[ANSWERED 2023] Within the Shadow Health platform complete the Digital Clinical Experience Orientation. Upon completion, submit the lab pass through the assignment dropbox
Within the Shadow Health platform complete the Digital Clinical Experience Orientation. Within the Shadow Health platform complete the Digital Clinical Experience Orientation Shadow Health Digital Clinical Experience Orientation Within the Shadow Health platform complete the Digital Clinical Experience Orientation. Upon completion, submit the lab pass through the assignment dropbox. You are not required to submit this assignment to LopesWrite. Expert Answer and Explanation 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: NEW30 to Get 30% OFF Your First Order What is the Shadow Health Platform? Shadow Health is an innovative learning platform that uses simulation-based technology to offer immersive clinical experiences to healthcare students and professionals. The platform provides a safe and risk-free environment to learn and practice skills, which helps improve patient outcomes. What is Shadow Health? Shadow Health is a digital platform that provides an interactive, immersive clinical learning experience for healthcare professionals and students. The platform leverages advanced simulation technology to replicate real-life patient scenarios, allowing users to practice and improve their clinical skills in a safe and controlled environment. OverviewShadow Health is designed to provide a more effective and engaging learning experience for healthcare students and professionals. The platform offers a range of interactive scenarios that simulate patient encounters, allowing users to practice clinical skills such as patient assessment, diagnosis, and treatment planning. FeaturesShadow Health offers a range of features that make it an effective and engaging learning platform. These features include: Interactive simulations: The platform provides highly realistic simulations of patient encounters, allowing users to practice clinical skills in a safe and controlled environment. Customized scenarios: Shadow Health offers customized scenarios that are tailored to the user’s specific needs and learning goals. Real-time feedback: The platform provides real-time feedback on the user’s performance, allowing them to identify areas for improvement and refine their clinical skills. Analytics and reporting: Shadow Health provides detailed analytics and reporting on the user’s performance, allowing them to track their progress and identify areas for improvement. BenefitsShadow Health offers several benefits for healthcare students and professionals, including: Improved clinical skills: The platform allows users to practice and refine their clinical skills in a safe and controlled environment, helping them become more confident and effective healthcare providers. Realistic patient scenarios: Shadow Health offers highly realistic simulations of patient encounters, helping users develop the skills they need to provide high-quality care in real-life situations. Personalized learning: The platform offers customized scenarios and feedback, allowing users to tailor their learning experience to their specific needs and learning goals. How does Shadow Health work? Shadow Health uses simulation-based technology to provide an immersive and engaging clinical learning experience for healthcare students and professionals. The platform offers a range of interactive scenarios that simulate patient encounters, allowing users to practice clinical skills such as patient assessment, diagnosis, and treatment planning. Simulation-based learningShadow Health uses simulation-based learning to provide a more effective and engaging learning experience. The platform offers highly realistic simulations of patient encounters, allowing users to practice clinical skills in a safe and controlled environment. Customized scenariosShadow Health offers customized scenarios that are tailored to the user’s specific needs and learning goals. The platform uses advanced algorithms to personalize the learning experience, ensuring that users receive the most relevant and effective training possible. Feedback and evaluationShadow Health provides real-time feedback and evaluation on the user’s performance, allowing them to identify areas for improvement and refine their clinical skills. The platform also offers detailed analytics and reporting, allowing users to track their progress and identify areas for improvement. IV. Who uses Shadow Health? A. Nursing studentsNursing students use Shadow Health as part of their clinical education. The platform provides a safe and controlled environment for them to practice and refine their clinical skills, including patient assessment, diagnosis, and treatment planning. B. Medical studentsMedical students also use Shadow Health as part of their clinical education. The platform allows them to practice and improve their clinical skills in a realistic and immersive environment, helping them become more confident and effective healthcare providers. C. Healthcare professionalsIn addition to students, healthcare professionals also use Shadow Health to improve their clinical skills and stay up-to-date with the latest medical practices. The platform offers customized scenarios and real-time feedback, allowing professionals to identify areas for improvement and refine their clinical skills. V. Pros and cons of using Shadow Health A. Pros Realistic patient scenarios: Shadow Health offers highly realistic simulations of patient encounters, providing a more engaging and effective learning experience. Customized scenarios: The platform offers customized scenarios that are tailored to the user’s specific needs and learning goals, allowing for a more personalized learning experience. Real-time feedback: Shadow Health provides real-time feedback on the user’s performance, allowing them to identify areas for improvement and refine their clinical skills. Analytics and reporting: The platform offers detailed analytics and reporting on the user’s performance, allowing them to track their progress and identify areas for improvement. B. Cons Requires technical proficiency: Shadow Health is a digital platform that requires users to have some level of technical proficiency in order to use it effectively. May not fully replace traditional clinical education: While Shadow Health offers a highly effective and engaging learning experience, it may not fully replace traditional clinical education. How to get started with Shadow Health? A. Sign upTo get started with Shadow Health, users need to sign up for an account on the platform’s website. The sign-up process is simple and straightforward, and users can start using the platform immediately after creating an account. B. PricingShadow Health offers several pricing options for students and institutions. Individual users can purchase access to the platform for a set period of time, while institutions can purchase access for multiple users. C. Technical requirementsTo use Shadow Health, users need a computer or mobile device with internet access. The platform is compatible with most modern browsers, and users can access it from anywhere with an internet connection. Conclusion Shadow Health
[ANSWERED 2023] What would spirituality be according to your own worldview? How do you believe that your conception of spirituality
