DescriptionDegree level MSN FNPRequirements:Review the elements included in PICOT questions to guide evidence-based nursing practice.Respond to the questions below using thePICOT Question Worksheet Template.Using a minimum of 3 scholarly nursing sources, current within 5 years:Identify and describe one practice-related issue or concern.  You may choose to build on the practice issue you identified in NR500NP/NR501NP.Explain why the issue/concern is important to nurse practitioner practice and its impact on health outcomes.Describe each element of your PICOT question in one or two sentences, being sure to address all of the following:P-Population and problem– What is the nursing practice concern or problem and whom does it affect?I–Intervention– What evidence-based solution for the problem would you like to apply?C–Comparison– What is another solution for the problem? Note that this is typically the current practice, no intervention at all, or alternative solutions.O–Outcome– Very specifically, how will you know that the intervention worked? Think about how you will measure the outcome.T–Time frame– What is the Timeframe involved for the EBP initiative or the target date of completion?Construct your PICOT question in the standard PICOT question format (narrative) and define each letter separately, such as:P =I =C =O =T =PICOT question written in full =Abide by the Chamberlain College of Nursing Academic Integrity Policy.At the graduate level, we like to see you synthesizing your ideas into your own words. No direct quotes may be used in this worksheet.Use APA formatting guidelines for references and citations.

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DescriptionThis assessment will provide students with an opportunity to engage with a
health consumer, to gain insight into the impact chronic illness and/or disability
has on the consumers life, and to plan person-centered care in partnership with
a consumer. Students will have the opportunity to apply specific frameworks to
demonstrate critical thinking, clinical reasoning and the principles of caring for
people with a chronic illness or disability. Written consent from your interviewee
to conduct your interview is required.You are required to conduct a phone or video call interview with a real person in
your community who has a chronic illness or disability to discover the impact this
has on their life. You will need to prepare for your interview. McGrath,
Palmgren & Liljedahl (2019) suggest twelve steps for conducting research
interviews; this article is linked on the NRSG372 reading list for Module one.
Identify two (2) care priorities for your interviewee. Present each priority using
the Levett-Jones (2018) Clinical Reasoning Cycle, completing the cycle for each
priority as outlined in the paragraph structure section of this document. For each
priority, identify and rationalise where the person sits on the Roper-LoganTierney (RLT) model of nursing independence to dependence continuum. It is
expected that appropriate evidence-based literature will be used to support your
assignment.Instruction FilesSoNMP2021WrittenAssessment.pdf58.4 KBNRSG372UnitOutline.pdf171.8 KBTwelvetipsforconductingqualitativeresearchinterviews.pdf1.2 MB

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DescriptionDeclaration⦁I was told about and understand the assessment requirements and appeals process.⦁I have prepared my answers myself.⦁Any evidence I have provided as my own, I produced myself.⦁I understand that this assessment may be used for moderation and quality control purposes.⦁I understand that when I achieve this unit standard my result will be registered with the New Zealand Qualifications Authority.I confirm the above declaration:YesNoDate:Assessment summary (completed by assessor)Trainee’s performance summaryAssessment tasksAssessor’s signatureDate achievedTask 1: Multidisciplinary teamsTask 2: Work collaborativelyTask 2 ObservationUnit standard resultsI have assessed the trainee and confirm that the requirements have been met to demonstrate competency in:Unit standardVersionLevelCredits28984 Work collaboratively in a health or wellbeing setting2410Assessor’s name:Assessor’s number:Signature:Date:Trainee informationBefore you start⦁The assessor/observer will talk about what you need to do.⦁You may have been observed doing some of these tasks already, or there may be workplace documents you have completed, such as a workplace incident report, which documents what you have done at work.⦁You may bring evidence of what you have done already, such as your induction training log, or proof of competency from a course you have completed, eg a marked assessment or  project. This may be recorded as evidence.As you go⦁Answer all questions. Refer to real situations when answering questions.⦁Follow the instructions for each task.⦁For knowledge assessment questions you can choose to write your answers or your assessor may record your verbal answers for you.⦁Your assessor or observer will complete the observation form in this assessment when they observe you working collaboratively.⦁If you need help with this assessment, please contact your assessor.When you finish Make sure you have completed any parts where the assessor/observer has said you need to do more work.AppealsIf you wish to appeal against the assessment result or process, talk to your assessor.If you are still not satisfied, you can appeal to Careerforce by completing the assessment result appeal form. You can find this form online at www.careerforce.org.nz/contact/formsFeedbackCareerforce regularly reviews our assessment and learning resources. As a user, we would appreciate feedback on how you found it. Feedback can be provided to Careerforce via:⦁our online feedback form at www.careerforce.org.nz/contact/resource-assessment-feedback⦁email to info@careerforce.org.nzDefinitionsHealth professional refers to a person who is registered as a practitioner of a particular health profession to deliver health services in accordance with a defined scope of practice.A multidisciplinary team has members of different healthcare professions, each with specialised skills and expertise, who coordinate and communicate with each other to provide quality care.Culture includes but is not limited to cultures based upon:⦁age.