Briefly describe humanistic-existential psychotherapy and the second approach you selected
Briefly describe humanistic-existential psychotherapy and the second approach you selected Assignment Comparing Humanistic-Existential Psychotherapy with Other Approaches Understanding the strengths of each type of therapy and which type of therapy is most appropriate for each patient is an essential skill of the psychiatric-mental health nurse practitioner. In this Assignment, you will compare humanistic-existential therapy to another psychotherapeutic approach. You will identify the strengths and challenges of each approach and describe expected potential outcomes. To prepare: Review the humanistic-existential psychotherapy videos in this week’s Learning Resources. Reflect on humanistic-existential psychotherapeutic approaches. Then, select another psychotherapeutic approach to compare with humanistic-existential psychotherapy. The approach you choose may be one you previously explored in the course or one you are familiar with and especially interested in. The Assignment In a 2- to 3-page paper, address the following: Briefly describe humanistic-existential psychotherapy and the second approach you selected. Explain at least three differences between these therapies. Include how these differences might impact your practice as a PMHNP. Focusing on one video you viewed, explain why humanistic-existential psychotherapy was utilized with the patient in the video and why it was the treatment of choice. Describe the expected potential outcome if the second approach had been used with the patient. Support your response with specific examples from this week’s media 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. Expert Answer and Explanation Comparing Humanistic-Existential Psychotherapy Healthcare is constantly facing different changes as it progresses from one form of care to the other. Mental health is one of the entities in nursing that require the use of multiple interventions in order to prevent multiple issues (Heidenreich et al., 2021). Therapists make use of the DSM-5 to identify the different diagnoses that can be used in relation to the issues affecting the patient. This article will compare humanistic-existential psychotherapy with cognitive-behavioral therapy. Treatment Approaches Also abbreviated as HEP, humanistic existential psychotherapy is among the most common types of psychotherapy used to intervene for patients dealing with mental illness. The use of humanistic-existential psychotherapy is aimed at enabling the patient to know their characteristics and the aspects that differentiate them from the rest of the world (Heidenreich et al., 2021). Therapists have the capacity to use the approach to offer motivation to the patient. Additionally, the approach can also be used in the identification of the different areas of concern that might be affecting the patient. The therapist is able to ensure that the client has discovered their unique traits and what makes them stand out from the crowd. The use of humanistic-existential psychotherapy is important as it makes the patient become aware of their traits and how they can improve the areas that are affected or causing harm (Heidenreich et al., 2021). The basic premise of human existential therapy is that it can be used to ensure the patients overcome their imposed fears or limitations. With great ability to be aware of personal convictions, the patient can be guided to acquire an in-depth understanding of their innate life goals. The second approach that can be used to provide psychotherapy to a patient is cognitive-behavioural therapy (CBT). This approach is also one of the most common modes of interventions used in providing medical attention to patients with mental disorders (David et al., 2021). The CBT approach focuses on the thought processes of a person as well as the physical behaviors. These methods are critical as they work together to reduce the severity of the patient’s symptoms. In this regard, CBT addresses how a person’s cognitive abilities or thought process can positively or negatively affect their external behaviors. In this regard, the method can be used to offer treatment or identify the various issues that might be affecting the patient. A patient being treated with CBT is able to identify their behavior, thought process, and how one leads to the other (David et al., 2021). The role of the therapist is to help the patient in the identification of their cognitions and behaviors and later link how one is related to the other. Correlation Between CBT and HEP While the two approaches are used to help patients deal with their mental issues, they have different similarities and differences. The main difference between the two treatment approaches is that HEP analyzes the uniqueness of a patient, while CBT measures the behaviors and thought processes (David et al., 2021). These two interventions help the patient deal with different issues that might affect their mental state. For instance, HEP can be used to offer medical aid to patients with self-esteem issues, while CBT can best be used to help patients dealing with substance abuse or addiction. The other difference that the two approaches have is that CBT what the patient can alter or change while HEP helps the patient to understand their personal beliefs and convictions. These differences are from the premise within which the therapists can help the patients meet the different requirements of care. Additionally, HEP is focused on the abilities of the patients, while CBT focuses on the actions or how the patient responds to different issues within society. The PMHNP can best benefit from this approach as they help deal with the different issues that might affect the quality of patient care (Yılmaz et al., 2019). A PMHNP can decide on the best approach to use and how to ensure the patient receives the best available care. Overview of the Video The video addresses a patient suffering from anger, constrictions, and having challenges with understanding their personal feelings. These symptoms depict the challenges that the patient has with regards to self-awareness and correlating with the environment around them (PsychotherapyNet, 2009). In this regard, the best available approach that the PMHNP can use on the patient is to apply the HEP treatment. The approach would be essential in ensuring that the patient is informed of their uniqueness and how it makes them stand out
Assignment Legislation Comparison Grid and Testimony/Advocacy Statement
Assignment Legislation Comparison Grid and Testimony/Advocacy Statement Assignment Legislation Comparison Grid and Testimony/Advocacy Statement As a nurse, how often have you thought to yourself, If I had anything to do about it, things would work a little differently? Increasingly, nurses are beginning to realize that they do, in fact, have a role and a voice. Many nurses encounter daily experiences that motivate them to take on an advocacy role in hopes of impacting policies, laws, or regulations that impact healthcare issues of interest. Of course, doing so means entering the less familiar world of policy and politics. While many nurses do not initially feel prepared to operate in this space effectively, the reward is the opportunity to shape and influence future health policy. To Prepare: Select a bill that has been proposed (not one that has been enacted) using the congressional websites provided in the Learning Resources.