Identify two people, at two different levels (upstream, lateral, downstream) that you need to communicate with for your project and compare/contrast your communication with them based on each of the five rights of communication.

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Week 5 TD

Part 1: Based on the assigned reading from the text, discuss the importance of effective communication as applied to your project. Discuss how a formal, written communication plan is important to the success of your project.

Part 2: Think about all the stakeholders and colleagues that must be kept up to date on the status of your project. The recipient of your communication may be upstream (higher on the organizational chart), lateral (an equal organizationally), or downstream (i.e., end user) in relation to the project. A student in a prior CGE course compared communication in project management to the five rights of medication administration:

  • the right person
  • the right information
  • (via) the right route
  • (at) the right time
  • (in) the right dose

Identify two people, at two different levels (upstream, lateral, downstream) that you need to communicate with for your project and compare/contrast your communication with them based on each of the five rights of communication.

Discuss four non-pharmacological treatments that you would recommend for ADHD. Use the clinical guidelines to support your response.

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Externalizing Disorders

In a well written discussion post address the following:

  • Some commonly followed treatments for ADHD have not been scientifically substantiated, including restricted or modified diets, treatments for allergies, treatment for inner ear problems, treatments for yeast infections, megavitamins, chiropractic adjustment and bone alignment, eye training, special-colored glasses, and biofeedback.
  • Discuss four non-pharmacological treatments that you would recommend for ADHD. Use the clinical guidelines to support your response.

Discuss Interprofessional collaboration and the IPEC competencies. Provide an overview of your collaborating HCP’s training/ scope of practice &/role.

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Interprofessional Collaboration Activity Assignment

These prompts need to be followed to create the structure of the article please. Also needs to be written in APA 7. Class textbook is Hamric and Hanson: Advanced practice nursing ed l7 if that helps

1. Discuss Interprofessional collaboration and the IPEC competencies.
2. Overview of the experience: include patient case, setting, and all healthcare providers involved.
3. Provide an overview of your collaborating HCP’s training/ scope of practice &/role.

4. Problem list side by side table of the:

  • a. Nursing and other HCP list of problems/ diagnoses
  • b. Provide a reflective discussion of the similarities and differences between the 2 lists given each other’s role & lens
  • c. Provide a reflection on this IPE (see syllabus for detail). Also, include how this IPE may influence your future NP practice.

5. Conclusion: synthesize the points made in your paper. Consider this experience, together with the IPEC competencies, the future, the quadruple aim, & why the APRN is so well suited to be a leader in these processes.

What were your differential diagnoses? Provide a minimum of three (3) possible diagnoses. List them from highest to lowest priority. What was your primary diagnosis, and why?

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Differential diagnoses

Assessment: What were your differential diagnoses? Provide a minimum of three (3) possible diagnoses. List them from highest to lowest priority. What was your primary diagnosis, and why?

Reflection notes: What would you do differently in a similar patient evaluation? Reflect on one social determinant of health according to the HealthyPeople 2030 (you will need to research) as applied to this case in the realm of psychiatry and mental health. As a future advanced provider, what are one health promotion activity and one patient education consideration for this patient for improving health disparities and inequities in the realm of psychiatry and mental health? Demonstrate your critical thinking.

Differential Diagnoses: You must have at least three differentials with supporting evidence. Explain what rules each differential in or out and justify your primary diagnostic impression selection. You will use supporting evidence from the literature to support your rationale. Include pertinent positives and pertinent negatives for the specific patient case.

Also included in this section is the reflection. Reflect on this case and discuss whether or not you agree with your preceptor’s assessment and diagnostic impression of the patient and why or why not. What did you learn from this case? What would you do differently? Also include in your reflection a discussion related to legal/ethical considerations (demonstrating critical thinking beyond confidentiality and consent for treatment!), social determinates of health, health promotion and disease prevention taking into consideration patient factors (such as age, ethnic group, etc.), PMH, and other risk factors (e.g., socioeconomic, cultural background, etc.)

