Essay

Is an essay explaining, why you want to become a Doctor of Nursing Practice (DNP).

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module 2 discussion

Please see attachment for the assignment guidelines. 

In recent years, many widespread infectious disease outbreaks have occurred. Some of these diseases have been domestic epidemics (measles, hepatitis, etc.) and others have been of global concern (Coronavirus, Ebola, H1N1, etc.). Preventing the spread of infectious disease is everyone’s responsibility.

1) What can you do on a day-to-day basis to prevent the spread of disease in your home, in your workplace, and public areas?

2) Regardless of methods to decrease spread of infectious diseases, pathogens are everywhere.  Would it make sense to focus on strengthening your own immune system to increase the effectiveness of which it can handle exposure to these pathogens?  If so, what are some ways in which you could do this?

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Psychotherapy with individual

 

Learning Objectives

Students will:
  • Assess progress for clients receiving psychotherapy
  • Differentiate progress notes from privileged notes
  • Analyze preceptor’s use of privileged notes

To prepare:

  • Reflect on the client you selected for the Week 3 Practicum Assignment. 
  • Review the Cameron and Turtle-Song (2002) article in this week’s  Learning Resources for guidance on writing case notes using the SOAP  format.

 

The Assignment

Part 1: Progress Note

Using the client from your Week 3 Assignment, address the following in a progress note (without violating HIPAA regulations):

  • Treatment modality used and efficacy of approach 
  • Progress and/or lack of progress toward the mutually agreed-upon  client goals (reference the Treatment plan—progress toward goals)
  • Modification(s) of the treatment plan that were made based on progress/lack of progress
  • Clinical impressions regarding diagnosis and/or symptoms
  • Relevant psychosocial information or changes from original  assessment (i.e., marriage, separation/divorce, new relationships, move  to a new house/apartment, change of job, etc.)
  • Safety issues 
  • Clinical emergencies/actions taken 
  • Medications used by the patient (even if the nurse psychotherapist was not the one prescribing them)
  • Treatment compliance/lack of compliance
  • Clinical consultations
  • Collaboration with other professionals (i.e., phone consultations  with physicians, psychiatrists, marriage/family therapists, etc.)
  • Therapist’s recommendations, including whether the client agreed to the recommendations
  • Referrals made/reasons for making referrals 
  • Termination/issues that are relevant to the termination process  (i.e., client informed of loss of insurance or refusal of insurance  company to pay for continued sessions)
  • Issues related to consent and/or informed consent for treatment 
  • Information concerning child abuse, and/or elder or dependent adult  abuse, including documentation as to where the abuse was reported
  • Information reflecting the therapist’s exercise of clinical judgment

Note: Be sure to exclude any information that should not be found in a discoverable progress note.
 

Part 2: Privileged Note

Based  on this week’s readings, prepare a privileged psychotherapy note that  you would use to document your impressions of therapeutic  progress/therapy sessions for your client from the Week 3 Practicum  Assignment.

  • The privileged note should include items that you would not typically include in a note as part of the clinical record. 
  • Explain why the items you included in the privileged note would not be included in the client’s progress note.
  • Explain whether your preceptor uses privileged notes, and if so,  describe the type of information he or she might include. If not,  explain why.

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NURS-6050N-66/NURS-6050C-66-Policy & Advocacy

‘THIS JOB IS A REPLY TO THE BELOW INFORMATION DONE BY STUDENT -(discussion)

The proposed health policy chosen is titled Health and Economic Recovery Omnibus Emergency Solutions Act” or simply the HEROES Act. The policy was introduced in the house on 05/12/2020 with the main objective of responding to the Covid-19 disease outbreak by factoring in its impacts on the economy, public health, local and state governments, Americans as well as various businesses. The bill also has other provisions and these include providing emergency supplemental materials to the federal agencies during the FY 2020. What’s more, the bill also ensures that the state, local and territorial governments have the assistance required to fight emergencies such as the global pandemic (Congress.gov, 2020). In addition, the HEROES Act expands paid sick days, as well as ensuring that the family and medical leaves are long enough and addresses the issues of unemployment, nutrition and other health concerns. With regard to fighting the global pandemic, the bill pushes for funding and ensuring that the Covid-19 requirements including testing and contact tracing are properly done, as well as the elimination of cost sharing specifically for Covid-19 treatments (Congress.gov, 2020). Most significantly, the bill also proposes that all employers should develop and engage in the implementation of infectious disease exposure control plans as well as ensuring that employees are well trained and can easily access the PPEs with reference to the global pandemic.

