Special Topics in Child and Adolescent Psychiatry

Many children face special issues that impact everyday life, whether it is within themselves, their families, or their environment. The PMHNP must be sensitive to these many issues that children and adolescents are faced with during important developmental years.

In this Discussion, you select a special population and analyze the psychological issues that the population faces. You also address the assessment and treatment needs of the population.  

Learning Objectives

Students will:

• Analyze      psychological issues that may arise in children faced with special      circumstances
• Evaluate      assessment measures used with children faced with special circumstances
• Evaluate      treatment options used with children faced with special circumstances
• Analyze cultural      influences on treatments (D)

To Prepare for the Discussion:

• Review the      Learning Resources.
• Select one of      the following topics for the Discussion:
  • Adoption
  • Foster care
  • Gender       dysphoria
  • Forensic issues
  • Impact of       terrorism on children

Post:

• Write your      selected disorder in the subject line of your Discussion post.
• Explain the      psychological issues that may result from your topic.
• Describe the      most effective assessment measure that could be used, and explain why you      selected this.
• Explain the      treatment options available for children and adolescents involved with      your selected disorder.
• Explain how      culture may influence treatment.

Required Readings ( Need 3 references).

American Academy of Child & Adolescent Psychiatry (AACAP). (2012c). Practice parameter on gay, lesbian, or bisexual sexual orientation, gender nonconformity, and gender discordance in children and adolescents. Journal of the American Academy of Child & Adolescent Psychiatry, 51(9), 957–974. Retrieved from http://www.jaacap.com/article/S0890-8567(12)00500-X/pdf

American Academy of Child & Adolescent Psychiatry (AACAP). (2011). Practice parameter for child and adolescent forensic evaluations. Journal of the American Academy of Child & Adolescent Psychiatry, 50(12), 1299-1312. Retrieved from http://www.jaacap.com/article/S0890-8567(11)00883-5/pdf

American Nurses Association. (2014). Psychiatric-mental health nursing: Scope and standards of practice (2nd ed.). Washington, DC: Author.

· Standards 11 “Communication” (page 75)

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

· “Somatic Symptom and Related Disorders”

· “Other Conditions That May Be a Focus of Clinical Attention”

· “Assessment Measures”

· “Cultural Formulation”

Human Rights Campaign. (n.d.). Growing up LGBT in America. Retrieved June 8, 2017, from http://assets.hrc.org//files/assets/resources/Growing-Up-LGBT-in-America_Report.pdf?_ga=1.83582870.1279387255.1493224749

Lee, T., Fouras, G., & Brown, R. (2015). Practice parameter for the assessment and management of youth involved with the child welfare system. Journal of the American Academy of Child & Adolescent Psychiatry, 54(6), 502–517. Retrieved from http://www.jaacap.com/article/S0890-8567(15)00148-3/pdf

Sadock, B. J., Sadock, V. A., & Ruiz, P. (2014). Kaplan & Sadock’s synopsis of psychiatry: Behavioral sciences/clinical psychiatry (11th ed.). Philadelphia, PA: Wolters Kluwer.

· Chapter 31, “Child Psychiatry” (pp. 1279–1323)

Optional Resources

Thapar, A., Pine, D. S., Leckman, J. F., Scott, S., Snowling, M. J., & Taylor, E. A. (2015). Rutter’s child and adolescent psychiatry (6th ed.). Hoboken, NJ: Wiley Blackwell. 

· Chapter 19, “Legal Issues in the Care and Treatment of Children With Mental Health Disorders” (pp. 239–249)

· Chapter 49, “Forensic Psychology” (pp. 636–647)

please follow the instructions

1. What is a workaround? Identify a workaround (specific to technology used in a hospital setting) that you have used or perhaps seen someone else use, and analyze why you feel this risk-taking behavior was chosen over behavior that conforms to a safety culture. What are the risks? Are there benefits? Why or why not?
2. Discuss the current patient safety characteristics used by your current workplace or clinical site. Identify at least three aspects of your workplace or clinical environment that need to be changed with regard to patient safety (including confidentiality), and then suggest strategies for change.

please fill out assignment and do not write it as a paper need nursing tutor for this 

Grey’s Anatomy- Season 15 EP 23- What I Did For Love

2-3 pages

Due-11/06/20

APA format

20 points

1. Summary of Meredith’s patient situation

• Main elements of the situation
• Who, what, where, when, why

1. Analysis

• What barriers stood in the way of getting the proper care for Gabby?
• Due to the inability to have insurance, Meredith explains she believes “the system is broken”, do you agree? Why or Why not?
• Do you agree with the choices Meredith made?
• What kind of fraud was committed? 
• What ramifications could Meredith face?

