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[ANSWERED 2023] Briefly describe humanistic-existential psychotherapy and the second approach you selected
Briefly describe humanistic-existential psychotherapy and the second approach you selected Assignment: Comparing Humanistic-Existential Psychotherapy with Other Approaches Understanding the strengths of each type of therapy and which type of therapy is most appropriate for each patient is an essential skill of the psychiatric-mental health nurse practitioner. In this Assignment, you will compare humanistic-existential therapy to another psychotherapeutic approach. You will identify the strengths and challenges of each approach and describe expected potential outcomes. To prepare: Review the humanistic-existential psychotherapy videos in this week’s Learning Resources. Reflect on humanistic-existential psychotherapeutic approaches. Then, select another psychotherapeutic approach to compare with humanistic-existential psychotherapy. The approach you choose may be one you previously explored in the course or one you are familiar with and especially interested in. The Assignment In a 2- to 3-page paper, address the following: Briefly describe humanistic-existential psychotherapy and the second approach you selected. Explain at least three differences between these therapies. Include how these differences might impact your practice as a PMHNP. Focusing on one video you viewed, explain why humanistic-existential psychotherapy was utilized with the patient in the video and why it was the treatment of choice. Describe the expected potential outcome if the second approach had been used with the patient. Support your response with specific examples from this week’s media and at least three peer-reviewed, evidence-based sources. Explain why each of your supporting sources is considered scholarly. Attach the PDFs of your sources. Rubric Detail Select Grid View or List View to change the rubric’s layout. Excellent 90%–100% Good 80%–89% Fair 70%–79% Poor 0%–69% Develop a 2- to 3-page paper comparing humanistic-existential therapy to another psychotherapeutic approach of your choice. Be sure to address the following: · Briefly describe humanistic-existential psychotherapy and the second approach you selected. Points Range: 23 (23%) – 25 (25%) The response includes an accurate and concise description of humanistic-existential psychotherapy and your selected approach. Points Range: 20 (20%) – 22 (22%) The response includes a description of humanistic-existential psychotherapy and your selected approach. Points Range: 18 (18%) – 19 (19%) The response includes a somewhat vague or inaccurate description of humanistic-existential psychotherapy and your selected approach. Points Range: 0 (0%) – 17 (17%) The response includes a vague and inaccurate description of humanistic-existential psychotherapy and your selected approach or is missing. Explain at least three differences between humanistic-existential psychotherapy and the approach you selected. Include how these differences might impact your practice as a PMHNP. Points Range: 23 (23%) – 25 (25%) The response includes an accurate and clear explanation of three differences between humanistic-existential psychotherapy and your selected approach. The response includes a thoughtful and throrough explanation of how the differences between humanistic-existential psychotherapy and your selected approach might impact your practice as a PMHNP. Points Range: 20 (20%) – 22 (22%) The response includes an accurate explanation of three differences between humanistic-existential psychotherapy and your selected approach. The response includes an explanation of how the differences between humanistic-existential psychotherapy and your selected approach might impact your practice as a PMHNP. Points Range: 18 (18%) – 19 (19%) The response includes a somewhat vague or inaccurate explanation of three differences between humanistic-existential psychotherapy and your selected approach. The response includes a somewhat vague or inaccurate explanation of how the differences between humanistic-existential psychotherapy and your selected approach might impact your practice as a PMHNP. Points Range: 0 (0%) – 17 (17%) The response includes a vague and inaccurate explanation of three differences between humanistic-existential psychotherapy and your selected approach, or is missing. The response includes a vague and inaccurate explanation of how the differences between humanistic-existential psychotherapy and your selected approach might impact your practice as a PMHNP, or is missing. · Explain why humanistic-existential psychotherapy was utilized with the client in the video and why it was the treatment of choice. · Describe the expected potential outcome if the second approach had been used with the client. · Support your response with at least three peer-reviewed, evidence-based sources from the literature. PDFs are attached. Points Range: 32 (32%) – 35 (35%) The response includes a thorough and accurate explanation of why humanistic-existential psychotherapy was utilized with the client and why it was the treatment of choice. The response includes a thorough and accurate description of the expected potential outcome had the second approach been used with the client. The response is supported by at least three peer-reviewed, evidence-based sources from the literature that provide strong support for the rationale provided. PDFs are attached. Points Range: 28 (28%) – 31 (31%) The response includes an accurate explanation of why humanistic-existential psychotherapy was utilized with the client and why it was the treatment of choice. The response includes a description of the expected potential outcome had the second approach been used with the client. The response is supported by three peer-reviewed, evidence-based sources from the literature that provide appropriate support for the rationale provided. PDFs are attached. Points Range: 24 (24%) – 27 (27%) The response includes a somewhat vague or incomplete explanation of why humanistic-existential psychotherapy was utilized with the client and why it was the treatment of choice. The response includes a somewhat vague or incomplete description of the expected potential outcome had the second approach been used with the client. The response is supported by two or three peer-reviewed, evidence-based sources from the literature. Resources selected may provide only weak support for the rationale provided. PDFs may not be attached. Points Range: 0 (0%) – 23 (23%) The response includes a vague and inaccurate explanation of why humanistic-existential psychotherapy was utilized with the client and why it was the treatment of choice, or is missing. The response includes a vauge and incomplete description of the expected potential outcome had the second approach been used with the client, or is missing. The response is supported by vague or inaccurate evidence from the literature, or is missing. 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
[ANSWERED 2023] Mr. Akkad is a 76 year old Iranian male who is brought to your office by his eldest son for “strange behavior.”
