[ANSWERED 2023] Review the IOM Future of Nursing Recommendations for achieving higher levels of education
Review the IOM Future of Nursing Recommendations for achieving higher levels of education. Describe what The IOM published report, “Future of Nursing: Leading Change, Advancing Health,” makes recommendations for lifelong learning and achieving higher levels of education. In 1,000-words, examine the importance of nursing education and discuss your overall educational goals. Include the following: 1. Discuss your options in the job market based on your educational level. 2. Review the IOM Future of Nursing Recommendations for achieving higher levels of education. Describe what professional certification and advanced degrees (MSN, DNP, etc.) you want to pursue and explain your reasons for wanting to attain the education. Discuss your timeline for accomplishing these goals. 3. Discuss how increasing your level of education would affect how your competitiveness in the current job market and your role in the future of nursing. 4. Discuss the relationship of continuing nursing education to competency, attitudes, knowledge, and the ANA Scope and Standards for Practice and Code of Ethics. 5. Discuss whether continuing nursing education should be mandatory. Provide support for your response. You are required to cite three to five sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and relevant to nursing practice. Abstract and wrap up conclusion are necessary. Expert Answer and Explanation Nursing Education and Educational Goals Among the most populated professions in healthcare is nursing, as the services of nurses are fundamental in ensuring adequate healthcare provision at all levels of patient care. In the US, there are more than 3.1 million nurses who are registered, and the number is expected to grow by over 19% by 2022 due to the increased nursing care needs (Mackey & Bassendowski, 2017). Nurses are found in institutions such as schools, military centers, public health agencies, clinic settings, nursing homes, and even in medical research centers. Different levels of nursing degrees have different educational requirements as well as licensure. Nurse education consists of practical and theoretical training in which nurses are prepared to encounter various nursing duties. Some of the nursing education courses are relevant to general nursing as well as specialized nursing such as pediatric and geriatric nursing. Options in the Job Market There are numerous nursing options in the job market of nursing, whereby nurses apply their different expertise in improving health outcomes. Among the most common of these set ups is the clinical care settings, where nurses work in clinical healthcare facilities to manage the outpatients and inpatients who have various nursing needs.Other care settings include the pediatric care departments, where nurses manage sick children (Mackey & Bassendowski, 2017). There may be sub-sections per every department, such as the cancer care centers for pediatrics which attends to the health needs of the children who have cancerous tumors in their bodies. Other departments that nurses can choose to go to include the geriatrics, where they focus much in caring for the aged people.In most of the geriatric cases, there are nursing homes for the aged in which nurses practice care for the aged population who are in these centers. For all the options in the job market, it is important that one has a basic nursing course that leads to an autonomous registration- the Associate Degree in Nursing (ADN). These courses last for four years and they serve as blueprints for everyone who wishes to engage in the different nursing specialties. Post-qualification courses allow people to go a step father in improving their expertise and knowledge in their own fields of choice (Kelly et al., 2016). For my case, I have am a licensed practical Nurse (LPN), and I am qualified to work in different nurse settings such as administering injections, preparing patients for different surgical procedures (including CS), performing therapeutic massage, changing bandages and wound dressings, managing and maintaining medical records of patients, and managing intravenous drips. Most importantly, as an LPN, I am entrusted with the task of communicating with medical staff regarding the specific needs of patients. The IOM Future of Nursing Recommendations The Institute of Medicine report (IOM Report) is an examination of the nursing workforce that was done in 2010 and used to give various recommendations on how to improve the face of nursing care. Some of the recommendations in the report are focused on the intersection between the various health needs of changing patient populations across lifespans of patients and the nursing workforce. They support the efforts to improve the health of the US population through improvement of the contributions of nurses in quality care delivery.The first key recommendation from the IOM 2010 report is that nurses should practice in full extent the education and training they are given (Ironside, 2015). Secondly, from the report, nurses are encouraged to reach higher levels of education so as to ensure that they have an improved education training and constant academic progression. Thirdly, nurses are recommended to partner with physicians as well as other healthcare professionals in improving and redesigning the face of healthcare in the United States (Ironside, 2015). Finally from the IOM future of nursing recommendations, nurses are asked to have improved data collection techniques and good information infrastructure through which they can effectively embrace workforce planning and policy making (Ironside, 2015). How Increasing My Education Level Affects My Competitiveness in the Job Market Increasing my educational level improves my competitiveness in the job market as I am able to be of more substance in delivering various nursing care needs to the people who look up to me- that is patients as well as other healthcare givers. For my case, I am hoping to acquire a Doctorate in Nursing Practicing Degree and eventually acquire a Doctor of Philosophy (PhD) in Nursing. With these advanced educational achievements, I will be sure to improve my value in the care continuum and hence have a better place in the competitive nursing job market. Nurses with PhD degrees are more focused in abstract thinking as opposed to hands-on patient care, and
[ANSWERED 2023] Select an issue from the following list: bullying, unit closers and restructuring, floating, nurse turnover, nurse staffing ratios