Use my patient and template to write the differential diagnosis and reflections. Based on the information given to you on my patient include that in the Differential diagnosis. Explain the criteria in each diagnois symptoms/screening tools.

Differential diagnois:
1. Bipolar 1 disorder with psychotic features (priority diagnosis)
2. schizoaffective disorder
3. Schizophrenia

Briefly describe the personality disorder you selected, including the DSM-5-TR diagnostic criteria. Explain a therapeutic approach and a modality you might use to treat a client presenting with this disorder. Explain why you selected the approach and modality, justifying their appropriateness.

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Nursing Question

Individuals with personality disorders often find it difficult to overcome the enduring patterns of thought and behavior that they have thus far experienced and functioned with in daily life. Even when patients are aware that personality-related issues are causing significant distress and functional impairment and are open to counseling, treatment can be challenging for both the patient and the therapist. For this Assignment, you examine specific personality disorders and consider therapeutic approaches you might use with clients.To prepare:

  • Review this week’s Learning Resources and reflect on the insights they provide about treating clients with personality disorders.
  • Select one of the personality disorders from the DSM-5-TR (e.g., paranoid, antisocial, narcissistic). Then, select a therapy modality (individual, family, or group) that you might use to treat a client with the disorder you selected.Succinctly, in 1–2 pages, address the following:
    • Briefly describe the personality disorder you selected, including the DSM-5-TR diagnostic criteria.
    • Explain a therapeutic approach and a modality you might use to treat a client presenting with this disorder. Explain why you selected the approach and modality, justifying their appropriateness.
    • Next, briefly explain what a therapeutic relationship is in psychiatry. Explain how you would share your diagnosis of this disorder with the client in order to avoid damaging the therapeutic relationship. Compare the differences in how you would share your diagnosis with an individual, a family, and in a group session.

    Support your response with specific examples from this week’s Learning Resources and at least three peer-reviewed, evidence-based sources. Explain why each of your supporting sources is considered scholarly. Attach the PDFs of your sources.

Complete interactive case studies and be asked to associate what you have learned about theory in comparison to the case study and reflect on it.

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Sociologic Sciences Interactive Case Study

Links to an external site.

Complete the Sociologic Sciences Interactive Case Study following the readings and presentation for this week. Associate what you have learned about the theories to this case study, and then see the instructions below to complete a journal entry about your experience.

During weeks 2 & 4, you will complete interactive case studies and be asked to associate what you have learned about theory in comparison to the case study and reflect on it.

Each time you have completed a case study, submit your reflection. Each reflection should include the following:

  • A comparison of what you have learned from the case study to related theories you have studied. Make sure to cite these theories in APA format.
  • A comparison of the case study to your nursing practice, giving one or two examples from your nursing experience in which you might have applied a particular theory covered.

Your reflection should be a minimum of five to six paragraphs.

What population (individual, group, or family) is under consideration? What was the specific intervention that was used? Is this a new intervention or one that was already studied? What were the author’s claims?

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Nursing Question

Addictive disorders can be particularly challenging for clients. Not only do these disorders typically interfere with a client’s ability to function in daily life, but they also often manifest as negative and sometimes criminal behaviors. Sometime clients with addictive disorders also suffer from other mental health issues, creating even greater struggles for them to overcome. In your role, you have the opportunity to help clients address their addictions and improve outcomes for both the clients and their families.

To prepare:

  • Review this week’s Learning Resources and consider the insights they provide about diagnosing and treating addictive disorders. As you watch the 187 Models of Treatment for Addiction video, consider what treatment model you may use the most with clients presenting with addiction.
  • Search the Walden Library databases and choose a research article that discusses a therapeutic approach for treating clients, families, or groups with addictive disorders.In a 5- to 10-slide PowerPoint presentation, address the following. Your title and references slides do not count toward the 5- to 10-slide limit.
    • Provide an overview of the article you selected.
      • What population (individual, group, or family) is under consideration?
      • What was the specific intervention that was used? Is this a new intervention or one that was already studied?
      • What were the author’s claims?
    • Explain the findings/outcomes of the study in the article. Include whether this will translate into practice with your own clients. If so, how? If not, why?
    • Explain whether the limitations of the study might impact your ability to use the findings/outcomes presented in the article.
    • Use the Notes function of PowerPoint to craft presenter notes to expand upon the content of your slides.
    • Support your response with at least three other peer-reviewed, evidence-based sources. Explain why each of your supporting sources is considered scholarly. Provide references to your sources on your last slide. Be sure to include the article you used as the basis for this Assignment.

