The diagnosis of psychiatric emergencies can include a wide range of problems—from serious drug reactions to abuse and suicidal ideation/behaviors
The diagnosis of psychiatric emergencies can include a wide range of problems—from serious drug reactions to abuse and suicidal ideation/behaviors Legal and Ethical Issues Related to Psychiatric Emergencies The diagnosis of psychiatric emergencies can include a wide range of problems—from serious drug reactions to abuse and suicidal ideation/behaviors. Regardless of care setting, the PMHNP must know how to address emergencies, coordinate care with other members of the health care team and law enforcement officials (when indicated), and effectively communicate with family members who are often overwhelmed in emergency situations. In their role, PMHNPs can ensure a smooth transition from emergency mental health care to follow-up care, and also bridge the physical–mental health divide in healthcare. In this week’s Assignment, you explore legal and ethical issues surrounding psychiatric emergencies, and identify evidence-based suicide and violence risk assessments. To Prepare Review this week’s Learning Resources and consider the insights they provide about psychiatric emergencies and the ethical and legal issues surrounding these events. The Assignment In 2–3 pages, address the following: Explain your state laws for involuntary psychiatric holds for child and adult psychiatric emergencies. Include who can hold a patient and for how long, who can release the emergency hold, and who can pick up the patient after a hold is released. Explain the differences among emergency hospitalization for evaluation/psychiatric hold, inpatient commitment, and outpatient commitment in your state. Explain the difference between capacity and competency in mental health contexts. Select one of the following topics, and explain one legal issue and one ethical issue related to this topic that may apply within the context of treating psychiatric emergencies: patient autonomy, EMTALA, confidentiality, HIPAA privacy rule, HIPAA security rule, protected information, legal gun ownership, career obstacles (security clearances/background checks), and payer source. Identify one evidence-based suicide risk assessment that you could use to screen patients. Identify one evidence-based violence risk assessment that you could use to screen patients. Expert Answer and Explanation Mental Health Laws in Texas There are various guiding PMHNP when providing mental health services to patients. Mental health laws play a significant role in the integration of mental health in primary health care, community integration of people with mental health problems, and provision of high-quality care. In the US, states have different laws prescribing how their citizens should be handled when mental health emergency occurs. The state that will be focused on in this assignment in Texas. The legislative body of Texas has enacted various guiding PMHNP on how to provide mental health services among various populations. It is the responsibility of PMHNP to understand these laws and follow them to avoid legal problems. This assignment has discussed legal and ethical principles regarding mental health emergencies in the state of Texas. Texas Laws The law guiding involuntary psychiatric holds for child and adult psychiatric emergencies is known as the Texas Health and Safety Code – HEALTH & SAFETY § 574.014 (FindLaw.com, 2021). The involuntary psychiatric holds can be initiated by an adult by applying detention, evaluation, and treatment of the individual with the county courts. A law enforcement officer is also allowed to detain an individual they believe to be a threat due to substance abuse or mental disorders and transport the individual to a mental health facility for evaluation for admission under their police powers. Mental health facilities recognized by the Department of Mental Health can initiate the process of holding a patient if they believe that the individual has a serious mental health problem and needs emergency psychiatric treatment (FindLaw.com, 2021). Mental health professionals allowed to begin an on-site civil involuntary detention for an individual in need of emergency mental health care include psychiatric residents, licensed physicians, psychiatrists, licensed professional counselors, a qualified addiction professional, and PMHNP. An individual should only be detained for 72 hours, excluding holidays and weekends (FindLaw.com, 2021). However, if the psychiatrist still believes that the individual needs further treatment beyond 72 hours, they can begin a court hearing to get court permission to continue holding the patient. The mental health professional can release the emergency hold if they believe that the individual does not need emergency care (FindLaw.com, 2021). The emergency hold can be picked by their family members or people they chose. Differences Emergency hospitalization for psychiatric hold or evaluation can be initiated by an adult, a police officer, or a health professional qualified to handle mental health services. This process does not need a court order (FindLaw.com, 2021). However, for a person to be committed to receiving mental health services as an inpatient or outpatient, a court order must be sought. The guardian or applicant must go to court and seek a court order. The individual patient must also be given a chance to explain themselves (FindLaw.com, 2021). Therefore, the difference is emergency hospitalization for evaluation/psychiatric hold does not need a court order while inpatient and outpatient commitment need a court order. Capacity and Competency In the mental health context, capacity is a clinical determination and functional assessment of a specific decision that can be made by a health professional who has interacted with the patient’s case (Keene et al., 2019). However, competency is a legal determination and global assessment made in court by a judge. In other words, competency is determined by a judge while capacity by a health professional (Keene et al., 2019). HIPAA Privacy Rule HIPAA privacy rule requires that healthcare professionals protect patients’ information and prevent unauthorized persons from accessing them (Edens et al., 2018). The healthcare professionals are only allowed to share the information with the courts during hearing on whether the patients should receive involuntary inpatient or outpatient care. The healthcare professionals are only allowed to share the information with patient’s family member when the patient is incapacitated ad cannot make informed decisions (Edens et al., 2018). Suicide Risk Assessment The suicide risk assessment tool I could use to screen patients is the Columbia-suicide severity rating scale. This tool is validated to be used in adults, adolescents, and children (Matarazzo et al., 2019).