( https://www.congress.gov/) The Assignment: (1- to 2-page Comparison Grid; 1- to 2-page Legislation Testimony/Advocacy Statement) Part 1: Legislation Comparison Grid Based on the health-related bill (proposed, not enacted) you selected, complete the Legislation Comparison Grid Template. Be sure to address the following: Determine the legislative intent of the bill you have reviewed. Identify the proponents/opponents of the bill. Identify the target populations addressed by the bill. Where in the process is the bill currently? Is it in hearings or committees? Is it receiving press coverage? Part 2: Legislation Testimony/Advocacy Statement Based on the health-related bill you selected, develop a 1- to 2-page Legislation Testimony/Advocacy Statement that addresses the following: Advocate a position for the bill you selected and write testimony in support of your position. Describe how you would address the opponent to your position. Be specific and provide examples. Recommend at least one amendment to the bill in support of your position. Expert Answer and Explanation Legislation Testimony/Advocacy Statement Part 1: Legislation Comparison Grid Health-related Bill Name H.R. 3 – The Lower Drug Costs Now Act Bill Number H.R. 3 Description The Bill develops various requirements and programs relating to offering prices to prescription drugs. Also, the bill wants to give power to the US government to negotiate drug prices with private companies for Medicare recipient. Federal or State? This bill is meant to affect the federal government, and thus it is a federal bill. Legislative Intent The prices of prescription drugs are so high. According to a report by the speaker of the house, Nancy Pelosi, big pharmaceutical companies in the US have raised the prices of the drugs 10 times higher than how the drugs are sold outside the US (Pelosi, n. d). Also, the report mentions that the firms make huge profits even though they sell the same drugs outside the US for lower prices. For instance, in the US, the cost of insulin drugs is ten times much higher than the cost of the same drugs in the UK, France, or Germany. The cost of the drugs has increased drastically since 1990s (Sterling, 2018). The current laws forbid Medicare from negotiating drug prices. The intention of H.R. 3, the Elijah E. Cummings Lower Drug Costs Now Act is to grant Medicare power to negotiate the drug prices in a move to reduce the cost of drugs in the country. Proponents/ Opponents Proponents: The proponents of the bill are house democrats. All the democrats in the house unanimously voted for the bill. In addition, Jaime Herrera Beutler and Brian Fitzpatrick also jointed the democrats in supporting the bill. According to Zhou (2019), out of 422 representatives, 230 passed the bills. Opponents: The bill was opposed by house republicans. However, two of the republicans supported the bill along with the democrats (Benen, 2019). Apart from the house republicans, the White House led by president Donald Trump and the Senate Republicans have also opposed the bill. Target Population The bill targets people with chronic diseases such as diabetes. When the bill will become law, the prices of prescription drugs will reduce because the government will now have the power to negotiate of behalf of Medicare recipients. Status of the bill (Is it in hearings or committees? Is it receiving press coverage?) The bill has been discussed in the house of the representatives and passed. Currently, the bill is an act that will be submitted in the house of senate for further discussions and reviews. The American media has given the bill fair coverage because it affects their health. After the bill was passed in the house of representatives, the speaker of the house gave a press conference about the bill and what she expects the senate to do about it. General Notes/Comments This bill will change the healthcare system by providing Medicare with power to develop tools that the institution can use to force drug companies to reduce the price of drugs. As a result, the bill will ensure that people with chronic conditions get regular access to their prescriptions. Part 2: Legislation Testimony/Advocacy Statement My Position for the Bill As a nurse I support the H.R. 3, the Elijah E. Cummings Lower Drug Costs Now Act bill due to the following reasons. First, the bill will make the work of nurses easy. Horvath and Anderson (2019) mention that a nurse has a responsibility of ensuring that his or her patient is given quality care. However, the current prices of prescription drugs prevent nurses from delivering on their mandates. The nurses find it hard to provide care because their patients do have access to prescription drugs due to the high prices. Second, the bill will allow the reinvestment in researches and innovations for new treatments and cure. The savings that will be collected after reducing the prices of drugs will be used in supporting evidence-based innovations and researches to improve healthcare service delivery. The bill is in the favor of Americans. It will prevent the drug companies from raising the price of prescription drugs in the country will reducing the price in countries outside the
Planning is the key to successful completion of this course and program-related objectives
Planning is the key to successful completion of this course and program-related objectives Individual Success Plan (ISP) Planning is the key to successful completion of this course and program-related objectives. The Individual Success Plan (ISP) assignment requires early collaboration with the course faculty and your course preceptor. Students must establish a plan for successful completion of The required 50 community direct clinical practice experience hours, 50 leadership direct clinical practice hours, and 25 indirect clinical experience hours. Completion of work associated with program competencies. Work associated with completion of the student’s capstone project change proposal. Students will use the “Individual Success Plan” to develop an individual plan for completing practice hours and course objectives. As a part of this process, students will identify the number of hours set aside to meet course goals. Student expectations and instructions for completing the ISP document are provided in the “NRS-493 Individual Success Plan” resource, located in the Study Materials and in the assignment instructions. Students should apply concepts from prior courses to critically examine and improve their current practice. Students are expected to integrate scholarly readings to develop case reports that demonstrate increasingly complex and proficient practice. After the ISP has been developed by the student and approved by the course faculty, students will initiate a preconference with the faculty and preceptor to review the ISP. You are not required to submit this assignment to LopesWrite. EXPERT ANSWER AND EXPLANATION NRS-493 Individual Success Plan REQUIRED PRACTICE HOURS: 100 Direct Clinical Experience (50 hours community/50 hours leadership) – 25 Indirect Clinical Experience Hours. P R A C T I C E E X P E R I E N C E Complete Contact Information Student Information GCU Name: E-mail: Phone Number: Course Faculty Information GCU Name: E-mail: Phone Number: Practicum Preceptor Information Practice Setting Name: E-mail: Phone Number: ISP Instructions Use this form to develop your Individual Success Plan (ISP) for NRS-493, the Professional Capstone and Practicum course. An individual success plan maps out what you, the RN-to-BSN student, needs to accomplish in order to be successful as you work through this course and complete your overall program of study. You will also share this with your preceptor at the beginning and end of this course so that he or she will know what you need to accomplish. In this ISP, you will identify all of the objectives and assignments relating to the 100 direct clinical practice experience hours and the 25 indirect clinical practice hours you need to complete by the end of this course. Use this template to specify the date by which you will complete each assignment. Your plan should include a self-assessment of how you met all applicable GCU RN-to-BSN Domains & Competencies (see Appendix A). General Requirements Use the following information to ensure successful completion of each assignment as it pertains to deliverables due in this course: Use the Individual Success Plan to develop a personal plan for completing your clinical practice experience hours and self-assess how you will meet the GCU RN-to-BSN University Mission Critical Competencies and the Programmatic Domains & Competencies (Appendix A) related to that course. Show all of the major deliverables in the course, the topic/course objectives that apply to each deliverable, and lastly, align each deliverable to the applicable University Mission Critical Competencies and the course-specific Domains and Competencies (see Appendix A). Completing your ISP does not earn clinical practice experience hours, nor does telephone conference time, or time spent with your preceptor. Within the Individual Success Plan, ensure you identify all graded course assignments and indirect