Practicum – Week 2 Journal Entry

Assignment: Practicum – Week 2 Journal Entry· Develop diagnoses for clients receiving psychotherapy*· Analyze legal and ethical implications of counseling clients with psychiatric disorders*Select a 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 Diagnostic and Statistical Manual of Mental Health Disorders, 5th edition (DSM-5), explain and justify your diagnosis for this client.· Explain any legal and/or ethical implications related to counseling this client.· Support your approach with evidence-based literature.NOTE: PLEASE SEE THE ATTACHED Practicum Journal Template AND JOURNAL SAMPLE (TIME LOG & JOURNAL ENTRIES) FOR WRITING THIS ASSIGNMENT…..ALSO FOR THE TIME LOG AND JOURNAL ENTRIES, JUST MAKE UP A REASONABLE INFORMATION AND CLIENT INFORMATION

Assessing, Diagnosing, and Treating Adults With Mood Disorders

Review the Focused SOAP Note template, which you will use to complete this Assignment. There is also a Focused SOAP Note Exemplar provided as a guide for Assignment expectations.Review the video, Case Study: Petunia Park. You will use this case as the basis of this Assignment. In this video, a Walden faculty member is assessing a mock patient. The patient will be represented onscreen as an avatar.Consider what history would be necessary to collect from this patient.Consider what interview questions you would need to ask this patient.The AssignmentDevelop a Focused SOAP Note, including your differential diagnosis and critical-thinking process to formulate a primary diagnosis. Incorporate the following into your responses in the template:Subjective: What details did the patient provide regarding their chief complaint and symptomatology to derive your differential diagnosis? What is the duration and severity of their symptoms? How are their symptoms impacting their functioning in life?Objective: What observations did you make during the psychiatric assessment?Assessment: Discuss the patient’s mental status examination results. What were your differential diagnoses? Provide a minimum of three possible diagnoses with supporting evidence, listed in order from highest to lowest priority. Compare the DSM-5 diagnostic criteria for each differential diagnosis and explain what DSM-5 criteria rules out the differential diagnosis to find an accurate diagnosis. Explain the critical-thinking process that led you to the primary diagnosis you selected. Include pertinent positives and pertinent negatives for the specific patient case.Plan: What is your plan for psychotherapy? What is your plan for treatment and management, including alternative therapies? Include pharmacologic and nonpharmacologic treatments, alternative therapies, and follow-up parameters as well as a rationale for this treatment and management plan. Also incorporate one health promotion activity and one patient education strategy.Reflection notes: What would you do differently with this client if you could conduct the session again? Discuss what your next intervention would be if you were able to follow up with this patient. Also include in your reflection a discussion related to legal/ethical considerations (demonstrate critical thinking beyond confidentiality and consent for treatment!), health promotion, and disease prevention that takes into consideration patient factors (such as age, ethnic group, etc.), PMH, and other risk factors (e.g., socioeconomic, cultural background, etc.).

populations.

Compare vulnerable populations. Describe an example of one of these groups in the United States or from another country. Explain why the population is designated as “vulnerable.” Include the number of individuals belonging to this group and the specific challenges or issues involved. Discuss why these populations are unable to advocate for themselves, the ethical issues that must be considered when working with these groups, and how nursing advocacy would be beneficial.

Concepts of Cardiovascular and Respiratory Disorders

Scenario 4: 45-year-old woman presents with a chief complaint of the 3-day duration of shortness of breath, cough with thick green sputum production, and fevers. The patient has a history of COPD with a chronic cough but states the cough has gotten much worse and is interfering with her sleep. Sputum is thicker and harder for her to expectorate. CXR reveals a flattened diaphragm and increased AP diameter. Auscultation demonstrates hyper resonance and coarse rales and rhonchi throughout all lung fields.Develop a 1- to 2-page case study analysis, examine the patient symptoms presented in the case study. Be sure to address the following:Explain both the cardiovascular and cardiopulmonary pathophysiologic processes of why the patient presents these symptoms.Explain how the cardiovascular and cardiopulmonary pathophysiologic processes interact to affect the patient.Explain any racial/ethnic variables that may impact physiological functioning.

philosophy

total   4 pagesinclude at least 2 references

NURS 6051 – Assignment Week 2

** Please see the attached document with complete instructions**Assignment: The Nurse Leader as Knowledge WorkerThe Assignment:In this Assignment, you will consider the evolving role of the nurse leader and how this evolution has led nurse leaders to assume the role of knowledge worker:· You will prepare a PowerPoint presentation with an infographic (graphic that visually represents information, data, or knowledge. Infographics are intended to present information quickly and clearly.) to educate others on the role of nurse as knowledge worker.

