Gify is a 15-year-old Hispanic female who was admitted to acute care in the psychiatric hospital for suicidal ideations

/in /by

Gify is a 15-year-old Hispanic female who was admitted to acute care in the psychiatric hospital for suicidal ideations

3 references

Gify is a 15-year-old Hispanic female who was admitted to acute care in the psychiatric hospital for suicidal ideations with a plan to cut her wrist on March 20th, 2021.  Gifty has been in the custody of the Department of Health and Human Services for the last three years.  She was removed from her mother’s custody due to neglect and her mother’s drug use.  Gifty was in a foster home for more than a year.

She reported having a nightmare that she killed her foster family and began to constantly feel worried that she might do something to harm the family.  She told her foster-mother she needed to go live somewhere else because she was worried she would kill the family and was taken to a residential group care facility by case worker.  After three weeks at the residential group care facility, Gifty reported SI and was transported to our facility. Gifty’s diagnoses are major depressive disorder recurrent severe and generalized anxiety disorder. 

depressive disorder

Gifty has had two previous acute psychiatric inpatient stays in the last two years with diagnoses of major depressive disorder and generalized anxiety disorder

Upon admission Gifty stated she had a depressed mood everyday for the last three weeks.  She reported a decreased appetite, hypersomnia, decreased energy, feeling worthless, and feeling hopeless. Gifty initially improved but has regressed during her stay.  She was stable for discharge eight days after admission, but DHS did not have placement arranged for her.  As she has waited for DHS to find placement, Gifty’s depression and particularly her anxiety have worsened.  She attempts to call her caseworker on a daily basis.  The caseworker does not answer, nor does she respond to the voicemails left for her.

In her words, she “worries about stuff all day everyday” and specifically mentions worrying about where she will go when she leaves, her siblings, her clothing at the residential group care facility, and that she will have to repeat the 9th grade.   She had a panic attack yesterday and today.  During the panic attacks, Gifty reported she could not breathe, chest pain, nausea, she was visibly shaking, and she stated she felt like her heart was about to beat out of her chest.  Buspar 5 mg by mouth twice daily was ordered today.  Other current medications include Prozac 20 mg by mouth daily and Vistaril 25 mg by mouth as needed every six hours.  Gifty has denied suicidal ideations since March 27th.  She continues to be safe for discharge, but if her symptoms continue to worsen, she may not be safe for discharge when DHS finds placement for her.

Finacial Report

/in /by

 Financial Report

In previous units, we discussed the importance and purpose of maintaining financial statements. In this assignment, you will interpret those financial statements for a diverse group of stakeholders.

You are the Chief Financial Officer of People’s Community Clinic. You are responsible for delivering a financial overview presentation at the year-end meeting. Your audience will include employees and leadership team members of PCC, financial donors, and community members (who may be potential donors, if they are pleased with the information you present!)

People’s Community Clinic. (2015). People’s Community Clinic Annual Report (Links to an external site.). (Links to an external site.) [PDF]

 Financial Report

People’s Community Clinic (n.d.). People’s Community Clinic (Links to an external site.)[Website]

  • Using the content of the attached annual report document, prepare a 10-minute Powerpoint or Prezi presentation.
    • Include a voice-over or written script (in the speaker’s notes section)
  • You may include visuals of the important sections of the financial statements, ensuring the content is easy to read for your audience.
  • Create graphs or charts to illustrate important data.
  • Your closing two slides should summarize the year-end status, and summarize assumptions for the year in-progress (i.e. do you expect to be profitable, experience loss, why or why not).
  • Your final slide should include any references, in APA format, used to complete your presentation.

Assignment 2

Being able to concisely summarize financial information is an important skill for a health care manager. For this assignment, you will reference the presentation you created in U6A1, and repackage it for an internal audience.

Continuing your role as CFO of People’s Community Clinic, create a 1-2-page memo for the managers of PCC.

  • Summarize the content of your presentation, focusing on key takeaways your managers need to know.
  • Graphs and charts aren’t required, but may be included if space allows (your memo should not exceed 2 pages).
  • On a separate page, include any references, in APA format, used to complete your presentation and memo.

Please review the rubric to ensure that your assignment meets criteria.

