Journal entry

Home>Homework Answsers>Nursing homework helpejParaphrazing this work for me.2 years ago11.11.202315Report issuefiles (1)Week_11__Journal__JK.docx.pdfWeek_11__Journal__JK.docx.pdf1Week 11: JournalStudent NameCollege of Nursing-PMHNP, Walden UniversityNRNP 6665: PMHNP Care Across the Lifespan IFaculty NameAssignment Due DateThis study source was downloaded by 100000853131049 from CourseHero.com on 11-10-2023 12:34:49 GMT -06:00https://www.coursehero.com/file/164116055/Week-11-Journal-JKdocx/https://www.coursehero.com/file/164116055/Week-11-Journal-JKdocx/2Revisit the goals and objectives from your Practicum Experience Plan. Explain the degreeto which you achieved each during the practicum experience.Objective 1: To achieve confidence in using evidence-based research in my interaction withpatients, allowing me to provide them with the most up-to-date clinical information.One of the things I learned from this experience was how to execute more advanceddirective planning. With the directives of my clinical preceptor, I was able to establish thesymptoms and indicators of several mental health conditions, including bipolar disorder,borderline personality disorder, depression, and schizophrenia. Using the most current and up-to-date clinical data, I want to focus more on enhancing my ability to identify the symptoms ofbipolar illness and schizophrenia, which appear to be prevalent in adults.Objective 2: To utilize the technologies available to enhance and optimize patient care.Within ten weeks of my clinical rotation and preceptor’s confirmation, I could identify thecorrect screening instrument in clinical settings. During my rotation, however, no screening toolswere used. Coursework and intensive reading was the only approach I could master screeningtechnologies and how they are applied. There is a need, therefore, for a bigger investment insophisticated clinical instruments, which I am looking forward to working with them.Objective 3: To have a better grasp of mental illness, its progression, treatments, and diagnosis,thus enhancing my career advancement as a nurse.An evaluation demonstrated that I could identify and prioritize the most likely diagnosisfor patients in 10 weeks. My clinical rotation was part of learning about probable andestablishing correct diagnoses for patients at a hospital. There were few teenagers to deal with,but I had much experience working with adults and the elderly.This study source was downloaded by 100000853131049 from CourseHero.com on 11-10-2023 12:34:49 GMT -06:00https://www.coursehero.com/file/164116055/Week-11-Journal-JKdocx/https://www.coursehero.com/file/164116055/Week-11-Journal-JKdocx/3Reflect on the three (3) most challenging patients you encountered during the practicumexperience. What was most challenging about each?One of the most challenging patients I dealt with was a 29-year-old lady who presentedwith Suicidal thoughts. This lady was struggling with feelings of abandonment and was thusresentful. In addition, the patient was characterized by numerous outbursts during the interview.This thus made it difficult to conduct psychotherapy at the time.Another encounter was with a Caucasian man aged 30 who presented with a manicepisode. This patient had a history of opiate use. Subutex was the only drug that worked for thispatient. Trileptal was preferred, but he refused, citing that there was no other medication thatcould help him as he had used them before. He was eventually administered subutex because ofhis opiate use problem (Stupazzoni, 2022). The patient, however, wanted this medication in orderfor him to stay sober.The third most challenging patient was an abusive and arrogant patient. This patient hadpresented complaining of Anxiety and sleepless nights. However, during the interview with thispatient, he was unclear and brief in his responses, making it hard to obtain critical informationconcerning his condition.What did you learn from this experience?Typically, I learned about patient dishonesty. Some patients may provide inaccurate,misleading information concerning their condition. This can thus lead to misdiagnosis and,ultimately, a wrong approach in trying to mitigate the underlying health condition. Anothercritical lesson I learned was dealing with arrogant and abusive patients with minimal empathy. Imaintained