Assessing Client Progress

 PLEASE FOLLOW THE INSTRUCTION BELOW

5 REFERENCES

ZERO PLAGIARISM

earning 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

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Clinical Supervision

 PLEASE FOLLOW THE INSTRUCSTION

5 REFERENCES

ZERO PLGIARISM

Clinical Supervision is an essential component of your development as a psychiatric mental health nurse practitioner. It provides an opportunity for professional collaboration as you share experiences with and gain insights from colleagues. For this Clinical Supervision, consider a client whom you do not think is adequately progressing according to expected clinical outcomes.

Learning Objectives

Students will:
  • Assess clients presenting for psychotherapy
  • Evaluate effectiveness of therapeutic approaches for clients receiving psychotherapy
  • Apply existential-humanistic therapy to clients with psychiatric disorders

To prepare:

  • Review this week’s media and consider the insights provided.
  • Reflect on the clients you are currently counseling at your practicum site.

Note: For this Discussion, you are required to complete your initial post before you will be able to view and respond to your colleagues’ postings. Begin by clicking on the “Post to Discussion Question” link and then select “Create Thread” to complete your initial post. Remember, once you click Submit, you cannot delete or edit your own posts, and cannot post anonymously. Please check your post carefully before clicking Submit!

By Day 3

Post a 3- to 5-minute Kaltura video that addresses the following:

  • Describe a client you are counseling whom you do not think is adequately progressing according to expected clinical outcomes.

Note: Do not use the client’s actual name.

  • Explain your therapeutic approach with the client, including the perceived effectiveness of your approach.
  • Identify any additional information about this client that may potentially impact expected outcomes.

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essay

  1. Mentoring and coaching in nursing

Create a 6- to 8-page paper in APA format including a minimum of 4 to 5 references. Explain how you would lobby your legislators or local government for funds to support your issue or trend. Include the following elements in your paper: share why you chose the specific topic, the current relevance of material, how it is integrated into clinical practice, and how the information is used in clinical setting.

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nutrition

Complete the Mini Nutritional Assessment (Links to an external site.) on an older adult you know or someone from your clincial experience. Based on their score, assess their nutritional risks and create a care plan including 2 short term and 1 long term goal for the patient and provide detailed education to the patient on how to meet these goals and maintain optimum nutrition. Include information on follow-up care as well.

https://www.mna-elderly.com/forms/MNA_english.pdf

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Speech

 

Instructions

Develop: Persuasive Speech Outline

Evaluation Title: Persuasive Speech Outline Final and Reflection

Using the persuasive outline created for the Unit 6 discussion, review the instructor and/or peer feedback to finalize the persuasive speech outline for submission. Consider this feedback to address your challenges and revise. Revisions are a key step in the speech writing process. Be sure to take this step.

The outline should be written in the full-sentence outline method using one of the persuasive organizational patterns (Problem-Solution, Cause-Effect or Monroe’s Motivated Sequence). The outline should have enough content to deliver an 8-10 minute persuasive speech, which you will complete in Unit 7. Once again, please use the sample outline document (attached herePreview the document) to help build your formal outline.

Step 1:  Finalize the Persuasive Outline

The outline should include the following:

  • Specific Purpose
  • Central Idea (aka:  Thesis Statement or Preview Statement)
  • Introduction – capture attention, establish YOUR speaker credibility, preview the speech
  • Body – key points (minimum of 3), transitions between main points, supporting materials from at least 3 sources including in-text references to the sources.
  • Conclusion – signal the end, summarize main points
  • Researched supporting material references (minimum 3) – include works cited at the end of your outline, use APA format.
  • Identification of a presentation aid (visual)
  • Use persuasive techniques and language

Step 2:  Complete the Reflection Questions

Answer the following reflection questions, in addition to the finalized persuasive speech outline. You can include the answers at the end of your works cited:

  1. What types of persuasion did you choose to include? Why? How would they best persuade your target audience?
  2. What challenges did you have crafting our outline? How did you overcome them?
  3. What do you think is the strength of this outline? Why?

Review the grading rubric before submission. This assignment is valued at 85 points.

Submit to the appropriate submission area in Canvas:

  • The finalized persuasive speech outline as an attached document
  • Answers to reflection questions on the outline document OR in the submission comments area

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week 8 Community

 

Chapter 14: Risk of Infectious and Communicable Diseases

There is a planned community health project to decrease the incidence of human papilloma virus (HPV).

1. Who is/are the target population? Why?

2. What are some key factors to consider when planning an HPV prevention program?

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week 8 Crisis intervention

 

Family Crisis Intervention

  1. Families may encounter different types of crisis. Choose one of the family crisis discussed in your essay

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Essay and power point presentation

I need a 4 pages essay with the information bellow. APA stile, with a minimum of 5 references,

1- Sickle cell disease is an adaptive response against malaria. Through evolution, this adaptation is part of the genetic disease called sickle cell disease. This genetic adaptation occurred in African people in countries that neighbor large bodies of water. Malaria is transmitted by the bite of the female Anopheles mosquito. People with sickle cell disease rarely get infected with, plasmodium falciparum,  the parasite that causes malaria. 

Describe  why such an adaptation occurred? Discuss this question to help strengthen your knowledge of disorders of erythrocytes. Explain why people who no longer live in parts of the world where malaria is prevalent still develop the disease?

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Plan

PART I – develop an essay to address the following information:

  • Reflect on the mission, vision, values, and goals of your healthcare organization and provide examples of how individual employees, departments, and work units support all four of these as a foundation for directional strategies.
  • Describe positive and negative aspects of abandoning traditional healthcare strategic planning processes and adopting a contemporary approach.
  • How does complexity influence budget strategies and their implementation? Give examples.
  • Discuss the process of external and internal environmental analyses, and then speculate on scenarios that may result if these steps in strategic planning are omitted or are not done well.
  • Discuss mechanisms that nurse manager can use to ensure they make the best decisions for supporting the financial goals of the organization.  

PART II – develop a Business Plan

  • Identify an opportunity for implementing a new service or a cost-reducing idea in your organization and write a business plan to describe your idea: explain the need (why) for it, identify stakeholders (who) will be impacted, discuss the benefits versus the disadvantages, describe the costs/expenses for the idea, and outline the implementation plan. 

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adolescent

 

Discussion Prompt #1

  • What essential elements should be included in a health teaching plan addressing physical, emotional, social, and spiritual challenges in adolescents?

Discussion Prompt #2

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