MILESTONE 2

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Please refer to milestone before completing assignment.

  1. Review the feedback you received from your instructor for Milestone 1, and use it to develop this milestone.
  2. Create a proposal for your Design for Change Capstone Project. Open the recommended assignment specific Milestone 2 Design Proposal Template (Links to an external site.)Links to an external site.. Use this to write your paper. You will include the information from Milestone 1, your practice issue and evidence summary worksheets, as you compose this proposal. Your plan is to convince your management team of a practice problem you have uncovered that is significant enough to change current practice.
  3. The format for this proposal will be a paper following the Publication manual of APA 6 th edition.
  4. The paper is to be four- to six-pages excluding the Title page and Reference page.
  5. As you organize your information and evidence, include the following topics.
    1. Introduction: Write an introduction but do not use “Introduction” as a heading in accordance with the rules put forth in the Publication manual of the American Psychological Association (2010, p. 63). Introduce the reader to the plan with evidence-based problem identification and solution.
    2. Change Model Overview: Overview of the ACE Star model (the model we have been discussing this session); define the scope of the EBP; identify the stakeholders, and determine the responsibility of the team members.
    3. Evidence: Conduct internal and external searches of evidence; integrate and summarize the evidence summary worksheet from Milestone 1; develop a recommendation for change.
    4. Translation: develop a hypothetical action plan; include measurable outcomes, reporting to stakeholders; identify next steps and disseminate the findings.
    5. Conclusion: Provide a clear and concise summary, inclusive of the problem issue, the five points of the ACE Star change model; and ways to maintain the change plan.
  6. Citations and References must be included to support the information within each topic area. Refer to the APA manual, Chapter 7, for examples of proper reference format. In-text citations are to be noted for all information contained in your paper that is not your original idea or thought. Ask yourself, “How do I know this?” and then cite the source. Scholarly sources are expected, which means using peer-reviewed journals and credible websites.
  7. Tables and Figures may be added as appropriate to the project. They should be embedded within the body of the paper (see your APA manual for how to format and cite). Creating tables and figures offers visual aids to the reader and enhances understanding of your literature review and design for change.
  8. Submit your paper by 11:59 p.m. MT by Sunday of the end of Week 4.

MILESTONE 1

 

Capstone Project Milestone 1:

Practice Issue and Evidence Summary Worksheets

For Use May 2018

Student Name: Date: 5/21/18

Directions

1. Refer to the guidelines for specific details on how to complete this assignment.

2. Type your answers directly into the worksheets below.

3. Submit to the Dropbox by the end of Week 3, Sunday at 11:59 p.m. MT.

4. Post questions about this assignment to the Q & A Forum. You may also email questions to the instructor for a private response.

Practice Issue Worksheet

 

List the topic and include the   citation for the systematic review you have selected from our approved list   (optional: an additional scholarly source of support):

Support for   healthy Breastfeeding mothers with healthy term babies.

McFadden, A., Gavine, A., Renfrew, M. J., Wade, A.,   Buchanan, P., Taylor, J. L., … MacGillivray, S. (2017). Support for healthy   breastfeeding mothers with healthy term babies. Cochrane Database of   Systematic Reviews, Issue 2. Art. No.: CD001141.   doi:10.1002/14651858.CD001141.pub5

 

What is the nursing practice issue   you have identified related to the topic you have chosen?

The nursing   practice issue identified is the unavailability of resources that can   facilitate the teaching of feeding cues to the mothers and expecting mothers in   order to provide the best breastfeeding practices.

 

Fully describe the scope of the practice issue:

The benefits of   breastfeeding for both mother and child is widely accepted across the medical   field. The world health organization has made a recommendation that infants   should be breastfed until six months exclusively, and even continue for up to   two years exclusively as the main part of infant diet. The current level of   breastfeeding in most of the countries does not indicate that recommendation.   Knowing this, instead of offering brief lactation classes on postpartum   units, interactive and in-depth lactation support should be available to all   expecting mothers and new mothers.

 

What is the practice area?

___   Clinical

_x__   Education

___   Administration

___   Other (List):

 

How was the practice issue   identified? (check all that   apply)

___   Safety/risk management concerns

___   Unsatisfactory patient outcomes

___   Wide variations in practice

__x_   Significant financial concerns

___   Difference between hospital and community practice

___   Clinical practice issue is a concern

___   Procedure or process is a time waster

___   Clinical practice issue has no scientific base

__   Other:

 

Describe the rationale for your   checked selections:

For this practice   issue, I selected significant financial concerns as a reason to why lactation   courses are not as prioritized as they should. Providing the resources needed   in order to facilitate an interactive in depth course may illuminate a   financial concern.