Mr. Akkad is a 76 year old Iranian male who is brought to your office by his eldest son for “strange behavior.” To Prepare Review the interactive media piece assigned by your instructor. Reflect on the patient’s symptoms and aspects of the disorder presented in the interactive media piece. Consider how you might assess and treat patients presenting with the symptoms of the patient case study you were assigned. You will be asked to make three decisions concerning the diagnosis and treatment for this patient. Reflect on potential co-morbid physical as well as patient factors that might impact the patient’s diagnosis and treatment. Write a 1- to 2-page summary paper that addresses the following: Briefly summarize the patient case study you were assigned, including each of the three decisions you took for the patient presented. Based on the decisions you recommended for the patient case study, explain whether you believe the decisions provided were supported by the evidence-based literature. Be specific and provide examples. Be sure to support your response with evidence and references from outside resources. What were you hoping to achieve with the decisions you recommended for the patient case study you were assigned? Support your response with evidence and references from outside resources. Explain any difference between what you expected to achieve with each of the decisions and the results of the decision in the exercise. Describe whether they were different. Be specific and provide examples. BACKGROUND Mr. Akkad is a 76 year old Iranian male who is brought to your office by his eldest son for “strange behavior.” Mr. Akkad was seen by his family physician who ruled out any organic basis for Mr. Akkad’s behavior. All laboratory and diagnostic imaging tests (including CT-scan of the head) were normal. According to his son, he has been demonstrating some strange thoughts and behaviors for the past two years, but things seem to be getting worse. Per the client’s son, the family noticed that Mr. Akkad’s personality began to change a few years ago. He began to lose interest in religious activities with the family and became more “critical” of everyone. They also noticed that things he used to take seriously had become a source of “amusement” and “ridicule.” Over the course of the past two years, the family has noticed that Mr. Akkad has been forgetting things. His son also reports that sometimes he has difficult “finding the right words” in a conversation and then will shift to an entirely different line of conversation. SUBJECTIVE During the clinical interview, Mr. Akkad is pleasant, cooperative and seems to enjoy speaking with you. You notice some confabulation during various aspects of memory testing, so you perform a Mini-Mental State Exam. Mr. Akkad scores 18 out of 30 with primary deficits in orientation, registration, attention & calculation, and recall. The score suggests moderate dementia. MENTAL STATUS EXAM Mr. Akkad is 76 year old Iranian male who is cooperative with today’s clinical interview. His eye contact is poor. Speech is clear, coherent, but tangential at times. He makes no unusual motor movements and demonstrates no tic. Self-reported mood is euthymic. Affect however is restricted. He denies visual or auditory hallucinations. No delusional or paranoid thought processes noted. He is alert and oriented to person, partially oriented to place, but is disoriented to time and event [he reports that he thought he was coming to lunch but “wound up here”- referring to your office, at which point he begins to laugh]. Insight and judgment are impaired. Impulse control is also impaired as evidenced by Mr. Akkad’s standing up during the clinical interview and walking towards the door. When you asked where he was going, he stated that he did not know. Mr. Akkad denies suicidal or homicidal ideation. Diagnosis: Major neurocognitive disorder due to Alzheimer’s disease (presumptive) RESOURCES § Folstein, M. F., Folstein, S. E., & McHugh, P. R. (2002). Mini-Mental State Examination (MMSE). Lutz, FL: Psychological Assessment Resources. References Hussien, R. M., & Shoukry, A. A. (2020). Rivastigmine patch (Exelon patch) compared to melatonin patch in prevention of postoperative delirium in the elderly. Ain-Shams Journal of Anesthesiology, 12(1), 1-7. https://asja.springeropen.com/articles/10.1186/s42077-020-00087-6 Khoury, R., Rajamanickam, J., & Grossberg, G. T. (2018). An update on the safety of current therapies for Alzheimer’s disease: focus on