clinical assignments listed in the table on the next page. Topic Graded Assignment Indirect Clinical Assignments Topic 1 Individual Success Plan Reflection Journal Entry List of potential topics for the change proposal Topic 2 Topic Selection Approval Paper Reflection Journal Entry Search the literature for supporting journal articles Summary of topic category; community or leadership Topic 3 PICOT Question Paper Reflection Journal Entry List of objectives Topic 4 Literature Evaluation Table Reflection Journal Entry List of measurable outcomes Topic 5 Reflection Journal Entry Summary of the strategic plan Midterm Evaluation Tool Topic 6 Literature Review Table Reflection Journal Entry List of resources Topic 7 Reflection Journal Entry Summary of the evaluation plan Remediation-if required Topic 8 Benchmark Written Capstone Project Change Proposal Reflection Journal Entry Topic 9 Reflection Journal Entry Professional Presentation Topic 10 Finalized ISP Scholarly Activity Summary Benchmark-Reflection Journal Summary Summary of presentation Final Clinical Evaluation Tool Practice Clinical Evaluation Tool-Agency Practice Clinical Evaluation Tool-Preceptor Application-based Learning Course Assignments List of Current Course Objectives Assignment Date Due Self-Assessment: Programmatic Domains & Competencies (see Appendix A) Self-Assessment: GCU RN-to-BSN University Mission Critical Competencies (see Appendix A) Date Assignment Completed Week 1 Identification of course mentor and selecting topics for the proposed capstone change project. Writing the reflective journal about the topics selected. Identify and analyze problems and issues within hospital care and opportunities for improvement. The issues will be analyzed through the help of the course mentor. Research to identify issues or problems in the pediatric care that can be changed in a move to improve patient outcomes, satisfaction, and intervention efficiencies. Examining the significance and implication of the healthcare issue or problem to nursing practice. Reflecting on the topic and identifying how it can be used to improving nursing profession 15th 06 2023 10 hrs. Domains-1.1, 1.2, 1.3, 1.4, 2.1, 2.2, 2.3,2.4 3.1, 3.2 Competences 5.1, 5.2, and 5.3 Week 2 Topic selection and project approval Conducting study to identify the most pressing issues in the pediatric care unit and understanding the nursing role in improving the situation in the department. Determine evidence-based solutions that address patient-care or clinical practice quality problems or issues Demonstrate values consistent with the role of a nursing professional through fundamental knowledge and advanced skills. 22nd 06 2023 10 hrs. MC 1,2, and 3. Domain 1,2,3, and 4 Competencies 3.1,3.2,4.1,4.3 Week 3 PICOT question development assignment Reflective journal about the PICOT assignment Developing a research question that
Post your PICO(T) question, the search terms used, and the names of at least two databases used for your PICO(T) question
Post your PICOT question the search terms used, and the names of at least two databases Discussion: Searching Databases When you decide to purchase a new car, you first decide what is important to you. If mileage and dependability are the important factors, you will search for data focused more on these factors and less on color options and sound systems. The same holds true when searching for research evidence to guide your clinical inquiry and professional decisions. Developing a formula for an answerable, researchable question that addresses your need will make the search process much more effective. One such formula is the PICO(T) format. In this Discussion, you will transform a clinical inquiry into a searchable question in PICO(T) format, so you can search the electronic databases more effectively and efficiently. You will share this PICO(T) question and examine strategies you might use to increase the rigor and effectiveness of a database search on your PICO(T) question. To Prepare: Review the materials offering guidance on using databases, performing keyword searches, and developing PICO(T) questions provided in the Resources. Review the Resources for guidance and develop a PICO(T) question of interest to you for further study. By Day 3 of Week 4 Post your PICO(T) question, the search terms used, and the names of at least two databases used for your PICO(T) question. Then, describe your search results in terms of the number of articles returned on original research and how this changed as you added search terms using your Boolean operators. Finally, explain strategies you might make to increase the rigor and effectiveness of a database search on your PICO(T) question. Be specific and provide examples. Expert Answer and Explanation Searching Databases The PICOT Question Chronic diseases have become common among the ageing population, and hence developing a PICOT question for them can aid in improving the intervention (Pérez-Jover et al., 2018). The target patients for the intervention is chronic disease patients aged above 65 years. The interventions targeted are therapies and medications for these diseases they have. The comparison is having a different line of therapy or lack of treatment completely. The outcome is reduced presentation of symptoms by the patients. The time element is a period of 12 months in which the patient progress is expected to be monitored. The PICOT question therefore reads as follows, ‘What is the impact of implementing telehealth systems in the medication and therapy on the reduction of symptoms of chronic disease patients aged above 65 years for a period of 12 months?’ Databases Used for the PICOT Question There are several databases that could be used to search for information regarding health topics. Since this specific problem involves the use of therapy programs and medication, nursing databases are the most suitable for searching for this kind of information. The CINAHL database is the first candidate, as it is known to have numerous collection of nursing articles, which are summary of evidence since the 1940s (Hopia & Heikkilä, 2020). MEDLINE is also used in this search as it contains articles with a broad range of medical topics. Also, both databases are easily accessible. Search Results in Original Search and After Adding Boolean Operators In the original search, the search results had a broad range of sources that could be crucial in getting much of the background information about the topic in question. These broad sources, however, could not help in getting specific information that is required in decision making for the issue in question. After adding Boolean operators, the search was more refined, as it was easier to find specific information about the database (Usuzaki et al., 2020). Also, the fact that these Boolean operators could help in getting specific results helped to reduce the time taken to get the specific information from the databases (Usuzaki et al., 2020). Among the Boolean operators that were used were OR, NOT, and AND. Strategies to Increase the Rigor of a Database Search on my PICOT Question Among the strategies that can be used to improve the rigor of a database is searching more than one database. While it is likely that much of the information from searching one concept in two databases will be same, it is always likely that one database could have an additional influential finding. Another strategy is combining the search using Boolean operators, which helps to have a broader or narrower search depending on the intentions of the researcher. Also, for one to improve the rigor of a search in a database, it is crucial that they constantly revise their search strategy if they realize that one is not giving the desirable results (Coordinators, 2017). Most importantly, researchers should have information about some of the basic database rules that could have a large implication on their findings. For example, if a database requires that a researcher performs the search using a specific search strategy, it is likely that employing that search strategy could help to reveal more outcomes of the database. References Coordinators, N. R. (2017). Database resources of the national center for biotechnology information. Nucleic acids research, 45(Database issue), D12. Hopia, H., & Heikkilä, J. (2020). Nursing research priorities based on CINAHL database: A scoping review. Nursing Open, 7(2), 483-494. Pérez-Jover, V., Mira, J. J., Carratala-Munuera, C., Gil-Guillen, V. F., Basora, J., López-Pineda, A., & Orozco-Beltrán, D. (2018). Inappropriate use of medication by elderly, polymedicated, or multipathological patients with chronic diseases. International journal of environmental research and public health, 15(2), 310. Usuzaki, T., Shimoyama, M., Chiba, S., Mori, N., & Mugikura, S. (2020). A Method Expanding 2 by 2 Contingency Table by Obtaining Tendencies of Boolean Operators: Boolean Monte Carlo Method. arXiv preprint arXiv:2002.04721. Place your order now on the similar assignment and get fast, cheap and best quality work written from scratch by our expert level assignment writers. Limited Offer: Get 30% Off On Your First Order FAQs Which electronic database is appropriate to search for evidence-based research for clinical problems? An appropriate electronic database to search for evidence-based research for clinical problems is PubMed. It offers access