Describe the evidence-based teaching strategy. Explain how the evidence-based teaching strategy addresses learner development in each domain (cognitive, psychomotor, and affective).

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Nursing Education Practicum

Assessment Description

This is a Collaborative Learning Community (CLC) assignment.

The purpose of this assignment is to immerse yourself in the literature to determine relevant and current evidence-based teaching strategies. An effective nurse educator is aware of evidence-based teaching strategies and how to use them in an educational setting.

Using the topic Resources and your own research on evidence-based teaching strategies, each CLC member will select one evidence-based teaching strategy. In a 15-20-slide PowerPoint presentation, address the following for each teaching strategy:

  1. Describe the evidence-based teaching strategy.
  2. Explain how the evidence-based teaching strategy addresses learner development in each domain (cognitive, psychomotor, and affective).
  3. Explain how the evidence-based teaching strategy can be used to address various generational learner needs.
  4. Explain how the evidence-based teaching strategy can be used to address diverse cultural learning needs.

This assignment requires two or three peer-reviewed/scholarly resources. Include the specific references to support each evidence-based teaching strategy.

What information is relevant/irrelevant? What information is most important? What is of immediate concern? What will you focus on based on this information? Perform appropriate focused assessment. Include the findings of your focused assessment

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Clincle care plan

NOTICING – UTILIZING OBSERVATIONS TO RECOGNIZE PATTERNS, AND GATHER INFORMATION.
ASSESSMENT/RECOGNIZING CUES – The mental process involved in identifying relevant and important information
60 second initial visual assessment

(completed while receiving report and prior to physically assessing patient)
What do you see?

Visual cues such as room cleanliness, hygiene of patient, IV pump, O2, other lines, drains, tubes.

 

What information is relevant/irrelevant?

 

What information is most important?

 

What is of immediate concern?

  

 

 

 

 

 
Focused Physical Assessment

Recognize abnormal vs. normal – Recognizing signs and symptoms
What will you focus on based on this information? Perform appropriate focused assessment. Include the findings of your focused assessment

 
Normal Abnormal

Admitting diagnosis:

 

 

 
Include the pathophysiology of the client’s admitting diagnosis, including the risk factors, signs/symptoms, diagnostics, prognosis, and treatments. You must include a resource for this information. Patho:

 

 

 

 

Risk factors:

 

 

 

 

Diagnostics:

 

 

 

 

Prognosis/Treatments:

 

 

 

 

 
Identify History Of

Medical/Surgical/Home Medication/Social, Occupational History cues

Recognize contributing past history
Interview your patient.

 

What is their pertinent medical/surgical history?

 

What home meds do they take?

 

Where do they work, live, socialize?

 

  

 

 

 

 

 

 

 

 

 

 

 

 

 

 
Vital Signs, Lab Values and Diagnostics

Recognize abnormal vs. normal as well as pertinent information related to patient diagnosis
Document the patient’s vital signs.

Include reasoning for any abnormal vital signs.

  

 

 

 

 

 

 
 

Examine your patient’s Electronic Medical Record.

 

What are the pertinent lab values given the admitting diagnosis and current condition of your patient?

 

 

 

 Lab Value Normal Range Patient’s Lab Value Result Reason for Abnormal Value
 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 
What diagnostic tests has the client undergone? Include the results of the test.

 

  

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

INTERPRETING – MAKING SENSE OF THE DATA AND PRIORITIZING INFORMATION

UTILIZING YOUR REASONING ABILITIES TO INTERPRET THE FACTS AND FORSEE POSSIBLE INTERVENTIONS
ANALYZING CUES – clustering and linking related information to create groups of individual cues
PRIORITIZE HYPOTHESIS – Evaluate and rank potential causes or risk factors to address
Based on findings from 60 second initial visual assessment

Hypothesize regarding needed interventions
What will require action?

