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psychiatric mental health practice

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Analyze salient ethical issues in psychiatric mental health practice
Compare ethical dilemmas with state health laws and regulations
Analyze ethical decision-making processes
Review literature for moral/ethical issues encountered by a PMHNP.
Select one of the articles you found that was published within the last 5 years to use as a focus for this assignment

Write a 2-page paper essay in which you do the following:
Summarize the moral/ethical issue in the article (no more than 1 paragraph).
Describe the moral and ethical dilemmas surrounding the issue.
Analyze the ethical issue and compare them to the state health laws and regulations in your state.
Outline the process of ethical decision making you would use to address this ethical dilemma..

First Compliance Plan

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It’s time to put your two compliance plans all together into one report. Be sure to implement your instructor feedback and proofread all your work one last time. In addition, check the requirements in the original assignment.

Be sure to write a summary statement and insert it at the end of the project before the References Page. (See outline below.) In your summary statement, describe your own journey in working on this project. Explain how this project has strengthened your understanding of compliance rules and regulations.

Your final plan should include the following. Note the overview at the beginning and the summary statement at the end. Remember to check details to insure that your plans will be understood by all employees at a large medical facility where you are the Compliance Officer.

Cover Page
Overview of Compliance
First Compliance Plan

  • Policies
  • Procedures
  • Monitoring Tools

Second Compliance Plan

  • Policies
  • Procedures
  • Monitoring Tools

Summary Statement

  • How this project has strengthened your understanding of compliance rules and regulations.

References Page

  • At least twelve research references for both compliance plans.

Levels of Prevention and Preventive Services Guidelines

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Assignment: Levels of Prevention and Preventive Services Guidelines

For this assignment, utilize the NU629 Week 3 Prevention and Guidelines Excel Template (Excel). To complete the table, list an example of each type of prevention as it relates to the health concern listed.

This course focuses on healthy living and preventive screenings to help promote health and prevent disease and illness. The following is a list of screenings that will be explored throughout the course: cervical cancer (CA), breast CA, colorectal CA, testicular CA, prostate CA, suicide, hypertension, sexually transmitted illnesses, human papillomavirus, intimate partner violence, smoking/vaping, depression, hepatitis C, hepatitis B, fall prevention, lung CA, cardiovascular disorders, childhood and adult immunizations. Many organizations promote their own guidelines. One particular agency that promotes such guidelines is the United States Preventive Services Task Force (USPSTF), along with the NIH, CDC, ACOG, AFP, ACC, JNCC, and others.

metapardigm

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I need one page paper in nursing, this is the instruction about this one page paper:

Consider the 4 metaparadigm concepts: nursing; person; environment; and health. Select one and articulate your own beliefs, assumptions, and values related to that concept. Describe a personal experience from clinical practice that demonstrates and reflects the beliefs, assumptions, and values you identified. This is your own, personal philosophy; no references should be used. The table below is provided to serve as an instructional guide for this assignment. You should include the following:Identify 1 metapardigm concept from the following: nursing; person; environment; or healthArticulate your personal beliefs, assumptions, and values related to your selected concept Describe a detailed interaction between you and a client or family that depicts the beliefs, assumptions, and values related to your selected concept

*Philosophical Statement Instruction GuideNote: The questions below are designed to help get ideas flowing and are not the only focus of your statement.Nursing (i.e., nursing actions)

What is your definition of nursing?Is the metaparadigm concept nursing an art, a science, or both? Is it a process or a product (set of tasks)?What is nursing mainly (e.g., caring, therapeutic healing, building relationships)?What is the role reflected in nursing (e.g., doing for, being with [being present with], working with)?Where does ethics fit in?Who or what is the object of nursing’s concern?

HealthWhat is your definition of health (e.g., includes absence of disease, ability to perform social roles)?Is health on a continuum?Can clients have a chronic illness and still be termed healthy in your definition of health?What if the client’s view of health and your view of health are different?

PersonWhat is your definition of person (e.g., set of behavioral systems, biopsychosocial and spiritual being, energy field)?Who is the person being nursed (e.g., client, family, community)?What is your definition of person (e.g., set of behavioral systems, biopsychosocial and spiritual being, energy field)?Who is the person being nursed (e.g., client, family, community)?EnvironmentWhat is it? Where is it found?Are there different components to environment (e.g., emotional, spiritual, social, cultural, mainly physical)?Is environment separate from person?What is the nurse’s role in terms of environment?Are there internal and external environments, or is what is internal to a person part of the person?

