Deliverable 7: Healthcare Intake Packet

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Deliverable 7: Healthcare Intake Packet

Deliverable 7: Healthcare Intake Packet

Competencies

  • Evaluate public health policies and practices as they relate to legal and ethical implications for individuals and populations.
  • Analyze health needs, disparities, and healthcare delivery systems within the context of cultural, social, legal, political, and economic forces.
  • Examine the structure of the U.S. legal system and government as it relates to ethics, law, and core principles of public health.
  • Assess current legal and ethical principles and the application of such principles in healthcare practice.
  • Analyze ethical and legal dilemmas that healthcare workers may encounter in the medical field.
  • Examine legal requirements for managing patient information, health information documentation
  • , the release of information, and electronic health records.

Scenario

You have recently been promoted to Health Services Manager at Three Mountains Regional Hospital, a small hospital located in a mid-size city in the Midwest. Three Mountains is a general medical and surgical facility with 400 beds. Last year there were approximately 62,000 emergency visits and 15,000 admissions. More than 6,000 outpatient and 10,000 inpatient surgeries were performed.

You have been asked by the CEO to create an intake packet for new patients that will help establish patient trust. Once you’ve created this packet, the CEO wants you to send an email to all hospital

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employees letting them know about the intake packet. You will also create a PowerPoint reviewing intake packet details for the hospital to post on its website to inform patients

Instructions

This is a great opportunity to tie everything together that you have learned! Let’s break this up into 3 parts. Deep breath – it’s easier than it seems!

Part 1: Intake Packet

  • Create a New Patient Letter in a business letter format. (Here is a library resource for help writing a business letter.)
  • In the letter:
    • Explain the importance of ethics
    • Explain why each part of the packet is included and how the packet is to be used
    • Include a HIPAA/Confidentiality statement and a Privacy Pledge
    • Add a line at the bottom of the form for the patient to sign acknowledging receipt
  • On a separate page, include your reference list in APA format.

Part 2: PowerPoint

  • Create a 10-slide PowerPoint presentation that explains the various elements of the new patient intake packet. (Here is a library resource for help creating a PowerPoint presentation.) Make sure to use the notes section below each slide to expand on the key points.

Part 3: Email

  • Write an email in a Word document that will be sent out to all hospital employees making them aware of the intake packet. (Make sure your email uses proper email formatting. (Here is a library resource for help writing a professional email.)

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Assessing And Treating Clients With Anxiety Disorders Reflection

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Generalized Anxiety Disorder Middle-Aged White Male With Anxiety

Asian girl

 

Decision Point One

 

https://mym.cdn.laureate-media.com/2dett4d/Walden/NURS/6630/05/mm/generalized_anxiety_disorder/img/pill-red.pngBegin Zoloft 50 mg orally daily

RESULTS OF DECISION POINT ONE

·  Client returns to clinic in four weeks

·  Client informs you that he has no tightness in chest, or shortness of breath

·  Client states that he noticed decreased worries about work over the past 4 or 5 days

·  HAM-A score has decreased to 18 (partial response)

 

Select what the PMHNP should do next:

 

https://mym.cdn.laureate-media.com/2dett4d/Walden/NURS/6630/05/mm/generalized_anxiety_disorder/img/pill-red.pngIncrease dose to 75 mg orally daily

 

https://mym.cdn.laureate-media.com/2dett4d/Walden/NURS/6630/05/mm/generalized_anxiety_disorder/img/pill-blue.pngIncrease dose to 100 mg orally daily

 

https://mym.cdn.laureate-media.com/2dett4d/Walden/NURS/6630/05/mm/generalized_anxiety_disorder/img/pill-yellow.pngNo change in drug/dose at this time

Middle age male

 

Decision Point One

 

https://mym.cdn.laureate-media.com/2dett4d/Walden/NURS/6630/05/mm/generalized_anxiety_disorder/img/pill-blue.pngBegin Tofranil (imipramine) 25 mg orally BID

RESULTS OF DECISION POINT ONE

·  Client returns to clinic in four weeks

·  Client reports a “slight” decrease in symptoms

·  Client’s states that he no longer gets chest tightness, but still has occasional episodes of shortness of breath