my calm and composure by listening intently to the patient’s words. Additionally, IThis study source was downloaded by 100000853131049 from CourseHero.com on 11-10-2023 12:34:49 GMT -06:00https://www.coursehero.com/file/164116055/Week-11-Journal-JKdocx/https://www.coursehero.com/file/164116055/Week-11-Journal-JKdocx/4was comforting and acknowledged the patient’s concerns. Finally, I enabled the patient to expresstheir frustration while maintaining eye contact to gain more in-depth information.What resources were available?The DSM5 was the most useful and effective tool offered throughout this trainingprogram. It was the most understandable and interesting of all the textbooks used in this masteryprogram.What evidence-based practice did you use for the patients?Typically, the preceptor handled several patients who were opiate addicts when I wasdoing my clinical rotations. Various suggestions were made to the patients, each differing. WithNaltrexone, for instance, I have observed the greatest success rate in sobriety (“Naltrexone,”2018). When the psychiatrist refrained from issuing the medication to some of his patients, I wasperplexed. I then learned that Nonpharmacological approaches are practical when dealing withpatients with addiction and mental health conditions (“Naltrexone,” 2018). Even thoughNaltrexone is backed by research, other medications and alternative Nonpharmacologicaltreatments are still practical and valuable to the patients (Nandita et al., 2020). From this, Ilearned that there is a strong need for a scientific and methodical curriculum design for the earlyintroduction of EBM in pre-clinical years, which is best suited for the students (Greenhalgh etal., 2022). The concepts should be aimed toward additional study for the efficient adoption ofEBM to strengthen clinical abilities (Greenhalgh et al., 2022).What would you do differently?Typically, my clinical rotation lacked consistency since I could attend to patients threetimes a week for the most part. The clinical rotation would have been more valuable to my skillsand knowledge if I had allocated more time to seeing and following up on patients. First, regularThis study source was downloaded by 100000853131049 from CourseHero.com on 11-10-2023 12:34:49 GMT -06:00https://www.coursehero.com/file/164116055/Week-11-Journal-JKdocx/https://www.coursehero.com/file/164116055/Week-11-Journal-JKdocx/5follow-up treatment helps patients remain healthy and improves the quality of their care (Imtiaz& McLaughlin, 2022). A secondary benefit of early post-discharge treatment is a decrease in thefrequency of re-admissions to the hospital (Imtiaz & McLaughlin, 2022). Finally, regular post-discharge follow-ups assist in detecting and preventing problems before they become serious,reducing the number of patients needing to return to the hospital (Imtiaz & McLaughlin, 2022).Resultantly, this would have enhanced my confidence as a healthcare provider.How are you managing patient flow and volume?Prioritizing patients in stable condition is an excellent technique for keeping patient flowand volume in check (Vahdat, 2018). Certain patient follow-ups require less time, ensuringmaximum time utilization (Vahdat, 2018). Additionally, this allocates more time to patients withmore complex problems. Furthermore, this ensures that all patients are dealt with satisfactorily.Finally, this ensures that I effectively and efficiently manage the flow and volume of patients.How can you apply your growing skillset to be a social change agent within yourcommunity?Typically, the DSM5 book helps me develop new abilities. During a clinical interview, Iknew exactly what questions to ask about a specific diagnosis. Moreover, the DSM-5-TRcontains a complete and detailed explanation of the influence of racism and prejudice on mentalillness diagnosis and manifestation and how to overcome them (“Facts About DSM-5-TR,”2022). Clinically and scientifically, the handbook aids in defining and classifying mentalillnesses, allowing for more accurate diagnosis, treatment, and investigation (“Facts About DSM-5-TR,” 2022). Finally, it gives me a common language to engage with patients and developconsistent and trustworthy diagnoses, which is essential to my career advancement (“Facts AboutDSM-5-TR,” 2022).This study source was downloaded by 