Learning styles represent the different approaches to learning based on preferences, weaknesses, and strengths. For learners to best achieve the desired educational
Learning styles represent the different approaches to learning based on preferences, weaknesses, and strengths. For learners to best achieve the desired educational Learning styles represent the different approaches to learning based on preferences, weaknesses, and strengths. For learners to best achieve the desired educational outcome, learning styles must be considered when creating a plan. Complete “The VARK Questionnaire,” located on the VARK website, and then complete the following: Click “OK” to receive your questionnaire scores. Once you have determined your preferred learning style, review the corresponding link to view your learning preference. Review the other learning styles: visual, aural, read/write, kinesthetic, and multimodal (listed on the VARK Questionnaire Results page). Compare your current preferred learning strategies to the identified strategies for your preferred learning style. Examine how awareness of learning styles has influenced your perceptions of teaching and learning. In a paper (750–1,000 words), summarize your analysis of this exercise and discuss the overall value of learning styles. Include the following: Provide a summary of your learning style according the VARK questionnaire. Describe your preferred learning strategies. Compare your current preferred learning strategies to the identified strategies for your preferred learning style. Describe how individual learning styles affect the degree to which a learner can understand or perform educational activities. Discuss the importance of an educator identifying individual learning styles and preferences when working with learners. Discuss why understanding the learning styles of individuals participating in health promotion is important to achieving the desired outcome. How do learning styles ultimately affect the possibility for a behavioral change? How would different learning styles be accommodated in health promotion? Cite to at least three peer-reviewed or scholarly sources to complete this assignment. Sources should be published within the last 5 years and appropriate for the assignment criteria. Prepare this assignment according to the guidelines 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. A link to the LopesWrite technical support articles is located in Course Resources if you need assistance. Expert Answer and Explanation VARK Questionnaire Analysis The VARK questionnaire is a learning style assessment tool that was developed by Neil Fleming in 1987 (VARK Learn Limited, 2023a). The acronym VARK stands for Visual, Auditory, Reading/Writing, and Kinesthetic, which represent the four main learning modalities or styles. The primary design of the questionnaire is to help individuals understand their preferred learning style(s) and use this knowledge to enhance their learning experience. The VARK questionnaire consists of 16 multiple-choice questions that assess an individual’s preferred mode(s) of learning. The relevance of the VARK questionnaire lies in its ability to help individuals tailor their learning strategies and techniques to their preferred learning style(s), resulting in more effective and efficient learning outcomes (VARK Learn Limited, 2023a). Understanding one’s learning style can also help individuals communicate better with educators and peers and improve teamwork and collaboration in various settings. This paper will focus on my personal VARK results and how they are in line with my learning outcomes. Summary of Learning Styles The results from the VARK questionnaire shows my scores as Visual 5, Aural 6, Read/Write 2, Kinesthetic 14. Based on the VARK results, it appears that my preferred learning style is Kinesthetic. A very strong kinesthetic means I learn best through physical activities and experiences. I also tend to prefer hands-on learning, such as performing experiments, engaging in role-play, and using practical applications. Additionally, the learning style also is also related to my preference to move around while learning or take frequent breaks to avoid feeling restless or bored. On the other hand, I may find it challenging to learn through traditional methods such as lectures or reading. Inclusion of movement and tactile experiences into my learning can help me retain information more effectively. Preferred Learning Strategies My preferred learning strategy is through movement, and hands-on experiences which makes me a strong kinesthetics learner. As a kinesthetic learner, I benefit more from activities that involve manipulating objects or using their bodies to explore concepts. Kinesthetic learners tend to prefer learning through practical applications. The practical aspects could mean applying concepts to real-world problems or using technology and multimedia to engage in virtual simulations. I also tend to learn better when I am moving. Movement could mean taking frequent breaks to stretch or walk around or incorporating physical movement into learning activities, such as using hand gestures to represent ideas. Unlike other learning styles that are either based on auditory or visuals, Kinesthetic learners enjoy engaging in activities that allow them to experience concepts firsthand. For instance, I can learn better through role-playing, acting out scenarios, or participating in debates as a means to retain more information. Since I am a Kinesthetic learner, it is essential to tailor my learning strategies to my preferences. Over time, I have learned that I benefit more from incorporating movement into my learning activities or engaging in hands-on activities to reinforce concepts. Additionally, I realized that virtual simulations or practical applications can help me to retain information more effectively than traditional methods like reading or lectures. Impacts of Learning Style Individual learning styles can significantly impact the ability of a learner to understand and perform educational activities. Each learner has a unique set of preferences and tendencies, and catering to these preferences can improve their engagement, motivation, and overall learning outcomes. For instance, a Kinesthetic learner may struggle to grasp abstract concepts presented through traditional lectures or reading materials but may excel when given hands-on learning activities or practical applications (VARK Learn Limited, 2023). It is therefore crucial for educators to identify individual learning styles and preferences when working with learners to ensure that they can create effective learning environments that cater to each student’s needs. This approach can improve the understanding and performance of a learner, leading to better academic outcomes and greater satisfaction with the learning process. A definitive and better learning style can support a more inclusive and supportive learning environment where learners feel seen, heard, and valued, ultimately improving their overall educational experience. Learning Styles for Better Health Promotion Understanding the learning styles of individuals participating in health promotion is essential to achieving the desired outcomes (Chholak et al., 2019). Different individuals have distinct learning styles, and catering to these preferences can improve their understanding and retention of information and increase the likelihood of achieving
