PLEASE FOLLOW THE INSTRUCTION BELOW

ZERO PLAGIARISM

FIVE REFERENCES

Psychiatric mental health nursing practice is one of the newest disciplines to be licensed to provide psychotherapy As such, the majority of psychotherapy research is centered on other disciplines such as psychology, social work, marriage/family therapy, art therapy, psychiatry, and mental health counseling. This makes it essential for you to be able to translate current literature from other disciplines into your own clinical practice. For this Assignment, you practice this skill by examining literature on group work and group therapy and considering its applicability to your own clients.

Learning Objectives

Students will:

• Evaluate the application of current literature to clinical practice

To prepare:

• Review this week’s Learning Resources and reflect on the insights they provide on group work and group therapy.
• Select one of the articles from the Learning Resources to evaluate for this Assignment.

Note: In nursing practice, it is not uncommon to review current literature and share findings with your colleagues. Approach this Assignment as though you were presenting the information to your colleagues.

The Assignment

In a 5- to 10-slide PowerPoint presentation, address the following:

• Provide an overview of the article you selected, including answers to the following questions:
  • What type of group was discussed?
  • Who were the participants in the group? Why were they selected?
  • What was the setting of the group?
  • How often did the group meet?
  • What was the duration of the group therapy?
  • What curative factors might be important for this group and why?
  • What “exclusion criteria” did the authors mention?
• Explain the findings/outcomes of the study in the article. Include whether this will translate into practice with your own client groups. If so, how? If not, why?
• Explain whether the limitations of the study might impact your ability to use the findings/outcomes presented in the article.

 Discuss medications to treat congestive heart failure (CHF). What medications are used to treat CHF? What specifically should patients be taught about CHF medications to prevent adverse side effects? 

i need help with my complete class

 Respond to  your colleagues by constructively critiquing their interview format and providing feedback. 

                                                    Main Post

Interview Format

         The attached interview format is a combination of components from  interview formats used at current and previous practicum sites, as well  as a few additional elements that are important to consider.  For older  clients with diminished capacity, it is may be more appropriate to  obtain some information from caregivers or spouses accompanying the  client.  Additionally, older clients will require a functional  assessment of ADLs through questions and observations (American  Psychological Association, 2008).  Furthermore, clients that are  difficult to assess due to being too symptomatic may require information  gathering from family or others involved in the client’s care.  For  example, during a previous practicum experience, a client was very  disorganized and psychotic.  He verbally agreed to have information  discussed with his family, who was in the waiting room, and they  provided important background information for the interview.  

Interview Format Used by Preceptor

         The interview used by the current preceptor generally follows the  same format with some additional information.  The current practicum  site is at a VA facility.  Thus, part of the initial interview involves  gathering information regarding clients’ military histories, including  years of service, job title, type of discharge, and whether they were  deployed to combat zones.  Another important component of an interview  with veterans is whether they were victims of military sexual trauma  (MST) (Military Sexual Trauma, n.d.).  Additionally, these  clients are evaluated in the emergency room to determine whether they  require inpatient treatment.  Each client undergoes a physical exam and  requires medical clearance from the emergency room physician.  Another  piece of information included at the beginning of the evaluation  specifies whether the client is admitted under voluntary or involuntary  status.

Most Helpful Element of the Interview Format 

         All of the interview format elements are essential to developing a  case formulation and appropriate treatment plan.  The most important  aspect of an initial interview is how the PMHNP approaches the client.   The PMHNP should approach clients directly and calmly and allow clients  to tell their stories to help build rapport (Sadock et al., 2014,  Chapter 5.1).  Positive client-practitioner interactions, especially  upon meeting, can significantly impact the amount of information  disclosed from clients needed to conduct thorough evaluations and create  treatment plans.

Initial Interview Format .pdf 

References

American Psychological Association. (2008). Assessment of older adults with diminished capacity. https://doi.org/https://www.apa.org/pi/aging/programs/assessment/capacity-psychologist-handbook.pdf

Military sexual trauma. (n.d.). U.S. Department of Veterans Affairs. Retrieved November 29, 2020, from https://www.mentalhealth.va.gov/msthome/index.asp