What would spirituality be according to your own worldview? How do you believe that What would spirituality be according to your own worldview? How do you believe that your conception of spirituality would influence the way in which you care for patients? Expert Answer and Explanation Spirituality The context of spirituality is based upon the context of personal beliefs. Based on my perspective, spirituality entails the identification and acknowledgment that there is a higher power greater than the self. The higher power reigns over all and ensures safety and grants favor to those who believe. Different religions have different beliefs and spiritual inclinations which have to be respected. The differentiation of spiritual beliefs is not the main concern as all focus on the common good of human beings (Murgia et al., 2020). The spiritual world is based upon the capacity of a person to be kind, help others, lead a good and pain-free life and be each other’s neighbor. A person can make use of spirituality to identify their purpose, self-actualize, and get the meaning of their existence. Through spirituality, patients are also able to find hope and courage to stay strong in spirit and find a reason to live. My conception of spirituality has a direct impact on the care delivery process for the patient. For instance, the view of spirituality as a means in which individuals believe in a higher power which denotes human life to be a holy temple would mean that the patients receive quality care to improve their quality of life (Martins et al., 2017). Through spirituality, nurses can find the reason to take good care of patients, improve the performance of the facility and offer fair and just treatment to all individuals as human beings were created in the image and likeness of God (Lalani, 2020). Spirituality also affects the aspect of patient leadership where nurses and other physicians need to lead by example and show the patients how to lead a good quality life away from pain or suffering. References Lalani, N. (2020). Meanings and interpretations of spirituality in nursing and health. Religions, 11(9), 428. Martins, H., Romeiro, J., & Caldeira, S. (2017). Spirituality in nursing: An overview of research methods. Religions, 8(10), 226. Murgia, C., Notarnicola, I., Rocco, G., & Stievano, A. (2020). Spirituality in nursing: a concept analysis. Nursing Ethics, 27(5), 1327-1343. Alternative Expert Answer My family values and religious practices have shaped my thoughts and assumptions on issues such as spirituality. Based on my worldview, I see spirituality as being fundamental in connecting humans to God, making it possible for humans to engage with God and embrace practices that bring them closer to morality. I also see spirituality as being an integral part of the human experience because it provides hope, brings a sense of fulfillment, and shapes how people view the world around them. Given the close relationship between spirituality, morality, and ethics, spiritual people adopt behaviors that define their attitude toward others, and how they treat other people. Additionally, a spiritual person embodies values such as respect and honesty, and this makes it possible for them to be on good terms with others, and with nature (Kaddourah, Abu-Shaheen, & Al-Tannir, 2018). Fundamentally, I believe that when one is spiritual, one would value humility and demonstrate it in their actions. As a nurse and as a spiritual person, my notion of spirituality would shape how I care for patients. God is a moral being, and since spirituality brings one closer to God, I would be respectful in terms of how I treat patients and maintain integrity whenever I work with patients. I also don’t judge patients or hold warped perceptions about patients because of their cultural or religious identity. Given the relationship between ethics and spirituality, I would deliver optimal care using the available clinical protocol to address patients’ health needs (Vincensi, 2019). I would also respect the patient’s dignity irrespective of their background or appearance because, from a spiritual standpoint, we connect with God in terms of how we treat others. I would also involve patients in making decisions on matters concerning their health in line with the principles of informed consent and patient autonomy. Therefore, spirituality will inform how I work with patients. References Kaddourah, B., Abu-Shaheen, A., & Al-Tannir, M. (2018). Nurses’ Perceptions of Spirituality and Spiritual Care at Five Tertiary Care Hospitals in Riyadh, Saudi Arabia: A Cross-Sectional Study. Oman medical journal, 33(2), 154–158. https://doi.org/10.5001/omj.2018.28 Vincensi, B. B. (2019). Interconnections: Spirituality, Spiritual Care, and Patient-Centered Care. Asia-Pacific journal of oncology nursing, 6(2), 104–110. https://doi.org/10.4103/apjon.apjon_48_18. What aspects of the topic readings do you find the most interesting? What is your view of the analysis of disease and healing in the readings? Explain Expert Answer and Explanation From the topic readings, one of the most interesting items was the concept of Christianity as it relates to the delivery of care. the main issue of concern was that human beings are considered to be holy and their life should be treated with respect. As medical practitioners, one needs to take proper interventions to ensure that patients are free from pain and suffering (Swanson et al., 2019). The Christians depict human beings to be created in the image and likeness of God. Responding to patients should take into account these beliefs and ensure that all the different forms of care are done while maintaining the quality and effectiveness of the said care. Christianity advocates for the preservation of human life and ensuring that all ethical consideration is put into account when making medical decisions (Rieg et al., 2018). The main contention occurs during end-of-life care where critical decisions have to be made for or on behalf of the patient. All decisions need to uphold and respect human life regardless of the condition or state they are in at the moment. Based on the reading, my views on disease and healing are correlational. As patients, the main aim of visiting healthcare facilities is to acquire healing. Christians perceive diseases as a form of fall and healing as a means of religious intervention to regain power and
[ANSWERED 2023] WEEK 5 Assignment Episodic Focused Note for Focused Exam
WEEK 5 Assignment Episodic Focused Note for Focused Exam WEEK 5 Assignment Episodic Focused Note for Focused Exam Episodic SOAP Note Danny Rivera cough Subjective Danny Rivera a 8 year old male presents today with chief complains of a cough onset 5 days ago, right ear pain 3/10, feeling tired and sick. paints reports cough gurgly and watery, clear sputum and runny nose. patient denies smoking, but admits being exposed to second hand smoke. patient reported that his mother gave him OTC cough medication with did help with the cough. Objective v/s BP: 120/76 RR: 28 HR: 100 TEMP: 37.2 O2 SAT: 96% FVC 1.78, FEV1 1.549L (FEV1/FVC 87%) Patient appear fatigued dry mucus membrane and throat erythremia noted nasal cavity red right ear canal red productive cough clear muscus noted lungs clear to auscultation no acute distress noted Assessment Productive cough throat erythremia allergies fatigue Plan Increase fluid intake throat culture patient and family education on smoking prescribe cough suppressant medication encourage rest (2-3 days sick level) Expert Answer and Explanation SOAP Note Patient Information: S. CC “coughs a lot and feels tired.” HPI: Danny Rivera is an 8-year-old male complaining of cough that has lasted five days. The patient also feels sick, 3/10 pain in the right ear, and tired. He records that the cough is watery and gurgly, running nose, and clear sputum. Patient says that he has never smoked but has been exposed to smoke on several occasions. Current Medications: OTC cough drug and vitamins. Allergies: No allergies. PMHx: Rivera mentions that he was immunized currently. Fam Hx: His father smokes. ROS: GENERAL: He has watery and gurgly cough that has lasted five days and feels tired and sick. HEENT: No headache but feels 3/10 pain in the right ear. Throat: Sore throat. SKIN: Healthy. CARDIOVASCULAR: Healthy. RESPIRATORY: Healthy. GASTROINTESTINAL: Healthy gastrointestinal. GENITOURINARY: Healthy genitals. O. Physical exam: The patients’ vitals are BT-37.2 degrees centigrade, BP-120/76, O2 SAT: 96%, RR: 28, FEV1 1.549L, HR: 100, and FVC 1.78. The patient has no acute distress, his lungs are clear to auscultation, and appears fatigued. Diagnostic results: According to Ball et al. (2019), throat swab can be used to test cough related conditions. A. Differential Diagnoses Common cold- The most plausible disease affecting the patient. Sore Throat Tonsillitis Strep throat Influenza Reason for Selecting Common Cold Common cold is a viral infection that affects people occasionally. According to Smilek (2017), the disease normally infects the throat and the nose. Merchant (2019) also mention that the disease can affect the patient for more than a week. This disease has been selected because the patient has running nose, sore throat, and tiredness which as are among the symptoms of the condition. References Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2019). Seidel’s guide to physical examination: An interprofessional approach (9th ed.). St. Louis, MO: Elsevier Mosby. Merchant, A. H., Merchant, A., Bailey, J., & Merchant, J. L. (2019). An unusual case of sore throat. Australian journal of general practice, 48(1/2), 37. https://search.informit.com.au/documentSummary;dn=163156001153386;res=IELHEA Smilek, P. (2017). Sore throat treatment. Casopis lekaru ceskych, 156(4), 203-204. https://europepmc.org/article/med/28862011 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: NEW30 to Get 30% OFF Your First Order Script Your avatar Hello. my name is ann i will your nurse practitioner today. Danny Rivera Hi. Your avatar What is your name Danny Rivera My name is Daniel Rivera, but I just go by Danny. Your avatar Danny who bought you here today (Clarified to Who is here with you today?.) Danny Rivera Abuela brought me here instead of taking me to school today. (Clarified to who is here with me.) Your avatar Why did your abuela bring in today Danny Rivera My Abuela brought me here because I\’ve been feeling sick. I have been coughing a lot. . . and I feel kinda tired. Your avatar I am sorry to hear that you are not feeling well Danny Rivera Thank you. Your avatar when did you cough start (Clarified to When did you start coughing?.) Danny Rivera I think the cough started four. . . No, it started five days ago. (Clarified to when I started coughing.) Your avatar how often is your cough Danny Rivera I just keep feeling like I have to cough every couple minutes or so. I think it gets worse at night. Your avatar what does it feel like when you cough Danny Rivera I know it\’s bad. I try to leave the room if Papi forgets to go outside. Your avatar does it feel like a dry cough or wet cough Danny Rivera My cough seems kind of gurgly and watery. Your avatar what makes the cough worst Danny Rivera My cough mostly stays the same no matter what I do. It seems to get worse at night though. Your avatar what make the cough better Danny Rivera I had some cough medicine this morning Your avatar do you know the name of the medicine (Clarified to Do you know what the cough medication’s name is?.) Danny Rivera I don\’t know what the name of the cough medicine is. It was purple. Your avatar who gave you the medicine Danny Rivera My mom. Your avatar are you taking any other medication Danny Rivera I\’m not taking any medicines every day. My mom gave me some cough medicine this morning though. Your avatar do you take vitamins Danny Rivera Oh yeah, I take vitamins every day! The gummy dinosaur kind. I don\’t think I\’m supposed to, but sometimes I sneak extra ones to be super healthy! Your avatar it important not take too much take the recommended dose Danny Rivera Oh, OK. Your avatar do you wash you hands often Danny Rivera I wash my hands before I eat or after I go to the bathroom. Your avatar thats good the washing of your hands helps to prevent germs from spreading Danny Rivera Oh, OK. Your
[ANSWERED 2023] This module focuses on the impact that emotional intelligence has on decision making. Additionally, the module highlights biases in decision making, as well as emotional influences
This module focuses on the impact that emotional intelligence has on decision making This module focuses on the impact that emotional intelligence has on decision making. Additionally, the module highlights biases in decision making, as well as emotional influences on decision making. Your goal for this assignment is to develop a plan to increase motivation, satisfaction, and performance in the workplace through the use of foundational principles associated with emotional intelligence. You must highlight the key elements of emotional intelligence that increase follower motivation and performance. Also, describe the potential biases that could impact leadership decision making and make recommendations to overcome the leadership biases. There are links to self assessments in the lecture that may provide food for thought as you develop your plan. Address the following in your paper/plan: Provide a brief summary of the attributes associated with EQ. Describe how you would embody each of those attributes. Develop a means for employing the plan to increase motivation, satisfaction, and performance in the workplace. Share specifics on the potential advantages and disadvantages of your plan. Assignment Requirements: Your paper should be 4-5 pages in length, not counting the required title and references pages. Expert Answer and Explanation Impact of Emotions on Decision-Making Organizations make decisions and motivate employees with focus on improving their performance. This implies that decision-making as well as encouraging of workers can help a firm perform in alignment with the firm’s expectations. For an organization to achieve this alignment, it needs to know how to act or make decision, and this is important in the sense that it helps avoid mistakes which may hamper performance. When considering using decision-making and motivation to drive performance, an entity has to be aware of the factors which may affect the effectiveness or impact of the two (O’Connor et al., 2019). A decision maker has to understand that biases can affect decision-making, and the elements of emotional intelligence (EI) can enhance or hamper motivation as this study highlights. Elements of Emotional Intelligence that help motivate Followers The elements of EI can help improve the followers’ motivation and performance. As an example of these elements, self-awareness plays a crucial in terms of motivating individuals. When one is self-aware, they can intuitively reasons, and rather than act in a manner that hurts others, they make decisions with focus on helping support others, and this motivates the follower (Boyatzis, 2018). Self-management, still, can help a leader motivate the people they lead. A leader can demonstrate this element by restraining from using words which can hurt others’ feelings. Instead, they approach issues with calm, and this help improve the leader-follower relationship. Accordingly, the employees gain motivation, and support the leader (Boyatzis, 2018). Social-awareness is another element that can help optimize a leader’s capacity to encourage people in their team. A leader that exhibits this quality or element makes efforts to get to know about others’ perspectives regarding cultural practices. Such a leader discards the notion that their perspective is undisputable, and instead, they listen to others. In doing so, they encourage employees to contribute towards meeting of the performance targets. A leader can equally use relationship management to encourage workers. This is involves adopting practices and measures focused on reducing conflicts, and engaging constructively with workers to help motivate them. Potential Biases that can affect Leadership Decision-Making While a leader may want to realize a certain objective by making decisions, they may fail to meet the