COUNSELING OLDER CLIENTS

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i need a response to this assignment

zero plagiarism

3 references

Therapy with Older Adults

The primary diagnosis for this client is major depressive disorder (MDD). It is a DSM-5 (Diagnostic and Statistical Manual of Mental Disorders, 5th Ed.) diagnosis assigned to individuals who feel down and have lost interest in activities they previously enjoyed. This depressed feeling must occur daily for at least 2 weeks for a diagnosis to be given. Those who suffer from depression experience persistent feelings of sadness and hopelessness and lose interest in activities they once enjoyed. Aside from the emotional problems caused by depression, individuals can also present with a physical symptom such as chronic pain or digestive issues.

DSM-V Coding for MDD

MDD diagnosed as having either single or recurrent episodes. The severity level, such as mild, moderate, severe and with psychotic features, is also specified to note the unique aspects of the course of the disorder. The coding for single episode include 296.21 (F32.0) Mild 296.22 (F32.0) Moderate, 296.23 (F32.2) Severe, 296.24 (F32.0) In Partial Remission, 296.26  In full Remission, 296.20 (F32.9) Unspecified. The coding for recurrent episode include 296.31 (F33.0) Mild, 296.32 (F33.1) Moderate, 296.33 (F33.2) Severe, 296.34 (F33.3) With Psychotic Features, 296.35 (F33.41) In Partial Remission, 296.36 (F33.42) In Full Remission, 296.30 (F33.9) Unspecified (American Psychiatric Association, 2013).

The rationale for the Diagnosis

The DSM-5 outlines the following criterion to make a diagnosis of depression. The individual must be experiencing five or more symptoms during the same 2-week period, and at least one of the symptoms should be either (1) depressed mood or (2) loss of interest or pleasure (American Psychiatric Association, 2013). Some of these symptoms include feelings of sadness and hopelessness, loss of interest or pleasure in activities, Loss of weight or weight gain, difficulties sleeping or excessive sleepiness, noticeable restlessness or slowness, lack of energy, troubles concentrating and indecisiveness, feeling of worthless and excessive guilt, continued thoughts of wanting to die (Wheeler, 2014). The presence of anxiety in patients may affect prognosis, treatment options, and the patient’s response to clinicians

Based on the symptoms presented in the case study, the client met the criteria for DSM-5 in several ways. First, the client reported that he experienced symptoms of depression and anxiety for few months including sleeping problems, feeling tired all the time, moving in slow motion, and stopped attending the volunteer job at the nursing home. Some of the risk factors associated with the depression reported by the client include the loose of his father who he mentions as the primary source of support and his diagnoses for prostate cancer this year (American Psychiatric Association, 2013). Besides, conditions such as hypertension and hyperlipidemia are associated with some level of depression. Depression is also considered as an inherited condition, and since mother had the condition, there is a possibility he has the condition too (Wheeler, 2014).

HUMAN GROWTH

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PSY278: Week 2 Assignment Page 1

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Worksheet: Stem Cell Research

Assignment Overview

Stem cell research is a controversial topic in the United States and the world. For this assignment, you will conduct research on stem cell research and determine and defend your position on the issue.

This assignment is intended for you to apply research and critical thinking skills to support an argument on a controversial issue and communicate effectively that position in writing.

Assignment Details:

Perform the following tasks:

· Complete the reading assignment and the interactive lesson before attempting this assignment.

· Complete the following:

· Perform a search on the Internet or the online library (LIRN) for the terms “stem cell and research” or “stem cell and controversy.”

· Based on your search, write an essay (approximately 100 to 150 words in length) in the space provided in the Assignment Worksheet section on the next page that gives three reasons to either:

· Defend/support stem cell research.

· Oppose it stem cell research.

· Submit the Week 2 Assignment.

· Include the proper file naming convention: PSY278_wk2_assn_jsmith_mmddyyyy.

the period of middle adulthood

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Write a 5 page paper about the period of middle adulthood. Include:

– Definition

– Physiological Changes

– Physiological Development

– Its relationship with theories like Erikson’s, Freud’s, Piaget’s and Kohlberg. Specify the name of the stage according to each theory.

– Conclusion

APA style

Being an advocate

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REPLY1

Marial,

I think that mentoring of new nurses is a great way to ensure that new nurses have a great role model.  What other ways do you think advocacy can be learned?