Provide a summary of your learning style according the VARK
Provide a summary of your learning style according the VARK questionnaire. Describe your preferred learning strategies Learning styles represent the different approaches to learning based on preferences, weaknesses, and strengths. For learners to best achieve the desired educational outcome, learning styles must be considered when creating a plan. Complete “The VARK Questionnaire,”( http://vark-learn.com/the-vark-questionnaire/ ) located on the VARK website, and then complete the following: Click “OK” to receive your questionnaire scores. Once you have determined your preferred learning style, review the corresponding link to view your learning preference. Review the other learning styles: visual, aural, read/write, kinesthetic, and multimodal (listed on the VARK Questionnaire Results page). Compare your current preferred learning strategies to the identified strategies for your preferred learning style. Examine how awareness of learning styles has influenced your perceptions of teaching and learning. In a paper (750‐1,000 words), summarize your analysis of this exercise and discuss the overall value of learning styles. Include the following: Provide a summary of your learning style according the VARK questionnaire. Describe your preferred learning strategies. Compare your current preferred learning strategies to the identified strategies for your preferred learning style. Describe how individual learning styles affect the degree to which a learner can understand or perform educational activities. Discuss the importance of an educator identifying individual learning styles and preferences when working with learners. Discuss why understanding the learning styles of individuals participating in health promotion is important to achieving the desired outcome. How do learning styles ultimately affect the possibility for a behavioral change? How would different learning styles be accommodated in health promotion? Cite to at least three peer‐reviewed or scholarly sources to complete this assignment. Sources should be published within the last 5 years and appropriate for the assignment criteria. Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required. 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. Please refer to the directions in the Student Success Center. Expert Answer and Explanation My Learning Style The ability of people to acquire knowledge differs across different personalities and environments. The learning styles and techniques of someone may be a combination of different styles that could be applied over a wide range of circumstances (Truong, 2016). Regardless of one’s physical presentation, it is necessary to learn that they can develop specific styles of learning in response to present needs. In most schools, the curriculum employed allows learners to use their styles of choice including book-based learning, tutorials, class discussions, as well as exams. Recognizing one’s own learning styles improves the speed and the quality of learning they experience in different environments. Summary of My Learning Style According to the VARK Questionnaire According to the VARK questionnaire, my learning preference is Multimodal, whereby I prefer learning concepts using multiple methods or channels of communication. Among these different ways, my largest preference is Kinesthetic, as I had the highest scores in the category. Kinesthetic learning implies that I prefer using my hands, body, and sense of touch when learning. From the results, it is clear that people with my preference like to use different formats of information such as maps, graphs, and diagrams (Truong, 2016). They also like using discussions, listening, questioning, and taking notes, practical exercises, as well as experiences. Most importantly, they like using things that are real such as case studies in understanding various concepts that boost their learning experience. Fig 1. A screenshot of my scores from the VARK website. My preferred mode of learning is multimodal, with kinesthetic being the highest choice (The VARK Questionnaire, 2019). My Preferred Learning Strategies Among the strategies I prefer in learning include class discussions as well as class lectures that have illustrative diagrams. This relates to my learning style as it is a connection of different styles to achieve one mixture of methods. The main reason why I prefer class discussions is because they allow one to express themselves to class colleagues (and other people horizontally- with common level of education) about their learning experience. Illustrative diagrams also allow one to grasp the concept without much difficulty. How Learning Styles Can Affect the Degree of Performance in Educational Activities Learning styles affect the degree of performance in educational activities in that the better the learning style, the greater the performance. People who have not learnt how to integrate their learning styles with the educational activities find it hard improving the performance in the learning forums that they are involved in (Willingham, Hughes, & Dobolyi, 2015). When working with learners, educators should investigate their individual learning styles as they would understand the most applicable techniques when imparting them with knowledge, and this can greatly improve the learning outcomes. Why Understanding the Learning Styles of Individuals Involved in Health Promotion is Important Health promotion is a marketing strategy in which marketers or members of healthcare units attempt to increase the likelihood of health products becoming more popular among members of the public (Bokhari & Zafar, 2019). Just like teachers and lecturers, individuals participating in such campaign have the goal of increasing the knowledge of various products in a positive way to the members of the public. They can achieve the results through implementing practices and lessons that directly or indirectly result to behavior change and subsequent demand of the health products. Learning styles of the recipients of health promotional material can affect behavior change in that the more the promoter is aware of the recipient’s learning style, the higher the likelihood of changing their behavior (Bokhari & Zafar, 2019). People with a greater coincidence of learning styles knowledge have a higher likelihood of achieving positive results. Behavior change is also accomplished more easily when health promoters have the potential to quickly recognize the effect of their techniques on behavior change. Different learning styles can be accommodated in
Provide two different examples of how research uses hypothesis testing, and describe the criteria for rejecting the null hypothesis
Provide two different examples of how research uses hypothesis testing, and describe the criteria for rejecting the null hypothesis. Topic 3 DQ 1 Provide two different examples of how research uses hypothesis testing, and describe the criteria for rejecting the null hypothesis. Discuss why this is important in your practice and with patient interactions. Topic 3 DQ 2 Evaluate and provide examples of how hypothesis testing and confidence intervals are used together in health care research. Provide a workplace example that illustrates your ideas. Expert Answer and Explanation Topic 3 DQ 1: Hypothesis Testing The aspect of hypothesis testing refers to the process of creating inferences or otherwise referred to as educated guesses concerning a specific research parameter. Hypothesis testing can be conducted either through the use of uncontrolled observational study or statistics and sample data (Mellenbergh, 2019). Prior to testing a hypothesis, it is essential to come up with the degree of statistical significance in the hypothesis since a researcher cannot be 100 percent on the educated guess. An example of the use of hypothesis testing is in determining the prevalence of common cold in children who take vitamin C. The null hypothesis would state that the prevalence of flu in children who take vitamin C is similar to those who don’t take vitamin C. the alternative hypothesis would be that children