Tag Archive for: nursing

psychotherapy

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Week 3: Assignment 1: Practicum –

Learning Objectives

Students will:

· Assess client families presenting for psychotherapy

· Develop genograms for client families presenting for psychotherapy

To prepare:

· Select a client family that you have observed or counseled at your practicum site.

· Review pages 137–142 of Wheeler (2014) and the Hernandez Family Genogram video in this week’s Learning Resources.

· Reflect on elements of writing a comprehensive client assessment and creating a genogram for the client you selected.

The Assignment

Part 1: Comprehensive Client Family Assessment

Create a comprehensive client assessment for your selected client family that addresses (without violating HIPAA regulations) the following:

Demographic information

Presenting problem

History or present illness

Past psychiatric history

Medical history

Substance use history

Developmental history

Family psychiatric history

Psychosocial history

History of abuse and/or trauma

Review of systems

Physical assessment

Mental status exam

Differential diagnosis

Case formulation

Treatment plan

Part 2: Family Genogram

Develop a genogram for the client family you selected. The genogram should extend back at least three generations (parents, grandparents, and great grandparents).

Communicate therapeutically with patients.

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The benchmark assesses the following competency:

4.2 Communicate therapeutically with patients.

The RN to BSN program at Grand Canyon University meets the requirements for clinical competencies as defined by the Commission on Collegiate Nursing Education (CCNE) and the American Association of Colleges of Nursing (AACN), using nontraditional experiences for practicing nurses. These experiences come in the form of direct and indirect care experiences in which licensed nursing students engage in learning within the context of their hospital organization, specific care discipline, and local communities.

Note:  The teaching plan proposal developed in this assignment will be used to develop your Community Teaching Plan: Community Presentation due in Topic 5. You are strongly encouraged to begin working on your presentation once you have received and submitted this proposal.

Select one of the following as the focus for the teaching plan:

  1. Primary Prevention/Health Promotion
  2. Secondary Prevention/Screenings for a Vulnerable Population
  3. Bioterrorism/Disaster
  4. Environmental Issues

Use the “Community Teaching Work Plan Proposal” resource to complete this assignment. This will help you organize your plan and create an outline for the written assignment.

  1. After completing the teaching proposal, review the teaching plan proposal with a community health and public health provider in your local community.
  2. Request feedback (strengths and opportunities for improvement) from the provider.
  3. Complete the “Community Teaching Experience” form with the provider. You will submit this form in Topic 5.

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

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

You are required to submit this assignment to Turn it in.

Transcultural Perspectives in Mental Health Nursing

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Transcultural Perspectives in Mental Health Nursing

Review the attached PowerPoint presentation.  Once done and the following question ;

1.  Present your opinion, the status of mentally ill homeless patients.

a.  Include the health risks and the societal perceptions of mentally ill people.

b. What are health issues most likely to be seen in the homeless population?

2.  Discuss how to screen for substance abuse in a maternity ward.  Include the issues facing by single mothers of African American background as discussed in the Evidence-Based Practice box 10-5 on page 294

INSTRUCTIONS:

As stated in the syllabus, present your assignment in an APA format word document, Arial 12 font 

A minimum of 2 evidence-based references besides the class textbook no older than five years must be used and quoted.

A minimum of 800 words is required.  Please make sure to follow the instructions as given and use either spell-check or Grammarly before you post your assignment.  You must present the assignment according to how it is posted, answering the questions by number, essay-style assignments will not be accepted unless otherwise specified.

deliverables

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Details:

Planning is the key to successful completion of this course and your overall program of study. The Individual Success Plan (ISP) assignment requires early collaboration with the course faculty and your course mentor. You will need to establish a plan for successful completion of

(1) deliverables associated with weekly course objectives

(2), required practice immersion hours, and

(3) deliverables associated with your capstone project.

Access the “Individual Success Plan” resource in the Topic Materials. Read the information in the resource, including student expectations and instructions for completing the ISP document.

Use the “Individual Success Plan” to develop a personal plan for completing your practice hours and how topic objectives will be met. Include the number of hours you plan to set aside to meet your goals.

A combination of 100 supervised clinical hours in community health and leadership areas will be obtained through the application of the objectives listed in the Guidelines for Undergraduate Field Experiences manual.

Practicum immersion experiences are required in a community health setting. Community-based settings should encourage community integration and involvement; expand accessibility of services and supports; promote personal preference, strengths, dignity; and empower people to participate in the economic mainstream.