Select an issue from the following list: bullying, unit closers and restructuring, floating In this assignment, you will be writing a 1,000-1,250 word paper describing the differing approaches of nursing leaders and managers to issues in practice. To complete this assignment, do the following: Select an issue from the following list: bullying, unit closers and restructuring, floating, nurse turnover, nurse staffing ratios, use of contract employees (i.e., registry and travel nurses), or magnet designation. Describe the selected issue. Discuss how it impacts quality of care and patient safety in the setting in which it occurs. Discuss how professional standards of practice should be demonstrated in this situation to help rectify the issue or maintain professional conduct. Explain the differing roles of nursing leaders and nursing managers in this instance and discuss the different approaches they take to address the selected issue and promote patient safety and quality care. Support your rationale by using the theories, principles, skills, and roles of the leader versus manager described in your readings. Discuss what additional aspects mangers and leaders would need to initiate in order to ensure professionalism throughout diverse health care settings while addressing the selected issue. Describe a leadership style that would best address the chosen issue. Explain why this style could be successful in this setting. Use at least three peer-reviewed journal articles other than those presented in your text or provided in the course. Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required. This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance. This benchmark assignment assesses the following programmatic competencies: Expert Answer and Explanation Effective Approaches in Leadership and Management Policies in organizations are meant to guide employees’ behavior and conduct, and even if an organization has policies in place, workers may still adopt behaviors which contradict the organization’s policy directives. This is where the executive comes in considering that it enforces the code of conduct by updating and enforcing policies with the intention of creating a safe workplace for workers. When an executive is inactive, and does not encourage employees to give feedback or share their concerns, this can result to a situation in which workers lose morale especially if they are victims of abuse or bullying (Edmonson & Zelonka, 2019). This can in turn lead to poor employee performance, absenteeism and high turnover rates. It is imperative to explore bullying as a practice issue, the impact it has, and the leadership and management approaches to mitigating it. Description of the selected Issue Bullying is an act in which a person adopts aggressive behavior and intimidates, verbally and physically abuses another person with the intention of inflicting fear. There are various motivators of bullying, and among the factors that can cause one to bully others are inadequacies of the person bullying another, and if they feel threatened by another person. In organizational setting, for example, one can resort to bullying colleagues if they feel that they are threat and they stand on their way to promotion. Favoritism at work is equally a factor that can cause some workers to bully others, and this is noticeable where workers who feel left out of job promotion opportunities, intimidate colleagues who unfairly benefit from these opportunities (Hampton, Tharp-Barrie, & Kay, 2019). How the Issue impacts the Quality of Care and Patient Safety Bullying in clinical settings can have undesirable effect on the quality of care and the safety of patients. For example, frequent bullying of employees can demoralize them, and this can lead to absenteeism of the healthcare workers. This can be a major problem in poorly staffed hospitals because it can put pressure on the health care workers, and some may have to work for longer hours. Consequently, long work hours can cause the turnover rates to surge, and this can compromise the quality of care because the huge gap in provider-patient ratio is associated with poor quality of care. When a hospital has inadequate number of caregivers, patients’ risk of developing nosocomial infections or pressure ulcers can be high (Khoshhal & Guraya, 2016). The decline in the level of staffing may equally cause the increase in the patient’s risk of fall. How the Professional Standards can be demonstrated to resolve the Issue The professional standards are the anchor which dictate how providers can address various workplace issues including bullying. A provider can demonstrate these standards by being honest with those who bully others, and reminding that such behavior can dent the organization’s image, and affect the quality of care. Respect is a fundamental element of the professional standards, and a person in position of influence can demonstrate it by respecting what others might say in terms of the way the organization handles complaints pertaining to bullying. Caregivers are expected to uphold high standards of ethics by being fair in the way they treat others (Joseph & Huber, 2015). They can demonstrate fairness in this case by treating everyone equally, and offering promotions based on the employees’ competency rather than on the basis of whom they know. Doing this can help prevent interpersonal conflicts which are known to cause or exacerbate bullying. The differing Roles of the Nursing Leaders and Nursing Managers in addressing the Issue The path a leader would pursue to address the issue differs from the manager’s approach to resolving bullying. For example, the former would adopt a strategy that involves seeking the views of members of the staff so that they can address the issue together. This shared approach to resolving the problem can bring lasting solution because each employee would strive to protect and support the recommendations made to address it. Rather than involve the staff, a nurse a nurse leader would come up with the rules of engagement, and punish those who fail to comply with anti-bullying policy
[ANSWERED] Design a list of 10 data elements related to the patient demographic information
Design a list of 10 data elements related to the patient demographic information (refer back to the data sets if necessary) When designing data definitions, you will be assigning meaning to the data elements that are part of the computerized data. If there is no definition to the data, then it is not information. Write a paper of two (2) pages not including the title page, abstract page, and reference page that discusses the following: Design a list of 10 data elements related to the patient demographic information (refer back to the data sets if necessary). Indicate characteristics of each example, such as date format, text, alphanumeric, and so on. Define the number of characters for each data element and if it is required data based on a data set. Be sure to support your information by citing at least 2 references using APA format. EXPERT ANSWER AND EXPLANATION Data Elements used in Patient Demographic Information and their Characteristics The first type of data that is extracted from patients upon presentation to any health facility is their demographic information. Triage nurses are mostly involved in collecting this type of data, and it helps to identify the different characteristics of the patient and hence guide on the treatment plan (Wallace et al., 2020). The following are some of the common demographic data elements and their specific characteristics. Patient ID. The details of the patient ID include their surname, their first name, and the assigning authority ID. If the patient is recurrent in the facility, they would need to give the medical record number or other information that identifies