Legal and Ethical Issues Related to Psychiatric Emergencies

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Legal and Ethical Issues Related to Psychiatric Emergencies

ssignment: 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 the 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. Legal and Ethical Issues Related to Psychiatric Emergencies

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

  • 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 between 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.

Legal and Ethical Issues Related to Psychiatric Emergencies

Importance of Professional Associations in Nursing

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Importance of Professional Associations in Nursing

Examine the importance of professional associations in nursing. Choose a professional nursing organization that relates to a specialty area of interest. In a 750‐1,000-word paper, provide a detailed overview of the organization and its advantages for members. Include the following: Importance of Professional Associations in Nursing

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  1. Describe the organization and its significance to nurses in the specialty area. Include its purpose, mission, and vision. Describe the overall benefits, or “perks,” of being a member.
  2. Explain why networking is important for a nurse in this specialty field. Discuss how this organization creates networking opportunities for members.
  3. Discuss how the organization keeps its members informed of health care changes and changes to practice that affect the specialty area.
  4. Discuss opportunities the organization provides for continuing education and professional development.

You are required to cite a minimum of three sources to complete this assignment. Sources must be appropriate for the assignment and relevant to nursing practice.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

Importance of Professional Associations in Nursing

Treatment of Depressive Disorders in a Vulnerable Population

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Treatment of Depressive Disorders in a Vulnerable Population

Develop a patient medication guide for treatment of depressive disorders in a vulnerable population (your choice for one vulnerable patient population to choose from: children, adolescents, older adults, dementia patients, pregnant women or one not listed of your choice!). Be sure to use language appropriate for your audience (patient, caregiver, parent, etc.). You will include non-copyright images and/or information tables to make your patient medication guide interesting and appealing. Limit your patient medication guide to 5 pages. You will create this guide as an assignment; therefore, a title page, introduction, conclusion, and reference page are required. You must include a minimum of 3 scholarly supporting resources outside of your course provided resources.  Treatment of Depressive Disorders in a Vulnerable Population

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  • Depressive disorder causes and symptoms
  • How depression is diagnosed for the vulnerable population of your choice, why is this population considered vulnerable
  • Medication treatment options including risk vs benefits; side effects; FDA approvals for the vulnerable population of your choice Treatment of Depressive Disorders in a Vulnerable Population
  • Medication considerations of medication examples prescribed (see last bullet item)
  • What is important to monitor in terms of labs, comorbid medical issues with why important for monitoring
  • Special Considerations (you must be specific, not general and address at least one for EACH category; you must demonstrate critical thinking beyond basics of HIPPA and informed consent!): legal considerations, ethical considerations, cultural considerations, social determinants of health
  • Where to follow up in your local community for further information
  • Provide 3 examples of how to write a proper prescription that you would provide to the patient or transmit to the pharmacy.

Treatment of Depressive Disorders in a Vulnerable Population

Bipolar and Related Disorders

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Bipolar and Related Disorders

For this assignment, you will write a 5–6-page paper on the topic of bipolar and bipolar and related disorders. You will create this guide as an assignment; therefore, a title page, introduction, conclusion, and reference page are required. You must include a minimum of 3 outside scholarly supporting resources in addition including 2 course provided resources. Bipolar and Related Disorders

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5 SCHOLARLY SOURCES IN TOTAL

TWO COURSE PROVIDED RESOURCES: SEE ATTACHED PDF

In your paper, you will choose one of the following diagnoses: Bipolar I, Bipolar II, Cyclothymic Disorder, Substance/Medication-Induced Bipolar and Related Disorder, Bipolar and Related Disorder Due to Another Medical Condition. Your paper will include discussion for your chosen diagnosis of bipolar and related disorder on the following:

  • Prevalence and Neurobiology of your chosen disorder
  • Discuss the differences between your chosen disorder and one other bipolar and related disorders in relation to the diagnostic criteria including presentation of symptoms according to DSM 5 TR criteria
  • Discuss special populations and considerations (children, adolescents, pregnancy/post-partum, older adult, emergency care) for your chosen bipolar and related disorder; demonstrating critical thinking beyond basics of HIPPA and informed consent with discussion of at least one for EACH category: legal considerations, ethical considerations, cultural considerations, social determinants of health Bipolar and Related Disorders
  • Discuss FDA and/or clinical practice guidelines approved pharmacological treatment options in relation to acute and mixed episodes vs maintenance pharmacological treatment for your chosen bipolar and related disorder
  • Of the medication treatment options for your chosen disorder discuss side effects, FDA approvals and warnings. What is important to monitor in terms of labs, comorbid medical issues with why important for monitoring
  • Provide 3 examples of how to write a proper prescription that you would provide to the patient or transmit to the pharmacy.