with the uptake of vitamin C have a reduced prevalence of flu in flu seasons. Another example would be research to identify if therapy is more effective than a placebo. In order to reject the null hypothesis, a redetermined number of subjects among the hypothesis test have to prove the alternative hypothesis. The proof will then overturn the original null hypothesis, which will then be rejected. Hypothesis testing is an important aspect of statistics and research as it provides a basis for understanding whether something actually occurred or if certain groups or sets of data are different from each other (Dubois, 2017). Hypothesis testing also helps in identifying if an aspect of the research has more positive effects or if a variable can predict another to form a basis for defining a conclusion. With the help of the calculated probability (p-value), one can easily determine the inclination of the research based on either the null hypothesis of the alternative hypothesis. References Dubois, S. (2017). The Importance of Hypothesis Testing. (2020). Retrieved 18 May 2020, from https://sciencing.com/the-importance-of-hypothesis-testing-12750921.html Mellenbergh, G. J. (2019). Null Hypothesis Testing. In Counteracting Methodological Errors in Behavioral Research (pp. 179-218). Springer, Cham. https://link.springer.com/book/10.1007/978-3-030-12272-0 Topic 3 DQ 2: Hypothesis Testing and Confidence Intervals Hypothesis tests and confidence intervals are related in the sense that they both are inferential methods that are based on an approximated sampling distribution. The hypothesis tests make use of data from a given sample to test the predetermined hypothesis (Sacha & Panagiotakos, 2016). On the other hand, confidence intervals make use of data from the sample to provide an estimate of the population parameter. In this manner, it is evident that the simulation methods that are used in the construction of the bootstrap distribution, as well as the randomization distributions, are identical. Confidence intervals are made up of a range of reasonable estimations concerning population parameters. For instance, a two-tailed confidence interval is applied in a two-tailed hypothesis testing. In health care research, a confidence level of 95 percent is mostly used. The level indicates the significance of health research with regards to being precise and accurate with health care data (Hazra, 2017). For instance, while conducting research on the effect of therapy or medication on patients with mental health conditions. The calculation of the p-value will allow the researcher to achieve the results of the null hypothesis. With a low p-value, a researcher is able to comprehend that there is stronger support for the alternative hypothesis. In the workplace setting, research can be conducted on the impacts of evidence-based practice on patient outcomes. Hypothesis testing will facilitate the identification of educated guesses, while the confidence interval will provide a basis for the statistical confidence level that will be used in the research (Sacha & Panagiotakos, 2016). The research will then be used to provide a recommendation for the viability of the EBP. References Hazra A. (2017). Using the confidence interval confidently. Journal of thoracic disease, 9(10), 4125–4130. https://doi.org/10.21037/jtd.2017.09.14 Sacha, V., & Panagiotakos, D. B. (2016). Insights in Hypothesis Testing and Making Decisions in Biomedical Research. The open cardiovascular medicine journal, 10, 196–200. https://doi.org/10.2174/1874192401610010196 Alternative Expert Answer and Explanation Topic 3 DQ 1 How Research Uses Hypothesis Testing And Criteria For Rejecting the Null Hypothesis Hypothesis testing is a statistical method commonly used in research to give interpretations about populations based on the sampled data. It is crucial to researchers as it determines whether there is sufficient evidence to either reject or support a hypothesis (Stunt et al., 2021). In hypothesis testing, two hypotheses are the null hypothesis and the alternative hypothesis (Bahrampour et al., 2022). The criteria for rejecting the null hypothesis have been explained in the examples of how research can use hypothesis testing. A good example of hypothesis testing is when a pharmaceutical company is testing a new drug with the argument that it is more effective in treating a given medical condition as compared to an existing drug. The hypotheses for the study can be: Null hypothesis: The new drug is as effective as the existing drug. Alternative Hypothesis: The new drug is more effective as compared to the existing drug. Another example of hypothesis testing is psychological research where hypothesis testing can be integral in determining the effects of a particular intervention. A hypothesis can state: Null hypothesis: This therapy does not show a difference in anxiety levels before and after therapy. Alternative hypothesis: The therapy contributed to a reduction in anxiety levels after therapy. To reject the null hypothesis the pharmaceutical company can set a significant level of 0.05 which is mostly used. After conducting the study and after data analysis, if the probability value associated with the test is less or equal to 0.05 then the null
In a 4 to 5 page project proposal written to the leadership of your healthcare organization, propose a nursing informatics project for your organization that you advocate to improve – Fast, Quality and Affordable Assignment Expert
In a 4 to 5 page project proposal written to the leadership of your healthcare organization, propose a nursing informatics project In the Discussion for this module, you considered the interaction of nurse informaticists with other specialists to ensure successful care. How is that success determined? Patient outcomes and the fulfillment of care goals is one of the major ways that healthcare success is measured. Measuring patient outcomes results in the generation of data that can be used to improve results. Nursing informatics can have a significant part in this process and can help to improve outcomes by improving processes, identifying at-risk patients, and enhancing efficiency. To Prepare: Review the concepts of technology application as presented in the Resources. Reflect on how emerging technologies such as artificial intelligence may help fortify nursing informatics as a specialty by leading to increased impact on patient outcomes or patient care efficiencies. The Assignment: (4-5 pages) In a 4 to 5 page project proposal written to the leadership of your healthcare organization, propose a nursing informatics project for your organization that you advocate to improve patient outcomes or patient-care efficiency. Your project proposal should include the following: Describe the project you propose. Identify the stakeholders impacted by this project. Explain the patient outcome(s) or patient-care efficiencies this project is aimed at improving and explain how this improvement would occur. Be specific and provide examples. Identify the technologies required to implement this project and explain why. Identify the project team (by roles) and explain how you would incorporate the nurse informaticist in the project team. Expert Answer and Explanation Nursing Informatics Project The Impact of Nursing Informatics on Patient Outcomes and Patient Care Efficiencies Among the ways that informatics has helped to transform care is improved documentation systems, where care providers can easily access important patient and staff information that leads to coordinated care. The introduction of nurse informatics also helps to improve the processes in care and hence to generate improved care outcomes (Robert, 2019). Also, with informatics, healthcare givers can identify at-risk patients in a timely fashion and give them more priority to care. Description of Proposed Project: The Integration of Artificial Intelligence in Nurse Informatics Artificial intelligence, commonly known as AI, is the simulation of intelligence of humans to machines to make these machines adopt human functions. Over the years, there have been improvement of the AI functions as technologies continue improving. Today AI applications include but are not limited to speech recognition, machine vision, natural language processing, and expert systems. Healthcare