[ANSWERED 2023] Based on the YMH Boston Vignette 5 video, post answers to the following questions:
Based on the YMH Boston Vignette 5 video, post answers to the following questions: Discussion: Comprehensive Integrated Psychiatric Assessment Many assessment principles are the same for children and adults; however, unlike with adults/older adults, where consent for participation in the assessment comes from the actual client, with children it is the parents or guardians who must make the decision for treatment. Issues of confidentiality, privacy, and consent must be addressed. When working with children, it is not only important to be able to connect with the pediatric patient, but also to be able to collaborate effectively with the caregivers, other family members, teachers, and school counselors/psychologists, all of whom will be able to provide important context and details to aid in your assessment and treatment plans. Some children/adolescents may be more difficult to assess than adults, as they can be less psychologically minded. That is, they have less insights into themselves and their motivations than adults (although this is not universally true). The PMHNP must also take into consideration the child’s culture and environmental context. Additionally, with children/adolescents, there are lower rates of neurocognitive disorders superimposed on other clinical conditions, such as depression or anxiety, which create additional diagnostic challenges. In this Discussion, you review and critique the techniques and methods of a mental health professional as the practitioner completes a comprehensive, integrated psychiatric assessment of an adolescent. You also identify rating scales and treatment options that are specifically appropriate for children/adolescents. To Prepare Review the Learning Resources and consider the insights they provide on comprehensive, integrated psychiatric assessment. Watch the Mental Status Examination B-6 and Simulation Scenario-Adolescent Risk Assessment videos. Watch the YMH Boston Vignette 5 video and take notes; you will use this video as the basis for your Discussion post.(LINK: https://www.youtube.com/watch?v=Gm3FLGxb2ZU) By Day 3 of Week 1 Based on the YMH Boston Vignette 5 video, post answers to the following questions: What did the practitioner do well? In what areas can the practitioner improve? At this point in the clinical interview, do you have any compelling concerns? If so, what are they? What would be your next question, and why? Then, address the following. Your answers to these prompts do not have to be tailored to the patient in the YMH Boston video. Explain why a thorough psychiatric assessment of a child/adolescent is important. Describe two different symptom rating scales that would be appropriate to use during the psychiatric assessment of a child/adolescent. Describe two psychiatric treatment options for children and adolescents that may not be used when treating adults. Explain the role parents/guardians play in assessment. Support your response with at least three peer-reviewed, evidence-based sources and explain why each of your supporting sources is considered scholarly. Attach the PDFs of your sources Expert Answer and Explanation Comprehensive Integrated Psychiatric Assessment Video Reflection What the Partitioner Did Well Based on the YMH Boston Vignette 5 video, there are instances when the practitioner did well, but other areas could be improved efficiently. To begin with, Tony is suspected of having symptoms of depression and anxiety and has been referred to the practitioner. When asked why he has the session, Tony responds by saying that there was sent by the doctor. The practitioner was effective in helping the client to understand the issues that he has through self-reflection. The guiding questions were very instrumental, and Tony was able to relate to the questions as they progressed further. When Tony reiterates that he does not understand the questions posed to him, the practitioners take a more simplistic angle to help him have a clear understanding and meaning to the question before responding. Be that as it may, there are various areas of improvement, with the key being creating a conducive environment for the juvenile. The child seems agitated and not able to freely express his feelings. The practitioner also uses difficult-to-understand phrases that the client finds difficult to comprehend. Be that as it may, the patient is also presented with a series of questions without being informed of the essence of the question and what is expected of them in the form of answers and explanations. Compelling ConcernsAt this point of the interview, there are a lot of compelling concerns with the session. The client is uncomfortable and finds it difficult to answer questions without knowing what is happening. The practitioners ask questions without informing the client of the reasons for his visit and why they need to participate in the process. To get the client to communicate, she asks questions to try and figure out the present symptoms