100000853131049 from CourseHero.com on 11-10-2023 12:34:49 GMT -06:00https://www.coursehero.com/file/164116055/Week-11-Journal-JKdocx/https://www.coursehero.com/file/164116055/Week-11-Journal-JKdocx/6Communicating and FeedbackReflect on how you might improve your skills and knowledge, and communicate thoseefforts to your PreceptorAs a medical professional, I must have the capacity to master a wide range of skills andknowledge, including technical mastery, theoretical understanding, caring intention, and ethicalconsiderations. I have to do a lot of clinical skill evaluations based on a clinical reasoningprocess before, during, and after clinical skill training. In a medical admissions unit, I wouldhave to participate in multiple substantial instances of clinical reasoning (“Clinical TrialsInformed Consent: An Educational Intervention to Improve Nurses’ Knowledge andCommunications Skills,” 2018). I must make judgments and the best alternatives using thisinformation. I should discuss any concerns with my preceptor before making a diagnosis andthus offering the best treatment option.Answer the questions: How am I doing? What is missing?Overall, I am doing well as a medical provider. However, it became clear that I needmore training and experience when dealing with adolescents and abusive patients. Myknowledge of drug prescription has also improved significantly.Reflect on the formal and informal feedback you received from your Preceptor.Even though I received brief feedback from the preceptor, the feedback was clear,objective, succinct, and up to a point.This study source was downloaded by 100000853131049 from CourseHero.com on 11-10-2023 12:34:49 GMT -06:00https://www.coursehero.com/file/164116055/Week-11-Journal-JKdocx/https://www.coursehero.com/file/164116055/Week-11-Journal-JKdocx/7ReferencesClinical Trials Informed Consent: An Educational Intervention to Improve Nurses’ Knowledgeand Communications Skills. (2018). Clinical Journal of Oncology Nursing.https://doi.org/10.1188/18.cjon.e152-e158Facts About DSM-5-TR. (2022). Psychiatric News, 57(3).https://doi.org/10.1176/appi.pn.2022.03.3.28Greenhalgh, T., Fisman, D., Cane, D. J., Oliver, M., & Macintyre, C. R. (2022). Adapt or die:how the pandemic made the shift from EBM to EBM+ more urgent. BMJ Evidence-Based Medicine, bmjebm-2022. https://doi.org/10.1136/bmjebm-2022-111952Imtiaz, N., & McLaughlin, J. (2022). Reducing the Pressure on Mental Health Team byImproving Post-Discharge Follow-Up of Self-Harm or Suicidal Patients in Primary Care.BJPsych Open, 8(S1), S99. https://doi.org/10.1192/bjo.2022.307Naltrexone. (2018). Reactions Weekly, 1684(1), 185. https://doi.org/10.1007/s40278-018-40797-6Nandita, G., Shivalingesh, K., Swati, S., Resham, I., & Satyaki, V. (2020). Evaluation ofpharmacological and non–pharmacological methods of smoking cessation; A Review.Journal of Addiction Medicine and Therapeutic Science, 6(1), 045–051.https://doi.org/10.17352/2455-3484.000037Stupazzoni, M. (2022). Marie-Ève Thérenty, Convergences: “Vernon Subutex” et “La Comédiehumaine.” Studi Francesi, 196 (LXVI | I), 184.https://doi.org/10.4000/studifrancesi.48824Vahdat, S. (2018). IDENTIFYING AND PRIORITIZING FACTORS EFFECTIVE ONHOSPITAL SERVICES QUALITY FROM THE PATIENT ATTENDANTS VIEWThis study source was downloaded by 100000853131049 from CourseHero.com on 11-10-2023 12:34:49 GMT -06:00https://www.coursehero.com/file/164116055/Week-11-Journal-JKdocx/https://www.coursehero.com/file/164116055/Week-11-Journal-JKdocx/8USING FUZZY AHP TECHNIQUE IN 2017. Universal Journal of PharmaceuticalResearch, 3(2), 21–28. https://doi.org/10.22270/ujpr.v3i2.135This study source was downloaded by 100000853131049 from CourseHero.com on 11-10-2023 12:34:49 GMT -06:00https://www.coursehero.com/file/164116055/Week-11-Journal-JKdocx/