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

Vital Signs
1. You are a nurse caring for a 58-year-old ironworker who has been admitted to your unit with acute hypertension. He became extremely symptomatic at work and was brought to your emergency department (ED) via ambulance. After receiving a report from the ED nurse, he is brought to your unit asymptomatic (other than his BP of 178/106) and seems in good spirits. After completing his admission paperwork, he settles in and awaits his health care provider. Four hours later, you answer his call light and he reports headache (rated 6 on a 0-to-10 scale) and dizziness. 
a. Outline the pertinent information within this case study.
b. How often would you expect to measure the patient’s vital signs based on his history?
c. What would be your first intervention upon his reporting increased symptoms? Include rationale.
d. What is the patient’s pulse pressure?
e. Describe risk factors that could be contributing to your patient’s hypertension.
2. As a nurse in a critical care unit, your newest admission is a 24-year-old victim of a motor vehicle accident (MVA). Report from the OR nurse indicates that the patient has several surgically repaired fractures, a closed head injury, and elevated temperature. Additionally, he has IV fluid running postoperatively and dressing changes scheduled every shift. The patient is intermittently alert and disoriented, with his pain adequately controlled by IV analgesics. 
a. Outline the pertinent information within this case study.
b. What factors could be causing the patient’s elevated body temperature?
c. Why is determining the fever’s cause important?
d. Indicate areas that are important to monitor in a patient with elevated body temperature.
e. Describe cause-specific interventions useful in treating the patient’s elevated body temperature.

PLEASE, answer each question in order and separately. PLEASE,  this is the bibliography( Chapter 29-30).
1.Potter, P.A., &Perry, A. G. (2017). Fundamentals of Nursing: Concepts, Process, and Practice (9th ed.). St. Louis: MO:  Mosby. ISBN: 9780323327404

The Lab Assignment

• Choose one skin condition graphic (identify by number in your Chief Complaint) to document your assignment in the SOAP (Subjective, Objective, Assessment, and Plan) note format rather than the traditional narrative style. Refer to Chapter 2 of the Sullivan text and the Comprehensive SOAP Template in this week’s Learning Resources for guidance. Remember that not all comprehensive SOAP data are included in every patient case.

• Use clinical terminologies to explain the physical characteristics featured in the graphic. Formulate a differential diagnosis of three to five possible conditions for the skin graphic that you chose. Determine which is most likely to be the correct diagnosis and explain your reasoning using at least three different references, one reference from current evidence-based literature from your search and two different references from this week’s Learning Resources.

A public Health Discovery Paper.

3/4-page review 

 Post a clinically relevant research question using the PICOT format.  How did you arrive at this topic and question?  Why is it important?  ( “what are the new and appropriate wound care methods?”  This question’s uniqueness is to develop an evidence-based practice supported with current knowledge about a proper and new way of wound care, treatment ) 

 P: Population/patient – elderly patient with pressure ulcers I: Intervention/indicator- The main intervention is the use negative pressure wound therapy C: Comparison/control – standard moist wound therapy O: Outcome – the expected result or outcome would be based on the quality and duration of wound healing based on the intervention and comparison .T: Time – two weeks’ stay in hospital

Expectations

Initial Post:

• Length: A minimum of 250 words, not including references
• Citations: At least one high-level scholarly reference in APA format from within the last 5 years

Please read below for  guidelines and instructions.See USU NUR Discussion Board Rubric for additional details and point weighting.PICOT stands for:

• Population/ Patient Problem: Who is your patient? (Disease or Health status, age, race, sex)
• Intervention: What do you plan to do for the patient? (Specific tests, therapies, medications)
• Comparison: What is the alternative to your plan? (ie. No treatment, different type of treatment, etc.)
• Outcome: What outcome do you seek? (Less symptoms, no symptoms, full health, etc.)
• Time:  What is the time frame? (This element is not always included.)

Your PICOT question will fall under one of these types:

• Therapy/Prevention
• Diagnosis
• Etiology
• Prognosis

Use the PICOT format to break down your question into smaller parts and identify keywords:

P

I

C

O

T

Patient / Population

Intervention / Indicator

Compare / Control

Outcome

Time / Type of Study or Question

Who are the relevant patients? Think about age, sex, geographic location, or specific characteristics that would be important to your question. What is the management strategy, diagnostic test, or exposure that you are interested in? Is there a control or alternative management strategy you would like to compare to the intervention or indicator? What are the patient-relevant consequences of the intervention? What time periods should be considered?  What study types are most likely to have the information you seek?  What clinical domain does your question fall under? If you have questions, let me know Attachment(s):   563 PICO and determing the evidence to answer y… (346.59 KB) 563 Approved Clinical Question For PICOt Develo… (65.78 KB) The clinic questions are very doable capstone projects. Prior students have pursued both. 

