Monthly Archives: May 2023

 This assignment builds on your first assignment.  We are going to investigate the food you ate in greater detail focusing on nutrition labeling and the macro-nutrients you have learned about in the last few weeks.  For this assignment, you will complete the attached worksheet using your food record and your Food Details Report from Assignment 1 

Download the worksheet to your computer.  Answer the questions using your food record and Food Details Report from Assignment 1 

Please see attachment for all food records and the assignment worksheet. 

Students are required to submit weekly reflective narratives throughout the course that will culminate in a final, course-long reflective journal due in Topic 10. The narratives help students integrate leadership and inquiry into current practice.

This reflection journal also allows students to outline what they have discovered about their professional practice, personal strengths and weaknesses, and additional resources that could be introduced in a given situation to influence optimal outcomes. Each week students should also explain how they met a course competency or course objective(s).

In each week’s entry, students should reflect on the personal knowledge and skills gained throughout the course. Journal entries should address one or more of the areas stated below.  In the Topic 10 graded submission, each of the areas below should be addressed as part of the summary submission.

1. New practice approaches
2. Interprofessional collaboration
3. Health care delivery and clinical systems
4. Ethical considerations in health care
5. Practices of culturally sensitive care
6. Ensuring the integrity of human dignity in the care of all patients
7. Population health concerns
8. The role of technology in improving health care outcomes
9. Health policy
10. Leadership and economic models
11. Health disparities

While APA style is not required for the body of this assignment, solid academic writing is expected, and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

PLEASE SEE ATTACHED

Financial characteristics of long-term care facilities and nursing homes. Need done Today !

 Discuss the correlation between nursing education and positive patient outcomes. Include current research that links patient safety outcomes to advanced degrees in nursing. Based on some real-life experiences, explain whether you agree or disagree with this research. 

Read Chapter on Davis Plus: Discussion of Triaxial of action: Policy, Politics,and Nursing

1- What is Policy?

2- Explain each of them:  Public policy—

Private policy—

Health policy—

Social policy—

Organizational policy?

3- Who was F

lorence Nightingale, and what was her contribution to the Nursing Field? 

4- Who was Lillian Wald?

5- Who was Margaret Sanger, and in what way she helped to the developments of Nursing Field?

6_ what is  (ICN), and what they do?

7- What is s (NLCA) and they do?

Jeanne Blum, RN, is a nurse on a LDRP unit. Recently, the policy and 

procedures manual for Jeanne’s unit included the premature rupturing of membranes of a laboring patient 

as a practice acceptable for nurses to perform. Jeanne 

and some of her coworkers shared their concern over 

lunch about this new responsibility.They felt uncomfortable with the possibility of cord prolapse and 

other potential medical complications resulting from 

this practice. Jeanne gathered data from her state and 

many others states and noted that her hospital was 

not in compliance with her professional organization

practice standards. Jeanne shared this information with her coworkers. She volunteered to contact the 

state board of nursing on their behalf to request a 

declaratory statement on the nurse’s role in the initiation of premature rupturing of uterine membranes. 

Her state board’s clinical practice committee 

reviewed her request for a declaratory statement and 

gathered information from other states. A formal 

declaratory statement was drafted by the board and 

made it available on its Web site. A letter from the 

board was sent to Jeanne’s institution, informing it of 

the declaratory statement, which stated that the task 

nurses were requested to perform was beyond their 

scope of practice based on the Nurse Practice Act.

8-Which stage of the policy model does this scenario 

represent?  ■Discussion of Triaxial of Action: Policy,Politics, and Nursin

Points: 100 | Due Date: Week 7, Day 7 | CLO: 5 | Grade Category: Assignments

Assignment Prompt

This week’s first assignment is STEP 3 – Literature Review and Critical Appraisal.

The student will complete the following items and submit a Word doc to the assignment link. 

