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Treatment of Psychiatric Emergencies in Children Versus Adults

The diagnosis of psychiatric emergencies can include a wide range of problems—from serious drug reactions to abuse and suicidal ideation/behaviors. Regardless of care setting, the PMHNP must know how to address emergencies, coordinate care with other members of the health care team and law enforcement officials (when indicated), and effectively communicate with family members who are often overwhelmed in emergency situations.

In this Discussion, you compare treatment of adult psychiatric emergency clients to child or adolescent psychiatric emergency clients.

Learning Objectives

Students will:

· Compare treatment of adult psychiatric emergency clients to child or adolescent psychiatric emergency clients

· Analyze legal and ethical issues concerning treatment of child or adolescent psychiatric emergency clients

To Prepare:

· Review the Learning Resources concerning emergency psychiatric medicine.

· Consider a case where an adult client had a psychiatric emergency. If you have not had a personal experience with an adult client who had a psychiatric emergency, you can conduct an internet or library search to identify.

Post:

· Briefly describe the case you selected.

· Explain how you would treat the client differently if he or she were a child or adolescent.

· Explain any legal or ethical issues you would have to consider when working with a child or adolescent emergency case.

 Required Readings ( Need 3 references)

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

• “Bipolar and Related      Disorders”

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 23, “Emergency Psychiatric Medicine”      (pp. 785–790)
• Chapter 31, “Child Psychiatry” (pp. 1226–1253)

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 50, “Provision of Intensive Treatment:      Intensive Outreach, Day Units, and In-Patient Units” (pp. 648–664)
• Chapter 64, “Suicidal Behavior and Self-Harm”      (pp. 893–912)

 2 page , 1 for ap 

 Reflect upon your selected practice problem DIABETES and select one of the organizational or behavioral change models which were used in healthcare for many years up until the early 2000s. (PROCHASKA AND DICLEMENTI’S CHANGE THEORY) (KNOWLEDGE OF BEHAVIOR CHANGE THEORIES)  Due to the changing nature of our healthcare environment and the growing complexity of our patients, these older models and theories lost their ability to provide a successful framework in healthcare and are not currently used for translation science and nursing clinical practice change projects.

• Select one model or theory from the readings or lesson this week.
• Provide a description of the components in the organizational or behavioral change models or theory.
• Does the model or theory contain a component for appraising the evidence?
• Does the model or theory contain a component for networking with the stakeholders during the design phase and continuing through the sustaining phase of the project?
• Does the model contain components for identifying barriers and addressing barriers to implementation?

MY CHANGE THEORY PROBLEM IS RELATED TO DIABETES  PLEASE INCORPORATE WITH PROCHASKA AND DICLEMENTIS’S CHANGE THEORY,

Topic 1: Disease Outbreak

Select an infectious disease and research the CDC website for information about the disease including: 

• its natural history,
• presenting symptoms, and
• outbreak characteristics
• Identify an occurrence of the disease by searching the Internet for recent reports of this disease and compare that episode or occurrence with information from the CDC website.
• How closely did that outbreak resemble the case definition?

 • Summarize how COVID-19 cases are related to social determinants of health of income, race, and immigrant status. (33%) • 

What might be the reasons why income, race and immigrant status would be related to the incidence of COVID-19? Use material from the first eight chapters to help answer this. (33%)

 • How would some of the recommendations provided in chapters 3-8 for improving the quality and distribution of the social determinants of health of income, employment security and working conditions serve to reduce the vulnerability of people to COVID-19? (33%) 

Research the health-illness continuum and its relevance to patient care. In a 750-1,000 word paper, discuss the relevance of the continuum to patient care and present a perspective of your current state of health in relation to the wellness spectrum. Include the following:

1. Examine the health-illness continuum and discuss why this perspective is important to consider in relation to health and the human experience when caring for patients.
2. Explain how understanding the health-illness continuum enables you, as a health care provider, to better promote the value and dignity of individuals or groups and to serve others in ways that promote human flourishing.
3. Reflect on your overall state of health. Discuss what behaviors support or detract from your health and well-being. Explain where you currently fall on the health-illness continuum.
4. Discuss the options and resources available to you to help you move toward wellness on the health-illness spectrum. Describe how these would assist in moving you toward wellness (managing a chronic disease, recovering from an illness, self-actualization, etc.).

