Mental Health Screening Tools Essay Assignment

Mental Health Screening Tools Essay Assignment

In my practicum environment at Kinston Community Health Center in North Carolina, we cater to different populations, comprising older adults, women, adolescents, and children. Besides, as a community health center, the facility meets susceptible people, comprising homeless clients and those experiencing mental health issues Mental Health Screening Tools Essay Assignment.

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Mental health screening tools are vital, primarily when recognizing patients who may need psychiatric services. At Kinston Community Health Center, we use diverse screening tools for diverse mental conditions. Firstly, the facility uses Generalized Anxiety Disorder 7 (GAD-7) to examine anxiety manifestations and severity (Johnson et al., 2019)Mental Health Screening Tools Essay Assignment. It encompasses seven queries linked to anxiety signs encountered over the past fortnight. Scores assist healthcare professionals in deciding the demand for interposition or further assessment.

Further, Patient Health Questionnaire – 9 (PHQ-9) is utilized to screen and assess for depression (Costantini et al., 2021). It encompasses nine queries concerning depression signs encountered in the past fortnight and the scores of direct therapy resolutions and referrals.

Lastly, the Saint Louis University Mental Status Examination (SLUM) is invaluable when examining cognitive function and discerning early dementia symptoms (Alqurashi et al., 2022)Mental Health Screening Tools Essay Assignment. It assesses memory, language, attention, and other cognitive areas. Notably, it is not exclusively a screening tool.

Moreover, the quality of care at my facility is laudable. Its behavioral health professionals perform holistic clinical evaluations, contemplating a patient’s whole life contexts to discern diagnoses and therapy plans. It focuses on cognitive-behavioral perspectives and other curative models to tackle personal and family problems. Also, the facility’s substance abuse services use evidence-based methods, highlighting that addiction is just a challenge or problem to conquer.

Discrepancies and prejudices continue to plague the facility and the whole system since people like the homeless encounter hurdles to ingressing care (Hossain et al., 2020). To improve screenings within the groups, the following changes are suggested. Firstly, community education and outreach such as amplified awareness where the facility can partner with community centers and local shelters to raise awareness about mental health screening. Also, mobile clinics can be used to get to homeless people Mental Health Screening Tools Essay Assignment.

Further, extended hours and incorporated care can also be implemented. This means these screenings can be incorporated into primary care. Also, hours for the mental health units can be extended to handle emergencies.

In sum, by executing these transformations, the facility can improve mental health ingress, decrease biases and prejudice, and enhance results among susceptible populace.

References

Alqurashi, Y. D., AlHarkan, K., Aldhawyan, A., Bahamdan, A., Alabdulkader, A., Alotaibi, R., … & Ghamdi, K. A. (2022). Association between nap duration and cognitive functions among Saudi older adults. Frontiers in neuroscience16, 917987.

Costantini, L., Pasquarella, C., Odone, A., Colucci, M. E., Costanza, A., Serafini, G., … & Amerio, A. (2021). Screening for depression in primary care with Patient Health Questionnaire-9 (PHQ-9): A systematic review. Journal of Affective Disorders279, 473-483.

Hossain, M. M., Sultana, A., Tasnim, S., Fan, Q., Ma, P., McKyer, E. L. J., & Purohit, N. (2020). Prevalence of mental disorders among people who are homeless: An umbrella review. International Journal of Social Psychiatry66(6), 528-541 Mental Health Screening Tools Essay Assignment.

Johnson, S. U., Ulvenes, P. G., Øktedalen, T., & Hoffart, A. (2019). Psychometric properties of the general anxiety disorder 7-item (GAD-7) scale in a heterogeneous psychiatric sample. Frontiers in psychology10, 449461.

MENTAL HEALTH CARE IS OFTEN INITIATED IN THE PRIMARY CARE SETTING. SCREENINGS ARE A CRITICAL PART OF IDENTIFYING CLIENTS WHO MAY REQUIRE PSYCHIATRIC CARE. CAREFULLY READ THE QUESTIONS BELOW AND ADDRESS EACH IN YOUR INITIAL POST.

Application of Course Knowledge

Identify your clinical practicum setting (Kinston Community Health Center at Kinston NC.) and a population that you typically see (All type of population children, adolescents, women, older adults)Mental Health Screening Tools Essay Assignment.