the patient with their previous information (Okuda et al., 2020). Regarding the characteristics of this data element, each facility has its own preferred way of collecting the patient identification. Date of birth (DOB). The characteristics of this data set includes the use of an alpha-numeric format, in which the month of birth is written in alphabets while the day and year are written in numerals. The place of birth could also be collected as an additional element of the dataset. The data element of gender is usually categorized as either male or female, as the there are no provisions in the hospital for transgender individuals. Blood type. The blood type is categorized as either Rhesus Positive or Rhesus negative as well as the blood group A, B, AB, or O. Place of Residence. The address of the patient includes the street address, their state, apartment, and all other details that could guide easy access to their home in the event of need. Emergency contact information. The phone number of the close family members is the primary information collected at this stage. Major medical history. This data element includes things such as previous major diagnoses as well as the current drugs that the patient is taking. The data element includes the idea of whether the patient is black, white, Caucasian, Hispanic, or has other ethnicities (Unger et al., 2020). Primary Language. The primary language of the patient could either be English or other languages that the care providers can easily understand. Contact information. The data element requires the patients to give their phone numbers, email address, their physical address, work address, as well as all other information that would guide the healthcare providers in doing a follow-up on them. References Okuda, B. C., Tabbaa, S., Edmonds, M., Toubouti, Y., & Saltaji, H. (2020). Direct to consumer orthodontics: Exploring patient demographic trends and preferences. American Journal of Orthodontics and Dentofacial Orthopedics. https://doi.org/10.1016/j.ajodo.2019.12.024 Unger, J. M., Blanke, C. D., LeBlanc, M., Barlow, W. E., Vaidya, R., Ramsey, S. D., & Hershman, D. L. (2020). Association of patient demographic characteristics and insurance status with survival in cancer randomized clinical trials with positive findings. JAMA network open, 3(4), e203842-e203842. doi:10.1001/jamanetworkopen.2020.3842 Wallace, S. J., Murphy, M. P., Schiffman, C. J., Hopkinson, W. J., & Brown, N. M. (2020). Demographic data is more predictive of component size than digital radiographic templating in total knee arthroplasty. Knee Surgery & Related Research, 32(1), 1-7. https://doi.org/10.1186/s43019-020-00075-y Place your order now on the similar assignment and get fast, cheap and best quality work written from scratch by our expert level assignment writers.
[ANSWERED 2023] After reading Chapters 2, 5, 10, 13, 17 in the Blocher Text, select 2 techniques/concepts of interest to you. Submit a thread of at least 500 words examining the relationship between the selected techniques
After reading Chapters 2, 5, 10, 13, 17 in the Blocher Text, select 2 techniques/concepts of interest to you. Submit a thread of at least 500 words examining the relationship between the selected techniques After reading Chapters 2, 5, 10, 13, 17 in the Blocher Text, select 2 techniques/concepts of interest to you. Submit a thread of at least 500 words examining the relationship between the selected techniques/concepts and strategic allocation of financial resources with respect to revenues and expenses. Support your thread by citing at least 3 peer-reviewed journal articles. Your thread must be in current APA format and must include a reference list. Expert Answer and Explanation Selected Techniques and Strategic Allocation of Finance Strategic business management involves a series of practices that help a business succeed. These practices include financial mainstreaming and operational management. According to the highlights by Blocher, Stout and Cokins (2010), some of the primary elements of these practices include budgeting and activity based costing. Budgeting provides a cot-based framework to the business and ensues that the management spends the resources of the business with an objective. On the other hand activity-based costing helps the management evaluate the activities of the business and their financial viability. Accordingly, these two elements of strategic management are closely linked to strategic allocation of finance. Selected Techniques Strategy and Master Budget Budget is described as a detailed plan for resource mobilization and spending over a given period of time in order to achieve set goals and objectives of the organization (Kaplan and Atkinson, 2015). A budget consists both the financial and non-financial element of planned projects and operations. The budget for a particular period is both a framework for operations and a projection of the operating implications from the budgeted timeline. Working with the set goals, the business is able to manage the bottle necks and prevent such bottlenecks from hindering the business from achieving the goals of the business. Through strategic budgeting, the management is able to communicate their anticipations throughout the company. An integral set of budget creates a platform for each subunit to see the way the subunits fit into the overall plan for the period that the budget will cover (Kaplan et al. , 2015). Activity Based Costing An approach that changes indirect costs to products on the basis of the units that are produced fails to give accurate figures on product costs and also the incentive for the management of indirect costs; hence, the need for activity based costing. Activity-based costing involves the improvement of the accuracy and determination of costs. Although the approach is a new feature as far as cost accounting is concerned, it has been widely adopted by different organizations (Margolies and Hoddinott, 2015). Activity-based costing helps the management establish the proportionate number of units produced compared to the investment. Through this approach, the business is able to control its direct and indirect costs (Margolies et al. , 2015). Strategic Allocation of Finance The relationship between the selected techniques and strategic allocation of finance The process of preparing the budget gives the management insights into the business and anticipated challenges. In this regard, the management is tasked with coming up with strategic approaches that will help the business overcome these challenges. Completion of strategic budgeting and cost allocation for all business units and activities help facilitate the coordination of activities throughout the business. For example, the budget will show the implications of sales volumes and activity based costing for the budgeting period. Coordination of functional areas of the business is a significant managerial responsibility. Budgeting is a primary business tool that contributes to the achievement of requisite level of coordinated business activities. Consequently, it gives the management the power and authority to acquire and use resources in the business. A business strategy is an avenue