            The Corona Virus pandemic has caused several losses of lives in addition to numerous hospitalizations in the US. Being a highly infectious disease, it is of utmost significance to understand the prevalence of the disease and for the highly susceptible populations, necessary measures should be undertaken to reduce the spread. One of the measures proposed by WHO include containment measures, contact tracing, keeping distance and washing hands among others. Since WHO has proved that these measures may help in the prevention of Covid-19 and other infectious diseases, it is evident that the HEROES bill, if passed, may help in reducing the number of Covid-19 cases, especially by ensuring that the WHO guidelines on containing the pandemic are adhered to, as well as ensuring that employers comply to the containment measures as well as ensuring that their employers are safe. Moreover, another significant component of the bill is that it addresses the impacts of Covid-19 on the US economy, together with ensuring that the disease does not affect individuals, as well as their businesses. All these support the benefits of this bill and how it will aid in opening the economy, honoring heroes as well as sending money to the Americans as asserted by the National Law Review (2020).

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Tourette Syndrome

  

Using evidence-based research, design and develop a Parent Guide for your assigned disorder : ( Tourette Syndrome) Include pictures.

  • Signs and      symptoms
  • Pathophysiology
  • How the disorder      is diagnosed
  • Treatment      options

Provide a minimum of three academic references.

Required Readings ( Need 3 references)

American Nurses Association. (2014). Psychiatric-mental health nursing: Scope and standards of practice (2nd ed.). Washington, DC: Author.

· Standard 9 “Evidence-Based Practice and Research” (pages 71-72)

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author.

· “Neurodevelopmental Disorders”

· “Specific Learning Disorder”

· “Motor Disorders”

Kaltiala-Heino, R. (2010). Involuntary commitment and detainment in adolescent psychiatric inpatient care. Social Psychiatry Epidemiology, 45(8), 785-793. doi: 10.1007/s00127-009-0116-3.

Lindsey, M. A., Joe, S., Muroff, J., & Ford, B. E. (2010). Social and clinical factors associated with psychiatric emergency service use and civil commitment among African-American youth. General Hospital Psychiatry, 32(3), 300-309. doi:10.1016/j.genhosppsych.2010.01.007

McGavey, E. L., Leon-Verdin, M., Wancheck, T. N., & Bonnie, R. J. (2013). Decisions to initiate involuntary commitment: The role of intensive community services and other factors. Psychiatric Services, 64(2), 120-126.

Murphy, T. K., Lewin, A. B., Storch, E. A., Stock, S. (2013). Practice parameter for the assessment and treatment of children and adolescents with tic disorders. Journal of the American Academy of Child & Adolescent Psychiatry, 52(12), 1341–1359. Retrieved from http://www.jaacap.com/article/S0890-8567(13)00695-3/pdf 

Sadock, B. J., Sadock, V. A., & Ruiz, P. (2014). Kaplan & Sadock’s synopsis of psychiatry: Behavioral sciences/clinical psychiatry (11th ed.). Philadelphia, PA: Wolters Kluwer.

· Chapter 4, “Theories of Personality and Psychopathology” (pp. 151–191)

· Chapter 31, “Child Psychiatry” (pp. 1181–1205)

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Systems Thinking in Advanced Nursing Practice

 

Describe the selected problem from two of the three system levels (micro, meso, macro).

 The healthcare system is a complex and high risk; therefore, the Joint Commission recommends creating high-reliability organizations within every healthcare facility.  Building a high-reliability organization is about creating a culture of high quality, high safety, and patient-focused.  Using my facility as an example, the culture within each of the departments at the hospital is the microsystems level.  This is the location of patient communication and hands-on patient care.  The problem exists in reporting near misses to avoid bigger safety events in the future.  The culture across the Mercy Health St. Rita’s including the hospital, home care/hospice, primary care, and specialty offices would be the mesosystem level.  Here continuity of care is provided across this environment.  Having an environment that promotes communication and reporting is the problem.  The culture among the entire BonSecour Mercy Health healthcare system would be the macrosystems level.  They govern the overall healthcare being provided according to the standards and expectations (Alam, 2020).  The problem would be to establish the expectations around creating a high-reliability organization.

Explain how the outcomes of one system level effect the other levels?