associated with depression which makes the client unfordable or feels that his issues are being discussed. Next QuestionThe probable next question would ask would be, “Tell me about your relationship and how it was important to you?” The question is critical since it will help understand the anger and disappointment that the client is having concerning having depressive symptoms after partying with the girlfriend. Psychiatric Assessment Importance of Thorough Psychiatric AssessmentIt is important to carry out a thorough psychiatric assessment of a child or adolescent since they are still undergoing mental and psychosocial development, which might interfere with how thy interpret or respond to different stimuli (Copeland et al., 2018). The psychiatric assessment would help identify the best approach to use when offering mental care and trigger issues that can lead to the onset of unwanted outcomes. Symptom Rating ScalesThe two main symptom rating scales used for children and adolescents include the Young Mania Rating Scale (YMRS) and the Adolescent Psychopathology Scale (APS) (Lica et al., 2021). These scales are fairly easy to use and have fewer steps than those used for adult testing. Psychiatric Treatment Options for Children and AdolescentsConcerning the psychiatric treatment options for children and adolescents, the two methods include acceptance and commitment therapy and Interpersonal Psychotherapy for Adolescents (IPT-A) (Mychailyszyn & Elson, 2018). These methods are more specific to the younger generation and would not be applied to adult patients. Role Parents/Guardians Play in AssessmentWhile caring for younger patients, parents or guardians have a major role since they help provide consent and create a conducive environment for the child to be free in communication and express themselves (Kimonis et al., 2019). Parents or guardians can also help with clarifying the questions
[ANSWERED 2023] In his seminal article The Necessary and Sufficient Conditions of Therapeutic Personality Change, originally published in 1957
In his seminal article The Necessary and Sufficient Conditions of Therapeutic Personality Change, originally published in 1957 In his seminal article The Necessary and Sufficient Conditions of Therapeutic Personality Change, originally published in 1957, Rogers identified three 3.1. The Core Conditions of Therapeutic Personality Change In his seminal article The Necessary and Sufficient Conditions of Therapeutic Personality Change, originally published in 1957, Rogers identified three core components of what he considered to be the effective approach to counselling. Since then, few theorists, commentators, or clinicians have raised any arguments against the qualifier “necessary.” However, the label “sufficient” has been targeted by a number of critics. Based on your understanding of the humanistic approach to counselling in general and the person-centred school in particular, do you think that the three “core conditions” are indeed sufficient for producing a “therapeutic personality change”? Reference Rogers, C. R. (2007). The necessary and sufficient conditions of therapeutic personality change. Psychotherapy: Theory, Research, Practice, Training, 44(3), 240-248. Retrieved from https://search.ebscohost.com/login.aspx?direct=true&AuthType=sso&db=pdh&AN=2007-14639-002&custid=s7439054 The last post is due at the end of Sunday of this unit. 3.2. Rogers’ Position on Encouragement as a Technique Unlike Adler, who emphasized the importance of encouragement, Rogers was not very keen about the use of this technique with clients. Could you provide some possible explanations for Rogers’ position? The last post is due at the end of Sunday of this unit. Approved Expert Answer and Explanation 3.1. The Core Conditions of Therapeutic Personality Change The three core conditions to effective “therapeutic personality change” as stated by Rodgers include congruence, empathy, and unconditional positive regard. In my opinion, the three core conditions are sufficient for producing a “therapeutic personality change.” One of the conditions which is empathy can help therapist understand the feelings and thoughts experienced by the client. In other words, the counselor with have an idea of what the client is feeling. Empathy will improve the therapist’s urge to help the client change their current mental state and attain healthy mental state (Rogers, 2007). Congruence can help when it comes to building a relationship with the client. Congruence means that the therapist is real and genuine, and hence the client can trust them and freely express what they feel without fear. Congruence can help us as counselors to overcome the negative attitudes we have towards our clients. The warmth and genuine encounter can make the client feel respected and valued. Hence, the client will have higher self-esteem and trust their personal judgment (Rogers, 1992). The third condition which unconditional positive regard will allow clients to be free and speak their mind out without thinking of being judged or criticized. If the