1. Conclusion

• State the situation
• Summarize your stance
• Is there a call to action in future cases?

 Module 08: GI poster

Competency

Select appropriate nursing interventions for clients with upper and lower gastrointestinal disorders. SIGN UP FOR YOUR TOPIC HERE: https://docs.google.com/spreadsheets/d/1a9aocm6ahrPHEhRBuFtYaXiR19DmdkmDTdYLacyj0Es/edit?usp=sharing

Scenario

Patient and family education is important in increasing adherence. To provide education to patient and families, you are going to create a poster about a gastrointestinal disorder that will be displayed in a physician’s office.

Instructions

Please be sure to include the following in your poster design.

• Overview of the disorder
• Causes of the disorder
• Diagnostic tests to diagnosis the disorder
• Assessment findings
• Multidimensional nursing care interventions for the disorder

Resources

For assistance with research, refer to the Nursing Research Guide.

For assistance creating a poster, refer to the following FAQ.

Submit your completed assignment by following the directions linked below. Please check the Course Calendar for specific due dates.

Save your assignment as a Microsoft Word document. (Mac users, please remember to append the “.docx” extension to the filename.) The name of the file should be your first initial and last name, followed by an underscore and the name of the assignment, and an underscore and the date. An example is shown below:

Please make your initial post by midweek, and respond to at least two other student’s post by the end of the week. (Minimum 200 words in each reply, build on their presentation with something you found in your research) Please check the Course Calendar for specific due dates.

  In the modern era, there are few professions that do not to some extent rely on data. Stockbrokers rely on market data to advise clients on financial matters. Meteorologists rely on weather data to forecast weather conditions, while realtors rely on data to advise on the purchase and sale of property. In these and other cases, data not only helps solve problems, but adds to the practitioner’s and the discipline’s body of knowledge.

Of course, the nursing profession also relies heavily on data. The field of nursing informatics aims to make sure nurses have access to the appropriate date to solve healthcare problems, make decisions in the interest of patients, and add to knowledge.

In this Discussion, you will consider a scenario that would benefit from access to data and how such access could facilitate both problem-solving and knowledge formation.

To Prepare:

• Reflect on the concepts of      informatics and knowledge work as presented in the Resources.
• Consider a hypothetical scenario      based on your own healthcare practice or organization that would require      or benefit from the access/collection and application of data. Your      scenario may involve a patient, staff, or management problem or gap.

Post a description of the focus of your scenario. ( 5-6 paragraphs)

Describe the data that could be used and how the data might be collected and accessed. 

What knowledge might be derived from that data? 

How would a nurse leader use clinical reasoning and judgment in the formation of knowledge from this experience?

McGonigle, D., & Mastrian, K. G. (2017). Nursing informatics and the foundation of knowledge (4th ed.). Burlington, MA: Jones & Bartlett Learning.

· Chapter 1, “Nursing Science and the Foundation of Knowledge” (pp. 7–19)

· Chapter 2, “Introduction to Information, Information Science, and Information Systems” (pp. 21–33)

· Chapter 3, “Computer Science and the Foundation of Knowledge Model” (pp. 35–62)

Nagle, L., Sermeus, W., & Junger, A. (2017).  Evolving Role of the Nursing Infomatics Specialist. In J. Murphy, W. Goosen, &  P. Weber  (Eds.), Forecasting Competencies for Nurses in the Future of Connected Health (212-221). Clifton, VA: IMIA and IOS Press. Retrieved from https://serval.unil.ch/resource/serval:BIB_4A0FEA56B8CB.P001/REF

Sweeney, J. (2017). Healthcare informatics. Online Journal of Nursing Informatics, 21(1).

Public Health Informatics Institute. (2017). Public Health Informatics: “translating” knowledge for health [Video file]. Retrieved from https://www.youtube.com/watch?v=fLUygA8Hpfo

Reflect on the usefulness of principlism as a framework for bioethics in nursing. How have your academic efforts impacted your professional understanding of legal and/or ethical issues?