⦁class.⦁disability.⦁ethnicity.⦁gender.⦁sexual orientation.⦁cultures within Māori, Pākehā, Pasifika and Asian groupings, including identification with a culture through birth, adoption, genealogy or whakapapa.To work collaboratively means to work with one or more people together to achieve a common goal.An organisation’s policies and procedures are the policies and procedures of the employer and include ethical codes, standards and other organisational requirements.An observer is someone who understands the assessment, works closely with you and can confirm that you have performed the task competently.The terms verifier and verification may be used in some assessments instead of observer or observation.Task 1: Multidisciplinary teamsThis task requires you to show your understanding of a multidisciplinary team (MDT) and working collaboratively with others.1 Describe the structure of a multidisciplinary team in your workplace.Your answer must include each person’s role and responsibilities (including your own) and describe how each person contributes to achieving the common goal.Team members in your multidisciplinary team may include:⦁support workers.⦁senior support workers.⦁peer-mentors.⦁registered nurses.⦁health professionals.⦁people accessing services.⦁family/whānau.⦁Other team membersTeam memberTheir roles and responsibilities and how they contribute to achieve the common goal of the teamMy role as a support workerRoles and responsibilities:How they contribute to achieve the common goal of the team:Team member role:Roles and responsibilities:How they contribute to achieve the common goal of the team:Team member role:Roles and responsibilities:How they contribute to achieve the common goal of the team:Team member roleRoles and responsibilities:How they contribute to achieve the common goal of the team:Team member roleRoles and responsibilities:How they contribute to achieve the common goal of the team:Team member roleRoles and responsibilities:How they contribute to achieve the common goal of the team:2 What are two benefits of working in a multidisciplinary team to achieve team objectives?First benefit:Second benefit:3 What are two potential barriers to achieving team objectives when working in a multidisciplinary team?First barrier:Second barrier:4 What are two benefits of working with a person and their family/whānau?First benefit:Second benefit:5 What are two potential barriers when working with a person and their family/whānau?First barrier:Second barrier:6 Identify two essential features of a person’s circumstances and describe the impact these will have on their support needs.The essential features of a person’s circumstances may include:⦁family/whānau support.⦁physical condition(s).⦁medical history.⦁significant cultural values.⦁any other aspect.Essential features of circumstancesImpact on the person’s support needsFirst essential feature:Second essential feature:7 Identify four issues that may lead to conflict with a person and their family/whānau or within your team.For each issue, explain:⦁the situation that might be caused by the issue.⦁the strategy you would use to manage the situation.Possible issues could include:⦁communication breakdown.⦁differences of opinion.⦁personal animosity.⦁expression of sexism or racism.⦁inappropriate voice modulation and use of language.⦁non-compliance with your organisation’s policies and procedures.⦁any other issue.IssuePossible conflict situation and Strategies I would use to manage this conflictFirst issue:Possible conflict:Strategies I would use to manage this conflictSecond issue:Possible conflict:Strategies I would use to manage this conflictThird issue:Possible conflict:Strategies I would use to manage this conflictFourth issue:Possible conflict:Strategies I would use to manage this conflictTask 1: Assessor’s feedback to traineeWhen the assessor agrees that you have completed this task successfully, they will sign it off on the assessment summary page at the front of this assessment.Task 2: Working collaborativelyFor this task, you need to show that you can work collaboratively within a multidisciplinary team.When completing this task, consider the values, processes, and protocols in relation to working with Māori, Pasifika and/or people from other cultures.Complete all the written parts of this task before asking your observer to complete the observation form.⦁Answer the questions below.What strategies did you use to establish and maintain positive relationships within a multidisciplinary team?What strategies did you use to establish and maintain positive relationships with a person and their family/whānau?What are four support needs you met while working collaboratively with a person and their family/whānau?Examples may include access to information, cultural considerations, advocacy or any other support need.First need:Second need:Third need:Fourth need:What two strategies did you implement to manage conflict?Examples may include advocacy, consultation, negotiation, mediation, facilitation or any other strategy.First strategy:Second strategy:Evaluate and review the strategies you used.What went well?What improvements could be made?Did the outcomes from using the strategies lead to a positive or negative outcome? Explain why.2 Complete the self-reflection and team feedback forms which follow.Team feedback formGet two team members to complete a team feedback form.How did the trainee and the rest of the team maintain a positive relationship with the person and their family/whānau?How did the trainee build trust and rapport with the person and their family/whānau?What are two changes the trainee can make to build trust and rapport with the person and their family/whānau?How did the trainee maintain