REPLY2

Being an advocate means standing up for someone in support of their cause. As a nurse, being an advocate means preserving human dignity, promoting patient equality, maintaining freedom from suffering, and ensuring that patients have the right to make decisions about their own health (“The Role of the Nurse”, 2019). Some of the situations a nurse can advocate for patients  are recommending to a physician for another option for pain medications if the current ones are not working or if the patients is unsure about the medications or treatments to choose, a nurse can give the necessary information, so they can make the best possible decision for them. Another example may be a nurse recommending to a physician that a patient might need to be upgraded to a higher level of care/unit  because the possibility of patient decompensation due to the patient is unstable.

I believe nurses during the pre licensure education are adequately prepared for patient advocacy. Nurses are taught from the beginning to never do harm and always put patient safety a priority. They are also taught to recognize possible dangers to patients and recommend or take actions for the betterment of the patients. These were taught through nursing theories and actual practice in nursing clinicals. The goal is to have the patient the best possible outcomes.

The public health department’s role during natural disasters

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REPLY1

The public health department’s role during natural disasters is to provide practical assistance in time to disaster victims to facilitate relief measures and rehabilitation services. The health care personnel possess unique skills in handling all types of disasters. It is the function of public health workers to assess disaster victims and determine the extent of their injuries (Murray, Aitsi-Selmi, & Blanchard, 2015).  Since their cases are of urgency, the public health department is tasked with prioritizing their cases. Additionally, they collaborate with other departments in the hospital care organization to provide emotional and material support to the disaster victims. Counseling sessions and programs are also conducted by public health professionals to ensure that victims retain their emotional stability (Khorram-Manesh, 2020). Preventive and acute care needs are also offered to the disaster victims by the public health care personnel. It is also the role of healthcare workers to report to government authorities the number of disaster victims, the extent of their injuries, and the support they require while taking medication. In addition to that, public health workers are supposed to ensure that the emergency alert and response team is always ready to accommodate disaster victims.

REPLY2

The public health role of preparing for and responding to emergencies has expanded in the face of massive impacts from recent disasters. The application of epidemiology in disaster settings, also known as disaster epidemiology, can provide actionable information for use by policymakers, planners, incident commanders, decision-makers, and affected community members. A main component of public health department is safety. Public health department makes reference to all the possible strategies that can be implemented to assure the safety of workers while performing their jobs. The purpose of public health department is to prevent hazards and reduce potential harmful incidents that can occur in the workplace. The strategies implemented can include safety prevention measures such as the use of personal protective equipment or the establishment of health and safety policies.

ORGANIZATIONAL CULTURE AND VALUES

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Prepare a 10-15 slide PowerPoint presentation, with speaker notes, that examines the significance of an organization’s culture and values. For the presentation of your PowerPoint, use Loom to create a voice-over or a video. Refer to the Topic Materials for additional guidance on recording your presentation with Loom. Include an additional slide for the Loom link at the beginning, and an additional slide for References at the end.

1. Outline the purpose of an organization’s mission, vision, and values.

2. Explain why an organization’s mission, vision, and values are significant to nurse engagement and patient outcomes.

3. Explain what factors lead to conflict in a professional practice. Describe how organizational values and culture can influence the way conflict is addressed.

4. Discuss effective strategies for resolving workplace conflict and encouraging interprofessional collaboration.

5. Discuss how organizational needs and the culture of health care influence organizational outcomes. Describe how these relate to health promotion and disease prevention from a community health perspective.

RUBRIC:

Purpose of organizational mission, vision, and values is accurate and clearly outlined.

A detailed explanation of why organizational mission, vision, and values are significant to nurse engagement and patient outcomes is presented. Sound rationale is provided for support. The significance is clearly established.

An explanation of factors leading to conflict in a professional practice is clearly presented. How organizational values and culture influence the way conflict is addressed is described in detail. Strong rationale and evidence are provided for support.

Effective strategies for resolving workplace conflict and encouraging interprofessional collaboration is discussed. Strong support and rationale are provided to support each strategy.

How organizational needs and the culture of health care influence organizational outcomes is clearly discussed. How these relate to health promotion and disease prevention from a community health perspective is described in detail. The relationship among these is established. Rationale and evidence

What role does Medicare and Medicaid play in meeting the health care needs of the American public

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What role does Medicare and Medicaid play in meeting the health care needs of the American public? Which por- tion of Medicare is universal? What elective option does Medicare offer?

