Lab Case Study Paper

Lab Case Study Paper

Students much review the case study and answer all questions with a scholarly response using APA and include 2 scholarly references. Answer both case studies on the same document and upload 1 document to Moodle.

The answers must be in your own words with reference to the journal or book where you found the evidence to your answer. Do not copy-paste or use a past students work as all files submitted in this course are registered and saved in turn it in program. Lab Case Study Paper

Turn it in Score must be less than 25 % or will not be accepted for credit, must be your own work and in your own words. You can resubmit, Final submission will be accepted if less than 25 %. Copy-paste from websites or textbooks will not be accepted or tolerated. Please see College Handbook with reference to Academic Misconduct Statement.

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All answers to case studies must-have reference cited in the text for each answer and a minimum of 2 Scholarly References (Journals, books) (No websites)  per case Study

Students much review the case study and answer all questions with a scholarly response using APA and include 2 scholarly references. Answer both case studies on the same document and upload 1 document to Moodle.

The answers must be in your own words with reference to the journal or book where you found the evidence to your answer. Do not copy-paste or use a past students work as all files submitted in this course are registered and saved in turn it in program.

Turn it in Score must be less than 25 % or will not be accepted for credit, must be your own work and in your own words. You can resubmit, Final submission will be accepted if less than 25 %. Copy-paste from websites or textbooks will not be accepted or tolerated. Please see College Handbook with reference to Academic Misconduct Statement.

All answers to case studies must-have reference cited in the text for each answer and a minimum of 2 Scholarly References (Journals, books) (No websites)  per case Study

Students much review the case study and answer all questions with a scholarly response using APA and include 2 scholarly references. Answer both case studies on the same document and upload 1 document to Moodle.

The answers must be in your own words with reference to the journal or book where you found the evidence to your answer. Do not copy-paste or use a past students work as all files submitted in this course are registered and saved in turn it in program.

Turn it in Score must be less than 25 % or will not be accepted for credit, must be your own work and in your own words. You can resubmit, Final submission will be accepted if less than 25 %. Copy-paste from websites or textbooks will not be accepted or tolerated. Please see College Handbook with reference to Academic Misconduct Statement.

All answers to case studies must-have reference cited in the text for each answer and a minimum of 2 Scholarly References (Journals, books) (No websites)  per case Study. Lab Case Study Paper

THE ROLE OF THE RN/APRN IN POLICY-MAKING

THE ROLE OF THE RN/APRN IN POLICY-MAKING

To Prepare:

  • Revisit the Congress.gov website provided in the Resources and consider the role of RNs and APRNs in policy-making.
  • Reflect on potential opportunities that may exist for RNs and APRNs to participate in the policy-making process.

Post an explanation of at least two opportunities that exist for RNs and APRNs to actively participate in policy-making. Explain some of the challenges that these opportunities may present and describe how you might overcome these challenges. Finally, recommend two strategies you might make to better advocate for or communicate the existence of these opportunities to participate in policy-making. Be specific and provide examples.  THE ROLE OF THE RN/APRN IN POLICY-MAKING

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Require Reading

Understanding of Psychopharmacologic Treatments for Patients with Multiple Mental Health Disorders.

Understanding of Psychopharmacologic Treatments for Patients with Multiple Mental Health Disorders.

Please answer the following highlighted question

APA format with citation

Minimal of 3 references within the last 5 years.

Turnitin Report

Discussion post

As a psychiatric nurse practitioner, you will likely encounter patients who suffer from various mental health disorders. Not surprisingly, ensuring that your patients have the appropriate psychopharmacologic treatments will be essential for their overall health and well-being. The psychopharmacologic treatments you might recommend for patients may have potential impacts on other mental health conditions and, therefore, require additional consideration for positive patient outcomes. For this Assignment, you will review and apply your understanding of psychopharmacologic treatments for patients with multiple mental health disorders.

