Case #2 Anxiety disorder, OCD, or something else?

 

The Assignment:

Examine Case 2: You will be asked to make three decisions concerning the diagnosis and treatment for this client. Be sure to consider co-morbid physical as well as mental factors that might impact the client’s diagnosis and treatment.

At each Decision Point, stop to complete the following:

  • Decision #1: Differential Diagnosis
    • Which Decision did you select?
    • Why did you select this Decision? Support your response with evidence and references to the Learning Resources.
    • What were you hoping to achieve by making this Decision? Support your response with evidence and references to the Learning Resources.
    • Explain any difference between what you expected to achieve with Decision #1 and the results of the Decision. Why were they different?
  • Decision #2: Treatment Plan for Psychotherapy
    • Why did you select this Decision? Support your response with evidence and references to the Learning Resources.
    • What were you hoping to achieve by making this Decision? Support your response with evidence and references to the Learning Resources.
    • Explain any difference between what you expected to achieve with Decision #2 and the results of the Decision. Why were they different?
  • Decision #3: Treatment Plan for Psychopharmacology
    • Why did you select this Decision? Support your response with evidence and references to the Learning Resources.
    • What were you hoping to achieve by making this Decision? Support your response with evidence and references to the Learning Resources.
    • Explain any difference between what you expected to achieve with Decision #3 and the results of the decision. Why were they different?
  • Also include how ethical considerations might impact your treatment plan and communication with clients and their families.

Note: Support your rationale with a minimum of three academic resources. While you may use the course text to support your rationale, it will not count toward the resource requirement.

Rubric:

 

Quality of Work Submitted: The extent of which work meets the assigned criteria and work reflects graduate-level critical and analytic thinking.–

Excellent 27 (27%) – 30 (30%)Good 24 (24%) – 26 (26%)Fair 21 (21%) – 23 (23%)Poor 0 (0%) – 20 (20%)

Quality of Work Submitted: The purpose of the paper is clear.–

Excellent 5 (5%) – 5 (5%)Good 4 (4%) – 4 (4%)Fair 3.5 (3.5%) – 3.5 (3.5%)Poor 0 (0%) – 3 (3%)

Assimilation and Synthesis of Ideas: The extent to which the work reflects the student’s ability to:

Understand and interpret the assignment’s key concepts.–

Excellent 9 (9%) – 10 (10%)Good 8 (8%) – 8 (8%)Fair 7 (7%) – 7 (7%)Poor 0 (0%) – 6 (6%)

Assimilation and Synthesis of Ideas: The extent to which the work reflects the student’s ability to:

Apply and integrate material in course resources (i.e., video, required readings, and textbook) and credible outside resources.–

Excellent 18 (18%) – 20 (20%)Good 16 (16%) – 17 (17%)Fair 14 (14%) – 15 (15%)Poor 0 (0%) – 13 (13%)

Assimilation and Synthesis of Ideas: The extent to which the work reflects the student’s ability to:

Synthesize (combines various components or different ideas into a new whole) material in course resources (i.e., video, required readings, textbook) and outside, credible resources by comparing different points of view and highlighting similarities, differences, and connections.–

Excellent 18 (18%) – 20 (20%)Good 16 (16%) – 17 (17%)Fair 14 (14%) – 15 (15%)Poor 0 (0%) – 13 (13%)

Written Expression and Formatting
Paragraph and Sentence Structure: Paragraphs make clear points that support well-developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are clearly structured and carefully focused—neither long and rambling nor short and lacking substance.–

Excellent 5 (5%) – 5 (5%)Good 4 (4%) – 4 (4%)Fair 3.5 (3.5%) – 3.5 (3.5%)Poor 0 (0%) – 3 (3%)

Written Expression and Formatting
English writing standards: Correct grammar, mechanics, and proper punctuation.–