Psychotherapy With Personality Disorders

In 1-2 pages, Briefly describe the personality disorder you selected, including the DSM-5 diagnostic criteria.Explain a therapeutic approach and a modality you might use to treat a client presenting with this disorder. Explain why you selected the approach and modality, justifying their appropriateness.Next, briefly explain what a therapeutic relationship is in psychiatry. Explain how you would share your diagnosis of this disorder with the client in order to avoid damaging the therapeutic relationship. Compare the differences in how you would share your diagnosis with an individual, a family, and in a group session.MUST PROVIDE PDF OF PEER REVIEWED ARTICLES. NEED 3 ARTICLES AND MUST NOT BE OLDER THAN 5 YEARS.Directions, resources provided by the school, and rubric attached

Project Charter and Team Plan for Collaboration

Assignment 1: Team Project Part 1: Project Charter and Team Plan for CollaborationThis week you begin working with a team to manage a fictional information technology project being implemented at the Casino Medical Center.Work with your team members to create and submit a Project Charter and Team Plan for Collaboration based on the Team Project Scenario and the Team Project Overview document. Review the details about the Project Charter and Team Plan for Collaboration below:Team Project ScenarioCasino Medical Center (CMC) in Las Vegas, a 600-bed hospital, has expanded significantly over the past 3 years. In an effort to respond to the increased workload of all hospital staff, the chief information officer (CIO) and the vice president of patient care services (VP-PCS) at CMC determined the need to analyze hospital processes throughout the organization.The CMC organizational analysis revealed a number of areas that needed improvement. At the same time, broad changes in regulatory requirements required immediate adjustments in processes.The organizational analysis was conducted across all departments and found the following organization-wide issues.·         Quality reviews discovered a hospital-wide medication administration error rate of 20% with some tasks identified as redundanttasks.·         Complying with new federal reporting requirements has increased the time needed to complete the medication administrationprocess.CMC responded to the problem by purchasing an enterprise-wide health care information system from Topmost, one of the leading enterprise-software vendors in the country. The functionality of the system directly addresses the medication administration issues found in the organizational analysis. Several modules of an electronic health record system (EHRS) have already been implemented, as shown in the table below.As employees of Topmost, you and your team are charged with implementing this medication administration system for CMC, the final phase of the EHRS project. This medication administration system includes an electronic medication administration record (eMAR), Barcode Medication Administration (BCMA), and physical administration of medication. Note: For the remainder of this scenario, this whole process will be referred to as the Medication Administration System (MAS).Module Implementation StatusModule in the HIS SystemStatus of Module ImplementationFully implementedPartially implementedIn pilotNot yet implementedADT (Accounting System)XOrder Entry/Results Reporting OE/RR)XBilling and FinancialsXAmbulatory and Acute Care Clinical Documentation SystemXModule in the HIS SystemStatus of Module ImplementationFully implementedPartially implementedIn pilotNot yet implementedLaboratoryXMedication Administration System (MAS)XNote that the Medication Administration System (MAS) module has not been implemented.The CIO and VP-PCS relate that there are a number of challenges associated with the CMC health care information system program, including the MAS project. One risk is that the initial implementation of the MAS may result in a temporary increase in medication errors. Another risk is that staff resistance to the new workflows and processes brought about by the MAS may cause delays in the completion of the implementation.In meetings with the CIO and VP, they state that the first task for the team is to develop the project charter. The MAS team is assigned specific elements to be included in the project charter: the mission of the project, the problem statement, the project objectives, key stakeholders, milestones, and risks for the project. A list of the team members and the team’s plan for collaboration on this project also will be integrated into the charter.A new chief medical information officer (CMIO) has been hired. This CMIO does not have the informatics expertise required to lead this critical and large project. However, the CMIO has gained solid experience on small-scale decision-support projects at a former institution while studying informatics in graduate school. The CMIO is looking forward to learning from you and your team.The budget for the MAS project is approved up to $1 million. If more than $1 million is needed to implement the project, the additional expenditure must be justified in a project plan that key stakeholders approve. The software application for the Medication Administration System and necessary hardware have already been purchased, but they have not been delivered. Your team has a timeline of 6 months to complete the MASproject.Project CharterWork with your team to create a project charter that includes the following:Mission of the projectProblem statementProject objectivesScope of the projectMilestones within the projectDeliverables—a defined product produced as part of the projectAssumptionsList of key stakeholdersProject risksList of team members, roles, and a plan for collaborationMuch of the information for the project charter can be extrapolated from the Team Project Scenario. As the project moves forward, additional hypothetical situations for the project can be developed by the team members.2- Team Plan for CollaborationWorking as a team, create and submit your team’s plan for collaboration. In this plan, you identify and describe the general guidelines and plan you will follow to work successfully online and optimize your collective skills. Address the following:1.      Team identification: A listing of all team members. (Susan N., Barbara W., Jaime W.).2.      Team vision: A brief statement that embodies your team’s ideal in completing this project and targets all you want to accomplish together.3.      Processes and expectations for communication: The most effective means of working together from a distance are asynchronous modes that allow team members to express thoughts and share ideas according to their own schedules. You also need to consider the best ways to share any documents or information you may gather from speaking directly to an expert in a field or from a source that is only available to you in hard copy.4.      Determination of roles and division of work for the project: Typical roles include an organizer, who makes sure that everyone stays on track; editors, who take the agreed-upon final contributions of team members and fit them into the team-project deliverable; and a presenter, who uploads the assembled version of the project into the document sharing area and writes a summary introduction. These suggested roles are guidelines. For the purposes of this project, you may discover that different or additional roles that fit the project scenario are most effective. Each team member could be assigned a position title and credentials that match their role in the project scenario. Keep in mind that the team roles may change as requirements change. None of the roles you decide on takes the place of participation when it comes to the content of the project. All team members should contribute to the project content and discussions. (DO NOT DO THIS PART)5.      