towards attaining the long term goals and their stated goals. The significance of strategy in budgeting and planning cannot be overemphasized. In most cases, businesses perceive budget for the future and as a continuation of the current period with, at best. Scant attempts to connect the budgeting process to their strategic management. The objective is to develop a budget that achieves the strategic mission and goal of the organization. References Blocher, E. J., Stout, D. E., & Cokins, G. (2010). Cost management: A strategic emphasis. Includes index. Kaplan, R. S., & Atkinson, A. A. (2015). Advanced management accounting. PHI Learning. Margolies, A., & Hoddinott, J. (2015). Costing alternative transfer modalities. Journal of Development Effectiveness, 7(1), 1-16. Place your order now on the similar assignment and get fast, cheap and best quality work written from scratch by our expert level assignment writers. FAQs Which of the following is an example of a theme in a story A theme in a story is a recurring idea or message that is woven throughout the narrative. Here is an example of a theme in a story: The theme of love and loss in William Shakespeare’s play, Romeo and Juliet. The story explores the tragic consequences of a forbidden love between two young people from feuding families. The theme of love and loss is expressed through the characters’ passionate love for each other, their willingness to risk everything to be together, and the ultimate tragedy that befalls them. The theme is expressed through various literary devices such as imagery, symbolism, and dialogue. The story highlights the idea that love can be a powerful force, but it can also lead to loss and tragedy. Which of the following is not a characteristic of a literary analysis? A literary analysis is a critical examination of a literary work, such as a novel, poem, or play. Here are some characteristics of a literary analysis: Focus on the text: A literary analysis should focus primarily on the text itself, rather than on outside factors such as the author’s biography or historical context. The analysis should examine how literary elements such as plot, setting, characterization, imagery, and symbolism contribute to the meaning and themes
[ANSWERED 2023] Psychotic disorders and schizophrenia are some of the most complicated and challenging diagnoses in the DSM. The symptoms of psychotic disorders may appear quite vivid in some patients
Psychotic disorders and schizophrenia are some of the most complicated and challenging Assignment Assessing and Diagnosing Patients With Schizophrenia, Other Psychotic Disorders, and Medication-Induced Movement Disorders Psychotic disorders and schizophrenia are some of the most complicated and challenging diagnoses in the DSM. The symptoms of psychotic disorders may appear quite vivid in some patients; in others, symptoms may be barely observable. Additionally, symptoms may overlap among disorders. For example, specific symptoms, such as neurocognitive impairments, social problems, and illusions may exist in patients with schizophrenia but are also contributing symptoms of other psychotic disorders. To Prepare: Consider whether experiences of psychosis-related symptoms are always indicative of a diagnosis of schizophrenia. Think about alternative diagnoses for psychosis-related symptoms. Complete your Comprehensive Psychiatric Evaluation, including your differential diagnosis and critical-thinking process to formulate a primary diagnosis. THE QUESTION Subjective: Ø What details did the patient provide regarding their chief complaint and symptomology to derive your differential diagnosis? Ø What is the duration and severity of their symptoms? Ø How are their symptoms impacting their functioning in life? Objective: Ø What observations did you make during the psychiatric assessment? Assessment: Ø Discuss the patient’s mental status examination results. Ø What were your differential diagnoses? Ø Provide a minimum of three possible diagnoses with supporting evidence, listed in order from highest priority to lowest priority. Ø Compare the DSM-5-TR diagnostic criteria for each differential diagnosis and explain what DSM-5-TR criteria rule out the differential diagnosis to find an accurate diagnosis. Ø 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: Ø What would you do differently with this client if you could conduct the session over? Ø Include in your reflection a discussion related to legal/ethical considerations (demonstrate critical thinking beyond confidentiality and consent for treatment!). Ø Also include 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.). Transcript 00:00:00 TRANSCRIPT OF VIDEO FILE: 00:00:00______________________________________________________________________________ 00:00:00 BEGIN TRANSCRIPT: 00:00:00[sil.] 00:00:15 OFF CAMERA Mr. Feldman? I understand you called us last week for an appointment. 00:00:20 MR. FELDMAN My parents. 00:00:25 OFF CAMERA Excuse me? 00:00:25 MR. FELDMAN My parents called for the appointment. 00:00:25 OFF CAMERA Oh. Do you know why your parents called for an appointment? 00:00:30 MR. FELDMAN No. 00:00:35 OFF CAMERA When your parents called me they said you were having some difficulty in school. Where are you in school? 00:00:50 MR. FELDMAN State College. 00:00:50 OFF CAMERA How long have you been at State College? 00:00:55 MR. FELDMAN My freshman year. 00:01:00 OFF CAMERA And how is it going? 00:01:05 MR. FELDMAN Fine. 00:01:10 OFF CAMERA What courses are you taking at State? 00:01:15 MR. FELDMAN In high school I took advanced placement courses. Theoretical physics, advanced calculus is what I’m taking now. Although I’m thinking about double majoring in philosophy and physics. 00:01:35 OFF CAMERA That’s an interesting combination. 00:01:35 MR. FELDMAN Yes, the mysteries of life. The courses are mysteries, and just when you think you’ve understood it, it’s gone. 00:01:45 OFF CAMERA Gone? 00:01:50 MR. FELDMAN The totality of life precludes us from repeating it. I mean what’s the point? 00:02:00 OFF CAMERA Do you have a roommate at state? 00:02:05 MR. FELDMAN You could call him that. 00:02:10 OFF CAMERA Can you tell me about him? 00:02:15 MR. FELDMAN Oh no. 00:02:15 OFF CAMERA Why not? 00:02:20 [sil.] 00:02:25 MR. FELDMAN He put a microwave in there, but I know what that means. But I won’t tell. Not a word.. 00:02:35 OFF CAMERA A microwave oven? 00:02:40 MR. FELDMAN They had them in here too, in this building. But they’ll spare me, and they’ll spare you too, because you are with me, and what that’s about a bleeding degeneration of blood cells, bleeding the humanity from our rightful destiny… but this room spies on us. 00:03:05 OFF CAMERA I don’t understand what you mean. 00:03:10 MR. FELDMAN It’s in the eyes. You can hold of forever if you know how. 00:03:20 OFF CAMERA Mr. Feldman, did you come here with anyone else today? 00:03:25 [sil.] 00:03:30 MR. FELDMAN Sssshhhh. 00:03:35 OFF CAMERA Mr. Feldman, I think I may need to contact your parents. 