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To prepare

  • Reflect on the psychopharmacologic treatments that you have covered up to this point that may be available to treat patients with mental health disorders.
  • Consider the potential effects these psychopharmacologic treatments may have on co-existing mental health conditions and/or their potential effects on your patient’s overall health

 

Address the following Short Answer prompts for your Assignment. Be sure to include references to the Learning Resources for this week.

  1. In 3 or 4 sentences, explain the appropriate drug therapy for a patient who presents with MDD and a history of alcohol abuse. Which drugs are contraindicated, if any, and why? Be specific. What is the timeframe that the patient should see resolution of symptoms?
  2. List 4 predictors of late onset generalized anxiety disorder.
  3. List 4 potential neurobiology causes of psychotic major depression.
  4. An episode of major depression is defined as a period of time lasting at least 2 weeks. List at least 5 symptoms required for the episode to occur. Be specific.
  5. List 3 classes of drugs, with a corresponding example for each class, that precipitate insomnia. Be specific.  Understanding of Psychopharmacologic Treatments for Patients with Multiple Mental Health Disorders.

 

WK 8 Clinical Decision Tree

WK 8 Clinical Decision Tree

I have attached a previous clinical decision tree for you to use as guidance

Please see the decision tree case study attached 

APA format with intext citation

4-5 scholarly references with in the last 5 years

Plagiarism free with Turnitin report

THE ASSIGNMENT: 5 PAGES

BACKGROUND INFORMATION

ASSESSING AND TREATING PATIENTS WITH SLEEP/WAKE DISORDERS

Sleep disorders are conditions that result in changes in an individual’s pattern of sleep (Mayo Clinic, 2020). Not surprisingly, a sleep disorder can affect an individual’s overall health, safety, and quality of life. Psychiatric nurse practitioners can treat sleep disorders with psychopharmacologic treatments, however, many of these drugs can have negative effects on other aspects of a patient’s health and well-being. Additionally, while psychopharmacologic treatments may be able to address issues with sleep, they can also exert potential challenges with waking patterns. Thus, it is important for the psychiatric nurse practitioner to carefully evaluate the best psychopharmacologic treatments for patients that present with sleep/wake disorders. WK 8 Clinical Decision Tree

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THE ASSIGNMENT: 5 PAGES

Examine Case Study: Pharmacologic Approaches to the Treatment of Insomnia in a Younger Adult. You will be asked to make three decisions concerning the medication to prescribe to this patient. Be sure to consider factors that might impact the patient’s pharmacokinetic and pharmacodynamic processes.

At each decision point, you should evaluate all options before selecting your decision and moving throughout the exercise. Before you make your decision, make sure that you have researched each option and that you evaluate the decision that you will select. Be sure to research each option using the primary literature.

Introduction to the case (1 page)

  • Briefly explain and summarize the case for this Assignment. Be sure to include the specific patient factors that may impact your decision making when prescribing medication for this patient.

BACKGROUND

31-year-old male who presents to the office with a chief complaint of insomnia.

SUBJECTIVE

Patient is a 31-year-old male. He states that his insomnia has gotten progressively worse over the past 6 months. Per the patient, he has never been a “great sleeper” but is now having difficulty both falling asleep and staying asleep at night. The problem began approximately 6 months ago after the sudden loss of his fiancé. The patient states this is affecting his ability to perform his job, which is a forklift operator at a local chemical company. The patient states he has used diphenhydramine in the past to sleep but does not like the way it makes him feel the morning after. He states he has fallen asleep on the job due to lack of sleep from the night before. The patient’s medical record from his previous physician states that he has a history of opiate abuse, which began after he broke his ankle in a skiing accident and was prescribed hydrocodone/apap (acetaminophen) for acute pain management. The patient has not received a prescription for an opiate analgesic in 4 years. The patient states recently he has been using alcohol to help him fall asleep, approximately four beers prior to bed. WK 8 Clinical Decision Tree

MENTAL STATUS EXAM

The patient is alert and oriented to person, place, time, event. He makes good eye contact and is dressed appropriately for time of year. He denies auditory/visual hallucinations. Judgement, insight, and reality contact are all intact. Patient denies suicidal/homicidal ideation, and is future oriented.

