Considering the Health Insurance Portability and Accountability Act (HIPPA), the idea of discussing confidential information with a patient in front of an audience is probably quite foreign to you. However, in group and family therapy, this is precisely what the psychiatric mental health nurse practitioner does. In your role, learning how to provide this type of therapy within the limits of confidentiality is essential. For this Discussion, consider how limited confidentiality and other legal and ethical considerations might impact therapeutic approaches for clients in group and family therapy. 

Question:

 Post an explanation of how legal and ethical considerations for group and family therapy differ from those for individual therapy. Then, explain how these differences might impact your therapeutic approaches for clients in group and family therapy. Support your rationale with evidence-based literature. 

Rubric:

 Main Posting: Response to the discussion question is reflective with critical analysis and synthesis represented of knowledge gained from the course readings for the module and current credible sources.

Task 1:

1. Create a nutritional care plan for your client. This will include an evaluation of nutritional risk, a list of interventions, and a list of expected outcomes.
2. List the goals of medical nutrition therapy for your patient and suggest an appropriate diet. Does your patient/client require a dietary modification of their regular diet? Are enteral feedings by tube necessary? If so, what formula will you use and why? Describe your recommended method of administration.

Task 2:

1. Describe your nutrition education teaching session with your patient and/or their family. What teaching methods will you use (explanation, discussion, demonstration, handouts, etc.)? In your own words, write a paragraph detailing three specific points that you will need to teach your patient about his/her new diet. In addition, give at least one tip to avoid potential herb/nutrient/drug interactions.

Information Security in a World of Technology

Write an essay addressing each of the following points/questions. Be sure to completely answer all the questions for each number item. There should be three sections, one for each item number below, as well the introduction (heading is the title of the essay) and conclusion paragraphs. Separate each section in your paper with a clear heading that allows your professor to know which item you are addressing in that section of your paper. Support your ideas with at least three (3) citations in your essay. Make sure to reference the citations using the APA writing style for the essay. The cover page and reference page do not count towards the minimum word amount. Review the rubric criteria for this assignment.

1. The textbook discusses several education methods. Discuss each method with an example of how the method could be used in the organization. Then discuss how you will evaluate the method and learning.

2. Healthcare continues to be a lucrative target for hackers with weaponized ransomware, misconfigured cloud storage buckets, and phishing emails. Discuss how an organization can protect patients’ information through:

· Security mechanisms

· Administrative and Personnel Issues

· Level of access

· Handling and Disposal of Confidential Information

3. You are providing education to staff on phishing and spam emails. Using the different educational methods discussed in Chapter 12:

· Provide examples of how each method can be used

· How will the method and learning be evaluated?

Assignment Expectations:

Length: 500 words per essay prompt/section (1500 total for this assignment)

Structure: Include a title page and reference page in APA style. These do not count towards the minimal word amount for this assignment. All APA Papers should include an introduction and conclusion.

References: Use the appropriate APA style in-text citations and references for all resources utilized to answer the questions. Include at least three (3) scholarly sources to support your claims.

Only in collaboration, can DNP and PhD scholars support the delivery of safe, cost efficient, evidence-based quality health care. Reflect upon the roles of the practice and research scholar to answer the following questions.

Compare and contrast the roles of the practice (DNP) and research (PhD) scholar.

How do these roles complement one another in translating research into practice?

How could these roles add value in addressing a practice problem at your workplace?

provides support from a minimum of at least three (3) scholarly sources. The scholarly source when used is: 1) evidence-based, 2) scholarly in nature, 3) published within the last 5 years, and 4) an in-text citation.  citations and references are included when information is summarized/synthesized and/or direct quotes are used, in which APA style standards then apply. 

Denetrius Banks 

     The national healthcare stressor that I selected is burnout.  Burnout is a stressor that we all, at one time in our health career, have faced.  For me, I can honestly say that I have experienced burnout.  I currently work six days a week working at Fresenius Kidney Care Dialysis Clinic.  Burnout is an emotional condition marked by tiredness, loss of interest, or frustration that interferes with job performance (Dyrbye et al., 2017)

     Being a nurse is not easy and nurses are facing increasingly difficulty working conditions and are burning out.  My experience during this COVID 19 pandemic has caused me to experience being burnt out.  Dealing with the stressor of being burnout has an impact or my work setting at the dialysis clinic.  At times, I dreaded going to work. Many days I felt mentally and physically exhausted.  My sleep patterns was unpleasant.  I would sleep four or five hours and awake and was unable to go back to sleep. 

