[ANSWERED 2023] Develop in detail a situation in which a health care worker might be confronted with
Develop in detail a situation in which a health care worker might be confronted with Develop in detail a situation in which a health care worker might be confronted with ethical problems related to patients and prescription drug use OR patients in a state of poverty. Each scenario must be original to you and this assignment. It cannot be from the discussion boards in this class or any other previous forum. Articulate (and then assess) the ethical solutions that can found using “care” (care-based ethics) and “rights” ethics to those problems. Assessment must ask if the solutions are flawed, practicable, persuasive, etc. What health care technology is involved in the situation? What moral guidelines for using that kind of healthcare technology should be used there? Explore such guidelines also using utilitarianism, Kantian deontology, ethical egoism, or social contract ethics. Say how social technologies such as blogs, crowdfunding, online encyclopedias can be used in either case. What moral guidelines for using that kind of healthcare technology should be used there? Develop such guidelines also using utilitarianism, Kantian deontology, ethical egoism, or social contract ethics. You should not be using any text you used in a discussion board or assignment for this class or any previous class. Cite the textbook and incorporate outside sources, including citations. Writing Requirements (APA format) Length: 3-4 pages (not including title page or references page) 1-inch margins Double spaced 12-point Times New Roman font Title page References page (minimum of 2 scholarly sources) Expert Answer and Explanation Ethical Problems in Healthcare Issues of ethics are common in healthcare settings, mostly confronted by healthcare providers in care delivery. These challenges make healthcare delivery a challenge, especially when a nurse is caught between meeting the needs of the patient and the needs of the healthcare organization (Peter, 2018). In this paper, I will develop a situation in which a healthcare worker is confronted with a problem that is ethical in the course of healthcare delivery, articulate and assess the ethical solutions that can be established, identify the healthcare technology that is involved in the situation and the moral guidelines for using such technology, and establish how social technologies like blogs, online encyclopedias, and crowdfunding can get used in either case and the healthcare technology that can get used in such case. Scenario The situation in which a healthcare worker got confronted with an ethical problem that I identified is an emergency whereby the healthcare provider discovers that the patent needs an urgent organ transplant, but he does not have medical insurance. In this situation, the patient in critical care is a low-income earner and cannot pay for the necessary medical procedures. The hospital rules in this situation are that such procedures for treatment cannot be carried out on patients that do not have medical insurance or a way to guarantee that they can afford the payment required for such procedure. In this case, the healthcare worker is caught in a dilemma between saving the life of the patient or following the guidelines provided by the hospital concerning the provision of certain care procedures to patients with medical insurance only. The healthcare worker is caught between fulfilling their duty to their patients, which is to provide care to the best of their ability and the organization’s rules. Articulation and Assessment of Ethical solutions Ethics of care in healthcare entail actions that show the patient that you care about their well-being. In the situation discussed above, an ethical solution based on care-based ethics would be to be emotionally supportive of the patient and help them find a solution to their problem (Moriggi et al., 2020). For instance, the caregiver can share the information about his condition with their family and support them in working towards finding a solution to the problem by providing suggestions to the family on the options they can use like well-wishers or organizations that offer healthcare services to individuals that do not have medical insurance. Another way to show care would be to give hope to the patient to be optimistic about their situation, which would aid their healing process. Rights-based ethics provide that a particular action would be considered to be ethically correct if it respects the rights of individuals (Lasalvia et al., 2019). In the situation above, the care provider will have to identify a solution that respects the rights of the patient. In this case, the patient has a right to access to care and a universal right to life. As such, the care provider has to protect his right to care to the best of their ability by ensuring that they get the best attainable standard of health. In this situation, the ethical solution would be to treat the patient and ensure that they get basic treatment while trying to find a solution to their financial challenges, as the principles of nursing practice require that the patient’s rights are protected at all costs, as it is also the duty of the care provider to the patient. It may be challenging to conduct the organ transplant without the approval of the other healthcare providers in charge of the organization because the healthcare provider will have to obtain consent from the organization to perform such procedures. However, when it is a matter of life and death, the healthcare provider is under an obligation to protect the life of the patient. Technology The healthcare technology that will be involved in the situation discussed above, which entails a patient that needs a liver transplant for survival, will be the electronic health records which will be used in keeping a record of all the procedures of treatment that the patient gets provided by the healthcare provider (Curtis et al., 2018). It also keeps the health history and the records of the medications that have been administered to the patient while receiving care. The moral guidelines that should be applied in the use of this technology include nonmaleficence in which the healthcare worker is required to remain competitive in using this technology and provide the best possible care. Another guideline is fidelity in which the healthcare worker is required to keep their commitment to the health of
[ANSWERED 2023] In this Assignment you will practice this type of leadership by advocating for a healthcare program. Equally as important, you will advocate for a collaborative role of the nurse in the design and implementation of this program
In this Assignment you will practice this type of leadership by advocating for a healthcare Much like honeyguide birds and honey badgers, nurses and health professionals from other specialty areas can—and should—collaborate to design effective programs. Nurses bring specialties to the table that make them natural partners to professionals with different specialties. When nurses take the requisite leadership in becoming involved throughout the healthcare system, these partnerships can better design and deliver highly effective programs that meet objectives. In this Assignment you will practice this type of leadership by advocating for a healthcare program. Equally as important, you will advocate for a collaborative role of the nurse in the design and implementation of this program. To do this, assume you are preparing to be interviewed by a professional organization/publication regarding your thoughts on the role of the nurse in the design and implementation of new healthcare programs. To Prepare: Review the Resources and reflect on your thinking regarding the role of the nurse in the design and implementation of new healthcare programs. Select a healthcare program within your practice and consider the design and implementation of this program. Reflect on advocacy efforts and the role of the nurse in relation to healthcare program design and implementation. The Assignment: (2–3 pages) In a 2- to 3-page