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reparation and again prior to submission to ensure you have addressed its criteria at the highest level.

Referring to chapter 29 of the attached textbook on Natural and manmade disasters. Respond to the questions regarding natural and manmade disasters. 

1. 200 words – What social and cultural factors need to be considered in disaster planning in your community?

2. 200 words – Describe the various vulnerable population within the community setting (for example: homeless, imprisoned, mobility impaired)? 

3. 200 words – Describe the disproportion within vulnerable population… What special needs do they have? 

4. 200 words- If evacuation of the community is mandated, have plans for evacuation of these groups been developed? Give examples of these organizations involved and how they assist these special groups ?(who plan for evacuation during disasters) For example FEMA. 

5. 200 words- Provide a summary of the article https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2646456/.

6. 200 words-  What are key factors that community health nurses should consider when responding to disaster management for vulnerable population? 

Essay should be in APA format with subheadings corresponding to each question. Include at least 5 reference.

Students are required to submit weekly reflective narratives throughout the course that will culminate in a final, course-long reflective journal due in Topic 10. The narratives help students integrate leadership and inquiry into current practice.

This reflection journal also allows students to outline what they have discovered about their professional practice, personal strengths and weaknesses, and additional resources that could be introduced in a given situation to influence optimal outcomes. Each week students should also explain how they met a course competency or course objective(s).

In each week’s entry, students should reflect on the personal knowledge and skills gained throughout the course. Journal entries should address one or more of the areas stated below.  In the Topic 10 graded submission, each of the areas below should be addressed as part of the summary submission.

1. New practice approaches
2. Interprofessional collaboration
3. Health care delivery and clinical systems
4. Ethical considerations in health care
5. Practices of culturally sensitive care
6. Ensuring the integrity of human dignity in the care of all patients
7. Population health concerns
8. The role of technology in improving health care outcomes
9. Health policy
10. Leadership and economic models
11. Health disparities

While APA style is not required for the body of this assignment, solid academic writing is expected, and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

 PLEASE FOLLOW THE INSTRUCTIONS BELOW

4 REFERENCES

ZERO PLAGIARISM

The comprehensive integrated psychiatric assessment of a child or adolescent consists of gathering information from not only the child but from several sources, most notably the family members, caregivers, and the child’s teacher or school counselor. Because of this, the diagnostic assessment becomes more complicated. Issues of confidentiality, privacy, and consent must be addressed. Also, the PMHNP must take into consideration the impact of culture on the child.

In this Discussion, you review and critique the techniques and methods of a mental health professional as he or she completes a comprehensive integrated psychiatric assessment of an adolescent.

Learning Objectives

Students will:

• Evaluate comprehensive integrated psychiatric assessment techniques
• Recommend assessment questions

To Prepare for the Discussion:

• Review the Learning Resources concerning the comprehensive integrated psychiatric assessment.
• Watch the Mental Status Examination video.
• Watch the two YMH Bostonvideos.

Based on the YMH Boston Vignette 4 video, post answers to the following questions:

• What did the practitioner do well?
• In what areas can the practitioner improve?
• At this point in the clinical interview, do you have any compelling concerns? If so, what are they?
• What would be your next question, and why?

Supportive Psychotherapy versus Interpersonal Psychotherapy

With the rising cases of mental disorders, there has been an increasing urge for healthcare providers to assess the efficacy of the approaches used in psychotherapy. This is intended to help in the identification of the strategy that will be effective in assisting patients who are suffering from psychiatric disorders. Two of the common approaches that are used in helping the patients is supportive psychotherapy and interpersonal psychotherapy. Herein, this paper will seek to discuss the similarities of the approaches, the differences, and the effective strategy that could be selected for helping patients. 

How supportive and interpersonal psychotherapies are similar

Both supportive psychotherapy and interpersonal psychotherapy are important and seek to bring therapeutic impact to the patients who have psychiatric disorders. Whiting et al. (2019) argue that the use of supportive psychotherapy by a healthcare provider is intended to help in the enhancement of the adaptive and health patterns of the patients with the objective of reducing the cases of intrapsychic conflict. The interpersonal approach as well seeks to resolve the interpersonal problems that a patient may have. These intend to help the patient in attaining a healthy state if thinking. 