Decision Point One

Trazodone 50 mg po at bedtime

RESULTS OF DECISION POINT ONE

Patient returns to clinic in 2 weeks

Patient states medication works well but gives him an unpleasant side effect of an erection lasting approximately 15 minutes after waking

Patient states this makes it difficult to get ready for work or go downstairs and have coffee with his girlfriend and daughter in the morning

Patient denies auditory/visual hallucinations and is future orient

Decision Point Two

Explain that an erection lasting 15 minutes is not considered a priapism and should diminish over time, continue with current dose

RESULTS OF DECISION POINT TWO

Patient returns to clinic in 2 weeks

Patient states priapism has diminished over time

 Patient denies auditory/visual hallucinations and is future oriented

 Patient states trazodone is effective at 50 mg dose but sometimes wakes up following day with next-day drowsiness

 Patient denies auditory/visual hallucinations and is future oriented

Decision Point Three

Continue dose. Explain to patient he may split the 50 mg tablet in half. The decreased dose should minimize next- day drowsiness. Follow up in 4 weeks. WK 8 Clinical Decision Tree

Guidance to Student
Trazodone is a selective serotonin reuptake inhibitor that has a low side effect profile. It would not be prudent to prescribe sonata as it carries with it the risk of complex sleep behaviors. Hydroxyzine is an antihistamine with strong sedative properties. However, many patients complain of anticholinergic adverse effects the following morning, such as Xerostomia and Xerophthalmia.

The patient is presenting with excessive somnolence. It would be prudent to reduce the dose of trazodone by 50% and reassess in 4 weeks.

 

Anxiety is considered a mental health disorder that is characterized by fear and an increase in emotions. Individuals also report worries and increased fear of failure in the future, and they tend to be more concerned about current events. According to the DSM-5 diagnosis, for an individual to be diagnosed with anxiety disorder, there must be an excess of worries or anxiety for at least six months (Strawn et al., 2018). This case is focused on a case scenario about a 46-year-old client suffering from anxiety.

These case scenarios focus on offering the appropriate treatment for the patient. The treatment process is guided by the three decisions to be made. On a brief history of the case scenario, the client presented to the emergency room following the referral process. He had previously experienced chest tightness, SOB, and myocardia infection was r/o; however, he remains concerned about the future. In addition to daily stress, he is also caring for his aging parent. He struggles with constant worries about his job and has resorted to alcohol as a coping mechanism for his present problems. He has been consuming 3 to 4 beers daily. His current Hamilton Anxiety Rating Scale results are 26, indicating that he has a generalized anxiety disorder (GAD). Therefore, the case scenario offers a practical treatment approach for the patient based on three decisions.

Decision #1: Start Paxil (Paroxetine)10 mg PO daily

Reasons for the decision: this is an FDA-approved medication for anxiety conditions such as GAD, major depressive disorder, panic disorder, and PTSD, among others. The drug helps effectively treat GAD symptoms by decreasing these un-wanting symptoms and allowing an individual to gain control of his life.

The expected outcomes: Based on the treatment decision above, the patient will report reduced anxiety symptoms. He is expected to register a decrease in chest tightness as well as a decrease in shortness of breath. There will also likely be a decrease in the HAM-A scale rate readings. WK 8 Clinical Decision Tree

Decision #2: increasing the dosage to 20 mg PO daily

 

Reasons for the decision: Secondary to the patient’s improvement in the symptoms from the previous decision, there is a need to increase the dosage from 10 mg to 20 mg PO daily while monitoring his outcome. Increasing the dosage to 40 mg is not advisable due to potential adverse reactions, which might affect the treatment process. Increasing the dosage to 40 mg is likely to cause poor treatment adherence since the patient is likely to be slightly evasive about the symptoms (Mennin et al., 2018). The treatment adherence is also expected to be affected as the patient can report erection difficulty when the dosage is increased to 40 mg. it is also not advisable to start him on Imipramine 25 mg BID since he is likely to report a slight drop in the symptoms. Prescribing Imipramine 25 mg also implies occasional shortness of breath with a minimal reduction in the HAM-A score from 26 to 22 compared to Paxil 10 mg, which significantly decreased the HAM-A score from 26 to 10.