 

What evidence must be gathered? (check all that apply)

 

___   Literature search

___   Guidelines

___   Expert Opinion

___   Patient Preferences

_x__   Clinical Expertise

__x_   Financial Analysis

___   Standards (Regulatory, professional, community)

___   Other

 

Describe the rationale for your   checked selections: 

I selected   financial analysis because in order to supply the resources for these   lactation courses, the facilities/hospital’s financial capacity should be   considered. Hiring additional staff that offer expertise is essential in   offering quality care to the specific population.

 

Evidence Summary Worksheet 

Directions: Please type your answers directly into the worksheet.

 

Describe the practice problem in your   own words with reference to the identified population, setting and magnitude   of the problem in measurable terms:

As previously mentioned, though it has been   medically recommended for mothers of infants to breast feed for at least 6   months, the number of mothers that actually follow through with breastfeeding,   does not reflect its importance. Expecting and new mothers are not offered   enough support in regards to education, to ensure breastfeeding compliance.   As a result, the benefits of breastfeeding are not being reaped by mother and   infants.

 

Type the complete APA reference for   the systematic review article you chose from the list provided. It must be   relevant to the practice issue you described above. Include the APA reference   for any additional optional supplemental scholarly source related to   the review you wish to use.\

Renfrew, M. J., McCormick,   F. M., Wade, A., Quinn, B., & Dowswell, T. (2012). Support for healthy   breastfeeding mothers with healthy term babies. Cochrane Database Syst Rev, 5(5).

 

Identify the objectives of the article:

To determine the categories of breastfeeding   support that haven examined in the controlled research, the timing for the   intervention and the setting which the research and interventions are used

To determine the efficiency of diverse modes   for offering the intervention support for instance, whether the offered   intervention is reactive, proactive and over the phone or face to face, and   if such intervention has the elements of postnatal and antenatal and their   effectiveness.

To evaluate the effectiveness of various   caregivers and trainings in situations   where there was series of trainings.

To explore the interactions between the rates   of breastfeeding background and support effectiveness.

Provide a statement of the questions being addressed in the work and   how these relate to your practice issue:

Offering the support for the breastfeeding to women   both antenatal and postnatal results in the increase of the exclusivity and   duration of breastfeeding, hence better health for mother and child. The   practice issue identified, suggests that the resources and the availability   of staff may be an issue. Financially, many facilities may not deem these   interventions as those that require priority, thus dwarfing the availability   interactive lactation support courses.

 

Summarize (in your own words) the interventions the author(s) suggest   to improve patient outcomes.

In order to gain success, these courses should   be instructed by qualified personnel who are able to provide in depth   expertise. The program should provide progressive arranged visits with women   on the based on the time that they’re available. The program should be   tailored to the setting and need of the group.

Summarize the main findings by the   authors of your systematic review including the strength of evidence for each   main outcome. Consider the relevance   to your project proposal for the Milestone 2 project paper. (If an optional supplemental source is also used, include a   statement of relevance to it as well.)

The main findings are that the support offered   by both the professional and lay persons had positive impact on the outcome   of breastfeeding.

Factors like the face to face breastfeeding   support and personalized trainings encourage the duration and exclusivity of   breastfeeding in new mothers.

 

Outline evidence-based solutions that you will consider for your   project.

Evidence-based solutions that increase the   rate of breastfeeding includes; patient centered care of mothers who are   experiencing issues with breast feeding, giving support in the settings that   have high rate of initiation, and education provided by experts that enables   mothers both antenatal and postnatal to have access to all the information   they need to provide the best care for their infants. Also, the support   strategy should include face to face interactions for higher chances of   success for the breastfeeding women.

Discuss any limitations to the studies that you believe impacts your   ability to utilize the research in your project.

The studies were limited to 100 studies, and   73 studies were limited to 29 countries which is even less than 50% of the   countries across the globe. Statistics cannot rely on such figure as   representatives.

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nursing research

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Week 3: Discussion

Study 1: Course content related to chronic wounds in nursing degree programs in Spain.

Brief Description of Method Employed:

This study is a cross-sectional descriptive study that talks about chronic wounds in a nursing degree program. This article is about a study that offers a point of reference to consider where we are in this field and what should be done to improve the preparation of healthcare professionals, thereby improving the prevention and treatment of chorionic wounds.  114 colleges were analyzed in this study.