Discuss mental health screening tools used at your clinical site. If no screening tools are currently used, which ones would you recommend? (Example we use frequently for a new patients or patient with diagnostic of depression Anxiety screening, and Depression screening and for patienr that are coming for Medicare preventive visit we use SLUM for dementia)

Describe the quality of the mental health care you have observed. Discuss disparities or biases, if any, in the care provided to different members of the population.

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Screening opportunities are often missed in vulnerable populations (because we are a community center, we saw many homeless patients and patients with many mentals problems. Kinston Community Health Center have a mental health department that works also in emergency hours IS SOMETHING THAT YOU CAN TAKE INTO ACCOUNT) and those with limited access to care. Mental Health Screening Tools Essay Assignment

Describe at least TWO changes you recommend in your practice setting and community to increase the frequency of mental health screenings within vulnerable populations.

 

 

 

 

 

Coaching Diverse, Equitable And Complex Teams Assignment

Coaching Diverse, Equitable And Complex Teams Assignment

As the Chief Nursing Officer (CNO) there is a need to develop every nurse to become a leader (Institute of Medicine, 2011).  This is because nurse leaders have a critical role in influencing change and enhancing improvement toward achieving better patient outcomes and sustaining a safe practice environment for other care providers (Institute of Medicine, 2011)Coaching Diverse, Equitable And Complex Teams Assignment. Also, nurses are the backbone of healthcare hence they should lead from the front in influencing all levels of healthcare organizations and practices such as research and innovation, policy development, point of care, and clinical education. To enhance better nursing leadership within complex care organizations I will begin by offering mentorship to nurses in educating them about the importance of nursing leadership.

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This will be through using experienced nurse leaders to mentor the nurses about the essence of nurse leadership and its contribution to nursing practice. The second step will be to provide them with models of communication that nurse leaders should embark on to become effective across every department (Institute of Medicine, 2011). Thirdly, I will be encouraging nurse leaders to motivate teamwork across every setting to improve patient outcomes and also to improve the quality of care (Brunt, 2023). In addition, I will highlight to nurse leaders the aspect of accountability as an important trait of a good nursing leader. Lastly, I will elaborate on the need for dedication to work as a nurse and ways of influencing others into action which includes leading by example (Manzano, 2021).

As a leader in the Outpatient Practice organization, I will ensure the AONL principles of Diversity, Equity, Inclusion, and Belonging (DEIB) are adequately established. I will advocate for the DEIB across the outpatient practice by following principle #1 where DEIBs are the cornerstones of human wellness (AONL, 2024). This will be influential by ensuring that the nursing workforce is united and well-supplied with internal and external resources to meet the needs of the larger patient population. Through this principle multigenerational workforce will be encouraged where age, life experiences, and wisdom will be leveraged as an important strength. Diverse groups of healthcare providers will also be encouraged to ensure there is shared decision-making to bring a culture of belongingness.

Principle #3 will be useful in leading the Outpatient practice organization where partnerships will be vital in advancing the vision of the organization (AONL, 2022)Coaching Diverse, Equitable And Complex Teams Assignment. This will be leveraged through partnering with learning institutions such as universities, nursing schools, and other organizations aimed at educating nurses about the practice development, policies, programs, procedures, and organization cultures towards enhancing the most ideal outpatient competencies. Through such collaborations, the organization will be able to lead change through coming up with evidence-based clinical experiences, and community outreach programs for improved care provision. The collaborations will also enhance access to education and opportunities via the use of e-learning and virtual learning platforms across practice-based and academic environments.

As the leader in the Outpatient Practice organization, I will apply principle #4 anchored on the use of data, technology, and research in achieving the desired goal (AONL, 2022).  Through collaboration with health policy and statistical experts, the organization will use modern technology in collecting, storing, and disseminating information to help improve patients’ outcomes. Through the use of DEIB, the organization will achieve research of high value to help produce innovative nursing techniques for safe, effective, timely, and equitable patient-centered care. As a leader, the application of technology is indispensable as this will help in monitoring, analyzing, and evaluating the wellness of staff and their risk of burnout and harnessing early interventions to address such challenges Coaching Diverse, Equitable And Complex Teams Assignment.