According to HealthyPeople.gov, educational and community-based programs and strategies are designed to reach people outside of traditional health care settings.

These settings include health care facilities. Community health and leadership practice immersion can occur in the same site and in conjunction with the evidence-based project in the NRS-490 course.

If you are a registered nurse in Washington, your practicum experience must include a minimum of 50 hours in a community health setting.

Students should apply concepts from prior courses to critically examine and improve their current practice. Students should also integrate scholarly readings to develop case reports that demonstrate increasingly complex and proficient practice.

Consider the challenges you expect to encounter as you continue the practice hour and competency requirements throughout this course. How might you overcome these challenges?

You can renegotiate these deliverables with your faculty and mentor throughout this course and update your ISP accordingly.

Once your ISP has been developed and accepted by your course faculty, you will have your course mentor sign it at the beginning of, and upon completion of, each assignment that incorporates practice immersion hours. You will track all course practice immersion hours in the ISP.

APA format is not required, but solid academic writing is expected.

You are not required to submit this assignment to Turnitin.

NRS-490-RS-IndividualSuccessPlan.docx

Windshield Survey

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Conduct a “Windshield Survey” in a section of  your community. Instructions for the survey can be found in Stanhope and  Lancaster (2016) on page 416, Table 18-6. As you notice, conducting a  Windshield Survey requires that you either walk around or drive around a  particular section of the community and take notes about what you  observe. A Windshield Survey cannot be conducted by reviewing websites  or Google Earth only. It requires actually taking a look at the selected  area of the community. This survey should be focused on the problem and  population you have selected for your practicum project. If you choose,  for example, obesity among Hispanic schoolchildren, you might want to  locate a section of the community where many Hispanic children live, or  you might want to conduct the Windshield Survey around where Hispanic  children attend school. If Hispanic children are not found in a specific  section of your community (e.g., Chinatown in San Francisco or Harlem  in New York), then you may select the section of the community where you  live or work but pay particular attention to your practicum population  and practicum problem as you conduct a survey of the community as viewed  through the eyes of the public health nurse.

By Day 7 of Week 3

Submit a 3- to 4-page paper including:

  • Introduction to the community, including the name of the community  and any interesting or historical facts you would like to add about  where you live
  • Photographs of the selected area of the community that serve as evidence of your observations and hypotheses
  • Windshield Survey findings, including a description of the section of your community that you chose to survey
  • Description of the Vulnerable Population and Available Resources
    • Demographics of the vulnerable population
    • What social determinants create their vulnerable status?
    • What community strengths exist to assist this population?
  • Conclusions based on Nursing Assessment of the Community
    • Based on what you have found, what conclusions can you draw about  your community and your selected population for your practicum?
  • Select at least 5 scholarly resources to support your assessment.  Websites may be included but the paper must include scholarly resources  in its development.

Guidelines and Grading Rubric

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Scholarly Paper Phase 2 Guidelines and Grading Rubric

Updated 1/20

This assignment will be uploaded automatically to Turnitin upon submission to verify this is your original work and no parts were copied from another student.

Turnitin is now more closely integrated with Canvas. Overall, you will find Turnitin assignments easier to use, but the steps to submit an assignment have changed somewhat. Directions are as follows:
1. Click the orange “Submit Assignment” button at the top of the page to open the upload window.
2. Click on “Choose File” to select your assignment file you want to upload.
3. Check the box to agree to the Turnitin End-User License Agreement.
4. Click “Submit Assignment.”
5. Your Turnitin report will be visible in the “Grades” section of your course.

TII image

Please refer to the pages below for more information about these changes.
• Turnitin Submitting a Paper (Links to an external site.) explains how to submit a file.
• Turnitin Assignment Student View (Links to an external site.) lets you submit a paper, then view feedback on the file you have submitted.
• Turnitin Viewing Instructor Feedback (Links to an external site.) helps you view your instructor feedback.

Please contact your instructor if you have any questions.

PURPOSE

The purpose of this assignment is to allow the learner to demonstrate good organization, appropriate resources, and correct APA formatting for preparing a scholarly paper.

COURSE OUTCOMES

This assignment enables the student to meet the following Course Outcomes (COs).

  • CO3: Demonstrate effective verbal, written, and technological communication using legal and ethical standards for transferring knowledge using success resources provided to Chamberlain students. (PO3)
  • CO4: Integrate critical thinking and judgment in professional decision-making in collaboration with faculty and peers. (PO4)
  • CO5: Apply concepts of professionalism when planning for personal, intellectual, and professional development. (PO5)
  • CO9: Demonstrate accountability for personal and professional development by assessing information and technology competence, implementing plans for upgrading technology skills, and using effective strategies for online student success using resources provided to Chamberlain students. (PO5)

DUE DATE

Submit the assignment by Sunday end of Week 6, 11:59 p.m. MT.