The expected outcomes from the intervention are further improvement in symptoms and HAM-A score. The patient is expected to report fewer worries about his job and daily life concerns (DeMartini et al., 2019). The patient is expected to report no side effects associated with the prescribed medication and dosage. This will be an indication of adequate adherence to the prescribed medications. The compliance level is necessary for this patient’s successful treatment outcomes.

The differences between the anticipated and actual outcomes: the client returns to the facility after four weeks with a report on further reduction in the symptoms. His HAM-A score has now been reduced to 10. At this point, there is a 61 percent reduction in his symptoms. Based on the outcomes, no associated side effects have occurred with the increase in the dosage.

Decision #3: Maintain the Present Dosage

Reasons for this decision: from the previous decision, there is a 61 percent reduction in the patient’s symptoms previously presented by the patient. Therefore, continuing with the current medication dosage is advisable seems it has a positive and expected outcome. Furthermore, maintaining the current treatment will help to avoid potential side effects, such as sexual dysfunction issues. Such side effects might occur due to the change in the drugs or increase in the dosage, compromising treatment adherence. Therefore, starting the patient on Burispone 10 mg BID is not a suitable option since he is likely to report a slight drop in symptoms and severe anxiety persistence. Additionally, the decrease in the HAM-A score might not be significant compared to Paxil 10 mg (26 to 23 compared to Paxil 20 mg, which reduces it from 26 to 10).

The expected outcome: the patient would report further improvement in the symptoms, and the HAM-A score would drop by 90 percent.

The differences between the expected and the actual outcomes: No significant variations are expected between the desired and the actual results. Nevertheless, the anticipation is that at the end of 12 weeks, the patient would return to the facility with a drop in the HAM-A score of about 90 percent.

 

Conclusion

This is a case of a middle-aged Caucasian male who presents to the clinic with complains of severe anxiety symptoms. The treatment of the symptoms presented by the patient is based on three decisions. Both legal and ethical principles guide the decisions made on the treatment approach. Treating a patient with a mental disorder is faced with numerous challenges. In this case, providers are expected to be more careful concerning the potential benefits and harms of the prescribed drugs. In this case, preventing possible damage implies collecting relevant information to help avoid potential injury. For example, containing information about the drug use history in the case scenario is essential—the patient’s ETOH abuse might tamper with the effectiveness of the prescribed treatment. The patient must be educated about adverse drug-medication interactions that might affect his health. It is also essential to inform the patient about the available different types of medicines to prescribe. The patient is informed about each medication treatment’s benefits and harms or side effects. Such information is essential in the promotion of the adherence process. As a provider, it is also necessary to consider other alternative medications that can be combined with the prescribed medicines to help improve the patient’s condition. In this case, finding out the causes and triggers of the anxiety for this patient can be extremely helpful. Psychotherapy approaches such as cognitive behavior therapy can be different therapeutic approaches that can be adopted to help improve the patient’s mental status. Based on the overall outcomes of the treatment decisions, it is evident that Paxil is effective in managing the symptoms presented. Therefore, the observation of the dosage and ensuring that close monitoring of the patient while increasing the dosage is essential. It helps prevent possible side effects that can tamper with the adherence process. WK 8 Clinical Decision Tree

 

References

DeMartini, J., Patel, G., & Fancher, T. L. (2019). Generalized anxiety disorder. Annals of Internal Medicine, 170 (7), ITC49.

Mennin, D. S., Fresco, D., O’Toole, M., & Heimberg, R. G. (2018). A randomized controlled trial of emotion regulation therapy for generalized anxiety disorder with and without co-occurring depression. Journal of consulting and clinical psychology, 86(3), 268.