client says what they feel, the therapist will be in a better position to help them. References Rogers, C. R. (1992). The necessary and sufficient conditions of therapeutic personality change. Journal of Consulting and Clinical Psychology, 60(6), 827. http://129.7.114.13/Harrington/necessary.pdf Rogers, C. R. (2007). The necessary and sufficient conditions of therapeutic personality change. Psychotherapy: Theory, Research, Practice, Training, 44(3), 240-248. Retrieved from https://search.ebscohost.com/login.aspx?direct=true&AuthType=sso&db=pdh&AN=2007-14639-002&custid=s7439054 Expert Answer and Explanation 3.2. Rogers’ Position on Encouragement as a Technique Encouragement is a therapy technique where a therapist uses non-verbal and verbal methods to prompt the client to continue narrating their feelings and thoughts. Some these methods include positive facial expression, nodding, and saying words, such as “uh-huh.” Rodgers did not see the need for encouragement technique in his mode of therapy which is person-centered therapy. In his opinion, being genuine, empathetic, and showing respect and warmth are enough to allow the patient to continue communicating what they feel. For instance, when the clients are communicating and they see that you are empathizes with them, they will be motivated to continue talking because they know you feel them (Silberschatz, 2007). The counselor can show empathy by responding to the client always, taking time to listen, using short responses, and understating the client’s perspective. He believed that if a counselor applies the skills above, there is no need for using encouragement techniques. Unconditional positive regards also allow the client to be free, open up, and narrate their feeling without thinking of being judged or criticized (Rogers, 2007). This condition also acts in place of encouragement (Silberschatz, 2007). In other words, Rodgers did not see the need to use encouragement techniques because the three conditions had already taken care of ensuring that there is “therapeutic personality change.” References Rogers, C. R. (2007). The necessary and sufficient conditions of therapeutic personality change. Psychotherapy: Theory, Research, Practice, Training, 44(3), 240-248. Retrieved from https://search.ebscohost.com/login.aspx?direct=true&AuthType=sso&db=pdh&AN=2007-14639-002&custid=s7439054 Silberschatz, G. (2007). Comments on “The necessary and sufficient conditions of therapeutic personality change.” Psychotherapy: Theory, Research, Practice, Training, 44(3), 265–267. https://doi.org/10.1037/0033-3204.44.3.265 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 Other Solved Questions: SOLVED! How would your communication and interview SOLVED! Describe the difference between a nursing practice SOLVED! How do you think evidence from nursing journals SOLVED! Discuss how elimination complexities can affect SOLVED! Case C 38-year-old Native American pregnant ANSWERED! In a 1,000–1,250 word essay, summarize two [ANSWERED] Students will develop a 1,250-1,500 word paper that includes [ANSWERED] Post a description of the national healthcare ANSWERED!! Explain how you would inform this nurse ANSWERED!! In a 4- to 5-page project proposal written to the ANSWERED!! A 15-year-old male reports dull pain in both ANSWERED!! Should government continue to take an [ANSWERED] Mrs. Adams a 68-year-old widow who was [ANSWERED] Compare and contrast the various ways you can ANSWERED! Provide a summary of your learning style which of the following is not a characteristic of psychotherapy which of the following is an example of a social change which of the following is not a characteristic of personality rogers position on encouragement as a technique the psychology of encouragement theory research and applications encouraging in counselling, adlerian therapy journal articles encouragement article, science of encouragement rogers the necessary and sufficient conditions, theory about encouragement Understanding Rogers Position on Encouragement as a
[ANSWERED 2023] Which two landmarks would you consider most representative of late nineteenth-century Western culture the so-called
Which two landmarks would you consider most representative of late nineteenth-century Western culture the so-called “Age of Materialism”? Which two landmarks would you consider most representative of late nineteenth-century Western culture the so-called “Age of Materialism”? Explain why. How did advancing technology affect the arts of the late nineteenth century? Provide specific examples. Expert Answer and Explanation Landmarks of the Age of Materialism The age of materialism was coupled with the domination of philosophers who had idealist agenda for power and autonomy. Among the landmarks of the age of materialism is the development of the industrial era and the urban scene through the development of art. The industrial era entailed massive improvements in the economy of the west, where there were numerous inventions that led to the production of a more economically rigid society (Taylor, 2018). The developments