·  HAM-A score decreased from 26 to 22

Decision Point Two

Select what the PMHNP should do next:

Decision Point Two

Select what the PMHNP should do next:

 

https://mym.cdn.laureate-media.com/2dett4d/Walden/NURS/6630/05/mm/generalized_anxiety_disorder/img/pill-red.pngIncrease Tofranil to 50 mg orally BID

 

https://mym.cdn.laureate-media.com/2dett4d/Walden/NURS/6630/05/mm/generalized_anxiety_disorder/img/pill-blue.pngContinue current dose and reassess in 4 weeks

 

https://mym.cdn.laureate-media.com/2dett4d/Walden/NURS/6630/05/mm/generalized_anxiety_disorder/img/pill-yellow.pngAdd an augmentation agent such as BuSpar (buspirone) 5 mg orally TID

 

 

 

Generalized Anxiety Disorder Middle-Aged White Male With Anxiety

Middle age male

 

Decision Point One

 

https://mym.cdn.laureate-media.com/2dett4d/Walden/NURS/6630/05/mm/generalized_anxiety_disorder/img/pill-yellow.pngBegin Buspirone 10 mg orally BID

RESULTS OF DECISION POINT ONE

·  Client returns to clinic in four weeks

·  Client reports slight decrease in symptoms

·  Client states that he still feels very anxious

·  HAM-A score decreased from 26 to 23

· Decision Point Two

· Select what the PMHNP should do next:

·

· https://mym.cdn.laureate-media.com/2dett4d/Walden/NURS/6630/05/mm/generalized_anxiety_disorder/img/pill-red.pngIncrease buspirone to 10 mg orally TID

·

· https://mym.cdn.laureate-media.com/2dett4d/Walden/NURS/6630/05/mm/generalized_anxiety_disorder/img/pill-blue.pngIncrease buspirone to 20 mg orally TID

·

· https://mym.cdn.laureate-media.com/2dett4d/Walden/NURS/6630/05/mm/generalized_anxiety_disorder/img/pill-yellow.pngDiscontinue buspirone and begin Lexapro 10 mg orally daily

·

The potential diagnosis: UTI. – genius homework essays

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The potential diagnosis: UTI.

The potential diagnosis: UTI.

Shelly is a 4-year-old preschooler who lives with her parents and younger brother. She and her brother attend a local daycare center during the week while their parents are at work. In the evenings she and her brother take a bath and then their parents read to them before bedtime at 8 PM. Shelly’s daycare class includes many children her age and she enjoys playing outside with them. Although snack times are planned, Shelly would rather play and does not always finish her beverages.

Shelly’s mother calls the clinic and tells the nurse practitioner that Shelly has been “running a fever of 101 F for the past 2 days” and although her temperature decreases to 37.2 C (99 F) with Tylenol, it returns to 38.4 C (101 F) within 4 hours of each dose. Further, her mother says that Shelly complains that “it hurts when I pee-pee”. Shelly’s mother also has noticed that her daughter seems to be in the bathroom “every hour”. She makes an appointment to see the nurse practitioner this afternoon.

The potential diagnosis is UTI.

1.  What other assessment data would be helpful for the nurse practitioner to have?

2.  What are the organisms most likely to cause an UTI?

3.  What is the pharmacological treatment for Shelly? Keep in mind safe dosing.

4.  What are the teaching priorities for Shelly and her mother prior to her discharge from the clinic?

APA guidelines

less than 15 % similarity

 

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You must proofread your paper. But do not strictly rely on your computer’s spell-checker and grammar-checker; failure to do so indicates a lack of effort on your part and you can expect your grade to suffer accordingly. Papers with numerous misspelled words and grammatical mistakes will be penalized. Read over your paper – in silence and then aloud – before handing it in and make corrections as necessary. Often it is advantageous to have a friend proofread your paper for obvious errors. Handwritten corrections are preferable to uncorrected mistakes.

Use a standard 10 to 12 point (10 to 12 characters per inch) typeface. Smaller or compressed type and papers with small margins or single-spacing are hard to read. It is better to let your essay run over the recommended number of pages than to try to compress it into fewer pages.

Likewise, large type, large margins, large indentations, triple-spacing, increased leading (space between lines), increased kerning (space between letters), and any other such attempts at “padding” to increase the length of a paper are unacceptable, wasteful of trees, and will not fool your professor.