Data Collection Steps

Study           1:Course contentrelated to chronic wounds in nursing degree programs inSpain.

Comments

Step 1

Identifying the variables in this study

114 centers with degree programs.

Step 2

Analyzing the degree in nursing program information and accessing the program and course content that was available online.

Registro de Universidades, Centros y Titulos degree program was analyzed. Search terms included degree titles containing “Nursing”.

Step 3

Analyzing the content of each course description and/or syllabus

Two researchers independently analyzed the content of each course description or syllabus and reached a consensus agreement.

Step 4

Analyzing elective courses

All elective course options were recorded and placed into the different categories that had anything to do with wounds or nursing.

Step 5

Identifying the limitations of the data collection.

The limitation of the data collection was the lack of a common set of official criteria governing nursing course content description.

Conclusion:

This article concludes that they observed differences in the presence of the four top educational priorities in wound management and tissue repair. Pain management in patients with the chronic wound is not addressed in any course, and more courses consider the treatment of pressure ulcers than their preventions

References

Cowman, S., Gethin, G., Clarke, E., Moore, Z., Craig, G., Jordan-O’Brien, J., . . . Strapp, H. (2012). An international eDelphi study identifying the research and education priorities in wound management and tissue repair. Journal of Clinical Nursing, 21(3–4), 344–353.

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Communicable and Infectious Disease. Sexually Transmitted Disease and HIV and AIDS.

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1.  In your own words and using the proper evidence-based references define communicable and infectious disease.  Discuss if there is any similarity and how they related each other.  Give some example of communicable disease and infectious disease and why they are classified like that.

2.  Discuss the vaccination requirement in our state and tell me if they are given to prevent communicable of infectious disease.  Give examples.

3.  Discuss why is no a “typical” STI(Sexually Transmitted Disease/Infection) patient.  Why does the presence of STI greatly increased the risk of HIV transmission?

4.  Present an overview of the medication Prep (Truvada) and discuss the pros and cons of the use of this medication in the prevention of communicable and infectious disease.

This assignment must be presented based in an APA format word document, Arial 12 font.

A minimum of 3 evidence-based references no older than 5 years  (excluding the class textbook) is required.  A minimum of 600 words is required (excluding first and last page).

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Nursing Assignment

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Blood Transfusion Case Study

Name: _____________________________ Date: _____________________ Class: NUR 438

Brief Patient History

Mr. S is a 75-year-old man who has a long history of chronic atrial fibrillation treated with warfarin, CHF, ESRD, and DM II. Over the past week, Mr. S has experienced intermittent epigastric pain and black stools. He is now dizzy and weak.

Clinical Assessment

Mr. S is admitted to the intensive care unit from the emergency department. He recently began taking ciprofloxacin for a urinary tract infection. He also has been taking an aspirin each day because he heard it was good for you. Also, he recently began taking over-the-counter ibuprofen for his stomach pain and general aches.

Diagnostic Procedures

Mr. S’s admission laboratory work reveals a hemoglobin level of 7 g/dL and an international normalized ratio (INR) of 7. His baseline vital signs include the following: blood pressure of 80/60 mm Hg, heart rate of 150 beats/min (atrial fibrillation), respiratory rate of 30 breaths/min, SPO2 92%, and temperature of 37.3 degrees Celsius.

Medical Diagnosis

Diagnosis is acute gastrointestinal bleeding

Nursing Actions

You have started and finished the FFP, and are currently transfusing the allogenic PRBCs. Ten minutes after starting the PRBC transfusion, Mr. S begins to C/O back pain, chills, and SOB. After taking his oral temperature you note it is now 38.8 degrees Celsius. He appears anxious, and is pulling at his lines and tubes.

 

1. What is this patient’s mean arterial pressure (MAP)? Is his MAP adequate, and why? Please show your work for the math equation.

 

2. What signs and symptoms may Mr. S exhibit secondary to his low H&H laboratory values?

3. What is the importance of administering the FFP prior to the PRBC’s in Mr. S’s case?

 

4. What should the length of time be to transfuse Mr. S’s PRBC’s, and why?

 

5. Mr. S is O positive blood type. What blood types can he receive, and what blood types can receive his blood type?

 

6. What is the importance of Rh factor when considered which type of blood to administer to patients?

 

7. What does allogenic mean? What does autologous mean?

 

8. What do you think is occurring with Mr. S?

 

9. What should be your immediate actions/interventions?

 

10. What nursing diagnoses should you give for this patient?

 

11. What education can be provided to this patient upon discharge?

 

 

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Healthcare Reform

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Hello, looking for help on the following:

Please provide several examples of how Healthcare Reform has had both a positive and negative impact on healthcare.

