groundwork for creating and developing a team for your unit, department, or health care setting. You also identify leadership strategies that you could employ to increase the team’s organizational effectiveness.

To prepare

  • Review Chapter 5, “The Art of Effectively Facilitating Processes” from the course text, From Management to Leadership: Strategies for Transforming Health Care. Carefully examine the section, “Essential Elements of a Team” to identify the six steps of creating an effective team.
  • Consider a team you might create for your current organization or one with which you are familiar. For example, is there a project to be accomplished or a problem to be solved? Perhaps there is a need for a leadership team within your unit or department?
  • Identify the purpose or goal for your team. Then, reflect on the following questions:
    • What type of team would you create (leadership, ad hoc, or primary work team) to accomplish this purpose or goal? What are the benefits or disadvantages of creating this type of team?
    • What staff members would you want on this team? Why? How could their skill sets and positions make them effective team members?
  • Explore this week’s Learning Resources to identify leadership strategies you might employ before, during, and after the team-building phase. For example, what leadership strategies might influence synergy among team members while also increasing the effectiveness of the team?

Post a description of the team you would create, including the purpose or goal the team would serve, the team type, and the specific skills each member would contribute as well as their job positions. Describe at least two leadership strategies you could implement to help this team effectively achieve its purpose or goal.

Required Readings

Manion, J. (2011). From management to leadership: Strategies for transforming health care (3rd ed.). San Francisco, CA: Jossey-Bass.
Chapter 5, “The Art of Effectively Facilitating Processes” (pp. 179–242)This chapter describes the many components that make up the facilitating process. Some of these elements include empowerment, authority, resolutions, and negotiation.

Chapter 6, “Getting Results” (pp. 243–282)The main points of this chapter are the components that contribute to effective teamwork. The author lists the benefits and pitfalls of proactive behavior, group decision making, and problem solving.

Beeson, J. (2011). Build a strong team. Leadership Excellence, 28(2), 15.  Retrieved from the Walden Library databases.

Beeson’s article focuses on the importance of building a structured team. He provides five steps that leaders can implement in the workplace to create a strong team that benefits the whole workplace.

Calendrillo, T. (2009). Team building for a healthy work environment. Nursing Management, 40(12), 9–12.  Retrieved from the Walden Library databases.

In this article, Calendrillo states that skilled communication is the foundation for strong team building in clinical settings. When skilled communication has been mastered and used, quality patient care and healthy work environments are among the many results.

Pentland, A. (2012). The new science of building great teams. Harvard Business Review, 90(4), 60–70.  Retrieved from https://cb.hbsp.harvard.edu/cbmp/pl/76756181/76756183/15ba87a24642f03cb8854352b1d046fc

This article addresses how communication is a key to team efficiency. The author provides three communication dynamics that were used by the teams that were most communicative.

Practice Issue And Evidence Summary Guidelines

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Please complete this assignment on the worksheet attached. 

1. Choose the ONE systematic review topic that is of most interest to you, or most relevant to your practice situation, from the required List of Approved Systematic Reviews (Links to an external site.)Links to an external site..

2. Follow the grading criteria below to formulate your practice issue, which must be based on the topic of the systematic review you have selected.

3. Download the required Milestone 1 Practice Issue and Evidence Summary Worksheets (Links to an external site.)Links to an external site. (both worksheets appear in ONE form) to document the practice issue presented and approved by your instructor in the Week 2 Discussions.

4. You are required to complete the form using the productivity tools required by Chamberlain University, which is Microsoft Office Word 2013 (or later version), or Windows and Office 2011 (or later version) for MAC. You must save the file in the “.docx” format. Do NOT save as Word Pad. A later version of the productivity tool includes Office 365, which is available to Chamberlain students for FREE by downloading from the student portal at http://my.chamberlain.edu (Links to an external site.)Links to an external site.. Click on the envelope at the top of the page.

5. Your practice issue will be the same for all three Milestone assignments in this course.

6. Please type your answers directly into the worksheet.

Evidence Summary Worksheet Directions

1. Develop an evidence summary by following the grading criteria below.

2. Document this on the evidence summary portion of the worksheet.

3. You will use this worksheet to incorporate your evidence summary into your Week 4 Milestone 2 assignment.

4. Please type your answers directly into the worksheet.

THE CHOSEN REVIEW SYSTEM

Obstetrics/Delivery

McFadden, A., Gavine, A., Renfrew, M. J., Wade, A., Buchanan, P., Taylor, J. L., … MacGillivray, S. (2017). Support for healthy breastfeeding mothers with healthy term babies. Cochrane Database of Systematic Reviews, Issue 2. Art. No.: CD001141. doi:10.1002/14651858.CD001141.pub5

                     Abstract

Background

There is extensive evidence of important health risks for infants and mothers related to not breastfeeding. In 2003, the World Health Organization recommended that infants be breastfed exclusively until six months of age, with breastfeeding continuing as an important part of the infant’s diet until at least two years of age. However, current breastfeeding rates in many countries do not reflect this recommendation.