[ANSWERED] Throughout this course, students will be working on the Community Teaching Project. The project will include a community teaching presentation given during Topic 5
Throughout this course, students will be working on the Community Teaching Project. The project will include a community teaching presentation Selection, Research, and Assessment Throughout this course, students will be working on the Community Teaching Project. The project will include a community teaching presentation given during Topic 5. The audience for the presentation will be community members, rather than the staff at the community agency chosen or in-patient residents. The Community Teaching Project has indirect care experience requirements. The “Indirect Care Experience Hours” form, located in Topic 1 resources, will be used to document the indirect care experience hours completed in the Community Teaching Project and presentation. As progress is made on the Community Teaching Project, update this form indicating the date(s) each section is completed. This form will be submitted in Topic 5. In this topic, students will be selecting, researching, and assessing a nonprofit community setting in their community using one of the following four topics: Primary prevention/health promotion Secondary prevention/screening for a vulnerable population Disaster planning Environmental issues The following are considered appropriate nonprofit community organization settings: Public health clinic Community health center University/school health center Religious community (i.e., local church) Community center (i.e., YMCA) Adult/childcare center Youth development organization (i.e., 4-H, scout troops, Boys and Girls Clubs, etc.) Senior centers Food pantries (St. Mary’s Food bank, St. Vincent De Paul, etc.) Community shelters (i.e., women’s shelter, women and children’s shelter, or homeless shelters) Review the objectives and measures describes on the “Healthy People 2030” website, listed in the Topic 1 Resources, to assist in selecting a topic for the project. For this assignment, use a minimum of two sources to complete the “Community Teaching Project: Part 1” template. 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. A link to the LopesWrite technical support articles is located in Course Resources if you need assistance. Benchmark Information This benchmark assignment assesses the following programmatic competencies: RN-BSN 2.3: Integrate assessment skills in practice. American Association of Colleges of Nursing Core Competencies for Professional Nursing Education This assignment aligns to AACN Core Competencies 2.3 Expert Answer and Explanation NRS-425 Community Teaching Project – Part 1 Name (GCU Student) Name of Nonprofit Organization Address of Nonprofit Organization Full Name of Contact Person and Job Title Contact Person’s Email and Phone Number Community and Target Aggregate The main population served by the South Adams Senior Center is older adult population residing in Berne, Indiana. The target population for the center is usually those 60 years of age and older, while the programs it offers may have different age requirements for participation. Retirees, the aged, and senior citizens who are looking for chances for social interaction, leisure activities, educational programs, and needs-specific support services are probably among the clients that the South Adams Senior Center serves. These services could include a range of things, including social events, health and wellness initiatives, exercise courses, meal services, educational seminars, and help getting access to social welfare, healthcare, and transportation benefits. Because of the nature of a senior center, the clients it serves frequently consists of people who, in their later years, may need different degrees of support, company, and chances for further education or personal growth. These programs are designed to fight isolation, encourage healthy aging, and give seniors access to a community that supports them while they stay independent. Social Determinants of Health (SDOHs): According to Healthy People 2020, social determinants of health are aspects of people’s living, learning, working, playing, worshiping, and aging contexts that have an impact on a variety of risks and outcomes related to health, functioning, and quality of life. There are various SDOH that impact the quality and safety of care of patients served by the nonprofit organization. One of the SDOH is education level. According to Statista Research Department (2023), approximately 18.5% of Indiana adults over the age of 25 had a bachelor’s degree as their highest degree in 2021. The majority, or roughly 33.3% of the population, had completed high school or its equivalent as their greatest degree of education. Indiana has tried to close the gap between itself and the US in terms of education attainment among adults aged 25 years and above (Schleyer et al., 2021). However, the gap increases as people age. In other words, older people are less educated compared to other population in Indiana. The second SDOH is geographical location. According to a report by Indiana State (2021), residents residing in urban areas are more likely to access quality care than those living in rural areas. The report noted that populations in rural areas have higher number of fair or poor health days than those in urban areas. The report also stated that physicians in rural areas in Indiana have been decreasing for the last decades (Indiana State, 2021). For instance, for every 100,000 patients, there are 55 mental health professionals in rural areas compared to 133 professionals per 100,000 patients in urban Indiana, meaning that older patients in rural Indiana are less likely to access care than those in urban Indiana (Indiana State, 2021). The image below is a visual representation of differences in access to primary care between rural and urban Indiana. Image 1: Access to care in Indiana based on geographical location (Indiana State, 2021) The third determinant is economic status. For older persons to age in place, have a respectable quality of life, and have access to essential resources, they must be financially stable (Central Indiana Senior Fund, 2021). Life experiences and other important factors play a significant role in determining an older adult’s financial stability revealed that one in twelve older