Must be at least 3 pages of writing

APA Format

At least 3 references

Thank you

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Assignment

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ASSIGNMENT – STUDY GUIDE 7: VITAMINS 

Directions  -Using Chapters 10 and 11, and the DRI tables  (pp. A, B) of your textbook as a reference, answer the following questions. Please include the questions with your answers.

 

ASSIGNMENT – STUDY GUIDE 8: MINERALS AND WATER

Directions. Using Chapters 12, and the DRI tables (pp A, B) in your textbook as a reference, answer the following questions.

 

ASSIGNMENT – STUDY GUIDE 9: LIFE CYCLE NUTRITION — INFANCY, CHILDHOOD & ADOLESCENCE

Directions. Using Chapter 16 and the DRI tables (inside front cover) of your textbook as a reference, answer the following questions. Please include the questions with your answers.

 

ASSIGNMENT – STUDY GUIDE 10: LIFE CYCLE NUTRITION — ADULTS

Directions. Using Chapter 17 of your textbook as a reference, answer the following questions. Please include the questions with your answers.

DNT 200 — NUTRITION FOR HEALTH SCIENCES

All definitions should be nutrition oriented…

Please do not leave any question unanswered..detailed answers pls

Thanks

TEXTBOOK:  Understanding Nutrition, 15th edition. The publisher is Cengage

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nursing leadership

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Time Management

This assignment is about you. It is an assessment of your abilities and traits.

This assignment will help you figure out what style of leadership you have been following and whether this style works for you.

Through this assignment, you will find the various approaches of leadership that complement each other. There is no one theory that describes the only way to be an effective leader. Each theory focuses on different issues, but they all help you to better understand how to become a successful leader.

use the following link to access the Time Management Assessment: Time Management Assessment This is the web site that needs to be link http://literacynet.org/icans/chapter03/timemgmt.html

Based on your research and understanding, create a paper in a 3- to 4-page Microsoft Word document that:

Incorporates your time management self-assessment information and the concepts learned this week (leadership theories, leadership versus management, professional nursing organizations, and time management.

Includes identification of one leadership theory, which you feel best describes your leadership style.

Includes a comparison between leadership and management

Includes a suggestion on how to apply this week’s concepts to the work environment

APA format need references too.

· Leadership Theories

  • Autocratic (Authoritarian): The      autocratic leader dictates to the group the task to be accomplished, and      the method to be followed. This style is used when time is short and the      leader is the most knowledgeable person on the team with regards to the      task at hand.
  • Participative (Democratic):      Participative leaders include the group in the decision−making process.      This style is most appropriate when everyone in the group has knowledge      about the subject, like when working with a group of experts. The leader,      however, retains the ability to make the final decision.

Delegative (Free Reign): Also known as laissez faire, meaning—to not get involved in the affairs of others, a delegative leader allows the individuals in the group to make independent decisions, although the leader will be held responsible for the decisions made. It is best to not supervise educated people,

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assignment

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Assume that the example risk management program you analyzed in Topic 1 was developed by and is now currently implemented by your health care employer/organization. Further assume that your supervisor has asked you to present a high-level summary brief of this new risk management program to a group of administrative personnel from a newly created community health organization in your state who has enlisted your organization’s assistance in developing their own risk management policies and procedures.

Compose a 1,250-1,500 word summary brief that expands upon the elements you addressed in the Risk Management Program Analysis Part One assignment. In addition, analyze the following:

1. Explain the Joint Commission’s role in the evaluation of an organization’s quality management processes.

2. Describe the roles that different levels of administrative personnel play in establishing or sustaining operational policies that are focused on employer-employee organizational risk management policies.

3. Explain the relationship of risk management programs and compliance with ethical standards.

In addition to your textbook, you are required to support your analysis with a minimum of three peer-reviewed references.

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.

Top of Form

Please Note: Assignment will not be submitted to the faculty member until the “Submit” button under “Final Submission” is clicked.