Excellent 5 (5%) – 5 (5%)Good 4 (4%) – 4 (4%)Fair 3.5 (3.5%) – 3.5 (3.5%)Poor 0 (0%) – 3 (3%)

Written Expression and Formatting
The paper follows correct APA format for title page, headings, font, spacing, margins, indentations, page numbers, running head, parenthetical/in-text citations, and reference list.–

Excellent 5 (5%) – 5 (5%)Good 4 (4%) – 4 (4%)Fair 3.5 (3.5%) – 3.5 (3.5%)Poor 0 (0%) – 3 (3%) 

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Assignment: Practicum Journal: Voluntary and Involuntary Commitment

 

Scenario for Week 7 Case:

You are a PMHNP working in a large intercity hospital. You receive a call from the answering service informing you that a “stat” consult has been ordered by one of the hospitalists in the ICU. Upon arriving in the ICU, you learn that your consult is a 14 year old male who overdosed on approximately 50 Benadryl (diphenhydramine hydrochloride) tablets in an apparent suicide attempt. At the scene, a suicide note was found indicating that he wanted to die because his girlfriend’s parents felt that their daughter was too young to be “dating.” The client stated in the suicide note that he could not “live without her” and decided to take his own life. Although he has been medically stabilized and admitted to the ICU, he has been refusing to talk with the doctors or nurses. The hospital staff was finally able to get in touch with the clients parents (using contact information retrieved from the 14 year old’s cell phone). Unbeknown to the hospital staff, the parents are divorced, and both showed up at the hospital at approximately the same time, each offering their own perspectives on what ought to be done. The client’s father is demanding that the client be hospitalized because of the suicide, but his mother points out that he does not have “physical custody” of the child. The client’s mother demands that the client be discharged to home with her stating that her son’s actions were nothing more than a “stunt” and “an attempt at manipulating the situation that he didn’t like.” The client’s mother then becomes “nasty” and informs you that she works as a member of the clerical staff for the state board of nursing, and if you fail to discharge her child “right now” she will make you “sorry.” How would you proceed?

 

The Assignment (2–3 pages):

  • Based on the scenario, would you recommend that the client be voluntarily committed? Why or why not?
  • Based on the laws in your state, would the client be eligible for involuntary commitment? Explain why or why not.
  • Did understanding the state laws confirm or challenge your initial recommendation regarding involuntarily committing the client? Explain.
  • If the client were not eligible for involuntary commitment, explain what actions you may be able to take to support the parents for or against voluntary commitment.
  • If the client were not eligible for involuntary commitment, explain what initial actions you may be able to take to begin treating the client.

Rubric:

 

Quality of Work Submitted:
The extent of which work meets the assigned criteria and work reflects graduate level critical and analytic thinking.–

Excellent 27 (67.5%) – 30 (75%)Good 24 (60%) – 26 (65%)Fair 21 (52.5%) – 23 (57.5%)Poor 0 (0%) – 20 (50%)

Quality of Work Submitted:
The purpose of the paper is clear.–

Excellent 5 (12.5%) – 5 (12.5%)Good 4 (10%) – 4 (10%)Fair 3.5 (8.75%) – 3.5 (8.75%)Poor 0 (0%) – 3 (7.5%)

Written Expression and Formatting

Paragraph and Sentence Structure: Paragraphs make clear points that support well developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are clearly structured and carefully focused–neither long and rambling nor short and lacking substance.–

Excellent 5 (12.5%) – 5 (12.5%)Good 4 (10%) – 4 (10%)Fair 3.5 (8.75%) – 3.5 (8.75%)Poor 0 (0%) – 3 (7.5%) 

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• Quadruple Aim and evidence-based practice.

  

· Define the Quadruple Aim and explain its application to evidence-based practice.