included Cornelius Vanderbilt’s railway industries, which were closely followed by Andrew Carnegie’s steel and John. D. Rockefeller’s oil refining (Zepke, 2017). These developments in the age of materialism were aimed at improving the movement of people around the world as well as the sources of power for industrial plants throughout the world. With time, Henry Ford also invented the first earth-driven locomotives, and the wright brothers invented the first airplanes, an invention that contributed to the intensity of the first world war which was to come a few years later (Zepke, 2017). Upper classes represented loyalty The development of modern art is also a crucial landmark in the age of materialism. Throughout the industrial revolution, there was the development of social classes, where the upper classes represented loyalty, and was used to rule the lower classes. Painters represented these ideologies of oppression of the lower class using art such as paintings. A good example is Jean-Francois Millet’s painting, Oil on Canvas, which shows people of the lower class working in farms (Basile, 2018). It represents the 1848 rebellions that the lower class people had in their oppositions to working in bad conditions with the sporadic urban revolts. How Advancing Technology affected Arts of the 19th Century There are many ways in which the advance of technology created changes in the arts of the 19th century. The birth of photography specifically created realism in visual arts. In 1836, William Fox Talbot served as a major revolutionist in the age of materialism through his development of the camera, which was used to record still images of live events that happened (Jaspers & Pieters, 2016). Jean-francois millet Through the rise in photography, eyewitness accounts were made more surreal, and it challenged romanticism. Also, in a large way the types of painting changed through the introduction of technology and the industrial revolutions. Jean-Francois Millet was seen as the peasant painter through his numerous representations of the oppressed farm workers, with his most famous painting being ‘Gleaner. ’ Before him, paintings were based more on creativity, fashion, and other less impulsive forms. Technology has also made art more available where the accessibility of images, presentations, and performances was made easier. The painters in the 19th century also advanced from sculptures to more advanced 3D like paintings that were easier to share and carried even more intense message (Jaspers & Pieters, 2016). With technology, there was more creativity, as painters would aim their art to be like that represented by cameras and photography forms. For instance, the use of special frames for their different pieces of art was practiced extensively in this era. Lastly, through technology, it was easier for painters to make more original art, as it would be hard to copy the art of someone who has already obtained the patents for their work. In a large way, technology led to the revolution of art in a positive way. References Basile, J. (2018). Misreading Generalised Writing: From Foucault to Speculative Realism and New Materialism. Oxford Literary Review, 40(1), 20-37. Jaspers, E. D., & Pieters, R. G. (2016). Materialism across the life span: An age-period-cohort analysis. Journal of Personality and Social Psychology, 111(3), 451. Taylor, S. (2018). Moving beyond materialism: Can transpersonal psychology contribute to cultural transformation. The International Journal of Transpersonal Studies, 36 (2), 147-159. Animist readymade Zepke, S. (2017). The Animist Readymade: Towards a Vital Materialism of Contemporary Art. In Animism in Art and Performance (pp. 235-252). Palgrave Macmillan, Cham. 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 Other Answered Questions: -a-nurse-manager- ANSWERED!! Assume you are a nurse manager on a unit ANSWERED!! Watch the Diary of Medical Mission Trip ANSWERED!! Re-read Take a Closer Look: Exploring Claude -submit-a-personal/ ANSWERED!! Develop and submit a personal leadership -submit-a-personal/ ANSWERED!! Develop and submit a personal leadership ANSWERED!! Mrs. Adams a 68-year-old widow who was ANSWERED!! Planning is the key to successful completion SOLVED! Design a list of 10 data elements related to the -political-action- SOLVED! Four spheres of political action in nursing SOLVED! Case C 38-year-old Native American pregnant SOLVED! Patient AO has a history of obesity and has recently SOLVED! Case 3-1 You Can’t Get There From Here Industrial revolution affect art impact of technology on art essay, how has digitalization of arts affected the world, how did the industrial revolution affect art and literature, what effect did the industrial revolution have on art at the time 5 influences of technology on arts, negative impact of technology on art, how was the working class created by the industrial revolution FAQs Impact of technology on art essay Technology has had a profound impact on the art world, transforming the way artists create and share their work, and the way audiences experience and interact with art. In this essay, we will explore some of the ways that technology has influenced the art world and the implications of these changes. One of the most significant impacts of technology on art has been the democratization of the creative process. Digital tools and software have made it easier and more accessible for artists to