Objectives

To describe forms of breastfeeding support which have been evaluated in controlled studies, the timing of the interventions and the settings in which they have been used.

To examine the effectiveness of different modes of offering similar supportive interventions (for example, whether the support offered was proactive or reactive, face-to-face or over the telephone), and whether interventions containing both antenatal and postnatal elements were more effective than those taking place in the postnatal period alone.

To examine the effectiveness of different care providers and (where information was available) training.

To explore the interaction between background breastfeeding rates and effectiveness of support.

Search methods

We searched Cochrane Pregnancy and Childbirth’s Trials Register (29 February 2016) and reference lists of retrieved studies.

Selection criteria

Randomised or quasi-randomised controlled trials comparing extra support for healthy breastfeeding mothers of healthy term babies with usual maternity care.

Data collection and analysis

Two review authors independently assessed trials for inclusion and risk of bias, extracted data and checked them for accuracy. The quality of the evidence was assessed using the GRADE approach.

Main results

This updated review includes 100 trials involving more than 83,246 mother-infant pairs of which 73 studies contribute data (58 individually-randomised trials and 15 cluster-randomised trials). We considered that the overall risk of bias of trials included in the review was mixed. Of the 31 new studies included in this update, 21 provided data for one or more of the primary outcomes. The total number of mother-infant pairs in the 73 studies that contributed data to this review is 74,656 (this total was 56,451 in the previous version of this review). The 73 studies were conducted in 29 countries. Results of the analyses continue to confirm that all forms of extra support analyzed together showed a decrease in cessation of ‘any breastfeeding’, which includes partial and exclusive breastfeeding (average risk ratio (RR) for stopping any breastfeeding before six months 0.91, 95% confidence interval (CI) 0.88 to 0.95; moderate-quality evidence, 51 studies) and for stopping breastfeeding before four to six weeks (average RR 0.87, 95% CI 0.80 to 0.95; moderate-quality evidence, 33 studies). All forms of extra support together also showed a decrease in cessation of exclusive breastfeeding at six months (average RR 0.88, 95% CI 0.85 to 0.92; moderate-quality evidence, 46 studies) and at four to six weeks (average RR 0.79, 95% CI 0.71 to 0.89; moderate quality, 32 studies). We downgraded evidence to moderate-quality due to very high heterogeneity.

We investigated substantial heterogeneity for all four outcomes with subgroup analyses for the following covariates: who delivered care, type of support, timing of support, background breastfeeding rate and number of postnatal contacts. Covariates were not able to explain heterogeneity in general. Though the interaction tests were significant for some analyses, we advise caution in the interpretation of results for subgroups due to the heterogeneity. Extra support by both lay and professionals had a positive impact on breastfeeding outcomes. Several factors may have also improved results for women practising exclusive breastfeeding, such as interventions delivered with a face-to-face component, high background initiation rates of breastfeeding, lay support, and a specific schedule of four to eight contacts. However, because within-group heterogeneity remained high for all of these analyses, we advise caution when making specific conclusions based on subgroup results. We noted no evidence for subgroup differences for the any breastfeeding outcomes.

Authors’ conclusions

When breastfeeding support is offered to women, the duration and exclusivity of breastfeeding is increased. Characteristics of effective support include: that it is offered as standard by trained personnel during antenatal or postnatal care, that it includes ongoing scheduled visits so that women can predict when support will be available, and that it is tailored to the setting and the needs of the population group. Support is likely to be more effective in settings with high initiation rates. Support may be offered either by professional or lay/peer supporters, or a combination of both. Strategies that rely mainly on face-to-face support are more likely to succeed with women practising exclusive breastfeeding.

Epidemiology

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Please answer the following questions in your own words to the best of your understanding. If you find evidence that is not from the Gordis text, please cite it in APA Style.

  1. An investigator examined cases of fetal death in 27,000 pregnancies and classified mothers according to whether they had experienced sexual intercourse within 1 month before delivery. It was found that 11% of the mothers of fetuses that died and 2.5% of the mothers of fetuses that survived had had sexual intercourse during the period. It was concluded that intercourse during the month preceding delivery caused the fetal deaths. What guideline(s) did this researcher fail to take into account? Why is the conclusion reached by the investigator incorrect? (3 pts)
  2. How would you relate association and causation? Are these terms the same thing? (3 pts)
  3. How could an epidemiological study prove causation? Other than the examples in the book, can you discuss another example of how an epidemiological study proved causation? (3 pts)
  4. Give examples of indirect and direct causation associated with experiences in everyday life. (3 pts)
  5. Give an example of a time you experienced what you thought was causation, but turned out to be confounding. This could be an event that has happened to you or a news story that demonstrated confounding. (3 pts)

Please remember to number your responses appropriately

Vulnerable Female Populations Impacting Culturally Competent Delivery Of Women’s Health Care.

