Using the Triage Assessment Form

 

After reading the case examples in the Myer and Conte (2006) article, you have a better understanding of how to use one type of assessment tool. A Microsoft Word copy of the Triage Assessment Form (TAF) is included in the assignment Resources. The most current version of this form is also shown in your James and Gilliland (2013) text, pages 63–65. Use the form to analyze Jordan, described below. You can save the form as you have completed it as a MS Word document or as a PDF document, and attach the form to your written paper as an appendix.

 

Rate the client in each of the three domains (Affective, Behavioral, and Cognitive) using the Severity Scale included with each domain on the Triage Assessment Form (TAF) and total the scores. Describe, in detail, the rationale for your ratings, including your judgment about how intense and directive the treatment should be based upon the total score. In your discussion of the rationale, summarize diagnostic skills and techniques that can be used to screen for addiction, aggression, and danger to self and others, as you note these risks in your client. Similarly, a possible co-occurring mental disorder (such as substance abuse) may become apparent during a crisis, disaster, or other trauma-causing event that ties in with your assessment during the client’s crisis. Note this as well in your rationale.

 

Project Objectives

 

To successfully complete this project, you will be expected to:

 

·         Summarize diagnostic skills and techniques used to screen for addiction, aggression, and danger to self and others, as well as co-occurring mental disorders during a crisis, disaster, or other trauma-causing events.

 

·         Evaluate key elements of the crisis, disaster, or trauma-causing event including the nature of the crisis and associated risks, including client and counselor safety.

 

·         Discuss developmental and cultural considerations in crisis assessment and intervention.

 

·         Exhibit proficiency in effective, credible academic writing, and critical thinking skills.

 

Note: A template for your APA formatted paper is included in the assignment Resources. Please use the template to present the assignment criteria in an organized way. The headings guide you to the criteria, and the details that are included describe what is necessary to complete the assignment to a Distinguished degree.

 

Case

 

 

 

Jordan

 

Jordan arrives at counseling saying that her husband, Jake, left the house earlier that day in an agitated mood and with his rifle, and tearfully discloses concerns about her safety and his. She states that her friend, who has been worried about her for some time, insisted that she see a counselor. Jordan says she was surprised at Jake’s abrupt departure because she was unaware of any plans he had to go hunting, and if he was not going hunting, why he would take his gun out. She recalls that she and Jake had fought the previous night over his drinking. Jordan reports that she asked Jake to stop drinking so much, and in response, he threatened her and slammed a few doors. She recalls that Jake said he liked being a little drunk and pushed her back against the kitchen counter at one point. When Jake went back into a spare bedroom to sleep that night, Jordan found numerous beer bottles in the den and a large empty whiskey bottle in front of his truck. Jordan states that it was not unusual for Jake to put his rifle in his truck when he planned to go hunting, but when he had done so today, he had still been quite angry about her accusation that he was drinking too much. After he left, Jordan reports that she began shaking. She felt fear for her own safety, so she called her friend who insisted that she speak to a counselor. While Jordan was on her way to counseling, her husband called her. He seemed calm, asked about her day, and said nothing about the previous night or his abrupt departure. Jordan states that this switch in mood from extreme aggression to a pleasant tone “seems weird.” Jordan asks for help in dealing with her husband’s odd behaviors. She fears for her own safety and the safety of her husband, but is unwilling to call the police. As she speaks, she is agitated and continually looks over at the doorway, as though expecting it to burst open.

 

Project Requirements

 

·         Content: Prepare a comprehensive paper that includes all elements described.

 

·         Components: The paper must include a title page, abstract, and reference list.

 

·         Written communication: Develop accurate written communication and thoughts that convey the overall goals of the project and do not detract from the overall message.

 

·         APA formatting: Resources and citations must be formatted according to APA (6th Edition) style and formatting.

 

·         Number of pages: The body of the paper should fall within 3–5 pages of text, plus 3 pages of the Triage Assessment Form, excluding title page and reference list.

 

·         Number of resources: Minimum of 4 current resources, published within the last 12 years, and you may include your text as one.

 

·         Font and font size: Times New Roman, 12-point.

 

Submit the completed paper and form to the assignment area.

 

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Your cover letter should be:

• -Presented and formatted in a professional business manner
• -Addressed properly
• -Clear and concise and include:
  • Content Introduction
  • Content Body
  • Content Conclusion
• -Personal philosophy statement
• -Self-assessment
• -Personal goals (short term and long term)
• -Achievements
• -2 letter of recomendation

SEE ATTACHED ASSIGNMENT TO FOLLOW BUT IT HAS TO BE DIFFERENT. THANK YOU.

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Based on the feedback offered by the provider, identify the best approach for teaching. Prepare a presentation based on the Teaching Work Plan and present the information to your community.