The paper must be neatly formatted, double-spaced with a one-inch margin on the top, bottom, and sides of each page. When submitting hard copy, be sure to use white paper and print out using dark ink. If it is hard to read your essay, it will also be hard to follow your argument.

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Assignment: Practicum – Week 8 Journal Entry

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Assignment: Practicum – Week 8 Journal Entry

Assignment: Practicum – Week 8 Journal Entry

* The Assignment

For Part 1, select a client whom you observed or counseled this week (other than the client used for this week’s Discussion). Then, address the following in your Practicum Journal:

  • Describe the client and identify any pertinent history or medical information, including prescribed medications.
  • Using the DSM-5, explain and justify your diagnosis for this client.
  • Explain whether existential-humanistic therapy would be beneficial with this client. Include expected outcomes based on this therapeutic approach.
  • Explain any legal and/or ethical implications related to counseling this client.
  • Support your approach with evidence-based literature.

For Part 2, reflect on your clinical supervision experiences. Then, address the following in your Practicum Journal:

  • How often are you receiving clinical supervision from your preceptor?
  • What are the sessions like?
  • What is the preceptor bringing to your attention?
  • How are you translating these sessions to your clinical practice?

You must proofread your paper. But do not strictly rely on your computer’s spell-checker and grammar-checker; failure to do so indicates a lack of effort on your part and you can expect your grade to suffer accordingly. Papers with numerous misspelled words and grammatical mistakes will be penalized. Read over your paper – in silence and then aloud – before handing it in and make corrections as necessary. Often it is advantageous to have a friend proofread your paper for obvious errors. Handwritten corrections are preferable to uncorrected mistakes.

Use a standard 10 to 12 point (10 to 12 characters per inch) typeface. Smaller or compressed type and papers with small margins or single-spacing are hard to read. It is better to let your essay run over the recommended number of pages than to try to compress it into fewer pages.

Likewise, large type, large margins, large indentations, triple-spacing, increased leading (space between lines), increased kerning (space between letters), and any other such attempts at “padding” to increase the length of a paper are unacceptable, wasteful of trees, and will not fool your professor.

The paper must be neatly formatted, double-spaced with a one-inch margin on the top, bottom, and sides of each page. When submitting hard copy, be sure to use white paper and print out using dark ink. If it is hard to read your essay, it will also be hard to follow your argument.

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The Affordable Care Act Was Signed Into Law By President Barack Obama

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    TheAffordableCareActwassignedintolawbyPresidentBarackObamainMarch2010.docx

The Affordable Care Act was signed into law by President Barack Obama in March 2010. Many of the provisions of the law directly affect health care providers. Review the following topic materials:

1. “About the Affordable Care Act”

2. “Health Care Transformation: The Affordable Care Act and More”

What are the most important elements of the Affordable Care Act in relation to community and public health? What is the role of the nurse in implementing this law?

You must proofread your paper. But do not strictly rely on your computer’s spell-checker and grammar-checker; failure to do so indicates a lack of effort on your part and you can expect your grade to suffer accordingly. Papers with numerous misspelled words and grammatical mistakes will be penalized. Read over your paper – in silence and then aloud – before handing it in and make corrections as necessary. Often it is advantageous to have a friend proofread your paper for obvious errors. Handwritten corrections are preferable to uncorrected mistakes.

Use a standard 10 to 12 point (10 to 12 characters per inch) typeface. Smaller or compressed type and papers with small margins or single-spacing are hard to read. It is better to let your essay run over the recommended number of pages than to try to compress it into fewer pages.

Likewise, large type, large margins, large indentations, triple-spacing, increased leading (space between lines), increased kerning (space between letters), and any other such attempts at “padding” to increase the length of a paper are unacceptable, wasteful of trees, and will not fool your professor.

The paper must be neatly formatted, double-spaced with a one-inch margin on the top, bottom, and sides of each page. When submitting hard copy, be sure to use white paper and print out using dark ink. If it is hard to read your essay, it will also be hard to follow your argument.