Explain how your academic and professional goals align with Walden’s vision, mission, social change message, social determinants of health, and university outcomes
Explain how your academic and professional goals align with Walden’s vision, mission For this Assignment, review the AACN DNP Essentials document and reflect on the competencies presented. Reflect on your personal and academic goals and consider how those goals align with both Walden University’s mission and vision and with the AACN DNP Essentials. Reflect on the social determinants of health framework and consider how your academic and professional goals might align with addressing these elements as a DNP-prepared nurse. To prepare: Review The Essentials of Doctoral Education for Advanced Nursing Practice (AACN, 2006) in this week’s Learning Resources and reflect on the competencies presented. Review Walden University’s mission, vision, and university outcomes. Reflect on your professional and academic goals. Consider how Walden’s mission and vision as well as the AACN’s perspective may fit with your goals. How might you incorporate a commitment to social change into your academic and professional plans? How might your academic and professional goals align with addressing the social determinants of health? The Assignment: (2–3 pages) Explain how your academic and professional goals align with Walden’s vision, mission, social change message, social determinants of health, and university outcomes as well as the AACN DNP Essentials. Be specific. Explain how you plan to incorporate social change throughout your program of study and in professional practice. Be sure to include how social change may contribute to your practicum/field experience and your role in professional practice. Reminder: The College of Nursing requires that all papers submitted include a title page, introduction, summary, and references. The Sample Paper provided at the Walden Writing Center provides an example of those required elements (available at https://academicguides.waldenu.edu/writingcenter/templates/general#s-lg-box-20293632). All papers submitted must use this formatting. Expert Answer and Explanation AACN Competencies and the Walden Mission, Vision, and Outcomes Every nurse practitioner must have a goal or goals that guide their practice. Nurses should consider the culture and beliefs of all patients while working with them and helping them achieve their mental health outcomes (Cain et al., 2018). They should also work with their fellow healthcare professionals and stakeholders to provide affordable care to underserved communities (Cain et al., 2018). My goals are well aligned with Walden’s mission, social change message, vision, social determinants of health, university outcomes, and American Association of Colleges of Nursing (AACN) DNP Essentials. The purpose of this assignment is to explain how my goals align with Walden’s mission, social change message, vision, social determinants of health, university outcomes, as well as AACN DNP Essentials and how I plan to incorporate social change throughout my program of study and professional practice. Goals Aligning with Walden’s Vision and Mission, and AACN DNP Essentials Like any other organization, Walden University has a mission and vision that guides its practices. The mission of the university is to provide a diverse community of career professionals (Walden University, 2021). My first goal as a psychiatric nurse practitioner is to provide safe, quality, patient-centered and competent care to all patients, their families, and the community at large regardless of their background and culture. My goal aligns with the university’s mission in that I aim to provide quality care to all patients without any form of discrimination. I will achieve my professional goal by improving my knowledge of culturally-based care. I believe that I am one of the kinds of career professionals the university seeks to release in the job market. The vision of the university is to provide graduates who can solve societal challenges and thus advance the greater global good. My second goal is to be part of programs that aim to solve societal problems. Being part of problem-solving programs, will fulfil my second goal and also meet the vision of the university. Walden University defines social change as a deliberate process of developing and applying strategies, ideas, and actions to promote and develop cultures and communities (Walden University, 2021). My third goal is to become an advocate for patients and nurses. I would be able to promote social change by advocating for the needs of patients and my fellow nurses, a practice that aligns with the university’s social change message. My goals also align with AACN DNP Essentials. One of the essentials my goals align with is health care policy for advocacy in health care (AACN, 2006). I would be able to advocate for patients’ and nurses’ rights by creating health policies and presenting them to necessary people for approval and implementation. My academic goal is to be competent in the creation and advocacy of healthcare policies. Incorporating Social Change I plan to incorporate social change throughout my program of study by performing a quality improvement project aimed at improving the mental health of the less privileged in society. I will conduct a quality improvement study about the impact of physical exercise on sleep quality in African American people with depression. I will incorporate social change at the professional level by volunteering in mental health promotion programs. Social change will contribute to my field experience by improving my knowledge of advocacy and the development of promotional programs. Social change will also improve my collaborative skills because it will collaborate with various people to promote better mental health in the community. Conclusion