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Will need minimum of 5 full pages, plus title, and reference page APA Style, double spaced, times new roman, font 12, and and (3 references within 5 years 2014-2018) with intext citations). 

The purpose of this Assignment is for you to gain an understanding of the psychosocial needs of vulnerable female populations and issues impacting culturally competent delivery of women’s health care. This is a 5–6 page paper, excluding title page and references, written in 6th edition APA format. Please review the grading rubric in course resources.

Directions

1. Select a vulnerable female population ( I chose homeless women).

2. Introduce the group and why you selected it.

3. Outline the relevant group statistics related to the population as well as the impact of the group on women’s health.

4. Analyze the psychosocial needs of the selected group.

5. Discuss the issues impacting culturally competent care delivery for the group.

6. Describe the associated culturally and ethically competent care methods the Nurse Practitioner will employ in caring for the population.

Spiritual Assessment

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Benchmark Assignment – Spiritual Needs Assessment and Reflection

This assignment requires you to interview one person and requires an analysis of your interview experience.

Part I: Interview

Select a patient, a family member, or a friend to interview. Be sure to focus on the interviewee’s experience as a patient, regardless of whom you choose to interview.

Review The Joint Commission resource found in topic materials, which provides some guidelines for creating spiritual assessment tools for evaluating the spiritual needs of patients. Using this resource and any other guidelines/examples that you can find, create your own tool for assessing the spiritual needs of patients.

Your spiritual needs assessment survey must include a minimum of five questions that can be answered during the interview. During the interview, document the interviewee’s responses.

The transcript should include the questions asked and the answers provided. Be sure to record the responses during the interview by taking detailed notes. Omit specific names and other personal information through which the interviewee can be determined.

Part II: Analysis

Write a 500-750 word analysis of your interview experience. Be sure to exclude specific names and other personal information from the interview. Instead, provide demographics such as sex, age, ethnicity, and religion. Include the following in your response:

  1. What went well?
  2. Were there any barriers or challenges that inhibited your ability to complete the assessment tool? How would you address these in the future or change your assessment to better address these challenges?
  3. How can this tool assist you in providing appropriate interventions to meet the needs of your patient?
  4. Did you discover that illness and stress amplified the spiritual concern and needs of your interviewee? Explain your answer with examples.

Submit both the transcript of the interview and the analysis of your results. This should be submitted as one document. The interview transcript does not figure into the word count.

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 Turnitin. Please refer to the directions in the Student Success Center.

This benchmark assignment assesses the following competencies:

CONHCP Program Competencies for the RN-BSN:

5.2: Assess for the spiritual needs and provide appropriate interventions for individuals, families, and groups.

Nutrition Feeding and Eating

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Nutrition Feeding and Eating

ATI #3:Skills ModuleGuidelines: Nutrition Feeding and Eating

PURPOSE:

To encourage critical thinking, problem solving, and collaboration through the use of evidence-based practice (EBP) studies.

COURSE OUTCOMES:

This assignment enables the student to meet the following course outcomes.

  1. Examine the sources of knowledge that contribute to professional nursing practice.
  2. Apply research principles to the interpretation of the content of published research studies.
  3. Identify ethical issues common to research involving human subjects.
  4. Evaluate published nursing research for credibility and clinical significance related to evidence-based practice.
  5. Recognize the role of research findings in evidence-based practice. Nutrition Feeding and Eating

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TOTAL POSSIBLE POINTS:150 Points

 

 

“Turnitin” Percentage

  • Less than 25 percentage: Acceptable percentage.
  • Turnitin Draft Submission Box
    • Submit your draft of paper into Turnitin Draft Submission Box to check your percentage as many times as needed before you submit your final paper to designated Unit.
  • If your Final paper has 25% or higher percentage, you must revise/modify your paper contents BEFOREthe paper due date and time.
  • If your Final paper has 25% or higher percentage AT/AFTER you submit your final paper due date and time, Academic Integrity Violation Procedures will be initiated:
  • Academic Integrity Violation letter will be sent to student
  • Assignment Grade will be 0 point
  • The violation case will be reviewed and a further sanction will be determined by the Administrators.

 

 

 

 

Directions and Assignment Criteria

There are five main topics and five associated topics related to each main topic.