ADDITIONAL INSTRUCTIONS FOR THE CLASS

Discussion Questions (DQ)

Initial responses to the DQ should address all components of the questions asked, include a minimum of one scholarly source, and be at least 250 words.
Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source.
One or two sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words.
I encourage you to incorporate the readings from the week (as applicable) into your responses.

Weekly Participation

Your initial responses to the mandatory DQ do not count toward participation and are graded separately.
In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies.
Participation posts do not require a scholarly source/citation (unless you cite someone else’s work).
Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week.

APA Format and Writing Quality

Familiarize yourself with APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required).
Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation.
I highly recommend using the APA Publication Manual, 6th edition.

Use of Direct Quotes

I discourage overutilization of direct quotes in DQs and assignments at the Masters’ level and deduct points accordingly.
As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content.
It is best to paraphrase content and cite your source.

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LopesWrite Policy

For assignments that need to be submitted to LopesWrite, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me.
Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes.
Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own?
Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for tips on improving your paper and SI score.

Late Policy

The university’s policy on late assignments is 10% penalty PER DAY LATE. This also applies to late DQ replies.
Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances.
If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect.
I do not accept assignments that are two or more weeks late unless we have worked out an extension.
As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.

Communication

Communication is so very important. There are multiple ways to communicate with me:
Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class.
Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours.

Evidence Base In Design Reflection

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Evidence Base In Design Reflection

Evidence Base In Design Reflection

When politics and medical science intersect, there can be much debate. Sometimes anecdotes or hearsay are misused as evidence to support a particular point. Despite these and other challenges, however, evidence-based approaches are increasingly used to inform health policy decision-making regarding causes of disease, intervention strategies, and issues impacting society. One example is the introduction of childhood vaccinations and the use of evidence-based arguments surrounding their safety.

In this Discussion, you will identify a recently proposed health policy and share your analysis of the evidence in support of this policy.

To Prepare:

  • Review the Congress website provided in the Resources and identify one recent (within the past 5 years) proposed health policy.
  • Review the health policy you identified and reflect on the background and development of this health policy.

By Day 3 of Week 7

Post a description of the health policy you selected and a brief background for the problem or issue being addressed. Explain whether you believe there is an evidence base to support the proposed policy and explain why. Be specific and provide examples.

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You must proofread your paper. But do not strictly rely on your computer’s spell-checker and grammar-checker; failure to do so indicates a lack of effort on your part and you can expect your grade to suffer accordingly. Papers with numerous misspelled words and grammatical mistakes will be penalized. Read over your paper – in silence and then aloud – before handing it in and make corrections as necessary. Often it is advantageous to have a friend proofread your paper for obvious errors. Handwritten corrections are preferable to uncorrected mistakes.

Use a standard 10 to 12 point (10 to 12 characters per inch) typeface. Smaller or compressed type and papers with small margins or single-spacing are hard to read. It is better to let your essay run over the recommended number of pages than to try to compress it into fewer pages.

Likewise, large type, large margins, large indentations, triple-spacing, increased leading (space between lines), increased kerning (space between letters), and any other such attempts at “padding” to increase the length of a paper are unacceptable, wasteful of trees, and will not fool your professor.

The paper must be neatly formatted, double-spaced with a one-inch margin on the top, bottom, and sides of each page. When submitting hard copy, be sure to use white paper and print out using dark ink. If it is hard to read your essay, it will also be hard to follow your argument.

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Develop and submit a personal leadership philosophy that reflects what you think are characteristics of a good leader.

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Develop and submit a personal leadership philosophy that reflects what you think are characteristics of a good leader.

Develop and submit a personal leadership philosophy that reflects what you think are characteristics of a good leader.

Develop and submit a personal leadership philosophy that reflects what you think are characteristics of a good leader. Use the scholarly resources on leadership you selected to support your philosophy statement. Your personal leadership philosophy should include the following:

  • A description of your core values
  • A personal mission/vision statement
  • An analysis of your CliftonStrengths Assessment summarizing the results of your profile
  • A description of two key behaviors that you wish to strengthen
  • A development plan that explains how you plan to improve upon the two key behaviors you selected and an explanation of how you plan to achieve your personal vision. Be specific and provide examples.
  • Be sure to incorporate your colleagues’ feedback on your CliftonStrengths Assessment from this Module’s Discussion 2.

