Reflecting on what you have learned about the social determinants of health, SDOH, how can nurses work collaboratively with physicians and other health care professionals to improve primary care, reduce overutilization and improve underutilization of healthcare services?

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Discussion Question:

Reflecting on what you have learned about the social determinants of health, SDOH, how can nurses work collaboratively with physicians and other health care professionals to improve primary care, reduce overutilization and improve underutilization of healthcare services? Include in your response how fostering an environment of diversity and cultural awareness among healthcare providers builds a stronger healthcare team and improves care delivery to healthcare consumers.

 

Compare and contrast data obtained from your interview with what you find in the literature. Provide at least two recommendations for clinical practice, two recommendations for research, and two recommendations for the health-care organization on this cultural group; be specific in your recommendations.

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Diversity in Advanced Health Practice

Interview someone from a different culture.  You will create a PowerPoint presentation of your findings.

⦁ For this assignment, you will Interview a client whose culture is different from yours. The client can be a patient, neighbor, grandparent, in-law, or friend. Do not use your parent, brother, sister, spouse, or significant other. This interview is the basis of your paper. Use the Organizing Framework to guide your interview.

⦁ Interview your selected person on three or four domains of the model. Complete a literature review of the cultural group from which your interviewee comes. Compare and contrast data obtained from your interview with what you find in the literature. Provide at least two recommendations for clinical practice, two recommendations for research, and two recommendations for the health-care organization on this cultural group; be specific in your recommendations. Value of this exercise to your current or future practice.

Submission Instructions:

⦁ Presentation is original work and logically organized in current  APA style.  Incorporate a minimum of 4   currentscholarly journal articles or primary legal sources  within your work.

⦁ Power point presentation with 8 -10 slides, excluding the tile slide and the reference slide.

⦁ The presentation is clear and concise and students will lose points for improper grammar, punctuation and misspelling.

⦁ Speaker notes expanded upon and clarified content on the slides.

 

Reflect on the insights provided on family assessment and review the resources on psychotherapy genograms.

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Family Assessment

To Prepare:
(1) Reflect on the insights provided on family assessment and review the resources on psychotherapy genograms.
(2) See the Attached Comprehensive Psychiatric Evaluation Note Template and review the requirements of the documentation. There is also an exemplar provided with detailed guidance and examples.
(3) Included is also the interview Transcript for the Mother and Daughter: Cultural Tale transcript and consider how you might assess the family in the case study.

ASSIGNMENT INSTRUCTION:
(A) DOCUMENT the following for the family in the Transcript, using the Comprehensive PSYCHIATRIC EVALUATION NOTE TEMPLATE PROVIDED.
(1) Chief Complaint
(2) History of present illness
(3) Past psychiatric history
(4) Substance use history
(5)Family psychiatric/ substance abuse
(6) Psychosocial history/Developmental history
(7) Medical History
(8) Review of systems (ROS)
(9 Physical assessment ( if applicable)
(10) Mental status exam
(11) Differential diagnosis- Include a minimum of three differential diagnoses and include how you derive each diagnosis in accordance with DSM-5-TR diagnostic criteria.
(12) Case formulation and treatment plan
(13) include a psychotherapy genogram for the family

NOTE: For any item, you are unable to address from the transcript, explain how you would gather this information and why it is important for diagnosis and treatment. Answer all the assignment questions in APA format with no grammar or spelling errors.

What are some other stressful issues or situations related to being a nursing student in the year 2022 – stressors that were not listed in this survey?

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Interpreting research findings discussion board

N3612 Themes SNSI (N=200)

This open-ended question was included after the SNSI:

“What are some other stressful issues or situations related to being a nursing student in the year 2022 – stressors that were not listed in this survey? This survey was created in 1999.  list any other stressors that could be added to the survey.”

All answers to this question were read and themes were identified in the data. Created themes based on the types of stressors submitted by the students.

Themes

Subthemes

Financial

Most common stressor

Not included in SNSI Inflation

Transportation

Current job

Future RN job, internship/externship

Teaching-Learning Methods

Not included in SNSI Too much independent/online/hybrid

Lack of hands-on clinical, too much simulation

Lack of equipment in lab

Unorganized classes, lack of feedback

Too much clinical paperwork

Clinical experiences unorganized

Technology issues/too much screen time

Self-Care Deficits

Not included in SNSI Lack of exercise

Poor, unhealthy eating/food

Lack of sleep

No personal/social time

Anxiety/depression

School Workload

Included in SNSI Due dates/assignments/exams

Clinical hours

Busy work

Feeling Unprepared

Not included in SNSI Impostor Phenomenon

Fear of NCLEX

Burnt out

Issues related to Faculty/Clinical Preceptor

Included in SNSI Expectations/expect to be perfect

Communication, lack of clarity

Relationship with faculty/clinical staff

Unprofessional/bully behaviors in clinical

Family Issues

Included partially in SNSI No time with family/friends

Parenting/Childcare

Cost of living strain on family

COVID19 pandemic

Not included in SNSI

Exposure to COVID19

Strain on healthcare, resources

Emerging World Issues

Not included in SNSI

Laws, politics, social unrest

Human rights (women, LGBTQ)

Nurses fired/punished/arrested

SNSI SNSI still relevant for today’s nursing student.

 

What are some barriers and challenges to the transition of care from one level to another? Describe at least two. Examples: transition from hospital to primary care follow-up or long-term care to home care.

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Week 9 Discussion: Care Transitions

Due: Post your initial response by Wednesday night at 11:59pm Pacific Time.
Respond to at least two of your fellow students’ posts by Friday night at 11:59pm Pacific Time.