paper create an interview transcript of your responses to the following interview questions: Tell us about a healthcare program, within your practice. What are the costs and projected outcomes of this program? Who is your target population? What is the role of the nurse in providing input for the design of this healthcare program? Can you provide examples? What is your role as an advocate for your target population for this healthcare program? Do you have input into design decisions? How else do you impact design? What is the role of the nurse in healthcare program implementation? How does this role vary between design and implementation of healthcare programs? Can you provide examples? Who are the members of a healthcare team that you believe are most needed to implement a program? Can you explain why? Expert Answer and Explanation Advocating for the Nursing Role in Program Design and Implementation About the Healthcare Program The program entails the reduction of waiting times in an emergency nursing unit through the implementation of different processes and technologies. For nearly a decade, there has been regular complaints by patients who visit the ED about too much waiting times (Milstead & Short, 2019). Some of them always regret the choice of the facility, and swear that they will never go back there after they felt better. Target Population The main population affected by the program are the nurses in the ED departments. In the program, different software will be used by the triage nurse to assess the need for immediate treatment of the patient and this will help in the creation of more order in the department. Also, nurses will be using the program to reduce the time taken on one patient and hence reduce the situations that always occur of insufficient staffing. Role of the Nurse in Providing Input for the Design of the Program One of the primary roles of the nurse in providing input for the program design will be the guidance on some of the information that should be fed into the system. While computer systems and programs are always efficient tools in implementing support, the form in which they appear is determined by the input of the software during the formation (Centers for Disease Control and Prevention, CDC, 2020). Nurses will help in deducing the most crucial information, such as the vitals, that is necessary in evaluating the state of a patient immediately they present to the facility. My Role as an Advocate to my Target Population As an advocate, I will be sure to champion the interest of the nurses in the program. According to the American Nurses Association, ANA (2020), advocacy is one of the basic pillars of nursing, and it helps in efficiently determining the position of nurses in different care operations. For example, in the program, the nurse would perform advocacy role by preventing situations that would otherwise bring about nurse burnout. For this reason, as an advocate, I would have a lot of input in the design decisions of the program. The Role of the Nurse in Healthcare Program Implementation During implementation, the nurse would be one of the quality personnel in the program, as they would have the information about how best the program should be like. Just like in design, nurses use their expertise in determining the suitability of various process changes in the programs. For example, the nurse would be useful in the correction of a problem that arose when implementing the program in a setting that changed after the launch happened. Members of a Healthcare Team who are most needed in Program Implementation The project managers, who are mostly the organizational or departmental managers, are the members of the healthcare team who are most needed in program implementation. The role of these members is mainly monitoring the progress of the project, and ensuring that the project resources are managed efficiently (Ritchie et al., 2016; Smith et al., 2018). Specifically, they check whether or not every stakeholder is playing their role in project implementation, and act appropriately in doing the necessary corrections. References American Nurses Association, ANA, (2020). Advocacy. https://www.nursingworld.org/practice-policy/advocacy/ Centers for Disease Control and Prevention, CDC, (2020). Step by Step – Evaluating Violence and Injury Prevention Policies. Brief 4: Evaluating Policy Implementation https://www.cdc.gov/injury/pdfs/policy/Brief%204-a.pdf Milstead, J. A., & Short, N. M. (2019). Health policy and politics: A nurse’s guide (6th Ed.). Burlington, MA: Jones & Bartlett Learning. Ritchie, C., Andersen, R., Eng, J., Garrigues, S. K., Intinarelli, G., Kao, H., & Tunick, E. (2016). Implementation of an interdisciplinary, team-based complex care support health care model at an academic medical center: impact on health care utilization and quality of life. PloS one, 11(2), e0148096. Smith, C. D., Balatbat, C.,
[ANSWERED 2023] There is often the requirement to evaluate descriptive statistics for data within the organization
There is often the requirement to evaluate descriptive statistics for data within the There is often the requirement to evaluate descriptive statistics for data within the organization or for health care information. Every year the National Cancer Institute collects and publishes data based on patient demographics. Understanding differences between the groups based upon the collected data often informs health care professionals towards research, treatment options, or patient education. Using the data on the “National Cancer Institute Data” Excel spreadsheet, calculate the descriptive statistics indicated below for each of the Race/Ethnicity groups. Refer to your textbook and the Topic Materials, as needed, for assistance in with creating Excel formulas. Provide the following descriptive statistics: Measures of Central Tendency: Mean, Median, and Mode Measures of Variation: Variance, Standard Deviation, and Range (a formula is not needed for Range). Once the data is calculated, provide a 150-250 word analysis of the descriptive statistics on the spreadsheet. This should include differences and health outcomes between groups. APA style is not required, but solid academic writing is expected. 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 not required to submit this assignment to LopesWrite. Expert Answer and Explanation Alternative Expert Answer and Explanation Measures of Central Tendency: Mean, Median, and Mode This paper will elaborate on the descriptive statistical analysis for lung and bronchus cancer for the different racial groups as contained in the National Cancer Institute (2018). The data compiled was from the years 2000 to 2015. Mean Mean, also known as average, is the total summation of the values given divided by the number of items in a data set (Grove & Gray, 2018). The following is a mean for the different racial groups: Mean = Σ/n. where Σ is the total sum of the rate per 100,000, and n is the number of years (16 years). American Indian / Alaska Native (includes Hispanic) Mean = 692.4/16 = 43.275 Asian / Pacific Islander (includes Hispanic) Mean = 616.2/16 = 38.5125 Black (includes Hispanic) Mean = 1121.1/16 = 70.06875 Hispanic (any race) Mean = 503.9/16= 31.49375 White (includes Hispanic) Mean = 1003.6/16=62.725 Median Median is defined as the middle number in a data set (Grove & Gray, 2018). Given that the data set used by this paper contains an even number of items, one can get the median by calculating the average of the two middle numbers. The median for the following racial groups is calculated as follows American Indian / Alaska Native (includes Hispanic) Median = (43.1+44.6)/2 = 43.85 Asian / Pacific Islander (includes Hispanic) Median = (38.8+39)/2 = 38.9 Black (includes Hispanic) Median = (71.2+71.6)/2 =71.4 Hispanic (any race) Median = (32+32.2)/2 =32.1 White (includes Hispanic) Median = (63.9+65.2)/2 = 64.55 Mode Mode is defined as the most repeated number in a data set. In case a modal value can’t be established, one is supposed to group the data values, and using the following formula; the modal value for the group can be identified. Mode = L + (fm − fm-1) / ((fm − fm-1) + (fm − fm+1)) × W where: L is the lower-class boundary of the modal group fmis the frequency of the modal group fm-1is the frequency of the group before the modal group fm+1is the frequency of the group after the modal group w is the group width American Indian / Alaska Native (includes Hispanic) Data Groups 31-40 frequency = 6, 41-50 frequency = 9, 51-60 frequency = 1 The modal estimation for this population group is Mode = 41+ (9 − 6) / ((9 − 6) + (9 − 1)) × 10 = 41 +3/11 x 10 = 43.73 Ans = 43.73 Asian / Pacific Islander (includes Hispanic) The mode for this population group is 36,6 Black (includes Hispanic) Data Groups 55-60 frequency = 2, 61-65 frequency =3, 66-70 frequency =2, 71-75 frequency =6, 76–80 frequency = 3 The modal estimation for this population group is Mode = 71+ (6 − 2) / ((6 − 2) + (6 − 3)) × 5 = 71 +4/7 x 10 = 76.71 Ans = 76.71 Hispanic (any race) The mode for this population group is 34.1 White (includes Hispanic) The mode for this population group is 65.8 Measures of Variation: Variance Variance is the measurement of how numbers are distributed in a given data set. The following is a formula used to calculate variance; Σ (Xi – μ) 2 / n. Where: Σ is summation of the items n is the total number of items in the data set. Xi is the individual figures in the data set, μ is the mean for that data set, The following is the variance for the given racial groups American Indian / Alaska Native (includes Hispanic) μ = 43.275 Xi (μ – Xi)2 32 127.125625 36.6 44.555625 38.7 20.930625 39.6 13.505625 39.9 11.390625 40.1 10.080625 42.4 0.765625 43.1 0.030625 44.6 1.755625 45 2.975625 45.7 5.880625 46.4 9.765625 47.9 21.390625 48.7 29.430625 50 45.225625 51.7 70.980625 Σ =415.79 Variance = 415.79/16 = 25.986875 Asian / Pacific Islander (includes Hispanic) μ = 38.5125 Xi (μ – Xi)2 34 20.36265625 34.4 16.91265625 36.6 3.65765625 36.6 3.65765625 36.7 3.28515625 37 2.28765625 38.5 0.00015625 38.8 0.08265625 39 0.23765625 39.8 1.65765625 40.2 2.84765625 40.4 3.56265625 40.5 3.95015625 40.9 5.70015625 41 6.18765625 41.8 10.80765625 Σ =85.1975 Variance = 85.1975/16 = 5.32484375 Black (includes Hispanic) μ = 38.5125 Xi (μ – Xi)2 57.4 160.4972266 60.5 91.56097656 61.3 76.89097656 64.1 35.62597656 64.3 33.27847656 67.8 5.147226562 70.8 0.534726563 71.2 1.279726563 71.6 2.344726563 73.4 11.09722656 73.7 13.18597656 75.1 25.31347656 75.8 32.84722656 77.3 52.29097656 77.8 59.77222656 79 79.76722656 Σ = 681.4344 Variance = 681.4344/16 = 42.58965 Hispanic (any race) μ = 31.49375 Xi (μ – Xi)2 26 30.18128906 26.8 22.03128906 28.2 10.84878906 28.8 7.256289062 29.4 4.383789063 30.3 1.425039062 31.8 0.093789063 32 0.256289063 32.2 0.498789063 32.7 1.455039063 33.8 5.318789062 34.1 6.792539063 34.1 6.792539063 34.2 7.323789063 34.5 9.037539063 35 12.29378906 Σ =125.989375 Variance = 125.989375/16 = 7.8743359375 White (includes Hispanic) μ = 38.5125 Xi (μ – Xi)2 53.2 90.725625 55.4
[ANSWERED] Read Case 3 1 You Cant Get There From Here: Uber Slow On Diversity on page 108 of your textbook
Read Case 3 1 You Cant Get There From Here: Uber Slow On Diversity on page 108 of your Unit II Case Study Read Case 3 1 You Cant Get There From Here: Uber Slow On Diversity on page 108 of your textbook. After you have read the case study, write an analysis of the case study. Write an introduction to give context to your paper by explaining what the paper will cover. Then, divide the body of your paper using the seven headers below. Address the points within that section, as indicated under the header. Employment Law Identify what employment law Susan Fowler’s sexual harassment claim would be characterized as. Be sure to develop your answer to include your rationale. Type of Harassment Identify the type(s) of harassment to which Ms. Fowler was exposed. Be sure to develop your answer to include your rationale. Uber’s Actions Identify actions Uber has taken to limit their liability relative to sexual harassment charges. Be sure to develop your answer to include your rationale. EEOC and Affirmative Action After reviewing Uber’s diversity report, does it appear Uber is in violation of any EEOC and affirmative action laws? Be sure to develop your answer to include your rationale. Diversity Matters Explain why diversity matters in general and more specifically to Uber. Be sure to develop your answer to include your rationale. Benefits/Challenges of a Diverse Workforce Identify and explain the benefits and challenges Uber derives from a more diverse workforce. Be sure to develop your answer to include your rationale. Legal Provisions of Uber Case Write a summary that identifies legal provisions or considerations covered within this case study as it relates to a human resource management (HRM) perspective. Conclude with an analysis with your thoughts on how ethics and HRM professional standards are framed by legal provisions within a specific organization or industry (e.g., business, health care). Your case study must be at least two pages in length, not counting the title or reference pages. Adhere to APA style when constructing this assignment, including in-text citations and references for all sources that are used. Please note that no abstract is needed. EXPERT ANSWER AND EXPLANATION Uber Diversity and Sexual Harassment Uber is one of the biggest technology beneficiaries as its business is primarily based on the connection between customers and transport providers using smartphones. Also, Uber has improved its standards largely because customers and service providers can rate each other based on the satisfaction they get from the services (Swiss, 2018). Like many other companies, however, Uber is also faced by diversity issues, where there have been complaints about oppression of women in the company (Lussier & Hendon, 2017). This essay discusses about the case study ‘Case 3-1, You Can’t Get There From Here: Uber Slow on Diversity,’ where one of the female employees, Susan Fowler, reports sexual harassment by the manager. Employment Law The employment law under which the complaint of Ms. Fowler would be categorized is the Federal Employment Law, Title VII in the 1964 Civil Rights Act. According to this law, unwelcome sexual advances in the workplace can limit the productivities of employees in firms (Weiss, 2019). Susan’s manager had tried to perform some sexual advances that prompted her to report the manager to the HR manager. Unfortunately, the HR would not report this manager as they claimed he was ‘high performing.’ This is what angered Ms. Fowler and she later learned that there were other female employees who shared the same fate. Type of Harassment The harassment that Ms. Fowler faced was sexual harassment. This is because this kind of harassment under the Federal Employment Law covers for any mistakes done to lead to uncomfortable situations and can be highlighted in the case. For example, the fact that Ms. Fowler’s manager was using the company platform to have sexual conversations is intimidating enough. This is because Ms. Fowler should be expecting the manager to use the company platform to do regular operations such as checking on employees, but instead, what she gets is intimidating sexual messages. Uber’s Actions One of the actions that Uber took to limit the associated liability was the release of the first diversity report one month following the allegations. In the report, Uber mentioned that it acknowledges the fact that women, as well as non-white employees, are underrepresented in the company. They also mentioned that they have invested numerous resources to ensure that they reduce this underrepresentation, as well as ensure that women and other minority groups are comfortable in the technology environments. EEOC and Affirmative Action The report is in violation of the Equal Employment Opportunity Commission (EEOC) as it gives too much emphasis on women during the recruiting process. It is clear from the report that the company tries to correct a wrong it had embraced earlier (sexual harassment of women) using another wrong (unfairness in the hiring process) (Swiss, 2018). The affirmative action I would propose for Uber is to take precaution when approaching gender issues, lest they would find themselves in even greater trouble. Also, they should show that the manager who was accused of sexual harassment of female employees is given the right punishment. Diversity Matters The main reason why diversity matters in Uber is that the company’s success is based on public satisfaction. If there are more diversity issues, it is likely that the company will be less popular, and that the customers will be quick to switch to other alternatives. Benefits/Challenges of a Diverse Workforce Diversity in the workforce is beneficial as it increases productivity of a company. Companies with a diverse workforce culture are likely to find more success opportunities than those who oppose it (Lussier & Hendon, 2017). Challenges of a diverse workforce include power struggle among the different groups, which can lead to less growth rates. Legal Provisions of Uber Case The legal provisions of diversity in the case emphasize on the fact that companies have the legal obligation to ensure diversity so as to embrace societal growth. Also, the company’s employees who harass other individuals in