expectations especially if there are biases involved. Anchoring, for instance, can limit a leader’s capacity to come up with the right course of action. It is noticeable in a scenario where one makes conclusion based on the information, they receive instead of considering alternative options. The progress bias can equally affect the making of decisions. It occurs when one oversteps favorable decisions while they downplay the unfavorable decisions (Gilar-Corbi et al., 2019). An example is downsizing to save costs, and using the money saved to purchase an item that is not important to the organization. Recommendations to Overcome Leadership Biases Given the undesirable effects of the biases, leadership should undertake certain measures to overcome the biases. When considering making decisions, for instance, a leader should gather facts first. This is important because the lack of facts may increase the leader’s risk of making leadership mistakes due to the biases such as anchoring bias. A leader can equally overcome the bias by consulting, and seeking the views of others (Drigas & Papoutsi, 2018). This is important because employees may know what a leader does not know, and seeking the views of the former can help limit the risk of making decisions which end up hampering performance. Attributes Associated with EQ There are key attributes which one can associate with the EI. Self-awareness is part of the attributes. It denotes one’s capacity to recognize their flaws, strengths, and the impact of their actions on others. Another attribute is self-regulation, and an individual can demonstrate this attribute by managing their feelings as well as emotions so that they don’t annoy others. Empathy, still, is a feature that one can relate to the EI. It describes one’s ability to understand the experiences of others. Motivation, in addition, is linked to the EI, and it means having passion in doing something, and making efforts to realize a certain objective (Reshetnikov et al., 2020). Furthermore, social skills are also some of the features of the EI. When one has these skills, they are able to manage relationships in an effective manner. Embodying the Attributes There are different ways in which one can embody the attributes. Creating room for other people to share their thoughts on how to manage certain tasks, for instance, provides a way of embodying the attributes. By doing this, an individual would be demonstrating the possession of the social skills as an attribute of the EI. One can also embody these attributes by restraining from taking actions which hurt the feelings of others, and this is an attribute that defines a self-aware person (Rodríguez-Ledo et
[ANSWERED 2023] In this Assignment you will analyze recent presidential healthcare agendas. You also will prepare a fact sheet to communicate the importance of a healthcare issue and the impact on this issue of recent or proposed policy
In this Assignment you will analyze recent presidential healthcare agendas. You also It may seem to you that healthcare has been a national topic of debate among political leaders for as long as you can remember. Healthcare has been a policy item and a topic of debate not only in recent times but as far back as the administration of the second U.S. president, John Adams. In 1798, Adams signed legislation requiring that 20 cents per month of a sailor’s paycheck be set aside for covering their medical bills. This represented the first major piece of U.S. healthcare legislation, and the topic of healthcare has been woven into presidential agendas and political debate ever since. As a healthcare professional, you may be called upon to provide expertise, guidance and/or opinions on healthcare matters as they are debated for inclusion into new policy. You may also be involved in planning new organizational policy and responses to changes in legislation. For all of these reasons you should be prepared to speak to national healthcare issues making the news. In this Assignment you will analyze recent presidential healthcare agendas. You also will prepare a fact sheet to communicate the importance of a healthcare issue and the impact on this issue of recent or proposed policy. To Prepare: Review the agenda priorities of the current/sitting U.S. president and the two previous presidential administrations. Select an issue related to healthcare that was addressed by each of the last three U.S. presidential administrations. Reflect on the focus of their respective agendas, including the allocation of financial resources for addressing the healthcare issue you selected. Consider how you would communicate the importance of a healthcare issue to a legislator/policymaker or a member of their staff for inclusion on an agenda. The Assignment: (1- to 2-page Comparison Grid, 1-Page Analysis, and 1-page Fact Sheet) Part 1: Agenda Comparison Grid Use the Agenda Comparison Grid Template found in the Learning Resources and complete the Part 1: Agenda Comparison Grid based on the current/sitting U.S. president and the two previous presidential administrations and their agendas related to the public health concern you selected. Be sure to address the following: Identify and provide a brief description of the population health concern you selected and the factors that contribute to it. Describe the administrative agenda focus related to the issue you selected. Identify the allocations of financial and other resources that the current and two previous presidents dedicated to this issue. Explain how each of the presidential administrations approached the issue. Part 2: Agenda Comparison Grid Analysis Using the information you recorded in Part 1: Agenda Comparison Grid on the template, complete the Part 2: Agenda Comparison Grid Analysis portion of the template, by addressing the following: Which administrative agency would most likely be responsible for helping you address the healthcare issue you selected? How do you think your selected healthcare issue might get on the agenda for the current and two previous presidents? How does it stay there? Who would you choose to be the entrepreneur/ champion/sponsor of the healthcare issue you selected for the current and two previous presidents? Part 3: Fact Sheet or Talking Points Brief Using the information recorded on the template in Parts 1 and 2, develop a 1-page narrative that you could use to communicate with a policymaker/legislator or a member of their staff for this healthcare issue. Be sure to address the following: Summarize why this healthcare issue is important and should be included in the agenda for legislation. Justify the role of the nurse in agenda setting for healthcare issues. Expert Answer and Explanation Agenda Comparison Grid Assignment Part 1: Agenda Comparison Grid Identify the Population Health concern you selected. Opioid Crisis The Population Health concern. According to statistics by the National Institute of Drug Abuse, over 50,000 people died from opioid overdose in 2019. Similarly, the same statistics indicate that close to $80 billion is spent on dealing with issues associated with opioid addiction including, loss of productivity, rehabilitation, involvement with the criminal activities to list a few. Over the years, different presidents established different approaches to tackle opioid issue, with each approach eliciting different reactions. This paper will compare former President Obama and President Trump’s policy stand on the opioid crisis. Administration (President Name) President Barrack Obama President Donald Trump How each of the two presidential administrations approached the issue. During President Obama’s tenure as president, he raised the level of sensitization on how serious the opioid crisis is and the impact on the American community. He made all stakeholders, especially the legislative wing of the government to start recognizing the intensity of the