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not require

 Assess the link between stress and illness. Your post needs to include: personal examples that you have experienced or examples you have read about thru your research for the post. Your post must be a minimum of 250 words and must include all of the resources you use, including your textbook. 

• Discuss the impact of malaria on environmental health. Give an example of the economic impact this disease has on the developing world.
• What were some of the concerns that led to the banning of DDT in the United States and other developed countries? Do you believe that the hazards associated with DDT outweigh the pesticide’s benefits? 

150 words,  Apa References, proper Intext citation 

 I need these questions in about 120 words each

1 Remember, critiquing the evidence is very important, but it isn’t the first step. Using Melnyk’s process, what are the steps of EBP?

2. Communication is key – what strategies are effective in communicating with resistant groups?

3. Simon Sinek is an inspirational leader and discusses communication strategies. After reviewing the video, how can you use this strategy to communicate to stakeholders?https://www.ted.com/talks/simon_sinek_how_great_leaders_inspire_action?language=en

• Develop a 4–6-page plan that will allow you to evaluate your intervention.

  Note: Each assessment in this course builds on the work you completed in the previous assessment. Therefore, you must complete the assessments in this course in the order in which they are presented.

• Assessment Instructions: 
• Instructions
  Note: The assessments in this course are sequenced in such a way as to help you build specific skills that you will use throughout your program. Complete the assessments in the order in which they are presented.
  Your evaluation plan design will be the forth section of your final project submission. The goal for this is to finalize the outcomes that your plan is seeking to achieve and to create a plan to evaluate the degree to which those outcomes were achieved after your intervention plan has been implemented. This will allow you and your care setting to determine the degree to which the plan was successful in addressing the identified need of your target population and setting.
  You will also discuss ways in which your role allows you to lead change and drive quality improvement, and to potentially improve the project in the future. In addition, you will reflect on how the project will leave you better prepared for success in other aspects of your current and future career. Provide enough detail so that the faculty member assessing your implementation plan design and discussion will be able to provide substantive feedback that you will be able to incorporate into the final draft of your project.
  At minimum, be sure to address the bullet points below, as they correspond to the grading criteria. You may also want to read the scoring guide and the Guiding Questions: Evaluation Plan Design document (linked in the Resources) to better understand how each criterion will be assessed. In addition to the bullet points below, provide a brief introduction that refreshes the reader’s memory about your problem statement, your planned intervention, and how you intended to implement your intervention (this should only be a single paragraph).
  Reminder: these instructions are an outline. Your heading for this this section should be Evaluation of Plan and not Part 1: Evaluation of Plan.
  Part 1: Evaluation of Plan
  • Define the outcomes that are the goal of an intervention plan.
  • Create an evaluation plan to determine the impact of an intervention for a health promotion, quality improvement, prevention, education, or management need.
  • Part 2: Discussion
    Advocacy
  • Analyze the nurse’s role in leading change and driving improvements in the quality and experience of care.
  • Explain how the intervention plan affects nursing and interprofessional collaboration, and how the health care field gains from the plan.
  • Future Steps
  • Explain how the current project could be improved upon to create a bigger impact in the target population as well as to take advantage of emerging technology and care models to improve outcomes and safety.
  • Reflection on Leading Change and Improvement
  • Reflect on how the project has impacted your ability to lead change in personal practice and future leadership positions.
  • Reflect on the ways in which the completed intervention, implementation, and evaluation plans can be transferred into your personal practice to drive quality improvement in other contexts.
  • Address Generally Throughout
  • Integrate resources from diverse sources that illustrate support for all aspects of an evaluation plan for an intervention, as well as for professional discussion about the plan.
  • Communicate evaluation plan and discussion of the project in a professional way that helps the audience to understand how the outcomes will be evaluated, as well as what was learned through the project process.

Additional Requirements

• Length of submission: 4–6 pages, double spaced.
• Number of resources: Minimum of 3–6 resources. (You may use resources previously cited in your literature review to contribute to this number. Your final project will require 12–18 unique resources.)
• Written communication: Written communication is free of errors that detract from the overall message.
• APA formatting: Resources and citations are formatted according to current APA style. Header formatting follows current APA levels.
• Font and font size: Times New Roman, 12 point.