00:03:45 SymptomMedia Visual Learning for Behavioral Health www.symptommedia.com 00:03:45 END TRANSCRIPT Expert Answer and Explanation Schizophrenia Subjective: CC (chief complaint): “Feldman has some difficulties in school.” HPI: Mr. Jay Feldman is a 19-years-old European-American male presenting to the office for psychiatric evaluation. He was referred for evaluation by his parents. The patient’s parents complain that he has some problems in school. The parents note that his psychiatric problems started after he joined state college. Since joining college, he has been experiencing delusions that people are spying on him. He has lost 18lbs and has a poor appetite. His speech is disorganized and he is hallucinating. He has not been sleeping well, has not got in touch with his friends since he came for the spring holidays, and does not shower. Past Psychiatric History: General Statement: He first entered aripiprazole treatment for mild paranoia six months ago. Caregivers (if applicable): Not applicable. Hospitalizations: Never hospitalized. Medication trials: He went through a short trial of aripiprazole but stopped because the medication caused a side effect of akathisia. Psychotherapy or Previous Psychiatric Diagnosis: He was diagnosed with mild paranoia six months ago. Substance Current Use and History: He denies drug abuse and does not take alcohol or tobacco. Family Psychiatric/Substance Use History: His family members have a history of mental health issues. His father was diagnosed with paranoid schizophrenia and his mother with anxiety. One of his younger brothers has a history of anxiety and the other ADHD. No family history of substance abuse. Psychosocial History: The patient was born and raised by his parents in Alameda, California. He has two younger brothers. He lives with his roommate in the state college but is currently with his
[ANSWERED 2023] Select one of the five postulates of contemporary psychodynamic theory identified by Westen
Select one of the five postulates of contemporary psychodynamic theory identified by 2.1. Personality Descriptors in Adlerian Counselling Here is a question which, I hope, will start our discussion about Adlerian counselling. As you read the personality descriptors identified by Adler to be typically associated with the various birth order positions, would you recognize them to be reasonably true (i.e., they were never intended to be 100% accurate for everybody) in your case, or with people you know? Remember that you can find more of those descriptors on the website of the Adler Institute of San Francisco. Reference Alfred Adler Institutes of San Francisco and Northwestern Washington. [Website]. Retrieved from: http://www.adlerian.us/ The last post is due at the end of Sunday of this unit. 2.2. Questions in Adlerian vs. Solution-Focused Therapy In their article, Bitter and Nicoll (2000) distinguished between the use of “The Question” in Adlerian therapy and the “The Miracle Question” employed by solution-focused therapists. Do you find that distinction useful and how would you use the technique in your future practice? Reference Bitter, J. R., & Nicoll, W. G. (2000). Adlerian brief therapy with individuals: Process and practice. Journal of Individual Psychology, 56, 31-44. Retrieved from https://search-ebscohost-com.libraryservices.yorkvilleu.ca/login.aspx?direct=true&AuthType=url,cookie,ip,uid&db=a9h&AN=9064041 The last post is due at the end of Sunday of this unit. Assignment 1: Psychodynamic Approaches – Assignment 1: Psychodynamic Approaches Instructions Do NOT exceed one double-spaced page (two or three paragraphs) for each of your answers. Please, save your assignment in Microsoft Word (files with extension .doc or .docx), or Rich Text Format (files with extension .rtf), or Open Office (files with extension .odt). Include a title page and a reference page. An introduction/conclusion is not necessary. Organize the answers using APA style. Answer the following three short-answer questions (250 words for each answer, approximately 750 words per assignment): Select one of the five postulates of contemporary psychodynamic theory identified by Westen (1998) in his comprehensive article on the scientific legacy of Sigmund Freud. Briefly, explain the importance of that postulate and its implications for the practice of psychodynamic counselling. How do Adlerian counsellors use clients’ early recollections as part of the lifestyle assessment? How can clients in counselling benefit from the application of Jung’s theory of psychological types? Information Regarding CitationsAny sources used to support your Written Narrative should, of course, be cited using correct APA format. And although it can be a useful starting place to gather very general information, in order to later verify it with more substantial sources, no Wikipedia references will be accepted as scholarly citations. Here’s just one reason why: http://www.nbcnews.com/id/30699302/ns/technology_and_science-tech_and_gadgets/t/student-hoaxes-worlds-media-wikipedia/ IMPORTANT NOTES *The “Submit” button will appear 72 hours before the due date for this assignment. This means that you must upload the final draft of your assignment during this 72-hour period from when the button appears and the due date passes. Please do not email your submissions to your professor, either before or after the due date; all coursework should be submitted through the online course (Moodle). Notes: Please review Submitting Turnitin Assignments found in Module 2 of the MACP Student Orientation. Please review instructions for Reviewing Feedback in Turnitin found in Module 2 of the MACP Student Orientation. The system will not allow you to resubmit after the due date EvaluationThe following rubric indicates those areas you should be focusing on in preparing your assignment, and how the professor will weigh these components relative to one another. Criteria % of Assignment Grade 1. Substantive content that answers correctly and directly the questions posed 50% 2. Evidence of completion of required readings 35% 3. Clarity of writing style, correct grammar, use of Canadian English spelling, and punctuation 5% 4. Compliance with the APA style guidelines for general formatting, citations, and references 10% TOTAL /100 Expert Answer and Explanation 2.1. Personality Descriptors in Adlerian Counselling It is vital for a counselor to understand the factors that influence their clients’ personality. Adler developed a theory that can help counselors understand the influence of clients’ personality. The theory is birth order theory. According to Adler, first-born children are higher achievers, natural leaders, on-time, organized, bossy, responsible, obeys the rules, and know-it-al. In the case of a person I know, the descriptors are reasonably true (AAISFNW). This person is the first-born in their family. All other siblings depend on him on almost everything. For instance, when his younger brother wanted to join college, the individual was asked to give his opinion about the best courses and help the brother applying for the school. The individual’s brother was the last-born child. The brother was outgoing, likes to be pampered, risk-taker, and highly competitive. He wanted to surpass his older brother in almost everything. I have also interacted with the only child in a family. In my observation, the individual was close to parents, demanding, and dependent on