Powered by TCPDF (www.tcpdf.org)https://www.coursehero.com/file/164116055/Week-11-Journal-JKdocx/http://www.tcpdf.orgWeek_11__Journal__JK.docx.pdf1Week 11: JournalStudent NameCollege of Nursing-PMHNP, Walden UniversityNRNP 6665: PMHNP Care Across the Lifespan IFaculty NameAssignment Due DateThis study source was downloaded by 100000853131049 from CourseHero.com on 11-10-2023 12:34:49 GMT -06:00https://www.coursehero.com/file/164116055/Week-11-Journal-JKdocx/https://www.coursehero.com/file/164116055/Week-11-Journal-JKdocx/2Revisit the goals and objectives from your Practicum Experience Plan. Explain the degreeto which you achieved each during the practicum experience.Objective 1: To achieve confidence in using evidence-based research in my interaction withpatients, allowing me to provide them with the most up-to-date clinical information.One of the things I learned from this experience was how to execute more advanceddirective planning. With the directives of my clinical preceptor, I was able to establish thesymptoms and indicators of several mental health conditions, including bipolar disorder,borderline personality disorder, depression, and schizophrenia. Using the most current and up-to-date clinical data, I want to focus more on enhancing my ability to identify the symptoms ofbipolar illness and schizophrenia, which appear to be prevalent in adults.Objective 2: To utilize the technologies available to enhance and optimize patient care.Within ten weeks of my clinical rotation and preceptor’s confirmation, I could identify thecorrect screening instrument in clinical settings. During my rotation, however, no screening toolswere used. Coursework and intensive reading was the only approach I could master screeningtechnologies and how they are applied. There is a need, therefore, for a bigger investment insophisticated clinical instruments, which I am looking forward to working with them.Objective 3: To have a better grasp of mental illness, its progression, treatments, and diagnosis,thus enhancing my career advancement as a nurse.An evaluation demonstrated that I could identify and prioritize the most likely diagnosisfor patients in 10 weeks. My clinical rotation was part of learning about probable andestablishing correct diagnoses for patients at a hospital. There were few teenagers to deal with,but I had much experience working with adults and the elderly.This study source was downloaded by 100000853131049 from CourseHero.com on 11-10-2023 12:34:49 GMT -06:00https://www.coursehero.com/file/164116055/Week-11-Journal-JKdocx/https://www.coursehero.com/file/164116055/Week-11-Journal-JKdocx/3Reflect on the three (3) most challenging patients you encountered during the practicumexperience. What was most challenging about each?One of the most challenging patients I dealt with was a 29-year-old lady who presentedwith Suicidal thoughts. This lady was struggling with feelings of abandonment and was thusresentful. In addition, the patient was characterized by numerous outbursts during the interview.This thus made it difficult to conduct psychotherapy at the time.Another encounter was with a Caucasian man aged 30 who presented with a manicepisode. This patient had a history of opiate use. Subutex was the only drug that worked for thispatient. Trileptal was preferred, but he refused, citing that there was no other medication thatcould help him as he had used them before. He was eventually administered subutex because ofhis opiate use problem (Stupazzoni, 2022). The patient, however, wanted this medication in orderfor him to stay sober.The third most challenging patient was an abusive and arrogant patient. This patient hadpresented complaining of Anxiety and sleepless nights. However, during the interview with thispatient, he was unclear and brief in his responses, making it hard to obtain critical informationconcerning his condition.What did you learn from this experience?Typically, I learned about patient dishonesty. Some patients may provide inaccurate,misleading information concerning their condition. This can thus lead to misdiagnosis and,ultimately, a wrong approach in trying to mitigate the underlying health condition. Anothercritical lesson I learned was dealing with arrogant and abusive patients with minimal empathy. Imaintained my calm and composure by listening intently to the patient’s words. Additionally, IThis study source was downloaded by 100000853131049 from CourseHero.com on 11-10-2023 12:34:49 GMT -06:00https://www.coursehero.com/file/164116055/Week-11-Journal-JKdocx/https://www.coursehero.com/file/164116055/Week-11-Journal-JKdocx/4was comforting and acknowledged the patient’s concerns. Finally, I enabled the patient to expresstheir frustration while maintaining eye contact to gain more in-depth information.What resources were available?The DSM5 was the most useful and effective tool offered