  • Select ONE main topic.
  • Search for ONEPrimary Research study for the selected main topic and get approved by Professor. Submit to Canvas shell after approval
  • Review article to summarize the required information

 

TOPIC 1: Evaluating Nutritional Status: What methods can be used to assess nutritional status?

Example Studies:

  • Formative evaluation of the feedback components of Children’s and Adolescent’s Nutrition Assessment and Advice on the Web (CANAA-W) among parents of schoolchildren.
  • Validation of the Diet Quality Index for adolescents by comparison with biomarkers, nutrient and food intakes: the HELENA study

 

TOPIC 2: Identifying those at risk for malnutrition: What methods can be used to identify those at risk for malnutrition?

Example Studies:

  • Beyond malnutrition screening: Appropriate methods to guide nutrition care for aged care residents
  • Population-specific short-form mini nutritional assessment with body mass index or calf circumference can predict risk of malnutrition in community-living or institutionalized elderly people in Taiwan
  • Comparison of prevalence of malnutrition diagnosis in head and neck, gastrointestinal and lung cancer patients by three classification methods

 

TOPIC 3: Malnutrition associated with specific health conditions: What specific health conditions increase the risk of malnutrition?

Example Studies:

  • Malnutrition in a sample of community-dwelling people with Parkinson’s disease.
  • Nutritional risk index as a predictor of postoperative wound complications after gastrectomy.
  • Risk of malnutrition is associated with mental health symptoms in community living elderly men and women: the Tromso Study.

 

TOPIC 4: Outcomes associated with nutritional status: What associations exist between nutritional status and health outcomes?

Example Studies:

  • Role of nutritional status in predicting quality of life outcomes in cancer – a systematic review of the literature
  • Nutritional support for liver disease

 

TOPIC 5: Interventions to improve nutritional status: What type of interventions improve adherence to recommendations on nutritional intake?

Example Study:

  • Interventions to enhance adherence to dietary advice for preventing and managing chronic diseases in adults.

 

WRITTEN ASSIGNMENT:

  • Read the study and answer the required questions for each category
  • Must write the paper using provided Summary Paper Formaton page #3.
  • Grading Rubric/Description on page 4-5

 

ATI #3: Skills Module Contents: Summary Paper Format

  • Bold for each Heading and Subheading
  • Include in-text citations for all information/contents as needed
  • Summary paper MUST be written in this format

 

Introduction and Key Points

Chosen Topics and Question

  • Select one topic and question from five main topic list

 

Define the Topic and Question

  • How do you interpret and/or understand the topic and question you selected?

 

Overview/Significance of Problem

  • Describe Overview and Significance of Problem of the topic and question you selected
  • Include in-text citations

 

Article Search

Current and credible resources:List Chamberlain library Database(s) used

 

Database search-terms and refinement methods

 

Number of articles located

 

List additional sources outside of ATI module:List all sources you used for article search outside of ATI (CDC, American Diabetic Association, etc.)

 

Article Findings

Why was this article chosen?

 

How it addresses the topic?State the “Purpose/Aim of Study” as the author stated in article

 

Type of Research conducted:

  • Quantitative, Qualitative, Descriptive, or Mixed-Method study?
  • Briefly describe what was done (sample, methods, measurement tools used)

 

Findings of Research: Comprehensively describe ALLFindings in the article (participant characteristics and Results of Study).

 

Evidence for Practice

Summary of Evidence

  • Briefly summarize the overall purpose and findings of the research.

 

How will this evidence improve current practice?

  • Briefly describe what the current practice is.
  • Describe how this evidence improve current practice?

 

How will this evidence decrease a gap in current practice?

  • Briefly describe difference between the current knowledge, skills, competence, practice, performance or patient outcomes and the ideal or desirable state
  • Describe how this evidence decrease a gap in the practice?

 

Any concerns or weaknesses in the evidence/finding? (Found in Discussion)

 

 

Sharing of Evidence

Who would you share the information with?(colleagues, other disciplines, patients, families)

 

 

How would you share this information?(in-services, online education modules, health fair for patients, educate healthcare professionals)

 

 

What resources would you need to accomplish this sharing of evidence?

  • List resources you may need for sharing the evidence as you stated in above 2 questions (who and how) (i.e. administrator, manager, support for materials, etc.)

 

Why would it be important to share this evidence with the nursing profession?