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Mental Health

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1. Please give a formal definition of each of the following legal terms (citing your source), followed by an example of how it might apply in a situation:
a. Discrimination; The unjust or prejudicial treatment of different categories of people, especially on the grounds of race, age, or sex. E.g, “victims of racial discrimination”

Source (google definition)
b. Duty of care; A moral or legal obligation to ensure the safety or well-being of others. E.g. “employers have a duty of care to their employees”

Source (google definition)

 
c. Informed consent; Permission granted in full knowledge of the possible consequences, typically that which is given by a patient to a doctor for treatment with knowledge of the possible risks and benefits. E.g. “written informed consent was obtained from each patient”

Source (google definition)

 
d. Mandatory reporting; Mandatory reporting is a term used to describe the legislative requirement imposed on selected classes of people to report suspected cases of child abuse and neglect to government authorities. Parliaments in all Australian states and territories have enacted mandatory reporting laws of some description. E.g. Registered medical practitioners, nurses, midwives, a person registered as a teacher has to mandatory report child abuse

Source (https://aifs.gov.au/cfca/publications/mandatory-reporting-child-abuse-and-neglect)

 
2. Please give a brief explanation of each of the following subjects/issues (citing your source, if quoting) followed by an example of how it might apply in a situation:
a. Code of conduct; The definition of a code of conduct is a collection of rules and regulations that include what is and is not acceptable or expected behavior. A handbook of an organization setting forth rules for behavior by members is an example of a code of conduct. E.g. google code of conduct; the code underscores the importance of speaking up and taking action against wrongdoing while complementing the scope of Google’s operations and culture. For example, one section of the code of conduct is dedicated to the company’s “Dog Policy” which the company suggests is key to its unique organizational culture.

-Concise -Well Organized

 
b. Code of practice; A code of practice is a set of written rules which explains how people working in a particular profession should behave. The auctioneers are violating a code of practice by dealing in stolen goods. E.g. The auctioneers are violating a code of practice by dealing in stolen goods.

Source (https://www.collinsdictionary.com/dictionary/english/code-of-practice)

 
c. Practice standards; The Practice Standards. Values and ethics. Social workers demonstrate that the values of social work are integral to their practice, they uphold their ethical responsibilities and they act appropriately when faced with ethical problems, issues and dilemmas.

Source (https://www.aasw.asn.au/practitioner-resources/practice-standards)

 
d. Policy frameworks; A policy framework is document that sets out a set of procedures or goals, which might be used in negotiation or decision-making to guide a more detailed set of policies, or to guide ongoing maintenance of an organization’s policies. E.g. assess then consult high level then research then draft then approve then implement and finally review.

Source (https://en.wikipedia.org/wiki/Policy_framework)

 

e. Dignity of risk; Dignity of risk refers to a person’s right to experience all that life has to offer, such as learning a new skill or taking part in an activity that may entail some element of risk but has benefits that might include gaining greater self-esteem and independence. E.g. Elderly should be allowed to do ‘risky’ activities to improve lifestyle.

Source (https://aussiechildcarenetwork.com.au/forum/certificate-3-assignments/dignity-of-risk-7069)

 
f. Human rights; A right which is believed to belong to every person. E.g. “a flagrant disregard for basic human rights”.

Source (google definition)

 
g. Records management; Records management refers to a set of activities required for systematically controlling the creation, distribution, use, maintenance, and disposition of recorded information maintained as evidence of business activities and transactions. E.g. This organizational definition of record stems from the early theorization of archives as organic aggregations of records, that is “the written documents, drawings and printed matter, officially received or produced by an administrative body or one of its officials”.

Source (https://en.wikipedia.org/wiki/Records_management)

 
h. Work health and safety. Occupational safety and health (OSH), also commonly referred to as occupational health and safety (OHS), occupational health, or workplace health and safety(WHS), is a multidisciplinary field concerned with the safety, health, and welfare of people at work. E.g. facilities for the welfare of workers. information, instruction, training and supervision that is reasonably necessary to ensure that each worker is safe from injury and risks to health. a commitment to consult and co-operate with workers in all matters relating to health and safety in the workplace.

Source (https://en.wikipedia.org/wiki/Occupational_safety_and_health)
3. What might be some issues around having children in the workplace?

 

1. Eliminate the hazard, hazardous work practice or hazardous situation;

2. Substitute or replace the hazard, hazardous work practice or hazardous situation with a less hazardous one;

3. Isolate or separate the hazard, hazardous work practice or hazardous situation from children, for example, installing barricades or gates;

4. Re-design the work area to remove the hazard or hazardous situation, e.g. modifying plant and equipment

5. Introduce safety rules
4. Define in your own words:
a. Privacy; Privacy is the right of people to conceal information about themselves that others might use to their disadvantage.
b. Confidentiality; The moral standard of classification requires that information shared by a customer with a specialist over the span of treatment isn’t imparted to others. This rule supports the remedial union, as it advances a domain of trust. There are critical special cases to privacy, in particular where it clashes with the clinician’s obligation to caution or obligation to secure. This includes instances of suicidal behavior or homicidal plans, child abuse, elder abuse and dependent adult abuse.
c. Disclosure. Disclosure is when something is made known or the fact that it is made known, e.g. any public disclosure made public would be damaging to a company.

