Posts in category: Uncategorized

In the attached file there is a research proposal,

Childhood psychosis is extremely rare; however, children that present with psychosis must be carefully assessed and evaluated with appropriate interviewing of parent, child, and use of assessment tools.

For this Assignment, as you examine the client case study in this week’s Learning Resources, consider how you might assess and treat clients presenting with early onset schizophrenia.

Learning Objectives

Students will:

• Evaluate clients for treatment of mental health disorders
• Analyze decisions made throughout diagnosis and treatment of clients with mental health disorders

The Assignment:

Examine Case 3: You will be asked to make three decisions concerning the diagnosis and treatment for this client. Be sure to consider co-morbid physical as well as mental factors that might impact the client’s diagnosis and treatment.

At each Decision Point, stop to complete the following:

• Decision #1: Differential Diagnosis
  • Which Decision did you select?
  • Why did you select this Decision? Support your response with evidence and references to the Learning Resources.
  • What were you hoping to achieve by making this Decision? Support your response with evidence and references to the Learning Resources.
  • Explain any difference between what you expected to achieve with Decision #1 and the results of the Decision. Why were they different?
• Decision #2: Treatment Plan for Psychotherapy
  • Why did you select this Decision? Support your response with evidence and references to the Learning Resources.
  • What were you hoping to achieve by making this Decision? Support your response with evidence and references to the Learning Resources.
  • Explain any difference between what you expected to achieve with Decision #2 and the results of the Decision. Why were they different?
• Decision #3: Treatment Plan for Psychopharmacology
  • Why did you select this Decision? Support your response with evidence and references to the Learning Resources.
  • What were you hoping to achieve by making this Decision? Support your response with evidence and references to the Learning Resources.
  • Explain any difference between what you expected to achieve with Decision #3 and the results of the decision. Why were they different?
• Also include how ethical considerations might impact your treatment plan and communication with clients and their families.

Note: Support your rationale with a minimum of three academic resources. While you may use the course text to support your rationale, it will not count toward the resource requirement.

Click on the following link and read the article https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4061635/ 

Arabi, A., Rafii, F., Cheraghi, M., & Ghiyasvandian, S. (2014, May). Nurses’ policy influence: A concept analysis.  

1. Look up your local nursing state organizations in this case Atlanta Georgia.

3. Find out what policies they are working on  

4. choose a policy of your choice pertaining to the nursing field and write a 200-300 words post about the policy that you are interested in learning more about.

APA format, with intext citation and citing the source. Please use the above link for the a for references and plagiarism free. DO NOT TURNITIN.

Module 02 Discussion – Multidimensional Care of the Cancer Patient

Cancer is one of the leading causes of death in both men and women. Caring for the cancer patient and family requires a multidimensional approach.

What does it mean to provide a multidimensional approach? What are some examples of how the care team can meet the patient and the family’s needs? Who are the members of the care team and how are they involved in providing multidimensional care?

 Respond to these two posts separately after reading by giving references as well either supporting or respectfully challenging their explanation on whether there is an evidence base to support the proposed health policy they described. 

Both Post are attached-  HALF A PAGE FOR EACH POST IS GOOD

 The objective of assignment is to provide a power point presentation about vaccines including the Flu vaccine in the pediatric population. Your primary goal as an FNP is to educate parents about the importance of vaccination, and understanding their beliefs and preference by being cultural sensitive in regards this controversial topic. This is an individual presentation (not group) and must include a minimum of 8 slides with a maximum of 10 slides. This presentation must include a “Voice Presentation” and the following headings: Introduction, Clinical Guidelines EBP per CDC, Population and Risk Factors, Education, Conclusion.  

RUBRIC TO FOLLOW:

 *Introduction (20%) Clearly identifies the topic and Establishes goals and objectives of presentation 

* Population and Risks Factors (10%) The population is identified and addressed as well the topic(s) and issue(s)  

* Research Content EBP Clinical Guidelines Analysis (20%) Presents an insightful and through analysis of the issue (s) identified. Excellent Clinical guidelines  

* Body and Content (20)% Makes appropriate and powerful connections between the issue(s) identified and the concept(s) studied. Very creative and Supports the information with strong arguments and evidence. Provided 8-10 slides *Voice attached in all slides 

* Education (10%) Presents detailed, realistic, and appropriate recommendations and education including parents/patients  

 *Conclusion (10%) Excellent Conclusion clearly supported by the   information presented  

* APA Including Grammar and Spelling (10%) Excellent used of the APA guidelines and consistently cite sources. No grammar errors. References with 5 years.  

POST 1

V. Soda

Application of Theory to Practice 

The article chosen was entitled Knowledge for good of the individual and society: Linking philosophy, disciplinary goals, theory, and practice by McCurry, Revell, and Roy (2010). This article looks into a correlated theory to guide disciplinary goals to promote health and prevent illness internationally. Nursing goals were aimed not just to an individual but the culture in which the person subsides (McCurry, Revell, Roy, 2010). 