problem. However, it was until the final days of his term that the Congress passed the 21st Century Cures Act, which among other things increased the state funding channeled towards response against the opioid crisis (Barlas, 2017). During President Trump’s tenure, he established opioid crisis as both a security and a health issue. He was quite vocal on recognizing the fact that opioid crisis is a matter of national concern joining gun violence as part of the leading causes death in the US. To help curb the issue, president trump passed into law the Substance Use-Disorder Prevention that Promotes Opioid Recovery and Treatment for Patients and Communities Act, also known as the SUPPORT for Patients and Communities Act, which among other things helped to increase the federal funding on evidence-based treatment for opioid use disorder. President Trump also declared the opioid crisis as a national crisis in 2018, making him the first president to do so (The White House, n.d.). Allocations of resources After the implementation of the 21st Century Cures Act, over one billion dollars was allocated by the federal government towards collaborative efforts with states and other agencies in dealing with the opioid crisis (Office of the Press Secretary, 2016). President Trump’s administration in 2018 through congress, passed a budget of $13 billion to be spread across two financial periods. This allocation was meant to
[ANSWERED 2023] Assignment Assessing and Diagnosing Patients With Substance-Related and Addictive Disorders
Assignment Assessing and Diagnosing Patients With Substance–Related and Addictive Disorders An important consideration when working with patients is their cultural background. Understanding an individual’s culture and personal experiences provides insight into who the person is and where he or she may progress in the future. Culture helps to establish a sense of identity, as well as to set values, behaviors, and purpose for individuals within a society. Culture may also contribute to a divide between specific interpretations of cultural behavior and societal norms. What one culture may deem as appropriate another culture may find inappropriate. As a result, it is important for advanced practice nurses to remain aware of cultural considerations and interpretations of behavior for diagnosis, especially with reference to substance-related disorders. At the same time, PMHNPs must balance their professional and legal responsibilities for assessment and diagnosis with such cultural considerations and interpretations. For this Assignment you will practice assessing and diagnosing a patient in a case study who is experiencing a substance-related or addictive disorder. With this and all cases, remember to consider the patient’s cultural background. To Prepare: Review this week’s Learning Resources and consider the insights they provide. Review the Comprehensive Psychiatric Evaluation template, which you will use to complete this Assignment. By Day 1 of this week select a specific video case study to use for this Assignment from the Video Case Selections choices in the Learning Resources. View your assigned video case and review the additional data for the case in the “Case History Reports” document, keeping the requirements of the evaluation template in mind. Consider what history would be necessary to collect from this patient. Consider what interview questions you would need to ask this patient. Identify at least three possible differential diagnoses for the patient. By Day 7 of Week 8 Complete and submit your Comprehensive Psychiatric Evaluation, including your differential diagnosis and critical-thinking process to formulate primary diagnosis. Incorporate the following into your responses in the template: Subjective: What details did the patient provide regarding their chief complaint and symptomology to derive your differential diagnosis? What is the duration and severity of their symptoms? How are their symptoms impacting their functioning in life? Objective: What observations did you make during the psychiatric assessment? Assessment: Discuss the patient’s mental status examination results. What were your differential diagnoses? Provide a minimum of three possible diagnoses with supporting evidence, listed in order from highest priority to lowest priority. Compare the DSM-5-TR diagnostic criteria for each differential diagnosis and explain what DSM-5-TR criteria rules out the differential diagnosis to find an accurate diagnosis. Explain the critical-thinking process that led you to the primary diagnosis you selected. Include pertinent positives and pertinent negatives for the specific patient case. Reflection notes: What would you do differently with this client if you could conduct the session over? Also include in your reflection a discussion related to legal/ethical considerations (demonstrate critical thinking beyond confidentiality and consent for treatment!), health promotion and disease prevention taking into consideration patient factors (such as age, ethnic group, etc.), PMH, and other risk factors (e.g., socioeconomic, cultural background, etc.). RUBRIC Create documentation in the Comprehensive Psychiatric Evaluation Template about the patient you selected. In the Subjective section, provide: Chief complaint History of present illness (HPI) Past psychiatric history Medication trials and current medications Psychotherapy or previous psychiatric diagnosis Pertinent substance use, family psychiatric/substance use, social, and medical history Allergies ROS In the Objective section, provide: Physical exam documentation of systems pertinent to the chief complaint, HPI, and history Diagnostic results, including any labs, imaging, or other assessments needed to develop the differential diagnoses. In the Assessment section, provide: Results of the mental status examination, presented in paragraph form. At least three differentials with supporting evidence. List them from top priority to least 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. Reflect on this case. Discuss what you learned and what you might do differently. 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). Written Expression and Formatting—Paragraph development and organization:Paragraphs make clear points that support well-developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are carefully focused—neither long and rambling nor short and lacking substance. A clear and comprehensive purpose statement and introduction are provided that delineate all required criteria. Written Expression and Formatting—English writing standards:Correct grammar, mechanics, and punctuation TRANSCRIPT OF VIDEO FILE: 00:00:00______________________________________________________________________________ 00:00:00 BEGIN TRANSCRIPT: 00:00:00 [sil.] 00:00:20 LISA Well I had to be here in this hospital if that answers your question. 00:00:25 OFF CAMERA Yes, thank you. Can I get you a drink of water or something else to drink? Anything? 00:00:35 LISA A drink isn’t going to convince me, right? You’re going to have to convince me. 00:00:40 OFF CAMERA What is you want me to persuade you to do? 00:00:45 LISA Going to rehab. 00:00:50 OFF CAMERA What worries you about going to rehab? 00:00:55 [sil.] 00:01:00 LISA Everything. 00:01:00 OFF CAMERA Okay. I tell you what let’s go back a little bit and tell me about how you’re feeling today. 00:01:10 LISA Scared. 00:01:15 OFF CAMERA Can you tell me more about that feeling of being scared? 00:01:20 LISA Well, I don’t want to be. I don’t want to be what people say I am because if I say it and I’m not going to say it because I ain’t going to change. I can’t. 00:01:35 OFF CAMERA What do people say you are? 00:01:40 LISA And I’m not.
[ANSWERED 2023] Use the Agenda Comparison Grid Template found in the Learning Resources and complete the Part 1: Agenda Comparison Grid based on the current/sitting U.S.