his older sibling a lot. He cannot spend a day before calling his mother. Though this theory applies to most people, my question is, what if the older brother did not go to school, can he have the descriptors identified by Adler? Reference Alfred Adler Institutes of San Francisco and Northwestern Washington (AAISFNW). [Website]. Retrieved from: http://www.adlerian.us/ 2.2. Questions in Adlerian vs. Solution-Focused Therapy “The Question” in Adlerian therapy is used to identify the aim of the symptoms experienced by clients. According to Bitter and Nicoll (2000), “The Question” can be used for differential diagnosis to determine what the client thinks about the symptoms. However, solution-focused therapists use “The Miracle Question” to provoke the clients to tell them how the future might be when they are healed. Bitter and Nicoll (2000) highly helped therapists by showing the distinction between the “The Question” and “The Miracle Question.” One of the differences is that “The Miracle Question” is used to encourage the patient to find solution to the problems while “The Question” is used to find how they think of symptoms. The two techniques will highly significant in my future practice. For instance, if a client comes to me complaining of stress and anxiety, I will ask them:
[ANSWERED 2023] This activity can be completed in your backyard, in your office yard, a nearby park, an urban green space, or anywhere you can get a little bit of nature under your feet
This activity can be completed in your backyard, in your office yard, a nearby park, an This activity can be completed in your backyard, in your office yard, a nearby park, an urban green space, or anywhere you can get a little bit of nature under your feet! Now that you have learned about food webs and biodiversity, you will explore the environment “in your own backyard.” It may be easiest to print out this sheet and take it with you to complete the assignment. You can always record your answers on a separate piece of paper while outside and then bring them back to your computer to type in your responses afterward. Scientists are trained to take very detailed notes when they head out into the field. This is because all of the information you can collect could be important to analyzing your data in the future. It is important to be descriptive and even use drawings if you need to make sure your data is as complete as possible. Part I (4 points each = 28 points) The first thing scientists record when out in the field is general data. You will practice this by filling in the information below. Date: Location (City, State, Country): Time of day: Temperature outside (estimate if you don’t have a phone with capabilities or a thermometer around): Weather (e.g., rainy, humid, dry, cloudy, sunny, overcast): Number of people around: Describe the space/habitat (Is it a prairie? Does it have tall grasses, are there a lot of trees, or is it near water or a city?): Part II (20 points) Now, let’s do some exploring and observing. Sit down on the soil, and take a closer look. Do you see small insects? Do you notice different types of grasses, weeds, and small flowers? Take a few minutes to identify everything you can in the area. (Set a maximum time to about 15 minutes). Record what you find in the table below, and remember to be as descriptive as possible. In the section “Label of what you found,” identify as best you can what it is you are looking at. Is it a plant (grass, weed, tree, flower), reptile, amphibian, insect, arachnid (spider), mammal, or bird? Do you know what species it is? You can use resources to help you identify what you find. If you are in the United States, download the iNaturalist app, and you can use field guides on the app to help identify what you see. If you are at a park, at the visitor center, there may be field guide pamphlets or online pamphlets to help with identifications. You can also try finding field guides for your area online. (Type the following terms into Google: “field guide to plants, butterflies, or whatever you’re looking at in [insert the place you are]”). Be as specific as possible. In the description column, describe what it is. How tall is it? What distinguishing features does it have? Does it have a scent? Does it have a color? In the last column, count how many of that species you see in the area. You are filling in the table with what you find. Your grade is based on the quality of filling in the details of the table (label, description, and how many found). You will need to include at least five species. Label of what you found Description How many found Part III (2 points each = 16 points) You will now build two food chains using what you found. You may not find all parts of the food chain as seeing top trophic levels are more rare than seeing primary producers. In that case, think about what would live in this habitat, look for signs of these animals (e.g., tracks, burrows, nests), and fill in the chart with what you think would be there. Primary Producer Primary Consumer Secondary Consumer Tertiary Consumer Example oak tree inchworm field mouse hawk 1 2 Questions (36 pts) 1. In this unit, we looked at threats to biodiversity. Describe what is affecting the biodiversity in the area you are in? What natural or man-made disturbances have happened in the area? How could the biodiversity increase in the area? Your response should Expert Answer and Explanation Part I (4 points each = 28 points) The first thing scientists record when out in the field is general data. You will practice this by filling in the information below. Date: 01/15/2022 Location (City, State, Country): Savannah, Georgia, U.S.A Time of day: 10:30 AM Temperature outside (estimate if you don’t have a phone with capabilities or a thermometer around): 9°C Weather (e.g., rainy, humid, dry, cloudy, sunny, overcast): Cloudy Number of people around: 16 Describe the space/habitat (Is it a prairie? Does it have tall grasses, are there a lot of trees, or is it near water or a city?): My front yard comprises of long grass and 3 Crete tree. My neighbor and I are separated by 5 red oak trees. There are also other types of tree around such as Spanish moss. I am seeing different types of birds flying around. Part II (20 points) Now, let’s do some exploring and observing. Sit down on the soil, and take a closer look. Do you see small insects? Do you notice different types of grasses, weeds, and small flowers? Take a few minutes to identify everything you can in the area. (Set a maximum time to about 15 minutes). Record what you find in the table below, and remember to be as descriptive as possible. In the section “Label of what you found,” identify as best you can what it is you are looking at. Is it a plant (grass, weed, tree, flower), reptile, amphibian, insect, arachnid (spider), mammal, or bird? Do you know what species it is? You can use resources to help you identify what you find. If you are in the United States, download the iNaturalist app, and you can use field guides on
[ANSWERED 2023] Leaders of organizations are charged with solving problems every day. Think back to an organizational challenge or decision in your company (or in one that you wish to research).
