Assignment Details

Imagine that you are the CEO of a large, metropolitan, multispecialty health care organization located in an urban city within the United States. The health care organization is for-profit and privately held. The demographics of the surrounding area include military personnel, educators, government employees, professionals, factory workers, and laborers.

With the recent and proposed changes in health care regulations and the uncertainty surrounding federal law (e.g., the Affordable Care Act), the organization must cut costs and reduce the number of full-time personnel.

The board has asked you to create a bulleted Executive Summary of the key positions that must be retained within the organization and the positions that can be eliminated. Provide your opinion about how these personnel changes could impact quality and patient satisfaction HEALTH CARE AND THE CONSUMER SUBMISSION.

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Create a high-level 500–750-word Executive Summary for the board that provides a brief description of the health care organization, a list of applicable laws that must be considered if staff is to be reduced, and a list of both the positions that must be retained and those that may be eliminated.

Be sure to include the following:

• A brief description of the health care organization
• A list of applicable laws or regulations that must be considered
• Recommendations regarding which positions may be eliminated and which cannot be eliminated
• Opinion about how these personnel changes could impact quality and patient satisfaction
• At least 2 outside scholarly sources, exclusive of your textbook
  • Your textbook may be used as an additional source.
• Always provide a Title page and References page—and these are not counted in your total assignment page count HEALTH CARE AND THE CONSUMER SUBMISSION.

Literature in psychotherapy differs from other areas of clinical practice. Generally, there are no clinical trials in psychotherapy because it is often neither appropriate nor ethical to have controls in psychotherapy research. This sometimes makes it more difficult to translate research findings into practice. In your role, however, you must be able to synthesize current literature and apply it to your own clients. For this Assignment, you begin practicing this skill by examining current literature on psychodynamic therapy and considering how it might translate into your own clinical practice APPLYING LITERATURE TO CLINICAL PRACTICE.

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Learning Objectives

Students will:

· Evaluate the application of current literature to clinical practice

To prepare:

· Review this week’s Learning Resources and reflect on the insights they provide.

· Select one of the psychodynamic therapy articles from the Learning Resources to evaluate for this Assignment. PSYCHOANALYSIS ON THE INTERNET: ( {see attachment} Migone, P. (2013). Psychoanalysis on the Internet: A discussion of its theoretical implications for both online and offline therapeutic technique. Psychoanalytic Psychology, 30(2), 281–299. https://doi-org.ezp.waldenulibrary.org/10.1037/a0031507)

Note: In nursing practice, it is not uncommon to review current literature and share findings with your colleagues. Approach this Assignment as though you were presenting the information to your colleagues.

The Assignment

In a 5- to 10-slide PowerPoint presentation, address the following:

· Provide an overview of the article you selected.

o What population is under consideration?

o What was the specific intervention that was used? Is this a new intervention or one that was already used?

o What were the author’s claims?

· Explain the findings/outcomes of the study in the article. Include whether this will translate into practice with your own clients. If so, how? If not, why?

· Explain whether the limitations of the study might impact your ability to use the findings/outcomes presented in the article. Support your position with evidence-based literature.

Note: The presentation should be 5–10 slides, not including the title and reference slides. Include presenter notes (no more than ½ page per slide) and use tables and/or diagrams where appropriate. Be sure to support your work with specific citations from the article you selected. Support your approach with evidence-based literature.

Reference

· Migone, P. (2013). Psychoanalysis on the Internet: A discussion of its theoretical implications for both online and offline therapeutic technique. Psychoanalytic Psychology, 30(2), 281–299. https://doi-org.ezp.waldenulibrary.org/10.1037/a0031507) APPLYING LITERATURE TO CLINICAL PRACTICE

As nurse practitioners strive to achieve full-autonomous practice across the country, it should be noted that many states grant this ability to practice independently to psychiatric mental health nurse practitioners. To that end, you will be engaging in projects this semester that assume that you are practicing in a state that allows full-practice authority for NPs, meaning that the PMHNP may be the “captain of the ship” concerning caring for a patient population.

The “captain of the ship” is the one who makes referrals to specialists, coordinates care for their patients/clients, and is responsible and accountable for patient/client outcomes overall. This is a decided change from a few decades ago when physicians were the “captain of the ship” and NPs played a peripheral role DEPRESSION DISORDER.

In this Assignment, you will become the “captain of the ship” as you provide treatment recommendations and identify medical management, community support resources, and follow-up plans for a client with a depression disorder.