My goals align with Walden’s mission, vision, and social change message. As a professional, I will work with other healthcare professionals to promote the better mental health status of my patients, families, and communities. I will also develop health policies that seek to make mental health care affordable to less privileged and provide other health professionals with the requisite tools to provide proper mental health care. References American Association of Colleges of Nursing (AACN). (2006). The essentials of doctoral education for advanced nursing practice. https://www.aacnnursing.org/Portals/42/Publications/DNPEssentials.pdf Cain, C. L., Surbone, A., Elk, R., & Kagawa-Singer, M. (2018). Culture and palliative care: preferences, communication, meaning, and mutual decision making. Journal of Pain And Symptom Management, 55(5), 1408-1419. https://doi.org/10.1016/j.jpainsymman.2018.01.007 Walden University. (2021). Student publications: Vision, mission, and goals. https://catalog.waldenu.edu/ Place your order now for a similar assignment and get fast, cheap and best quality
[2025] 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
[ANSWERED 2025] 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 – Fast, Quality and Affordable Assignment Expert
Review the video Case Study Sherman Tremaine. You will use this case as the basis of this Assignment. Case Study: Sherman Tremaine 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 diagnostic criteria for each differential diagnosis and explain what DSM-5 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
[2024] You are an RN working in the Community Outreach Department at Utopia Hospital. You have been asked to give a presentation at the local Women, Infants, and Children (WIC) Nutrition program for
You are an RN working in the Community Outreach Department at Utopia Hospital Topic 1 DQ 1 The United States has ranked below other developed countries in maternal morbidity and mortality for several years and has not met the associated Healthy People 2030 goal. Maternal health is a critical factor for the live birth of a healthy infant. Social Determinants of Health (SDOH) along with Diversity, Equity, and Inclusion (DEI) are factors that influence maternal morbidity and mortality. Choose two factors from SDOH or DEI that have influenced maternal morbidity and mortality in the United States. What are some best practices in health promotion that could improve maternal health outcomes? Provide a community resource or program in your area that is focused on improving maternal and infant health. Describe their services and provide a link or contact information for your resource. Initial discussion question posts should be a minimum of 200 words and include at least two references cited using APA format. Responses to peers or faculty should be 100-150 words and include one reference. Refer to “RN-BSN DQ Rubric” and “RN-BSN Participation Rubric,” located in Class Resources, to understand the expectations for initial discussion question posts and participation posts, respectively. Topic 1 DQ 2 You are a nurse at the Community Health Center. Based on the first letter of your first name, you are assigned the following age groups: A-F: 0-3 months G-L: 4-6 months M-S: 7-9 months T-Z: 10-12 months A parent/caregiver has brought their infant to your Community Health Center. Based on your assigned age group, what will you assess to determine health and development status of the infant? Describe the normal findings you would anticipate for each area assessed. Select one area that could be a “red flag” finding. Discuss the recommendations that you would give the parent/caregiver supported by evidence-based practice to address this “red flag” finding. Initial discussion question posts should be a minimum of 200 words and include at least two references cited using APA format. Responses to peers or faculty should be 100-150 words and include one reference. Refer to “RN-BSN DQ Rubric” and “RN-BSN Participation Rubric,” located in Class Resources, to understand the expectations for initial discussion question posts and participation posts, respectively. Shadow Health: Digital Clinical Experience General Instructions Acknowledgement General Overview The Shadow Health Digital Clinical Experience (SHDCE) provides a dynamic, immersive experience designed to improve your skills and clinical reasoning through the examination of digital standardized patients. The link provided here in the Class Resources is the single sign-on link you will use to complete assignments in the Shadow Health platform. The Shadow Health integration functions optimally in the Chrome browser. You will be automatically registered on the Shadow Health website via your digital classroom credentials. However, you will need to accept the privacy policy to proceed to your course. Once in the course section, complete the Shadow Health Orientation in Topic 1. Follow the instructions for each subsequent assignment accordingly. Each week of this course includes required SHDCE. Please note that the age of the patient in the scenario may not correlate with the age under discussion for the current Topic in the course. Each SHDCE has concepts that can be applied across the life span. By the time you get to the Topic 5 Comprehensive Assessment you will have had learning opportunities for assessments across the life span. Each SHDCE will have an accompanying interview guide that provides an outline of the experience’s components and requirements. When collapsed, the interview guide will appear directly above the question box. Clicking on the teal plus sign will expand the guide and allow navigation through the data points required for the assignment, while also providing a means of tracking your progress throughout the experience. All Shadow Health assignments may be re-opened and re-attempted with the exception of the Comprehensive Assessment in Topic 5. Digital Clinical Experience (DCE) Score After completing a SHDCE you will be awarded a Digital Clinical Experience (DCE) score. This score will be your percentage grade for the assignment. The DCE score