At least 250 words.

should be supported by at least two references.

OLDER ADULT OF NURSING CARE

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Module 05 Assignment – Case Study Concept Map and Plan of Care

Course Competency:

  • Design plans for care specific to the older adult.

Consider the scenario below, then follow the instructions underneath it to complete the assignment.

Mrs. Y

Mrs. Y is an 84-year-old client who was recently discharged from the hospital for an infected diabetic ulcer on her left leg. During her hospitalization, Mrs. Y required intravenous antibiotic therapy through a peripherally inserted central catheter (PICC) line.

Due to Mrs. Y’s long history of diabetes, her physician ordered that intravenous antibiotic therapy be continued at home. Subsequently, home health services were initiated, a home health nurse was assigned to Mrs. Y’s case, and an initial home visit was scheduled.

The home health nurse arrives at Mrs. Y’s home and introduces herself to the client and the family. The nurse explains the home nursing services that will be provided, including the PICC line and intravenous antibiotic therapy treatments.

During the initial home visit, the nurse assessed the physiological, psychological, functional, and safety needs of the client. The nurse’s findings were as follows:

  • Mrs. Y lives alone; however, her daughter checks on her frequently throughout the day.
  • The client is noted to have moderate functional issues and ambulates with a cane.
  • The client has several throw rugs in the main walking quarters and minimal lighting throughout the hallways.
  • Mrs. Y states “I used to get around my house with ease, but now I get a little tired and have to sit down and rest frequently.”

Consider Mrs. Y’s current health status and functional decline, then address the following:

  1. Download the Concept Map and Plan of Care worksheet below. An example is also provided for your reference.

PROBLEM IDENTIFICATION

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Use a provided template to develop a 2-4 page submission in which you research and define a patient, family, or population health problem relevant to personal practice.

Important: Complete this assessment first and complete all other assessments in the order they are presented.

In this assessment, you will lay the foundation for the work that will carry through your capstone experience and guide the practice hours to complete the work in this course. The purpose of this assessment is to allow you to define a patient, family, or population health problem that is relevant to your personal practice and to begin building a body of evidence that will inform your approach to your practice hours, the intervention you design, and the professional product you will deliver.

Demonstration of Proficiency

By successfully completing this assessment, you will demonstrate your proficiency in the course competencies through the following assessment scoring guide criteria:

  • Competency 1: Lead people and processes to improve patient, systems, and population outcomes.
    • Define a patient, family, or population health problem that is relevant to personal practice.
  • Competency 2: Make clinical and operational decisions based upon the best available evidence.
    • Analyze evidence from the literature and professional sources to define and guide nursing actions related to a health problem.
  • Competency 7: Implement patient-centered care to improve quality of care and the patient experience.
    • Propose strategies to improve patient or population outcomes related to a health problem.
  • Competency 8: Integrate professional standards and values into practice.
    • Reflect on state board nursing practice standards relevant to a selected health problem.
    • Communicate professionally in writing that is clear and logically organized, with correct grammar, spelling, and use of APA style.

reasons for not treating a patient as a client

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REPLY1

When referring to the recipients of nursing care, I agree with this change, because I consider as a patient the person who suffers pain or discomfort and receives the services of a health professional, and undergoes an examination, treatment or to an intervention. As a nurse I refuse to use the term Client, because it may refer to Mercantilism, I also understand that if we are patients we trust the competence and know-how of the health professional, among the reasons for not treating a patient as a client I consider the following: the patient does not want to be there in the hospital, consultation, health center, emergency room, the patient is usually not prepared at any time, and does not usually have the precise knowledge to make decisions autonomously, and finally the patient is not alone . Many times the patient decides in a shared way with family, friends, caregivers, professionals who care for him, etc.

REPLY2

After reviewing the ANA code of ethics found in Butts (2015) textbook I can see that they use the term patient in lieu of client now.  I honestly see the two as synonymous because I have been using the term patient since before I went to nursing school and worked as an xray technician but when I went to nursing school they told us to call them clients instead of patients.  Now it seems like we’ve made a full circle and come back to calling them patients again.  I simply do not see the difference and don’t disagree with calling them patients or clients.  I do suppose calling them clients makes me feel like we work for them instead of caring for them but, again, the two words have become synonymous to me and I don’t care one way or another what we call the patients/clients.