 
5. Explain the difference between privacy and confidentiality.

We regularly utilize the expressions “Confidentiality and “Privacy” conversely in our regular daily existences. Be that as it may, they mean particularly extraordinary things from a lawful viewpoint. In the first place, Confidentiality alludes to individual data imparted to a lawyer, doctor, advisor, or other person that for the most part can’t be uncovered to outsiders without the express assent of the customer. Then again, Privacy alludes to the flexibility from interruption into one’s close to home issues, and individual data. While Confidentiality is a moral obligation, Privacy is a privilege established in customary law. Understanding the distinction between these two terms can save you a considerable measure of perplexity when marking contracts, building up a customer lawyer relationship, and by and large knowing your rights in a given circumstance.

 
6. Give an example of when disclosure would be justified, and an example of when it wouldn’t.

Information about the patient ‘belongs’ to the patient, not to the doctor: patient autonomy is paramount. Therefore, if the patient agrees to disclosure of their clinical information to a third party, this would be permissible. The third party could be a professional colleague or, indeed, any person authorized by the patient or, in the case of children, by a parent or another responsible adult. If the information between the patient and the doctor/therapist is disclosed to the public, without consent or meeting constitutional standards then it deemed as unjustified disclosure.

 
7. Select and consider a work role relevant to the AOD sector (e.g., counsellor).

a. When it comes to work role boundaries, what might be one responsibility for the selected role, and what might be a limitation of the role. Use examples if needed.

It can be difficult for even the most experienced AOD counselors to see through the fog and navigate their way through the maze of lies and manipulations. It’s crucial that counselors have well-established, firm professional boundaries. Many AOD counselors enter the field because of a deep desire to help others, but they must resist the urge to try to “save” their clients and allow their clients to do the work themselves.
b. Why is the responsibility and the limitation you selected, important? I.e., what could go wrong, if not observed? Use examples if needed. Services should be relevant and responsive to the individual needs of clients. They should be appropriate for the client’s gender, social circumstances, ethnic and cultural background and take into account any other problems or disabilities the person may have (for example: mental illness; intellectual, physical or sensory disability; brain injury or chronic illness). The client’s values, expectations and belief systems should be respected. The issue you might face is that the client may develop distrust with the AOD counsellor.

 
c. When a presenting case falls outside of your scope, what two (or more) key tasks would you do? speak to a professional that’s more experienced in manipulative and lying clients and if you still don’t feel comfortable then hand the case to another AOD counselor with more experience in that certain field.

 
8. We all have rights and responsibilities, which change as our role changes.
a. Give an example of both a right and a responsibility for a worker. as a worker, it is your responsibility to read the workplace and safety guidelines. Comply with all applicable OSHA and Maine safety standards. Follow all lawful employer safety and health rules and regulations.
b. Do the same for an employer. Employers must not allow workers to be discriminated against, sexually harassed or subjected to vilification by other workers, clients or management. If they do, they can be held legally liable.
c. Do the same for a client. Be treated with respect, dignity and courtesy regardless of age, disability, cultural and linguistic background, gender, sexual orientation, socio-economic status, and religious or spiritual beliefs. Have your right to privacy and confidentiality protected, within the limits imposed by the law and the duty of care.

 
9. Some legislation is AOD-specific, relating wholly and solely to people with AOD issues, or with the way in which workers conduct themselves. Identify one piece of AOD-specific legislation (e.g., Severe Substance Dependence Treatment Act 2010, for the state of Victoria), and write a brief précis about what it allows to occur, or prevents, or both.

The Severe Substance Depence Treatment Act 2010 allows to a brief period of detention and treatment of clients who suffer and endure the struggles of severe substance dependence and abuse. This allows for AOD workers to provide compulsory treat of those who clients with the most severe substance dependence who are unable to make decisions regarding their substance use and personal health.

 
10. Select three different assessment tools that might be used when assessing someone with an AOD issue. For each selected tool, identify:
a. Type of tool (e.g., self-report questionnaire)
b. Purpose of tool (i.e., what does it measure);
c. Any components or sub-sections it may comprise;
d. Any limits to its availability.
11. What is the benefit of using a standardised tool?
Assessing people with AOD issues, you might also discover issues of a Physical, sensory, intellectual, psychiatric nature.