[SOLVED 2023] Week 2 Discussion Question 1 Applying Leadership Skills in Exploring the Roles for APRN
Week 2 Discussion Question 1 Applying Leadership Skills Week 2 Discussion Question 1 Applying Leadership Skills in Exploring the Roles for APRN The ongoing changes in the health-care landscape are influenced most by globalization, economic and technological factors, and the aging of the population. The complexity of the healthcare environment requires us to examine the leadership needs for the APN roles that are applicable for today and the future (Joel, 2018). In chapter 21 (Leadership for APNs: If Not Now, Then When?) the author outlines serval leadership theories or styles including: Situational or Contingency Leadership; Servant Leadership; Transformational or Transactional Leardershp; Relational Leadership; Clinical Leadership and Congruent Leadership. Select one of the above leadership theories or style. Using your own words define the theory. Considering the various APN roles (Clinician, Educator, Researcher, Administrator, Entrepreneur, Consultant, and Leader) describe how you might use the leadership theory in your future APN role. From your experience as a professional nurse, give one example of the selected leadership theory or style as seen in action or provide an exemplary example. Week 2: Discussion Question 2 – The Impact of Healthcare Trends on the APN Roles Arnautova (2018) in the article ‘Top Healthcare Industry Trends to Watch in 2018 and Beyond’ outlined five (5) trends that will revolutionize how we provide and consume healthcare services over the next decade. These healthcare trends include: Telemedicine Artificial Intelligence Robotics IoT and wearables Blockchain Select 1 of the 5 trends and discuss the potent positive and negative impacts the trend will have on the APN role(s) (Clinician, Educator, Researcher, Administrator, Entrepreneur, Consultant, and Leader). Reference: Arnautova, Y. (2018). Top healthcare industry trends to watch in 2018 and beyond. Retrieved August 20, 2018 from https://www.globallogic.com/blogs/top-healthcare-industry-trends-to-watch-in-2018-and-beyond/ Week 2: Discussion Question 1 – Expert Answer and Explanation Leadership Skills in Nursing Transformational Leadership Style The healthcare sector is changing and the new measures require a transformed leadership that will help set the required pace and milestones. One of the most critical leadership styles that can be used with the changes in APRN roles is transformational leadership (Poghosyan & Bernhardt, 2018). The style is important as it focuses on inspiration, encouragement, and motivation of the staff and employees to create change, innovate and grow the unit for future success. New roles require that a nurse be prepared for new challenges and obstacles that have to be solved innovatively for the betterment of the patient. Leadership Style and APRN Roles As a leader, the healthcare sector is focused on improving the health of the patient, conducting research, and administration purposes, transformational leadership can help an APRN come up with means to improve the various roles. For instance, an APRN can come up with ways to ensure that there is better service delivery and innovative interactions between the nurse and the patient (Popejoy et al., 2017). These innovations should be transformative and in line with current trends such as the incorporation of evidence in care delivery. The APRN can also focus on understanding current technology in order to improve the administration of care through transformations. The transformations can focus on the reduced discharge time, proper handling of patient data among others. Leadership Style in Action One practical example of transformational leadership is conducting nurse education on how to make use of new technologies such as evidence-based care. The strategy is transformational in the sense that it will enable the nurses to meet their desired goals and improve on the growth of the organization (Poghosyan & Bernhardt, 2018). Nurses should also embrace the changes and accept to learn and improve on their skills. References Poghosyan, L., & Bernhardt, J. (2018). Transformational leadership to promote nurse practitioner practice in primary care. Journal of nursing management, 26(8), 1066-1073. Popejoy, L., Vogelsmeier, A., Galambos, C., Flesner, M., Alexander, G., Lueckenotte, A., … & Rantz, M. (2017). The APRN role in changing nursing home quality: the Missouri quality improvement initiative. Journal of nursing care quality, 32(3), 196-201. Week 2: Discussion Question 2 – The Impact of Healthcare Trends on the APN Roles – Expert Answer and Explanation The Impact of Healthcare Trends on the APN Roles Telemedicine Telemedicine is one of the most recent healthcare trends that is being embraced globally. The healthcare sector is transforming to be able to reach a wider audience and meet the increasing demands in the healthcare field (Vitacca et al., 2018). Telemedicine per se includes the use of technology and other accessories to facilitate remote care delivery and monitoring of patient progress. The incorporation of telemedicine in the healthcare sector has brought about both positive and negative issues affecting the delivery of care. The major positive impact that telemedicine has had is the increase in accessibility to medical care to people from a wider geographical region. A person from Florida can be able to bet services from a specialist in Texas without having to incur travel expenses (Vitacca et al., 2018). The technology has also reduced the cost of medication which would have been used in admission of the patients and paying for the stay at the facility. Telemedicine also incorporates ease of interdisciplinary collaboration as there is the ease of access to patient data and different professionals can collaborate to help improve the patient conditions. There are also negative aspects associated with telemedicine and might affect the outcome of the patient. One of these issues is that telemedicine does not give the doctor ability to physically assess the patient and get to have a professional perspective on the issues around the physical concerns. The diagnosis is purely dependent on the patient observation which might be biased or flawed (Armaignac et al., 2018). On the other hand, the use of technology to collect data cannot be guaranteed as they might fail or be triggered at different timings. The other issue can be the insecurity of patient data which is susceptible to hackers or unauthorized breaches. References Armaignac, D. L., Saxena, A., Rubens, M., Valle, C. A., Williams, L. M. S., Veledar, E., & Gidel, L. T. (2018). Impact of Telemedicine On Mortality, Length Of Stay,
[ANSWERED] In 200-250 words, respond to the following: Should the physician allow Mike to continue making decisions that seem to him to be irrational and harmful to James, or would that mean a disrespect of a patient’s autonomy?