represents how well you did in comparison with your peers across the country. In lieu of a DCE score, the SHDCE Concept Labs will use a Student Performance Index percentage, which will be your percentage grade for the Concept Lab assignments. With the exception of Topic 5’s Comprehensive Assessment, you have unlimited attempts for each SHDCE to improve your score throughout the course week ending on Sunday at 11:59pm AZ time. The highest DCE score earned for each SHDCE will be the score entered into the gradebook. It is recommended to attempt each SHDCE assignment early in the course week to allow time for additional attempts. In Topic 5, you will complete a Comprehensive Assessment. For this SHDCE, the first DCE score received will be the score earned. During each SHDCE, you will have opportunities to chronicle your care of the patient by entering clinical information including vital signs and nursing notes. Use these opportunities to practice your documentation skills in Topics 1 through 4. Your documentation skills will be assessed through the “Shadow Health Comprehensive Assessment Documentation” assignment in Topic 5. Technical Support If you have any questions or encounter any technical issues throughout the course, please visit the Shadow Health Learner Support page at http://support.shadowhealth.com, contact Shadow Health customer support at 1-800-860-3241, or e-mail the Learner Support team directly at support@shadowhealth.com. Students will have access to Shadow Health as long as they are enrolled in their program at Grand Canyon University. Community Outreach Department – Health and Environmental Safety Topics for First Year of Life You are an RN working in the Community Outreach Department at Utopia Hospital. You have been asked to give a presentation at the local Women, Infants, and Children (WIC) Nutrition program for a group of 15 expectant mothers and interested partners/spouses/caregivers. The WIC Coordinator has asked you to provide a presentation that will cover relevant health and environmental safety topics the parents should know
[ANSWERED 2024] Review the video Case Study Dev Cordoba. You will use this case as the basis of this Assignment. In this video, a Walden faculty member is assessing a mock patient – Fast, Quality and Affordable Assignment Expert
Review the video Case Study Dev Cordoba. You will use this case as the basis of this Assignment. In this video, a Walden faculty member is assessing a mock patient FOCUSED SOAP NOTE FOR ANXIETY, PTSD, AND OCD In this Assignment, you use a case study to develop a focused SOAP note based on evidence-based approaches. TO PREPARE Review this week’s Learning Resources. Consider the insights they provide about assessing and diagnosing anxiety, obsessive compulsive, and trauma-related 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 Dev Cordoba. 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, listed in order from highest priority to lowest priority. Compare the DSM-5-TR diagnostic criteria for each differential diagnosis and explain what DSM-5-TR criteria rules out the differential diagnosis to find an accurate diagnosis. Explain the critical-thinking process that led you to the primary diagnosis you selected. Include pertinent positives and pertinent negatives for the specific patient case. 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 could 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). Required Readings Boland, R. Verdiun, M. L. & Ruiz, P. (2022). Kaplan & Sadock’s synopsis of psychiatry (12th ed.). Wolters Kluwer. Chapter 2, “Neurodevelopmental Disorders and Other Childhood Disorders” Section 2.8, “Trauma- and Stressor-Related Disorders in Children” (pp. 167-173) Section 2.13, “Anxiety Disorders of Infancy, Childhood, and Adolescence: Separation Anxiety Disorder, Generalized Anxiety Disorder, and Social Anxiety Disorder (Social Phobia)” (pp. 194-200”) Section 2.14, “Selective Mutism” (pp. 201-202) Section 2.15, “Obsessive-Compulsive Disorder in Childhood and Adolescence” (pp. 203-206) Chapter 8, “Anxiety Disorders” Chapter 9, “Obsessive-Compulsive and Related Disorders” Chapter 10, “Trauma- and Stressor-Related Disorders Thapar, A., Pine, D. S., Leckman, J. F., Scott, S., Snowling, M. J., & Taylor, E. A. (Eds.). (2015). Rutter’s child and adolescent psychiatry (6th ed.). Wiley Blackwell. Chapter 26, “Psychosocial Adversity” Chapter 27, “Resilience: Concepts, Findings, and Clinical Implications” Chapter 29, “Child Maltreatment” Chapter 30, Child Sexual Abuse” Chapter 58, “Disorders of Attachment and Social engagement Related to Deprivation” Chapter 59, “Post Traumatic Stress Disorder” Zakhari, R. (2021). The psychiatric-mental health nurse practitioner certification review manual. Springer Publishing Company. Chapter 6, “Physical Assessment, Diagnostic Tests, and Differential Diagnosis” Chapter 12, “Anxiety Disorders” Sample Expert Answer and Explanation Focused SOAP Note for Anxiety, PTSD, and OCD Subjective: CC (chief complaint): “I feel worried all the time.” HPI: Dev C., a 7-year-old male of Hispanic descent, is brought in by his mother for evaluation due to persistent anxiety, nightmares, and behavioral issues. He has never seen a mental health professional before. His current medications include DDVAP for bedwetting, which has not been effective. Dev has been experiencing significant worry about his family’s well-being, nightmares about being lost, and daytime anxiety affecting his school performance. He has a history of throwing objects when upset but has no history of self-harm. His mother reports he often expresses fears about her dying or not picking him up from school and claims she loves his baby brother more than him. Substance Current Use: No current or past use of caffeine, nicotine, illicit substances, or alcohol. Medical History: Current Medications: DDVAP (dosage and frequency not specified in the transcript, used for bedwetting). Allergies: None reported. Reproductive Hx: Not applicable. ROS: GENERAL: Frequent headaches and stomachaches, recent weight loss of 3 pounds over three weeks. HEENT: No specific complaints reported. SKIN: No