Monthly Archives: May 2023

 I NEED A RESPONSE TO THIS ASSIGNMENT

3 REFERENCES

Cognitive Behavioral Therapy (CBT)

The goal of CBT is to identify unhealthy thought patterns which lead to negative emotions and behaviors, when the therapist and client can identify the unhealthy thoughts and impulses we can then begin to reframe and restructure them so that we can have a more positive response to our life stressors. Part of this process involves disproving untrue beliefs about ourselves, Socratic questioning, reattributing blame for the negative assumptions about the stressor, thought stopping, self exploration and cognitive restructuring (Wheeler, 2014). CBT is aimed at changing a pattern of thinking which is irrational in nature and assisting the client to identify the rational and real event or emotion and reduce the emotional response to be more proportionate to what actually happened or is still happening (David, Cotet, Matu, Mogoase & Stefan, 2018). While the approach may differ minimally between family and individual CBT processes, because there will be more persons involved in the family approach, the overall idea is the same: cognitive thought restructuring. 

While traditional CBT practitioners focus on individual interpersonal relationships and subsystems which the client identifies as the main stressor, CBT in families takes a much more thorough approach by identifying negative belief and thought patterns that are reinforced by family members (Nichols & Davis, 2020). Nichols and Davis (2020) also explain that doing CBT with an individual who return home to a family in which reinforces the negative thought and belief patterns about themselves sets the stage for failure for the client. CBT in families and romantic couples shows strong evidence of success and can greatly improve relationship dynamics, interactions, mindfulness of each other’s emotions and have long-term positive outcomes for the family or romantic couple (Nichols & Davis, 2020). 

Practicum Experience

CBT in my practicum experience has been… very interesting. I am doing my clinical hours at a long-term care psychiatric facility, it is much like an AFC home, but it is a 20 bed facility with much more staff and resources than a typical AFC, many of the clients are stepped down there from the state hospital or a long-term hospitalization. A lot of the counseling that my preceptor and I do is helping the residents navigate relationships with their roommates, peers, staff and families in order to prepare them for those interactions in the real world when they are hopefully released to begin their more independent journeys. Counseling two roommates who are struggling to co-exist has a lot of the same hallmarks as couples or family counseling when the clients are living together long-term (at least one year), but with so much acuity and other dynamics in the facility, achieving those cognitive changes can be very challenging when they are immediately disproven by the behavior of other clients on the unit. With one set of roommates in particular, we have been working with them on setting firm boundaries, communicating assertively, helping them to reframe their thoughts and feelings toward each other and identify the positive aspects of their relationship. Achieving these outcomes, especially in clients with serious and persistent mental illness, is very challenging, but because of that heightened challenge comes a lot of reward, as after five weeks now I have slowly begun to see the results of drilling some of these healthy changes into each and every individual and group counseling sessions. I consider it a very good day when we witness a behavior and another client in the facility yells “you need to set better boundaries”! (haha)

Challenges In the Family Setting

CBT in the family setting can be very challenging for the family and for the therapist – the therapist is working to rewire years of taught and learned behavior, evaluate subsystems within the family and address those toxic relationships, evaluating the structure of the family and determining how that affects cognitive thought patterns in the home. Patterson (2014) writes that sometimes in family therapy there is a risk of evaluating cause and effect patterns which may ignore the signs or protection of an actual victim-perpetrator relationship, such as in domestic violence cases, and through the use of a CBT approach increases the likelihood of safety and independence of for the victim of abuse. There are many moving parts and pieces to family CBT and there is a lot of conflict that must be worked through before one can start to change those thought patterns and in-turn their behavior and reactions toward one-another. 

While the implementation plan prepares students to apply their research to the problem or issue they have identified for their capstone project change proposal, the literature review enables students to map out and move into the active planning and development stages of the project.

A literature review analyzes how current research supports the PICOT, as well as identifies what is known and what is not known in the evidence. Students will use the information from the earlier PICOT Question Paper and Literature Evaluation Table assignments to develop a 750-1,000 word review that includes the following sections:

1. Title page
2. Introduction section
3. A comparison of research questions
4. A comparison of sample populations
5. A comparison of the limitations of the study
6. A conclusion section, incorporating recommendations for further research

Please use the information that has been uploaded as a reference to answer all 6 questions. USE APA FORMAT

Please follow all directions!! THANK YOU!!

