Monthly Archives: May 2023

theorydiscussion

Discuss the applicability of the theory of culture care diversity and universality to discover nursing knowledge and provide culturally congruent care. Take into consideration the current trends of consumers of health care, cultural diversity factors, and changes in medical and nursing school curricula. The following are examples of trends you may use as a thread to start your discussion:

a. The importance of transcultural nursing knowledge in an increasingly diverse world

b. The growth of lay support groups to provide information and sharing of experiences and support for clients, families, and groups experiencing chronic, terminal, or life-threatening illnesses or treatment modalities from diverse or similar cultures

c. Cultural values, beliefs, health practices, and research knowledge in undergraduate and graduate nursing curricula across the life span

d. Inclusion of alternative or generic care in nursing curricula, such as medicine men, Native American healers, curers, and herbalists in the Southwest and selected substantiated Chinese and Ayurvedic medicine methods shown to be effective for the treatment of both acute and chronic diseases

e. The increased access to health care information from the Internet and the growing number of books, audio recordings, and video recordings published on health maintenance, alternative medicine, herbs, vitamins, minerals, and over-the-counter medications and preparations

f. Spiraling health care costs; use of health maintenance organizations, preferred provider organizations (PPO), or internal plan provider lists; lack of health insurance; increased reliance on self-diagnosis, treatment, and care; and increased availability of diagnostic kits for home-based self-diagnostic testing

g. Problems related to cultural conflicts, stress, pain, and cultural imposition practices

h. Increased suspiciousness and mistrust or distrust of cultural, religious, and political groups because of increased terrorist activities worldwide

  Dietary supplement. (GINKGO). 

·  The presentation is to be created using Microsoft PowerPoint 2007, 2010, or higher.

·  Length is 8-10 slides, NOT including the Title and Reference pages. 

·  The slides must include descriptive and comprehensive information and ONE evidence-based article findings for selected supplement for following elements:

§ Description of Supplement (2 points)

§ Mechanisms of Action (2 points)

§ Usage (2 points)

§ Dosage (2 points)

§ Interactions (2.5 points)

§ Contraindications (2.5 points)

§ Evidence-Based Article Finding (5 points): Find ONE Primary Data Article ONLY (Researcher conducted own study for each designated supplement. Not acceptable for meta-analysis or systematic review article that is the article the authors simply collected and reviewed several existing studies done by other researchers)

§ Nursing Considerations (5 points)

§ Reference (1 point)

PP Slides: Pictures, Words, Colors (1 point )

This assignment should only be completed after you have posted the video: SEE ATTACHED VIDEO LINK: Postpartum depression therapy video

VIDEO LINK: https://youtu.be/SkwuSJ8e5So

Your reflection should address all of the following questions between 750 to 950 words. Appropriate spelling, grammar, and punctuation required. Complete sentences are expected. All writing should be in your own words. Use APA references as needed to support your ideas; there is no requirement on number of references to include. Be sure to use APA format.

SEE VIDEO in order to complete this assignment, and also see the attached assignment example for references.

1. Which skills did you use in the session? How?
2. How did the assigned Corey readings, PowerPoints, Handouts, and videos inform your therapy session? Please explain in detail.
3. What were your strengths in the interview?
4. What were your weaknesses/areas in need of further development in the interview?
5. How could you improve your interviewing skills? Are there steps you plan on taking? What are those steps?
6. Was there any time when you felt stuck or uncertain how to respond? Describe what was happening then. Were there times you felt more confident in your responses with the client? Times you were less confident? How? Does this come through in the session?
7. How were you impacted by the client…your emotions, thoughts, physical reactions, transference, and countertransference, body language?
8. What was your overall response to the interview? Did you feel connected to the client? Distracted? Disengaged?
9. What was the quality of your engagement, your empathy?
10. If you were to continue seeing this particular client, what future directions would you take? How would you conceptualize the case and what would be some of your treatment goals? How would you pursue these goals?

In relation to your partner:

1. What were the partners strengths in the interview?
2. What were the partners weaknesses/areas in need of further development in the interview?
3. How could your partner improve his/her interviewing skills?