Barrett’s Theory of Power

/in /by

Chapter 29: Barrett’s Theory of Power as Knowing Participation in Change

30: Marlaine Smith’s Theory of Unitary Caring

Chapter 31: Kristen Swanson’s Theory of Caring

Textbook: Smith, M. & Parker, M. (2014). Nursing Theories and Nursing Practice. (4th ed.). Philadelphia, PA: F. A. Davis Company. ISBN-13: 978-0-8036-3312-4

After reviewing our three nursing theorists presented this week in chapters 29, 30, and 31. Let’s reflect upon the events that are taking place in healthcare today (Covid-19 Pandemic). Which theorist would you select to construct a framework for care of your staff and patients? Please explain why with examples.

***Think about some of the concepts involved. Examples include fear, isolation, family separation, being pregnant and exposed to the virus, psychological issues, guilt, impacted care standards.

I’m asking for 250 words. APA 7th ed. required. Plagiarism free. Scholarly references can be used in addition to the textbook

Invitation To The Life Span

/in /by

Invitation To The Life Span

CHOOSE just ONE of these topics and produce a 500+ word and illustrated paper. Please take each topic seriously! Humans have been doing stuff like this for thousands of years. Describe your turn!

(1) Road trip!  Read about pilgrimage (pp. 150-153) and describe a journey you, you and a friend, or you and your family, took to a “sacred” or special place in order to see some sacred objects and/or have some sort of spiritual experience.  Describe this place or event, and why it is special to your and/or others.  Often the purpose of a journey is the journey itself (the challenges and setbacks on the way, the anticipation of arriving), more than the destination.   So, describe your journey:

mention any guide books (or websites) you may have read or advice you received (warning of danger, or giving advice); the kind of clothes you wore, or any special equipment the pilgrim (you) brought along; the hardships of the journey itself and the anticipation thus created; and the kind of experience you had, truth you found, and souvenir you brought back.  How have you changed after having made this journey?

transcendent

2) Describe a mystical experience (other possible terms: out-of-body, transcendent, spiritual, etc.) you once had.  First, read pp. 155-157.  Then, think of an intense experience you once had while on certain medications, listening to music, fasting, experiencing solitude or multiplicity, or engaging in repetitive or athletic movements (running, swimming, sports.) How did you prepare for your experience? What was the context of the experience? Be descriptive: the context and your expectations are the key.  Where were you, and what were you expecting? What kind of altered or liminal state did you attain, and what did you experience?  Try to use some of the paradoxical language of mysticism (“darkness clearer than light,” “a coincidence of contraries,” etc.)  Finally, did you connect with a higher reality, and/or what did you learn from this experience, and would you do it again?

3) Do you have the vocation to be a monk or a nun?  Find out! Read about monasticism on pp. 144-157, then go to:  http://www.vocationnetwork.org (Links to an external site.)

and take the “vocations” survey.  Indicate whether you are male or female, and then use the database to find the Catholic monastery or convent that fits YOU.  Learn the history (and rules) of one of these religious communities by following the link to their website.  Look up the meaning of terms like “ordination” or “novitiate.” Then, write a paper in the form of a letter (to your parents, family, or boyfriend/girlfriend) wherein you announce that you’ve decided to be a monk or a nun, and explain to them WHY!  Try to anticipate how they might react and what they might say in response to your decision, and defend your choice by criticizing the superficiality and materialism of modern life & the assholiness of guys, esp your boyfriend, while expressing your devotion to the poor and the sick.  Describe your goals and the daily life you will lead there ( instead of the life your parents  have picked out for you) as you imagine it from the description on the website.

Ethics and Safe Patient Handing and Mobility

/in /by

Chapter Nine

Ethics and Safe Patient Handing and Mobility

1

 

2

Extent of the Problem

Safe Patient Handing and Mobility (SPHM) is a concern for patients, family members, and healthcare professionals.

SPHM involves safety when lifting, re-positioning, and transferring patients.

Formal issue of concern since the 1980s

3

Barriers to SPHM

Implementation of best practices is limited by:

Lack of knowledge.

Perceptions of the use of equipment.

Gender of the caregivers.

Equipment.

4

Problem Solving

There is a need to further SPHM by influencing the work culture.

Costs of programs is a concern, but programs save money and prevent injury.

State legislation will assist.

Professional association campaigns address issues.