Use the Agenda Comparison Grid Template found in the Learning Resources and It may seem to you that healthcare has been a national topic of debate among political leaders for as long as you can remember. Healthcare has been a policy item and a topic of debate not only in recent times but as far back as the administration of the second U.S. president, John Adams. In 1798, Adams signed legislation requiring that 20 cents per month of a sailor’s paycheck be set aside for covering their medical bills. This represented the first major piece of U.S. healthcare legislation, and the topic of healthcare has been woven into presidential agendas and political debate ever since. As a healthcare professional, you may be called upon to provide expertise, guidance and/or opinions on healthcare matters as they are debated for inclusion into new policy. You may also be involved in planning new organizational policy and responses to changes in legislation. For all of these reasons you should be prepared to speak to national healthcare issues making the news. In this Assignment, you will analyze recent presidential healthcare agendas. You also will prepare a fact sheet to communicate the importance of a healthcare issue and the impact on this issue of recent or proposed policy. To Prepare: Review the agenda priorities of the current/sitting U.S. president and at least one previous presidential administration. Select an issue related to healthcare that was addressed by two U.S. presidential administrations (current and previous). Consider how you would communicate the importance of a healthcare issue to a legislator/policymaker or a member of their staff for inclusion on an agenda. Use your Week 1 Discussion post to help with this assignment. The Assignment: (1- to 2-page Comparison Grid, 1-Page Analysis, and 1-page narrative) with a title page. This is an APA paper. Use 2-3 course resources and at least 2 outside resources. Part 1: Agenda Comparison Grid Use the Agenda Comparison Grid Template found in the Learning Resources and complete the Part 1: Agenda Comparison Grid based on the current/sitting U.S. president and the previous president, and their agendas related to the population health concern you selected. Be sure to address the following: Identify and provide a brief description of the population health concern you selected. Explain how each of the presidential administrations approached the issue. Identify the allocation of resources that the presidents dedicated to this issue. Part 2: Agenda Comparison Grid Analysis Using the information you recorded in Part 1: Agenda Comparison Grid on the template, complete the Part 2: Agenda Comparison Grid Analysis portion of the template, by addressing the following: Which administrative agency (like HHS, CDC, FDA, OHSA) would most likely be responsible for helping you address the healthcare issue you selected and why is this agency the most helpful for the issue? How do you think your selected healthcare issue might get on the presidential agenda? How does it stay there? An entrepreneur/champion/sponsor helps to move the issue forward. Who would you choose to be the entrepreneur/champion/sponsor (this can be a celebrity, a legislator, an agency director, or others) of the healthcare issue you selected and why would this person be a good entrepreneur/ champion/sponsor? An example is Michael J. Fox is champion for Parkinson’s disease. Part 3: Fact Sheet Using the information recorded on the template in Parts 1 and 2, develop a 1-page fact sheet that you could use to communicate with a policymaker/legislator or a member of their staff for this healthcare issue. Be sure to address the following: Summarize why this healthcare issue is important and should be included in the agenda for legislation. Justify the role of the nurse in agenda setting for healthcare issues. By Day 7 of Week 2 Submit your final version of Part 1: Agenda Comparison Grid, Part 2: Agenda Comparison Grid Analysis, and Part 3: Narrative. Submission and Grading Information To submit your completed Assignment for review and grading, do the following: Please save your Assignment using the naming convention “WK2Assgn+last name+first initial.(extension)” as the name. Click the Week 2 Assignment Rubric to review the Grading Criteria for the Assignment. Click the Week 2 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 “WK2Assgn+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 Agenda Comparison Grid and Fact Sheet or Talking Points Brief Assignment Template for Part 1 and Part 2 Part 1: Agenda Comparison Grid Use this Agenda Comparison Grid to document information about the population health/healthcare issue your selected and the presidential agendas. By completing this grid, you will develop a more in depth understanding of your selected issue and how you might position it politically based on the presidential agendas. You will use the information in the Part 1: Agenda Comparison Grid to complete the remaining Part 2 and Part 3 of your Assignment. Identify the Population Health concern you selected. Mental Health Describe the Population Health concern you selected and the factors that contribute to it. Mental health is an issue affecting most of the citizens in the country. In the contemporary society many people are thought to have mental illnesses. Statistics shows that many people are dealing with depression and this has led to increased suicides and drug use in the country. Through legal action some presidents have been able to address the issue, although it is clear that with the current strain of life brought up by the pandemic the increased cost of living there will be more people needing mental health attention. Administration (President Name) (President Joe Biden) (Bill Clinton) (Jimmy Carter) Describe the administrative agenda focus related to this issue for the current and two previous presidents. He is the current president and his administration has worked on ensuring that
[2023] A 6 year old female child that came to the clinic with accompanied by her mother complaining of cough since 8 weeks ago
A 6 year old female child that came to the clinic with accompanied by her mother Asthma case study instructions ( Essay) A 6 year old female child that came to the clinic with accompanied by her mother complaining of cough since 8 weeks ago. The cough is triggered when she laugh or cry. Her cough get worse when she is exposes to cold air, exercise, and at night. Patient past medical history of mild eczema and chronic nasal congestion. No shortness of breath, wheezing or fever reported. She is currently talking no medications. No known allergies reported. On her examination she is not in acute distress. Positive findings during examination: nasal turbinates little pale and edematous. During lungs auscultation she had end- expiratory wheezing, but no use of accessory muscle of respiration. The child was born in India moved to United Stated when she was 1 year old. Her family recently moved to a new area, since that, she is complaining of worsening nasal congestion. The house has some carpets on the floor. She also has a dog in her house. Patient has a history of mother and cousins diagnosed with asthma. The primary diagnosis is asthma based on her past history, clinical presentation and family history. Introduction Should be a paragraph that provides a brief overview of the case and main diagnosis: 1-Asthma Differential Diagnoses Provide EACH differential diagnosis with the rationale and supporting evidence with the REFERENCE for each one. Also explain why differentials Viral pneumonia and sinusitis) were not the main diagnosis. Asthma: Viral pneumonia: Sinusitis: Diagnostics Identify the lab, radiology, or other tests needed for Asthma with supporting evidence. Treatment Include the initial treatment plan for Asthma. It should include medication names, dosages, and frequencies Education Patient/family education in patient with asthma Follow-Up for athma Appropriate follow up plan. Please include when will patient follow up: 2 weeks, 1month, 3 months. What are some follow up labs or test. Referrals Why are they following up? What outcome do you wish to assess? References Requirement: APA format Intext citation References at least 4 high-level scholarly reference per post within the last 5 years in APA format. EACH differential diagnostic gets 1 reference Plagiarism free. Turnitin receipt. 