Summarization of Article

This article utilized middle-range theory because of its similarity of the goal of health “for all and its goodness of all levels of nursing practice from the individual” and can be applied globally (McCurry, Revell, & Roy, 2010, p. 43). This model was used, in correlation was McCubbin and Patterson’s Double ABCX model,  to depict how middle-range can “be expanded to assess communities and the larger society” to decipher existing and needed resources (McCurry, Revell, & Roy, 2010, p. 50). The theory is prescriptive because it focuses upon presenting change and viewing outcomes of nursing interventions (McEwin & Wills, 2019). The article depicted the importance of correlating the philosophical view, structured goals, and actions with continuing knowledge in relation to the good of an individual and society (McCurry, Revell, & Roy, 2010). 

Value of Theory for Nursing Research 

It is within nursing that there is a “disciplinary goal to contribute to the health of individuals and the overall health of society” (McCurry, Revell, & Roy, 2010, p. 43). To accomplish these goals of contribution, nursing theories assist for this achievement. It is noted that the knowledge in the nursing profession is based upon theories. They are the maps that direct evidence-based practicse in nursing care. In addition to this knowledge, “validation is needed as well by research validating answers” to create the evidence-based practices (McCurry, Revell, & Roy, 2010, p. 43). 

Example How Theory is Applied

 Theory is applied in nursing practice by presentations that are evidence based and used in any nursing setting. An example of a universal utilized theory is the use of hand-hygiene as a preventative measure for health care acquired infections and to decrease the spread of pathogens (Gould, Moraljo, Drey, & Chudleigh, 2010). Another example entailing a theory that relates particularly to what is presented to nursing students is theorist Dorthea Orem (Simmons, 2009). Dorthea Orem focused upon the ability of self-care, and presenting it to students as a nursing professor and towards patient care, categorizes it uniquely to the theory flourishing upon self-care during nursing education, nursing profession, and personal life.

References

Gould, D., Moralejo, D., Drey, N., & Chudleigh, J. (2010). Interventions to improve hand

hygiene compliance in patient care. Cochrane Database of Systematic Reviews, (9). 

Gray, J.R., Grove, S.K., & Sutherland, S. (2017). Burns and Grove’s the practice of nursing research:

Appraisal, synthesis, and generation of evidence (8th ed.). St. Louis, MO: Saunders Elsevier.

McCurry, M.K., Revell, S.M.H., & Roy, S.C. (2010). Knowledge for the good of the individual and society:

Linking philosophy, disciplinary goals, theory, and practice. Nursing Philosophy, 11(1), 42-52. doi:

10.1111/j.1466-769X.2009.00423.x

McEwin, M. & Wills, E.M. (2019). Theoretical basis for nursing (5th ed.). Philadelphia, PA:

Wolters Kluwer Health 

Simmons, L. (2009). Dorthea Orem’s self care theory as related to nursing practice in hemodialysis.

Nephrology Nursing Journal, 36(4), 419-421.

POST 2

D. Strickland

Middle Range Theories

Health Belief Model

            Middle range theories guide the practitioner in understanding the client’s behavior, enabling interventions that are more effective (Gray, Grove, & Sutherland, 2017, p. 147).  The middle range theories are more in tune  with everyday practice and are sometimes called substantive theories.  The constructs of the Health Belief Model are perceived susceptibility-an individual’s subjective assessment whether the health problem presents a risk to her/him, perceived severity-an individual’s subjective assessment regarding the severity of the health problem and its potential consequences, perceived benefits-an individual’s subjective assessment of the value or efficacy of engaging in a health-promoting behavior to decrease the risk of the disease, perceived barriers-an individual’s assessment of the obstacles to behavior changes, cues to action-a stimulus is needed to trigger actions and self-efficacy-the individual’s confidence in his/her ability to affect change in outcomes (Canfield, 2020, p. 14).

Article Summary

            The article that I studied was Understanding precautionary behaviors among neighbors of COVID-19 positive patients using health belief model:  An analysis from available evidence 

(2020). This study researches the perceptions that close contacts and neighbors had regarding COVID-19 positive patients who lived in the same apartment complex.    The results of the study found that risk perception was high, stress among the non-positive COVID-19 participants was elevated and those who worked in health care were perceived to be a high risk threat to the other members of the community, and this caused he members of the apartment community to have resentment towards the health care workers.  This theory was predictive.  Health Belief Model has been used to study behaviors related to preventing or mitigating disease and posits that messages will achieve optimal behavior change if they successfully target perceived barriers, benefits, self-efficacy and threats (Ghosh, Bhattacharya, Pramanik, & Chakrabarti, 2020, p. 280). 

