Journal Entry

PLEASE FOLLOW THE INSTRUCTIONS BELOW

ZERO PLAGIARISM

4 REFERENCES

Develop effective documentation skills for group therapy sessions *

Develop diagnoses for clients receiving group psychotherapy *

Evaluate the efficacy of cognitive behavioral therapy for groups *

Analyze legal and ethical implications of counseling clients with psychiatric disorders *

* The Assignment related to this Learning Objective is introduced this week and submitted in Week 10.

Select two clients you observed or counseled this week during a group therapy session. Note: The two clients you select must have attended the same group session.

Then, in your Practicum Journal, address the following:

Using the Group Therapy Progress Note in this week’s Learning Resources, document the group session.

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 whether cognitive behavioral therapy would be effective with this group. Include expected outcomes based on this therapeutic approach.

Explain any legal and/or ethical implications related to counseling each client.

Support your approach with evidence-based literature.

Community Nursing Research paper # 2

Book:   DeMarco, R. F. & Healey-Walsh, J. (2020) Community and Public Health Nursing (3th Edition). Philadelphia: Wolters Kluwer ISBN: 978-1-975111-69-4 American psychological Association (2009). Publication manual of the American Psychological Association. (6th Edition). Washington DC: American Psychological Association 

Research Paper #2 

Choose any of the recent emerging / reemerging infectious disease discussed in your textbook (for example: Severe Acute Respiratory Syndrome (SARS – 2002-2003), Middle East Respiratory Syndrome Coronavirus (MERS-CoV)- 2015-2018), Avian influenza, H1N1 Influenza (Swine Flu) Pandemic – 2009-2010, Novel Avian influenza A (H7N9) Virus 2013-2017, West Nile Virus, Lyme Disease, Escherichia Coli, Tuberculosis, Ebola virus disease, Zika virus disease).

1. Introduce the disease 

2. Mention signs, symptoms and diagnosis of the disease.

3. Outline the factors that may have contributed to the emergence or reemergence of this infectious diseases.

4. How would you prevent similar occurrence? Mention the goals of Health People 2020 to reduce this infection / Prevention and control of the disease / Infection Control Guidelines.

5. Is there a CDC priority for public health response to this specific infectious disease?

6. What is your thought about emerging antibiotic -resistant microorganisms?

7. What is your role as a community health nurse? 

8. Mention research studies related with the topics discussed in your paper (mention at least 3 research studies in paper).

Research Assignment # 2

Purpose

The student will choose (1) of the recent emerging / reemerging infectious disease (some examples were provided) to develop the research project. Also, the student will use given questions to guide the paper. 

General directions

1. You will submit one (1) paper as part of this assignment (individual assignment).

2. Your research paper must follow APA format according to Publication Manual American Psychological Association (APA) (6th ed.). Include a cover page and headings per 6th edition APA guidelines. 

3. The research paper should be minimum of 3 pages (not including the title or reference pages) – maximum of 6 pages (not including the title or reference pages), single spaced, Times New Roman, Size 12, and 5 references about the topic (3 must be peer-reviewed journal articles).

Research Paper

Include the following components:

1. Introduction of the disease

2. Mention signs and symptoms of the disease. How do you diagnose this infectious disease? 

3. Outline the factors that may have contributed to the emergence or reemergence of this infectious diseases.

4. How would you prevent similar occurrence? Mention the goals of Health People 2020 to reduce this infection / Prevention and control of the disease / Infection Control Guidelines.

5. Is there a CDC priority for public health response to this specific infectious disease?

6. What is your thought about emerging antibiotic -resistant microorganisms?

7. What is your role as a community health nurse?

8. Mention research studies related with the topics discussed in your paper (mention at least 3 research studies in paper).

9. Conclusion

10. References Page

MAXIMUN POINTS – 100

It accounts for 25% of your final grade

Diverse Populations, Age and Interprofessional Health Promotion Resources

This paper is a 3–4 page project that is an analysis of a condition and resources on one health topic for the adult population throughout the lifespan. Consider the influence of socioeconomic status (SES), culture, gender, ethnicity, and spirituality on mental and physical health, as it relates specifically to age in adulthood. What interprofessional resources exist for the topic? The adult lifespan, young, middle and older adult, related risks to the issue should be addressed. (This topic is for the adult population, not adolescents). Are there interventions that benefit the outcome? Consider physiological, psychological and/ or iatrogenic risks. Epidemiological support should be included in the paper.