Description and ExamplesThis whole philosophical statement is a statement of beliefs. However, for the purpose of teasing out and articulating your beliefs, these beliefs are divided into three types: definitions and description, assumptions, and values. Each of these should be written in separate paragraphs to ensure clarity and comprehensiveness.Beliefs: This should be a succinct definition (one or two sentences), followed by a broader description. For example, if part of your definition of person was the person is a biopsychosocial and spiritual being, then each of the component parts (e.g., spiritual being) would be described more fully.Assumptions: A given, something that you take for granted that it is true. Examples are: Humans are rational beings. Individuals desire to work collaboratively with their nurses.Values: Something you consider good (i.e., desirable, worthy, or of esteem). Examples are: All persons are of value and are worthy of respect. Clients should be treated with dignity. Confidentiality and privacy are essential throughout all interactions with clients. Persons should be given choice in their treatment regimens.*adapted from Table 1 in Hernandez, C. A. (2009). Student Articulation of a Nursing Philosophical Statement: An Assignment to Enhance Critical Thinking Skills and Promote Learning. Journal of Nursing Education, 48(6), 343-349.Submission Instructions:Post your content by clicking the “Create Thread” button in the Metaparadigm Concepts: Personal Philosophy Forum. It is recommended that you compose (and spellcheck) your post in Microsoft Word, then copy and paste it into the ‘message’ field. Enter a descriptive title that reflects the ideas of your post In the ‘subject’ field. When replying to your classmates’ posts, be sure you click the “Reply” button below the message to which you intend to reply

r restoration of the health of the body or mind.

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discussion board due by thursday (250 words) cite citations and references correctly give credit where credit is due in all your work. health•care [helth-kair], noun

  1. The field concerned with the maintenance or restoration of the health of the body or mind.
  2. Any of the procedures or methods employed in this field.  –adjective Also, health-care
  3. Of, pertaining to, or involved in health care: health care workers; a health care center.

man•ag•er [man-i-jer], noun

  1. A person who has control or direction of an institution, business, etc., or of a part, division, or phase of it.
  2. A person who manages.
  3. A person who controls and manipulates resources and expenditures, as of a household.

This is an exciting time for health care in general, but especially for the team of professionals that provide leadership and direction to enable the maintenance or restoration of health in a variety of settings. Health care management requires talented people to facilitate the delivery of care to patients and their families. The rewards of helping are great, the challenges are many. What type of individual makes a good health care manager?To prepare for this Discussion, complete the readings in your Learning Resources. Review the various health care managers who work in a health care setting profiled in Waldenville (click on the org charts to learn more about the managers) and in the profiles provided in your Career Opportunities in Health Care Management course text.
Post a comprehensive response to the following:Health care managers can work in settings that provide direct or nondirect service.

  • What makes a good health care manager?
  • Why do professionals choose either of these paths?
  • Identify and compare the characteristics common in those health care managers who work in either direct or nondirect care settings.

*****Please be sure to cite your resources using APA style within your post. Please try to select specific public health examples that are different from those posted by your classmates for this discussion._________________________________________________________________________________assignment due by 11:59 pm sunday be sure to cite your resources  A leader is not an administrator who loves to run others, but someone who carries water for his people so they can get on with their jobs.  —Robert TownsendTo prepare for this Application, review Chapter 1 of your Career Opportunities in Health Care Management course text. Take the Healthcare Management Talent Quotient Quiz in Table 1-1 of your course text to determine your strengths and aptitude for working in health care management. Review the various types of health care settings (see Waldenville health care settings and your course text) and the various descriptions of health care management positions available. Prepare a 1- to 2-page self-assessment of the role and setting of health care management that you might pursue based on your Management Talent Quotient.To complete this Application, write a 1- to 2-page paper that identifies the following:

  • Based on the results of your quiz, on what areas did you score highly?
  • What are your strengths?
  • What areas do you feel you need to work on to be successful as a health care manager?
  • What information from this week’s Learning Resources affected your understanding of the skills necessary to be a successful health care manager? Please explain and provide sufficient examples.