Strawn, J. R., Geracioti, L., Rajdev, N., Clemenza, K., & Lavine, A. (2018). Pharmacotherapy

for generalized anxiety disorder in adult and pediatric patients: an evidence-based treatment review. Expert opinion on pharmacotherapy, 19(10), 1057-1070. https://doi.org/10.1080/14656566.2018.1491966. WK 8 Clinical Decision Tree

Posttraumatic Stress Disorder Assignment

Posttraumatic Stress Disorder Assignment

It is estimated that more almost 7% of the U.S. population will experience posttraumatic stress disorder (PTSD) in their lifetime (National Institute of Mental Health, 2017). This debilitating disorder often interferes with an individual’s ability to function in daily life. Common symptoms of anxiousness and depression frequently lead to behavioral issues, adolescent substance abuse issues, and even physical ailments. For this Assignment, you examine a PTSD video case study and consider how you might assess and treat clients presenting with PTSD.  Posttraumatic Stress Disorder Assignment

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  • Review this week’s Learning Resources and reflect on the insights they provide about diagnosing and treating PTSD.
  • View the media Presentation Example: Posttraumatic Stress Disorder (PTSD) and assess the client in the case study.
  • For guidance on assessing the client, refer to Chapter 3 of the Wheeler text.

Note: To complete this Assignment, you must assess the client, but you are not required to submit a formal comprehensive client assessment.

 

 

Succinctly, in 1–2 pages, address the following:

  • Briefly explain the neurobiological basis for PTSD illness.
  • Discuss the DSM-5-TR diagnostic criteria for PTSD and relate these criteria to the symptomology presented in the case study. Does the video case presentation provide sufficient information to derive a PTSD diagnosis? Justify your reasoning. Do you agree with the other diagnoses in the case presentation? Why or why not?
  • Discuss one other psychotherapy treatment option for the client in this case study. Explain whether your treatment option is considered a “gold standard treatment” from a clinical practice guideline perspective, and why using gold standard, evidence-based treatments from clinical practice guidelines is important for psychiatric-mental health nurse practitioners.

Support your Assignment with specific examples from this week’s media and at least three peer-reviewed, evidence-based sources. Explain why each of your supporting sources is considered scholarly. Attach the PDFs of your sources. Posttraumatic Stress Disorder Assignment

DNP- 802 ROLE DEVELOPMENT PAPER

DNP- 802 ROLE DEVELOPMENT PAPER

I need this in 600 words. I also need multiple resources to answer the questions, with in-text citations of all resources used. Resources must also be within the last 5 years.

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Instructions:

Choose 2 of the following topical areas to address:

1. How do you integrate theory and science into EBP?

2. What are effective leadership characteristics?

3. What is Systems Thinking and how does it relate to Leadership in Advanced Practice?

4.  In  Zaccagnini, the reader is presented with brief summaries of 18 theories of nursing.  Choose one that may underpin your nursing practice and describe why that theory supports your practice or choose another theory/model that you currently use or would like to implement in your setting.

5. Does theory  relate or contribute anything to daily practice?  In what ways might you use theory in practice?

6.  In what ways might you use theory in practice?

7. Discuss the benefits, concerns, and challenges of the systems approach as it relates to the multiple dimensions of a health care system. Please share an example of systems thinking or transformational leadership that you have seen in practice.

8.  What leadership styles do you think you will most likely adopt as a DNP graduate, when engaged in a leadership role? Why?