POINTS

This assignment is worth a total of 225 points.

PREPARING THE SCHOLARLY PAPER PHASE 2

  1. Carefully read these instructions and the Rubric.
  2. Download the Week 6 Scholarly Paper Phase 2 Template (Links to an external site.). Use of the assigned template is required. Rename that document as Your Last Name Scholarly Paper Phase 2.docx, for example Smith Scholarly Paper Phase 2. Save it to your own computer or drive in a location where you will be able to retrieve it later.
  3. Type your assignment directly on the saved template using Microsoft Word. The document must be saved as a .docx. Save frequently to prevent loss of your work.
  4. The only resource for your paper is the following assigned article, “Making the case for nursing specialty certification: Promote the profession, advance your career, and improve patient care” (Links to an external site.)
    Note: Logging in to the Chamberlain Library is needed to access this article. Use of the assigned article is required. You must click on the PDF Full Text link on the upper left portion of the page to download the correct version of this required article.
  5. Follow the instructions and specifics on the assigned required template and the rubric. You will demonstrate your scholarly writing abilities as well as APA abilities in references, citations, quotations, and paraphrasing.
  6. See rubric for length limitations for each section and other criteria.
  7. For the Introduction section (see rubric for details),
    1. introduce the assigned paper topic;
    2. explain that the purpose of this paper is to provide a summary of the assigned article;
    3. explain that that the impact of the article contents on your own future practice will be included; and
    4. length must be 50–75 words.
  8. For the Article Summary section (see rubric for details),
    1. clearly summarize the major content of the assigned article using 175–200 words;
    2. content must include main ideas from across the entire article;
    3. specifics should be excellent;
    4. content must be attributed to the correct source; and
    5. instructor feedback from Week 4 Scholarly Paper Phase 1 must be used to revise and improve this section.
  9. For the Impact section,
    1. clearly state how learning from the assigned article will impact your future practice;
    2. length must be 125–150 words;
    3. writing must be concise and clearly relate the assigned article contents to practice;
    4. use first person in this section; and
    5. instructor feedback from Week 4 Scholarly Paper Phase 1 must be used to revise and improve this section.
  10. For the Conclusion,
    1. write a concise summary of main points of the paper;
    2. provide a concluding statement; and
    3. length must be 75–100 words.
  11. Double check your work with the rubric prior to submission.
  12. Note: Assigned Template must be used for this assignment. The Assigned Template has been specially prepared to help you do well on this assignment. See #2 above.
  13. Note: Assigned Article must be used for this assignment. Failure to do so may result in loss of points and/or Academic Integrity violation investigation.

**Academic Integrity**

Chamberlain College of Nursing values honesty and integrity. All students should be aware of the Academic Integrity policy and follow it in all discussions and assignments.

By submitting this assignment, I pledge on my honor that all content contained is my own original work except as quoted and cited appropriately. I have not received any unauthorized assistance on this assignment.

Note: Please use your browser’s File menu to save or print this page.

differential diagnosis

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Properly identifying the cause and type of a patient’s skin condition involves a process of elimination known as differential diagnosis. Using this process, a health professional can take a given set of physical abnormalities, vital signs, health assessment findings, and patient descriptions of symptoms, and incrementally narrow them down until one diagnosis is determined as the most likely cause.

In this Lab Assignment, you will examine several visual representations of various skin conditions, describe your observations, and use the techniques of differential diagnosis to determine the most likely condition.

To Prepare

Review the Skin Conditions document provided in this week’s Learning Resources, and select one condition to closely examine for this Lab Assignment.

Consider the abnormal physical characteristics you observe in the graphic you selected. How would you describe the characteristics using clinical terminologies?

Explore different conditions that could be the cause of the skin abnormalities in the graphics you selected.

Consider which of the conditions is most likely to be the correct diagnosis, and why.

Search the Walden library for one evidence-based practice, peer-reviewed article based on the skin condition you chose for this Lab Assignment.

Review the Comprehensive SOAP Exemplar found in this week’s Learning Resources to guide you as you prepare your SOAP note.

Download the SOAP Template found in this week’s Learning Resources, and use this template to complete this Lab Assignment.