positive relationships with the rest of the team?What are two changes the trainee can make to maintain positive relationships with the rest of the team?Signed by the person giving feedback :Date:Team feedback formGet two team members to complete a team feedback form.How did the trainee and the rest of the team maintain a positive relationship with the person and their family/whānau?How did the trainee build trust and rapport with the person and their family/whānau?What are two changes the trainee can make to build trust and rapport with the person and their family/whānau?How did the trainee maintain positive relationships with the rest of the team?What are two changes the trainee can make to maintain positive relationships with the rest of the team?Signed by the person giving feedback:Date:Self-reflection formTaking into account feedback from two team members, answer the following questions about your behaviour and communication.How did I and the rest of my team maintain a positive relationship with the person and their family/whānau?How did I personally build trust and rapport with the person and their family/whānau?What are two changes I can make to build trust and rapport with the person and their family/whānau?What two changes did you make to build trust and rapport with the person and their family/whānau?How did I maintain positive relationships with the rest of my team?What are two changes I can make to maintain positive relationships with the rest of my team?What two changes did you make to maintain positive relationships with the rest of your team?Signed:Date:ObservationAsk your observer to complete the observation form. Read the form so that you know what is being observed.Your observer will complete the following observation form and may ask questions about what you are doing or what you have done previously. They may have recently seen you do one or more of these tasks. If so, they can record on the form evidence previously seen, heard, documented or filed.ObservationNote to observer: You must have observed the trainee working over a period of time.You need to be confident that the information the trainee has provided in Question 1 and Question 2 is correct, and that the trainee consistently performs to the standards listed in the form below.Please comment on the trainee’s performance. The assessor may wish to contact you to discuss this.I confirm that the information provided is correct, and that the trainee consistently performs to the standards listed below. The trainee:Assessor/ observer tocomplete used strategies to establish and maintain positive relationships within a multidisciplinary team. worked collaboratively with a person and their family/whānau to meet four different support needs. used strategies to establish and maintain positive relationships with a person and their family/whānau. implemented two strategies to manage conflict. evaluated and reviewed strategies to identify any positive and negative outcomes from their implementation.Copy of self-evaluation form is attached. evaluated the behaviour and communication style of multidisciplinary team members and a person and their family/whānau in terms of maintainingpositive relationships. made two adaptations to their own behaviour and communication styles when collaborating with team members in order to maintain positive relationships. made two adaptations to their own behaviour and communication style when collaborating with a person and their family/whānau in order to build trust and rapport. completed all tasks within the boundaries of their role and according to their organisation’s policies and procedures. demonstrated appropriate values, processes, and protocols in relation to working with Māori, Pasifika and/or people from other cultures.Please comment on the trainee’s performance in a multidisciplinary team.If you are an observer, please give your details as the assessor may wish to contact you.Observer’s name:Designation:Signature:Date:Contact details (phone/email):Task 2: Assessor’s feedback to traineeWhen the assessor agrees that you have completed this task successfully, they will sign it off on the assessment summary page at the front of this assessment.Instruction Files28984Formattedassessment.docx81.2 KB

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DescriptionUnit
4 Assignment – Depression & Anxiety Case StudySubmit AssignmentDue Apr 4 by 11:59pmPoints 100Submitting a text entry box, a website url, a media
recording, or a file uploadInstructionsComplete a full intake on this patient and then develop a
treatment plan using the template offered.Patient HistoryThe patient is a 59-year-old married woman
with 5 grown childrenShe is moderately overweight (BMI 30) and was diagnosed with
non-insulin-dependent diabetes 10 years ago; she is fairly well managed on an
oral hypoglycemic medication (glipizide 10 mg twice per day)Two years ago, the patient experienced 2 tremendous stressors:
her oldest child developed leukemia (now in remission), and her
mother and father both passed awayShe suffered a significant and impairing major depressive
episode that went untreated until recentlyThis was her fifth episode of depression; she experienced 2
major depressive episodes as a teenager, and she developed postpartum
depression and anxiety following the births of 2 of her
childrenFour months ago, after she was too fatigued to get out of
bed, she sought treatment for the first time in her lifeAfter receiving education and support from her clinician, she
reluctantly agreed to take Paxil 30 mg/dayThe patient has experienced a near-complete resolution of her
symptoms in the last 6 months; however, she has developed side
effects and wants to discontinue the medicationSpecifically, she has increased appetite and has correspondingly
gained 7 pounds in the last 4 months, with an increase in HgA1c of 1 full
percentage pointShe also reports excess daytime sedation and anorgasmia (very
unusual for her)What options can you offer to manage these side effects?