Prioritizing action (i.e. bathe patient, tidy room, fluid replacement, adjust O2 etc)
Based on findings from Focused Physical Assessment

Analyze and form hypothesis for future action
What assessment findings are most concerning?

 

What makes you say that?

 

Are there any findings that seems contradictory? (i.e. findings that may point to an alternative or additional concern)

 

What findings are consistent with admitting diagnosis?

 

  

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 
Based on Identifying History Of

Medical/Surgical/Home Medication/Social, Occupational History cues

Analyze and form hypothesis for future action
What findings did you expect based on the client’s diagnosis/concern?

 

What medications would you expect based on the client’s diagnosis, concern, history?

 

Are there any findings that seem contradictory? (i.e. meds expected but not present, meds present but not expected, assessment findings without interventions)

 

What else could be going on?

 
Based on Vital Signs, Lab Values and Diagnostics

Analyze and form hypothesis for future action
 

What will require action? (i.e. BP requiring treatment, increase or decrease O2, treat electrolyte imbalance, intervene regarding fluid volume status, etc.)

 
GENERATE SOLUTIONS – Generate a set of feasible solutions to handle emergent concerns based on prioritized hypothesis above
 

Things to address?

 

 

 

What are the desirable outcomes?

 

 

 

Things to avoid?

 

What interventions are indicated?

 

Which hypothesis is the most important and should be managed first?

 

What makes you say this?

 

 

  

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

RESPONDING – UTILIZING YOUR CLINICAL JUDGMENT TO MAKE DECISIONS AND JUDGMENTS
TAKE ACTION – Implementation of the solutions based on generated hypothesis
Based on generated solutions

 
What are the critical safety issues and what did you do to protect the client?

 

 

 

What interventions are needed immediately? How will you implement them?

 

 

 

What interventions can be delegated and to whom?

 

 

 

What specific items will you teach the client?

 

 

 

How did you respond to patient, family and caregivers?

 

  

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

REFLECTING – EVALUATION OF PERSONAL EXPERIENCE AND UTILIZING JUDGMENT SKILLS
EVALUATING OUTCOMES – Understanding signs of clinical improvement or decline and reflecting on the effective outcomes of interventions
What follow-up data is needed?

 

 

What findings show interventions have been effective?

 

 

What interventions require formulating a new hypothesis?

 

 

What values show a need for continued monitoring (i.e. labs, vital signs, interventions)

 

 

What went well and what did not go well and why?

 

 

What would you do differently?

 

 

Would other interventions have been more effective?

 

 

What priorities, skills do you think you need to improve in order to care for future patients?

 

  

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

For the problem statements, you need to ask, “What issue could kill this patient if not addressed”? The problem needs to be a current issue, not something that has already been addressed, like surgery. The interventions need to be NURSING interventions. Nurses cannot perform surgeries, order medications or labs, etc. Use your Conceptual Nursing Care Planning textbook for ideas on appropriate nursing interventions.

 

Problem Statement 1
1.

 

 

 

 
Intervention Statement 1
1.

 

 

 

 
Problem Statement 2
2.

 

 

 

 
Intervention Statement 2
2.

 

 

 

 

 
Problem Statement 3
3.

 

 

 

 

 
Intervention Statement  3
3.

 

 

 

 

 

 

 

Medication Administration Log: In your own words please provide the following

 

Medication Name

 

          
Explain how this relates to the primary diagnosis

 

 

 
Administration route and reasoning

 

 

 

 
Common side effects

 

 

 

 

 
Nursing/Safety concerns

 

 

 

 
Patient/Caregiver teaching

 

 

 

 

 

 

Discuss any cultural disparity in health care that a Nurse Practitioner can impact in practice.

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Cultural disparity in health care

Discuss any cultural disparity in health care that a Nurse Practitioner can impact in practice.