9. Do you face conflict or avoid it?  How do you gain experience in feeling comfortable addressing conflict in the workplace? DNP- 802 ROLE DEVELOPMENT PAPER

Comparing And Contrasting Pharmacologic Options For The Treatment Of Generalized Anxiety Disorder

Comparing And Contrasting Pharmacologic Options For The Treatment Of Generalized Anxiety Disorder

Comparing and Contrasting Pharmacologic Options for the Treatment of Generalized Anxiety Disorder
Psychological disorders, such as depression, bipolar, and anxiety disorders can present several complications for patients of all ages. These disorders affect patients physically and emotionally, potentially impacting judgment, school and/or job performance, and relationships with family and friends. Since these disorders have many drastic effects on patients’ lives, it is important for advanced practice nurses to effectively manage patient care. With patient factors and medical history in mind, it is the advanced practice nurse’s responsibility to ensure the safe and effective diagnosis, treatment, and education of patients with psychological disorders. Comparing And Contrasting Pharmacologic Options For The Treatment Of Generalized Anxiety Disorder

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Generalized Anxiety Disorder is a psychological condition that affects 6.1 million Americans, or 3.1% of the US Population. Despite several treatment options, only 43.2% of those suffering from GAD receive treatment. This week you will review several different classes of medication used in the treatment of Generalized Anxiety Disorder. You will examine potential impacts of pharmacotherapeutics used in the treatment of GAD. Please focus your assignment on FDA approved indications when referring to different medication classes used in the treatment of GAD.
Write a discussion of pharmacokinetics and pharmacodynamics related to anxiolytic medications used to treat GAD. In your discussion, utilizing the discussion highlights, compare and contrast different treatment options that can be used.

APA Format 

Min 3 resources . Comparing And Contrasting Pharmacologic Options For The Treatment Of Generalized Anxiety Disorder

Cultural Consideration Assignment

Cultural Consideration Assignment

Submit an evidence-based practice GROUP (4-6) PPT about cultural competency in mental health nursing (Varcarolis CH-8, p. 100). An evidence-based practice Group PPT allows you to explore best practice and help improve client outcomes on a psychiatric unit. Your PPT should describe how you, as a nurse, will include – or have included – cultural awareness in a client diagnosed with a certain mental illness. The person you describe could be someone you have worked with in the past, or a theoretical client.

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Remember that culture can also include gender equality, sexual orientation, and other cultures besides race and religion – including cultures unique to one family. Your PPT should be at least 8 slides (double-spaced, not including the title or reference slides) in APA Format and include:

  • Assessment: Discuss what you would assess regarding a client’s culture. For example, are there specific dietary requirements? Are schedule changes necessary to avoid conflicts with religious practices? Who is the spokesperson for the family? What would you assess? Cultural Consideration Assignment
  • Diagnosis: List any mental health (2) nursing diagnoses this person has (or 1 at risk for). Include at least (1) cultural diagnosis. (2 + 1 = 3 diagnoses)
  • Planning: What planning needs to be done to ensure the cultural and emotional safety of the client? “The patient will……?”
  • Implementation: What are interventions that would ensure the safety of your client regarding culture? Include at least two interventions. For example, if your client has religious beliefs that affect the ability to take medications, what interventions would you create to ensure the client’s safety? What can you do to make sure the client’s cultural needs are met? “The nurse will….”
  • Evaluation: How will you evaluate whether your implementation was effective? Make sure the parameters are objective and measurableUse numbers and scales. 
  • In your summary, discuss whether any completed interventions were successful. What could be done differently in the future? If the interventions have not yet been carried out, you might discuss some institutional changes that could be made to ensure cultural safety for all clients in that setting.

 

Rubric: Cultural Paper requirements – Describe ONE person of a culture on a mental health unit with a Diagnosis; uses these 6 headings to format PPT: Assessment; NANDA DX; Patient objectives; Nursing actions; Evaluation; Summary Points

1

 

 

     
ASSESSMENT:  Discuss what you would/ did assess regarding your client’s culture. Dietary requirements? Schedule changes for religious practices? Spokesperson for the family 1  
NANDA 3-part diagnosis: list 2 MH nursing diagnoses (DX)that this person has or may be at risk for AND one cultural DX 2  
Planning/Patient Objectives: What planning needs to be made to insure the cultural and emotional safety of the client (SMART goals). Use numbers and rating scales to measure. “The Patient will do……”  2  
Implementation/Nursing actions: What are interventions that would ensure the safety of your client regarding culture? Address the patient objectives. For example, if your client has religious beliefs that affect the ability to take medications, what interventions would you create to ensure their safety or cultural needs are met?       “The nurse will do….” Cultural Consideration Assignment 1  
Evaluation:  How did you evaluate whether your implementation was effective?  Make sure parameters are measurable (numbers and scales) 1  
Summary: discuss whether your interventions were successful. What should be changed or improved? 1  
APA format, 3 references with in-text citations, at least 8 PPT slides.    1  
Zero grade may be given for plagiarism per student handbook. 10  