References

AONL. (2022). AONL Guiding Principles on Diversity, Equity, Inclusion, and Belonging. https://www.nurseleader.com/article/S1541-4612(22)00027-1/fulltext

AONL. (2024). AONL Guiding Principles: Diversity, Equity, Inclusion and Belonging Toolkit. https://www.aonl.org/resources/DEIB-Toolkit

Brunt BA, Bogdan BA. (2023). Nursing Professional Development Leadership. Treasure Island (FL): StatPearls Publishing; 2024 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK519064/

Institute of Medicine. (2011). Committee on the Robert Wood Johnson Foundation Initiative on the Future of Nursing, at the Institute of Medicine. (2011). The Future of Nursing: Leading Change, Advancing Health. National Academies Press (US).

Manzano, W., & Vose, C. B. (2021). When nurses lead, health follows. Nursing Management52(12), 36–42. https://doi.org/10.1097/01.NUMA.0000800340.10607.36

Coaching Diverse, Equitable and Complex Teams

 Learning Activities

The learning activities for this week include:

  1. Read Albert et al Chapters 12,13, & 14
  2. Read AONL article on guiding principles
  3. Review AONL Toolkit website
  4. Complete the Discussion Forum

Discussion question:

  1. In the Institute of Medicine’s Future of Nursing Report(2011), there is a recommendation that every nurse be developed to become a leader. With this in mind, what steps might you take within your own complex health system(real or hypothetical) to develop nurse leaders? (assume you are the Chief Nursing Officer). Be creative and use the content of chapters 12-14 to come up with your plan.
  2. Think about your own organization and where they align with the AONL principles for Diversity, Equity, Inclusion and Belonging (DEIB). Describe how you would advocate for advancing the AONL guiding principles for DEI and Belonging within your organization. Highlight at least 3 of the guiding principles in your response.  Coaching Diverse, Equitable And Complex Teams Assignment

    Please see link below to help with discussion

https://www.aonl.org/resources/DEIB-Toolkit

https://www.nurseleader.com/article/S1541-4612(22)00027-1/fulltext

My organization is outpatient practice

 

 

 

 

Leadership In Nursing And Healthcare Essay Discussion

Leadership In Nursing And Healthcare Essay Discussion

Leadership in nursing and healthcare has become significant in creating and motivating nurse employees, fostering quality care delivery, and effective collaboration. Different aspects have, in turn, become synonymous with effective leadership. These include ethics, as ethical leaders can help create ethical leadership and culture among the workers. Nursing has become an ethical profession and practice requiring courage to be moral and take tough decisions to stand for what is right. Nurses need moral courage in every aspect and level of their practice. This paper discusses moral and ethical leadership and their subsequent relationship to the necessary courage during challenging situations. Leadership In Nursing And Healthcare Essay Discussion

Ethical leadership in nursing has led to a shift toward fulfilling the universal ethical principles, i.e., autonomous, beneficence, fidelity, non-maleficence, and justice (Franczukowska et al., 2021). Nursing is centered on doing what is right for patients requiring care, so being moral and ethical has become indispensable for nurse leaders. How moral and ethical in nursing may vary in how they are portrayed or practiced may differ, but they should not be ignored or forgotten.

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Strategies to Demonstrate Courage to Speak Up and Address Difficulty Situations as Nurse Leader

Nurse leaders must understand their obligations and assess risks related to acting ethically (Keselman & Saxe-Braithwaite, 2020). Being assertive and adopting negotiating skills enables leaders and nurses to be morally courageous if their decisions and what they stand for. Moreover, with moral courage, leaders can understand the possibility of undesirable consequences yet realize maintaining a high level of integrity is more critical than avoiding the undesired results. Secondly, by fostering a culture of safety, nurse leaders can address uncertainty and unsafe practices, building a level of comfort for other workers and being able to express one’s ideas even in difficult situations without causing conflict. In order to stamp one authority as a nurse leader, one should be prone to giving honest feedback in discussions, employee reviews, and during conversations while simultaneously sharing alternative viewpoints with the team. According to Shivadas et al. (2021), courage in nursing leadership is simply doing what is right despite being considerate and afraid of negative consequences. Giving honest feedback to nurses while giving them alternative ways to deliver care allows them to learn and improve positively. Leadership In Nursing And Healthcare Essay Discussion

Another strategy is avoiding settling for ‘we have always done it this way narrative.’ This allows leaders to be considerate of situations, hence focusing on improving the experience, learning to grow, and developing to become better and being courageous entails being driven by own vision and values while at the same time accepting when a mistake is made. A leader telling his staff that he is wrong in challenging situations is a powerful act of solid and ethical leadership as it allows room for learning new ideas (Ozdoba et al., 2022). Being courageous means coming out of your comfort zone; hence leading successful teamwork enables the leader to utilize other people’s opinions to navigate situations that are deemed problematic.