Leaders of organizations are charged with solving problems every day. Think back to an Using Problem Solving to Address Challenges Leaders of organizations are charged with solving problems every day. Think back to an organizational challenge or decision in your company (or in one that you wish to research). This should be a decision that the organization\’s leaders made. Address the following in a paper: Provide a brief history/background of the organizational challenge. Explain how the problem was resolved, using the steps from the problem-solving process presented in this module. If certain steps were skipped, name them and explain why. Consider how you/the organization might have approached the problem differently. Again, use the steps from the problem-solving process. Hypothesize whether the approach might have had a different outcome. Assignment Requirements: Your paper should be 4-5 pages in length, not counting the required title and references pages. Expert Answer and Explanation Addressing Challenges The healthcare setting is continuously changing to incorporate more functionality and roles that nurses have to play to improve their overall performance. The demand for health is constantly increasing and the need for the facility to meet these demands is also on the rise. With the high rise of everything and the struggle of the facility to meet these demands, there are challenges that the institution is likely to face that can negatively impact the concept of medication dissemination (Abbasi, 2016). In the face of adversity, healthcare leaders have to devise various ways to mitigate the prevailing issues and ensure that medical care maintains its quality and the Patients are satisfied with the care that they are receiving. One of the major challenges in my organization is the burden of preventable medical errors that have resulted in numerous cost implications, potential lawsuits, and utilization of unnecessary resources that would have been used to support another patient. The burden of Preventable Medical Errors The organization has had an increase with the overall challenge of medical error when the number of COVID-19 patients began to increase. The pandemic which rapidly spread from March onwards affected how nurses and other medical professionals interact with Patients and altered the normal culture of operations (Rahman et al., 2020). The normal interactions between healthcare professionals and patients to improve the medication process reduced with measures being taken to safeguard the lives of the patients. Due to the high number of patients, a limited supply of nurses, and reduced interaction between the nurse and patients as a form of CVID-19 protocol, there was a gradual increase in medical errors within the facility. Some of the main encountered errors include the wrong dosage, misdiagnosis, and delivering medical intervention to the wrong patient (Rahman et al., 2020). The high number of patients led to increasing paper work which overwhelmed the nurses in operations. The burden is attributed to a number of factors that were observed within the facility. To begin with, some of the nurses were afraid of the issue and resorted to resign or take unpaid leave until the issue was mitigated. The remaining nurses had to work extra hours to combat the increase in the number of patients and meet the expectations or needs of the patients. Nurse burnout, fatigue, and overall exhaustion can be attributed to these medical errors experienced within the facility over the time that the disease has been present (Rahman et al., 2020). Similarly, the fear to get close to the patient and offer a holistic approach to care affects how the diagnosis proves was conducted and the details that were captured from the patient. Nurses were supposed to put on protective and preventive attires which limited the movement, speech synthesis, and physical tests conducted on a patient. The issues provided a major challenge within the facility and it warranted leadership intervention to help mitigate the rising number of medical errors. Resolution of the Problem The organization through the leadership and management intervention came up with measures to regulate the increasing number of medical errors. In order to ensure that the problem was existent and emanated from the perceived causes, a select committee was established and tasked with investigating and identifying the problem at hand. The committee was then to offer a report detailing the problem definition, and its implications (Mileder, 2017). Similarly, the committee was expected to conduct a root cause analysis for the potential issues that are likely to course the existing challenges. Some of the potential causes identified include strained nurse-to-patient ratios, fear of the nurses to contract the disease which limits their interaction with the patients, misdiagnosis, dosage errors, and wrong medication. The deliberation led to the identification of potential solutions to help mitigate the increasing mortality rates and patient dissatisfaction. The committee deliberately on all the possible solutions both major and minor. The solutions were divided into internal and external where the internal solutions focused on the aspects that the organization could do, while the external entities are focused on the factors that are not under the control of the organization but can be mitigated (Mileder, 2017). From the possible solutions. A set of best solutions were selected and included the creation of an effective policy, staff education, adoption of technology to improve interaction while mitigating physical contact, and temporarily outsource nurses to aid with the shortages. These measures are critical to the facility and also improve the overall performance. The committee scheduled a series of events within which the selected intervention was to be implemented. The timeline of events was selected so that it would have little to no impact on the nature of care dissemination (Formica et al., 2018). After the successful implementation results were to be analyzed using feedback from the patients, reduced mortality rates, and an overall reduction in medical errors experienced within the facility. Alternative Approach While the organization effectively used the steps from the problem-solving processes, there are other sections that were not effective and the options that were made did not lead to an effective outcome. For instance,