5

Ethical Concerns

Nonmaleficence is a major ethics application for SPHM.

Nonmaleficience is also a cardinal ethics principle for healthcare providers.

Using evidence-based practices can prevent harm.

6

Ethical Concerns

Nonmaleficence also includes educating patients and family members on SPHM to prevent harm.

Changing systems and making appropriate referrals are also part of nonmaleficence.

7

Ethical Concerns

Beneficence is also an ethics concern in SPHM.

It means that do the best for others.

Beneficence includes maintaining the dignity of patients.

Beneficence also goes beyond the patient to include the family members.

 

8

Ethical Concerns

Beneficence includes concern for staff members.

It is beneficent to prevent the staff injury by using SPHM.

Preventing injury also includes ethical stewardship.

SPHM practices honor the dignity and value of patient, family, and staff.

Patient Preference and Satisfaction

/in /by

The interpretation of research in health care is essential to decision making. By understanding research, health care providers can identify risk factors, trends, outcomes for treatment, health care costs and best practices. To be effective in evaluating and interpreting research, the reader must first understand how to interpret the findings. You will practice article analysis in Topics 2, 3, and 5.

For this assignment:

Search the GCU Library and find three different health care articles that use quantitative research. Do not use articles that appear in the Topic Materials or textbook. Complete an article analysis for each using the “Article Analysis 1” template.

Refer to the “Patient Preference and Satisfaction in Hospital-at-Home and Usual Hospital Care for COPD Exacerbations: Results of a Randomised Controlled Trial,” in conjunction with the “Article Analysis Example 1,” for an example of an article analysis.

While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

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 LopesWrite. Refer to the LopesWrite Technical Support articles for assistance

Rubric

Three articles are presented. All three articles are based on quantitative research.

Article citation and permalink are presented. Article citation is accurately presented in APA format. Page numbers are accurate and used in all areas when citing information.

Broad topic area and title are fully presented and accurate.

Variable types and data for variables are presented and accurate.

Population of interest for the study is presented and accurate.

Sample is presented and accurate.

Sampling method is presented and accurate.

Descriptive statistic examples from the article are presented and accurate.

Inferential statistic examples from the article are presented and accurate.

The writer is clearly in command of standard, written, academic English

Assessing Client Fall Risks 

/in /by

Use the right template.

1.  Client Safety: Assessing Client Fall Risks

2.  Client Safety: Caring for an Older Adult

3.  Fluid and Electrolyte Imbalances: Causative Factors of Hypokalemia

4.  Fluid and Electrolyte Imbalances: Interpreting Arterial Blood Gases

5.  Fluid and Electrolyte Imbalances: Laboratory Values Associated with Dehydration

6.  Infection Control: Droplet Precautions

7.  Infection Control: Isolation Precautions for Tuberculosis

8.  Infection Control: Preventing Transmission of Micro-Organisms

9.  Nutrition and Oral Hydration: Priority Action for Client Receiving Gastrostomy Tube Feedings

10.  Pain Management: Determining the Severity of Postoperative Pain

11.  Peripheral Vascular Disease: Teaching about Venous Insufficiency

12.  Pharmacokinetics and Routes of Administration: Administering Transdermal Medication

13.  Pressure Ulcers, Wounds, and Wound Management: Laboratory Values Indicating Infection

14.  Safe Medication Administration and Error Reduction: Questioning an Excessive Dose

15.  Safe Medication and Error Prevention: Client Identifiers

16.  Total Parenteral Nutrition: Assessing for Hypoglycemia

17.  Vital Signs: Appropriate Action for Measuring Oral Temperature

Population health concerns

/in /by

Population health concerns

Students maintained and submitted weekly reflective narratives throughout the course to explore the personal knowledge and skills gained throughout this course. This assignment combines those entries into one course-long reflective journal that integrates leadership and inquiry into current practice as it applies to the Professional Capstone and Practicum course.

This final submission should also outline what students have discovered about their professional practice, personal strengths and weaknesses that surfaced during the process, additional resources and abilities that could be introduced to a given situation to influence optimal outcomes, and, finally, how the student met the competencies aligned to this course.