rivastigmine. Therapeutic advances in drug safety, 9(3), 171-178. https://doi.org/10.1177%2F2042098617750555 Yoon, S. J., Choi, S. H., Na, H. R., Park, K. W., Kim, E. J., Han, H. J., … & Na, D. L. (2017). Effects on agitation with rivastigmine patch monotherapy and combination therapy with memantine in mild to moderate Alzheimer\’s disease: a multicenter 24?week prospective randomized open?label study (the Korean EXelon Patch and combination with mEmantine Comparative Trial study). Geriatrics & Gerontology International, 17(3), 494-499. https://doi.org/10.1111/ggi.12754 Rosenthal, L. D., & Burchum, J. R. (2021). Lehne’s pharmacotherapeutics for advanced practice nurses and physician assistants (2nd ed.) St. Louis, MO: Elsevier. Chapter 11, “Basic Principles of Neuropharmacology” (pp. 67–71) Chapter 12, “Physiology of the Peripheral Nervous System” (pp. 72–81) Chapter 12, “Muscarinic Agonists and Cholinesterase Inhibitors” (pp. 82–89) Chapter 14, “Muscarinic Antagonists” (pp. 90-98) Chapter 15, “Adrenergic Agonists” (pp. 99–107) Chapter 16, “Adrenergic Antagonists” (pp. 108–119) Chapter 17, “Indirect-Acting Antiadrenergic Agents” (pp. 120–124) Chapter 18, “Introduction to Central Nervous System Pharmacology” (pp. 125–126) Chapter 19, “Drugs for Parkinson Disease” (pp. 127–142) Chapter 20, “Drugs for Alzheimer Disease” (pp. 159–166) Chapter 21, “Drugs for Seizure Disorders” (pp. 150–170) Chapter 22, “Drugs for Muscle Spasm and Spasticity” (pp. 171–178) Chapter 59, “Drug Therapy of Rheumatoid Arthritis” (pp. 513–527) Chapter 60, “Drug Therapy of Gout” (pp. 528–536) Chapter 61, “Drugs Affecting Calcium Levels and Bone Mineralization” (pp. 537–556) Excellent Good Fair Poor Briefly summarize the patient case study you were assigned, including each of the three decisions you took for the patient presented. Be specific. Points Range: 18 (18%) – 20 (20%) The response accurately and thoroughly summarizes in detail the patient case study assigned, including specific and complete details on each of the three decisions made for the patient presented. Points Range: 16 (16%) – 17 (17%) The response accurately summarizes the patient case study assigned, including details on each of the three decisions
[ANSWERED 2023] Select a family other than your own and seek permission from the family to conduct an interview. Utilize the interview questions complied in your interview questionnaire to conduct a family-focused functional assessment
Select a family other than your own and seek permission from the family to conduct an interview. Utilize the interview questions complied in your interview questionnaire Understanding family structure and style is essential to patient and family care. Conducting a family interview and needs assessment gathers information to identify strengths, as well as potential barriers to health. This information ultimately helps develop family-centered strategies for support and guidance. This family health assessment is a two-part assignment. The information you gather in this initial assignment will be utilized for the second assignment in Topic 3. Develop an interview questionnaire to be used in a family-focused functional assessment. The questionnaire must include three open-ended, family-focused questions to assess functional health patterns for each of the following: Values/Health Perception Nutrition Sleep/Rest Elimination Activity/Exercise Cognitive Sensory-Perception Self-Perception Role Relationship Sexuality Coping Select a family other than your own and seek permission from the family to conduct an interview. Utilize the interview questions complied in your interview questionnaire to conduct a family-focused functional assessment. Document the responses as you conduct the interview. Upon completion of the interview, write a 750-1,000-word paper. Analyze your assessment findings. Submit your questionnaire as an appendix with your assignment. Include the following in your paper: Describe the family structure. Include individuals and any relevant attributes defining the family composition, race/ethnicity, social class, spirituality, and environment. Summarize the overall health behaviors of the family. Describe the current health of the family. Based on your findings, describe at least two of the functional health pattern strengths noted in the findings. Discuss three areas in which health problems or barriers to health were identified. Describe how family systems theory can be applied to solicit changes in family members that, in turn, initiate