Please, see also the attached assignment example for references.

Background: I live in South Florida, I am currently enrolled in the Psych Mental Health Practitioner Program, I am a Registered Nurse, I work in a Psychiatric Hospital.

Technology is integral to successful implementation in many projects, through either support or integration or both. Name at least one technology that could improve the implementation process and the outcomes of your capstone project change proposal. Do you plan to use this technology? If not, what are the barriers that prevent its use?

I NEED A RESPONSE TO THIS ASSIGNMENT
1 PAGE

ZERO PLAGIARISM

I believe this patient to have Oppositional Defiant Disorder.  This patient is within the guidelines of the DSM-5 criteria.  According to Criteria A, the patent must display a pattern of an angry or irritable mood, a behavior that displays defiance or argumentativeness, as well as vindictiveness (American Psychiatric Association, 2013). Criterion B states this disturbance is in correlation with the individual’s distress or that it impacts the person negatively (American Psychiatric Association, 2013). Lastly, Criterion C states these behaviors cannot be contributed to a psychotic episode, or other disorder (American Psychiatric Association, 2013).  

            This patient displays anger and irritability and verbalizes being resentful of being there.  She is defiant and is argumentative with the provider who is typically viewed as an authoritative figure. She also refuses to comply with treatment and the rules.  She displays vindictiveness in the form of withholding information from the therapist.  Her symptoms are moderate in that they are present in at least two different settings.

Therapeutic Approaches

 Through combined approaches, this disorder can be addressed with parenting modifications, social-emotional skills training, and if needed, psychiatric medication (Treatments for Oppositional Defiant Disorder in Children, 2020). Parenting modifications include fostering a healthy and loving relationship between the parent and child; creating healthy boundaries and rules; being consistent in ignoring annoying behaviors while praising good behaviors (Treatments for Oppositional Defiant Disorder in Children, 2020). The Social-emotional skills training includes implementing skills for the identification and management of feelings, and strategies for decision making that are not based on emotions (Treatments for Oppositional Defiant Disorder in Children, 2020).

            Lastly, if necessary, I would trial a psychiatric medication for the patient.  There are not medications for ODD specifically, but the symptoms are treated (Treatments for Oppositional Defiant Disorder in Children, 2020). There are stimulants such as methylphenidate or dextroamphetamine for ADHD (Treatments for Oppositional Defiant Disorder in Children, 2020). There are also escitalopram or fluoxetine for depression and anxiety (Treatments for Oppositional Defiant Disorder in Children, 2020). Other medications that can aid with disruptive behaviors include guanfacine, clonidine, or aripiprazole (Treatments for Oppositional Defiant Disorder in Children, 2020). Medication should not be used as a standalone treatment (Treatments for Oppositional Defiant Disorder in Children, 2020).

            For this patient specifically, I would implement the first two interventions prior to adding in a psych medication.  I would like to gauge the family dynamic and the patient’s emotional skills prior to adding a medication.  But, if at the second appointment she still had such aggressive symptoms, I would begin the patient on escitalopram 5mg, PO daily for three days then titrate to 10mg PO daily.  I would then recheck the patient in two weeks to make sure she wasn’t having any significant side effects.  

Expected Outcomes

The expected outcomes for this patient would benefit the entire family.  The family may benefit from stronger stability and healthier boundaries, less chaos, or a more caring environment. This can be seen or reflected in children’s behaviors.  I would also expect that with proper tools, social factors such as disagreements with other children, would also be overcome for the benefit of the patient (ODD, 2020).  It was once believed that a child could “outgrown” ODD , however this has been unfounded and symptoms can occur up to an individual’s later years (ODD, 2020). If the patient needs to have medication on board to help, I would expect at least a partial remission if not a full remission of symptoms. 

Reference

American Psychiatric Association. (2013).  Diagnostic and statistical manual of mental    disorders (5th ed.). Washington, DC: Author.