Value of Theory for Nursing Research

How Theory is Used in Family Practice Clinic

The three important factors in nursing are theory, research and practice.  In any discipline, science is the result of the relationship between the process of inquiry (research) and the product of knowledge ( theory) (Saleh, 2018, p. 18).  A large and important part of the knowledge that is used in nursing is obtained through research.  Because COVID-19 was a novel virus there was a need for research on how to stop the spread of this virus.  From infection control, to mask wearing and social distancing 6 feet were all researched and policy was implemented.  The family practice heard of this novel virus but did not understand the impact it would have on the clinic and the staff as a whole.  Initially patients cancelled their appointments and we went from seeing almost 70-90 patient a day to maybe seeing 20 patients daily.  One way to be able to provide care to our patients was by way of telemedicine.  Because this way to see patients was not provided in our office, we had to research the efficacy, develop a policy, implement the policy and then analyze the effectiveness of telemedicine.  We had to revise the policy just one time in order to provide for our older patients who are not savvy in technology.  The office had to also develop and implement a policy for patient’s who wished to be seen in the office.  Because the research had already been done by the CDC, the office management team had to develop and implement a patient process that would allow for safety while being seen in the office.

References

Canfield, S. J. (2020). Back to the future: COVID-19 and the Health Belief Model. Retrieved fromhttps://content.ebscohost.com/ContentServer.asp?T=P&P=AN&K=146498353&S=R&D=rzh&EbscoContent=dGJyMNLr40SeprY4wtvhOLCmsEiep7VSsqa4SLCWxWXS&ContentCustomer=dGJyMPGss0q1qK5IuePfgeyx5n3f4vKA8dnn

Ghosh, N., Bhattacharya, S., Pramanik, T., & Chakrabarti, I. (2020). Understanding precautionary behaviors among neighbors of COVID-19 positive patients using health belief model: An analysis from available evidence. Medical Journal of Babylon, 17(3), 278-281. http://dx.doi.org/10.4103/MJBL.MJBL_45_20

Gray, J. R., Grove, S. K., & Sutherland, S. (2017). Burns and Grove’s the Practice of Nursing Research Appraisal, Synthesis and Generation of evidence (8 ed.). St Louis MO: E

Saleh, U. S. (2018). Theory guided practice in nursing. Journal of Nursing Research and Practice, 2(1), 18. Retrieved from https://www.pulsus.com/scholarly-articles/theory-guided-practice-in-nursing.pdf

EXAMPLE OF HOW THE REPLY COMMENT LOOKS

Comfort theory, through Kolcaba, brings forth the emphasis of viewing a person as a holistic being. In correlation to this model, a philosopher, named Maritain, showed reasoning “on the philosophical basis for the good of individuals and society” (McCurry, Revel, & Roy, 2010, p. 45). He formulated an emphasis that an individual is a portion of humans, part of the universe, and as a whole survives morally as a spiritual soul (McCurry, Revell, & Roy, 2010). With Kolcaba’s theory there was also the articulation in discussing patients and their families. Engagements from both patient and families allow that comfort to be fulfilled resulting in organizational benefits, such as decreased cost and length of stay (Kolcaba, Tilton, & Drouin, 2006). Comfort is a fundamental need for care in any institution so it can be viewed as “a common denominator” within an organization (Kolcaba, Tilton, & Drouin, 2006, p. 343). If there was not a focus upon this fundamental need, where would research currently be? Where would the progress of nursing care and institutions be at? Can there be a collaboration with Kolcaba’s and Maritain’s approaches?

References

Kolcaba, K., Tilton, C., & Drouin, C. (2006). Comfort theory: A unifying framework to enhance thepractice environment. Journal of Nursing Administration, 36(11), 538-544. McCurry, M.K., Revell, S.M.H., & Roy, S.C. (2010). Knowledge for the good of the individual and society:

Linking philosophy, disciplinary goals, theory, and practice. Nursing Philosophy, 11(1), 42-52. doi:

10.1111/j.1466-769X.2009.00423.x

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?

Note: APA style, 700 words, two references not older than two years. 

ACCT-361: Assignment #2 Business Process Modeling: 

Fall 2020 

Creating the Logical Model from an Event-Driven IT Application Required: 

1. From the solution provided for Assignment 1 (REA Model), create the Logical Model. Be sure to show all tables required by the conceptual model – complete with key attributes of primary keys, foreign keys, and non-key attributes as appropriate. Use proper notation as described in class. Must be typewritten.
    
2. Submit with a Cover page including full name, class and Assignment title; a page with your Logical Model – not handwritten. Professional presentation counts.
    
3. Give yourself enough time to complete this assignment. In order to do well on the midterm, you must think this through on your own.
    

You will perform research and appraisal of existing evidence related to challenges to the safe and effective care of the aging population in the context of global health.  Select an aging population from another country, provide life expectancy, new disease patterns, longer lives, disabilities, cost of aging, health care, work, and the changing role of the family.

Examples: China, England, India, Cuba, Russia, Alaska, Germany, Italy, Iran,  Africa, Saudi Arabia, South America, Central America, Mexico, Pacific Coast Islanders, Japan, France, Haiti, Canada.

 Minimum 300 words, APA style, 3 references.

Due date October 28, 2020