Your PPT should utilize proper APA guidelines for title slide, references and citations and include at least three scholarly sources to support your PPT. A scholarly source is a source that has been peer reviewed and has appropriate authors that are credentialed. Cultural Consideration Assignment

 

improvement to outcomes, efficiencies, and lessons learned from the application of the clinical system

improvement to outcomes, efficiencies, and lessons learned from the application of the clinical system

  • In a 4- to 5-page paper, synthesize the peer-reviewed research you reviewed. Format your Assignment as an Annotated Bibliography. Be sure to address the following: · Properly identify 4 peer-reviewed research articles you reviewed.

 

20 to >17.0 pts

Excellent

The response identifies 4 peer-reviewed research articles for the Assignment.

 

  • Summarize each study, explaining the improvement to outcomes, efficiencies, and lessons learned from the application of the clinical system each peer-reviewed article described. Be specific and provide examples.

 

40 to >35.0 pts

Excellent

The response accurately and thoroughly summarizes in detail each study reviewed, explaining in detail the improvement to outcomes, efficiencies, and lessons learned from the application of the clinical system each peer-reviewed article described…. Specific, accurate, and detailed examples are provided which fully support the response. improvement to outcomes, efficiencies, and lessons learned from the application of the clinical system

 25 to >22.0 pts

Excellent

Response includes a synthesis of the findings in an exceptionally well-written conclusion.

 

  • Written Expression and Formatting – Paragraph Development and Organization: Paragraphs make clear points that support well developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are carefully focused–neither long and rambling nor short and lacking substance.

 

5 to >4.0 pts

Excellent

Paragraphs and sentences follow writing standards for flow, continuity, and clarity.

 

  • Written Expression and Formatting – English writing standards: Correct grammar, mechanics, and proper punctuation 

5 to >4.0 pts

Excellent

Uses correct grammar, spelling, and punctuation with no errors.

 

  • Written Expression and Formatting – APA: The paper follows correct APA format for title page, headings, font, spacing, margins, indentations, page numbers, parenthetical/in-text citations, and reference list.

5 to >4.0 pts

Excellent

Uses correct APA format with no errors.

 

To Prepare:

  • Review the Resources and reflect on the impact of clinical systems on outcomes and efficiencies within the context of nursing practice and healthcare delivery. improvement to outcomes, efficiencies, and lessons learned from the application of the clinical system
  • Conduct a search for recent (within the last 5 years) research focused on the application of clinical systems. The research should provide evidence to support the use of one type of clinical system to improve outcomes and/or efficiencies, such as “the use of personal health records or portals to support patients newly diagnosed with diabetes.”
  • Identify and select 4 peer-reviewed research articles from your research.
  • For information about annotated bibliographies, visit https://academicguides.waldenu.edu/writingcenter/assignments/annotatedbibliographiesLinks to an external site.

The Assignment: (4-5 pages not including the title and reference page)

In a 4- to 5-page paper, synthesize the peer-reviewed research you reviewed. Format your Assignment as an Annotated Bibliography. Be sure to address the following:

  • Identify the 4 peer-reviewed research articles you reviewed, citing each in APA format.
  • Include an introduction explaining the purpose of the paper.
  • Summarize each study, explaining the improvement to outcomes, efficiencies, and lessons learned from the application of the clinical system each peer-reviewed article described. Be specific and provide examples.
  • In your conclusion, synthesize the findings from the 4 peer-reviewed research articles.
  • Use APA format and include a title page.
  • Use the Safe Assign Drafts to check your match percentage before submitting your work. improvement to outcomes, efficiencies, and lessons learned from the application of the clinical system