 

 

Conclusion

  • Summarizes the Theme of Paper, Findings, and Key points.
  • Do NOT include Conclusion/Implication on the article

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Assignment Criteria Points % Description
Pick one of the topics and answer the topic question along with providing a current research article, which supports this question, and 300-word summary. The Summary must include the following headings (See rubric for criteria under each heading):

a.       Introduction and Key Points (10 points)

b.      Article Search (25 points)

c.       Article Findings (25 points)

d.      Evidence of Practice (25 points)

e.       Sharing of Evidence (25 points)

f.       Conclusion (20 points)

g.      APA style (10 points)

h.      Writing mechanics (10 points)

 150 100 Student grades will be based on completing ALL criteria listed and according to the rubric. Please see rubric for specific requirement to achieve full points for this assignment
Total 150 100  

 

GRADING RUBRIC

Headings Points for Each Heading
Heading 1 10 points 7.5 pts 5 pts 2.5 pts 0 pts
Introduction and Key points All 4 criteria met:

1)   Choose one of assigned Topics and Question

2)   Defines the Topic and Question

3)   States why it is a problem

4)   Information presented in logical sequence

 3 of 4 criteria met 2 of 4 criteria met 1 of 4 criteria met Not done
Heading 2 25 points 20 pts 15 pts 10 pts 0 pts
Article Search All 4 criteria met:

1)   Current and credible resource

2)   Database search-terms and refinement methods

3)   Number of articles located

4)   Source outside of ATI module

 3 of 4 criteria met 2 of 4 criteria met 1 of 4 criteria met Not done
Heading 3 25 points 20 pts 15 pts 10 pts 0 pts
Article Finding All 4 criteria met:

1)   How it addresses the topic (purpose)

2)   Type of research conducted (and include sample, methods)

3)   Findings of research

4)   Why this article chosen

 3 of 4 criteria met 2 of 4 criteria met 1 of 4 criteria met Not done
Heading 4 25 points 20 pts 15 pts 10 pts 0 pts
Evidence for Practice All 4 criteria met:

1)   Summary of evidence

2)   How it will improve practice

3)   How will this evidence decrease a gap to practice

4)   Any concerns or weaknesses located in the evidence

 3 of 4 criteria met 2 of 4 criteria met 1 of 4 criteria met Not done
Heading 5 25 points 20 pts 15 pts 10 pts 0 pts
Sharing of Evidence All 4 criteria met:

1)    Who would you share the information with?

2)    How would you share this information?

3)    What resources would you need to accomplish this sharing of evidence?

4)    Why would it be important to share this evidence with the nursing profession

 3 of 4 criteria met 2 of 4 criteria met 1 of 4 criteria met Not done
Heading 6 20 points 15 pts 10 pts 5 pts 0 pts
Conclusion All 4 criteria met:

1)   Summarizes the theme of the paper

2)   Information presented in logical sequence

3)   All key points addressed

4)   Conclusion shows depth of understanding

 3 of 4 criteria met 2 of 4 criteria met 1 of 4 criteria met Not done
Heading 7 10 points 7.5 pts 5 pts 2.5 pts 0 pts
APA Style All 4 criteria met:

1)   APA style used properly for citations

2)   APA style used properly for reference

3)   APA style used properly for quotations

4)   All references are cited, and all citations have references

 3 of 4 criteria met 2 of 4 criteria met 1 of 4 criteria met Not done
Heading 8 10 points 7.5 pts 5 pts 2.5 pts 0 pts
Writing mechanics All 4 criteria met:

1)   No spelling errors

2)   No grammatical errors, including verb sentence and word usage

3)   No writing errors, including sentence structure, and formatting

4)   Must be all original work

 3 of 4 criteria met 2 of 4 criteria met 1 of 4 criteria met Not done
Total 150 Points Score =

 

 

 

 

 

Nursing homework help

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Nursing homework help

 

 

  • With regard to the Episodic note case study provided:
    • Review this week’s Learning Resources, and consider the insights they provide about the case study.
    • Consider what history would be necessary to collect from the patient in the case study.
    • Consider what physical exams and diagnostic tests would be appropriate to gather more information about the patient’s condition. How would the results be used to make a diagnosis? Nursing homework help
    • Identify at least five possible conditions that may be considered in a differential diagnosis for the patient.

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The Assignment

  1. Analyze the subjective portion of the note. List additional information that should be included in the documentation.
  2. Analyze the objective portion of the note. List additional information that should be included in the documentation.
  3. Is the assessment supported by the subjective and objective information? Why or why not?
  4. What diagnostic tests would be appropriate for this case, and how would the results be used to make a diagnosis?
  5. Would you reject/accept the current diagnosis? Why or why not? Identify three possible conditions that may be considered as a differential diagnosis for this patient. Explain your reasoning using at least three different references from current evidence-based literature. Nursing homework help

 

 

 

 

 

 

 

 

In this Assessment, you will analyze an Episodic Note case study that describes abnormal findings in patients seen in a clinical setting. You will consider what history should be collected from the patients, as well as which physical exams and diagnostic tests should be conducted. You will also formulate a differential diagnosis with several possible conditions. Just add in what you want to this case to make it unique to you. Do not use NA or normal.