implements AI by using complex software and algorithms to interpret and comprehend complex medical data (Clancy, 2020). The fact that AI uses technologies that can gain information and process it to refined outputs means that it can have limitless applications in healthcare. In this project, the implementation of AI in the field of nurse informatics is closely examined. Stakeholders Impacted by the Project There are several stakeholders who are impacted by the project, with the patients being on the first line. Most of the actions in the project involve patient care, as the objective of the project is to improve the patient care outcomes. The second most impacted stakeholders are the healthcare givers and specifically the nurses, who also play a crucial role in coordinating patient care with other healthcare givers. Nurses are the individuals who are in contact with the patients for the longest periods hence it becomes easy to monitor them. Patient families are also influential stakeholders in this project as much of the actions will require their consent as well as their opinion output on the options available. Regulators will also take a primary position in the project, especially because machine learning and other elements of artificial intelligence can also have drastic patient outcomes if reckless researchers or healthcare providers are allowed to take the center-stage in implementing non-proven measures. Lastly, the healthcare financiers will be part of the stakeholders since AI is an expensive field that requires strategic financing. Patient Outcomes or Patient Care Efficiencies that the Project is aimed at Improving The first patient outcome that the project is aimed at improving is the diagnostic procedures of care. Through application of AI in nursing informatics, nurses can efficiently perform nursing diagnoses to improve the detection of the presence of absence of disease and determine the best care operations for specific patents. Among the diseases that can be efficiently diagnosed using AI is cardiovascular disease and diabetes, which are among the leading causes of mortality worldwide. AI is also expected to help in the integration of telehealth in the care of patients. Telemedicine or telehealth helps in monitoring of patient information using strategic and remote techniques, and using automated means. It allows patients with chronic conditions to have long contact with the healthcare providers regardless of the physical barriers (Erikson & Salzmann-Erikson, 2016). Using AI in telehealth improves the efficiency of administration of drugs, as patients can consult physicians at their convenience of their homes. Also, these programs allow the education and advice of patients, remote admissions, as well as constant monitoring. The project is also aimed at showing the relevant drug interactions that could help the patients achieve synergy of the drugs and improve the effects. Also, in the same way, AI technology can help to identify lethal interactions that could lead to risking of the patients’ lives. Specifically, the project helps patients to identify the most suitable options when it comes to drug administration. It is easy to find that most chronic disease patients experience polypharmacy, and they are confused whether taking an additional drug would lead to improved outcomes. With AI, healthcare givers do not have to take multiple lab tests to determine the suitability of an additional medication for the patient. The project is aimed at boosting the interaction of the patients as well as the healthcare givers with electronic health records. The digitization of information in facilities has often been cited to have some drawbacks such as having burnout among
Post a brief description of general healthcare technology trends, particularly related to data/information you have observed in use in your healthcare
Post a brief description of general healthcare technology trends, particularly related to data/information you have observed in use in your healthcare Throughout history, technological advancements have appeared for one purpose before finding applications elsewhere that lead to spikes in its usage and development. The internet, for example, was originally developed to share research before becoming a staple of work and entertainment. But technology—new and repurposed—will undoubtedly continue to be a driver of healthcare information. Informaticists often stay tuned to trends to monitor what the next new technology will be or how the next new idea for applying existing technology can benefit outcomes. In this Discussion, you will reflect on your healthcare organization’s use of technology and offer a technology trend you observe in your environment. To Prepare: Reflect on the Resources related to digital information tools and technologies. Consider your healthcare organization’s use of healthcare technologies to manage and distribute information. Reflect on current and potential future trends, such as use of social media and mobile applications/telehealth, Internet of Things (IoT)-enabled asset tracking, or expert systems/artificial intelligence, and how they may impact nursing practice and healthcare delivery. By Day 3 of Week 6 Post a brief description of general healthcare technology trends, particularly related to data/information you have observed in use in your healthcare organization or nursing practice. Describe any potential challenges or risks that may be inherent in the technologies associated with these trends you described. Then, describe at least one potential benefit and one potential risk associated with data safety, legislation, and patient care for the technologies you described. Next, explain which healthcare technology trends you believe are most promising for impacting healthcare technology in nursing practice and explain why. Describe whether this promise will contribute to improvements in patient care outcomes, efficiencies, or data management. Be specific and provide examples. Expert Answer and Explanation Trends in Informatics Technology The healthcare technology is revolutionizing the delivery of health services by providing providers with the necessary tools that support the delivery of care. With the emerging trends in use of informatics technology, patients are benefitting from access to optimal care. General Healthcare Technology Trends The evolution of the healthcare technology is seen in various trends including the use of the mobile health apps, and telhealth technology to optimize care access and delivery. The technologies powered by the Internet of Things (IoTs) like wearable devices are easing and enhancing the delivery of preventive care by providing real-time data that inform clinical intervention decisions. Providers are equally leveraging the Electronic Health Records (EHRs) to capture and access patients’ data, and share this data with other members of the interprofessional team (Zhang & Saltman, 2022). Out of the trends I have observed, telhealth and EHRs are the predominant technologies in my healthcare organization. As a tool, the EHR system allows providers to store and retrieve patients’ data, and share it with colleagues. Conversely, the telhealth system, which may involve the use of virtual communication platform, facilitates provider-patient interaction, allowing patients to remotely access health services. The Concerns or Challenges tied to the Technologies Associated with the Trends While the use of the identified technological trends translates to the improvement in decision-making outcomes in clinical settings, they present serious concerns. The adoption and usability of the EHRs and telhealth is particularly a challenge in organizations because some users resist their use based on factors like lack of usage skills, and challenging interfaces. If users experience difficulty when attempting to use the technologies, they may resist its adoption and use in the healthcare setting. Some organizations grapple with cumbersome legislative compliance requirements which require that they adhere to the existing policies related to access control. For instance, the HIPAA policy requires organizations to adopt stringent security measures to safeguard patients’ health data (Wiley et al., 2022). Even with the implementation of the data safety policies, the risk of