ODD (2020). Retrieved 23 October 2020, from             https://www.aacap.org/App_Themes/AACAP/docs/resource_centers/odd/odd_resource_c            enter_odd_guide.pdf

Treatments for Oppositional Defiant Disorder in Children | Boston Children’s Hospital. (2020).    Retrieved 23 October 2020, from https://www.childrenshospital.org/conditions-and-            treatments/conditions/o/oppositional-defiant-disorder/treatments

Instructions:

Prepare the informative speech outline. To prepare the outline, use the full-sentence outline method. The outline should have enough content in order to deliver a 5-7 minute informative speech. The outline should include the following:

• Specific Purpose
• Central Idea (aka:  Thesis Statement or Preview Statement)
• Introduction – capture attention, establish YOUR speaker credibility, preview the speech
• Body – key points (minimum of 3), transitions between main points, supporting materials from at least 3 sources including in-text references to the sources.
• Conclusion – signal the end, summarize main points, bring finality
• Researched supporting material references (minimum 3) – include a work cited at the end of your outline, use APA format.
• Identification of a presentation aid (visual)

Please be sure to validate your opinions and ideas with in-text citations and full references in APA

This topic is valued at 20 points. Please review the post and response expectations. Please review the rubric to ensure that your response meets the criteria (Read Me First Section of the Course).

Informative Speech Outline Draft

Instructions:

Please post 1 peer response.

In the response post, critique the outline by providing strengths and areas of improvement based on the quality of the following:

• Introduction
• Body w/ transitions
• Conclusion
• Supporting materials – in-text references and APA citations
• Were you informed? How was it or was it not effective?
• Other suggestions for improvement
• Any suggestions you have for smoothing out the content.

See attached. Thanks

Instructions

Informatics in the Clinical Setting

Conduct an interview with someone in an informatics role in a clinical setting. Then, in a Microsoft Word document of 5-6 pages formatted in APA style, discuss each of the following criteria:

·  Role description and education level required for the role.

·  Describe their views on how their role affects patient safety and improves the quality of patient care.

·  Describe the human factors faced in the role and other challenges.

·  Express insights gained from the interview.

·  Research and discuss the impact of the Agency for Healthcare Research and Quality (AHRQ) Patient Safety Indicators and The Joint Commission Patient Safety Goals in your clinical setting. Describe how these governing agencies influence delivery of direct patient care.

·  Research, discuss, and identify the Technology Informatics Guiding Education Reform (TIGER) utilized in your clinical setting. Be sure to get the perspective of your selected informatics professional during your interview.

·   

Please note that the title and reference pages should not be included in the total page count of your paper.

On a separate references page, cite all sources using APA format. Helpful APA guides and resources are available in the  University Online Library. Below are guides that are located in the library and can be accessed and downloaded via the University Online Citation Resources: APA Style page. The American Psychological Association website also provides detailed guidance on formatting, citations, and references at APA Style. 

Statistical application and the interpretation of data is important in health care. Review the statistical concepts covered in this topic. In a 750-1,000 word paper, discuss the significance of statistical application in health care. Include the following:

1. Describe the application of statistics in health care. Specifically discuss its significance to quality, safety, health promotion, and leadership.
2. Consider your organization or specialty area and how you utilize statistical knowledge. Discuss how you obtain statistical data, how statistical knowledge is used in day-to-day operations and how you apply it or use it in decision making.

Three peer-reviewed, scholarly or professional references are required.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

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

You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

 In a Microsoft Word document of 5-6 pages formatted in APA style, you will describe the advocacy process. Whether nurses are advocating for their patients, health care, and/or policies that improve people’s lives, the advocacy processes have commonalities that transcend the subject of their advocacy. There are also differences, although these differences may be more nuanced than obvious.

Review the following chapters from your course textbook:

• Taking Action: Nurse, Educator, and Legislator: My Journey to the Delaware Senate
• Taking Action: A Nurse in the Board Room

Respond to the following questions based on your readings:

• Describe what you believe to be the drivers for each of the individual advocates.
  • What factors led the individuals to become advocates?
• Discuss the challenges that each of the individuals identified in their writings.
• Analyze these drivers and challenges and compare them with your own experience to date as an advocate.
• In what ways do you believe you can expand your advocacy skills within the next five years?

On a separate reference page, cite all sources using APA format. Please note that the title and reference pages should not be included in the total page count of your paper.