Approaches to conflict and agreement: This item should address the way you would like to see conflicts resolved and determine agreed-upon guidelines or processes you will follow to resolve them. Consider a worst-case scenario and agree to specific actions the team will take should this scenario occur. Include a description of potential negative consequences that may result from the actions.6.      Expectations for participation: One of the biggest objections to working with an online team is the fear that some members will not participate or that one or two members will be burdened with the majority of the work. In this section, determine and agree upon expectations for participation and the measures you will take when someone is not participating as fully as you expect or when someone seems to be doing too much, such as taking over all of the discussions. Have a plan for taking on a team member’s work, should the need arise to do so.To prepare:Review this week’s Learning Resources on project charters.Thoroughly examine the Team Project Overview document in this week’s Learning Resources to familiarize yourself with the requirements of this Assignment.Write a 3- to 4-page document in APA format that includes a project charter and a team plan for collaboration. Cite at least 3 references from the list provided. Include an introduction with a purpose statement (e.g. the purpose of this paper is …), and a summary.Required ReadingsBiafore, B. (2010). Microsoft Project 2010: The missing manual. Sebastopol, CA: O’Reilly.Chapter 1, “Projects: In the Beginning”“Publicizing a Project and Its Manager” (pp. 35–37)In this section of Chapter 1, the author describes the typical elements of a project charter. The author also provides guidelines for generating stakeholder support using a project charter.Coplan, S., & Masuda, D. (2011). Project management for healthcare information technology. New York, NY: McGraw-Hill.Chapter 3, “Project Management”“Prepare Project Charter” (pp. 42–43)This section of Chapter 3 explains the basic principles of preparing a project charter. The authors summarize a project charter’s key elements.Project Management Institute. (2013). A guide to the project management body of knowledge (PMBOK guide) (5th ed.). Newtown Square, PA: Author.Chapter 3, “Project Management Processes” (pp. 47–61)Review this chapter, which supplies information on managing a single project that uses networked processes. The chapter describes project management processes related to each phase of a project. Chapter 4, “Project Integration Management”4.1, “Develop Project Charter” (pp. 66–72)This section of Chapter 4 details the process of developing a project charter. The text focuses on the inputs, outputs, and tools and techniques of project chartering.Patel, V. N. (2008). Project management [Ebrary version]. Jaipur, India: Oxford.Retrieved from the Walden Library databases.Chapter 2, “Project Origination/Initiation” (pp. 22–74)This chapter explores the initiation phase of a project in great detail. The chapter focuses on the key tasks and performers of this phase.Cortelyou-Ward, K., Noblin, A., & Martin, J. (2011). Electronic health record project initiation and early planning in a community health center. Health Care Manager, 30(2), 118–124.Retrieved from the Walden Library databases.This article explores the application of project initiation and early planning in a community health center. The authors delve into the issues of quality improvement, planning, and finance.Kloppenborg, T. (2012). Project selection and initiation questions leading to good risk management [Special section]. PM World Today, 14(1), 1–5.Retrieved from the Walden Library databases.This article presents questions that project managers may ask to promote effective risk management. The author details questions applicable to the creation of a project charter and the selection of a project.Eurorec.org. (n.d.). Project charter. Retrieved March 12, 2013, from http://www.eurorec.org/files/filesPublic/ehrworkshop/2007/Project%20Charter%20-%20CRFQ%20Pilot.pptThis is one of the three files for this week that are examples of project charters for health care organizations.Hart, S. (2012, July 28). PM-foundations – the project charter [Blog post]. Retrieved from http://pm-foundations.com/2012/07/28/pm-foundations-the-project-charter/The author of this article reviews the basic elements and considerations of a project charter. In particular, the article explains project charter content, the assignment of charter responsibilities, and six attributes of a good project charter.Karim, S. (2012, May 24). A project with no project charter? [Blog post]. Retrieved from http://blogs.pmi.org/blog/voices_on_project_management/2012/05/a-project-with-no-project-char.htmlThis article focuses on cases in which projects have no corresponding project charter. The author specifies reasons for neglecting a charter and analyzes the potential negative repercussions.Microsoft Corporation. (2012c). Project management goal: Initiate a project. Retrieved from http://office.microsoft.com/en-us/project-help/project-management-goal-initiate-a-project-HA102598143.aspx?CTT=5&origin=HA101978264This article describes the process of initiating a project. The article provides a large-scale overview of planning a project.Microsoft Corporation. (2012e). The project triangle. Retrieved from http://office.microsoft.com/en-us/project-help/the-project-triangle-HA010351692.aspx?CTT=5&origin=HA010359477This article examines the impact of time, money, and scope on any project. The article suggests various strategies for balancing these three constraints.Purdue University. (2006). Electronic health record project charter. Retrieved from http://www.docstoc.com/docs/136685338/EHR-Project-CharterThis is one of the three files for this week that are examples of project charters for health care organizations.University of Wisconsin-Madison. (2006). Course guides on the web: Project charter (Version 2.2). Retrieved from http://psst.doit.wisc.edu/Uploads/258_Course%20Guide%20Charter%20V2.2%5B1%5D.docThis is one of the three files for this week that are examples of project charters for health care organizations.Document: Team Project Scenario (PDF)(SEE ATTACHED FILE)This document contains the scenario you will use for your Team Project.Document: Team Project Overview (PDF)This document provides an overview of the Team Project you will work on throughout this course. (SEE ATTACHED FILE)Required MediaLaureate Education (Producer). (2013f). Project initiation [Video file]. Retrieved from https://class.waldenu.eduNote: The approximate length of this media piece is 13 minutes.In this video, roundtable participants Dr. Mimi Hassett, Dr. Judy Murphy, and Dr. Susan Newbold discuss how a project gets off the ground, who and what should be included in initial planning, the consideration of project risks, and the crucial role communication plays throughout the process.