Standardized tools can be deemed beneficial as they are developed tools with established statistical reliability and validity through empirical evaluation. This tool requires all test subjects to answerer the same items and questions in the same consequential way that is then evaluated and scored in a standard and consistent manner. Therefore, the individuals or groups of individuals are able to be compared through relative performance.

 
12. For each of the above issues, give an explanation or definition, with an example of each.
a. Physical; Physical: Physical characteristics are defining traits or features about the body of the client. Examples of these include hair, clothes, eyes, skin condition, lips, or figure.
b. Sensory; Sensory: relating to sensation or the physical senses, transmitted or perceived by the senses. Example, the nerve centers with the sensory and motor nerves and the organs of sense.

 
c. Intellectual; and/or Intellectual; and/or: possessing or showing intellect or mental capacity, especially to a high degree. Example someone who continues to score high grades in school is an intellectual person.
d. Psychiatric nature. Psychiatric nature: the practice or science of diagnosing and treating mental disorders. Example

panic attack, frightening hallucinations, thoughts of suicide, or hearing “voices.”

 
13. Youth is just a stage of development, right? Identify a theory of development, name it, and its author.

Erik Erikson’s Theory of Psychosocial Development

Like Freud, Erik Erikson believed in the importance of early childhood. However, Erikson believed that personality development happens over the entire course of a person’s life. In the early 1960s, Erikson proposed a theory that describes eight distinct stages of development. According to Erikson, in each stage people face new challenges, and the stage’s outcome depends on how people handle these challenges. Erikson named the stages according to these possible outcomes:

Stage 1: Trust vs. Mistrust

 

In the first year after birth, babies depend completely on adults for basic needs such as food, comfort, and warmth. If the caretakers meet these needs reliably, the babies become attached and develop a sense of security. Otherwise, they may develop a mistrustful, insecure attitude.

 
14. According to your selected theory how does the youthful stage differ from childhood and adulthood, emotionally and/or psychologically?

Yes Most teens ages 13 to 17 will:

· Complete puberty and the physical transition from childhood to adulthood

· Reach nearly their adult height, especially females (males continue to grow taller into their early twenties.)

· Attain cognitive maturity—the ability to make decisions based on knowledge of options and their consequences

· Continue to be influenced by peers (The power of peer pressure lessens after early adolescence.)

· Build skills to become self-sufficient

· Respond to media messages but develop increasing ability to analyze those messages

· Develop increasingly mature relationships with friends and family

· Seek increased power over their own lives

· Learn to drive, increasing their independence

· Have the capacity to develop long-lasting, mutual, and healthy relationships, if they have the foundations for this development—trust, positive past experiences, and an understanding of love

· Understand their own feelings and have the ability to analyze why they feel a certain way

· Begin to place less value on appearance and more on personality

· Understand that they are sexual and understand the options and consequences of sexual expression

· Choose to express their sexuality in ways that may or may not include shared sexual behaviors

· Recognize the components of healthy and unhealthy relationships

· Have a clear understanding of pregnancy and of HIV and other sexually transmitted infections

· Recognize the impact various media have on cultural views about sex

· Have the capacity to learn about intimate, loving, long-term relationships

· Have an understanding of their own sexual orientation (This is different than sexual behavior)
15. When considering the involvement of a youthful client’s parent/s, what are two or more issues that might need to be taken into account?

Some issues can include:

· Trust and mistrust

· Any signs of physical or emotional abuse

· Levels of communication or lack of

 
16. Older people have their own set of issues too. Identify two assessment tools aimed at older people which you might use with older AOD clients.

 

Physical examination-A physical examination, medical examination, or clinical examination, is the process by which a medical professional investigates the body of a patient for signs of disease.

Quality of Life -the standard of health, comfort, and happiness experienced by an individual or group.

 
17. How would you use each of them?

A physical examination involves the use of a clinical examiner to investigate the body of the patient for any signs of alcohol and drug abuse.

To investigate the patient’s quality of life in order to identify if the patient is suffering from depression or an emotional crisis.

 
18. Identify two issues which might be co-morbid with AOD issues, or at least more likely, or more severe in older people with AOD issues.

 

 
19. Identify two prescription medications more likely to be used by older people, and which will interact with AOD use.

Diazepam and benzodiazepines

 
20. Also identify a prescription medication that older people might be more likely to take which is addictive. In what way(s) is it more likely to be more of an issue for the older person?

OxyContin Sometimes referred to as “Hillbilly Heroin,” OxyContin lives up to its name. It’s a time-released painkiller often prescribed to those in need of major pain relief after surgery or serious injury. However, it can provide a high when injected, snorted, or crushed.