Step 1 Post a response to the discussion board.
Respond to the following prompts and, if it’s relevant, include your own personal experience:

  • What are some barriers and challenges to the transition of care from one level to another? Describe at least two. Examples: transition from hospital to primary care follow-up or long-term care to home care.
  • Give an example from your experience or the literature of a procedure aimed at improving the process of care transitions. What impact do you suppose it will have on patient safety?

Step 2 Read and respond to two other students’ posts by Friday at 11:59pm MT.
Read other students’ posts and respond to at least two of them. Use your personal experience, if it’s relevant, to help support or debate other students’ posts. If differences of opinion occur, debate the issues professionally and provide examples to support your opinions.

In addition to your original post, be sure to provide a meaningful response to at least two of your peer’s posts by Friday night at 11:59pm Mountain Time. Cite any sources in APA format.
Select Reply to join the discussion. For grading details, see the rubric (https://dcminstructure.com/courses/168/rubrics/80021)

Discuss your professional aims and your proposal practicum objectives with your professional aims and your proposed practicum objectives and make sure the necessary resources are available for your use.

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Practicum Experience Plan

To prepare:
(a) Review the Clinical Self-Assessment Form you completed last week,i.e order # 785902, and think about areas for which you would like to gain applicable-level experience and/ or continued growth as a higher-level nurse. How can your experience enable in the practicum help you achieve these aims?

(b) Your practicum learning objectives that you want to achieve during your practicum experience must be:
(1) Specific
(2) Measurable
(3) Attainable
(4) Result Focused
(5) time- bound

(6) Reflective of the higher-order domains of Bloom’s taxonomy( i.e., application level and above)

NOTE: Make sure your Objectives are individualized and outlined in your Practicum Experience Plan. While you may add previous objectives to continue to work towards. You must have 3 new objectives for each class each quarter.

(A) Discuss your professional aims and your proposal practicum objectives with your professional aims and your proposed practicum objectives and make sure the necessary resources are available for your use.
(b) Select one nursing theory and one counseling/psychotherapy theory to best guide your clinical practice. Explain why you selected these theories. Support your approach with evidence-based literature.
(c) Create a timeline of practicum activities that demonstrates how you plan to meet these goals and objectives based on your practicum requirements.

ASSIGNMENT INSTRUCTIONS.
(1) Record the required information in each area of the attached Practicum Experience Plan Template. Include 3-4 Measurable practicum learning objectives you will use to facilitate your learning during the practicum experience.

Describe how the advanced practice nurse can play a role in improving the health of young adults through preventive screening and intervention.

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Discussion

Despite increased abilities across developmental realms, including the maturation of pain systems involving self-regulation and the coordination of affect and cognition, the transition to young adulthood is accompanied by higher rates of mortality, greater engagement in health-damaging behaviors, and an increase in chronic conditions. Rates of motor vehicle fatality and homicide peak during young adulthood, as do mental health problems, substance abuse, unintentional pregnancies, and sexually transmitted infections.

Describe how the advanced practice nurse can play a role in improving the health of young adults through preventive screening and intervention.

Instructions:

Post your discussion to the Moodle Discussion Forum. Word limit 500 words. Support your answers with the literature and provide citations and references in APA format. Reply to at least two other student posts with a reflection of their response.

 

What did the practitioner do well? In what areas can the practitioner improve? At this point in the clinical interview, do you have any compelling concerns? If so, what are they? What would be your next question, and why?

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WEEK 1 DB NURS 6665 PMHNP

Based on the YMH Boston Vignette 5 video, post answers to the following questions:

What did the practitioner do well? In what areas can the practitioner improve?
At this point in the clinical interview, do you have any compelling concerns? If so, what are they?
What would be your next question, and why?

Then, address the following. Your answers to these prompts do not have to be tailored to the patient in the YMH Boston video.

Explain why a thorough psychiatric assessment of a child/adolescent is important.
Describe two different symptom rating scales that would be appropriate to use during the psychiatric assessment of a child/adolescent.
Describe two psychiatric treatment options for children and adolescents that may not be used when treating adults.
Explain the role parents/guardians play in assessment.

Review and critique the techniques and methods of a mental health professional as the practitioner completes a comprehensive, integrated psychiatric assessment of an adolescent. Identify rating scales and treatment options that are specifically appropriate for children/adolescents.

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DISCUSSION BOARD WEEK 1 WALDEN U PMHNP NURS 6665

Many assessment principles are the same for children and adults; however, unlike with adults/older adults, where consent for participation in the assessment comes from the actual client, with children it is the parents or guardians who must make the decision for treatment. Issues of confidentiality, privacy, and consent must be addressed. When working with children, it is not only important to be able to connect with the pediatric patient, but also to be able to collaborate effectively with the caregivers, other family members, teachers, and school counselors/psychologists, all of whom will be able to provide important context and details to aid in your assessment and treatment plans.

Some children/adolescents may be more difficult to assess than adults, as they can be less psychologically minded. That is, they have less insights into themselves and their motivations than adults (although this is not universally true). The PMHNP must also take into consideration the child’s culture and environmental context. Additionally, with children/adolescents, there are lower rates of neurocognitive disorders superimposed on other clinical conditions, such as depression or anxiety, which create additional diagnostic challenges.

In this Discussion, you review and critique the techniques and methods of a mental health professional as the practitioner completes a comprehensive, integrated psychiatric assessment of an adolescent. You also identify rating scales and treatment options that are specifically appropriate for children/adolescents.

What are the state board of nursing requirements for your advanced nursing role? How will you be reimbursed?

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6.1 Discussion Board (NP options)

Preparing for your practice: What are the state board of nursing requirements (documents, applications, rules, continuing education, education requirements) for your advanced nursing role? How will you be reimbursed (what rate, by which payors, for what services)?