· Your analysis should address how evidence-based practice might (or might not) help reach the Quadruple Aim,including each of the four measures of:  (   The response accurately and clearly defines the Quadruple Aim in detail.The response accurately and clearly explains in detail how the   Quadruple Aim applies to evidence-based practice. The response accurately and clearly explains in detail how evidence-based practice might or might not help reach the Quadruple Aim as it pertains to patient experience.
 1) Patient experience (2–3 paragraphs  (The response includes clear, accurate, and specific examples of how evidence-based practice impacts patient experience. The response synthesizes and integrates at least two outside resources and two competency-specific resources that fully support the responses provided )

2) Population health (2–3 paragraphs) ( The response accurately and clearly explains in detail how evidence-based practice might or might not help reach the Quadruple Aim as it pertains to population health.The response includes clear, accurate, and specific examples of how evidence-based practice impacts population health.The response synthesizes and integrates at least two outside resources and two competency-specific resources that fully support the responses provided. )

3) Costs (2–3 paragraphs)  The response accurately and clearly explains in detail how evidence-based practice might or might not help reach the  Quadruple Aim as it pertains to costs in healthcare. The response includes clear, accurate, and specific examples of how evidence-based practice impacts costs in healthcare.The response synthesizes and integrates at least two outside resources and two competency-specific resources that fully support the responses provided. )

4) Work-life of healthcare providers (2–3 paragraphs)  ( The response accurately and clearly explains in detail how evidence-based practice might or might not help reach the Quadruple Aim as it pertains to work-life of healthcare providers.The response includes clear, accurate, and specific examples of how evidence-based practice impacts work-life of healthcare providers. The response synthesizes and integrates at least two outside resources and two competency-specific resources that fully support the responses provided. )

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pharma disc 2

 

Week 2 Discussion

Based on last week’s reading, you now have an idea of the role of the APRN, and legal/professional issues in prescribing. As a future nurse practitioner, you have the authority, based on your state nurse practice act, to prescribe medications for the patients for whom you will provide care, and the responsibility of prescriptive authority is more than just simply writing a prescription correctly.APA FORMAT 250 WORDS 

Important Links:

Discuss the role of advanced practice nursing in safe prescribing and 3 prescribing barriers for APRNs:

1. You need 1 initial post, and 2 replies to 2 different students.

2. A minimum of 2 paragraphs is required for all posts (initials and replies).

3. Support all posts with at least 2 cited peer review references within 5 years of publication (references cannot be older than 5 years).

4. All posts are to be written in APA 6th edition format as required by the university.

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Local Practice Problem Exploration

 Local Practice Problem Exploration

Reflect upon the selected national practice problem in Week 1 to address the following.

·  From a local perspective, how does the practice problem impact nurses, nursing care, healthcare organizations, and the quality of care being provided?

·  Identify the local key stakeholders related to the selected practice problem.

·  Describe one approach used at your unique setting to address this problem. From your perspective, is this intervention effective in addressing the problem? Why or why not? If this practice problem is not addressed at your workplace, propose an intervention that could be implemented on a local scale to address the problem.

APA FORMATE 

I NEED A COMMENT FOR THIS POST WITH AT LEAST TWO PAGE ( 4-6  PARAGRAPH AND  SOURCES NO LATER THAN FIVE YEARS

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Community Nursing Discussion minimum 250 words for discussion part 1, minimum 150 words for discussion part 2, minimum 150 words for discussion part 3.

What is the purpose of the research study?  What is the purpose of the study?  Be specific in identifying the research question(s).

Is the review of literature in the article comprehensive, current, and focused on the research question?

YouTube video on qualitative and quantitative research.  This will assist you in this week and future in construction your dicussions and your paper.  Link (Links to an external site.)Quant vs Qual Research

The following are the three articles: The one I have chosen is in bold please read and answer questions according to each article. 

1. Fujisawa H., Kumasaka, T. & Arakida,M. (2019). Influence of animal assisted therapy using dog for patients with stroke and examination of nursing care. International Medical Journal26(2), 126–134.