Be creative in how you address the Assignment. You may choose a specific health topic, social health issue, a health condition or create a family scenario. Consider life transitions and role change. Be sure to include behaviors affecting the risks for the issue or topic, addressing this across the adult lifespan. Again, resources on interprofessional collaboration should be clear and supported with evidence based sources. Analysis of health promotion issues and interprofessional collaboration covers all aspects of nursing. Master’s-prepared nurse educators, leaders, nurse practitioners and all specialty nursing fields are contributors to health promotion in populations across the life span. This Assignment is focused on the adult. You should choose a topic that affects your area of specialty focus as it relates to health promotion and epidemiology.

Preview the document

Public health nursing

Instructions:

  • Read the four articles below.
  • Should undocumented immigrants be included or excluded from national proposals for health insurance?
    • Why?
  • Also discuss your stance on national insurance plans in general.
  • Justify your position by referring to course readings, videos, or other relevant sources.

Remember that views differ on this contentious issue—don’t be afraid to present and defend your position. You may need to reference the chapters in the book on health insurance and economics.

Your initial post should be at least 400 words.

Please be sure to validate your opinions and ideas with citations and references in APA format.

Nursing G P (Due 24 hours)

 

1) Minimum 8 full pages (Follow the 3 x 3 rule: minimum three paragraphs per part)

 

Parts 6, 7, and 8 must be different. Different writing and perspective, but always answering questions objectively

              Part 1: Minimum 1 page

              Part 2: minimum 1 page

              Part 3: minimum 1 page

              Part 4: minimum 1 page 

              Part 5: Minimum 1 page

              Part 6: minimum 1 page

              Part 7: minimum 1 page

              Part 8: minimum 1 page

Submit 1 document per part

2)¨******APA norms

          All paragraphs must be narrative and cited in the text- each paragraphs

          Bulleted responses are not accepted

          Dont write in the first person 

          Dont copy and pase the questions.

          Answer the question objectively, do not make introductions to your answers, answer it when you start the paragraph

         Submit 1 document per part

3)****************************** It will be verified by Turnitin (Identify the percentage of exact match of writing with any other resource on the internet and academic sources, including universities and data banks) 

********************************It will be verified by SafeAssign (Identify the percentage of similarity of writing with any other resource on the internet and academic sources, including universities and data banks)

4) Minimum 3 references per part not older than 5 years

5) Identify your answer with the numbers, according to the question.

Example:

Q 1. Nursing is XXXXX

Q 2. Health is XXXX

6) You must name the files according to the part you are answering: 

Example:

Part 1.doc 

Part 2.doc 

__________________________________________________________________________________

Part 1:

Based on how you will evaluate your EBP project ( See file 1), 

1. Which independent and dependent variables do you need to collect? Why?

Part 2:

Not all EBP projects result in statistically significant results. 

1. Define clinical significance, and explain the difference between clinical and statistical significance. 

2. How can you use clinical significance to support positive outcomes in your project? (See File 1).

Part 3:

 A 49-year-old female is discussing age-related changes with the nurse practitioner. She states that she is having irregular periods and “hot flashes.”

1. What other assessment data would substantiate the diagnosis of menopause?

2. What type of therapy would you expect this patient to receive? Why?

Part 4:

Margo is a 49-year-old divorced woman who works as a bank teller. She tells her primary care provider (PCP) that she feels tired all the time and that she is gaining weight because she has no interest in her usual exercise activities, and that she has been overeating, even though she is often not really hungry. She notices that she has difficulty falling asleep at night and awakens around 4 a.m. most mornings, without her alarm, and cannot go back to sleep even though she still feels tired. She finds little joy in her life but cannot pinpoint any particular concern or event causing this problem. The PCP asks Angela to fill out a Beck’s Depression Scale, which indicates she has moderate depression.

1. Choose a pharmacologic intervention for Margo and explain its effects.

2. Provide Margo with written education regarding her prescription. (Include what she should expect when first taking the drug, appropriate activity warnings, when to expect improvement, side effects she may experience, and anything she should report to the provider).