positive changes to the overall family functions over time. Cite at least three peer-reviewed or scholarly sources to complete this assignment. Sources should be published within the last 5 years and appropriate for the assignment criteria. Expert Answer and Explanation Family Health Assessment When working with patients, providers have to involve the patients’ family members because they offer support needed for the patient recovery. They not only make decisions, but they provide emotional support which the patient needs as they go through the illness-health process. Rather than treat a single patient, providers may instead focus on managing the health needs of the entire family unit. In this case, they perform family health assessment to determine the family’s health needs. These assessment is intended to explore various aspects of the health needs including health behaviors, and administer care that meets these needs (Goergen et al., 2016). It is imperative to examine such an assessment, and apply the Family Systems Theory (FST) to bring change in a selected family. Family Structure The family selected for the interview comprises of a couple, their three children, and a paternal grandmother. The children are all female with the eldest one being aged 12 years, the younger one being aged 9 years while the other is aged 5 years. The grandmother who is 66 years old widow no longer works, and because there was no one to look after her, she came to live with the family. The couple is doing well career-wise considering that the father is a practicing lawyer while the mother is a medical doctor (Goergen et al., 2016). The Family Health Behaviors The family, during the interview, answered assessment questions including questions related to the health perceptions. According to the family, they have never had any major health event. However, the grandmother has a history of smoking, and she has hypertension, and she tend to experience abnormal heart rhythms. None of the other members of the family use behavior-altering substances, and the parents practice good health behaviors (Goergen et al., 2016). When asked about diet, the couple stated that they are aware of the role diet plays in helping improve individuals’ health. Thus, they eat balanced diet, and they prefer home-made food over the food prepared in fast-food stores. The family also prefer to buy organic food products because they are healthy (Richards et al., 2018). The couple, still, did respond to the questions concerning the amount of hours they sleep. While the children go to bed early, and sleep for more than 8 hours a day, the couple sleep for not more than 7 hours. They stated that their busy work schedules leaves them with limited time to have enough sleep. The grandparent has a problem with elimination considering that she urinates more frequently, than she used to do. However, no any other individual has experienced elimination issues apart from the few cases of diarrhea in the family (Dorell et al., 2017). The family is serious about maintaining healthy lifestyle, and the parents engage in fitness activities in their respective workplaces. The children are taking swimming lessons, and they therefore swim on weekends (Khatiban, Tohidi, & Shahdoust, 2019). The family maintained that they are cognitively aware, and they can logically think, and get to know their environment. The senses of everyone in the family are sound, and no one in the family requires hearing aid or eye glasses. No member has anosmia either. The couple has healthy sex lifestyle, and they are able to effectively deal with the marital issues. However, they have not had any serious marital issue. Besides, they can effectively cope with challenges (Khatiban et al., 2019). Strengths linked to Functional Health Patterns The family exhibits strengths when it comes to the way it handles health issues. The fact that the couple participates in workplace-based physical activities, and eats healthy meals, shows that the family can continue adopting behaviors which promote health. Because the children are active, their risk of developing health conditions is slim. However, the grandparent is hypertensive, and this is the main concern for the couple because they feel that her condition may worsen to the level where she may require admission into the hospital. This fear can result to stress which can emotionally and
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How often do you engage with or witness death in your work?