Instruction:Be sure to support your work with specific citations from this week’s Learning Resources and additional scholarly sources as appropriate. Refer to the Essential Guide to APA Style for Walden Students to ensure that your in-text citations and reference list are correct._______________________________________________________________________resources

Course Text: Buchbinder, S., & Thompson, J. (2010). Career opportunities in health care management: “Perspectives from the field (Laureate Education, Inc., custom ed.). Sudbury, MA: Jones & Bartlett.   Chapter 1, “The Healthcare Management Workforce”   In this chapter, you will begin to look at the essential skills of health care management professionals. The authors highlight the origins of health care management and the growth and opportunities available in the profession.   Chapter 2, “Understanding Healthcare Management”   Health care management provides leadership and direction to organizations that deliver personal health services in a variety of settings. This chapter defines the role, function, and competencies of health care managers.   Chapter 3, “Healthcare Management Practice Settings”   This chapter summarizes the major settings for the practice of health care management. The authors explain the differences between direct and nondirect care settings and the key managerial skills and competencies involved in each.   Chapter 4, “Perspectives From the Field: Profiles of Healthcare Managers”   The authors provide a unique glimpse into health care management through profiles of actual professionals. In addition to describing a “day in the life” of a typical health care manager, dozens of individuals share their perspectives on the training, career path, satisfaction, and challenges that excite them about being involved in direct or nondirect care settings.  

Article: Mandel, M., & Weber, J. (2006, September 25). What’s really propping up the economy. Bloomberg BusinessWeek. Retrieved from http://www.businessweek.com/stories/2006-09-24/whats-really-propping-up-the-economy What’s Really Propping Up The Economy, by Mandel, M., & Weber, J., in Bloomberg BusinessWeek (2006, September 25). Copyright 2006 by Bloomberg L.P. Reprinted by permission of Bloomberg L.P. via the Copyright Clearance Center.   In recent years, the U.S. economy has been ailing, but the health care job market has been healthy. The authors of this BusinessWeek article shed light on the effect of health care organizations on local economies.

Required Media

Course Media: Welcome to Waldenville! Waldenville is a fictitious city in Anystate, USA. The population of Waldenville is 324,995. There are approximately 1,094 people per square mile. Of those who reside here, approximately 5.2% are living below the poverty level. Age and race distribution are: https://class.waldenu.edu/bbcswebdav/institution/USW1/201830_03/BS_HLMA/HLTH_4000_WC/graphics/USW1_HLTH_4000_week01_WelcometoWaldenville2.png  The city of Waldenville is proud of the health care available to its residents. Visit to learn more about the Waldenville Urgent Care Clinic, the Waldenville Department of Health, Waldenville General Hospital, the Regional Hospital System, Waldenville Women’s Medical Group, the Primary Care Physicians of Waldenville, the Waldenville Assisted Living Community, the Nursing Home of Greater Waldenville, and the Waldenville Community Health Foundation. An organizational chart showcasing the various heath care management professionals is found in Waldenville General Hospital, the Waldenville Urgent Care Clinic, and the Primary Care Physicians of Waldenville. 

Clinical Application

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Answer Clinical Application Questions 1-3 for Chapter 21 on page 614 and Clinical Application Question 1-3 for Chapter 22 on page 642. Answers should be submitted in a word document with any associated references used. 

Answer Clinical Application Questions 1-3 for Chapter 21 on page 614

1) A hospitalized patient recovering from surgery develops an infection that has blue-green pus and a grapelike odor. What is the probable etiology? How might the patient have acquired this infection?

2) A 12-year old diabetic girl using continuous subcutaneous insulin infusion to manager her diabetic developed a fever (39.4  degree C), low blood, abdominal pain, and erythroderma. She was supposed to change the needle-insertion site every 3 days after cleaning the skin with an iodine solution. Frequently she did not change the insertion site more often than every 10 days. Blood culture was negative, and abscesses at insertion sites were not cultured. What is the probable cause of her symptoms?

3) A teenage male with confirmed influenza was hospitalized when he developed respiratory distress, He had a fever, rash, and low blood pressure. S. aureus was isolated from his respiratory secretions. Discuss the relationship between his symptoms and the etiological agent

Clinical Application Question 1-3 for Chapter 22 on page 642.

1) A 1-year-0ld infant was lethargic and had a fever. When admitted to the hospital , he had multiple brain abscesses with gram-negative coccobacilli. Identify the disease, etiology, and treatment.