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 How to Help a Child with Difficulty Breathing When a child experiences difficulty breathing, it can be a distressing situation for both the child and their caregivers. The ability to breathe freely is crucial for proper growth, development, and overall well-being. Understanding the importance of helping a child with difficulty breathing is essential to provide immediate assistance, seek appropriate medical attention, and establish long-term strategies for managing respiratory issues effectively. Identifying the Cause Recognizing the signs of difficulty breathing in children is the first step towards providing necessary aid. Symptoms such as rapid or shallow breathing, wheezing, coughing, bluish discoloration of the lips or face, and retractions (visible sinking of the skin between the ribs or at the base of the neck) indicate respiratory distress. Common causes of difficulty breathing in children include asthma, allergies, respiratory infections, foreign body aspiration, and chronic conditions like cystic fibrosis. Immediate Steps to Assist a Child with Difficulty Breathing In a situation where a child is struggling to breathe, it is crucial to remain calm and take immediate action. Ensuring the child’s safety by removing any potential hazards is paramount. If there is an airway obstruction, such as food or a small object, it should be cleared promptly and safely. In cases where the child is not breathing adequately, rescue breathing techniques, such as mouth-to-mouth resuscitation or chest compressions, may be necessary. Activating emergency medical services should be a priority when the child’s condition does not improve or if there is a severe respiratory emergency. Long-term Strategies to Support a Child with Respiratory Issues Seeking medical diagnosis and treatment is vital for managing chronic respiratory conditions. Consulting with a healthcare professional will help determine the underlying cause of the child’s difficulty breathing and develop an appropriate treatment plan. Creating a safe and clean environment by reducing exposure to allergens, dust, and pollutants can significantly improve the child’s respiratory health. Implementing healthy lifestyle habits, such as maintaining a balanced diet, regular exercise, and adequate hydration, also contribute to overall well-being. In some cases, respiratory devices or medications prescribed by a healthcare professional may be necessary to alleviate symptoms and support optimal lung function. Emotional Support for the Child and Family Caring for a child with difficulty breathing can be emotionally challenging for both the child and their family. Communicating with empathy and reassurance is essential to provide emotional support. Encouraging open dialogue and allowing the child to express their emotions freely helps them cope with their condition. Seeking support from healthcare professionals or joining support groups for families facing similar challenges can provide additional guidance, resources, and a sense of community. Preventive Measures to Reduce the Risk of Difficulty Breathing Preventing respiratory issues in children involves proactive measures. Maintaining a clean and allergen-free environment by regularly cleaning surfaces, using air purifiers, and minimizing exposure to smoke or strong odors can reduce respiratory triggers. Promoting healthy habits, such as proper hand hygiene and encouraging regular exercise, supports a strong immune system. Ensuring timely vaccination and immunization helps protect children from respiratory infections. Monitoring and managing any underlying health conditions, such as allergies or asthma, can also minimize the risk of difficulty breathing. Conclusion Helping a child with difficulty breathing requires a multi-faceted approach that encompasses immediate assistance, long-term strategies, emotional support, and preventive measures. By understanding the signs, taking immediate action, seeking medical guidance, and providing a supportive environment, caregivers can effectively assist children with respiratory issues and improve their overall quality of life. FAQs What are the common causes of difficulty breathing in children? Difficulty breathing in children can be caused
[ANSWERED 2023] A Puerto Rican Woman With Comorbid Addiction
A Puerto Rican Woman With Comorbid Addiction A Puerto Rican Woman With Comorbid Addiction. The Assignment: Examine Case Study: A Puerto Rican Woman With Comorbid Addiction. You will be asked to make three decisions concerning the medication to prescribe to this client. Be sure to consider factors that might impact the client’s pharmacokinetic and pharmacodynamic processes. At each decision point stop to complete the following: · Decision #1 o Which decision did you select? o Why did you select this decision? Support your response with evidence and references to the Learning Resources. o What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources. o Explain any difference between what you expected to achieve with Decision #1 and the results of the decision. Why were they different? · Decision #2 o Why did you select this decision? Support your response with evidence and references to the Learning Resources. o What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources. o Explain any difference between what you expected to achieve with Decision #2 and the results of the decision. Why were they different? · Decision #3 o Why did you select this decision? Support your response with evidence and references to the Learning Resources. o What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources. o Explain any difference between what you expected to achieve with Decision #3 and the results of the decision. Why were they different? Note: Support your rationale with a minimum of three academic resources no more than five years old. Co-morbid Addiction (ETOH and Gambling) 53-year-old Puerto Rican Female BACKGROUND Mrs. Maria Perez is a 53 year old Puerto Rican female who presents to your office today due to a rather “embarrassing problem.” SUBJECTIVE Mrs. Perez admits that she has had “problems” with alcohol since her father died in her late teens. She reports that she has struggled with alcohol since her 20’s and has been involved with Alcoholics Anonymous “on and off” for the past 25 years. She states that for the past two years, she has been having more and more difficulty maintaining her sobriety since they opened the new “Rising Sun” casino near her home. Mrs. Perez states that she and a friend went to visit the new casino during their grand opening at which point she was “hooked.” She states that she gets “such a high” when she is gambling. While gambling, she “enjoys a drink or two” to help calm her during high-stakes games. She states that this often gives way to more drinking and more reckless gambling. She also reports that her cigarette smoking has increased over the past two years and she is concerned about the negative effects of the cigarette smoking on her health. She states that she attempts to abstain from drinking but that she gets such a “high” from the act of gambling that she needs a few drinks to “even out.” She also notices that when she drinks, she doesn’t smoke “as much” but enjoys smoking when she is playing at the slot machines. She also reports that she has gained weight from drinking so much- she currently weights 122 lbs., which represents a 7 lb. weight gain from her usual 115 lb. weight. Mrs. Perez is quite concerned today because she has borrowed over $50,000 from her retirement account to pay off her gambling debts. She is very concerned because her husband does not know that she has spent this much money. MENTAL STATUS EXAM The client is a 53 year old Puerto Rican female who is alert, oriented to person, place, time, and event. She is dressed appropriately for the weather and time of year. Her speech is clear, coherent, and goal directed. Her eye contact is somewhat avoidant during the clinical interview. As you make eye contact with her, she looks away or looks down. She demonstrates no noteworthy mannerisms, gestures, or tics. Her self-reported mood is “sad.” Affect is appropriate to content of conversation & self-reported mood. She visual or auditory hallucinations, no delusional or paranoid thought processes are readily appreciated. Insight and judgment are grossly intact, however, impulse control is impaired. She is currently denying suicidal or homicidal ideation. Diagnosis: Gambling disorder, alcohol use disorder Decision Point One: Select