Progress notes

 

List 8  PROGRESS NOTES in SOAP format of the   Psychiatric Mental Health Nurse Practitioner Role  with  Child and Adolescents  . Describe the   activities you completed during this   time   period with patients.

NOTE: ( The progress notes has to be related with what the       Psychiatric Mental Health Nurse Practitioner do with Child and       adolescents with different psychiatric conditions). 8 different   notes     with different patients scenarios. 

Case Study Mr. M

 

It is necessary for an RN-BSN-prepared nurse to demonstrate an enhanced understanding of the pathophysiological processes of disease, the clinical manifestations and treatment protocols, and how they affect clients across the life span.

Evaluate the Health History and Medical Information for Mr. M., presented below.

Based on this information, formulate a conclusion based on your evaluation, and complete the Critical Thinking Essay assignment, as instructed below.

Health History and Medical Information

Health History

Mr. M., a 70-year-old male, has been living at the assisted living facility where you work. He has no know allergies. He is a nonsmoker and does not use alcohol. Limited physical activity related to difficulty ambulating and unsteady gait. Medical history includes hypertension controlled with ACE inhibitors, hypercholesterolemia, status post appendectomy, and tibial fracture status postsurgical repair with no obvious signs of complications. Current medications include Lisinopril 20mg daily, Lipitor 40mg daily, Ambien 10mg PRN, Xanax 0.5 mg PRN, and ibuprofen 400mg PRN.

Case Scenario

Over the past 2 months, Mr. M. seems to be deteriorating quickly. He is having trouble recalling the names of his family members, remembering his room number, and even repeating what he has just read. He is becoming agitated and aggressive quickly. He appears to be afraid and fearful when he gets aggressive. He has been found wandering at night and will frequently become lost, needing help to get back to his room. Mr. M has become dependent with many ADLs, whereas a few months ago he was fully able to dress, bathe, and feed himself. The assisted living facility is concerned with his rapid decline and has decided to order testing.

Objective Data

  1. Temperature: 37.1 degrees C
  2. BP 123/78 HR 93 RR 22 Pox 99%
  3. Denies pain
  4. Height: 69.5 inches; Weight 87 kg

Laboratory Results

  1. WBC: 19.2 (1,000/uL)
  2. Lymphocytes 6700 (cells/uL)
  3. CT Head shows no changes since previous scan
  4. Urinalysis positive for moderate amount of leukocytes and cloudy
  5. Protein: 7.1 g/dL; AST: 32 U/L; ALT 29 U/L

Critical Thinking Essay

In 750-1,000 words, critically evaluate Mr. M.’s situation. Include the following:

  1. Describe the clinical manifestations present in Mr. M.
  2. Based on the information presented in the case scenario, discuss what primary and secondary medical diagnoses should be considered for Mr. M. Explain why these should be considered and what data is provided for support.
  3. When performing your nursing assessment, discuss what abnormalities would you expect to find and why.
  4. Describe the physical, psychological, and emotional effects Mr. M.’s current health status may have on him. Discuss the impact it can have on his family.
  5. Discuss what interventions can be put into place to support Mr. M. and his family.
  6. Given Mr. M.’s current condition, discuss at least four actual or potential problems he faces. Provide rationale for each.

You are required to cite to a minimum of two sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and relevant to nursing practice.

Prepare this assignment according to the guidelines found in the APA Style Guide. 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.

Psychotherapeutic Approaches to Group Therapy with Children and Adolescents

PLEASE FOLLOW THE INSTRUCTION BELOW

ZERO PLAGIARISM

4 REFERENCES

Group therapy may be beneficial for children and adolescents, because it often provides an environment that normalizes clients’ thoughts, feelings, and behaviors. However, as with any therapeutic approach, group therapy might not be appropriate for every client, every setting, or even every therapist. When selecting therapies, you must always consider the psychodynamics of the client and your own skill set.

This week, as you assess and develop diagnoses for clients presenting for child and adolescent group psychotherapy, you examine the effectiveness of this therapeutic approach. You also consider legal and ethical implications of counseling children and adolescent clients with psychiatric disorders.

Learning Objectives

Students will:
  • Assess clients presenting with disruptive behavior
  • Analyze group therapeutic approaches for treating clients presenting with disruptive behavior
  • Evaluate outcomes for clients presenting with disruptive behavior
To prepare:
  • Review this week’s Learning Resources and reflect on the insights they provide.
  • Read the case study I am Feeling Like I’m Going Crazy
  • For guidance on assessing the client, refer to pages 137-142 of the Wheeler text in this week’s Learning Resources.

Note: For this Discussion, you are required to complete your initial post before you will be able to view and respond to your colleagues’ postings. Begin by clicking on the Post to Discussion Question link and then select Create Thread to complete your initial post. Remember, once you click submit, you cannot delete or edit your own posts, and you cannot post anonymously. Please check your post carefully before clicking Submit!