[ANSWERED 2023] Discuss the impact of the process of Romanization on the Roman world
Discuss the impact of the process of Romanization on the Roman world Discuss the impact of the process of Romanization on the Roman world Rome and Romanization This assignment gives you the opportunity to practice determining the purpose and function of artifacts in order to create your interpretation of a specific historical development—Romanization. Discuss the impact of the process of Romanization on the Roman world. Identify at least two examples of cultural structures that were patterned across Roman-conquered cities. Cultural structures can include physical features of Roman-ruled cities, practices, policies, ideas, or any artifact that was used to shape the conquered religions. Discuss how these structures impacted daily life, which may include politics, economics, or social roles. Describe how and with what intent these events were “memorialized” or used in the cultural arena. Step 1: Choose two appropriate sources. At least one source must come from the CSU Online Library. The Academic Search Complete and eBook Academic Collection databases in the CSU Online Library would be good places to start your search. If you need additional help with using or locating information in the online library, there are library video tutorials available on the main page of the online library under the heading “Research Guides.” Resources from outside of the library should be credible and peer-reviewed and cannot include Wikipedia, Biography.com, History.com, any type of message board, or other similar encyclopedias. Step 2: Complete your research. Choose one interesting development that illustrates the main point that you want to make about your chosen physical structures, practices, or ideas. Gather details about your choice. For example, what types of buildings were first introduced in Rome, and why were they purposely replicated in other, smaller cities? Step 3: Draw conclusions from the details you found, and prepare your thesis. A thesis is prepared after you have completed your research and gathered enough information about the chosen structures. You should sit back to think about what it means to see the influence on culture. Your thesis statement should offer your reader the overall insight into the use and impact of the structure on Roman development. Use the following guidelines to help decide on your thesis. Ask yourself about how the cultural element (idea, practice, or structure) was shaped by its time period and environment. Ask yourself how the structure impacted the lives of the people around it, the general public, and the immediately following period in the history of Rome. Find the perfect specific example to demonstrate the qualities of the structure you would most like to show. Step 4: Write your essay. Your essay must be at least 500 words in length. All sources must be referenced and cited according to APA guidelines. Be sure to consider the following guidelines in your essay. The introduction should engage the reader and clearly present the essay’s thesis and summarize the main points that clarify your point of view. The last sentence of the introductory paragraph should be your specific thesis. Organization should clearly present points arranged to illustrate your opening thesis. Paragraph order and organization should clearly present points arranged to illustrate your opening thesis rather than to narrate the chronological story. Writing should be clear and concise with no spelling, grammatical, or punctuation errors. The number of sources should meet or exceed any expressed assignment requirements, and the sources should be peer-reviewed or academic in nature. At least one source must be from the CSU Online Library. APA guidelines should be used for reference entries and in-text citations. Expert Answer and Explanation Rome and Romanization Ancient Roman civilization is a journey which transformed how the world viewed Rome as a leading superpower during that era. Ancient Rome was viewed in light of its military, economic and political might which made its neighbors respect and even fear its strength. Its thriving period was mainly during the republic period and the imperial era after transitioning of the republic to become an empire. There are various structures which made Rome thrive and used as a model nation in terms of development. This paper will first discuss the impact of the process of Romanization on the Roman world and consider the governance and physical structure and cultural artifacts as some of the main components during the romanization process Impact of Romanization of the Roman world Romanization involved changing the culture of the