Part 5:

A 35-year-old comes to the clinic. He states, “It’s getting close to allergy season and I need something to keep me from getting sick. Last year the doc gave me a shot, a spray, some pills, and an inhaler. They worked really well but I don’t remember what they were. Can I have those things again? I just can’t afford to miss work.”

Please answer the following questions in a narrative format: 

1. Discuss the epidemiology of allergies.

2. What are your treatment options (consider pharmacoeconomic)? 

3. Compare first and second-generation antihistamines.

4. What education will you provide to the patient?

Part 6:

The U.S. Department of Health & Human Services released a comprehensive Clinical Practice Guideline for Treating Tobacco Use and Dependence–2008 Update 

https://www.ahrq.gov/professionals/clinicians-providers/guidelines-recommendations/tobacco/clinicians/update/index.html 

The goal of these recommendations is that clinicians strongly recommend the use of effective tobacco dependence counseling and medication treatments to their patients who use tobacco, and that health systems, insurers, and purchasers assist clinicians in making such effective treatments available. 

After reading these recommendations answer the following questions.

1. what are the clinical interventions for patients unwilling to quit cigarette smoking?

2. According to the best practices what are the best strategies to help your clients quit smoking?

3. are there any specific smoking cessation recommendations for especial populations such as teenagers or the elderly?

Part 7:

The U.S. Department of Health & Human Services released a comprehensive Clinical Practice Guideline for Treating Tobacco Use and Dependence–2008 Update 

https://www.ahrq.gov/professionals/clinicians-providers/guidelines-recommendations/tobacco/clinicians/update/index.html 

The goal of these recommendations is that clinicians strongly recommend the use of effective tobacco dependence counseling and medication treatments to their patients who use tobacco, and that health systems, insurers, and purchasers assist clinicians in making such effective treatments available. 

After reading these recommendations answer the following questions.

1. what are the clinical interventions for patients unwilling to quit cigarette smoking?

2. According to the best practices what are the best strategies to help your clients quit smoking?

3. are there any specific smoking cessation recommendations for especial populations such as teenagers or the elderly?

Part 8:

The U.S. Department of Health & Human Services released a comprehensive Clinical Practice Guideline for Treating Tobacco Use and Dependence–2008 Update 

https://www.ahrq.gov/professionals/clinicians-providers/guidelines-recommendations/tobacco/clinicians/update/index.html 

The goal of these recommendations is that clinicians strongly recommend the use of effective tobacco dependence counseling and medication treatments to their patients who use tobacco, and that health systems, insurers, and purchasers assist clinicians in making such effective treatments available. 

After reading these recommendations answer the following questions.

1. what are the clinical interventions for patients unwilling to quit cigarette smoking?

2. According to the best practices what are the best strategies to help your clients quit smoking?

3. are there any specific smoking cessation recommendations for especial populations such as teenagers or the elderly?

Journal Entry

 I NEED A RESPONSE FOR THIS 

2 REFERENCES 

For this discussion, I selected the angry adolescent that blamed others for his mistakes and getting in trouble. Some of the patient’s behaviors include increased irritability, anger, poor impulse control, argumentative, unwilling to accept his wrongdoings, blaming others, projecting his faults onto the student that told on him and on his gym teacher for leaving his car keys inside the car, as well as denying the need for therapy stating that his parents should be the ones who need it instead. However, although this information is not enough to make a proper diagnosis, based on these observations, I believe that this patient might meet criteria for oppositional defiant disorder (ODD). According to the American Psychiatric Association (2013), the criteria for ODD consists of a pattern of angry or irritable mood, argumentative or defiant behavior, or vindictiveness that lasts at least for 6 months. In order for the diagnosis to be made, at least four symptoms of the following need to be present: often losing their temper, getting angry, easily annoyed, frequent arguing with adults, refusing to comply with rules, annoying others on purpose, and frequently blaming others for their mistakes. These symptoms must also occur during interactions with individuals who are not considered siblings (American Psychiatric Association, 2013). Some therapeutic approaches that might be effective would be parent management training (PMT), family therapy, and individual therapy such as cognitive behavioral therapy (CBT). Parent training has shown to be effective in treating ODD by providing parents with short-term interventions that focus on specific strategies such as positive attending, ignoring, using effective forms of rewards and punishment and time out to help with the behavioral problems (CHADD, 2020). Family therapy has also shown to be effective in teaching parents how to strengthen their relationships with their children and to help manage their behaviors. Additionally, CBT has shown to be helpful by targeting emotion regulation and social problem-solving skills that are associated with aggressive behavior by using interventions with an emphasis on teaching structured strategies to children to create a change in the way they think, feel, and behave (Sukhodolsky et al., 2016). Although psychotropic medications have shown to be effective in treating ODD, I do not feel that this would be appropriate for this patient at this time. Since children and adolescents with ODD are at an increased risk for developing adjustment problems as adults such as antisocial behavior, poor impulse control, substance abuse, anxiety and depression, an expected outcome of this therapeutic approach would be to prevent this from occurring, meanwhile decreasing the current symptoms the patient is having and helping to manage them better (American Psychiatric Association, 2013). Setting goals for the patient as well as his family will also help with the treatment by providing better strategies for the patient in order to help control his behaviors by identifying the symptoms.