Bipolar and Related Disorders

 

Alternative Treatment Options for Anxiety Disorders

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Alternative Treatment Options for Anxiety Disorders

Assignment: Considering Alternative Treatment Options for Anxiety Disorders
Imagine that you have been seeing a client for 4 months. During treatment, you learn that he has been 5 years sober but lately has felt an intense sense of anxiety and has requested a referral to a psychiatrist. Upon returning to his counseling sessions, you learn that the psychiatrist has prescribed diazepam, a benzodiazepine. You are aware of the fact that the benzodiazepine functions similarly to alcohol in the body. You are concerned about a relapse because of this newly prescribed medication for the anxiety disorder. Alternative Treatment Options for Anxiety Disorders

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Sometimes the medication a doctor chooses to treat a client’s symptoms is ineffective or inappropriate, or it may not create the desired effect without intolerable side effects. Under what circumstances does it become necessary for a mental health professional to advocate for an alternative treatment for a client? What ethical issues associated with client treatment would mental health professionals need to address? Why would a release of information be needed?

For this Assignment, view the media case study titled “Anxiety Disorder Case Study: Mary.”Assume the role of a mental health professional to respond to the client call. Review the medication that the psychiatrist prescribed and explain the expected effects and side effects of its use. Plan a treatment strategy.  Alternative Treatment Options for Anxiety Disorders

In a 2- to 3-page, APA-formatted paper, include the following:

An explanation of any concerns, ethical or otherwise, you may have regarding the client’s generalized anxiety disorder treatment
An explanation of the factors you would take into consideration in developing a strategy to treat the client’s generalized anxiety disorder
An explanation of a treatment strategy for the client’s generalized anxiety disorder along with a justification for your strategy
An explanation of how you would advocate for your treatment strategy

Alternative Treatment Options for Anxiety Disorders

 

 

The Affordable Care Act

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The Affordable Care Act

The Patient Protection and Affordable Care Act (ACA, also known as ObamaCare) became law on May 23, 2010. It strives to reform the health insurance and health care industries in an effort to cut health care costs and provide Americans with affordable health insurance. The ACA also strives to expand Medicare and Medicaid to assist those Americans who cannot currently afford health insurance. As a result of the reforms, there may be a significant influx of patients into the health care system. In addition, there will be a greater focus on integrating health care services, particularly for individuals with physical and mental health conditions. It is expected that under the ACA, social workers will take a more active role in the coordination of care for existing and new members of the health care system. Social workers will also provide additional direct, frontline services to patients. The Affordable Care Act

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To prepare for this Discussion, review this week’s resources. Consider the debate over the ACA and explore the reputable sources on the Internet for additional resources on the balanced debates over the ACA. Consider how the ACA might expand meaningful services to all Americans including children, young adults, uninsured minorities, and spouses of employed individuals. Consider one population.

Post a description of the findings of your research on the debate over ACA. Explain some of the misconceptions or misunderstandings the general population might have about the ACA. Explain how the ACA may or may not increase affordability, health insurance coverage, and access to health care services for the population you selected. Explain the potential or documented influence of the ACA on medical social work practice. Describe the medical social worker’s role in clarifying the ACA to patients and families. The Affordable Care Act

Be sure to support your postings and responses with specific references to the resources and the current literature using appropriate APA format and style

The Affordable Care Act

Assignment: Antipsychotic Medications and the Treatment of Psychotic Disorders

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Assignment: Antipsychotic Medications and the Treatment of Psychotic Disorders

Imagine that you have been seeing a client for a year. Initially, treatment was tailored to address a diagnosis of major depressive disorder. Over the course of your counseling sessions, your client has begun to develop psychotic symptoms. She becomes mildly psychotic during a session and explains that the voices are telling her that she is wasting her time and she will never be well. Your client is surprised to have heard these voices, but is cognizant of the fact that they are coming from within her, rather than some external, supranatural source. She understands that they are psychotic symptoms. Assignment: Antipsychotic Medications and the Treatment of Psychotic Disorders

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Often, counselors encounter ethical and clinical dilemmas in deciding the best course of treatment for their clients. Considering the possibility that a client might wish to avoid going on antipsychotic medication, could you support this choice? Does the client’s awareness and understanding of the voices mean no further action is required on the part of the counselor? Since there appears to be no immediate danger to herself or others, could the counselor disregard the symptoms?

The Application Assignment contains a creative component, in which you integrate DSM-5 sourced and other scholarly material to create a case presentation. As hallucinations and delusions can vary from those that were seemingly borne of logic to the truly bizarre, this is an opportunity to fully engage your most imaginative thoughts.

For this Assignment, review the Learning Resources. Reflect on the development of drugs to treat psychosis over time. Consider the side effects of antipsychotics and their interactions with neurotransmitter function. Explore the ethical concerns and challenges of treating psychotic disorders. Develop a presentation of a client who would benefit from antipsychotic medications.

By Day 7
In a 3- to 5-page, APA-formatted paper, include the following based on the concepts in the treatment of psychotic disorders:

An overview of the major developments in the treatment of psychosis including major drug classes
An explanation of three severe side effects of antipsychotic medications and potential alternative treatments Assignment: Antipsychotic Medications and the Treatment of Psychotic Disorders
An explanation of the neurotransmitters involved with and affected by these medications
An explanation of the ethical concerns related to the treatment of psychotic disorders and how you would address them
An explanation of the challenges mental health professionals face in treating psychotic disorders and how you would address them
Then, based on what you know about the treatment of psychotic disorders provide an original and hypothetical case study illustrating a client that would benefit from antipsychotic medications and a brief explanation of an appropriate treatment plan.