How Moral and Ethical Views Impacted How to Handled Difficult Situations

Challenging situations are synonymous with the healthcare setting, and influential leaders in nursing are those who can and effectively navigate such situations (Huang et al., 2021). The nurturing aspect aligned with leadership can improve an organization’s culture and the employee values to higher levels of being moral and ethical considerate. When leaders demonstrate ethical leadership, they promote higher integrity levels among the workers, stimulating a sense of trustworthiness and courageous subjects ready to follow laid vision and goals. Being ethical and moral as a leader enables one to handle challenges with courage and without compromise or prejudice in case the situation involves employees. Difficult situations can lead us to present ethical decisions as a weak choice of action. However, being an ethical leader brings moral insight to the employees and the organization hence fostering the nurses to uphold more than one concern or value simultaneously. Being ethical enables leaders to remain focused and stays inspired during tying times (Franczukowska et al., 2021). Ethical leadership is a key asset in creating a positive, psychologically conducive, and safe work environment for healthcare professionals, giving them support and able to address any work-related issues.

References

Franczukowska, A. A., Krczal, E., Knapp, C., & Baumgartner, M. (2021). Examining ethical leadership in health care organizations and its impacts on employee work attitudes: an empirical analysis from Austria. Leadership in Health Services34(3), 229–247. https://doi.org/10.1108/lhs-06-2020-0034

Huang, N., Qiu, S., Yang, S., & Deng, R. (2021). Ethical Leadership and Organizational Citizenship Behavior: Mediation of Trust and Psychological Well-Being. Psychology Research and Behavior ManagementVolume 14, 655–664. https://doi.org/10.2147/prbm.s311856 Leadership In Nursing And Healthcare Essay Discussion

Keselman, D., & Saxe-Braithwaite, M. (2020). Authentic and ethical leadership during a crisis. Healthcare Management Forum34(3), 154–157. https://doi.org/10.1177/0840470420973051

Ozdoba, P., Dziurka, M., Pilewska-Kozak, A., & Dobrowolska, B. (2022). Hospital ethical climate and job satisfaction among nurses: A scoping review. International Journal of Environmental Research and Public Health, 19(8), 4554. https://doi.org/10.3390/ijerph19084554

Shivadas, S., Dlabolová, D. H., Veronika, K., & Khan, Z. R. (2021). Assisting you to advance with ethics in research: An introduction to ethical governance and application procedures. International Journal for Educational Integrity, 17(1) https://doi.org/10.1007/s40979-021-00078-6

Moral and Ethical Leadership
Discussion
Purpose
The purpose of this discussion is to explore moral and ethical leadership and their relationship to the courage required during difficult situations.
Instructions
Reflect on your readings this week and respond to the following questions.
1. Analyze strategies that you have used to demonstrate courage to speak up and address difficult situations as a nurse leader.
2. Examine how your moral and ethical views impacted how you handled the situation. Leadership In Nursing And Healthcare Essay Discussion

 

 

 

 

The Mental Assessment Critique Assignment

The Mental Assessment Critique Assignment

Based on the video, the patient is most likely suffering from aphasia. Aphasia is a mental disorder that affects the communication ability of an individual. Aphasia can severely impair speech, affect how people write and understand both oral or written speech. The mental illness usually happens in an individual after either stroke or injury to the head. When the underlying cause has been treated, the main treatment option for the patient is speech therapy where the person is taught on speech (Doogan et al., 2018)The Mental Assessment Critique Assignment. The symptoms displayed by the patient are related with speech and the part of the braion that controls speech is the frontal lobe which contains Broca’s area.

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There are several ethical issues that are associated with caring for a patient with a mental condition. The first ethical consideration is involuntary treatment (Maylea, 2017). Mental illness affects the ability of a patient to make the right decisions based on the need for treatment. The aim of treatment is to modify behavior that may threaten the safety of the patient or people near them. Therefore, psychiatric healthcare providers must exercise the principles of beneficence and nonmaleficence while trying to balance with the autonomy of patients or their caregivers. In addition, recruiting patients with mental illnesses into research raises issues on informed consent, autonomy and the decision-making capacity. Besides, the use of medications that have no proven efficacy equally raises concerns of beneficence and nonmaleficence The Mental Assessment Critique Assignment.