     General nursing is a profession that requires working in a variety of things and situations with continuous and regular delivery of physical and emotional care.  It is a situation where the nursing staff can be under continuous exposure to a wide range of occupational stressors (Fraga, 2019).  Dealing with COVID 19, our administrator decided to give mandatory days off per week to help decrease the feeling of being burnt out. Extra nurses have been hired at the dialysis clinic, so instead of one nurse caring for twelve to fourteen patients, we are now caring for eight patients per shift.  The has been a decrease in exhaustion among the staff since another nurse has been added to the pool.

References

Dyrbye, L. N., Shanafelt, T. D., Sinsky, C. A., Cipriano, P. F., Bhatt, J., Ommaya, A., West, C. P., & Meyers, D. (2017). Burnout Among Health Care Professionals: A Call to Explore and Address This Underrecognized Threat to Safe, High-Quality Care. NAM Perspectives, 7(7). https://doi.org/10.31478/201707b

Fraga, J. (2019, June 5). Why the WHO’s Decision to Redefine Burnout Is Important. Healthline; Healthline Media. https://www.healthline.com/health/mental-health/burnout-definition-world-health-organization

‌Nursing Burnout: Why It Happens and How to Avoid It | Rasmussen College. (2018). Rasmussen.Edu. https://www.rasmussen.edu/degrees/nursing/blog/nursing-burnout-why-it-happens-and-what-to-do-about-it/

Henrietta Mosoke 

Health Insurance Coverage and impact on work setting

 Healthcare affects everyone as well as politics and businesses, Laureate Education (Producer). (2018). Healthcare coverage has always been one of the challenging issues facing the United States and a compromise on how to provide health insurance to all Americans is yet to be attained. In his discussion, Brunton (2018), expresses his concerns about most Americans not being able to purchase health insurance coverage. The author lamented the fact that most Americans are forced to make difficult decisions on whether to get their medications or buy food. Statistically, the average American family spent $9,996 in healthcare insurance during 2017 while about 27 million Americans are still uninsured. President Obama instituted the Patient Protection and Affordable Care Act are also known as ACA or “Obamacare” in 2010. The main aim was to reduce health insurance cost and make it available to most Americans.The president intended for no American to be denied health coverage based on pre-existing conditions. Preventive care to be free with no out of pocket premiums. For adult children up to 26 years to stay on their parent’s health insurance plan, Woolhandler & Himmelstein (2017). Still Many Americans are without health insurance coverage despite the growing need for health concerns. Disparities in care amongst low socio-economic groups and vulnerable populations especially children and the elderly, and those with specific health concerns present enormous challenges.

            I work with Medstar health and I have noticed that the lack of healthcare coverage by some patients has a huge impact on the finances of the organization. There are patients brought to the emergency room of the hospital from shelters, others homeless, or those found in the streets. In addition, there are still other patients who get admitted and treated with no insurance nor accommodation. The hospital is left with the burden of absorbing the healthcare cost and also to get accommodation for these patients. For example in 2019 alone, the hospital had a bad debt of $61.2 million, charity care of $32.8 million and a total of $94.0 million unsponsored care, medstarwashington.org.

In a bid to improve the health of its employees, Medstar provides affordable health insurance coverage to all employees as well as their families. This coverage includes medical, dental, and vision care. Just like Pittman & Scully-Russ(2016) mentioned in their study, Kaiser Permanente started by providing care just to employees and their families and later expanded to providing care to the public. Health insurance coverage continues to be a challenge as still a lot of patients are admitted without insurance coverage and the hospital still has to absorb the cost of treatment through voluntary programs and other available healthcare grants. In a bid to cut down on losses, I have observed shorter hospital stays with treatments being compressed into fewer days. For example, patients who come in with alcohol withdrawal are mostly treated for a maximum of three days except they have other underlining conditions.

References

Brunton, S. (2018). Can We Afford to Be Healthy, Wealthy, and Wise? Clinical Diabetes, 36(4), 281–282. https://doi-org.ezp.waldenulibrary.org/10.2337/cd18-0069

Laureate Education (Producer). (2018). The Healthcare Environment [Video file]. Baltimore, MD: Author.

Marshall, E., & Broome, M. (2017). Transformational leadership in nursing: From expert clinician to influential leader (2nd ed.). New York, NY: Springer.

Pittman, P., & Scully-Russ, E. (2016). Workforce planning and development in times of delivery system transformation. Human Resources for Health, 14(56), 1-15. doi:10.1186/s12960-016-0154-3.https://human-resources-health.biomedcentral.com/track/pdf/10.1186/s12960-016-0154-3

Woolhandler, S., & Himmelstein, D. U. (2017). The Affordable Care Act: How Nixon’s Health Reform Proposal Became Democrats’ Albatross. International Journal of Health Services : Planning, Administration, Evaluation, 47(4), 612–620. https://doi-org.ezp.waldenulibrary.org/10.1177/0020731417729661

USE 3 SOURCES ON EACH DISCUSSION