You must proofread your paper. But do not strictly rely on your computer’s spell-checker and grammar-checker; failure to do so indicates a lack of effort on your part and you can expect your grade to suffer accordingly. Papers with numerous misspelled words and grammatical mistakes will be penalized. Read over your paper – in silence and then aloud – before handing it in and make corrections as necessary. Often it is advantageous to have a friend proofread your paper for obvious errors. Handwritten corrections are preferable to uncorrected mistakes.

Use a standard 10 to 12 point (10 to 12 characters per inch) typeface. Smaller or compressed type and papers with small margins or single-spacing are hard to read. It is better to let your essay run over the recommended number of pages than to try to compress it into fewer pages.

Likewise, large type, large margins, large indentations, triple-spacing, increased leading (space between lines), increased kerning (space between letters), and any other such attempts at “padding” to increase the length of a paper are unacceptable, wasteful of trees, and will not fool your professor.

The paper must be neatly formatted, double-spaced with a one-inch margin on the top, bottom, and sides of each page. When submitting hard copy, be sure to use white paper and print out using dark ink. If it is hard to read your essay, it will also be hard to follow your argument.

Get a 10 % discount on an order above $ 100
Use the following coupon code :
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Course Reflection Complementary X 3

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           Remember is a Reflection about the class

1) Minimum 9 ull pages 

 

            Minimum 3 pages per document- not words

Cover or reference page not included

2)¨**********APA norms, please use headers

All paragraphs must be narrative and cited in the text- each paragraphs

            Bulleted responses are not accepted

            You  can write in the first person.)

3) It will be verified by Turnitin and SafeAssign

4) Minimum 4 references not older than 5 years.

Must include:

American Association of Colleges of Nursing [AACN]. (2008). The essentials of baccalaureate education for professional nursing practice. Washington, DC: Author.

____________________________________________________________

You must submit 3 documents (each one 3 pages).

Copy and paste will not be admitted. 

You should address the questions with different wording, different references, but always, objectively answering the questions.

___________________________________________________________

Directions:

1) Introduction (minimum 1/2 page):

Write an introduction but do not use “Introduction” as a heading in accordance with the rules put forth in the Publication manual of the American Psychological Association (2010, p. 63).

Headers:

a. Course Reflection

b. Conclusion

Introduces the purpose of the   reflection and addresses BSN Essentials (AACN, 2008) pertinent to healthcare   policy and advocacy. (See file 1)

Purpose:

The purpose of this assignment is to provide the student an opportunity to reflect on selected RN-BSN competencies acquired through the course.

-Define complementary and alternative practices as identified by current health paradigms.

– Discuss history for complementary and alternative medicine.

-Given case studies, describe the extent to which complementary and alternative health practices are encouraged and used among multiple cultures.

– Relate concepts into clinical practice.

– Analyze the research regarding the efficacy of selected complementary and alternative practices and products.

– Integrate alternative therapies within patient’s personal plan of care.

2) Body (minimum 2 pages): 

The BSN Essentials (AACN, 2008) outline a number of healthcare policy and advocacy competencies for the BSN-prepared nurse. Reflect on the course readings, discussion threads, and applications you have completed across this course and write a reflective essay regarding the extent to which you feel you are now prepared to Complementary and Alternative Health Care and:

1“Apply leadership concepts, skills, and decision making in the provision of highquality nursing care, healthcare team coordination, and the oversight and accountability for care delivery in a variety of settings.

2. Demonstrate leadership and communication skills to effectively implement patient safety and quality improvement initiatives within the context of the interprofessional team.

3. Demonstrate an awareness of complex organizational systems.

4. Demonstrate a basic understanding of organizational structure, mission, vision, philosophy, and values.

5. Participate in quality and patient safety initiatives, recognizing that these are complex system issues, which involve individuals, families, groups, communities, populations, and other members of the healthcare team.

6. Apply concepts of quality and safety using structure, process, and outcome measures to identify clinical questions and describe the process of changing current practice.

7. Promote factors that create a culture of safety and caring.

8. Promote achievement of safe and quality outcomes of care for diverse populations.

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9. Apply quality improvement processes to effectively implement patient safety initiatives and monitor performance measures, including nurse-sensitive indicators in the microsystem of care.