throughout this trainingprogram. It was the most understandable and interesting of all the textbooks used in this masteryprogram.What evidence-based practice did you use for the patients?Typically, the preceptor handled several patients who were opiate addicts when I wasdoing my clinical rotations. Various suggestions were made to the patients, each differing. WithNaltrexone, for instance, I have observed the greatest success rate in sobriety (“Naltrexone,”2018). When the psychiatrist refrained from issuing the medication to some of his patients, I wasperplexed. I then learned that Nonpharmacological approaches are practical when dealing withpatients with addiction and mental health conditions (“Naltrexone,” 2018). Even thoughNaltrexone is backed by research, other medications and alternative Nonpharmacologicaltreatments are still practical and valuable to the patients (Nandita et al., 2020). From this, Ilearned that there is a strong need for a scientific and methodical curriculum design for the earlyintroduction of EBM in pre-clinical years, which is best suited for the students (Greenhalgh etal., 2022). The concepts should be aimed toward additional study for the efficient adoption ofEBM to strengthen clinical abilities (Greenhalgh et al., 2022).What would you do differently?Typically, my clinical rotation lacked consistency since I could attend to patients threetimes a week for the most part. The clinical rotation would have been more valuable to my skillsand knowledge if I had allocated more time to seeing and following up on patients. First, regularThis study source was downloaded by 100000853131049 from CourseHero.com on 11-10-2023 12:34:49 GMT -06:00https://www.coursehero.com/file/164116055/Week-11-Journal-JKdocx/https://www.coursehero.com/file/164116055/Week-11-Journal-JKdocx/5follow-up treatment helps patients remain healthy and improves the quality of their care (Imtiaz& McLaughlin, 2022). A secondary benefit of early post-discharge treatment is a decrease in thefrequency of re-admissions to the hospital (Imtiaz & McLaughlin, 2022). Finally, regular post-discharge follow-ups assist in detecting and preventing problems before they become serious,reducing the number of patients needing to return to the hospital (Imtiaz & McLaughlin, 2022).Resultantly, this would have enhanced my confidence as a healthcare provider.How are you managing patient flow and volume?Prioritizing patients in stable condition is an excellent technique for keeping patient flowand volume in check (Vahdat, 2018). Certain patient follow-ups require less time, ensuringmaximum time utilization (Vahdat, 2018). Additionally, this allocates more time to patients withmore complex problems. Furthermore, this ensures that all patients are dealt with satisfactorily.Finally, this ensures that I effectively and efficiently manage the flow and volume of patients.How can you apply your growing skillset to be a social change agent within yourcommunity?Typically, the DSM5 book helps me develop new abilities. During a clinical interview, Iknew exactly what questions to ask about a specific diagnosis. Moreover, the DSM-5-TRcontains a complete and detailed explanation of the influence of racism and prejudice on mentalillness diagnosis and manifestation and how to overcome them (“Facts About DSM-5-TR,”2022). Clinically and scientifically, the handbook aids in defining and classifying mentalillnesses, allowing for more accurate diagnosis, treatment, and investigation (“Facts About DSM-5-TR,” 2022). Finally, it gives me a common language to engage with patients and developconsistent and trustworthy diagnoses, which is essential to my career advancement (“Facts AboutDSM-5-TR,” 2022).This study source was downloaded by 100000853131049 from CourseHero.com on 11-10-2023 12:34:49 GMT -06:00https://www.coursehero.com/file/164116055/Week-11-Journal-JKdocx/https://www.coursehero.com/file/164116055/Week-11-Journal-JKdocx/6Communicating and FeedbackReflect on how you might improve your skills and knowledge, and communicate thoseefforts to your PreceptorAs a medical professional, I must have the capacity to master a wide range of skills andknowledge, including technical mastery, theoretical understanding, caring intention, and ethicalconsiderations. I have to do a lot of clinical skill evaluations based on a