Options for Delivery

Select one of the following options for delivery and prepare the applicable presentation:

1. PowerPoint presentation – no more than 30 minutes
2. Pamphlet presentation – 1 to 2 pages
3. Poster presentation

Selection of Community Setting

These are considered appropriate community settings. Choose one of the following:

1. Public health clinic
2. Community health center
3. Long-term care facility
4. Transitional care facility
5. Home health center
6. University/School health center
7. Church community
8. Adult/Child care center

Community Teaching Experience Approval Form

Before presenting information to the community, seek approval from an agency administrator or representative using the “Community Teaching Experience Approval Form.” Submit this form as directed in the Community Teaching Experience Approval assignment drop box.

General Requirements

While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide.

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

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Initial Post Instructions
This week you will read about architecture. The lesson includes information on Roman architecture, which was greatly influenced by the Greeks and Etruscans.

Locate at least two architectural works that were influenced by Greco-Roman architecture. These can be from any time period after the Greco-Roman period but should be from different periods themselves (e.g., one from Renaissance and one from Baroque). Then address the following:

• What is the function of each structure?
• How does each work exhibit influence of the Greco-Roman period? Is the influence specifically Greek, Etruscan, or Roman – or a combination?
• How would you compare the two selected works? Take the role of the evaluative critic.

Use examples from the text, the lesson, and the library to help support your answer. Please remember to provide images and citations to help illustrate your points.

Follow-Up Post Instructions
Respond to at least one peer. Further the dialogue by providing more information and clarification.

Daniela Carrillo 

YesterdayMay 16 at 4:59pmManage Discussion Entry

This week we are reading about architecture.  This is vastly different from other forms of art that we have learned about thus far. Our book describes how architects have a special and respected relationship in respects to space and function of that space.  Some of the most unique and well known buildings have been created with this foundation in architecture in mind.  As stated in our book, “Architecture generally creates a strengthened hierarchy in the positioned interrelationships of earth and sky and what is in between” (Jacobus & Martin, 2018).  The influences of Greco-Roman architecture are seen throughout the creation of buildings all over the world.   These structures are renowned for their magnificence, huge columns, and iconic beauty.  This style is also known for its symmetry, archways, vaults, and domes.  These structures are constructed using marble, limestone, and concrete.

St. Peter’s Square was built from 1656-1667 in the Vatican City, during the Renaissance time period.  Designed by Gian Lorenzo Bernini, it functions as a gathering place for the public upwards of 300,000 to see the Pope give his blessings.  It is named after Saint Peter, an apostle of Jesus and exhibits symmetry throughout its construction.  This structure exhibits the Greco-Roman period by its design.  For example, there is a trapezoidal entrance as one enters the elliptical viewing area.  Looking straight into the open area, one can see straight to the Papal Basilica of Saint Peter, known to be the headquarters of the Catholic church.  There is an Egyptian obelisk (a tall, four-sided narrow tapering monument that ends in a pyramid-like shape on top) located in the center of the viewing area.  Matching curved colonnades (long sequences of columns) flank each side of the obelisk with 284 columns, 88 pilasters, and 140 statues of saints (Civitatis Tours SL., n.d.).  In addition, there are two fountains on each side of the obelisk contribute to St. Peter’s square beauty and relaxing atmosphere after being constructed from 1667 to 1677 (Città Del Vaticano, n.d.).  The construction of St. Peter’s square embodies both Greek and Roman Architecture during the Renaissance era.

  

The Low Memorial Library located on the Columbia University campus in New York City is another example influenced by Greco-Roman architecture.  This structure was the first major building of Columbia University’s new campus built in 1895 – 1897 in the Late Modern Period.  It is located in New York City’s Morningside Heights neighborhood.  “Modeled after the Pantheon in Rome, Low (Memorial) Library was conceived as the visual and academic focal point of the campus plan” (National Park Service, n.d.).  There are several flights of steps with two landings that lead to the entrance of the building.  Its entrance faces the campus courtyard with several columns and a rising, central dome.  There are balconies along the base of the dome, with the north balcony featuring four statues of Euripides, Demosthenes, Sophocles and Augustus Caesar. The two massive columns of green marble at the entrance lead to the octagonal reading room.  This interior space is surrounded by sixteen columns of green granite from Vermont (University Archives, 2020).  This structure embodies both Greek and Roman architecture.

Low Memorial Library:

Pantheon in Rome Italy:

Taking the role of the evaluative critic and the three parts to being that, the insight to St. Peter’s Square is that this structure is a vast outdoor space where individuals can witness the pope give his blessing. This background knowledge allows for understanding of the intent behind this structure.  In my opinion, this structure is a work of perfection as the beautiful symmetry of the oval shape with its colonnades comes together to form an open area for people to gather. This structure is the ideal definition of inexhaustibility as it has infinite beauty and meaning behind each form and shape. St. Peter’s Square can be intimidating, beautiful, mysterious among so many other personal interpretations.  The Low Memorial Library has great insight behind it’s design.  Modeled after the Pantheon in Rome, this structure was built to be a library and has since become partly occupied with administrative offices. The massive columns in the front of the library give an onlooker the impression as if they are about to enter a great building, with thousands of books on display.  This structure embodies perfection and inexhaustibility shows in what appears to be an endless flight of stairs approaching the library doors.

