lit

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What is literature review?Benefits of doing a literature?Benefits of using scholarly article for research?

 
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Psychopathology 8

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Substance-Related and Addictive DisordersMany individuals seeking treatment meet the criteria for both mental health and substance-related disorders. Regardless of whether you specialize in substance-related disorders, all advanced practice nurses should know their signs and symptoms and how to assess and diagnose them. There are assessment and screening tools available to clinicians, and a plethora of information can be obtained through the diagnostic interview. It takes time and experience to know what types of questions to ask to gain the most information, in addition to a basic knowledge of the substances and behaviors you are trying to assess. It can be complicated to sort out substance use disorders from other mental health disorders, but most clients seeking treatment have comorbidities.This week, you apply DSM-5-TR substance use and addictive criteria as you formulate a diagnosis for a patient in a case study.For this Assignment, you will practice assessing and diagnosing a patient in a case study who is experiencing a substance-related or addictive disorder. With this and all cases, remember to consider the patient’s cultural background.To Prepare:Review this week’s Learning Resources and consider      the insights they provide.Review the Comprehensive Psychiatric Evaluation      template, which you will use to complete this Assignment.select a      specific video case study to use for this Assignment from the Video Case      Selections choices in the Learning Resources. View your assigned video      case and review the additional data for the case in the “Case History      Reports” document, keeping the requirements of the evaluation template in      mind.Consider what history would be necessary to collect      from this patient.Consider what interview questions you would need to      ask this patient.Identify at least three possible differential      diagnoses for the patient.Complete and submit your Comprehensive Psychiatric Evaluation, including your differential diagnosis and critical-thinking process to formulate primary diagnosis.Incorporate the following into your responses in the template:Subjective: What details did the patient      provide regarding their chief complaint and symptomology to derive your      differential diagnosis? What is the duration and severity of their      symptoms? How are their symptoms impacting their functioning in      life?Objective: What observations did you make      during the psychiatric assessment?Assessment: Discuss the patient’s mental      status examination results. What were your differential diagnoses? Provide      a minimum of three possible diagnoses with supporting evidence, listed in      order from highest priority to lowest priority. Compare the DSM-5-TR      diagnostic criteria for each differential diagnosis and explain what      DSM-5-TR criteria rules out the differential diagnosis to find an accurate      diagnosis. Explain the critical-thinking process that led you to the      primary diagnosis you selected. Include pertinent positives and pertinent      negatives for the specific patient case.Reflection notes: What would you do      differently with this client if you could conduct the session over? Also      include in your reflection a discussion related to legal/ethical      considerations (demonstrate critical thinking beyond confidentiality and      consent for treatment!), 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.).Learning Objectiveshttps://go.openathens.net/redirector/waldenu.edu?url=https://dsm.psychiatryonline.org/doi/full/10.1176/appi.books.9780890425787.x16_Substance_Related_DisordersSadock, B. J., Sadock, V. A., & Ruiz, P. (2015). Kaplan & Sadock’s synopsis of psychiatry (11th ed.). Wolters Kluwer.Chapter 20, Substance Use and Addictive DisordersChapter 31.16, Adolescent Substance Abuse

 
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Discussion

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Review crowdsourcing online and discuss how this could be used in nursing. Post on the discussion board with the reference citation.

 
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Complex regional pain disorder

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Please see case study attached.

 
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COPD

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Pathophysiology of disease.Signs and symptoms.NANDA diagnosis related to the condition (two)Care of the patient in the Acute Setting and Nursing Interventions.Medication Management.

 
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Week 7 DQ 1

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You have received a patient from the cardiac catheterization lab after an early morning emergent presentation for an acute myocardial infarction. The patient has an intra-aortic balloon pump indwelling, and the cardiologist placed a pulmonary artery catheter for hemodynamic monitoring. The patient is experiencing cardiogenic shock.Explain the treatment for suppressed cardiac output, suppressed cardiac index, and altered systemic vascular resistance.Recommend possible environmental and nutritional interventions for treating the patient.Recognize that the patient received emergent stenting and still requires bypass graphing once stabilized.Support your summary and recommendations plan with a minimum of two APRN-approved scholarly resources.

 
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Discussion Board Posting

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Discussion Board Posting (3 points)Explain how the concepts of theory, research, and practice are integratedDiscuss one (1) reason why the integration of theory, research and practice are important to the practice of nursing for the improvement of outcomes.

 
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Advocacy Priorities

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Identifying barriers and challenges that impact vulnerable and marginalized groups is an important first step, but advocates cannot stop there. What can be done to address the inequities, the challenges, and the barriers? How might an advocate use policy to enact change?The Allegory of the Orchard required you to consider the barriers and challenges of specific vulnerable or marginalized populations. In our Week 1 Discussion, you identified a specific population connected to your practice, organization, or experience. This week you will explore that population further by determining a specific advocacy priority for the population.To prepare:Review your selected population discussed in the Module 1, Week 1 Discussion: Allegory of the Orchard.Review the resources on vulnerable or marginalized populations.Consider the factors that create and maintain these populations.Reflect on nursing’s relationship with these populations and how this shapes our role in policy advocacy.By Day 3 of Week 2Using the selected population discussed in the Week 1 Discussion: Allegory of the Orchard, post a response detailing the following:What are the advocacy priorities for the population? What are the needs of this population?How are disparities reflected in policy and policy reflected in the disparities?What is the role of nursing, individually and collectively, in influencing policy decisions that adversely impact vulnerable populations?