Assignment week1

The first step of the EBP process is to develop a question from the nursing practice problem of interest.Select a practice problem of interest to use as the focus of your research.Start with the patient and identify the clinical problems or issues that arise from clinical care.Following the PICOT format, write a PICOT statement in your selected practice problem area of interest, which is applicable to your proposed capstone project.The PICOT statement will provide a framework for your capstone project (the project students must complete during their final course in the RN-BSN program of study).Conduct a literature search to locate research articles focused on your selected practice problem of interest. This literature search should include both quantitative and qualitative peer-reviewed research articles to support your practice problem.Select six peer-reviewed research articles which will be utilized through the next 5 weeks as reference sources. Be sure that some of the articles use qualitative research and that some use quantitative research. Create a reference list in which the six articles are listed. Beneath each reference include the article’s abstract. The completed assignment should have a title page and a reference list with abstracts.Suggestions for locating qualitative and quantitative research articles from credible sources:Use a library database such as CINAHL Complete for your search.Using the advanced search page check the box beside “Research Article” in the “Limit Your Results” section.When setting up the search you can type your topic in the top box, then add quantitative or qualitative as a search term in one of the lower boxes. Research articles often are described as qualitative or quantitative.To narrow/broaden your search, remove the words qualitative and quantitative and include words that narrow or broaden your main topic. For example: Diabetes and pediatric and dialysis. To determine what research design was used, review the abstract and the methods section of the article. The author will provide a description of data collection using qualitative or quantitative methods.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.