2)  A 40-year-old bird handler was admitted to the hospital with soreness over his upper jaw, progressive vision loss, and bladder dysfunction. He had been well 2 months earlier. Within weeks he lost reflexes in his lower extremities and subsequently died. Examination of CSF showed lymphocytes. What etiology do you suspect? What further information do you need?

A normal baby gained weight appropriately for 12 weeks. Then she stopped feeding. Her right eardrum was inflamed, she had a stiff neck, and her temperature was 40  degree C. Examination of CSF revealed Gram-negative coccobacilli. Identify the disease and treatment

Create a PechaKucha Presentation!

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Create a PechaKucha Presentation!

Step 1: Choose a topic that relates to your health profession.

Imagine that you have to prepare a 6 minute and 40 second PowerPoint presentation that serves to teach your audience something. For example, maybe there is a new CPR technique you would like to demonstrate to your peers or maybe there is a different fire nozzle you see people using incorrectly.

Step 2: Use PowerPoint to create your PechaKucha.

Review the details involved in creating a PechaKucha on page 277 of your textbook and the tips on how to create an effective presentation.

For a PechaKucha presentation, notice that the most important characteristic is timing. Yes, a PechaKucha is a timed presentation. Therefore, you will need to create 20 slides that are timed at 20 seconds each. This style will help you create a quick 6 minute and 40 second presentation that will keep the audience’s attention.

How will I be able to hear you presenting? You will record your voice for each 20 second slide. Watch the video to see how to record your voice and add a 20 second time limit to each slide. (In the video, I made a wrong selection. Note that to add your voice to each 20 second slide, you need to go to “Insert” and select “Record Audio” for each slide.)

Step 3: Save your PowerPoint and submit it.

Anesthesia

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1.   Anesthesia administered to a normal, healthy patient undergoing an esophageal procedure is coded as

A. 00500-P1.   B. 00502-P1.   C. 00500-P2.   D. 00506-P1.

 

2.   A new patient comes into the doctor’s office for her annual gynecological exam. During the course of the exam, she undergoes a screening cervical cytopathology smear, which is performed by an automated system under the supervision of a physician. What HCPCS code is assigned?

A. G0185   B. G7869   C. G7452   D. G0147

 

3.   A new patient is seen for a home visit that involves a comprehensive history, examination, and medical decision making of high complexity. What code should be assigned?

A. 99349   B. 99345   C. 99342   D. 99350

 

4.   A prolonged evaluation and management service before and/or after direct patient care for one hour is coded as

A. 99359.   B. 99358.   C. 99361.   D. 99360.

 

5.   A 57-year-old patient is admitted to the hospital for a hip arthroscopy procedure. The patient is a normal healthy patient with no systemic disease. What anesthesia CPT code should be assigned?

A. 01242-P2   B. 01202-P1   C. 01202-P3   D. 01202-P5

 

6.   Anesthesia for procedures performed on the larynx and trachea in an 11-month-old child would be assigned to code

A. 00620.   B. 00625.   C. 00326.   D. 00532.

 

7.   A patient returns for a follow-up office visit regarding the repair of her fractured knee. The office visit consists of a detailed history, detailed examination, and medical decision making of moderate complexity. What CPT code is assigned?

A. 99213   B. 99212   C. 99211   D. 99214

 

8.   Intramuscular nonhormonal antineoplastic chemotherapy administration would be assigned to code

A. 96402.   B. 96405.   C. 96406.   D. 96401.

 

9.   Home infusion with specialty drug administration during a 6-hour visit would be assigned what codes?

A. 99606, 99607 ×3   B. 99601, 99602 ×4   C. 99604, 99605 ×2   D. 99603, 99604 ×2

 

10.   A patient is seen for a psychiatric diagnostic evaluation. The physician obtains a complete history of the patient’s mental status and does a complete biological and psychosocial assessment along with a complete physical examination. The physician’s final diagnosis is recurrent episode of severe major depressive disorder, without any psychotic behavior involved. The patient also has a history of psychological trauma. What codes are assigned?

A. F33.2, Z91.49   B. F33.1, Z91.47   C. F34.2, Z91.49   D. F36.2, Z91.46

 

11.   A 17-year-old patient is diagnosed with a severe form of nutritional anemia. What ICD-10-CM code should be assigned?

A. D45.9   B. D53.9   C. D74.9   D. D65.9

 

12.   A 32-year-old patient receives anesthesia for spinal surgery. The anesthesia is complicated by utilization of controlled hypotension. What add-on anesthesia code would be assigned?