In 200-250 words, respond to the following: Should the physician allow Mike to continue In addition to the topic study materials, use the chart you completed and questions you answered in the Topic 3 about “Case Study: Healing and Autonomy” as the basis for your responses in this assignment. Answer the following questions about a patient’s spiritual needs in light of the Christian worldview. In 200-250 words, respond to the following: Should the physician allow Mike to continue making decisions that seem to him to be irrational and harmful to James, or would that mean a disrespect of a patient’s autonomy? Explain your rationale. In 400-500 words, respond to the following: How ought the Christian think about sickness and health? How should a Christian think about medical intervention? What should Mike as a Christian do? How should he reason about trusting God and treating James in relation to what is truly honoring the principles of beneficence and nonmaleficence in James’s care? In 200-250 words, respond to the following: How would a spiritual needs assessment help the physician assist Mike determine appropriate interventions for James and for his family or others involved in his care? Remember to support your responses with the topic study materials. While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center. This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance. This benchmark assignment assesses the following competencies: BS Nursing (RN to BSN) 5.2: Assess for the spiritual needs and provide appropriate interventions for individuals, families, and groups. Case Study: Healing and Autonomy Mike and Joanne are the parents of James and Samuel, identical twins born 8 years ago. James is currently suffering from acute glomerulonephritis, kidney failure. James was originally brought into the hospital for complications associated with a strep throat infection. The spread of the A streptococcus infection led to the subsequent kidney failure. James’s condition was acute enough to warrant immediate treatment. Usually cases of acute glomerulonephritis caused by strep infection tend to improve on their own or with an antibiotic. However, James also had elevated blood pressure and enough fluid buildup that required temporary dialysis to relieve. The attending physician suggested immediate dialysis. After some time of discussion with Joanne, Mike informs the physician that they are going to forego the dialysis and place their faith in God. Mike and Joanne had been moved by a sermon their pastor had given a week ago, and also had witnessed a close friend regain mobility when she was prayed over at a healing service after a serious stroke. They thought it more prudent to take James immediately to a faith healing service instead of putting James through multiple rounds of dialysis. Yet, Mike and Joanne agreed to return to the hospital after the faith healing services later in the week, and in hopes that James would be healed by then. Two days later the family returned and was forced to place James on dialysis, as his condition had deteriorated. Mike felt perplexed and tormented by his decision to not treat James earlier. Had he not enough faith? Was God punishing him or James? To make matters worse, James’s kidneys had deteriorated such that his dialysis was now not a temporary matter and was in need of a kidney transplant. Crushed and desperate, Mike and Joanne immediately offered to donate one of their own kidneys to James, but they were not compatible donors. Over the next few weeks, amidst daily rounds of dialysis, some of their close friends and church members also offered to donate a kidney to James. However, none of them were tissue matches. James’s nephrologist called to schedule a private appointment with Mike and Joanne. James was stable, given the regular dialysis, but would require a kidney transplant within the year. Given the desperate situation, the nephrologist informed Mike and Joanne of a donor that was an ideal tissue match, but as of yet had not been considered—James’s brother Samuel. Mike vacillates and struggles to decide whether he should have his other son Samuel lose a kidney or perhaps wait for God to do a miracle this time around. Perhaps this is where the real testing of his faith will come in? Mike reasons, “This time around it is a matter of life and death. What could require greater faith than that?” Expert Answer and Explanation Benchmark – Patient’s Spiritual Needs: Case Analysis Recent advances in technology have had significant transformation of the healthcare industry. In one way, however, the service and cure-oriented model has been abandoned by the introduction of various technological practices in spirituality (Mesquita et al., 2017). In the past, healthcare was often linked with spirituality, where healthcare givers served to incorporate the physical, social, spiritual, and emotional being to healthcare. Nurse leaders and nurse educators today are encouraged to actively re-introduce this compassionate consideration of the patients’ spiritual needs (Timmins & Caldeira, 2017). This essay involves the analysis of a case of James, an 8 y.o. pt. whose parents are confused at the level or extent to which they should encourage spirituality in his health. Should the physician allow Mike to continue making decisions that seem to him to be irrational and harmful to James? The physician should not allow further mistakes to happen in the case of James, and should not let Mike, his father to continue making faulty decisions for him. The initial presentation of the case of James to the facility was clear that the only needed intervention after an infection of acute glomerulonephritis was to perform a kidney dialysis and then with the aid of an antibiotic, he would easily recover. However,
[ANSWERED 2023] Mike and Joanne are the parents of James and Samuel, identical twins born 8 years ago. James is currently suffering from acute glomerulonephritis, kidney failure
Mike and Joanne are the parents of James and Samuel, identical twins born 8 years ago This assignment will incorporate a common practical tool in helping clinicians begin to ethically analyze a case. Organizing the data in this way will help you apply the four principles of principlism. Based on the “Case Study: Healing and Autonomy” and other required topic study materials, you will complete the “Applying the Four Principles: Case Study” document that includes the following: Part 1: Chart This chart will formalize principlism and the four-boxes approach by organizing the data from the case study according to the relevant principles of biomedical ethics: autonomy, beneficence, nonmaleficence, and justice. Part 2: Evaluation This part includes questions, to be answered in a total of 500 words, that describe how principalism would be applied according to the Christian worldview. Remember to support your responses with the topic study materials. APA style is not required, but solid academic writing is expected. You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance. Case Study: Healing and Autonomy Mike and Joanne are the parents of James and Samuel, identical twins born 8 years ago. James is currently suffering from acute glomerulonephritis, kidney