How often do you engage with or witness death in your work? How has this experience or the lack of it shaped your view of death? How often do you engage with or witness death in your work? How has this experience or the lack of it shaped your view of death? Has it gotten easier or harder for you to accept the fact of death? As you explain, include your clinical specialty. Expert Answer and Explanation Reflection on Clinical Experience of Death I have had the opportunity of working with patients in labor and delivery unit, and during my practice within this unit, I witness the death of patients. Some patients died during delivery, and whenever I witnessed death of a patient, I would feel sad. The first time I witnessed a patient of a mother and her child, I was shocked. The incident was emotionally overwhelming, and I was angry that perhaps the hospital could have done enough to prevent the deaths (Robson & Williams, 2017). With time, however, I began accepting the death of patients as a reality for anyone working in the labor unit. This personal experience has shaped my views concerning death and dying. I have learned from such encounters that anyone can die, and when people die, they overcome pain and suffering. From my experience, still, I learned that the thought of dying invokes feelings such as fear and denial, and when one dies, those close to them experience sadness and anger. Furthermore, the experience of seeing patients die has taught me that one can die in any point in their life including during toddlerhood, and that appropriate clinical interventions can help reduce the risk of death (Robson & Williams, 2017). While I would experience difficult coping with death during my formative years of practice, I have experienced changes in terms of how I see death. Currently, I see death as part of the human experience because death is a natural process in which a person loses their physical body. Because I have worked with patients from diverse backgrounds, I have noted that death has some form of spiritual and cultural significance, and that culture and spirituality or religious beliefs can affect how individuals cope with death (Phan et al., 2021). References Phan, H. P., Ngu, B. H., Chen, S. C., Wu, L., Shih, J. H., & Shi, S. Y. (2021). Life, death, and spirituality: A conceptual analysis for educational research development. Heliyon, 7(5), e06971. Doi: https://doi.org/10.1016/j.heliyon.2021.e06971. Robson, K., & Williams, C. M. (2017). Dealing with the death of a long term patient; what is the impact and how do podiatrists cope?. Journal of foot and ankle research, 10, 36. Doi: https://doi.org/10.1186/s13047-017-0219-0. Alternative Expert Answer and Explanation Although patients come to hospitals for treatment expecting to recover from their illnesses, some clinical cases end with patients’ death. For providers, witnessing patients dying can be a difficult experience especially if they have established an emotional connection with the patients. During my practice as a Medsurg Nurse, I have witnessed the death of patients, and whenever I experienced a patient dying, it affected me emotionally (Robson & Williams, 2017). I would react with regret, blaming myself for not doing enough to prevent death. Although the death of patients still hurts, I feel I am emotionally prepared to deal with such an experience, more than I was when I first encountered the first incident. As a nursing professional, experiencing the loss of lives has shaped my perspective on health, illness, and death. One thing that I have learned particularly given my previous with death is that it can be difficult to stop death when it comes, and anyone working with the patient may watch helplessly as the patient dies. Previously, I experienced tension and anxiety every time I saw a patient dying, and I would have nightmares (Sartor, das Mercês, & Torrealba, 2021). Based on what I have experienced, I have become more open in terms of how I view death. Specifically, I consider it a normal human experience, and whenever it occurs, it serves as a reminder that it is an experience that awaits everyone including me. My personal experiences concerning the loss of patients’ lives have played a significant role in defining my perspectives on life. It is easier for me to accept death than it was previously because seeing a patient dying reminds me of my mortality as a person. It also reminds me of the need to treat everyone with respect, and dignity irrespective of their health status. Guided by this experience, therefore, I would be more respectful in terms of how I treat patients. References Robson, K., & Williams, C. M. (2017). Dealing with the death of a long term patient; what is the impact and how do podiatrists cope?. Journal of foot and ankle research, 10, 36. Doi: https://doi.org/10.1186/s13047-017-0219-0. Sartor, S. F., das Mercês, N. N. A., & Torrealba, M. N. R. (2021). Death in the Hospital: The Witnessing of the Patient with Cancer. Indian journal of palliative care, 27(4), 538–543. https://doi.org/10.25259/IJPC_119_21. Reflect on the analysis of the sin of suicide and, thus, euthanasia from the topic readings. Do you agree? Why or why not? Refer to the lecture and topic readings in your response. Expert Answer and Explanation Reflection on Christian View on EuthanasiaThe topic readings provide insight into the subject of the sin of suicide. From the perspective of the Christian faith, the penalty for sin is death, and death came upon humans because of their inequity or shortfall. Death, according to this faith however, is spiritually significant, and people can enjoy the fruits of living a righteous life even when they die (Goligher et al., 2017). If one lives a righteous life here on earth, they will enjoy eternal life. From the Christian worldview or biblical teachings, one can understand the meaning of life, sin and suicide or assisted death. The Christian faith views death as a natural process and in discussions involving death, the issue of good death arises. According to this faith, a good death is
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