In the DSM-5 classification, aphasia is categorized under social cognition. The ability to effectively treat the patient is based on correct classification to diagnose the condition and provide effective treatment plans afterwards. For instance, if the condition is not classified correctly, inappropriate medication will be prescribed which will lead to negative patient outcomes The Mental Assessment Critique Assignment.

References

Doogan, C., Dignam, J., Copland, D., & Leff, A. (2018). Aphasia recovery: When, how and who to treat?. Current neurology and neuroscience reports18(12), 1-7.

Maylea, C. H. (2017). A rejection of involuntary treatment in mental health social work. Ethics and Social Welfare11(4), 336-352.

The psychiatric nurse practitioner uses the DSM-5 criteria when assessing a patient’s presenting symptoms to assist in formulating a treatment plan. Best practice includes incorporating a holistic approach when providing care. Watch this mental status exam and answer the following questions:

1. Looking at the video, what seems to be happening to this patient?; what part of the brain controls the emotions displayed by this patient?
2. What are the important ethical considerations? Discuss your position and thoughts on all ethical considerations when caring for a patient with mental conditions.
3. Looking at the DSM-5 criteria for diagnosis, do you think classification can affect the patient’s treatment outcome? The Mental Assessment Critique Assignment

 

 

 

 

Enhancing Quality and Safety Assessment 1

Enhancing Quality and Safety Assessment 1

safety quality issue pertaining to medication administration in a health care setting.

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You will analyze the issue and examine potential evidence-based and best-practice solutions from the literature as well as the role of nurses and other stakeholders in addressing the issue.

Enhancing Quality and Safety Assessment 1

Improvement Plan Inservice Presentation Assessment 3

Improvement Plan Inservice Presentation Assessment 3

PowerPoint presentation with thorough speaker’s notes designed for a hypothetical in-service session related to the safe medication administration improvement plan you developed in Assessment 2. As a practicing professional, you are likely to present educational in-services or training to staff pertaining to quality improvement (QI) measures of safety improvement interventions.  Improvement Plan Inservice Presentation Assessment 3

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Such in-services and training sessions should be presented in a creative and innovative manner to hold the audience’s attention and promote knowledge acquisition and skill application that change practice for the better. The teaching sessions may include a presentation, audience participation via simulation or other interactive strategies, audiovisual media, and participant learning evaluation. The use of in-services and/or training sessions has positive implications for nursing practice by increasing staff confidence when providing care to specific patient populations. It also allows for a safe and nonthreatening environment where staff nurses can practice their skills prior to a real patient event. Participation in learning sessions fosters a team approach, collaboration, patient safety, and greater patient satisfaction rates in the health care environment (Patel & Wright, 2018). As you prepare to complete the assessment, consider the impact of in-service training on patient outcomes as well as practice outcomes for staff nurses. Be sure to support your thoughts on the effectiveness of educating and training staff to increase the quality of care provided to patients by examining the literature and establishing best practices.

Improvement Plan Inservice Presentation Assessment 3

Assessment 2: Root-Cause Analysis and Safety Improvement

Assessment 2: Root-Cause Analysis and Safety Improvement

For this assessment, you can use a supplied template to conduct a root-cause analysis.

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The completed assessment will be a scholarly paper focusing on a quality or safety issue pertaining to medication administration in a health care setting of your choice as well as a safety improvement plan

Assessment 2: Root-Cause Analysis and Safety Improvement

Community Case: Health Promotion: Childhood Obesity

Community Case: Health Promotion: Childhood Obesity

Case Part 1
As part of a district-wide initiative, school nurses and other Circle County School District
personnel have decided to target childhood nutrition and childhood obesity during the upcoming
academic year. The district recently conducted body mass index (BMI) screenings on students to
identify the numbers of underweight, normal weight, overweight, and obese children in the
district. The BMI scores for Circle County students are higher than the national averages:
Approximately 22% of these students have a BMI greater than or equal to 95%, according to the
BMI reference standards of the Centers for Disease Control and Prevention (CDC). Community Case: Health Promotion: Childhood Obesity

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Questions for students:

1. Using the Public Health Interventions Wheel as your resource, identify two public health- related interventions that could be implemented in the BMI screening activity at Circle County Schools. Provide your rationale.
1) Screening these children was the first step in recognizing the trends and need for change. Collaboration and Health Teaching to the individual level, as well as community and system levels will benefit the children in this area. Recognizing the upward trend of a high BMI and addressing ways to make personal changes with diet and exercise are the first steps individually. Secondly, community booths can be set up to inform the public of little changes in our daily lives we can all make to improve quality of health. With information and health promotion, the system beyond the children and the families can be affected with policy changes throughout schools in this area.
2. Why is BMI screening in childhood important? What chronic illnesses later in life result from increased BMIs? Community Case: Health Promotion: Childhood Obesity
1) Screening for obesity utilizing BMI as a child is important to alert the child early on in life of modifiable factors. Unhealthy habits that start early in life are more  difficult to change down the road. Childhood full of fattening dietary choices and lack of exercise are difficult to correct, and lead to high obesity statistics. Obesity is a risk factor for Cardiovascular Diseases, especially Coronary Artery Disease.
3. How do these rates compare with national averages? How do they compare with Healthy
People 2020 goals?
1) According to the CDC, “Obesity among 2- to 19-year-olds is defined as a BMI at or above the 95th percentile of children of the same age and sex in this 1963 to 1994 reference population. For example, a 10-year-old boy of average height (56 inches) who weighs 102 pounds would have a BMI of 22.9 kg/m2””. This indicates the boy is in 95th percentile for BMI, including him with 22% of others
in Circle County. This is an example of a BMI greater than 95% of similarly aged boys in this population. Therefore, if the national average of a male BMI is 28.6, a normal BMI is 18.5 -24.9 as “normal”, then 22% of this county classify as obese being 30 or higher. This county is high comparable to the national average which states that a third of the population is obese.
2) Healthy people 2020 state that HP2020 Baseline: In 2005–2008, the rate of obesity was 16.1% among children and adolescents aged 2–19 years, and we have a target of a 10% improvement over the baseline. Community Case: Health Promotion: Childhood Obesity

NURS4000 Community Case: Mental Health

NURS4000 Community Case: Mental Health

 

Community Case: Mental Health
Case Part 1
Seventeen-year-old Justin Sutton took his own life last night with a handgun owned by his
parents. Recently, several of his peers had posted photographs and demeaning comments about
him on social media, suggesting that Justin was gay. This was only the most recent incident in a
long history of bullying and depression experienced by Justin, who had been meeting with his
guidance counselor regularly. The counselor had referred him for mental health services, and
he’d been waiting for his first appointment. NURS4000 Community Case: Mental Health

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Questions for students:

1. What risk factors are commonly associated with teen suicide? Which risk factors are observed in Justin’s situation?
a. Suicide rates for adolescent males are 4 to 5 times higher than the rates for female adolescents. Sources state that suicide is the third leading cause of death in this age group of 15-19-year old individuals. In addition to these risk factors, being bullied or having untreated depression can also increase the risk of suicide.
Bullying was an ongoing problem in Justin’s case, and he also falls into the gender and age range of risk factors.
2. Think of your high school days or the community where you grew up (if you are older, you could consider the experience of your children). What do you remember about classmates with severe depression or anxiety and suicidal tendencies? What kind of supports were available in your school or community? To what extent was the issue of teen depression and teen suicide discussed in your school or community?
a. I remember classmates dealing with severe depression, anxiety, and suicidal tendencies from a young age. I remember several people admitting to cutting themselves starting in middle school, and they concurrently admitted to their home life situations causing stress on them. It seemed to be a mixture of hitting an emotional age along with a lack of support and environmental factors in their home life. There were counselors available at school, and friendly staff that had open door policies, but the big difference was the friends who gave them advice on how to handle the stress. This subject was not ignored in my school, and there were several auditorium meetings along with a mandatory health class that
discussed mental health. NURS4000 Community Case: Mental Health

 

NURS4000 Community Case: Case Management

NURS4000 Community Case: Case Management

 

These determinants could affect women treated differently, especially if they are from a lower socioeconomic class with less education. Specifically, women are disregarded more frequently when
having an MI because their symptoms present differently than the classic chest pain. This can lead to devastating health outcomes.

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5. What other information would be important to know regarding Florence’s hospital stay and discharge instructions to provide effective case management?

a. Discovering if there were any barriers to accessing health services would be important to assess, because this could lead to revealing unmet health needs. Health service barriers could lead to delays in receiving appropriate care, and an inability to get preventive services.

NURS4000 Community Case: Case Management