ABDOMINAL ASSESSMENT

Subjective:

 

  • CC: “My stomach hurts, I have diarrhea and nothing seems to help.”

 

  • HPI: JR, 47 yo WM, complains of having generalized abdominal pain that started 3 days ago. He has not taken any medications because he did not know what to take. He states the pain is a 5/10 today but has been as much as 9/10 when it first started. He has been able to eat, with some nausea afterwards.

 

  • PMH: HTN, Diabetes, hx of GI bleed 4 years ago

 

  • Medications: Lisinopril 10mg, Amlodipine 5 mg, Metformin 1000mg, Lantus 10 units qhs

 

  • Allergies: NKDA

 

  • FH: No hx of colon cancer, Father hx DMT2, HTN, Mother hx HTN, Hyperlipidemia, GERD

 

  • Social: Denies tobacco use; occasional etoh, married, 3 children (1 girl, 2 boys)

 

Objective:

 

  • VS: Temp 99.8; BP 160/86; RR 16; P 92; HT 5’10”; WT 248lbs

 

  • Heart: RRR, no murmurs

 

  • Lungs: CTA, chest wall symmetrical

 

  • Skin: Intact without lesions, no urticaria

 

  • Abd: soft, hyperactive bowel sounds, pos pain in the LLQ

 

  • Diagnostics: ?

 

Assessment:

  • Left lower quadrant pain

 

  • Gastroenteritis

PLAN:

Name: Tina Jones

Section:

 

Week 4                

Shadow Health Digital Clinical Experience Health History Documentation

 

SUBJECTIVE DATA: Include what the patient tells you, but organize the information.

 

Chief Complaint (CC):

History of Present Illness (HPI):

Medications:

Allergies:

Past Medical History (PMH):

Past Surgical History (PSH):

Sexual/Reproductive History:

Personal/Social History:

Immunization History:

Health Maintenance:

Significant Family History (Include history of parents, maternal/paternal Grandparents, siblings, and children):

 

Review of Systems: From head-to-toe, include each system that covers the Chief Complaint, History of Present Illness, and History).Remember that the information you include in this section is based on what the patient tells you. To ensure that you include all essentials in your case, refer to Chapter 2 of the Sullivan text.

 

General: Include any recent weight changes, weakness, fatigue, or fever, but do not restate HPI data here.

                HEENT:

Neck:

                Breasts:

                Respiratory:

                Cardiovascular/Peripheral Vascular:

                Gastrointestinal:

                Genitourinary:

                Musculoskeletal:

                Psychiatric:

                Neurological:

                Skin:

                Hematologic:

                Endocrine:

 

Nursing homework help

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Nursing homework help

Diversity/Module3

Journal Article:

Narayan, M.C. (2018). How to provide “Culturally Competent Care”. Home Healthcare Now, 36(1). DOI:10.1097/NHH.0000000000000639

Click here to download the article. Nursing homework help

Guiding Questions: 

Use the questions below to help focus your attention on your reading assignments.

  1. How does culture influence adult development?
  1. What are the influences of culture on caregiving in the African American culture?
  1. How does gender and specific religious beliefs and practices influence health and illness during crisis or transitions?
  1. How does socioeconomic factors, including income level, influence the interactions of older adults?
  1. What nursing interventions are based on the patients’ cultural values and individual preferences?
  1. What is the importance of cultural values, beliefs and practices related to mental health nursing care?
  1. How do you make a nursing diagnosis and directions on how to plan nursing care?

 

Nursing Diagnosis Website

https://nurseslabs.com/nursing-diagnosis/#h-problem-focused-nursing-diagnosis

Diversity/ Module 3 DB

Overview

For this discussion, first, read chapter 7 in your textbook, Transcultural Concepts in Nursing Care.

Use the Critical Thinking Activity #5 on page 234 in your textbook to respond to the following questions:

  1. Explain the difference between gang membership in El Salvador and the United States.
  1. What are the cultural factors that are important to consider when you are planning nursing care for a patient like Jose?
  1. For an example, how do you view body tattoos?
  1. What are the issues related to political asylum, immigration, and the like?
  1. How would you assist Jose to meet his developmental needs?
  1. What might be the problems he will encounter in the U.S. society?
  1. What might be the problems he will encounter in the U.S. healthcare system?

Points: 30

Due Dates:

  • Initial Post: Fri, April 8 by 11:59 p.m. Eastern Standard Time (EST) of the US.
  • Response Post: Sun, April 10 by 11:59 p.m. Eastern Standard Time (EST) of the US – (the response posts cannot be done on the same day as the initial post).