data breach is still high considering that hackers can take advantage of security vulnerabilities to hack into the organization’s IT infrastructure. Benefit and Risk Associated with Data Safety, Legislation and Patient Care Data safety and legislation in the context of patient care translate to the improvement in patient care outcomes. The use of the telehealth and EHRs in particular, improves coordination of care through real-time access to data, optimizing the clinical intervention outcomes. Telhealth supports the implementation of the post-discharge interventions, allowing providers to monitor patients, and to educate patients during their healing journey. A data breach incident in which data is altered can jeopardize the patient’s safety by causing poor health outcomes (Lim & Adler-Milstein, 2022). The Most Promising Healthcare Technology Trends The use of the telhealth is the most promising trend in terms of the utilization of the healthcare technologies to optimize health outcomes (Apathy et al., 2024). This trend will be instrumental in helping providers to reach an extended number of individuals in underserved communities. It will particularly reduce the burden associated with travelling to the healthcare facility. The Possibility of the Promise Contributing to Improvement in Patient Care Outcomes With the adoption of the telhealth, providers will be able to identify potential health issues and avert these issues before they turn into major complications. As providers turn to providing health services virtually, they will have more time to care for patents, resulting to better utilization of resources. Telhealth combined with EHR system will automate data collection, ensuring that providers have access to records of each patient. Conclusion In conclusion, the EHRs and telhealth are some of the technologies that providers are utilizing to provide patients with high-end care. Despite the privacy and safety concerns, these technologies are contributing to enhancing decision-making. References Apathy, N. C., Zabala, G., Gomes, K., Spaar, P., Krevat, S. A., & Ratwani, R. M. (2024). Telemedicine and In-Person Visit Modality Mix and Electronic Health Record Use in Primary Care. JAMA network open, 7(4), e248060. https://doi.org/10.1001/jamanetworkopen.2024.8060. Lim, J., & Adler-Milstein, J. (2022). 531 Telehealth, associated changes in EHR use patterns, and implications for physician burnout in the ambulatory care setting. Journal
Focused SOAP Note for Schizophrenia Spectrum, Other Psychotic, and Medication-Induced Movement Disorders
Focused SOAP Note for Schizophrenia Spectrum, Other Psychotic, and Medication-Induced Movement Disorders Focused SOAP Note for Schizophrenia Spectrum, Other Psychotic, and Medication-Induced Movement Disorders Psychotic disorders change one’s sense of reality and cause abnormal thinking and perception. Patients presenting with psychotic disorders may suffer from delusions or hallucinations or may display negative symptoms such as lack of emotion or withdraw from social situations or relationships. Symptoms of medication-induced movement disorders can be mild or lethal and can include, for example, tremors, dystonic reactions, or serotonin syndrome. For this Assignment, you will complete a focused SOAP note for a patient in a case study who has either a schizophrenia spectrum, other psychotic, or medication-induced movement disorder. To Prepare Review this week’s Learning Resources. Consider the insights they provide about assessing, diagnosing, and treating schizophrenia spectrum, other psychotic, and medication-induced movement disorders. Review the Focused SOAP Note template, which you will use to complete this Assignment. There is also a Focused SOAP Note Exemplar provided as a guide for Assignment expectations. Review the video, Case Study: Sherman Tremaine. You will use this case as the basis of this Assignment. In this video, a Walden faculty member is assessing a mock patient. The patient will be represented onscreen as an avatar. Consider what history would be necessary to collect from this patient. Consider what interview questions you would need to ask this patient. The Assignment Develop a focused SOAP note, including your differential diagnosis and critical-thinking process to formulate a 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, and list them 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. Plan: What is your plan for psychotherapy? What is your plan for treatment and management, including alternative therapies? Include pharmacologic and nonpharmacologic treatments, alternative therapies, and follow-up parameters, as well as a rationale for this treatment and management plan. Also incorporate one health promotion activity and one patient education strategy. Reflection notes: What would you do differently with this patient if you could conduct the session again? Discuss what your next intervention would be if you were able to follow up with this patient. 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.). Provide at least three evidence-based, peer-reviewed journal articles or evidenced-based guidelines that relate to this case to support your diagnostics and differential diagnoses. Be sure they are current (no more than 5 years old). By Day 7 of Week 5 Submit your Focused SOAP Note. Submission and Grading Information To submit your completed Assignment for review and grading, do the following: Please save your Assignment using the naming convention “WK5Assgn+last name+first initial.(extension)” as the name. Click the Week 5 Assignment Rubric to review the Grading Criteria for the Assignment. Click the Week 5 Assignment link. You will also be able to “View Rubric” for grading criteria from this area. Next, from the Attach File area, click on the Browse My Computer button. Find the document you saved as “WK5Assgn+last name+first initial.(extension)” and click Open. If applicable: From the Plagiarism Tools area, click the checkbox for I agree to submit my paper(s) to the Global Reference Database. Click on the Submit button to complete your submission. Expert Answer and Explanation Schizophrenia soap note Subjective: CC (chief complaint): “I do not bother anyone and people outside my window do not leave alone.” HPI: Sherman Tremaine is a 53-years-old African American male who was asked to come for mental health assessment by his sister. The patient complains that he does not bother anybody but people outside his window to not leave him alone. he says that the people outside his window watch him. He says that he can hear these people and see their shadow. He also says that these people were sent to watch him by the government. He also complains of sleeping problems and people follow him everywhere. Substance Current Use: He smokes cigarette (12 packets of cigarettes weekly) and a bit of marijuana. Medical History: Current Medications: Used Haldol, Thorazine, and Seroquel. Takes metformin currently for diabetes. Allergies: No allergies. Reproductive Hx: No problems with reproductive system. ROS: GENERAL: No fever, weakness, fatigue, chills, or weight loss/gain. HEENT: Eyes: No visual problem. Ears, Nose, Throat: No hearing pain, loss, sneezing, runny nose, congestion, or sore throat. SKIN: No itching or rash. CARDIOVASCULAR: No chest pain, edema, no chest pressure palpitations, or chest discomfort. RESPIRATORY: No cough or shortness of breath. GASTROINTESTINAL: No abdominal pain, nausea, or vomiting. GENITOURINARY: No urination problems. NEUROLOGICAL: No headaches or any other neurological problems. MUSCULOSKELETAL: No joint pain or muscle pain. HEMATOLOGIC: No anemia. LYMPHATICS: No enlarged nodes ENDOCRINOLOGIC: No sweating, heat, or cold problems. Objective: Vital signs: T 35.7, Ht. 5’9, Wt. 159lbs, HR 80, RR 20, BP 130/95 Chest/Lungs: Regular heart rhythm and rate. No murmurs. Heart/Peripheral Vascular: No wheezes. Lungs clear. Diagnostic results: CT-Scan-pending. The test will be used to rule out any physical symptoms that might cause hallucinations and delusions. Positive and Negative Syndrome Scale (PANSS): Baandrup et al. (2022) noted that PANSS is a valid, scalable, and reliable tool for screening for people with schizophrenia. The authors found that the tool is 98% effective. The patient scored 19.9 on positive scale and 22.3 on negative scale meaning