References

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

CHADD. (2020). Disruptive Behavior Disorders. Retrieved from: https://chadd.org/about-

adhd/disruptive-behavior-disorders/

Sukhodolsky et al. (2016). Behavioral Interventions for Anger, Irritability, and Aggression in

Children and Adolescents. Journal of child and adolescent psychopharmacology, 26(1), 58–64. doi:10.1089/cap.2015.0120

Role and Scope DQ8

Read Chapter 8: Safety and Quality Improvement in Professional Nursing Practice and answer the questions: How can the commitment to quality improvement be integrated throughout all roles and at all levels of professional nursing practice?

 Follow the 3 x 3 rule: minimum three paragraphs per DQ, with a minimum of three sentences each paragraph.

·      All answers or discussions comments submitted must be in APA format according to Publication Manual American Psychological Association (APA) (6th ed.) 2009 ISBN: 978-1-4338-0561-5

·      Minimum of two references, not older than 2015.

APA format (intext citation and references)

Plagiarism FREE

Due 10/4/2020 1000 words advance directive in healthcare

 100 words – Explain the purpose of an advance directive. 

200 words – As community health nurse what are 5 topics you would discuss with a senior, end of life, client who needs to develop advanced directives? 

200 words Explain why the 5 topics previously discussed  regarding advanced directives are important to the client at end of life stage. 

100 words as a nurse what therapeutic would you choose to communicate with your client about these difficult topics (Advance directive Living will; Durable power of attorney)?

200 words What are ethical issues surrounding the use of advance directive?

200 words Provide client education regarding Advance directive Living will; Durable power of attorney for health care.

Cite and reference all sources using APA 7th edition format, also include subheading for each sections. minimum expectation = 5. Sources and must be 5 years old or less. Including the textbook that is attached. 

Nursing

 

Where are task-based language teaching methods, content-based instruction? 

ORIGINAL INSTRUCTIONS

Question 2: First pick up one teaching method from audiolingual, task-based language teaching methods, content-based instruction, total physical response, and cooperative language learning. Then, please give a full description on the method you pick up, including learners’ roles and teachers’ roles, major teaching steps, strengths and weaknesses, etc. Finally, please demonstrate the of the method in a language classroom by describing a teaching scenario where you use the method to teach one of the four language skills. 

107NURD4IR

 Reflect upon your selected practice problem DIABETES and select one of the organizational or behavioral change models which were used in healthcare for many years up until the early 2000s. (PROCHASKA AND DICLEMENTI’S CHANGE THEORY) (KNOWLEDGE OF BEHAVIOR CHANGE THEORIES)  Due to the changing nature of our healthcare environment and the growing complexity of our patients, these older models and theories lost their ability to provide a successful framework in healthcare and are not currently used for translation science and nursing clinical practice change projects.

  • Select one model or theory from the readings or lesson this week.
  • Provide a description of the components in the organizational or behavioral change models or theory.
  • Does the model or theory contain a component for appraising the evidence?
  • Does the model or theory contain a component for networking with the stakeholders during the design phase and continuing through the sustaining phase of the project?
  • Does the model contain components for identifying barriers and addressing barriers to implementation?

MY CHANGE THEORY PROBLEM IS RELATED TO DIABETES  PLEASE INCORPORATE WITH PROCHASKA AND DICLEMENTIS’S CHANGE THEORY,