clinical reasoningprocess before, during, and after clinical skill training. In a medical admissions unit, I wouldhave to participate in multiple substantial instances of clinical reasoning (“Clinical TrialsInformed Consent: An Educational Intervention to Improve Nurses’ Knowledge andCommunications Skills,” 2018). I must make judgments and the best alternatives using thisinformation. I should discuss any concerns with my preceptor before making a diagnosis andthus offering the best treatment option.Answer the questions: How am I doing? What is missing?Overall, I am doing well as a medical provider. However, it became clear that I needmore training and experience when dealing with adolescents and abusive patients. Myknowledge of drug prescription has also improved significantly.Reflect on the formal and informal feedback you received from your Preceptor.Even though I received brief feedback from the preceptor, the feedback was clear,objective, succinct, and up to a point.This study source was downloaded by 100000853131049 from CourseHero.com on 11-10-2023 12:34:49 GMT -06:00https://www.coursehero.com/file/164116055/Week-11-Journal-JKdocx/https://www.coursehero.com/file/164116055/Week-11-Journal-JKdocx/7ReferencesClinical Trials Informed Consent: An Educational Intervention to Improve Nurses’ Knowledgeand Communications Skills. (2018). Clinical Journal of Oncology Nursing.https://doi.org/10.1188/18.cjon.e152-e158Facts About DSM-5-TR. (2022). Psychiatric News, 57(3).https://doi.org/10.1176/appi.pn.2022.03.3.28Greenhalgh, T., Fisman, D., Cane, D. J., Oliver, M., & Macintyre, C. R. (2022). Adapt or die:how the pandemic made the shift from EBM to EBM+ more urgent. BMJ Evidence-Based Medicine, bmjebm-2022. https://doi.org/10.1136/bmjebm-2022-111952Imtiaz, N., & McLaughlin, J. (2022). Reducing the Pressure on Mental Health Team byImproving Post-Discharge Follow-Up of Self-Harm or Suicidal Patients in Primary Care.BJPsych Open, 8(S1), S99. https://doi.org/10.1192/bjo.2022.307Naltrexone. (2018). Reactions Weekly, 1684(1), 185. https://doi.org/10.1007/s40278-018-40797-6Nandita, G., Shivalingesh, K., Swati, S., Resham, I., & Satyaki, V. (2020). Evaluation ofpharmacological and non–pharmacological methods of smoking cessation; A Review.Journal of Addiction Medicine and Therapeutic Science, 6(1), 045–051.https://doi.org/10.17352/2455-3484.000037Stupazzoni, M. (2022). Marie-Ève Thérenty, Convergences: “Vernon Subutex” et “La Comédiehumaine.” Studi Francesi, 196 (LXVI | I), 184.https://doi.org/10.4000/studifrancesi.48824Vahdat, S. (2018). IDENTIFYING AND PRIORITIZING FACTORS EFFECTIVE ONHOSPITAL SERVICES QUALITY FROM THE PATIENT ATTENDANTS VIEWThis study source was downloaded by 100000853131049 from CourseHero.com on 11-10-2023 12:34:49 GMT -06:00https://www.coursehero.com/file/164116055/Week-11-Journal-JKdocx/https://www.coursehero.com/file/164116055/Week-11-Journal-JKdocx/8USING FUZZY AHP TECHNIQUE IN 2017. Universal Journal of PharmaceuticalResearch, 3(2), 21–28. https://doi.org/10.22270/ujpr.v3i2.135This study source was downloaded by 100000853131049 from CourseHero.com on 11-10-2023 12:34:49 GMT -06:00https://www.coursehero.com/file/164116055/Week-11-Journal-JKdocx/
Powered by TCPDF (www.tcpdf.org)https://www.coursehero.com/file/164116055/Week-11-Journal-JKdocx/http://www.tcpdf.orgBids(74)Miss DeannaDr. Ellen RMMathProgrammingPROF_ALISTEREmily ClareSheryl HoganDoctor.Namirafirstclass tutorProf Double RDemi_RoseFiona Davasherry proffMUSYOKIONES A+Isabella HarvardDr CloverMISS HILLARY A+Discount AssignJudithTutorpacesetters2121STELLAR GEEK A+Show All Bidsother Questions(10)Discussion Topic – Drugs & BehaviorQuestionDiscussionDeliverable 1 – Legal Requirements for Business Negotiations Competency Assess the global commerce environment for application of country-specific and U.S. laws. Scenario Wonderful Wines of the USA is a U. S. based company. You are the HR Manager reportiDiscussionFamily Centered Community Based CareSupport GroupCSBI JournalOrganize a Project Assignment Content This assignment is intended to help you use leadership skills to gather project members from cross-functional departments and skill sets and lead them in the fulfillment and implementation of a mock project. DiFinal Project Template and Description

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