The Lab Assignment

Choose one skin condition graphic (identify by number in your Chief Complaint) to document your assignment in the SOAP (Subjective, Objective, Assessment, and Plan) note format rather than the traditional narrative style. Refer to Chapter 2 of the Sullivan text and the Comprehensive SOAP Template in this week’s Learning Resources for guidance. Remember that not all comprehensive SOAP data are included in every patient case.

Use clinical terminologies to explain the physical characteristics featured in the graphic. Formulate a differential diagnosis of three to five possible conditions for the skin graphic that you chose. Determine which is most likely to be the correct diagnosis and explain your reasoning using at least three different references, one reference from current evidence-based literature from your search and two different references from this week’s Learning Resources.

REQUIRED READINGS

Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2019). Seidel’s guide to physical examination: An interprofessional approach (9th ed.). St. Louis, MO: Elsevier Mosby.

Chapter 9, “Skin, Hair, and Nails”

This chapter reviews the basic anatomy and physiology of skin, hair, and nails. The chapter also describes guidelines for proper skin, hair, and nails assessments.

Colyar, M. R. (2015). Advanced practice nursing procedures. Philadelphia, PA: F. A. Davis.

Credit Line: Advanced practice nursing procedures, 1st Edition by Colyar, M. R. Copyright 2015 by F. A. Davis Company. Reprinted by permission of F. A. Davis Company via the Copyright Clearance Center.

This section explains the procedural knowledge needed prior to performing various dermatological procedures.

Chapter 1, “Punch Biopsy”

Chapter 2, “Skin Biopsy”

Chapter 10, “Nail Removal”

Chapter 15, “Skin Lesion Removals: Keloids, Moles, Corns, Calluses”

Chapter 16, “Skin Tag (Acrochordon) Removal”

Chapter 22, “Suture Insertion”

Chapter 24, “Suture Removal”

Dains, J. E., Baumann, L. C., & Scheibel, P. (2019). Advanced health assessment and clinical diagnosis in primary care (6th ed.). St. Louis, MO: Elsevier Mosby.

Credit Line: Advanced Health Assessment and Clinical Diagnosis in Primary Care, 6th Edition by Dains, J.E., Baumann, L. C., & Scheibel, P. Copyright 2019 by Mosby. Reprinted by permission of Mosby via the Copyright Clearance Center.

Chapter 28, “Rashes and Skin Lesions”

This chapter explains the steps in an initial examination of someone with dermatological problems, including the type of information that needs to be gathered and assessed.

Note: Download and use the Student Checklist and the Key Points when you conduct your assessment of the skin, hair, and nails in this Week’s Lab Assignment.

Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2019). Skin, hair, and nails: Student checklist. In Seidel’s guide to physical examination (9th ed.). St. Louis, MO: Elsevier Mosby.

Credit Line: Seidel’s Guide to Physical Examination, 9th Edition by Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. Copyright 2019 by Elsevier Health Sciences. Reprinted by permission of Elsevier Health Sciences via the Copyright Clearance Center.

Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2019). Skin, hair, and nails: Key points. In Seidel’s guide to physical examination: An interprofessional approach (9th ed.). St. Louis, MO: Elsevier Mosby.

Credit Line: Seidel’s Guide to Physical Examination, 9th Edition by Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. Copyright 2019 by Elsevier Health Sciences. Reprinted by permission of Elsevier Health Sciences via the Copyright Clearance Center.

Sullivan, D. D. (2019). Guide to clinical documentation (3rd ed.). Philadelphia, PA: F. A. Davis.

Chapter 2, “The Comprehensive History and Physical Exam” (Previously read in Weeks 1 and 3)

VisualDx. (n.d.). Clinical decision support. Retrieved June 11, 2019, from http://www.skinsight.com/info/for_professionals

This interactive website allows you to explore skin conditions according to age, gender, and area of the body.

Clothier, A. (2014). Assessing and managing skin tears in older people. Nurse Prescribing, 12(6), 278–282.

This document contains five images of different skin conditions. You will use this information in this week’s Discussion.

Document: Comprehensive SOAP Exemplar (Word document)

health concern

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Tutor MUST have a good command of the English language

These are two discussion questions

Your DQ1 and DQ2 posts must be at least 150 words and have at least one reference cited for each question. In-text citation, please

Tutor MUST have a good command of the English language

Sources need to be journal/scholarly articles. 

Use only articles that are published between 2015-2018 (except for your theory articles which will be older as you must cite primary sources).

