Monthly Archives: May 2023

The Quadruple Aim provides broad categories of goals to pursue to maintain and improve healthcare. Within each goal are many issues that, if addressed successfully, may have a positive impact on outcomes. For example, healthcare leaders are being tasked to shift from an emphasis on disease management often provided in an acute care setting to health promotion and disease prevention delivered in primary care settings. Efforts in this area can have significant positive impacts by reducing the need for primary healthcare and by reducing the stress on the healthcare system.

Changes in the industry only serve to stress what has always been true; namely, that the healthcare field has always faced significant challenges, and that goals to improve healthcare will always involve multiple stakeholders. This should not seem surprising given the circumstances. Indeed, when a growing population needs care, there are factors involved such as the demands of providing that care and the rising costs associated with healthcare. Generally, it is not surprising that the field of healthcare is an industry facing multifaceted issues that evolve over time.

In this module’s Discussion, you reviewed some healthcare issues/stressors and selected one for further review. For this Assignment, you will consider in more detail the healthcare issue/stressor you selected. You will also review research that addresses the issue/stressor and write a white paper to your organization’s leadership that addresses the issue/stressor you selected.

To Prepare:

• Review the national healthcare issues/stressors presented in the Resources and reflect on the national healthcare issue/stressor you selected for study.
• Reflect on the feedback you received from your colleagues on your Discussion post for the national healthcare issue/stressor you selected.
• Identify and review two additional scholarly resources (not included in the Resources for this module) that focus on change strategies implemented by healthcare organizations to address your selected national healthcare issue/stressor.

The Assignment (3-4 Pages):

Analysis of a Pertinent Healthcare Issue

Develop a 3- to 4-page paper, written to your organization’s leadership team, addressing your selected national healthcare issue/stressor and how it is impacting your work setting. Be sure to address the following:

• Describe the national healthcare issue/stressor you selected and its impact on your organization. Use organizational data to quantify the impact (if necessary, seek assistance from leadership or appropriate stakeholders in your organization).
• Provide a brief summary of the two articles you reviewed from outside resources on the national healthcare issue/stressor. Explain how the healthcare issue/stressor is being addressed in other organizations.
• Summarize the strategies used to address the organizational impact of national healthcare issues/stressors presented in the scholarly resources you selected. Explain how they may impact your organization both positively and negatively. Be specific and provide examples.

Looking Ahead

The paper you develop in Module 1 will be revisited and revised in Module 2. Review the Assignment instructions for Module 2 to prepare for your revised paper.

 Complete the HRSA Data Warehouse Website Activity.

1. Read about the HRSA Data website and what it does here: https://datawarehouse.hrsa.gov/about/abouthdw.aspx
2. Explore the rest of the tabs on the site.
3. Watch the “How-To Video: Find a Health Center Locator Tool” tutorial found at the following link: https://data.hrsa.gov/how-to-videos
4. Explore some data by selecting Clark County, Nevada using the Data by Geography tool here: https://data.hrsa.gov/hdw/tools/DataByGeography.aspx
5. Next use the HRSA Fact Sheets tool located here: https://data.hrsa.gov/data/fact-sheets to look up HRSA’s activities in HHS regions, states, counties, and congressional districts and compare the data to the Clark County, Nevada data you found using your geography results. Analyze the data included in the fact sheets. Consider the data sets found in the fact sheets. How does Nevada compare nationwide when it comes to the data sets? What about Clark County?
6. Complete a new search using the Data for Geography tool for your state and county. Compare the results of your query to your Clark County, Nevada search. State Florida County: Broward
7. Identify HRSA program resources for HIV/AIDS in your state and county. What are they? How many clinics are funded by HRSA?

Write a two-page paper reflecting on the data you collected and analyzed. How will this data warehouse be useful to you as a professional nurse? Your paper should be at least two pages in length, in APA format, typed in Times New Roman with 12-point font, and double-spaced with 1” margins.

Select two clients you observed or counseled this week during a group therapy session for children and adolescents. Note: The two clients you select must have attended the same group session. If you select the same group you selected for the Week 8 or Week 9 Journal Entries, you must select different clients.