A. 99174   B. 92117   C. 99100   D. 99135

 

13.   Nursing facility discharge day management of 19.5 minutes would be assigned to code

A. 99317.   B. 99319.   C. 99316.   D. 99315.

 

14.   A patient is admitted to the hospital for leukemia. She has a comprehensive history, comprehensive examination, and medical decision making of high complexity. What CPT code should be assigned?

A. 99202   B. 99223   C. 99213   D. 99251

 

15.   A service that is rarely provided, unusual, variable, or new may require a

A. physician’s authorization.   B. patient’s authorization.   C. staged or related procedure.   D. special report.

 

16.   A new patient is seen for a prescription refill. During the visit, the physician obtains a problem focused history, problem focused examination, and medical decision making is straightforward. What CPT code should be assigned for this service?

A. 99214   B. 99215   C. 99213   D. 99201

 

17.   A 7-year-old child is brought to the clinic due to recurrent ear infections. The physician performs a bilateral tympanostomy under general anesthesia. What CPT code should be assigned?

A. 69436-50   B. 69536-50   C. 69426-50   D. 69736-50

 

18.   Code 00906 is assigned for

A. an angioscopy.   B. anesthesia for surgery performed on the bony pelvis.   C. an osteotomy.   D. anesthesia provided for a vulvectomy.

 

19.   A 25-year-old patient receives a Hepatitis A vaccination. The vaccine is administered intramuscularly in the clinic. What CPT codes should be assigned?

A. 90632, 90471   B. 90541, 90489   C. 90637, 90472   D. 90672, 90451

 

20.   A dark adaptation examination with interpretation and report is assigned to code

A. 92326.   B. 92284.   C. 92287.   D. 92325.

interactive simulation

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Discussion Prompt #1

  • This week you spent some time in the interactive simulation as Dena Gray. You were asked to make some difficult decisions and you witnessed the results of those decisions. Take some time in this discussion forum to reflect on the experience with your classmates and instructor. How realistic were the situations and decisions compared to your professional experience? Did you feel the choices Dena was asked to face were choices that you have dealt with or expect to deal with in your career? Which decisions were most difficult for you to commit to? Which were easiest? Why? What impact, if any, will this exercise have on your own personal and professional decisions? Share any additional thoughts, questions, and learning insights here as well.

Discussion Prompt #2

  • Regardless of your title or actual position, you’re always a leader in some way, and your decisions and actions will have an effect on other nurses, patients, family members, and visitors. Consider this statement as you respond to at least 2 of the following:
  1. In the positive outcome, how did Dena’s extra responsibilities reward her emotionally and professionally? What might she have sacrificed?
  2. What kinds of decisions led to a positive outcome? What kinds of decisions led to a negative outcome?
  3. How might previous reprimands affect Dena’s willingness to speak up? How much can leadership impact positive outcomes?
  4. How did Dena need to change her approach with each of the different colleagues and situations? Have you made adjustments in your approach to achieve positive results at work?
  5. How does the disposition of the physician affect a nurse’s ability to speak up? What would you do if the response was not as gracious as Dr. Green’s?
  6. How much of your job involves customer service? Is that stressful?
  7. What creative strategies do you use in dealing with difficult situations? Can you share an example?

Alzheimer’s Disease

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Alzheimer’s Disease
76-year-old Iranian Male
76-year-old Iranian Male

Decision Point One
Begin Razadyne (galantamine) 4 mg orally BID

RESULTS OF DECISION POINT ONE

Client returns to clinic in four weeks
The client is accompanied by his son who reports that his father is “no better” from this medication
He reports that his father is still disinterested in attending religious services/activities, and continues to exhibit disinhibited behaviors
You continue to note confabulation and decide to administer the MMSE again. Mr. Akkad again scores 18 out of 30 with primary deficits in orientation, registration, attention & calculation, and recall
Decision Point Two

Select what the PMHNP should do next:
Increase Razadyne to 24 mg extended release dailyDiscontinue Razadyne and begin Aricept (donepezil) 10 mg orally dailyDiscontinue Razadyne and begin Exelon (rivastigmine) 1.5 mg orally BID

The Assignment

Examine Case Study: An Elderly Iranian Man With Alzheimer’s Disease. 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.

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?
Also include how ethical considerations might impact your treatment plan and communication with clients.
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.