 

LEGAL AND ETHICAL ISSUES RELATED TO PSYCHIATRIC EMERGENCIES

LEGAL AND ETHICAL ISSUES RELATED TO PSYCHIATRIC EMERGENCIES

LEGAL AND ETHICAL ISSUES RELATED TO PSYCHIATRIC EMERGENCIES

The diagnosis of psychiatric emergencies can include a wide range of problems—from serious drug reactions to abuse and suicidal ideation/behaviors. Regardless of care setting, the PMHNP must know how to address emergencies, coordinate care with other members of the health care team and law enforcement officials (when indicated), and effectively communicate with family members who are often overwhelmed in emergency situations. In their role, PMHNPs can ensure a smooth transition from emergency mental health care to follow-up care, and also bridge the physical–mental health divide in healthcare.

In this week’s Assignment, you explore legal and ethical issues surrounding psychiatric emergencies, and identify evidence-based suicide and violence risk assessments.

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TO PREPARE

  • Review this week’s Learning Resources and consider the insights they provide about psychiatric emergencies and the ethical and legal issues surrounding these events.

RESOURCES

Be sure to review the Learning Resources before completing this activity.
Click the weekly resources link to access the resources.

WEEKLY RESOURCES

  • Buppert, C. (2021). Nurse practitioner’s business practice and legal guide(7th ed.). Jones & Bartlett Learning.
    • Chapter 7, “Negligence and Malpractice”
    • Chapter 8, “Risk Management”
    • Chapter 16, “Resolving Ethical Dilemmas”
  • National Institute for Health and Care Excellence (2019). Brøset violence checklistLinks to an external site.. http://riskassessment.no/
  • Sadock, B. J., Sadock, V. A., & Ruiz, P. (2015). Kaplan & Sadock’s synopsis of psychiatry(11th ed.). Wolters Kluwer. (For review as needed)
    • Chapter 23, “Emergency Psychiatric Medicine”
    • Chapter 36.2, “Ethics in Psychiatry”
  • Thapar, A., Pine, D. S., Leckman, J. F., Scott, S., Snowling, M. J., & Taylor, E. A. (Eds.). (2015). Rutter’s child and adolescent psychiatry(6th ed.). Wiley Blackwell.
    • Chapter 19, “Legal Issues in the Care and Treatment of Children With Mental Health Problems”
    • Chapter 64, “Suicidal Behavior and Self-Harm”
  • S. Department of Veterans Affairs. (2019).VA/DoD clinical practice guidelines Links to an external site.: Assessment and management of patients at risk for suicide (2019).
    https://www.healthquality.va.gov/guidelines/MH/srb/
  • Zakhari, R. (2021). The psychiatric-mental health nurse practitioner certification review manual. Springer Publishing Company.
    • Chapter 15, “Violence and Abuse”

 

 

THE ASSIGNMENT

In 3 pages, address the following:

  • Explain your state laws for involuntary psychiatric holds for child and adult psychiatric emergencies. Include who can hold a patient and for how long, who can release the emergency hold, and who can pick up the patient after a hold is released.
  • Explain the differences among emergency hospitalization for evaluation/psychiatric hold, inpatient commitment, and outpatient commitment in your state.
  • Explain the difference between capacity and competency in mental health contexts.
  • Select one of the following topics, and explain one legal issue and one ethical issue related to this topic that may apply within the context of treating psychiatric emergencies: patient autonomy, EMTALA, confidentiality, HIPAA privacy rule, HIPAA security rule, protected information, legal gun ownership, career obstacles (security clearances/background checks), and payer source.
  • Identify one evidence-based suicide risk assessment that you could use to screen patients.
  • Identify one evidence-based violence risk assessment that you could use to screen patients.

Submit your Assignment. Attach copies of or links to the suicide and violence risk assessments you selected.