what the PMHNP should do: Naltrexone (Vivitrol) injection, 380 mg intramuscularly in the gluteal region every 4 weeks RESULTS OF DECISION POINT ONE Client returns to clinic in four weeks Mrs. Perez said that she felt “wonderful” as she has not “touched a drop” to drink since receiving the injection Client reports that she has not been going to the casino, as frequently, but when she does go she “drops a bundle” (meaning, spends a lot of money gambling) Client She is also still smoking, which has her concerned. She is also reporting some problems with anxiety, which also have her concerned Decision Point Two: Select what the PMHNP should do next: Add on Valium(diazepam) 5 mg orally TID/PRN/anxiety RESULTS OF DECISION POINT TWO Client returns to clinic in four weeks Mrs. Perez reports that when she first received the valium, it helped her tremendously. She states “I was like a new person- this is a miracle drug!” However, she reports that she has trouble “waiting” between drug administration times and sometimes takes her valium early Client is asking today for you to increase the valium dose or frequency Decision Point Three: Select what the PMHNP should do next: Continue current dose of Vivitrol, increase Valium to 10 mg orally TID/PRN/anxiety. Refer to counseling for her ongoing gambling issue Guidance to Student Anxiety is a common side effect of Vivitrol. Mrs. Perez reports that she is doing well with this medication, and like other side effects, the anxiety associated with this medication may be transient. The psychiatric mental health nurse practitioner should never
[ANSWERED 2023] Select a patient for whom you conducted psychotherapy during the last 6 weeks. Create a Comprehensive Psychiatric Evaluation Note on this patient using the template provided in the Learning Resources
Select a patient for whom you conducted psychotherapy during the last 6 weeks. Create a Assignment 2: Comprehensive Psychiatric Evaluation Note and Patient Case Presentation Psychiatric notes are a way to reflect on your practicum experiences and connect the experiences to the learning you gain from your weekly Learning Resources. Comprehensive psychiatric evaluation notes, such as the ones required in this practicum course, are often used in clinical settings to document patient care. For this Assignment, you will document information about a patient that you examined at your practicum site, using the Comprehensive Psychiatric Evaluation Note Template provided. You will then use this note to develop and record a case presentation for this patient. To Prepare Review this week’s Learning Resources and consider the insights they provide about impulse-control and conduct disorders. Select a patient for whom you conducted psychotherapy during the last 6 weeks. Create a Comprehensive Psychiatric Evaluation Note on this patient using the template provided in the Learning Resources. There is also a completed template provided as an exemplar and guide. All psychiatric evaluation notes must be signed, and each page must be initialed by your Preceptor. When you submit your note, you should include the complete comprehensive evaluation note as a Word document and pdf/images of each page that is initialed and signed by your Preceptor. You must submit your note using SafeAssign. Please Note: Electronic signatures are not accepted. If both files are not received by the due date, Faculty will deduct points per the Walden Grading Policy. Then, based on your evaluation of this patient, develop a video presentation of the case. Plan your presentation using the Assignment rubric and rehearse what you plan to say. Be sure to review the Kaltura Media Uploader resource in the left-hand navigation of the classroom for help creating your self-recorded Kaltura video. Include at least five scholarly resources to support your assessment and diagnostic reasoning. Ensure that you have the appropriate lighting and equipment to record the presentation. The Assignment Record yourself presenting the complex case study for your clinical patient. In your presentation: Dress professionally and present yourself in a professional manner. Display your photo ID at the start of the video when you introduce yourself. Ensure that you do not include any information that violates the principles of HIPAA (i.e., don’t use the patient’s name or any other identifying information). Present the full complex case study. Be succinct in your presentation, and do not exceed 8 minutes. Include subjective and objective data; assessment from most recent mental status exam; current psychiatric diagnosis including differentials that were ruled out; current psychotherapeutic plan (include one health promotion activity and one patient education strategy you provided); and patient progress toward treatment goals. Subjective: What details did the patient provide regarding their chief complaint and symptomology to derive your differential diagnosis? What was 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 in order of highest to lowest priority and explain why you chose them. What was your primary diagnosis and why? Describe how your primary diagnosis aligns with DSM-5 diagnostic criteria and is supported by the patient’s symptoms. Plan: What was your plan for psychotherapy (including one health promotion activity and one patient education strategy)? What was your plan for treatment and management, including alternative therapies? Include nonpharmacologic treatments, alternative therapies, and follow-up parameters, as well as a rationale for this treatment and management plan. Reflection notes: What would you do differently with this patient if you could conduct the session again? Excellent Good Fair Poor Photo ID display and professional attire 5 (5%) – 5 (5%) Photo ID is displayed. The student is dressed professionally. 0 (0%) – 0 (0%) 0 (0%) – 0 (0%) 0 (0%) – 0 (0%) Photo ID is not displayed. Student must remedy this before grade is posted. The student is not dressed professionally. Time 5 (5%) – 5 (5%) The video does not exceed the 8-minute time limit. 0 (0%) – 0 (0%) 0 (0%) – 0 (0%) 0 (0%) – 3 (3%) The video exceeds the 8-minute time limit. (Note: Information presented after 8 minutes will not be evaluated for grade inclusion.) Discuss Subjective data: • Chief complaint • History of present illness (HPI) • Medications • Psychotherapy or previous psychiatric diagnosis • Pertinent histories and/or ROS 9 (9%) – 10 (10%) The video accurately and concisely presents the patient’s subjective complaint, history of present illness, medications, psychotherapy or previous psychiatric diagnosis, and pertinent histories and/or review of systems that would inform a differential diagnosis. 8 (8%) – 8 (8%) The video accurately presents the patient’s subjective complaint, history of present illness, medications, psychotherapy or previous psychiatric diagnosis, and pertinent histories and/or review of systems that would inform a differential diagnosis. 7 (7%) – 7 (7%) The video presents the patient’s subjective complaint, history of present illness, medications, psychotherapy or previous psychiatric diagnosis, and pertinent histories and/or review of systems that would inform a differential diagnosis, but is somewhat vague or contains minor inaccuracies. 0 (0%) – 6 (6%) The video presents an incomplete, inaccurate, or unnecessarily detailed/verbose description of the patient’s subjective complaint, history of present illness, medications, psychotherapy or previous psychiatric diagnosis, and pertinent histories and/or review of systems that would inform a differential diagnosis. Or subjective documentation is missing. Discuss Objective data: • Physical exam documentation of systems pertinent to the chief complaint, HPI, and history • Diagnostic results, including any labs, imaging, or other assessments needed to develop the differential diagnoses 9 (9%) – 10 (10%) The video accurately and concisely documents the patient’s physical exam for pertinent systems. Pertinent diagnostic tests and their results are documented, as applicable. 8 (8%) – 8 (8%) The response accurately documents the patient’s physical exam for pertinent systems. Diagnostic tests and their results are documented, as applicable. 7 (7%) – 7 (7%) Documentation of the patient’s physical exam is somewhat vague or contains minor inaccuracies. Diagnostic tests and their results are documented but contain inaccuracies. 0 (0%) – 6 (6%) The response provides incomplete, inaccurate, or unnecessarily detailed/verbose