conquered cities to conform to the Roman culture. It was a process which some consider having happened by design, while others believe it to have occurred naturally. The romanization process first changed the predominant language used in the concurred territories to become Latin (Champion & Goldberg, 2014). This made Latin become one of the most spoken languages during that era.Romanization of Rome also introduced new policies of governance which aimed to improve efficiency in service delivery which was not as vibrant in native regions which were conquered by Rome. There are other features like advanced sanitation (due to the construction of aqueducts), improved sense of patriotism through inclusivity in governance and enhanced economic stability for Rome, which can as a result of the Romanization process (Stek, 2014). Ultimately, the entire romanization process started diluting the cultures of the natives replacing it with the Roman culture, with cultural features such as Roman cultural games being practiced even by the conquered regions. Cultural structures patterned in Roman conquered cities Just before, and during the reign of Julius Caesar as the Roman emperor one of the structures he put in place was to have an inclusive governance structure where ordinary Roman citizens (Plebeians) were considered part of; that was exclusive of the women. During that period, in as much as women were considered to be ordinary citizens, they had lesser rights of participation as compared to men (Dench, 2018). Initially, governance was considered a privilege of the upper-class citizens in the society (nobles) with the senate and the higher military officials be entirely composed of those from a noble lineage. Julius Caesar advocated the inclusion of plebs in governance, which made him
Exploring the Difference Between Medical and Nursing Problems: What You Need to Know
Exploring the Difference Between Medical and Nursing Problems: What You Need to Know Image Source: FreeImages When it comes to healthcare, understanding the difference between medical and nursing problems is essential. As a patient, you want to know that your doctor is well-versed in both medical and nursing issues, and can provide the best possible care. Medical problems are typically physical conditions that require diagnosis and treatment from a healthcare provider. Nursing problems, on the other hand, encompass a wider scope of issues and involve the assessment, diagnosis, and resolution of health-related problems. This can include health promotion, disease prevention, and health maintenance. With this in mind, it is important to understand the difference between medical and nursing problems and how they can affect your health and wellbeing. Knowing this information can help you make informed decisions about your healthcare and ensure that you receive the best possible care. Definition of medical problems Medical problems are physical conditions that require diagnosis and treatment from a healthcare provider. A medical problem is typically the result of an underlying disease, disorder, or condition that negatively affects your health. It can occur as a result of an external factor, such as a traumatic event, as well as an internal factor, such as poor diet, lack of exercise, or genetics. Medical problems include but are not limited to allergies, arthritis, blood clots, COPD, diabetes, heart disease, infections, kidney stones, and stroke. It is important to note that the terms “illness” and “disease” are often used interchangeably with “medical problem.” However, these terms are not conceptualized in the same way by all parties. A medical problem is not necessarily an illness, and vice versa. An illness can be a medical problem, but not all medical problems are diseases. Definition of nursing problems Nursing problems are issues that require the assessment, diagnosis, and resolution of health-related problems. This can include health promotion, disease prevention, and health maintenance. Although nursing problems can be medical in nature, they may not require medical intervention. These issues can often be resolved by modifying the patient’s environment, lifestyle, or behaviour. Examples of nursing problems include depression, loneliness, and anxiety. If left untreated, these issues could negatively impact your health and wellbeing. The term “nursing problem” is not used in all cases; however, it is a more inclusive term. This term encompasses all issues that may arise during various nursing activities, including care of patients, families, and communities; management of health care environments; and health care policy and education. Similarities between medical and nursing problems Both medical and nursing problems negatively affect your health. If left untreated, they can lead to poor health outcomes, such as increased risk of disease, disability, and even death. Medical and nursing problems can occur as a result of an external or internal factor. These factors vary in nature, type, and severity. Common external factors include a traumatic event, such