References:

Città Del Vaticano. (n.d.). St. Peter’s Square Fountains. Retrieved May 16, 2021, from https://vatican.com/St-Peters-Square-Fountains/

Civitatis Tours SL. (n.d.). St. Peter’s Square – Vatican City. Civitatis Rome. Retrieved May 16, 2021, from https://www.rome.net/st-peters-square#:%7E:text=The%20most%20impressive%20part%20of,by%20the%20disciples%20of%20Bernini.

Jacobus, L., & Martin, D. F. (2018). Humanities through the Arts (10th ed.). McGraw-Hill Education.

National Park Service. (n.d.). Low Memorial Library, Columbia University, New York. National Park Service, U.S. Department of the Interior. Retrieved May 16, 2021, from https://www.nps.gov/places/low-memorial-library.htm

University Archives. (2020, April 20). Low and Gould Memorial Libraries: Contemporaries and Counterparts – News from Columbia’s Rare Book & Manuscript Library. News from Columbia’s Rare Book & Manuscript Library. https://blogs.cul.columbia.edu/rbml/2020/04/20/low-and-gould-memorial-libraries/

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Developing and Evaluating New Practice Approaches

One of the exciting aspects of participating in the health care field is the discovery of new techniques, treatments, and technologies that improve the quality of care and improve health outcomes. As someone engaged in advanced nursing practice, you have the opportunity to search for new solutions to issues in your specialty area. What tools can you use to guide the discovery process? What needs to be considered as you determine new practice approaches to address issues in health care? This week, you consider new ways to address the EBP Project issue you identified in Week 2 see attached file).

To prepare:

• Reflect on your analysis of the evidence base that addresses your selected issue from the EBP Project (identified during      Week 2 [see attached file]).
• Using methods articulated in the Learning Resources, formulate new evidence-based practice strategies to address the issue and improve health care quality.
• What are the theoretical bases for your proposed strategies?
• What might be the economic impact of implementing your proposed strategies?

By tomorrow  Wednesday day 10/03/18 10:00 am, write an essay of a minimum of 550 words in APA format, and at least 3 scholarly references from the list of required readings below. Include all level one headers as numbered below:

Post a cohesive response that addresses the following:

1) Briefly summarize your selected issue (see my PIICOT question below & attached file) and propose new evidence-based practice strategies. Describe the theoretical basis for your strategies.

2) Discuss the potential economic impact of your suggested strategies.

3) How could the new practice strategies improve health care quality?

Required Readings

White, K. M., Dudley-Brown, S., & Terharr, M. F. (2016). Translation of evidence into nursing and health care practice (2nd ed.). New York, NY: Springer.

• Chapter 6, “Translation of Evidence for Leadership”

Balakas, K., Sparks, L., Steurer, L., & Bryant, T. (2013). An outcome of evidence-based practiced education: Sustained clinical decision-making among bedside nurses. Journal of Pediatric Nursing, 28, 479-485.

Brown, D.S. (2012). Interview with quality leaders: Dr. Donna E. Shalala and Dr. Linda Burnes Bolton on the committee on the Robert Wood Johnson Foundation initiative on the future of nursing at the Institute of Medicine. Journal for Healthcare Quality, 24(4), 40-44.

Brandt, B., Lutfiyya, M.N., King, J.A., & Chioresco, C. ( 2014). A scoping review of interprofessional collaborative practice and education using the lens of the Triple Aim. Journal of Interprofessional Care, 28(5), 393-399.

Grindel, C.G. (2016). Clinical leadership: A call to action. Med-Surg Nursing, 25(1), 9-16.

Mannix, J., Wilkes, L, & Daly, J. (2015). Grace under fire: Aesthetic leadership in clinical nursing, Journal of Clinical Nursing, 24, 2649-2658.

Stetler, C.B., Ritchie, J.A., Rycroft-Malone, J., & Charns, M.P. (2014). Leadership for evidence-based practice: Strategic and functional behaviors for institutionalizing EBP. Worldviews on Evidence-Based Nursing, 11(4), 219-226.

Schaffer, M.A., Sandau, K.E., & Diedrick, L. (2013). Evidence-based practice models for organizational change: overview and practical applications. Journal of Advanced Nursing, 69(5), 1197-1209 (see attached file).

PIICOT Question

In patients in extended intensive care within an urban acute care facility in Eastern United States, how does early mobilization as recommended by National Institute of Health and Care Excellence clinical guidelines on rehabilitation of patients after critical illness impact early transfers from intensive care as measured 6 months post-implementation when compared to the current standard of care including minimal mobilization of patients?

P: Adult patients

I: in extended intensive care within an urban acute care facility

I: increased mobilization of the patients

C: minimal mobilization of the patients

O: early transfers of the patients from intensive care

T: 6 months

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