The final journal should address a variable combination of the following, while incorporating your specific clinical practice experiences:

  1. New practice approaches
  2. Interprofessional collaboration
  3. Health care delivery and clinical systems
  4. Ethical considerations in health care
  5. Practices of culturally sensitive care
  6. Ensuring the integrity of human dignity in the care of all patients
  7. Population health concerns
  8. The role of technology in improving health care outcomes
  9. Health policy
  10. Leadership and economic models
  11. Health disparities

  1. Population health concerns

While APA style is not required for the body of this assignment, solid academic writing is expected, and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide.

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

Benchmark Information

This benchmark assignment assesses the following programmatic competencies:

RN to BSN

2.3:     Understand and value the processes of critical thinking, ethical reasoning, and decision making.

4.1:     Utilize patient care technology and information management systems.

4.3:     Promote interprofessional collaborative communication with health care teams to provide safe and effective care.

5.3:     Provide culturally sensitive care.

5.4:     Preserve the integrity and human dignity in the care of all patients.

Adam  17 yo Adolescent patient you are assigned to on an outpatient rehab unit.

/in /by

Forum 4: Assignment on Adam  17 yo Adolescent patient you are assigned to on an outpatient rehab unit.

Adam is a 17 year old single male who was born in Los Angeles, California, where he still lives with his mother and his brother. His dad is a sales rep and is on the road during the week.

“When he’s home on the weekend he just drinks and watches the ball games on TV When he gets drunk he yells at me and my mom and throws stuff around the house. He drinks all the time that he’s home but he can’t hold his booze. Like he’s a total lightweight. Mom also drinks. Watch out when they both get ‘lit.’ Man, things really  fly. We’ve had the cops out several times. I just take off when they start gettin’ into it. I started drinking and smoking when I was 13, in the eighth grade. It was a total drag, not that any of the other grades were any better, but all the kids were talking about high school and the classes they were going to take, and me, I was just trying to figure out were I was gonna get money for my next pack of cigarettes.

Now I smoke about a pack a day, plus a couple of joints too. I have a cup of coffee in the morning before school and that’s it. At night I’ll drink 3 or 4 beers plus a few shots of vodka. On the weekends is when I really get down to partying. I’ve played around with lots of stuff. You know, trying to see what’s out there. I’ve tried pot, coke, mescaline, XTC, mushrooms. I’ve even shot up a few times. It’s no big deal. When I’m partying, I like to mix things up a bit. Maybe do some tequila and mushrooms, depends on what’s going on and who’s around.

Adam  17 yo Adolescent patient you are assigned to on an outpatient rehab unit.

If I drink too much I black out. I’ve even OD’d a few times. But, hey, it wasn’t any big deal or nothing. I do like speed though. If any drug is my favorite, aside from cigarettes and coffee, it’d be ‘speed.’ I saw a doctor when I was eight. My folks took me. They said I was out of control. The doctor said I had attention deficit disorder and gave me Ritalin? . It helped a little, I guess. I don’t know much about it. Right now, except for partying, I don’t take any medication. Then there’s my brother, a complete math ‘geek’. Always gotten good grades, never been in trouble; responsible, dependable, healthy and clean. He’s a parent’s dream and I’m his evil twin brother.”

Questions for  Forum 4: Adam

1. Based on the information Adam gave you, what other information would you need to determine his level of drug use?

2. Based on what Adam has told you, what screening method will you use? Where does he score on the screening method that you have chosen? Give the rationale for this score.

3. What in Adam’s family history might lead you to suspect that there may be a genetic component to his drug abuse problems and should be evaluated further? Is there a genetic correlation in substance use disorder? What does the literature state?

4. What does the term “dual diagnosis” mean? What in Adam’s medical history might lead you to suspect that he may have a dual diagnosis problem?

5. What environmental factors contribute to substance use disorders? What in Adam’s environment might lead you to believe that environmental factors may also play a role in his drug use?

6. What  types of treatment plans and nursing interventions would work best for this adolescent patient? Please provide suggestions based on your literature review.

Medical Application Critical Appraisal Guidelines

/in /by

Medical Application Critical Appraisal Guidelines

Purpose

The purposes of this assignment are to: (a) demonstrate nursing informatics skills to critique commonly used mobile applications, (b) synthesize nursing and non-nursing knowledge using a guided appraisal process, and (c) develop NI skills with computer technologies to support professional and personal development with implementation of medical applications in clinical practice.