References:

  • Initial Post: Minimum of two (2) total references: one (1) from required course materials and one (1) from peer-reviewed references.
  • Response posts: Minimum of one (1) total reference: one (1) from peer-reviewed or course materials reference per response.

Words Limits

  • Initial Post: Minimum 200 words excluding references (approximately one (1) page)
  • Response posts: Minimum 100 words excluding references.

 

Note: Since it is difficult to edit the APA reference in the Blackboard discussion area, you can copy and paste APA references from your Word document to the Blackboard discussion area.  Points will not be deducted because of format changes in spacing.

 

Instructions

To be successful, complete the following steps in order:

STEP 1. Review the overview.

STEP 2. Click here to download the rubric.

STEP 3. Create a new Word document, type your initial post.

STEP 4. Copy the initial post from the Word document.

STEP 5. Click on “DISCUSSIONS” section located on the left-hand side of your screen in Blackboard.

STEP 6. Post in the discussion forum titled “M3 A5 DB: BIAS AND STEREOTYPING”

 

Got questions? Please post them to the ‘QUESTION & ANSWER FORUM’ in Blackboard.

 

Analyzing Published Research Articles (IAPRA) Paper

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Analyzing Published Research Articles (IAPRA) Paper

Individual: Analyzing Published ResearchArticles (IAPRA) Paper

Purpose

  • The purpose of this paper is to interpret the article as most relevant to the group topic.
  • Use the approved primary research article from your ITSS paper, which is relevant to your group topic and research question.

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Course Outcomes

This assignment enables the student to meet the following course outcomes:

CO 2: Apply research principles to the interpretation of the content of published research studies (PO#4&8).

CO 4: Evaluate published nursing research for credibility and clinical significance related to evidence-based

practice (PO#4&8). Analyzing Published Research Articles (IAPRA) Paper

 

Due Date (please see course calendar for specific dates/times)

  • The Late Assignment Policy applies to this assignment.

 

Points Possible: 200Points

 

Paper Preparation:

  • It is NOT acceptable to use bullet-points in the body of text review paper.
  • All review contents must be PARAPHRASED with your OWN wordswith in-text citations.
  • It is NOT acceptable to QUOTE article contents EXCEPT the Purpose of Studyas required.

 

  • Paper must include all required APA-Style/Format
  • Do NOT leave blank for any of these review elements.
  • Any review element left blank will get 0 point: If authors did not provide information or it was not applicable for certain elements, make note such as “No information was given” or “Not applicable”

 

 

PLAGIARISM:“Turnitin”Percentage

  • Less than 25 percentage: Acceptable percentage.
  • Turnitin Draft Submission Box
    • Submit your draft of paper into Turnitin Draft Submission Box to check your percentageas many times as needed before you submit your final paper to designated Unit.
  • If your Final paper has 25% or higher percentage, you must revise/modify your paper contents BEFORE you submit your paper due date and time.
  • If your Final paper has 25% or higher percentageAT/AFTERyou submit your final paper due date and time, Academic IntegrityViolation Procedures will be initiated

 

Academic Integrity Violation Procedure

  • Academic Integrity Violation letter will be sent to student
  • Assignment Grade will be 0 point
  • The violation case will be reviewed, and a further sanction will be determined by the Administrators

 

 

 

 

 

 

 

 

 

Individual Analyzing Published ResearchArticle (IAPRA)

 

Part I: Research Question, Purpose, Variables and Participants

Research Question

  • Clearly and concisely statesyour group research question as formulated in PICO format.

 

Purpose of the Study

  • Describe the purpose/aim of the study as the author stated in the article: may cut & paste
  • Do NOT change or modify the purpose statement on the article

 

Variables

  • Identify study variables from theabove stated Purpose of Study
  • Quantitative Study: Dependent & Independent VariablesORDescriptive, Qualitative Study: Variables of Interest

 

Participants

  • Enrollment: How did they recruit/enroll eligible participants in the study?

 

  • Inclusion & Exclusion Criteria: Describe Inclusion & Exclusion Criteria

 

  • Total Participant Numbers:Total numbers of participants in the study

 

 

Intervention Procedures/Obtaining Information Procedures

Quantitative Study

Intervention/TreatmentGroup

  • Describe the intervention contents given to Intervention group
  • Describe how the contents were given to Intervention group
  • Identify the person who provided Intervention contents to Intervention group

 

Control Group: If the study has Control Group

  • Describe the contents given to Control group
  • Describe how the contents were given to Control group
  • Identify the person who provided contents to Control group

OR

Descriptive/Qualitative Study:Obtaining Information Procedure

  • Describe the detailed procedure for obtaining information/data (i.e. made appointment to meet each participant,visited home/met in clinical setting……etc)

 

Part II:Data Collection Procedures &Measurement Tools/Instruments

  • Describe ALL methods to collect data in detail (i.e. interview, survey, observation……etc.)
  • Describe each measurement tool/instrument used to measure/assess outcomes in the study in detail.