10. Use improvement methods, based on data from the outcomes of care processes, to design and test changes to continuously improve the quality and safety of health care.

11. Employ principles of quality improvement, healthcare policy, and cost-effectiveness to assist in the development and initiation of effective plans for the microsystem and/or systemwide practice improvements that will improve the quality of healthcare delivery.

12. Participate in the development and implementation of imaginative and creative strategies to enable systems to change.

13. Compare/contrast the roles and perspectives of the nursing profession with other care professionals on the healthcare team (i.e., scope of discipline, education and licensure requirements).

14. Use inter and intraprofessional communication and collaborative skills to deliver evidence-based, patient centered care.

15. Incorporate effective communication techniques, including negotiation and conflict resolution to produce positive professional working relationships.

16. Contribute the unique nursing perspective to interprofessional teams to optimize patient outcomes.

17. Demonstrate appropriate teambuilding and collaborative strategies when working with interprofessional teams.

18. Advocate for high quality and safe patient care as a member of the interprofessional team.” (AACN, 2008, pp.14,22).

3)  Conclusion (minimum 1/2 page)

An   effective conclusion identifies the main ideas and major conclusions from the   body of your essay. Minor details are left out. Summarize the benefits of the   pertinent BSN Essential and sub-competencies (AACN, 2008) pertaining to scholarship for   evidence-based practice

Course Reflection Ethicl And Legal Nursing X 2

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       Remember is a Reflection about the class

1) Minimum 6 full pages 

             Minimum 3 pages per document- not words

Cover or reference page not included)

2)¨**********APA norms, please use headers

All paragraphs must be narrative and cited in the text- each paragraphs

            Bulleted responses are not accepted

            You  can write in the first person.)

3) It will be verified by Turnitin and SafeAssign

4) Minimum 4 references not older than 5 years.

Must include:

American Association of Colleges of Nursing [AACN]. (2008). The essentials of baccalaureate education for professional nursing practice. Washington, DC: Author.

____________________________________________________________

You must submit 2 documents (each one 3 pages).

Copy and paste will not be admitted.  Course Reflection Ethicl And Legal Nursing X 2 

You should address the questions with different wording, different references, but always, objectively answering the questions.

___________________________________________________________

Directions:

1) Introduction (minimum 1/2 page):

Write an introduction but do not use “Introduction” as a heading in accordance with the rules put forth in the Publication manual of the American Psychological Association (2010, p. 63).

Headers:

a. Course Reflection

b. Conclusion

Introduces the purpose of the   reflection and addresses BSN Essentials (AACN, 2008) pertinent to healthcare   policy and advocacy. (See file 1)

Purpose:

The purpose of this assignment is to provide the student an opportunity to reflect on selected RN-BSN competencies acquired through the course.

 

– Identify the different legal and ethical aspects in the nursing practice (ACCN Essential V; QSEN: patient-centered care, teamwork and collaboration).

– Analyze the legal impact of the different ethical decisions in the nursing practice (ACCN Essential V; QSEN: patient- centered care, teamwork and collaboration).

– Understand the essential of the nursing law and ethics (ACCN Essential V; QSEN: patient-centered care, teamwork and collaboration).

2) Body (minimum 2 pages): 

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The BSN Essentials (AACN, 2008) outline a number of healthcare policy and advocacy competencies for the BSN-prepared nurse. Reflect on the course readings, discussion threads, and applications you have completed across this course and write a reflective essay regarding the extent to which you feel you are now prepared to:

 

1. “Demonstrate the professional standards of moral, ethical, and legal conduct.

2. Assume accountability for personal and professional behaviors.

3. Promote the image of nursing by modeling the values and articulating the knowledge, skills, and attitudes of the nursing profession.

4. Demonstrate professionalism, including attention to appearance, demeanor, respect for self and others, and attention to professional boundaries with patients and families as well as among caregivers.

5. Demonstrate an appreciation of the history of and contemporary issues in nursing and their impact on current nursing practice.

6. Reflect on one’s own beliefs and values as they relate to professional practice.

7. Identify personal, professional, and environmental risks that impact personal and professional choices, and behaviors.

8. Communicate to the healthcare team one’s personal bias on difficult healthcare decisions that impact one’s ability to provide care.