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Learning Objectives

Students will:

· Recommend psychopharmacologic treatments based on therapeutic endpoints for clients with depression disorders

· Recommend psychotherapy based on therapeutic endpoints for clients with depression disorders

· Identify medical management needs for clients with depression disorders

· Identify community support resources for clients with depression disorders

· Recommend follow-up plans for clients with depression disorders

To prepare for this Assignment:

· Select an adult or older adult client with a depressive disorder you have seen in your practicum.

In 4 pages, write a treatment plan for your client in which you do the following:

Thesis statement

Describe the HPI and clinical impression for the client.

Recommend psychopharmacologic treatments and describe specific and therapeutic endpoints for your psychopharmacologic agent. (This should relate to HPI and clinical impression.)

Recommend psychotherapy choices (individual, family, and group) and specific therapeutic endpoints for your choices.

Identify medical management needs, including primary care needs, specific to this client.

Identify community support resources (housing, socioeconomic needs, etc.) and community agencies that are available to assist the client.

Recommend a plan for follow-up intensity and frequency and collaboration with other providers DEPRESSION DISORDER.

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 completing this assignment.

Communicable Disease Selection

Choose one communicable disease from the following list:

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

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Epidemiology Paper Requirements

Address the following:

1. Describe the communicable disease (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 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. (The textbook describes each element of the epidemiologic     triangle). 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     collecting, data analysis, and follow-up).
5. Identify at     least one national agency or organization that addresses the     communicable disease chosen and describe how the organization(s)     contributes 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.

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. An abstract is not required.

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

You are required to submit this assignment to Turnitin. Please refer   to the directions in the Student Success Center.

NRS427V-RS-CommunicableDiseaseChain.doc Communicable Disease

DQ 1

Name three essential structural elements of a functional eukaryotic chromosome and describe their functions. Discuss the implications related to research, health, and life span in terms of one of the structural elements.

DQ 2

Describe the difference among replication, transcription, and translation for both DNA and RNA.

Topic 2: Genetics I

DQ 1

Describe at least four factors that can be associated in a complex inheritance health issue.

DQ 2

Compare two genomic tests used for screening, diagnosis, and management of a disease. Describe whether outcome data exists related to the utility of these tests and what the data shows, if available Genomics.

Topic 3: Genetics 2

DQ 1

Contrast two models used for multigenerational family health histories. Which do you prefer and why?

DQ 2

Describe the importance of a comprehensive health and physical assessment that includes information on environment, and genomic influences. Frame this answer through your current role, whether as an Advanced Registered Nurse Practitioner (ARNP) with a practice, or a nurse executive overseeing nursing practice in an organization.

Topic 4: Personalized Genetic Medicine

DQ 1

Genetics testing is viewed as either positive or negative. When used to detect the genes for breast cancer, health insurance companies deny care based on genetics. Why? Describe one genetic test and its impact on health, prevention, screening, diagnostics, treatment selection, and treatment effectiveness.

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DQ 2

Evidence-based practice and standardized clinical guidelines have improved organizations and the ability of providers to provide the care with the highest level of evidence to each patient. Describe one pharmacological agent with a protocol/clinical guideline that is used. Discuss how this protocol may not take into consideration genetic variations. What can be done to tailor care to each patient while providing standardized treatments?

Topic 5: Nutrition

DQ 1

Describe one health issue and discuss how nutrition can impact this health issue positively and negatively.

DQ 2

Choose one disorder of malnutrition. Discuss the genetic and environmental influences on this disorder, including prevalence rates, testing, treatment, and prognosis Genomics.

Topic 6: Aging

DQ 1

Discuss how genetic and genomics can play a role in a demand for new health services and how it may impact health care expenditures in the aging population. Give one example.

DQ 2

Describe one method that includes using evidence-based data to support a new or innovative ways to care for the aging now or in the future. How will it impact care and what are the anticipated outcomes?

Topic 7: Chronic Disease

DQ 1

Discuss how genetic and genomics can play a role in a demand for new health services and how it may impact health care expenditures in the chronic disease population. Give one example.

DQ 2

Describe one method that includes using evidence-based data to support a new or innovative way to care for those with chronic disease now or in the future. How will it impact care and what are the anticipated outcomes?

Topic 8: Ethical and Legal Considerations

DQ 1

Choose one recent (within last 2 years) news story about genetic or genomic technology. Describe the issue presented. From the perspective as an RN or APRN, describe the ethical, cultural, religious, legal, fiscal, and societal implication Genomics.