 

Results/Findings

Participant Characteristics/Sociodemographic Findings

  • Describe participant characteristics or sociodemographic status
  • Must be objective, descriptive, and comprehensive
  • Must describe the findings of Tables/Figures to provide comprehensive information about participant characteristics as article provided.

 

Study Results/Findings

  • Describe ALLOther Results/Findingsbesides above participant characteristics in detail.
    • Each result item may include Headings/Subheadings as the article provided.
    • Do NOT simply saying “pain level was decreased,” “adherence was increased”…etc
    • Do NOT include contents from Discussion and/or Conclusion in the article.

 

Part III: Synthesis of Findings

Synthesis of Findings

  • Describe the Rationale/Mechanism for how/why Finding of each intervention/factor helps your Research Question (e. how/what mechanism does music therapy help pain, how does sucking stimulation increase oral intake for pre-term infants)
  • Should NOT repeat same contents you had on Findings section and/or article
  • May include citations from other sources for above-described rationale/mechanism (i.e. textbooks, CDC…etc)

 

Nursing Implications

  • How the nurses can implement the research findings into nursing practice.

 

Group Article Summary Table (All group members)

  • Describe each group member’s article on Research Article Summary Table.
  • Use bullet points for each category.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Grading Rubric&Description for IAPRA

Part I (80)
Research Question 5 ·  Accurately/Clearly states group’s Research Question as your group formulated
Purpose of Study 5 · Describe the purpose of the study as the author stated in the article.

§ Do NOT change or modify the statement on the article
Variables 10

 

 

 ·  Identify study variables from the above stated Purpose of Study

§ Quantitative Study: Dependent & Independent variables

OR

§ Descriptive, Qualitative Study: Variables of Interest
Participants 5

 

5

5

 ·  Enrollment: How did they recruit eligible participants in the study?

·  Eligibility: Describe Inclusion & Exclusion Criteria

·  Numbers: Total numbers of participants in the study
Intervention Procedures

 

 

 

 

 

 

Obtaining Information Procedures

 

 

 35 Quantitative Study:

·   Intervention Group: Describe the detailed Intervention contents, procedures, and person who provided Intervention for Intervention group.

·   Control Group: Describe the detailed contents, procedures, and person who provided contents for Control group

OR
Descriptive Study:

·  Describe the detailed procedure for obtaining information/data (i.e. made appointment to meet each participant, visited home/met clinical……etc)
Format 10 Followed APA format for paper and in-text citations
Part II (75)
Data Collection

 

Measurement Tools

 5

 

25

 ·  Describe ALL data collection methods in detail (i.e. survey, interview, observation)

·  Describe each measurement tool/instrument used to measure study outcomes in detail.
Participant Characteristics/Sociodemographic Findings

 

 

 

All other Results/Findings

 10

 

 

 

 

 

25

 

 

 

 

 

 

 

 

 ·   Must be descriptive and comprehensive

·   Describe participant characteristics or sociodemographic findings

·   Describe the findings of Tables/Figures to provide comprehensive information about participant characteristics as article provided

 

 

·   Describe ALL Other Results/Findings besides above participant characteristics in the article in detail for each Result item

·    Each Result item may include Headings/Subheadings of Results as the article provided.

·    Do NOT simply saying “pain level was decreased,” “adherence was increased” – provide numbers or % if available

·    Do NOT include contents from Discussion and/or Conclusion in the article.
Format 10 ·   Followed APA format for paper and in-text citations
 

Part III (45)
Synthesis of Findings

 

 10 ·   Describe the Rationale for how/why Finding of each intervention/factor helps your Research Question (i.e. how or by what mechanism doesmusic therapy help pain? How does sucking stimulation increase oral intake for pre-term infants?)

·   Should NOT repeat same contents you had on Findings section and/or article

·   Should have citation of analyzed article(s)

·   May include citations from other sources for above described rationale and mechanism (i.e. textbooks, CDC…etc)
Nursing Implication 7 ·   How can nurses implement the research findings into nursing practice?
Format 3 ·  Followed APA format for paper, in-text citation, references.
Article Summary Table (Group) 25 ·  Describe article on Research Article Summary Table

·  Use bullet points for each column in the Table

·  Submit Table as separate document

 

Total Points: 200 Points