as a car accident or fall, and environmental conditions, such as extreme heat or cold. Common internal factors include genetics, lifestyle choices, and poor diet. While medical and nursing problems are different in nature and require different types of intervention, they are often interrelated and can be triggered by one another. For example, a medical problem can exacerbate a nursing problem and vice versa. As such, these problems should be addressed and treated simultaneously. Differences between medical and nursing problems While medical and nursing problems result in negative health outcomes and require treatment, they are different in nature. Medical problems are typically physical conditions that require diagnosis and treatment from a healthcare provider. Nursing problems encompass a wider scope of issues and involve the assessment, diagnosis, and resolution of health-related problems. This can include health promotion, disease prevention, and health maintenance. Medical problems typically originate from an identifiable cause, such as a bacterial infection, genetic mutation, or injury. Nursings problems are not the result of a specific cause, but arise from an individual’s response to their environment. While a medical problem can be resolved with medical intervention, a nursing problem requires a more holistic approach. This can include modifying your environment and lifestyle, as well as counselling and other non-medical forms of treatment. Implications of medical and nursing problems Although medical and nursing problems negatively affect your health, they can be treated with varying levels of urgency. Medical problems must be treated promptly to prevent further health issues, such as the development of a secondary condition. On the other hand, nursing problems do not require immediate medical intervention. They can be addressed and treated over a longer period of time. The implications of medical and nursing problems vary in severity. This is largely dependent on the type of problem and its accompanying symptoms. While some problems have mild or no symptoms, others can be severely debilitating and may require immediate medical attention. Diagnosing medical and nursing problems When diagnosing medical and nursing problems, the healthcare provider will use a variety of diagnostic tools, including a physical examination, laboratory tests, diagnostic imaging, and patient history. When diagnosing a medical problem, the healthcare provider will use all of the tools at their disposal to identify the underlying cause. This includes a physical examination, laboratory tests, diagnostic imaging, and patient history. When diagnosing a nursing problem, the healthcare provider will use a similar approach, with the additional consideration of the patient’s environment. This includes the patient’s living situation, social support network, and health care support systems. The diagnostic tools and approaches used to diagnose a medical problem are different from those used to diagnose a nursing problem. Treating medical and nursing problems Treating medical and nursing problems involves the use of different treatment modalities. Medical problems are typically treated with medication and/or surgery. They can also be prevented or resolved with lifestyle changes, such as proper diet and exercise, and the use of various health care services, such as counselling and therapy. Nursing problems can be resolved through a variety of non-medical means. This can include counselling, therapy,
[ANSWERED 2023] Case C 38 year old Native American pregnant female living on a reservation
Case C 38 year old Native American pregnant female living on a reservation Discussion: Building a Health History Effective communication is vital to constructing an accurate and detailed patient history. A patient’s health or illness is influenced by many factors, including age, gender, ethnicity, and environmental setting. As an advanced practice nurse, you must be aware of these factors and tailor your communication techniques accordingly. Doing so will not only help you establish rapport with your patients, but it will also enable you to more effectively gather the information needed to assess your patients’ health risks. For this Discussion, you will take on the role of a clinician who is building a health history for a particular new patient assigned by your Instructor. To prepare: With the information presented in Chapter 1 of Ball et al. in mind, consider the following: · By Day 1 of this week, you will be assigned a new patient profile by your Instructor for this Discussion. Note: Please see the “Course Announcements” section of the classroom for your new patient profile assignment. Case C 38 year old Native American pregnant female living on a reservation · How would your communication and interview techniques for building a health history differ with each patient? · How might you target your questions for building a health history based on the patient’s social determinants of health? · What risk assessment instruments would be appropriate