specific complaints reported. CARDIOVASCULAR: No specific complaints reported. RESPIRATORY: No specific complaints reported. GASTROINTESTINAL: Complaints of frequent stomachaches. GENITOURINARY: Bedwetting at night. NEUROLOGICAL: No specific complaints reported. MUSCULOSKELETAL: No specific complaints reported. HEMATOLOGIC: No specific complaints reported. LYMPHATICS: No specific complaints reported. ENDOCRINOLOGIC: No specific complaints reported. Objective: Diagnostic results: No labs, X-rays, or other diagnostics were performed or indicated in the transcript. Assessment: Mental Status Examination: Dev appears his stated age, dressed appropriately, and is cooperative throughout the interview. His mood is anxious, and his affect is congruent with his mood. Speech is normal in rate and volume. His thought processes are logical and goal-directed. He expresses worries about his mother’s safety and fears abandonment, indicative of separation anxiety. No hallucinations or delusions are reported. His cognition appears intact for his age, understanding the current date and location (Bitsko, 2022). Insight and judgment are limited but appropriate for his age. No suicidal or homicidal ideations are present. Diagnostic Impression: Primary Diagnosis: Separation Anxiety Disorder (SAD) (F93.0) Rationale: Dev’s persistent and excessive worry about losing his
4 Key Components of Claude Debussy’s “Clair de Lune” | A Comprehensive Study
Claude Debussy’s “Clair de Lune,” a cornerstone of his Suite Bergamasque, stands as a quintessential piece of the Impressionist movement in music. Composed in 1890 and later revised in 1905, “Clair de Lune” (French for “Light of the Moon”) is renowned for its ethereal beauty and evocative, dreamlike qualities. This analysis delves into its historical context, musical structure, harmonic language, and interpretative nuances. 1. Historical Context Debussy composed “Clair de Lune” during a period of significant evolution in music. The late 19th and early 20th centuries witnessed the decline of Romanticism and the emergence of new musical idioms. Debussy, influenced by the Symbolist poets and painters of his time, sought to break away from traditional forms and harmonic practices. His work embodies a shift towards a more fluid, atmospheric approach to composition. The Suite Bergamasque, in which “Clair de Lune” is the third movement, reflects Debussy’s early style but also hints at his mature, impressionistic techniques. The suite’s title references the Bergamask dance, a rustic dance from Bergamo, Italy, popular in the Renaissance. However, “Clair de Lune” itself transcends this rusticity, offering instead a serene, nocturnal reverie. 2. Musical Structure “Clair de Lune” is structured in ternary form (A-B-A), a common format that allows for thematic development and contrast. The piece opens with a delicate, arpeggiated figure in the right hand, establishing a tranquil, moonlit ambiance. This figure recurs throughout the piece, providing a unifying element. Section A The opening section (A) introduces the main theme, a gently flowing melody characterized by its subtle, lilting rhythm and tender expressiveness. The harmonic language here is rich and complex, with Debussy employing extended chords and modal inflections to create a sense of mystery and fluidity. Section B The middle section (B) provides a contrast, featuring a more animated and rhythmically dynamic passage. Here, the melody becomes more assertive, and the harmonic progressions more adventurous. This section builds in intensity, reaching a climactic point before gradually subsiding. Return of Section A The final section returns to the opening theme (A), now imbued with a sense of resolution and quiet reflection. The piece concludes with a gentle, descending figure, evoking the image of moonlight fading into the night. 3. Harmonic Language Debussy’s harmonic language in “Clair de Lune” is one of its most distinctive features. He eschews traditional tonal relationships in favor of more ambiguous, modal harmonies. The use of parallel chords, unresolved dissonances, and whole-tone scales contributes to the piece’s dreamlike quality. Debussy frequently employs seventh, ninth, and eleventh chords, often in non-functional progressions. These chords, rather than driving towards a resolution, create a sense of suspended time, enhancing the piece’s meditative character. 4. Interpretative Nuances Performing “Clair de Lune” requires a delicate balance of technical precision and emotional sensitivity. Pianists must pay careful attention to touch and pedaling to achieve the piece’s characteristic shimmering sound. The dynamic range is wide, but transitions are often subtle, necessitating careful control and nuanced phrasing. The tempo should be flexible, allowing for natural ebb and flow, much like the movement of moonlight on water. Articulation should be clear yet gentle, with a focus on the melodic line’s lyrical qualities. Conclusion “Clair de Lune” remains one of Debussy’s most beloved works, a testament to his genius in capturing the ephemeral beauty of a moment. Its innovative harmonic language, exquisite melodic lines, and evocative imagery continue to inspire and enchant listeners. Through “Clair de Lune,” Debussy invites us to enter a world of serene contemplation, where music and poetry converge in a luminous dance of light and shadow. Key Takeaways Historical Significance: “Clair de Lune” exemplifies the transition from Romanticism to Impressionism in music, influenced by Symbolist art and poetry. Musical Structure: The piece is in ternary form (A-B-A), with contrasting sections that enhance its expressive depth. Harmonic Innovation: Debussy’s use of extended chords, modal harmonies, and non-functional progressions creates a unique, dreamlike soundscape. Interpretative Challenges: Performers must balance technical precision with emotional sensitivity to capture the piece’s nuanced dynamics and lyrical qualities. Enduring Appeal: “Clair de Lune” remains a timeless masterpiece, celebrated for its ability to evoke a tranquil, reflective mood and its profound musical beauty.