 
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student response 1

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Case B 14-year-old biracial male living with his grandmother in a high-density public housing complex.To start, we should always keep in mind how personal their experience with us can be. They can be coming to us with many issues as far as health both physical and mental, socioeconomic issues, potential unsafe living situations, and many other stresses that life can throw at people. These are all important things that should be discussed besides the chief complaint. We must assess home situations, access to care, social situations, etc. It is important to make sure that we are being personable and not just going through the motions.We should always knock before coming into the room, introduce yourself and get your patient’s name, make sure that the room has good lighting and is a temperature that is comfortable to the patient, discuss what has brought them in, and discuss what their understanding of the problem is (Ball, Dains, Flynn, 2019). This will show the patient that you care and that you seem them as an individual rather than just another patient for the day. This also instills confidence and makes them more likely to open up to you about different issues. It is always important to include the patient in their care rather than just discussing only your thoughts with them while dismissing their thoughts. Including the patient in their care is known as patient-centered care and is an important part of providing safe and high quality care (Santana, Manalili, Jolley, Zelinsky, Quan, Lu, 2018). That is the reasoning behind using the listed techniques.I think for the risk assessment instrument, I would use IHELLP. It stands for income, housing, education, legal status, literacy, and personal safety. Since my patient is only 14 and living with a grandmother in a public housing complex, I would have concerns about access to care and resources as well as their living situation and education. This would allow me to explore things like employment status, whether or not the patient has any health coverage or is on any kind of assistance, whether or not they are in safe housing, if they have any substance use disorders, proper education, and safe living situations (Berman, Patel, Belamarich, Gross, 2018). I would be interested in the patient’s chief complaint as well, but we must assess home situations also. We must ensure that our patients are in good hands and properly cared for both in and outside of the office or hospital setting.It is difficult to narrow it down to just five targeted questions, but if I had to ask only five, they would be the following.Do you feel safe at home?How do you cope with stress?How do you feel about your time spent in school?Do you feel you have good access to care and resources?How do you view your health and what are your expectations for care?I would hope that this would give me an idea of what the patient’s life is like as far as education, safety, concerns, resources, how they see themselves, and what their goals are as far as health. There would be much more to discuss. Sometimes patients of this age can have an especially difficult time expressing themselves or feel nervous about discussing certain topics or even seeking help. Great care would be needed as well as a delicate approach and close attention to all verbal and non-verbal cues.ResourcesBall, J. W., Dains, J. E., & Flynn, J. A. (2019). Seidel’s Guide to Physical Examination (9th Edition). Elsevier Health Sciences (US).https://mbsdirect.vitalsource.com/books/9780323481953Berman, R. S., Patel, M. R., Belamarich, P. F., & Gross, R. S. (2018). Screening for Poverty and Poverty-Related Social Determinants of Health. Pediatrics in review, 39(5), 235–246. https://doi.org/10.1542/pir.2017-0123Santana, M. J., Manalili, K., Jolley, R. J., Zelinsky, S., Quan, H., & Lu, M. (2018). How to practice person-centred care: A conceptual framework. Health expectations : an international journal of public participation in health care and health policy, 21(2), 429–440. https://doi.org/10.1111/hex.12640

 
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Foundational Interpersonal Skills and Nonverbal communication in nursing (Due 20 hours)