to use with each patient, or what questions would you ask each patient to assess his or her health risks. · Identify any potential health-related risks based upon the patient’s age, gender, ethnicity, or environmental setting that should be taken into consideration. · Select one of the risk assessment instruments presented in Chapter 1 or Chapter 5 of the Seidel’s Guide to Physical Examination text, or another tool with which you are familiar, related to your selected patient. · Develop at least five targeted questions you would ask your selected patient to assess his or her health risks and begin building a health history. By Day of Week 1 1-Post a Summary of the Interview and a Description of the Communication techniques you would use with your assigned patient. “Case C 38-year-old Native American pregnant female living on a reservation” 2-Explain Why you would use these techniques. 3-Identify the risk Assessment Instrument you selected and Justify Why it would be applicable to the selected patient. 4-Provide at Least Five targeted questions you would ask the patient. EXPERT ANSWER AND EXPLATION Building a Health History Summary of the Interview with the Patient During the interview, the 38-year-old Native American pregnant female did not show any signs and symptoms of depression, and she even stated that her adjustment to pregnancy was reasonable. In the interview process, the patient indicated that her body mass index (BMI) before pregnancy was greater than 28, suggesting that she had healthy weight gain before pregnancy. The patient also said that the pregnancy was her third time, and she has never had any miscarriage, early infant birth or stillbirth before. Moreover, the patient has never had any history of gestational diabetes, hypertension, postpartum or depression in her last pregnancy. Lastly, she has not experienced any health complications or conditions not associated with her pregnancy in three months. Description of the Communication Techniques The communication practices I would utilize with the patient in the case assigned are two. The techniques include asking of open-ended questions and seeking first to understand (Aryani, 2018). First, asking open questions technique involves questions which the patient cannot answer with no or yes response. Aryani (2018) explains that the method helps the interviewer to get into the head of the interviewee and guide him or her to reveal his or her desires during the interview. Second, seeking first to understand technique describes the significance of truly understanding what an individual is communicating to another person (Riley & Furst-Holloway, 2019). Thus, understanding other people need aid interviews to respond effectively and in a way that builds trust and reciprocity in the interview. Reasons for Using the Two Techniques Asking open-ended questions is a useful technique that will enable me to provide value to the patient and work with her successfully. The method can lead to the building of trust and making by making the interview effective and allowing the patient to express herself (Riley & Furst-Holloway, 2019). Additionally, the primary reason why I will prefer to use seeking first to understand communication technique allows people to open their hearts and mind when addressing their health problems. Thus, allowing me to get the information faster and with no struggle, enabling me to make the patient feel great during the interview. Risk Assessment Instrument and Justification of its Applicability to the Patient EMR Risk Assessment Tool will help to reduce the patient’s maternal death and injury that the patient may experience during childbirth (Wesson, Lucey & Cooper, 2019). Bastain et al. (2019) add that the tool has benefits to the patient because it can generate new orders that facilitate caregivers to respond swiftly to unexpected risks during pregnancies. Therefore, the instrument applies to the patient in the case study due to its distinctive advantage. Five Questions that I would Ask a 38 year-old-Native American Pregnant Female The questions I would ask the patient to understand better and help me to support her during her pregnancy stated below. How is the pregnancy going with you? What is your feeling? How are you feeling regarding being pregnant? Is this the right timing for your pregnancy? What was your weight before the pregnancy? Is the pregnancy your first one? How many times have you been pregnant? Have any of the pregnancies been miscarriage, early infant death or stillbirth? Did you have hypertension, gestational diabetes, postpartum or depression during your last pregnancy? Have you experience any health complications or conditions not associated with your pregnancy? When last, did you take alcoholic drinks? Place your order now for a similar assignment and get fast, cheap and best quality work written by our expert level
18 Benefits of Assignment Help (2023)
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[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
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