Assignment: Antipsychotic Medications and the Treatment of Psychotic Disorders

concepts of epidemiology and nursing research to a communicable disease

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concepts of epidemiology and nursing research to a communicable disease

Apply the concepts of epidemiology and nursing research to a communicable disease.

Write a paper (2,000-2,500 words) in which you apply the concepts of epidemiology and nursing research to a communicable disease. Refer to “Communicable Disease Chain,” “Chain of Infection,” and the CDC website for assistance when completing this assignment. concepts of epidemiology and nursing research to a communicable disease

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Communicable Disease Selection

  1. Chickenpox
  2. Tuberculosis
  3. Influenza
  4. Mononucleosis
  5. Hepatitis B
  6. HIV
  7. Ebola
  8. Measles
  9. Polio
  10. Influenza

Epidemiology Paper Requirements

  1. Describe the chosen communicable disease, including causes, symptoms, mode of transmission, complications, treatment, and the demographic of interest (mortality, morbidity, incidence, and prevalence). Is this a reportable disease? If so, provide details about reporting time, whom to report to, etc.
  2. Describe the social determinants of health and explain how those factors contribute to the development of this disease.
  3. Discuss the epidemiologic triangle as it relates to the communicable disease you have selected. Include the host factors, agent factors (presence or absence), and environmental factors. Are there any special considerations or notifications for the community, schools, or general population?
  4. Explain the role of the community health nurse (case finding, reporting, data collection, data analysis, and follow-up) and why demographic data are necessary to the health of the community.
  5. Identify at least one national agency or organization that addresses the communicable disease chosen and describe how the organizations contribute to resolving or reducing the impact of disease.
  6. Discuss a global implication of the disease. How is this addressed in other countries or cultures? Is this disease endemic to a particular area? Provide an example. concepts of epidemiology and nursing research to a communicable disease

A minimum of three peer-reviewed or professional references is required.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite. A link to the LopesWrite technical support articles is located in Course Resources if you need assistance.

concepts of epidemiology and nursing research to a communicable disease

Malingering and Addiction in the Treatment of Sleep Disorders

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Malingering and Addiction in the Treatment of Sleep Disorders

According to the National Sleep Foundation (2013), about 30–40% of the general population reports some level of insomnia during their lives, and 10–15% experience significant, chronic insomnia. For these individuals, medications to help induce and sustain sleep may be helpful. On the other hand, sleep aids pose potential concerns, namely abuse. Some people exceed recommended doses, and some continue taking medications even after symptoms are no longer present. Others obtain medications under false pretenses, which is one form of malingering. Malingering occurs when clients make up or exaggerate symptoms for some personal gain. Although mental health professionals may not be directly implicated in the client’s deceit, their unique position to receive more accurate and honest information than other medical professionals presents ethical concerns. What is the mental health professional’s role in these instances? In which instances would it be appropriate to break confidentiality due to a concern of malingering? How could the malingering potentiality be planned for and avoided? Malingering and Addiction in the Treatment of Sleep Disorders

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For this Assignment, conduct an Internet search or a Walden Library search for at least one peer-reviewed journal article that addresses a counseling issue related to malingering and addiction in treating sleep disorders.

In a 3- to 5-page, APA-formatted paper, include the following:

A description and explanation of the major types of drugs prescribed for sleep disorders
An explanation of the potential for addiction associated with these medicines
An explanation of the issues related to malingering in the treatment of sleep disorders
An explanation of the mental health professional’s role in mitigating the potentialities of malingering
Support your explanations with specific references to the Learning Resources and your peer-reviewed journal article.

Malingering and Addiction in the Treatment of Sleep Disorders

Addressing Ethical Implications in the Treatment of ADHD

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Addressing Ethical Implications in the Treatment of ADHD

Assignment: Addressing Ethical Implications in the Treatment of ADHD
Generally, mental health professionals attempt to empower clients to care for their own problems by supporting client agency. However, in some cases clients may be stifled in their efforts to self-advocate. In other instances, clients may make dangerous, potentially lethal decisions out of misinformation or attempts to get high. Mental health professionals should be prepared to identify warning signs that might indicate a need to protect a client beyond asking that she or he take the necessary steps. Addressing Ethical Implications in the Treatment of ADHD

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For this Assignment, review the ADHD case study of “Junior” in the Learning Resources. Consider the ethical implications of the client’s presentation as well as the role of the mental health professional in treating this client. Plan steps to begin treatment of this client’s condition.

In a 2 page, APA-formatted paper, include the following:

An explanation of what may be occurring in this case.
An explanation of the psychopharmacological interventions a mental health professional might recommend to treat this client and why these interventions might be necessary.
Address ethical implications that may be present in the client’s presentation
Address larger ethical implications of medical treatment of ADHD by the mental health professional
Support your explanations with scholarly evidence and information from the DSM-5.

Addressing Ethical Implications in the Treatment of ADHD