failure. James was originally brought into the hospital for complications associated with a strep throat infection. The spread of the A streptococcus infection led to the subsequent kidney failure. James’s condition was acute enough to warrant immediate treatment. Usually cases of acute glomerulonephritis caused by strep infection tend to improve on their own or with an antibiotic. However, James also had elevated blood pressure and enough fluid buildup that required temporary dialysis to relieve. The attending physician suggested immediate dialysis. After some time of discussion with Joanne, Mike informs the physician that they are going to forego the dialysis and place their faith in God. Mike and Joanne had been moved by a sermon their pastor had given a week ago, and also had witnessed a close friend regain mobility when she was prayed over at a healing service after a serious stroke. They thought it more prudent to take James immediately to a faith healing service instead of putting James through multiple rounds of dialysis. Yet, Mike and Joanne agreed to return to the hospital after the faith healing services later in the week, and in hopes that James would be healed by then. Two days later the family returned and was forced to place James on dialysis, as his condition had deteriorated. Mike felt perplexed and tormented by his decision to not treat James earlier. Had he not enough faith? Was God punishing him or James? To make matters worse, James’s kidneys had deteriorated such that his dialysis was now not a temporary matter and was in need of a kidney transplant. Crushed and desperate, Mike and Joanne immediately offered to donate one of their own kidneys to James, but they were not compatible donors. Over the next few weeks, amidst daily rounds of dialysis, some of their close friends and church members also offered to donate a kidney to James. However, none of them were tissue matches. James’s nephrologist called to schedule a private appointment with Mike and Joanne. James was stable, given the regular dialysis, but would require a kidney transplant within the year. Given the desperate situation, the nephrologist informed Mike and Joanne of a donor that was an ideal tissue match, but as of yet had not been considered—James’s brother Samuel. Mike vacillates and struggles to decide whether he should have his other son Samuel lose a kidney or perhaps wait for God to do a miracle this time around. Perhaps this is where the real testing of his faith will come in? Mike reasons, “This time around it is a matter of life and death. Expert Answer and Explanation Applying the Four Principles: Case Study Part 1: Chart (60 points) Based on the “Healing and Autonomy” case study, fill out all the relevant boxes below. Provide the information by means of bullet points or a well-structured paragraph in the box. Gather as much data as possible. Medical Indications Beneficence and Nonmaleficence Patient Preferences Autonomy Beneficence focuses on how the patient can positively benefit by interacting with the medical practitioner. The benefits include treatment, care delivery, and medication prescription to alleviate the pain and other issues affecting the patient. Nonmaleficence on the other hand entails the measures that can be taken by the doctor to prevent harm either by intentional or unintentional. These principles are evident in the case where the doctor informs the parents who have the power of attorney for the child of the best modes of medication to mitigate the severity of the symptoms on the child. The doctor also takes measure to prevent harm by telling the parent that they should consider visiting the facility in the event that their decision to focus on prayer alone does not lead to the outcome they want. The principle of autonomy is controversial as it binds the doctors, despite having professional knowledge, to abide by the needs and requirements set forth by the patients. The doctor has to conform to the needs of the patients and offer medical care that is aligned with how the patient wants. The most important attribute of care is the preference of the patient even when the doctor is against the decision. Autonomy is evident in the care where the parents decide to take the hold for prays as opposed to following the doctor’s advice of offering dialysis treatment. The parents are now faced with the decision on whether to use the twin brother as the donor. Quality of Life Beneficence, Nonmaleficence, Autonomy Contextual Features Justice and Fairness Patient car can have two outcomes depending on the mode of medication, patient decision and availability of resources. In order to ensure the quality if life and the overall sustenance of the patient from harm, there is need for collaboration. The patient is responsible for
[SOLVED 2023] The National Organization of Nurse Practitioner Faculties (NONPF) has determined core competencies that apply to all nurse practitioners, regardless of specialty or patient population focus
The National Organization of Nurse Practitioner Faculties (NONPF) has determined core The National Organization of Nurse Practitioner Faculties (NONPF) has determined core competencies that apply to all nurse practitioners, regardless of specialty or patient population focus. NONPF has represented them within nine broad areas of core competence. NONPF created the first set of Nurse Practitioner Competencies in 1990; the most recent updates were incorporated in 2017. This synthesis course has had the overarching objective of preparing you to be able to synthesize knowledge gained throughout the program and be prepared to apply each of the nine core competencies within your selected areas of practice and your representative communities. The nine broad areas of competency are: Scientific Foundations Leadership Quality Practice Inquiry Technology and Information Literacy Policy Health Delivery System Ethics Independent Practice To Prepare: Review this week’s Learning Resources, focusing on the NONPF Core Competencies Content. The Assignment For each of the nine NONPF competencies, write one paragraph explaining how the program has prepared you to meet it (for a total of at least nine paragraphs). Then, propose and explain how you plan to engage in social change in your community as a nurse practitioner. Be specific and provide examples. Expert Answer and Explanation National Organization of Nurse Practitioner Faculties (NONPF) Competencies The nursing practice is constantly changing to include new modes of practice and a wider scope of practice (Moore, & Hawkins-Walsh, 2020). Nurses make up the vast majority of staff in the healthcare sector and need to demonstrate certain competencies to better impact the positive outcomes in health. This paper analyzes how the program has prepared me to meet the nine NONPF core competencies. NONPF Competencies Scientific Foundations The scientific foundation competency addresses the need for the crucial analysis of data in the improvement of advanced nursing practice and proceeds to integrate the new knowledge into the overall practice of nursing (NONPF, 2020). The components also focus on the translation of research and the development of new practices. The program has been