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The number of words in each paragraph should be similarParts 1 and 2   have the same questions. However, you must answer with references and different writing, always addressing them objectively, as if you were different students. Similar responses in wording or references will not be accepted.The number of words in each paragraph should be similarParts 3 and 4   have the same questions. However, you must answer with references and different writing, always addressing them objectively, as if you were different students. Similar responses in wording or references will not be accepted.The number of words in each paragraph should be similarParts 5 and 6   have the same questions. However, you must answer with references and different writing, always addressing them objectively, as if you were different students. Similar responses in wording or references will not be accepted.APA format1) Minimum 7 pages  (No word count per page)- Follow the 3 x 3 rule: minimum of three paragraphs per pageYou must strictly comply with the number of paragraphs requested per page.The number of words in each paragraph should be similarPart 1: minimum  1 pagePart 2: minimum  1 pagePart 3: minimum  1 pagePart 4: minimum  1 pagePart 5: minimum  1 page and one paragraphPart 6: minimum  1 page and one paragraphSubmit 1 document per part2)¨******APA normsThe number of words in each paragraph should be similarAll paragraphs must be narrative and cited in the text- each paragraphThe writing must be coherent, using connectors or conjunctive to extend, add information, or contrast information.Bulleted responses are not acceptedDon’t write in the first personDon’t copy and paste the questions.Answer the question objectively, do not make introductions to your answers, answer it when you start the paragraphSubmit 1 document per part3)****************************** It will be verified by Turnitin (Identify the percentage of exact match of writing with any other resource on the internet and academic sources, including universities and data banks)********************************It will be verified by SafeAssign (Identify the percentage of similarity of writing with any other resource on the internet and academic sources, including universities and data banks)4) Minimum 3 references (APA format) per part not older than 5 years  (Journals, books) (No websites)All references must be consistent with the topic-purpose-focus of the parts. Different references are not allowed.5) Identify your answer with the numbers, according to the question. Start your answer on the same line, not the nextExample:Q 1. Nursing is XXXXXQ 2. Health is XXXXQ3. Research is…………………………………………………. (a) The relationship between……… (b) EBI has to6) You must name the files according to the part you are answering:Example:Part 1.docPart 2.doc__________________________________________________________________________________Parts 1 and 2  have the same questions. However, you must answer with references and different writing, always addressing them objectively, as if you were different students. Similar responses in wording or references will not be accepted.Part 1: Foundational Interpersonal Skills in Nursing1. Describe three things to observe as you listen to clients (One paragraph).2. List three ways to attend or communicate involvement to clients (One paragraph)3. Describe why groups are an effective way to conduct counseling (One paragraph)a. Explain Skills development groupsi. How you would go about forming the group.Part 2: Foundational Interpersonal Skills in Nursing1. Describe three things to observe as you listen to clients (One paragraph).2. List three ways to attend or communicate involvement to clients (One paragraph)3. Describe why groups are an effective way to conduct counseling (One paragraph)a. Explain Skills development groupsi. How you would go about forming the group.Parts 3 and 4  have the same questions. However, you must answer with references and different writing, always addressing them objectively, as if you were different students. Similar responses in wording or references will not be accepted.Part 3: Foundational Interpersonal Skills in Nursing (Write in the first person)Five paragraphs per pageActivity 1: Practice Being MindfulAt any moment, you can drop in and practice mindful listening. Simply stop what you are doing, close your eyes, and try to see how many sounds you can hear around you and within you. Notice if there are judgments arising and try not to attach to them. Stay with the flow of sounds for as long as you can. (approximately 5 minutes)Activity 2: Practice Active ListeningHave your partner shares a story of something emotional that happened. You will listen and practice the following techniques:Demonstrating listening through body language and nonverbal responsesReflecting back the content of what the partner sharedReflecting back the emotions that the partner sharedIt’s important to check in with your partner after you’ve reflected to be sure that it’s accurate.1. Describe during the two activities what did you notice (One paragraph)a. Activity 1: Anxietyb. Activity 2: Interest in listening2. What were the areas of strength?  (One paragraph)a. Activity 1: self-control to reduce anxietyb. Activity 2: Ability to identify emotions in the story3. What were the areas of weakness? (One paragraph)a. Activity 1:Difficulty focusing on soundsb. Activity 2: Difficulty avoiding intervening during the telling of the story4. What are areas you could make improvements?  (One paragraph)a. Activity 1: Concentrationb. Activity 2: Listen without judging5. How will you make those improvements?  (One paragraph)Part 4: Foundational Interpersonal Skills in Nursing (Write in the first person)Five paragraphs per pageActivity 1: Practice Being MindfulAt any moment, you can drop in and practice mindful listening. Simply stop what you are doing, close your eyes, and try to see how many sounds you can hear around you and within you. Notice if there are judgments arising and try not to attach to them. Stay with the flow of sounds for as long as you can. (approximately 5 minutes)Activity 2: Practice Active ListeningHave your partner shares a story of something emotional that happened. You will listen and practice the following techniques:Demonstrating listening through body language and nonverbal responsesReflecting back the content of what the partner sharedReflecting back the emotions that the partner sharedIt’s important to check in with your partner after you’ve reflected to be sure that it’s accurate.1. Describe during the two activities, what did you notice? (One paragraph)a. Activity 1: Anxietyb. Activity 2: Interest in listening2. What were the areas of strength?  (One paragraph)a. Activity 1: self-control to reduce anxietyb. Activity 2: Ability to identify emotions in the story3. What were the areas of weakness? (One paragraph)a. Activity 1:Difficulty focusing on soundsb. Activity 2: Difficulty avoiding intervening during the telling of the story4. What are areas you could make improvements?  (One paragraph)a. Activity 1: Concentrationb. Activity 2: Listen without judging5. How will you make those improvements?  (One paragraph)Parts 5 and 6  have the same questions. However, you must answer with references and different writing, always addressing them objectively, as if you were different students. Similar responses in wording or references will not be accepted.Part 5: Nonverbal communication in nursing1. Abstract  (One paragraph)2. What is personal space for a communicator? (One paragraph)3. Describe the  steps you will take to change your use of personal space across a variety of contexts to be a better communicator (Two paragraphs)Part 6: Nonverbal communication in nursing1. Abstract  (One paragraph)2. What is personal space for a communicator? (One paragraph)3. Describe the  steps you will take to change your use of personal space across a variety of contexts to be a better communicator (Two paragraphs)

 
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