[ANSWERED 2023] Write a paper in which you relate an experience with prejudice in the workplace. If you do not have such experience directly, you may base your paper on someone you know who has experienced discrimination
Write a paper in which you relate an experience with prejudice in the workplace. If you do Race, ethnicity, and cultural background are identifiers of individuals. In any society, how we see ourselves and how others treat us depend on many factors. Most people have confronted prejudice based on these identifiers, by either personally experiencing discrimination or knowing someone who has. Beyond ensuring an organization\’s compliance with the country’s anti-discrimination laws, it is incumbent upon leaders to support diversity in the workplace and to be culturally competent. Instructions: Write a paper in which you relate an experience with prejudice in the workplace. If you do not have such experience directly, you may base your paper on someone you know who has experienced discrimination, or on an actual case that occurred somewhere in the world. Address the following in your paper: Summarize the situation you are writing about; provide background information, such as how it happened, to whom it happened (you do not need to identify people by name), when it happened and where. Your goal is to demonstrate to the instructor your ability to assess how racial, ethnic, and/or cultural prejudices are expressed in the workplace. Explain the implications of the situation to the organization in terms of its stakeholders, its reputation, and its legal responsibilities. What laws, if any, were broken? Identify any negative effects of the discrimination issue on the morale and functioning of coworkers and employees. Describe three action steps that you, as a leader, would have taken to avoid the situation in the first place, as well as three actions steps you would have taken to handle the situation after it happened. Describe how you would have addressed \”cultural competence\” in both instances. Expert Answer and Explanation Racial, Ethnic, and Cultural Prejudice in the Workplace Over the past two centuries, there has been tremendous progress in eradication of racism in the US. The idea of black slavery had spread in the 18th and 19th century, and unfortunately, African Americans are still viewed as an inferior race many generations later (Lorde, 2018). The issue of racism is not a major concern for most individuals affected, but it becomes a problem when it interferes with the normal line of work, limiting someone from performing some duties simply because of their racial identity. One such case was in Mississauga, Ont, where a video footage was released showing a woman demanding a white doctor to care for her son (CTV News, 2017). While these cases are not uncommon, the reaction of the institutions associated is one of the determinants of the overall wellness of the affected employees. This paper analyses the case of Tonya Battle, a 49-year-old nurse who was racially discriminated by the patient, and yet the hospital moved with the demands of the patients. Whereas discrimination could be taken as a general issue by some nurse leaders, it leads to reduction of workers morale, and failure to have its timely correction could bring about serious reputation issues for the organization affected. Summary of Situation Tonya Battle is an African American who served in Michigan Hospital as a veteran in the ICU, and had over 25 years of experience in another care institution, Hurley Medical center. Battle once encountered a patient who had strange demands for the care of their newborn (Detroit Free Press, 2020). Upon entry into the NICU where Battle was on the bedside of the infant, the man stood and Battle introduced himself by saying that he was the one taking care of his baby, and asked to see the patient’s identification band. The patient reacted by saying that he needed to see his supervisor (Detroit Free Press, 2020). After engaging his supervisor, Battle learnt that the man was not comfortable having her baby cared for by an African American. He thought that the hospital would deny his request but unfortunately, Battle was replaced with another nurse to suit the patient demands. Also, Battle noticed that in the infant care chat was a note saying, ‘No African Americans to care for babies,’ which was against the racial standards of equality. It is then that Battle filed a lawsuit against the hospital. Implication of Situation to Organizational Stakeholders This situation leads to the demoralization of nurses, where African American nurses are seen as less valuable compared to their white counterparts. Also, upon learning about how the organization treats its employees, it is likely that the community members will be less inclined to visiting it to receive care, despite the fact that it may be the leading care provider in the region. As a result, the hospital may lose huge chunks of revenue (McCluney et al., 2018). Regarding the clients, the staff members are likely to treat them with less care since it is clear that their demands, regardless of how irrational they are, are always placed at the center by the management. Negative Effects of the Discrimination on the Morale and Functioning of Co-workers and Employees Among the major negative effects of the discrimination is reduced productivity, as the employees would realize that the organization clearly does not care about their welfare, but only seeks to protect the demands of the patient. Also, there is likely to erupt racial conflicts in the workplace, where some employees may demoralize others on the grounds that they are incapable of giving various services or their general inferiority. Action Steps I would Have Taken as a Leader to Avoid the Situation in the First Place As a leader, I would be sure to make it clear to all patients who visit the facility that the hospital is a racism-free zone. This way, there would be no weird demands that would be direct ways of racial profiling. Also, I would educate my staff members about the best ways of reacting to patients who are racists, and how they should exercise a high level of emotional intelligence when directly attacked by such patients. Action Steps I Would Take as a Leader to Handle the Situation
[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