9. Recognize the impact of attitudes, values, and expectations on the care of the very young, frail older adults, and other vulnerable populations.

10. Protect patient privacy and confidentiality of patient records and other privileged communications.

11. Access interprofessional and intra-professional resources to resolve ethical and other practice dilemmas.

12. Act to prevent unsafe, illegal, or unethical care practices.

13. Articulate the value of pursuing practice excellence, lifelong learning, and professional engagement to foster professional growth and development.

14. Recognize the relationship between personal health, self-renewal, and the ability to deliver sustained quality care.” (p. 28).

 

3)  Conclusion (minimum 1/2 page)

An   effective conclusion identifies the main ideas and major conclusions from the   body of your essay. Minor details are left out. Summarize the benefits of the   pertinent BSN Essential and sub-competencies (AACN, 2008) pertaining to scholarship for   evidence-based practice

Psychopharmacologic Approaches To Treatment Of Psychopathology Reflection

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Psychopharmacologic Approaches To Treatment Of Psychopathology Reflection

Psychopharmacologic Approaches To Treatment Of Psychopathology Reflection

Examine Case Study: A Puerto Rican Woman With Comorbid Addiction. You will be asked to make three decisions concerning the medication to prescribe to this client. Be sure to consider factors that might impact the client’s pharmacokinetic and pharmacodynamic processes. Psychopharmacologic Approaches To Treatment Of Psychopathology Reflection

At each decision point stop to complete the following:

  • Decision #1
    • 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
    • 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
    • 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?

reflect on the decisions that you made and share ethical considerations that relate to the case. I would like to see your reasoning for selecting one medication over the other options.

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  // Comorbid Addiction (ETOH and Gambling)

Puerto Rican female

 

BACKGROUND

Mrs. Maria Perez is a 53 year old Puerto Rican female who presents to your office today due to a rather “embarrassing problem.”

SUBJECTIVE

Mrs. Perez admits that she has had “problems” with alcohol since her father died in her late teens. She reports that she has struggled with alcohol since her 20’s and has been involved with Alcoholics Anonymous “on and off” for the past 25 years. She states that for the past two years, she has been having more and more difficulty maintaining her sobriety since they opened the new “Rising Sun” casino near her home. Mrs. Perez states that she and a friend went to visit the new casino during their grand opening at which point she was “hooked.” She states that she gets “such a high” when she is gambling. While gambling, she “enjoys a drink or two” to help calm her during high-stakes games. She states that this often gives way to more drinking and more reckless gambling. She also reports that her cigarette smoking has increased over the past two years and she is concerned about the negative effects of the cigarette smoking on her health.

She states that she attempts to abstain from drinking but that she gets such a “high” from the act of gambling that she needs a few drinks to “even out.” She also notices that when she drinks, she doesn’t smoke “as much” but enjoys smoking when she is playing at the slot machines. She also reports that she has gained weight from drinking so much- she currently weights 122 lbs., which represents a 7 lb. weight gain from her usual 115 lb. weight.

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Mrs. Perez is quite concerned today because she has borrowed over $50,000 from her retirement account to pay off her gambling debts. She is very concerned because her husband does not know that she has spent this much money.

MENTAL STATUS EXAM

The client is a 53 year old Puerto Rican female who is alert, oriented to person, place, time, and event. She is dressed appropriately for the weather and time of year. Her speech is clear, coherent, and goal directed. Her eye contact is somewhat avoidant during the clinical interview. As you make eye contact with her, she looks away or looks down. She demonstrates no noteworthy mannerisms, gestures, or tics. Her self-reported mood is “sad.” Affect is appropriate to content of conversation & self-reported mood. She visual or auditory hallucinations, no delusional or paranoid thought processes are readily appreciated. Insight and judgment are grossly intact, however, impulse control is impaired. She is currently denying suicidal or homicidal ideation.

Diagnosis: Gambling disorder, alcohol use disorder

Decision Point One

Select what the PMHNP should do:

Naltrexone (Vivitrol) injection, 380 mg intramuscularly in the gluteal region every 4 weeks Antabuse (Disulfiram) 250 mg orally daily Campral (Acamprosate) 666 mg orally three times/day

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