1. Provide a title that conveys or describes the assignment.
2. Literature Review – Provide the key terms used to guide the search for the evidence and provide at least five (5) summaries of research studies to support the evidence.
3. Critical Appraisal of Literature – Discuss the strengths and weaknesses of the evidence, what is known from the evidence and any gaps in knowledge from the research evidence.
4. References – Cite a minimum of five scholarly references in APA 6th ed format.

Expectations

• Due: Monday, 11:59 pm PT
• Format: Completed paper with references in APA 7th ed. format
• File name: Save the file with Student First Name_Last Name_Part 3

See USU NUR Writing Assignment Rubric for additional details and point weighting.

Chapter 19: Environmental Health

Assisting communities to adapt to climate change is a challenge we face. 

1. Pick a community near you and determine what climate change impacts they may face.

2. What vulnerabilities they may have. 

Remember to consider especially vulnerable populations within those communities and identify their specific challenges. (Websites such as CDC’s Climate and Health or EPA’s Climate Change Adaption Resource Center might be helpful.)   NO MORE THAN 21% OF PLAGIARISM 

 Respond to  your colleagues by constructively critiquing their interview format and providing feedback. 

NOTE: (POSITVE COMMENT)

                                                           Main Post

Personal Format

In  the psychiatric setting, assessing the needs of a client is mostly done  through personal interaction where the PMHNP is expected to ask various  questions. In fact, it suffices to say that interviews with patients is  one of the most effective ways of assessing their mental health needs  and coming up with the most appropriate interventions. It is widely  known in psychiatry that clinical interviews stand as one of the most  effective diagnostic tools. In this setting, the use of other validating  criteria such as lab tests as well as imaging are not commonly used  (Lin et al., 2003) Therefore, the interview should be done in a proper  manner in order to identify patients’ needs. The best interview format  should be based on the strengths of the interviewer especially in the  initial interaction with the patient where the strengths and weaknesses  of the clint are no known.

   The format that I would use in the initial interview with the patient  is one which is conversational in nature. This is because at this point,  there is no previous relationship between me and the patient. There is  no discernible trust between us, and the patient may nervous. Therefore,  a conversational approach to the initial interview shall be used with  the view of building rapport. The process of building a rapport may help  in identifying various issues about the patient even without  necessarily asking direct questions. For instance, the process of  building rapport may help the practitioner to establish whether a  patient is going through a psychotic issue or a less serious mental  health issue (Varghese & Dahale, 2018). This will determine how the  rest of the initial interview and other interactions with the patient  shall be conducted. 

    Once rapport has been established in the initial discussions which will  have to involve any issues, I can then move on into the health issues  or concerns of the patient. At this point, it is important to make sure  that the perspective of the patient about the prevailing problem as well  as their explanatory model regarding the problem are acknowledged  (Varghese & Dahale, 2018). This does not mean that I should accept  them. However, this will allow me to show compassion, empathy and  implement active listening skills. This will not only strengthen the  trust between the patient and myself but also improve the therapeutic  relationship between us at an early stage. This initial interview should  be used to collect information about the patient including such as age,  gender, marital status, and occupation. The chief complaint or  presenting problem, the history of present illness, precipitating  factors, social history, behavioral patterns, psychiatric

history  of the patient, family history, alterations in roles as well as social  functioning and the performance of a mental health examination, among  others. 

     Ideally, at this initial stage, I would use the opportunity to perform a  comprehensive psychiatric assessment of the patient to establish what I  am dealing with and to start the necessary interventions as soon as  possible. While I take notes during the interview, I will ensure that I  record what the patient says as he or she says it .I will also add notes  regarding how the patient presents his or her information. This will  help in proper diagnosing. The questions shall not be structured. They  will be random and open-ended to suit the different needs of the  patient. As it is a psychiatric condition, we must pose leading  questions on behavior and prevalent health conditions. The questions  posed include symptoms of the illness, how long the illness started its  gradual shift to critical condition, current life stresses, the criteria  of the illness in the DSM-IV, any suicidal or homicidal ideations, and  the impact of the illness on the overall quality of the patient’s life.  However, if it is established during the early stages that the patient  may be psychotic, the initial interview shall continue using structure  questions that are more focused than in other cases.  This is because in  such patients, open-ended questions may be confusing and disorganizing  (Sadock, Sadock & Ruiz, 2014).