After reviewing Cultural Humility Is a Nursing Clinical Co
After reviewing Cultural Humility Is a Nursing Clinical Competency” and the “Health Literacy Universal Precautions After reviewing Cultural Humility Is a Nursing Clinical Competency” and the “Health Literacy Universal Precautions Toolkit, 2nd Edition,” located in the topic Resources, choose an ethnic minority group and explore health disparities for the chosen group. Describe how to integrate the components of health literacy and cultural considerations into a health promotion teaching plan for one health disparity identified in the research and how health literacy supports overall health promotion. Required resource https://www.ahrq.gov/health-literacy/improve/precautions/index.html Read “Cultural Humility Is a Nursing Clinical Competency,” by Becze, from ONS Voice (2021). Expert Answer and Explanation Cultural Humility And Health Promotion Currently, Hispanic/Latino people experience poor health outcomes as compared to other people. This is attributed to many factors, including limited access to healthcare services. Notably, most Hispanic people do not have insurance coverage, and this usually makes healthcare very expensive for them. Additionally, some of them experience language barriers as they do not understand English, the primary language spoken in the country. It is also notable that they have higher rates of chronic diseases such as diabetes, obesity, and other conditions (Dragomanovich & Shubrook, 2021). Another issue is the low health literacy levels. Most of them are concerned with working and do not focus on health knowledge or how to interact with the healthcare system. Overall, this reduces their health outcomes, making it crucial to enhance their health integration literacy. How To Integrate the Concept of Health Literacy When considering Latino/Hispanic people, healthcare providers should use plain language when integrating the concept of health literacy. Using complex medical terms makes it hard for laypeople to understand the idea and miss out on the essential aspects (Babalola et al., 2021). Additionally, it is crucial to provide information in Spanish and English as Hispanic/Latino people mainly speak the language. In the health literacy program, other aspects apart from speaking should be used. This can include visual aids or videos showing a health issue and how the population can protect themselves. Cultural Considerations When educating Hispanic/ Latino communities, it is crucial to be respectful of their traditional beliefs and practices. Most of them have deep religious beliefs, and going against them can be considered to be insensitive and inconsiderate, and therefore, they might be dismissive of the lessons (Ly et al., 2023). It is also crucial to involve family members in the process, as family is an essential unit in the Hispanic culture. Moreover, when suggesting activities they should carry out to enhance their health, it is crucial to understand their culture’s position on such activities. Teaching Plan For Diabetes Prevention One of the health issues experienced by Hispanic/Latino people is a high prevalence of diabetes. The learning objectives include understanding the risk factors for diabetes. This will make them understand the factors that can lead to obesity and try to avoid them (Goff et al., 2020). Another learning objective is to identify healthy eating habits that will reduce the risk of having diabetes. Additionally, it is essential to teach them about the importance of physical activity to general health and in lowering diabetes prevalence in general. The teaching method will include a combination of activities, presentations, and discussions that will engage participants. Through the interactive lesson, it will be possible to ensure that the participants understand all shared information (Dragomanovich & Shubrook, 2021). Additionally, there will be peer support groups, which will provide a chance for individuals to discuss with each other and even share their experience with the disease and how to avoid it for others. All material shared must be culturally sensitive. They will be asked to restate the primary information to evaluate the learners. Additionally, the health educator will gather their feedback on the lesson and clarify any information that is still vague. Health Literacy Supports Overall Wealth Promotion Through health literacy, individuals can make informed decisions concerning their health. This way, following the health belief model, they can take control of their health and even make better decisions concerning their well-being. Additionally, they can navigate the healthcare system and get all the resources needed for their well-being. It is also notable that through health literacy, individuals can self-manage chronic disease, reducing costs and improving their well-being. References Babalola, O. M., Garcia, T. J., Sefcik, E. F., & Peck, J. L. (2021). Improving Diabetes Education in Mexican American Older Adults. Journal of Transcultural Nursing, 32(6), 104365962199466. https://doi.org/10.1177/1043659621994664 Dragomanovich, H. M., & Shubrook, J. H. (2021). Improving Cultural Humility and Competency in Diabetes Care for Primary Care Providers. Clinical Diabetes, 39(2), cd200063. https://doi.org/10.2337/cd20-0063 Goff, L. M., Moore, A., Harding, S., & Rivas, C. (2020). Providing culturally sensitive diabetes self-management education and support for black African and Caribbean communities: a qualitative exploration of the challenges experienced by healthcare practitioners in inner London. BMJ Open Diabetes Research and Care, 8(2), e001818. https://doi.org/10.1136/bmjdrc-2020-001818 Ly, A. L., Flynn, P. M., & Betancourt, H. M. (2023). Cultural Beliefs About Diabetes-Related Social Exclusion and Diabetes Distress Impact Self-Care Behaviors and HbA1c Among Patients with Type 2 Diabetes. https://doi.org/10.1007/s12529-023-10179-w Place your order now for a similar assignment and get fast, cheap and best quality work written by our expert level assignment writers.Use Coupon Code: NEW30 to Get 30% OFF Your First Order
What is your definition of spiritual care? How does it differ or accord