Three differences between these therapies and how these differences might impact practice as a mental health counselor

One of the differences is that the use of supportive approach involves the adherence to a time-limited approach that is structured and takes three to four months but the supportive approach is not structured and makes use of a combination of cognitive behavior and conceptual approach. The focus of the supportive approach is to ensure that the patient is able to have an improved standard of health while interpersonal approach aims at identifying and bringing a resolution to a problem that has prevailed. This infers that there will be a need for the therapists to have an evaluation of the relational aspects of psychiatric disorder patients (Bombardier et al., 2019). 

The therapeutic approach that might be used with clients and why

The therapeutic approach that will be useful in this case will be the interpersonal approach. I prefer to make use of this approach as a nurse therapist in addressing the challenges that are presented by patients with psychiatric disorders. This is attributed to the fact that the approach puts stress on the importance of interpersonal relationships. Psychiatric disorders as per Marrie et al. (2015) are mainly developed by lack of an effective interpersonal relationship. Along these lines, tackling the issue will help in resolving the issue of the patients. The selection is as well attributed to the fact that in considering interpersonal relationships one is able to consider the issues of mood changes and the behavioral changes of a patient which are the main aspects that contribute to psychiatric disorders. 

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

Based on the readings, viewing the online materials & resources on the Module 4: Lecture Materials & Resources page, and your own experience, what strategies would you recommend encouraging culturally competent care of Native Americans? 

Read and watch the lecture resources & materials below early in the week to help you respond to the discussion questions and to complete your assignment(s).

(Note: The citations below are provided for your research convenience. Students should always cross reference the current APA guide for correct styling of citations and references in their academic work.)

Read

Ritter, L.A., Graham, D.H. (2017). Multicultural Health (2nd ed.). Burlington, MA: Jones and Bartlett Learning. ISBN: 9781284021028 Chapter 8

Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources.

Your assignment will be graded according to the grading rubric.

nursing assingment

Respond to this discussion post 

This change management model was created in the 1950s by psychologist Kurt Lewin. Lewin noted that the majority of people tend to prefer and operate within certain zones of safety. As a result, he recognized three stages of change as: unfreeze, transition, and refreeze. On the other hand, Everette Rogers modified Lewin’s change theory and created a five-stage theory of his own. The five stages are awareness, interest, evaluation, implementation and adoption. This theory is applied to long-term change projects. It is successful when nurses who ignored the proposed change earlier adopt it because of what they hear from nurses who adopted it initially (Kritsonis, 2015).

Below is a comparison of the two change theories;

Lewin’s Three-Step Change Theory vs. Rogers Change Theory.

Lewin’s Three-Step Change Theory is very rational, goal and plan oriented. It doesn’t take into account personal factors that can affect change. Also, the theory makes rational sense, but when implemented the lack of considering human feelings and experiences can have negative consequences. On the other hand, Roger’s theory is applied for long-term changes and the success of this theory is fully realized when the earlier resistant agents adopt the change and support it this is unlike Lewin’s theory where success is only realized if the driving forces dominate the resistant force (Watson, 2019).

Given that Rogers change theory promotes awareness of the change, encourages interest of implementation of EBP among the involved parties and appraise the achievement of pilot studies before the actual implementation, the theory makes sense in the implementation of my specific EBP in healthcare system.

Title: Medicaid and Medicare

Paper type Dissertation Chapter – Discussion

Paper format APA

Course level Master

Subject Area Nursing

# pages 1   ( or 300 words Minimum)

Spacing Double Spacing

# sources 3

Paper Details

Summarize ways in which health insurance fails, as people get older. Distinguish between Medicaid and Medicare. Determine whether your state has expanded Medicaid. Why would states choose not to participate in Medicaid expansion?