Be specificWhat education should you give the patient about stopping this
medication abruptly?What is your treatment plan?Assignment File(s)·Case Study TemplateInitial Psychiatric SOAP Note TemplateThere are different ways in which to complete a Psychiatric
SOAP (Subjective, Objective, Assessment, and Plan) Note. This is a template
that is meant to guide you as you continue to develop your style of SOAP in the
psychiatric practice setting.CriteriaClinical NotesInformed ConsentInformed
consent given to patient about psychiatric interview process andpsychiatric/psychotherapytreatment.Verbal and Written consent obtained.Patienthasthe ability/capacity to respond and appears tounderstandthe risk, benefits, and (Will review additional consent during
treatment plan discussion)SubjectiveVerify PatientName:DOB:Minor:Accompanied
by:Demographic:Gender Identifier Note:CC:HPI:Pertinent
history in record and from patient:XDuring
assessment: Patient describes their moodas X and indicated it has gotten
worse in TIME.Patient
self-esteem appearsfair,no reported feelings
of excessive guilt,no reported anhedonia,does not
report sleep disturbance,does not report change in appetite,does not report libido disturbances,does not report change in
energy,no reported changes in concentration or memory.Patientdoes not
report increased activity, agitation, risk-taking behaviors, pressured
speech, or euphoria.Patientdoes not report excessive fears, worries or panic attacks.Patientdoes not
report hallucinations, delusions, obsessions or compulsions.Patient’sactivity level, attention
and concentration were observed to be within normal limits.  Patientdoes not reportsymptoms of eating disorder. There isno recent weight loss or
gain. Patientdoes not reportsymptoms of a characterological nature.SI/
HI/ AV:Patient currentlydeniessuicidal
ideation,deniesSIBx,denieshomicidal ideation,deniesviolent
behavior,deniesinappropriate/illegal behaviors.Allergies:NKDFA.(medication & food)Past Medical Hx:Medical
history:Denies
cardiac, respiratory, endocrine and neurological issues, including history
head injury.Patientdenies history of
chronic infection, including MRSA, TB, HIV and Hep C.Surgical historyno surgical history reportedPast Psychiatric Hx:Previous
psychiatric diagnoses:none reported.Describesstablecourse of illness.Previous medication trials:none reported.Safety
concerns:History of Violenceto Self:none reportedHistory of Violence to Others:none
reportedAuditory
Hallucinations:Visual
Hallucinations:Mental
health treatment historydiscussed:History of outpatient treatment:not reportedPrevious psychiatric hospitalizations:not reportedPriorsubstance
abuse treatment:not
reportedTrauma history:Clientdoes not
report history of trauma including abuse, domestic violence, witnessing
disturbing events.Substance Use:Clientdenies use or
dependence on nicotine/tobacco products.Clientdoes not report abuse
of or dependence on ETOH, and other illicit drugs.Current
Medications:No current medications.(Contraceptives):Supplements:Past Psych Med Trials:Family Medical Hx:Family Psychiatric Hx:Substance
useSuicidesPsychiatric diagnoses/hospitalizationDevelopmental diagnosesSocial
History:Occupational
History: currentlyunemployed.Denies previous occupational hxMilitary
service History:Denies previous military hx.Education
history:completed
HS and vocational certificateDevelopmental
History:no significant details reported.(Childhood History)Legal
History:no reported/known legal issues,no reported/known conservator or guardian.Spiritual/Cultural
Considerations:none
reported.ROS:Constitutional:No report of fever or weight loss.Eyes:No report of acute vision changes or eye pain.ENT:No report of hearing changes or difficulty swallowing.Cardiac:No report of chest pain, edema or orthopnea.Respiratory:Denies dyspnea, cough or wheeze.GI:No report of abdominal pain.GU:  No report of dysuria or hematuria.Musculoskeletal:No report of joint pain or swelling.Skin:  No report of rash, lesion, abrasions.Neurologic:No report of seizures, blackout, numbness or focal weakness.  Endocrine:No report of
polyuria or polydipsia.Hematologic:No report of blood clots or easy bleeding.Allergy:No report of hives or allergic reaction.Reproductive:No report of significant issues. (females: GYN hx;
abortions, miscarriages, pregnancies, hysterectomy, PCOS, etc…)Verify
Patient:Name, Assignedidentificationnumber (e.g.,
medical record number), Date of birth, Phone number, Social security number, Address,
Photo.Include demographics, chief complaint,
subjective information from the patient, names and relations of others