Nature offers many examples of specialization and collaboration. Ant colonies and bee hives are but two examples of nature’s sophisticated organizations. Each thrives because their members specialize by tasks, divide labor, and collaborate to ensure food, safety, and general well-being of the colony or hive.

Of course, humans don’t fare too badly in this regard either. And healthcare is a great example. As specialists in the collection, access, and application of data, nurse informaticists collaborate with specialists on a regular basis to ensure that appropriate data is available to make decisions and take actions to ensure the general well-being of patients.

In this Discussion, you will reflect on your own observations of and/or experiences with informaticist collaboration. You will also propose strategies for how these collaborative experiences might be improved.

To Prepare:

• Review the Resources and reflect on the evolution of nursing informatics from a science to a nursing specialty.
• Consider your experiences with nurse Informaticists or technology specialists within your healthcare organization.

 Post a description of experiences or observations about how nurse informaticists and/or data or technology specialists interact with other professionals within your healthcare organization. Suggest at least one strategy on how these interactions might be improved. Be specific and provide examples. Then, explain the impact you believe the continued evolution of nursing informatics as a specialty and/or the continued emergence of new technologies might have on professional interactions. 

Please Use resources that are within the past 5 years. ( at least 3)

I work in a hospital…. talk about tigertext app for communication. Research on telehealth especially during the pandemic. 

Description:
In this vignette, a patient expresses her concern that her estrogen treatments, combined with her family history of breast cancer, may increase her chances of developing breast cancer. This vignette highlighted various aspects of the health of LGBT and gender nonconforming populations and is designed to give learners the opportunity to analyze clinician-patient communication strategies. 

Learning Objectives:
By the completion of this vignette/vignette series, the learner will be able to:

• Identify three strategies to engage LGBT patients in the clinical environment.
• Discuss methods to sensitively approach history taking and physical examination with LGBT patients.
• Describe three verbal or non-verbal strategies to identify sexual orientation and gender identity in the clinical environment.
• Describe three unique risk factors for health conditions related to sexual orientation and gender identity.
• Outline three techniques for tailoring health promotion strategies to the needs of LGBT patients.

• CC1AF356-1D80-40A6-B54A-62C647BD6AA7_2_0_a.mov

 1. What questions did the clinician ask to assess this patient’s risk for developing breast cancer? Are there any additional questions you would have asked? should be a minimum of 250 words with three references in correct APA format.

2. How effectively did the clinician address the patient’s concerns about estrogen risk? What do you think about the safety of estrogen risk? What do you think about the safety estrogen prescription in a transgender patient at high risk for breast cancer? should be a minimum of 150 words with two references in correct APA format.

Work #1:

Actual work where 2 students given their post on this:

Describe in 500 words the shared security responsibility model that a dba must be aware of  when moving to the cloud.

Use at least three sources. Use the Research Databases available from the Danforth Library not Google. Include at least 3 quotes from your sources enclosed in quotation marks and cited in-line by reference to your reference list.  Example: “words you copied” (citation) These quotes should be one full sentence not altered or paraphrased. Cite your sources using APA format. Use the quotes in your paragaphs.  Stand alone quotes will not count toward the 3 required quotes.

Copying without attribution or the use of spinbot or other word substitution software will result in a grade of 0. 

Write in essay format not in bulleted, numbered or other list format. 

Reply to two classmates’ posting in a paragraph of at least five sentences by asking questions, reflecting on your own experience, challenging assumptions, pointing out something new you learned, offering suggestions. These peer responses are not ‘attaboys’.   

It is important that you use your own words, that you cite your sources, that you comply with the instructions regarding length of your post and that you reply to two classmates in a substantive way (not ‘nice post’ or the like).  Your goal is to help your colleagues write better. Do not use spinbot or other word replacement software. It usually results in nonsense and is not a good way to learn anything. I will not spend a lot of my time trying to decipher nonsense. Proof read your work or have it edited. Find something interesting and/or relevant to your work to write about.  

Work #2:

 1) How do investors measure the risk of individual common stocks? Please describe one of these methods in detail. 

Please find the two attachments. 

Discussion 9

apa format , 250 words. 

1. Describe the key concepts underlying community activism and give examples of how each of these concepts applies to a specific context.

2. Examine how Advanced Practice Nurses can engage in community activism to limit further negative health impacts from Big Tobacco in their respective health communities.