CHILDREN AND ADOLESCENTS

FIRST CLIENT 13 YEARS OLD AFRICAN AMERICAN: DISRUPTIVE MOOD DYSREGULATION( DMDD): Medication: Adderall XR 10mg

SECOND CLIENT 17 YEARS CAUCASIAN MALE : MAJOR DEPRESSIVE DISORDER (MDD) AND ATTENTION -DEFICIT HYPERACTIVITY DISORDER(ADHD): Medications: Abilify 20mg at night, Ativan 2mg as needed(Aggression), Prozasin 2mg for sleep. Depakote 500mg twice daily, Effexor 150mg daily.

Then, address in your Practicum Journal the following:.

• Describe each client (without violating HIPAA regulations), and identify any pertinent history or medical information, including prescribed medications.
• Using the DSM-5, explain and justify your diagnosis for each client.
• Explain any legal and/or ethical implications related to counseling each client.
• Support your approach with evidence-based literature.

Rubric:

Quality of Work Submitted:

The extent of which work meets the assignned criteria and work reflects graduate level critical and analytic thinking.–

Excellent (90-100) 27 (27%) – 30 (30%)Good (80-89) 24 (24%) – 26 (26%)Fair (70-79) 21 (21%) – 23 (23%)Poor (0-69) 0 (0%) – 20 (20%)

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

Excellent (90-100) 5 (5%) – 5 (5%)Good (80-89) 4 (4%) – 4 (4%)Fair (70-79) 3.5 (3.5%) – 3.5 (3.5%)Poor (0-69) 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 (90-100) 9 (9%) – 10 (10%)Good (80-89) 8 (8%) – 8 (8%)Fair (70-79) 7 (7%) – 7 (7%)Poor (0-69) 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 (90-100) 18 (18%) – 20 (20%)Good (80-89) 16 (16%) – 17 (17%)Fair (70-79) 14 (14%) – 15 (15%)Poor (0-69) 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 (90-100) 18 (18%) – 20 (20%)Good (80-89) 16 (16%) – 17 (17%)Fair (70-79) 14 (14%) – 15 (15%)Poor (0-69) 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 (90-100) 8 (8%) – 8 (8%)Good (80-89) 7 (7%) – 7 (7%)Fair (70-79) 6 (6%) – 6 (6%)Poor (0-69) 0 (0%) – 5 (5%)

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

Excellent (90-100) 7 (7%) – 7 (7%)Good (80-89) 6 (6%) – 6 (6%)Fair (70-79) 5 (5%) – 5 (5%)Poor (0-69) 0 (0%) – 4 (4%) 

See attachments

Reply separately to two of your classmates posts (See attached classmates posts, post#1 and post#2). 

INSTRUCTIONS:

Your responses should be in a well-developed paragraph (300-350 words) to each peer. Integrating an evidence-based resource!!

Note: DO NOT CRITIQUE THEIR POSTS, DO NOT AGREE OR DISAGREE, just add informative content regarding to their topic that is validated via citations. 

– Utilize at least two scholarly references per peer post. 

Please, send me the two documents separately, for example one is the reply to my peers Post #1, and the second one is the reply to my other peer Post #2.

– Minimum of 300 words per peer reply.

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.

Go to the NINR website: https://www.ninr.nih.gov and  identify the four current priorities for nursing research under NURSING  RESEARCH DEVELOPS KNOWLEDGE TO…. Do you agree with the priorities or  would you recommend addition or elimination of some of the priorities?  Describe how these research initiatives can be translated into  evidence-based practice in your work environment.

Your initial posting should be at least 400 words in length and  utilize at least one scholarly source other than the textbook. Please  reply to at least two classmates. Replies to classmates should be at  least 200 words in length.

 DQ1

Discuss a formal role where a nurse is in a position of leadership. Outline the essential responsibilities of that role and the educational preparation required. Explain what leadership traits, styles, or qualities are required to be successful in this role and why.