2. Yordy, M. (2020). Animal-assisted therapy: Promoting a healthy work environment. Nursing Management51(4), 24–30. https://doi.org/10.1097/01.NUMA.0000657248.63754.fc (Links to an external site.)

3. Oyan de Moraes, V. C., & Spiri, W. C. (2019). Development of a journal club on the nursing management process. Revista Brasileira de Enfermagem72, 221–227. https://doi.org/10.1590/0034-7167-2018-0019

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Discussion 02.1: NAUXChange 02

HA4050D – Healthcare Law

Discussion 02.1: NAUXChange 02

Find an online news story involving the alleged commission of a crime by a provider in a health care setting. Describe the case to your classmates and provide a link.

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Discusion post continuous use of steroids injections such as Kenolog and dexamethasoneor for the management of acute or chronic pain management in the elderly populations

1.

Identifying key stakeholders that can affect or will be affected as a result of your evidence-based project recommendations. Please refer to linked Appendix C: (My Evidence Base Project will be about the continuous use of steroids injections such as Kenalog and dexamethasone for the management of acute or chronic pain management in the elderly populations. 

https://ichs.ethinksites.com/pluginfile.php/43386/mod_forum/intro/2017_Appendix%20C_Stakeholder%20Analysis.docx

2.

After identifying and completing the stakeholder worksheet, find a database such as Google Scholar or the database of your choice to conduct a preliminary search of evidence-based articles related to your topic. Choose one relevant article and identify the level and quality by using linked Appendix D:

https://ichs.ethinksites.com/pluginfile.php/43386/mod_forum/intro/2017_Appendix_D_Evidence%20Level%20and%20Quality%20Guide.docx

· Reequipment APA format.

· Articles within the last past 5 years.

· Plagiarism free

· Attached copy of the article being used.

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Discussion 02.2: Intentional Torts

HA4050D – Healthcare Law

Discussion 02.2: Intentional Torts

  Read the Discussion 02.2 Scenario. Refer to this scenario as you answer the questions below.

1.What INTENTIONAL tort theories (NOT NEGLIGENCE) might apply here? What facts fit the elements of those tort theories?

2.Consider the extent of the hospital’s monetary liability. If you were on the jury in this case, how would you calculate an amount of damages? Did taking the photographs cause any economic damages (cost the plaintiffs money)? Probably not. Did they cause pain and suffering? How do you think a jury might arrive at a dollar figure to award in a case like this?

  DISCUSSION 02.2: INTENTIONAL TORTS

SCENARIO (BASED ON A REAL MAINE CASE)

You are an administrator in a medium-sized hospital. One of the physicians, Dr. McKee, comes to you

to tell you about something disturbing she has just witnessed.

A hospitalized patient suffering from cancer of the larynx was under the care of another physician, Dr.

Smallwood. The patient’s condition was somewhat unusual and of interest to several of the oncologists

who had examined it. The patient had initially permitted Dr. Smallwood to take several photographs that were to be used for the medical record, but he was adamant that they not to be used for

publication.

Later, a few hours before the patient died, Dr. Smallwood and a nurse took more photographs, moving

the patient’s head for the photos, despite the patient’s clear wishes that he did not want any more

photos to be taken. Dr. Smallwood then uploaded the photos to a discussion group to share them with

fellow surgeons.

Soon after the patient died, his wife discovered that additional photos were taken and was outraged.

Dr. McKee just witnessed the patient’s widow have a heated conversation with Dr. Smallwood and then

storm out, threatening to sue the hospital.

You immediately begin drafting an email to inform your supervisor about the situation. You want to

include the following in your memo:

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Discussion post role of ethics among the interprofessional healthcare team and its role in communication and information sharing, confidentiality, and whistleblowing.

Discuss the role of ethics among the interprofessional health care team and its role in communication and information sharing, confidentiality, and whistleblowing.

Requirements for this post:
Word count: 300 minimum – 500 maximum

APA Format 

Plagiarism free 

References within the last 5 years.

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