Instructions: Doctorate level work. 2 pages, APA format, at least 2 references (must be within 5 yrs ). Absolutely plagiarism free

Due date/time: 18 Nov, 2020 @8:00am. 

Ethical Decision-Making

Let’s return to the ethical scenario presented within Page 2 of the Explore section of Week 4 to consider it further. Upon learning that a medication error occurred resulting in a child’s death, the Chief Nursing Officer (CNO) of a regional acute care facility held a press conference to announce the mistake. The conference centered on reporter questions about why the nurse was not fired. The CNO explained that the nurse was highly regarded and that the problem was a “system” problem, not simply a problem of an incompetent nurse. The CNO also explained that an examination of the medication administration procedures was ordered and that an electronic medication error avoidance system would be implemented to ensure that such an error would not happen again. Consider this scenario to address the following.

· As the CNO in the scenario, defend your decision to disclose the incident to the media. How does this decision influence value-based healthcare? What risks might you encounter? What impact might this decision have on you personally and professionally?

·  At a regional health consortium, fellow CNOs remark that they would not disclose such an incident to the media. Provide two justifications for withholding disclosure of the error to the public. How does this decision influence value-based healthcare?

·  Imagine you are the patient’s family. How would you want the issue to be handled by the CNO? Explain your rationale

Reading/references:

1.  Chism, L. A. (2019). The Doctor of Nursing Practice: A guidebook for role development and professional issues (4 th ed.). Jones & Bartlett Publishers.

·  Chapter 7: The DNP Graduate as Ethical Consultant, pp. 177-197

·  
https://online.vitalsource.com/#/books/9781284155259/epubcfi/6/164%5B%3Bvnd.vst.idref%3Di17_Chapter07%5D!/4/2%5Bch07%5D/8/6%400:0

2.  Marshall, E. S. & Broome, M.E. (2017). Transformational leadership in nursing: From expert clinician to influential leader (2nd ed.).  Springer Publishing Company.

·  Chapter 4: Economics and Finance

o”The Present State of Health Care Finance,” p. 88

o”Emerging Models of Care Delivery: A Glimpse into The Future of Financing,” -p. 114

·  https://online.vitalsource.com/#/books/9780826193995/epubcfi/6/32%5B%3Bvnd.vst.idref%3DChapter_4%5D!/4/2/366/2%400:61.2

3.Nelson, E. C., Batalden, P. B., & Godfrey, M. M. (2007). Quality by design: A clinical microsystems approach. Jossey-Bass.

·  Chapter 7: Planning Patient-Centered Care, pp. 148-164

4.Sorbello, B. (2008). The nurse administrator as caring person: A synoptic analysis applying caring philosophy, Ray’s ethical theory of existential authenticity, the ethic of justice, and the ethic of care (Links to an external site.). International Journal for Human Caring, 12(1), 44-49. Permalink

Shelly is a 4-year-old preschooler who lives with her parents and younger brother. She and her brother attend a local daycare center during the week while their parents are at work. In the evenings she and her brother take a bath and then their parents read to them before bedtime at 8 PM. Shelly’s daycare class includes many children her age and she enjoys playing outside with them. Although snack times are planned, Shelly would rather play and does not always finish her beverages.

Shelly’s mother calls the clinic and tells the nurse practitioner that Shelly has been “running a fever of 101 F for the past 2 days” and although her temperature decreases to 37.2 C (99 F) with Tylenol, it returns to 38.4 C (101 F) within 4 hours of each dose. Further, her mother says that Shelly complains that “it hurts when I pee-pee”. Shelly’s mother also has noticed that her daughter seems to be in the bathroom “every hour”. She makes an appointment to see the nurse practitioner this afternoon.

The potential diagnosis is UTI.

1.      What other assessment data would be helpful for the nurse practitioner to have?

2.      What are the organisms most likely to cause an UTI?

3.      What is the pharmacological treatment for Shelly? Keep in mind safe dosing.

4.      What are the teaching priorities for Shelly and her mother prior to her discharge from the clinic?

Please keep it concise. 1 initial post and 2 replies using peer-reviewed references published within 5 years.