reply( my professor wrote this to me)
Hello Marial, Thanks for sharing your response. Please perform an evaluation of your experiences as a professional nurse. Reflect on a patient experience where you encountered a health disparity that was a determinant to the patient’s health. In hindsight, was there an opportunity where you should have acted to help eliminate this but did not? Explain. What would you do differently next time you encounter a similar situation?
I NEED A RESPONSE TO THIS ASSIGNMENT
3 REFERENCES
William Thompson is a 38-year-old, African American, Catholic who was recently married to Luli Kim. He was a captain in the military during the Iraq war. William is a lawyer specializing in finance law and in jeopardy because of alcohol and PTSD related concerns. He became homeless when he was unable to pay his mortgage. The patient stated, hitting some hard times and needed to move back in with his brother and his brother’s wife. He also stated, they say I have PTSD but that’s another story. William is a marathon runner, plays soccer, enjoys listening to jazz, and is a novice modern art collector.
DSM-5 Criteria
According to the scenario given, the client William Thompson doesn’t have enough signs and symptoms nor enough information to officially diagnose him with PTSD. According to the DSM 5 criteria requirement, a person being diagnosed with PTSD must have been exposed to actual or threatened death, serious injury, or sexual violence either directly or by experiencing. The traumatic event also needs to be a recurrent event, involuntary, and intrusive. (DSM-5, 2020). Unfortunately our patient William Thompson does not meet those criteria-based on the information given and information available on patient clinical records.
Client Does Not Meet Criteria
As a future nurse practitioner, I will do the ethically right thing and not give my patient any diagnosis if they do not meet the criteria. I believe that labeling the patient based on family history and not on signs and symptoms is wrong. I will conduct a future mental health assessment of the patient to see what the right diagnoses are for the patient and how I can develop an effective treatment plan (Flanagan et al., 2016).
Goals of Treatment
According to the Psychiatric Association’s practice guidelines for PTSD goals of treatment should include managing signs and symptoms; preventing Comorbid related symptoms such as depression, insomnia, substance abuse, and pain; improve functioning; improve the sense of trust and safety; protect against relapse; and transfer experience into a constructive plan of safety, prevention, and protection (Szafranski et al., 2017). The most important goal of treatment for the patient will include preventing him from committing suicide or hurting those around. The safe of the client and others should always be a priority (Flanagan et al., 2016).
Care plan Options
As care providers, I will consider using psychotherapy with the client in conjunction with medication therapy that can manage signs and symptoms of depression, insomnia that might be preventing the client from completing his day today activities. Some medication that I will prescribe will include Zoloft to help with the mood and Ambien to help with insomnia, I will also make sure the client enroll in cognitive behavioral therapy (CBT).
References
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author. Retrieved from https://dsm-psychiatryonline-org.ezp.waldenulibrary.org/doi/full/10.1176/appi.books.9780890425596.dsm07
Flanagan, J. C., Korte, K. J., Killeen, T. K., & Back, S. E. (2016). Concurrent treatment of substance use and PTSD. Current psychiatry reports, 18(8), 70.
Stahl, S. M. (2013). Stahl’s essential psychopharmacology: Neuroscientific basis and practical applications (4th ed.). New York, NY: Cambridge University Press *Preface, pp. ix-x
Szafranski, D. D., Smith, B. N., Gros, D. F., & Resick, P. A. (2017). High rates of PTSD treatment dropout: A possible red herring?. Journal of Anxiety Disorders, 47, 91-98.
The purpose of the signature assignment is for students to apply the research and EBP concepts they have learned in this course and develop a framework for the initial steps of the student’s capstone project. The assignment allows the student to initiate the steps for planning, researching and developing an evidence-based practice intervention project proposal. This formal paper will include and expand upon work completed thus far in prior assignments.
Essential Components of the Final Project Proposal will include:
Expectations
Write a Letter for Graduation to yourself if you were graduating from nursing school.
a. Your assignment is to write a letter to yourself on your graduation day.
b. Consider the following questions as you compose your letter.
i. How do you hope you have changed in terms of knowledge and skills, and personally?
ii. What would you like to remind yourself about your inspiration for choosing this career?
iii. You will be preparing to take the NCLEX exam and to start your first job as a baccalaureate-prepared nurse. Are there any words of encouragement that you would like to tell your future self?
iv. Are there any words of caution you want to tell yourself—pitfalls to avoid?
v. What kind of nurse do you hope you have become? What further growth and change do you envision for yourself?
ALSO, Include an inspiration page.
One page that you create that represents your inspiration for becoming a nurse. It may be a picture, a collage, a series of quotes, and so forth. Choose words and images that are meaningful to you. This should be a picture that you can post somewhere, perhaps where you study, in order to motivate yourself as you move forward on your journey to become a nurse.
Emma and Isabella attend the front office at an urgent care facility. They have worked together for over 5 years and enjoy collaborating on projects. As their manager, you have asked them to work together to create a team training on effective communication in the workplace.
Emma feels that it is important to provide hands-on learning (e.g., role play) while Isabella feels that a lecture is the most appropriate format for this team. Emma defends her point by saying that her sister has been a teacher for 10 years, and she has proven that hands-on learning increases the engagement and likelihood of remembering the training material.
Isabella feels that Emma does not account for her 10 years of experience in the medical office and voices her disgust with Emma and her lack of appreciation for her experience. Isabella storms off and leaves Emma to finish the work.
Emma approaches the manager and complains that she has been left to complete the training because Isabella refuses to talk or work with her.
Write a 500- to 750-word paper that discusses how you would handle the situation. Complete the following in your paper:
Format your assignment according to APA guidelines.
Search the GCU Library and find two new health care articles that use quantitative research. Do not use articles from a previous assignment, or articles that appear in the Topic Materials or textbook.
Complete an article analysis for each using the “Article Analysis: Part 2” template.
Refer to the “Patient Preference and Satisfaction in Hospital-at-Home and Usual Hospital Care for COPD Exacerbations: Results of a Randomised Controlled Trial,” in conjunction with the “Article Analysis Example 2,” for an example of an article analysis.
While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting 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.
Based on “Case Study: Fetal Abnormality” and the required topic study materials, write a 750-1,000-word reflection that answers the following questions:
Remember to support your responses with the topic study materials.
While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.
1-Discussion Question: 56-year-old patient with newly diagnosed stage 1 hypertension has been referred to you for counseling regarding lifestyle modifications. He is married, with four children—two in high school, two in college. His job as a senior vice-president for a major retail chain requires that he work long hours and frequently eat at restaurants. He smokes two packs of cigarettes a day, has a body mass index (BMI) of 29 kg/m2, and a waist–hip ratio of 1.6. He usually drinks one to two dry martinis to relax after he gets home from work.
a. How would you develop a realistic plan to help this patient reduce his blood pressure and prevent complications?
b. Which risk factors would be among your top two or three priorities for this patient,and what interventions or recommendations would you provide for modifying these?
2- APA style
3- 3 paragraphs with 3 sentences each
4- 2 references not older than 2015
Choose a nursing theory and research an article that includes a nursing theory and its utilization in nursing practice or nursing research. Write a three paragraph summary of the article highlighting the application of the selected nursing theory to nursing practice and reserach
Article should be current, peer reviewed and within a five year span.
-Use APA format for your references and citations