present in the interview.HPI:, Past Medical and Psychiatric History,Current Medications, Previous Psych Med
trials,Allergies.Social History, Family History.Review of Systems (ROS) – if ROS is
negative, “ROS noncontributory,” or “ROS negative with the exception of…”ObjectiveVital Signs:StableTemp:BP:HR:R:O2:Pain:Ht:Wt:BMI:BMI Range:LABS:Lab findingsWNLTox screen:NegativeAlcohol:NegativeHCG:N/APhysical
Exam:MSE:Patient
iscooperativeandconversant,
appearswithoutacute distress, andfully oriented x 4. Patient is dressedappropriately for age and
season.Psychomotor activity appearswithin normal.Presents
withappropriateeye contact,euthymicaffect -full,even,congruentwith reported mood of “x”.Speech:spontaneous,normalrate,appropriatevolume/tone withno problems expressing self.TC:no abnormalcontent elicited,deniessuicidal ideation anddenieshomicidal
ideation.
Process appearslinear,coherent,goal-directed.Cognitionappears grossly intactwithappropriateattention span & concentration andaveragefund of knowledge.Judgment
appearsfair. Insight appearsfairThe patientis ableto articulate needs,ismotivated
for compliance and adherence to medication regimen. Patientiswillingand ableto
participate with treatment, disposition, and discharge planning.This is where the “facts” are located.Vitals,**Physical Exam (if performed, will not be performed
every visit in every setting)Include relevant labs, test results, and
Include MSE, risk assessment here, and psychiatric screening measure results.AssessmentDSM5 Diagnosis: with ICD-10 codesDx:-Dx:-Dx:-Patienthasthe ability/capacity appears to
respond to psychiatricmedications/psychotherapyand appears tounderstandthe need formedications/psychotherapyandiswilling to maintain adherent.Reviewed potential risks & benefits, Black Box
warnings, and alternatives including declining treatment.Instruction Files4-2casestudy.docx41.3 KB

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DescriptionTitle:    Therapeutic Interventions in Nursing of the
Older PersonAim:  The
purpose of this assignment is to provide the student with the opportunity to
discuss therapeutic
nursing interventions for a patient within the context of gerontology care.Assignment
CriteriaUsing a
case study*, describe the patient and provide an overview of their health
related condition.Identify
two key problems that the patient is experiencingDescribe
these two key problems in relation to relevant aetiology and
pathophysiology·Demonstrate a comprehensive knowledge of the
interventions required for person-centred care regarding these two problems.·Discuss the implementation, coordination and
monitoring of these interventions·Describe the evaluation of these interventions.Demonstrate the use of relevant literature,
evidence based practice and research recommendations to support the use of
these interventions.·GuidelinesThe assignment should be presented under the following
sections (not necessarily the same headings); in the main body of the text the
student can decide the headings and subheadings as appropriate.IntroductionThe introduction is concerned with introducing the topic.
Here an overview of the key concepts under discussion is provided. Operational
definitions of terms must be defined. The introduction should also succinctly
introduce the reader to the layout of the assignment, which should be presented
in a logical and structured approach to ensure clarity and ease of reading.Main Content: (do not use this as a heading)Here factual data, points of view and statements concerning
the topic are presented and discussed. Each aspect of the topic is critically
discussed under an appropriate heading, demonstrating the capacity to engage in critical analysis, synthesis and evaluation of
the reviewed literature and current research findings. This part of the
assignment must form a coherent logical unit (requires logical organisation of the topics under discussion with clarity
of thought demonstrated). The author develops his/her arguments
based upon factual data and statements about the topic in such a way that a
reader can follow the way that a
particular conclusion was arrived at.ConclusionThe conclusion provides a summary of the discussion. Write
conclusions logically and formulate key recommendations/observations for
practice. NEVER introduce new information or ideas in the conclusion – its
purpose is to round off your assignment by summing up.3500 words (+/- 10%)Assignments should be uploaded
onto moodle on or before : 1200, Tuesday,
6th April 2021Instruction FilesTherapeuticInterventionsinNursingoftheOlderPerson.docx16.0 KB

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