             During the initial interview, the rules of engagement shall be set out  and the patient shall be allowed to ask questions to clarify on issues  regarding the rest of the sessions. This is also the right stage to  inform the patient about the prevailing legal and ethical issues such as  the confidentiality of the information that shall be shared during all  sessions. Simply put, the format of the initial interview for my case  shall focus on building rapport, collecting all the necessary  information to make a diagnosis and helping the patient to understand  how the therapeutic relationship shall be optimized in the subsequent  sessions.

Preceptor’s Format and Helpful Elements

   The preceptor uses the format like I have described. Instead, there is a  checklist or a template that exists in the facility. The preceptor uses  the template in all cases. This template was created by the preceptor,  but it is varied in different cases depending on the presenting  patient’s problem. Most of the questions in the checklist are  structured.  The preceptor tends to ask too, if the patient has  medications of mental treatment to establish the duration of treatment,  type of therapy allocated as well as any arising symptoms , entails  substance abuse history to investigate if the patient has any  addictions, determination of the personal history of the patient such as  family history and experiences, and sexual history. It suffices to say  that after many years of experience, the preceptor has developed an  approach that works. The facility also gets a high traffic of patient  and the template allows the preceptor to effectively handle each case in  a quick manner. The downside here is that this approach may prevent the  preceptor from developing a rapport early and this may not suit the  needs of patients.  My interview format is not restricted. It allows the  practitioner to maneuver between the different needs of patients hence  providing patient-centered care. The most helpful element of the model  is the personal history of the patient because it provides the origin of  where the problems started. For example, if the patient has suicidal  ideations it could be traced to their childhood experiences and how they  deal with stress. (Parker, J 2014) reiterates that mental healthcare at  the primary level requires an effective short consultation. One of my  philosophies in nursing is to provide care that focuses on the needs,  values, preferences, and beliefs of the patient while ensuring that a  therapeutic relationship is established.  It also reveals to the  psychiatrist how well the patient’s family can support in recovery. It  also helps to understand mental illness through cultural lenses  (Lauracuente,2019). It is also an element that determines how open and  communicative the patient is willing to be throughout the entire  process.

References

Lin,  D., Martens, J., Majdan, A., & Fleming, J. (2003). Initial  psychiatric assessment: A practical guide to the clinical interview. British Columbia Medical Journal, 45(4), 172-177

Sadock,  B. J., Sadock, V. A., & Ruiz, P. (2014). Kaplan & Sadock’s  synopsis of psychiatry: Behavioral sciences/clinical psychiatry (11th  ed.). Philadelphia, PA: Wolters Kluwer.

Varghese, M., & Dahale, A. B. (2018). The Geropsychiatric Interview-Assessment and Diagnosis. Indian journal of psychiatry, 60(Suppl 3), S301

Parker, J. (2014). Adapting the psychiatric assessment for primary care. South African Medical Journal, 104(1).

Laracuente, R. (2019). Empathy in Psychiatry: Reflection on a Patient Interview. Arts and Culture,14(3),8.

In the last two lines of the poem, the poet tells us how he feels about his relationship with his father. How does the poet structure this poem so that the last two lines accomplish this?  The poet structures his poem so that the last two lines explain how he feels about his relationship with his father. He realizes that, when he was young, he didn’t understand how much his father loved him, and he regrets this. 

Those Winter Sundays by Robert Hayden | Poetry Foundation
https://www.poetryfoundation.org/poems/46461/those-winter-sundays