[ANSWERED] What is your definition of spiritual care? How does it differ or accord with the description given in the topic readings? Explain. Expert Answer and Explanation Definition of Spiritual Care As a nurse, it is essential to provide holistic care to patients by providing physical, emotional, and spiritual needs. While physical and emotional needs appear to be direct, spiritual needs are complicated. In my opinion, spiritual care involves acknowledging that the patient believes in a higher power and supporting them in whatever way necessary to connect with it. In many cases, patients might not understand the reason for their suffering and therefore turn to spiritual assurance. A patient can deal with illness, pain, grief, and even loss through spirituality with a more positive attitude (Koper et al. 2019). While the nurse’s role should be to care for the patient physically and ensure that they are in the right state of mind, they should help the patient understand their spirituality. Nurses should seek the patients” understanding of spirituality and explain how they can incorporate it into their healing, hence making them understand their situation even better. The topic readings define spiritual care as the support that nurses offer patients coping with illnesses or pain to make the patient heal physically or emotionally (Hvidt et al. 2020). Through the definition, it is clear that spiritual care is important but it is mostly overlooked. The lack of standard measurement to determine the care also hinders spiritual development (Rachel et al. 2019). The definition explains that nurses can offer support by giving the patients time to pray or quiet when families are interreacting spiritually. While my definition and the topic reading definitions are similar, I believe that my definition does not differ from the topic readings definition. However, each definition allows for a deeper connection between patients and the nurses, increasing the patient’s trust and improving patients’ outcomes. Therefore, when implemented well, either definition will play an essential role in providing holistic care to the patients. References Hvidt, N. C., Nielsen, K. T., Kørup, A. K., Prinds, C., Hansen, D. G., Viftrup, D. T., … & Wæhrens, E. E. (2020). What is spiritual care? Professional perspectives on the concept of spiritual care identified through group concept mapping. BMJ open, 10(12), e042142. Koper, I., Pasman, H. R. W., Schweitzer, B. P., Kuin, A., & Onwuteaka-Philipsen, B. D. (2019). Spiritual care at the end of life in the primary care setting: experiences from spiritual caregivers-a mixed methods study. BMC palliative care, 18(1), 1-10. Rachel, H., Chiara, C., Robert, K., & Francesco, S. (2019). Spiritual care in nursing: an overview of the measures used to assess spiritual care provision and related factors amongst nurses. Acta Bio Medica: Atenei Parmensis, 90(Suppl 4), 44. Alternative Expert Answer Definition and Analysis of Spiritual Care Patients from diverse background see providers expecting to benefit from the care which the latter provides. Some of these patients tend to have spiritual needs, and a provider has a mandate of meeting these needs. The concept, spiritual care, denotes the idea of full filling these kinds of needs. The beneficiaries of this kind of care is not limited to patients considering that patients’ families can equally benefit from it. This means that spiritual care involves attending to a sick person’s spiritual needs with focus on helping the person deal effectively with their experiences. People receive this kind of care so that they can emotionally recover, and the care can limit the severity of a physiological condition, and encourage the healing of the patient given that it helps reduce stress (Fitch & Bartlett, 2019). When a spiritual person receives this kind of care, they gain the hope of recovering, and this ultimately hasten their recovery. The perspective of the spiritual care resonates with the description of the same concept based on the topic readings. Just like in the readings, my own definition of the concept links care to various benefits. A key theme which seems to manifest when comparing my description of the spiritual care and that in the readings, for instance, is helping one to cope with an illness. As they go through their physiological experience, and as they receive spiritual care, a patient becomes hopeful that they would heal. Another shared feature when relating the readings’ view on the concept, and that based on my personal view, is the emotional wellbeing that results when one receives spiritual care. People essentially become emotionally well when they receive spiritual care (Melhem et al., 2016). References Fitch, M. I., & Bartlett, R. (2019). Patient Perspectives about Spirituality and Spiritual Care. Asia-Pacific journal of oncology nursing, 6(2), 111–121.Doi: https://doi.org/10.4103/apjon.apjon_62_18. Melhem, G. A., Zeilani, R. S., Zaqqout, O. A., Aljwad, A. I., Shawagfeh, M. Q., & Al-Rahim, M. A. (2016). Nurses’ Perceptions of Spirituality and Spiritual Care Giving: A Comparison Study Among All Health Care Sectors in Jordan. Indian journal of palliative care, 22(1), 42–49.Doi: https://doi.org/10.4103/0973-1075.173949. DQ 2 When it comes to facilitating spiritual care for patients with worldviews different from your own, what are your strengths and weaknesses? If you were the patient, who would have the final say in terms of ethical decision-making and intervention in the event of a difficult situation? Expert Answer and Explanation Spiritual Care for Patients with Different Worldviews As a nurse, one meets different patients, some with varying perspectives on spirituality. However, it is essential to ensure that one does not experience any biases in taking care of the patients as it is their role to provide equal care (Alshehry, 2018). However, it is almost impossible to provide biased spiritual care when a patient has varying views. For instance, a nurse can be deeply religious while the patient is an atheist (Saad & de Medeiros, 2021). In my case, I have several strengths that guide me when dealing with patients with different worldviews. One of my strengths is that I am accommodating and non-judgments. Instead of judging a patient because of their religious stand, I seek to understand more from them. As a result, they open up more on their