Mobile Health, also known as mHealth, is defined as the use of wireless communication to support efficiency in public health and clinical practice. To facilitate mHealth, mobile applications (apps) have been developed, which can be executed either on a mobile platform or on a web-based platform which is executed on a server. Mobile medical apps are often accessories to a FDA-regulated medical device. Incumbent upon each healthcare provider is a clear understanding of the implications of this guidance on clinical practice as well as demonstrate discretion with regard to medical app implementation.

 

Course Outcomes

This assignment is guided by the following Course Outcomes (COs):

CO 2 Demonstrate synthesis of nursing and non-nursing science with information and computer technologies through collaborative advanced nursing practice (PO 5)

CO 4 Exemplify professional values and scholarship to support professional and personal development (PO 1)

 

Preparation and Paper Outline:

  1. PART 1: The medical application selection for this assignment is contingent upon the month of your birthday. Use the table below to identify the Medical App for this assignment.Your Birth MonthMedical App for Assignment January, FebruaryMediCalc March, April, MayMedscape June, July, AugustCDC Milestone Tracker September, OctoberICD10 ConsultNovember, DecemberGoodRx
    • Use the Google Play Store for Android devices or the Apple iTunes App Store for Apple devices to search for the medical application as determined by the table above.
    • In order to complete the following guided appraisal, download the app to a mobile device (smartphone or tablet). The apps are free and do not require purchase to complete this assignment.
    • Provide proof of download by attaching a screenshot of the device screen in JPEG or PDF format to the assignment upload tab (in addition to submitting this assignment). Following the general instructions below for smartphone devices (specific device instructions may vary):
      • Android 4.0 and Newer: (Galaxy SIII, Galaxy S 4, Galaxy Note, HTC One, Nexus phones, Droid phones)
        • Any Android phone running Ice Cream Sandwich (4.0) or later can easily take a screenshot. Hold the Power and Volume Down buttons together until the screen flashes and you hear the shutter sound. The screenshot image will appear in your Gallery app, usually inside the Screenshots folder
      • iPhone
        • The method for taking a screenshot in iOS has been the same since version 2.0. Hold the Power (Sleep/Wake) and Home buttons together until the screen flashes and you hear the shutter sound. The screenshot image will appear in your Photos app under Camera Roll.
  2. PART 2: Answer the Medical App Critical Appraisal questions thoughtfully and comprehensively. Use the criteria headings on this outline as the headings on your properly APA- formatted paper.
    • NAME: What is the name of the app?
    • AUTHOR: Who created, developed, or maintains the app? Explain.
    • ENDORSEMENT: Is the app licensed by the Food and Drug Administration, other government agency, or endorsed by an academic institution or medical professional organization? Explain.
    • OPERATION: Which platform (mobile or web-based) is suitable for the app and why?
    • AESTHETICS: Is the information displayed in a way that is easy to navigate? Is it easy to use? Can you use it without instructions? Explain.
    • PURPOSE: What is the intended purpose or use of the app?
    • CLINICAL DECISION MAKING: What influence does the app have on clinical decision making? Explain.
    • SAFETY: Is there potential for patient harm? Explain.
    • PRIVACY/SECURITY: Does the app have privacy statement or setting? Is there a clear privacy policy stating information will be encrypted and not shared with third parties? Does the app share information on social networks? Are users notified in the event of a breach of privacy and health information? Explain.
    • USER: For whom is the app intended (providers, patients, or others)? Explain.
    • DISTRIBUTION: Is it designed for local use or wider distribution? Explain.
    • CREDIBILITY: How credible are the sources of information? How do you know? Explain.
    • RELEVANCE: How current is the information in the app? When was the last update? Is the content consistent with evidence-based literature or best practices/standards of care? Explain.
  3. PART 3: Provide one example of an appropriate patient or clinical scenario for this app. The example should include the following details:
    • Patient Age-population (Pediatric, Adult, Geriatric)
    • Clinical Setting (Hospital, Private Practice, Extended Living Facility)
    • History of Present Illness and Diagnosis or Condition
    • Provide a detailed description of the app in your example. When will the app be implemented (at the Point-of-care or elsewhere)? Who will use the app? What potential impact will it have on the scenario? Incorporate the critical appraisal information from Part 2. Provide one evidence-based scholarly article as a reference to support clinical decision making.