DQ2

The influence of leadership can be far-reaching in practice and improving patient outcomes even when not in a formal role. Describe advocacy strategies that you can use as a leader to create positive change in your current workplace. In response to peers, describe a time when you provided leadership and the outcome. Was there anything that you would do differently?

Case Study #1- due 10/30: Sample Case Study Template

A case study presentation is a way of communicating information to your colleagues. Often a case presentation highlights an unusual presentation, feature, condition, complication, or intervention. Case reports can describe important and insightful information that helps to expand knowledge and may generate research ideas. For this assignment, you will complete one case presentation, each on a patient case selected from the literature or a real case from a clinical setting. The case should be typical, for example, common depression or anxiety. Select  a case that you feel is interesting and contributed to your learning. Use the template provided below to help guide your paper. Case workup is  designed to provide students opportunity to apply knowledge related to a particular case and management of all items related to and including psychopharmacologic treatment. This is an individual assignment. Feel free to choose a  different stage of life, by age range, with common Psychiatric Mental Health (PMH) symptoms, and management strategies. The stages are as follows: adult,

between ages 18-65.  

The following components must be provided: diagnosis, developmental stage, methods used to define diagnosis and rationale; anticipation of treatment course. Briefly describe the clinical presentation, appropriate testing (both focused physical exams as appropriate, and Psychiatric Diagnostic Evaluation findings and appropriate work-ups of clinical symptoms). Include subsequent co-morbidities, if any and discuss the treatment plan for a common PMH disorder.

The case presentations are each a 8-10 pages paper (excluding title page, abstract, references, and appendices) in APA format described in the APA Publication Manual (6th ed). Each case paper will have its own grading rubric. The case presentation will also include additional development and/or stage of life considerations, and a corresponding to the manuscript.

This is a paper not a powerpoint

Attached is the case presentation rubric.

For References: Please do not use any sources from websites or .com sources, only use peer-reviewed academic and scientific journals. 

Also do not reuse papers from older courses, even if you are the author. SafeAssign will mark this as plagiarism.

Case Study #2 due 11/15:  CS #2 Template

Signature Assignment (Psychopharmacology Treatment Algorithm)

Using your learning experience from your clinical experience, preceptor input and evidence-based literature, develop a pharmacology treatment Algorithm of a patient with a DSM diagnosis. You can use your readings to change and add to your work, but it must be an original and not a copy of an algorithm from someone else. This is an algorithm developed specifically for this client to demonstrate your critical thinking throughout the treatment planning.  The following areas must be covered in the assignment.

• Overview of your initial      patient clinical assessment including: Chief compliant, medical      history, psychiatric history, psychosocial, mental status examination.
• Using the information from      the assessment, reading materials and textbook, develop an       evidence-based algorithm for four treatment stages, tailored to this      individual. The information must include interview questions needed      to guide decision-making at the different stages, length of treatment      in trial/initiation period, dosage titration schedule and duration of      time the client should stay on the medication, factors that might influence the effectiveness of the      medications, necessary labs and test, and patient education. Include pertinent side      effects profiles that would warrant a change in the medication being      prescribed and a brief reasoning for your decisions.

Attached is the case presentation rubric.

For References: Please do not use any sources from websites or .com sources, only use peer-reviewed academic and scientific journals. 

Also do not reuse papers from older courses, even if you are the author. SafeAssign will mark this as plagiarism. 

1. There are different treatments used for the diagnosis of PTSD. The textbook mentions several. Please, select one of them and discuss it. Explain why you selected that particular treatment.

Participant Characteristics/Sociodemographic Findings

· Must be descriptive and comprehensive

· Describe participant characteristics or sociodemographic findings

· Describe the findings of Tables/Figures to provide comprehensive information about participant characteristics as article provided

All other Results/Findings

· Describe ALL Other Results/Findings besides above participant characteristics in the article in detail for each Result item

· Each Result item must include Headings/Subheadings of Results as the article provided.

· Do NOT simply saying “pain level was decreased,” “adherence was increased” 

Do NOT include contents from Discussion and/or Conclusion in the article.