            The culture of one system-level reflects the values and beliefs of team members across all levels.  The expectations from the macrosystem reflection down to the microsystem.  Like with Joint Commission setting an expectation for healthcare systems to become high-reliability organizations, the regulatory team members from the macro to meso to micro enforce these expectations.  The mesosystem level receives most of the attention related to the culture embedded within their organization good or bad.  However, the training and education to create a culture of high safety and quality happen at the microsystem level.  It includes providing an environment where front line team members feel safe to speak about the problems and offer solutions on how to solve them without the fear of repercussion.  The microsystem level needs to know the macrosystem and mesosystem levels will trust and support them (Manley & Jackson, 2019).

How is a systems approach beneficial in improving healthcare quality and safety?

 All workers want to be apart of an organization that promotes high quality and safety no matter the system level they are associated with.  Continuing the focus of creating a culture of high quality and safety, all levels have a different view.  The macrosystem level can see when environments do not promote this culture leading to risk and harm caused to patients.  They see patterns for success and opportunity across various facilities.  Learning from one another can be promoted.  This level is visionary,  big picture.  At the mesosystem level has the view to see the expectations and see the details specific to the facility to create the process around developing the culture.  Middle managers at this level are strategically valuable.  They can effectively influence change through educating and encouraging team members to speak out.  From here they can voice concerns or needs up to the macrosystem level (Gutberg & Berta, 2017).  The microsystem level can implement a culture of high quality and safety.  With training, development, and support, they can carry out the vision set forth by the macrosystem level   (Manley & Jackson, 2019).  All system levels are important for advancing the healthcare system.  Neither level could function independently effectively or efficiently.   

I need a comment for this post at least 2 paragraphs with 2 sources no later than 5 years. 

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Workplace Environment Assessment

 

Workplace Environment Assessment

How healthy is your workplace?

You may think your current organization operates seamlessly, or you may feel it has many issues. You may experience or even observe things that give you pause. Yet, much as you wouldn’t try to determine the health of a patient through mere observation, you should not attempt to gauge the health of your work environment based on observation and opinion. Often, there are issues you perceive as problems that others do not; similarly, issues may run much deeper than leadership recognizes.

There are many factors and measures that may impact organizational health. Among these is civility. While an organization can institute policies designed to promote such things as civility, how can it be sure these are managed effectively? In this Discussion, you will examine the use of tools in measuring workplace civility.

To Prepare:

  • Review the Resources and examine the Clark Healthy Workplace Inventory, found on page 20 of Clark (2015).
  • Review and complete the Work Environment Assessment Template in the Resources.
By Day 3 of Week 7

Post a brief description of the results of your Work Environment Assessment. Based on the results, how civil is your workplace? Explain why your workplace is or is not civil. Then, describe a situation where you have experienced incivility in the workplace. How was this addressed? Be specific and provide examples.

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MGMT315 Week 6 Assmt

 Instructions

This week we are focusing on global communication. I would like you to write a 3-5 page paper with global communication as your topic. I am going to leave the details of this paper up to you…it just needs to involve global communications in some way. You could choose to cover the topic in a broad way, or you could choose to focus on a particular company and explain their methods of communicating globally. As long as your paper is well written and researched, you can decide!

Paper must include:

Cover Page

3-5 pages content

Reference Page

Wikepedia is not an acceptable source for this paper should you choose to use additional sources.

APA formatting

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Dq

Reply to this discussion (site sources if applicable)

Stakeholders are the ones that play large roles in the organization’s performance and operations that affect the actions that take place within the organization. Stakeholders are vested entities that influence decisions and implement policies that use current evidence-based practice. Internal stakeholders can facilitate the implementation of a proposed change of practice. Multidisciplinary teams within medical units also play a role in the units’ infrastructure that care for patients, influencing changes in practice. If there is a need for a shift in culture and practice, the multidisciplinary team is the first step to create the change. Management is the next step in supporting a change in care practice, and buy-in from them can help further efforts to make a change. Leaders can also facilitate training and ongoing education to understand new evidence-based practices and implementation success of the capstone project.

Patients are external stakeholders, and when they receive excellent care based on current up to date evidence-based practice that decreases mortality and increases compliance. The community can offer support for change in care practices, making them aware of projects that can better their care and benefit them to help gain support for the projects’ success. Building a platform for introducing topics that can increase awareness of certain aspects of care that can be improved helps increase support and active engagement by all stakeholders. Providing many different skills, knowledge, and resources from stakeholders could assist with the capstone project implementation and secure their support.

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HIMA350 Week 6 Forum

Answer the following questions:

  • Choose one data display tool (line graph) covered in your reading this week.
  • Think of a common HIM activity that uses data that could be displayed with your tool of choice.
  • Describe how this would look and how it would be useful

300-350 words total

No special formatting required.

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