Attached below is an additional resource, an article, that details various ways by which nursing professionals can engage in community activism.

Patient Advocacy and in the Community and Legislative Arena: http://nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/TableofContents/Vol-17-2012/No1-Jan-2012/Advocacy-in-Community-and-Legislative-Arena.html?css=print

Title: Benchmarking

Paper type Essay

Paper format APA

Course level Master

Subject Area

# pages 6   ( or 1800 words Minimum)

Spacing Double Spacing

# sources 6

Paper Details

Assignment: Final Case Study

Throughout this course, you have examined and applied a wide variety of tools that may be used to enhance performance objectives for health care quality, efficiency, and cost in health services organizations. From day-to-day operations to strategic decision making and initiative planning, these tools serve various purposes in affording health care administration leaders with a variety of perspectives and mitigation strategies to enhance performance in health care delivery. Health services organizations must aim to not only deliver cost-effective and high-quality health care services but they also must operate efficiently to maximize the bottom line for business operations.

For this Assignment, you will conduct research about a hospital using the Hospital Compare data source for any large U.S. city. Find a hospital that you are interested in or familiar with for this Assignment. Then, select two similar hospitals for comparative analysis. Then, analyze the organization’s position within the local and regional health care system. Analyze the cost, quality, and access metrics of the organization. Reflect on the metrics that might be monitored by the different types of control charts on the Hospital Compare data source. Think about how you would proceed with conducting a complete quality assessment of the hospitals you selected.

The Assignment: (8–10 pages)

Provide a description of the Atlanta’s Grady Healty System, its geographic area, the population it serves, and the reason you selected it.

Provide a detailed comparison of this hospital with two other similar hospitals in the community as well as state / national rates. Be sure to address all of the following components:

Similarities / differences in hospitals

Surveys of Patients Experiences

Timely and Effective Care

Complications

Readmissions and Deaths

Use of Medical Imaging

Payment and Value of Care

Categorize each of the subcomponents as whether they are structure, process, or outcome oriented, and identify how / if they link to cost, quality, and access. Be specific in your categorization.

Explain whether there are there significant differences in the proportion of patients who gave the three hospitals a rating of 9 or 10. NOTE: You can find the number of respondents by clicking on the “View More Details” link on the Hospital Compare site. Conduct appropriate hypothesis testing for your comparison. How did your selected hospital perform in comparison to the others from a statistical point of view?

Identify three separate measures that should be monitored using variable control charts, attributes or failures control charts, and nonconformity control charts.

Provide your overall assessment of this hospital’s performance on cost, quality, and access measures. Be sure to reference your statistical results and analyses that assisted you in the development of your overall assessment.

By Day 7

Submit your Assignment.

For this assignment you will prepare a 10-12-slide PowerPoint presentation on teaching techniques for diverse learners.

Presentation Criteria:

Prepare a plan for designing and delivering instruction that addresses both the needs of the selected population as well as other diverse students.

1. Select a population that represents a type of diversity, which may include ethnic, learning styles, age, or cognitive ability. The selected population may be nursing students, staff members, or patients.
2. Explain how your selected population’s characteristic impacts their learning styles.
3. Provide three teaching strategies an educator could use with that particular group of learners.
4. Include a rationale for each strategy as to why it would be effective.
5. Use at least three scholarly, peer-reviewed resources less than 5 years old in addition to course materials.

Presentation Requirements:

Online students are required to provide comprehensive speaker notes.

Students in traditional classes are not required to include speakers’ notes, but will present their work in class and be evaluated on professional teaching style.

While APA format 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.

For this discussion post,  take an IQ test found at http://www.iqtest.com (Links to an external site.). After taking the test,  write a discussion post and discuss whether you think the score you received is accurate of your intelligence level. Why, or why not? Note: some intelligence tests found on the Internet require a payment to receive the results of the test. Paying for the results is NOT a requirement for the assignment. 

You do not need to include your score you received in this discussion post if you desire not to. Only reflect on your results and if you feel it is accurate or not? What would be a better way to measure intelligence or should we not measure it?

Please submit a minimum of 250 words and cite your resources. Turnitin will be utilized.  Please make sure, you write your post in your own words.

If you do not cite your resources, you will not receive any points.

 Respond to at least two of your colleagues* on two different days by suggesting additional opportunities or recommendations for overcoming the challenges described by your colleagues.