By Day 3

Post an explanation of the most likely DSM-5 diagnosis for the client in the case study. Be sure to link those behaviors to the criteria in the DSM-5. Then, explain group therapeutic approaches you might use with this client.  Explain expected outcomes for the client based on these therapeutic approaches. Finally consider legal and ethical implications of counseling children and adolescent clients with psychiatric disorders. Support your approach with evidence-based literature.

assignment 1

Follow directions in syllabus for details of what to include (who they are, what they do, when founded, where HQ) to earn full points . This report is solo, so pick the website you want from above (not the one you did with your previous partner). Submit the report only. 

Guidelines for website report are as follows:

Minimum of 2 paragraphs per website with 500 words minimum.  In the first paragraph, summarize the 

website and relate it to a book chapter topic, and in the second paragraph write a personal reaction to the 

website, including how can you use this information personally and or profession

  you need write report on this website. and plz follow the instruction.

(samhsa.gov/cmhs/)

Discussion Response 1

Melissa Garcia 3 postsRe: Topic 2 DQ 1

Child abuse in the school age years is any act that could harm a child in any way. Abuse exists throughout all ages, it is not limited to just one age group. There are different types of abuse and these include physical, sexual, emotional or psychological.

Physical abuse results in injury to the child that can be seen physically from bruises or burns. Some examples of physical abuse include hitting, biting, slapping, pushing, burning with cigarettes or hot water. Some children group up in families where hitting is seen as a normal type of punishment for misbehavior. However, this is not correct because it creates a trauma for the child and accidents could result as well from a hit in the wrong place. A nurse can identify this type of abuse due to the behavior of the child, usually they do not want to go home and are afraid of adults. Also when approaching the child they may draw away.

Sexual child abuse is any type of touching or intercourse from an adult to a child and can emotionally scar the child for life. Examples of this are fondling, violations of bodily privacy and exposing the child to adult sexuality. Adults can be very sick and perverted and this is very disgusting considering that a child is involved who is innocent and has no idea about what is going on. Sexual abuse is usually from someone who is close to the child. Identifying this type of abuse involves the child avoiding any type of talk relating to sexuality or rejection of their own genitals.

Emotional abuse is a type of abuse that affects the child’s mental health status and it entails verbal as well as psychological abuse. This sort of abuse interferes greatly with the child’s development as a person meaning their personality and attitude towards themselves. “Behavioral signs that could be indicative of abuse may include fearfulness, inappropriate sexual behavior, abnormal or irrational fears, and social withdrawal.” (Health Assessment: Foundations for effective practice)

Different cultures and religions have different beliefs when it comes to medicine and many have their own way of treating certain conditions. What may seem abuse is actually normal practices they perform which works for them. Some examples are cupping which is an ancient practice that consists of making small cuts to the skin to draw blood and help the body get rid of toxins. This is wet cupping. In dry cupping, suction is provided by a type of cup-like container and ecchymoses are made on the back of the person and it works to alleviate inflammation and pain. Coining is a healing practice that involves rubbing the skin to treat different types of illnesses.

To report abuse in Florida there is a hotline you can call provided by the department of Children and Families. You can either call or report online in a specific website. As a nurse, to report abuse first of all we must prioritize the child’s safety. Report to the abuse hotline and then notify social services and well as the authorities to open an investigation.

windshield survey

1. What is a windshied survey?

2. Advantages and dis advantages of doing a windshield survey?

3. How is a wind shield survey beneficial  or can be used in nursing?

4. How can a windshield survey be used in a public health?

1 page 4 paragraphs 

ethic in research

 Some guidelines address the researchers’ obligations not just to do the research but to do a follow up on providing medical care to the participants after the research is completed. There is no clear guide to have ethical answers to what happens to the participants when the research is complete? Or what are the researchers if any obligation toward the participants that were enrolled as untreated in the specific group? Provide examples of vulnerable populations.  Some of the low-income countries and low institutional capacity for data are usually vulnerable to compromising the confidentiality, there is still no consensus of who has the responsibility to report back to the participants and their well-being after the trials. Thoughts about ethics in research?  

Instructions:

Use an APA style and a minimum of 100 words. Provide support from scholarly sources. The scholarly source needs to be: 1) evidence-based, 2) scholarly in nature, 3) Sources should be no more than five years old (published within the last 5 year), and 4) an in-text citation. citations and references are included when information is summarized/synthesized and/or direct quotes are used, in which APA style standards apply. 

• Textbooks are not considered scholarly sources. 

• Wikipedia, Wikis, .com website or blogs should not be used.

Discussion: Health Care Costs and Product Differentiation

Please answer the following questions regarding Health Care Costs and Product Differentiation

  • Using supply and demand analysis, explain some of the factors that may have led to rising healthcare costs in the United States from 1960 to the present day. In your opinion, which factor has had the greatest impact?
  • Discuss the two ways that product differentiation affects the demand for the product. Give an original example of product differentiation.

Must be at least 250 words and two references