Amphetamines are often used by those who would like to stay awake longer, so you might see someone with narcolepsy taking them. These drugs cause euphoric effects similar to cocaine when taken incorrectly.

An amphetamine can cause a rush for a short period, but that often is followed by a period of exhaustion. The person taking it might also suffer from anxiety and depression after taking the drug, so the side effects can be pretty serious.

 
21. Identify two possible organisations who might be providing home-based supports to older people with AOD issues.

Alcohol and drug foundation & star health organisation

 
22. Men and women are different, right? Some studies show that there are differences in the stereotypical fe/male communication styles. Identify two or more of those differences

Men generally consume harmful substances at higher rates than women, this is true both within Australia and internationally. But while the research points to the prevalence of substance misuse disorders among women in Australia as being around half that of men, they are more likely to be socially criticized as a result of their use/misuse.

 
23. How might recognition of the two differences you selected change the way you communicate with male or female clients, if at all?

The differences when talking to female and male clients is that females tend to be more emotional where as men hold back their emotions, because of this you need to approach the two genders in a different manner.

 
24. You may well find yourself assessing a mandated rather than voluntary client, meaning that a court has ordered the assessing/counselling to take place. The client may not want to participate.
a. How do you think this could affect the information you receive from the client, and therefore the results of the assessment?

It will affect the information you gather because the patient might not be honest with you due to the fact that they were mandated by the court.

 
b. Do you think your client might be more, or less committed to change?

The client will be less committed to change because they have been forced by the courts.

 
25. Aboriginal and/or Torres Strait Islanders might need to be considered differently. Give two or more examples of how you might need to consider doing things differently when assessing an ATSI person.

AOD use is believed to be higher among Aboriginal and Torres Strait Islander peoples than among nonindigenous Australians for many drugs. The two main issues are because of their cultural history the Atsi community tend to mistrust authorities and the second issue is that because of their cultural history, it changed the way they act.

 
26. Similarly, other culturally and linguistically diverse people require consideration. Give two examples of a cultural groups, and how for each of them you might consider doing things differently when assessing them.

 
27. Give one example of an issue to take into consideration when assessing a forced migrant.

Our understanding of substance use among forced migrants remains limited, particularly regarding persons displaced due to disasters, development and deportation.

 
28. Name a risk assessment tool that would be appropriate for a client expressing suicidal ideation.
 
29. Name a suicide safety plan template, or an authoritative website that gives advice on how to create a safety plan.

https://www.lifeline.org.au/

 
30. Does the presence of mental health issues predispose a client to attempt suicide? Yes. Name three mental illness diagnoses that are linked to attempted suicide.

DEPRESSIVE ILLNESS

Many people who attempt suicide have experienced major depression or bipolar disorder.

PSYCHOTIC SYMPTOMS

Some may attempt suicide because they are confused and distressed by hallucinations or delusions, or to bring ‘relief’ from untreated psychotic symptoms.

BORDERLINE PERSONALITY DISORDER (BPD)

People with BPD may harm themselves or behave in a suicidal way. Some find self-harm brings temporary ‘relief’ from their distress. This is a symptom of the disorder and requires treatment from a health professional.

 
31. As an AOD worker, are you legally required to intervene to prevent suicide or ethically required, or both?

Yes, you are legally required and ethically required if you suspect the patient to be suicidal.

 
32. When might you negotiate a no-suicide contract with a client, and how? OR What might be a similar alternative process you might undertake with that client?

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Assignment Instructions  Overview

What does it take to develop interprofessional collaborative teams?

Requirements  For this assignment, complete the following:

•Explain from a nursing perspective what is meant by the term interprofessional collaboration. (Do not simply copy a definition from a dictionary or other resource!)

•Describe the characteristics and qualities of effective interprofessional teams in terms of patient care and safety.

•Describe the benefits and limitations of interprofessional teams for health care organizations, members of a team, and patients.

•Identify the challenges of working in an interprofessional team.

•Describe strategies to help people come together to function effectively as a collaborative team.

•Explain how interprofessional teams define success. Consider how the definition might change based on the types of situations the team was formed to handle.

Your completed assignment should be 3–4 pages in length, not including title page and reference page. Support your statements with references to and citations for at least 3 scholarly and professional journals in APA format.

Be sure to follow APA guidelines for style and format. In addition:

•Include a title page and reference page.

•Use Times New Roman font, 12 point.

•Double–space your paper.

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