No textbook or direct quotes

Please separate the two DQ with their references

Topic 4 DQ 1

What do you see as the largest health concern affecting underdeveloped countries? What role does the DNP play in eradicating this concern? What would be first steps?

Topic 4 DQ 2

In the assigned article, “Attention to Local Health Burden and the Global Disparity of Health Research,” the authors discussed the lack of attention given to global health crisis research. What areas can the DNP address that will promote health in correlation with the WHO’s Commission on Social Determinants of Health?

Brainstorming Solutions to Hospital Mistakes

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Brainstorming Solutions to Hospital Mistakes

Your instructor was invited to give an opinion as a patient advocate at a retreat organized by agencies of the federal government, such as the Centers for Medicaid and Medicare Services, the Agency for Healthcare Research and Quality, and the Office of Health and Human Resources. The topic was a Partnership for Patients. The Agency for Healthcare Research and Quality (AHRQ) showed the data on hospital survey measures. The data showed that significant progress was made in the last four years and that more and more hospitals are achieving higher scores.

The instructor asked a simple question, “If there is so much progress made in critical hospital measures, then why is the number of patients dying from hospital mistakes significantly going up every year?” The estimated deaths in 2010 were 99,000 deaths. The 2016 estimate is about 440,000 deaths.

In this discussion, explain the reasons you think there are more deaths in spite of the significant progress in hospital performance measures. Then, provide one remedy or solution. At Minimum 250 Words APA format. Include two references to support your opinions.

Nursing Care Models

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Nursing Care Models Worksheet Guidelines

Resource must be used: Finkelman, A. (2016). Leadership and management for nurses: Core competencies for quality care (3rd ed.). Boston, MA: Pearson. Pg 111-116

Purpose

The purpose of this assignment is to identify nursing care models utilized in today’s various health care settings and enhance your knowledge of how models impact the management of care and may influence delegation. You will assess the effectiveness of models and determine how you would collaborate with a nurse leader to identify opportunities for improvement to ensure quality, safety and staff satisfaction.

Course Outcomes

Completion of this assignment enables the student to meet the following course outcomes.

CO1: Apply leadership concepts, skills, and decision making in the provision of high quality nursing care, healthcare team management, and the oversight and accountability for care delivery in a variety of settings. (PO2)

CO2: Implement patient safety and quality improvement initiatives within the context of the interprofessional team through communication and relationship building. (PO3)

CO3: Participate in the development and implementation of imaginative and creative strategies to enable systems to change. (PO7)

CO4: Apply concepts of leadership and team coordination to promote the achievement of safe and quality outcomes of care for diverse populations. (PO4)

CO6: Develop a personal awareness of complex organizational systems and integrate values and beliefs with organizational mission. (PO7)

CO7: Apply leadership concepts in the development and initiation of effective plans for the microsystems and/or system-wide practice improvements that will improve the quality of healthcare delivery. (PO2, and 3)

CO8: Apply concepts of quality and safety using structure, process, and outcome measures to identify clinical questions as the beginning process of changing current practice. (PO8)

Due Dates

Submit by Sunday, 11:59 p.m. MT, end of Week 5.

Points 

This assignment is worth 200 points.

Directions : Use this form to complete the Week 5 Nursing Care Models Assignment: Nursing Care Models Worksheet (Links to an external site.)Links to an external site.

1. Read your text, Finkelman (2016), pp- 111-116.

2. You are required to complete the assignment using the template.

3. Observe staff in delivery of nursing care provided. Practice settings may vary depending on availability.

4. Identify the model of nursing care that you observed. Be specific about what you observed, who was doing what, when, how and what led you to identify the particular model

5. Review and summarize one scholarly resource (not your textbook) related to the nursing care model you observed in the practice setting.

6. Review and summarize one scholarly resource (not including your text) related to a nursing care model that is different from the one you observed in the practice setting.

7. Discuss a different nursing care model from step #3, and how it could be implemented to improve quality of nursing care, safety and staff satisfaction. Be specific.

8. Summarize this experience/assignment and what you learned about the two nursing care models.

9. Submit your completed worksheet no later than 11:59 p.m. MT on Sunday by the end of Week 5.

**Academic Integrity Reminder**

College of Nursing values honesty and integrity. All students should be aware of the Academic Integrity policy and follow it in all discussions and assignments.

By submitting this assignment, I pledge on my honor that all content contained is my own original work except as quoted and cited appropriately. I have not received any unauthorized assistance on this assignment.

Please see the grading criteria and rubrics on this page.

NOTE: Please use your browser’s File setting to save or print this page.