An interesting blog on wound care in 2020: https://www.todayswoundclinic.com/articles/how-wound-care-may-change-better-and-worse-2020  

Design a PowerPoint presentation for high school aged students discussing normative aging changes, sexuality, STDs, and prevention.  

• Discuss normal body changes that occur through puberty into young adulthood
• Discuss specific STDs, causes, symptoms, complications, and treatment: 

                        **You should include a slide or two for each of the following:  Gonorrhea, Chlamydia, Herpes, HIV, Syphillis, HPV

• Discuss pregnancy and prevention

The assignment should be submitted in PowerPoint format, with at least 10 content slides (in addition to a title slide and reference slide) and include at least two scholarly sources other than provided materials.

The Omnibus Budget Reconciliation Act (OBRA), also known as the Nursing Home Reform Act of 1987, has dramatically improved the quality of care in the nursing home over the last twenty years by setting forth federal standards of how care should be provided to residents. 

This Act is interpreted with the U.S. Code of Federal Regulations (42 CFR Part 483). Such improvements include less use of antipsychotic drugs, a reduction in chemical and physical restraint use, and a reduction in inappropriate use of indwelling urinary catheters.

Mandates

The quality of care mandates contained within OBRA, and the regulations, require that a nursing home must provide services and activities to attain or maintain the highest practicable physical, mental, and psychosocial well-being of each resident in accordance with a written plan of care. 

In order to participate in Medicare and Medicaid programs, nursing homes must be in compliance with the federal requirements for nursing homes.

The mandates of OBRA are regarded in the nursing home setting to represent minimum accepted standards of care. The failure of a nursing home to comply with the OBRA quality of care mandates in caring for a resident represents a failure to exercise the degree of reasonable care and skill that should be expected.

Penalties

The Indiana State Department of Health is responsible for ensuring that nursing homes follow these mandates through the state survey process. The Department of Health and Human Services (DHHS) and the states may apply penalties against nursing homes for failure to meet the minimum standard of care as defined in the OBRA regulations. 

Such penalties may include fines, appointment of administrative consultants to run the nursing home while deficiencies are remedied, and even closure of a nursing home.

• Residents must be assessed to identify their medical problems and their abilities to perform basic self-care activities. The DHHS established a uniform data set, referred to as the minimum data set (MDS), to document this assessment.
• The nursing home is responsible for the safety of each resident. This includes being responsible for orders written by the resident’s primary physician or other medical provider. If the physician writes an order that does not comply with the federal regulations, the nursing home is responsible for making sure the physician changes such order. The mere presence of a physician’s inappropriately written order does not absolve the nursing home of responsibility in providing safe care.
• Provide services that will enhance each resident’s quality of life to its fullest (42 CFR §483.15).
• Maintain the dignity and respect of each resident (42 CFR §483.15).
• Develop a comprehensive care plan for each resident (42 CFR §483.20).
• Conduct a comprehensive and accurate assessment of each resident’s overall health upon admission and at each required interval (42 CFR §483.20).
• Prevent a decline in activity of daily living (ADL) activities, including the ability to eat, toilet, bathe and walk. Staff must provide for ADL care when necessary (42 CFR §483.25).
• Prevent the development of pressure sores, and if a resident has pressure sores, provide the necessary treatment and services to promote healing, prevent infection, and prevent new sores from developing (42 CFR §483.25).
• Provide appropriate care to those who have urinary incontinence and restore bladder function if possible. This also includes only using urinary catheters when appropriate as outlined in the regulations to prevent adverse consequences related to such use (42 CFR §483.25).
• Prevent accidents, including falls, accidental poisonings and other incidents that could cause injuries (42 CFR §483.25).
• Maintain adequate nutrition to prevent unnecessary weight loss (42 CFR §483.25).
• Provide each resident with sufficient fluid intake to prevent dehydration (42 CFR §483.25).
• Ensure that residents are free from significant medication errors (42 CFR §483.25).
• Have sufficient nursing staff (42 CFR §483.30).
• Ensure that each resident’s rights to choose activities, schedules, and health care are maintained (42 CFR §483.40).
• Provide pharmaceutical (medication) services to appropriately meet the physical and psychological needs of each resident (42 CFR §483.60).
• Maintain accurate, complete, and easily accessible clinical records for each resident (42 CFR §483.75).

Please read the OBRA guidelines and do the paper base on this question .APA style .Thank you  

CASE STUDY: Mrs. J is repeatedly asking for a nurse; other patients are complaining, and you simply cannot be available to Mrs. J for long periods.  Considering the setting and the OBRA guidelines, what would you do to manage the situation?