effective in training on best research techniques and how to obtain reliable information from data and derive new knowledge. The process is an important scientific process as it enables the formation of reliable and credible knowledge to be applied in practice. Leadership Competencies The competencies focus on the ability of nurses to be able to assume advanced and complex leadership positions (OSU, 2022). In this regard, nurses should be able to lead in a critical and reflective manner, advocate for better access, advance the practice setting and improve collaboration (NONPF, 2020). The program has been useful in creating awareness of the different leadership styles and character traits of an effective leader. During the course, I have been able to learn how to become a reliable and effective leader. The program also provided insights on issues related to teams and teamwork management, crisis management, and stress management within a team and the entire organization. The information is relevant in the development of an effective leader. Quality Competencies The healthcare sector is constantly changing, and with it, the modes ofc are delivery. One of the key components that need to change as well is the quality of care for the patients (NONPF, 2020). The quality competencies focus on how nurses can make use of available evidence to constantly provide better improvements in clinical practice (OSU, 2022). The program provided insights on the culture of safety and the use of different tools such as the Plan-Do-Study-Act, which offer guidelines on better change implementation. Nurses can make use of data from evidence-based practice to the teaching of implementing change to ensure the attainment of quality competencies. Practice Inquiry Competencies While the identification of new knowledge is important, it needs to be translated to meet the needs of the patient or specific practice (NONPF, 2020). The practice inquiry competencies ensure that a nurse in the leadership position has the capacity to translate new knowledge into practice. In this regard, the nurse would then be able to come up with knowledge based on the clinical research to better provide a better-quality model of care (OSU, 2022). However, in order to implement the practice inquiry competencies, a nurse needs to be able to know where the challenge or gap is before creating the desired changes. The program teaches how to identify practice problems and appraisal of evidence to determine the best available mode of intervention. Technology and Information Literacy Competencies The program advocated for nurses to be aware of new technologies, such as the use of nurse informatics to identify patterns and trends from evidence. The technology can be useful in the translation of beneficial information towards the delivery of better care. As a nurse, ensuring that proper strategies are used to integrate technology in healthcare can improve the effectiveness of care (OSU, 2022). Policy Competencies The program is essential in informing about the correlation between internal or external policies with the overall nursing practice. The program advocates for the nurses to understand the relevance of advocacy and be part of the leadership categories responsible for the creation of policies. The intervention is essential in providing better patient care and an effective working environment for the nurses (Kottwitz & Owens, 2021). Health Delivery System Competencies The program provided information on how nurses can apply the knowledge obtained from research and in school into practice. Information such as the organizational structure and decision-making strategies can be used as the basis of health delivery. The competency addresses the need to interpret, use and correlate data within the facility. Ethics Competencies As a nurse, it is important that the decisions made are ethical and lead to the best patient outcomes. The program provides a nurse with different ethical requirements for a nurse and how they can be applied in practice. Can then make use of the information related to ethics and apply the knowledge in determining best patient practice (Chan et al., 2020). Independent Practice Compliances With the increasing nursing roles, nurses need to be
[ANSWERED 2023] A 15-year-old male reports dull pain in both knees. Sometimes one or both knees click
A 15-year-old male reports dull pain in both knees. Sometimes one or both knees click Assessing Musculoskeletal Pain Case 3: Knee Pain A 15-year-old male reports dull pain in both knees. Sometimes one or both knees click, and the patient describes a catching sensation under the patella. In determining the causes of the knee pain, what additional history do you need? What categories can you use to differentiate knee pain? What are your specific differential diagnoses for knee pain? What physical examination will you perform? What anatomic structures are you assessing as part of the physical examination? What special maneuvers will you perform? With regard to the case study you were assigned: · Review this week\\\’s Learning Resources, and consider the insights they provide about the case study. · Consider what history would be necessary to collect from the patient in the case study you were assigned. · Consider what physical exams and diagnostic tests would be appropriate to gather more information about the patient\\\’s condition. How would the results be used to make a diagnosis? · Identify at least five possible conditions that may be considered in a differential diagnosis for the patient. Post an episodic/focused note about the patient in the case study to which you were assigned using the episodic/focused note template provided in the Week 5 resources. Provide evidence from the literature to support diagnostic tests that would be appropriate for each case. List five different possible conditions for the patient\\\’s differential diagnosis and justify why you selected each. Expert Answer and Explanation Knee Pain Episodic/Focused SOAP Note Patient Information: JD is a 15-year-old African American Male. S. CC “Dull pain in both knees for four days.” HPI: JD is a 15-year-old African American Male who came to the hospital with complaints of dull pain in his both knees for the three days. He reports that he sometimes feels catching sensation under the patella and both knees often click. The pain started after playing basketball tournament three days ago. He has not applied any medication. The severity of the pain I 8/10. Current Medications: No medications Allergies: No allergies. PMHx: No history of major medical conditions. Pneumonia and influenza vaccines are up to date. Soc Hx: Denies tobacco or alcohol use. He is the only child in a middle-class family. He loves playing basketball. Fam Hx: He is the only child in a family of three. Both parents are alive and healthy. Grandfather died of depression. He committed suicide. Grandmother is alive as has type II diabetes. ROS: GENERAL: No fatigue, weight loss, or fever. HEENT: Eyes: No vision problems. Ears, Nose, Throat: No hearing problem, sneezing, runny nose, congestion, or sore throat. SKIN: No rash or itching. CARDIOVASCULAR: No heart problems. RESPIRATORY: No breathing problems. MUSCULOSKELETAL: Knee pain. HEMATOLOGIC: No anemia or bleeding. O. Physical exam: Constitutional: General Appearance: Healthy adult with moderate distress. A+O+3, mucous membranes moist, flushed, answers questions properly. Vitals: BP 122/90; P 57; R 20; T 36.3; W 58kgs; H 157cm. HEENT: Head: NC/AT. Eyes: Pupils are PERRL, extraocular movements intact; conjunctivae pink. Ears: Hearing intact, normal external appearance. Nose: Appears normal, clear mucus. Mouth: The are in good shape. Throat: No lesions or inflammation of the tonsils. Skin: Normal color for ethnicity, dry, warm, with no rashes or lesions. Cardiovascular: S1, S2 with regular rhythm and rate. No heart sounds. Lungs: Chest walls symmetric. Lungs clear and bilateral. Regular respirations. Knee: MRI shows ACL tear in both knees. Diagnostic results: Diagnosis for knee musculoskeletal can be done using MRI or X-ray (Ball et al., 2019). The authors note that X-ray cannot see the ligaments, and in this case, MRI is recommended. X-ray: Pending MRI: Pending A. Differential Diagnoses Anterior Cruciate Ligament (ACL) Injury. The primary diagnosis for this ACL injury. ACL injury is a sprain or tear ACL, one of the major ligaments in the knee (Korakakis et al., 2019). The injury occurs mostly in sportspersons. The disease causes pain in the knee. It has been included as the primary diagnosis because the patient is a sportsperson and recently got injured during a game. Knee locking: Characteristics of knee locking include catching sensation, swelling of the affected knee, and pain with extension (Lee, Nixion, Chandratreya & Murray, 2017). The disease is not a primary diagnosis because the patient is no swelling in the knee. Osteochondritis Dissecans: OCD is a joint condition that occurs when blood is not enough in the end of the bone. It also causes pain in the knee, and that is why it has been included in the diagnosis. Juvenile idiopathic arthritis: JIA is the swelling of the joints. The disease occurs before a kid reaches 16 years (Ramanan et al., 2017). It causes joint pain, and that is why it has been included in the diagnosis. Repeated kneecap dislocation: Repeated patellar subluxation is the continued instability of the patellar, which causes knee pain. 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. Korakakis, V., Saretsky, M., Whiteley, R., Azzopardi, M. C., Klauznicer, J., Itani, A., … & Malliaropoulos, N. (2019). Translation into modern standard Arabic, cross-cultural adaptation and psychometric properties’ evaluation of the Lower Extremity Functional Scale (LEFS) in Arabic-speaking athletes with Anterior Cruciate Ligament (ACL) injury. PloS one, 14(6), e0217791. https://doi.org/10.1371/journal.pone.0217791 Lee, P. Y. F., Nixion, A., Chandratreya, A., & Murray, J. M. (2017). Synovial plica syndrome of the knee: a commonly overlooked cause of anterior knee pain. The Surgery Journal, 3(1), e9. doi: 10.1055/s-0037-1598047 Ramanan, A. V., Dick, A. D., Jones, A. P., McKay, A., Williamson, P. R., Compeyrot-Lacassagne, S., … & Beresford, M. W. (2017). Adalimumab plus methotrexate for uveitis in juvenile idiopathic arthritis. New England Journal of Medicine, 376(17), 1637-1646. https://www.nejm.org/doi/full/10.1056/NEJMoa1614160 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 FAQs Osgood-schlatter disease Osgood-Schlatter disease
[ANSWERED 2023] Review the video Case Study Dev Cordoba. You will use this case as the basis of this Assignment
Review the video Case Study Dev Cordoba. You will use this case as the basis of this Assignment. In this video Assignment: Focused SOAP Note for Anxiety, PTSD, and OCD In assessing patients with anxiety, obsessive-compulsive, and trauma and stressor-related disorders, you will continue the practice of looking to understand chief symptomology in order to develop a diagnosis. With a differential diagnosis in mind, you can then move to a treatment and follow-up plan that may involve both psychopharmacologic and psychotherapeutic approaches. In this Assignment, you use a case study to develop a focused SOAP note based on evidence-based approaches. To Prepare Review this week’s Learning Resources. Consider the insights they provide about assessing and diagnosing anxiety, obsessive compulsive, and trauma-related disorders. Review the Focused SOAP Note template, which you will use to complete this Assignment. There is also a Focused SOAP Note Exemplar provided as a guide for Assignment expectations. Review the video Case Study Dev Cordoba. You will use this case as the basis of this Assignment. In this video, a Walden faculty member is assessing a mock patient. The patient will be represented onscreen as an avatar. Consider what history would be necessary to collect from this patient. Consider what interview questions you would need to ask this patient. The Assignment Develop a Focused SOAP Note, including your differential diagnosis and critical-thinking process to formulate a primary diagnosis. Incorporate the following into your responses in the template: Subjective: What details did the patient provide regarding their chief complaint and symptomology to derive your differential diagnosis? What is the duration and severity of their symptoms? How are their symptoms impacting their functioning in life? Objective: What observations did you make during the psychiatric assessment? Assessment: Discuss the patient’s mental status examination results. What were your differential diagnoses? Provide a minimum of three possible diagnoses with supporting evidence, listed in order from highest priority to lowest priority. Compare the DSM-5-TR diagnostic criteria for each differential diagnosis and explain what DSM-5-TRcriteria rules out the differential diagnosis to find an accurate diagnosis. Explain the critical-thinking process that led you to the primary diagnosis you selected. Include pertinent positives and pertinent negatives for the specific patient case. Plan: What is your plan for psychotherapy? What is your plan for treatment and management, including alternative therapies? Include pharmacologic and nonpharmacologic treatments, alternative therapies, and follow-up parameters, as well as a rationale for this treatment and management plan. Also incorporate one health promotion activity and one patient education strategy. Reflection notes: What would you do differently with this patient if you could conduct the session again? Discuss what your next intervention would be if you could follow up with this patient. Also include in your reflection a discussion related to legal/ethical considerations (demonstrate critical thinking beyond confidentiality and consent for treatment!), health promotion, and disease prevention, taking into consideration patient factors (such as age, ethnic group, etc.), PMH, and other risk factors (e.g., socioeconomic, cultural background, etc.). Provide at least three evidence-based, peer-reviewed journal articles or evidenced-based guidelines that relate to this case to support your diagnostics and differential diagnoses. Be sure they are current (no more than 5 years old). Expert Answer and Explanation SOAP Note for Major Depressive Disorder Subjective: CC (chief complaint): “anxious and worried all the time.” HPI: DC is a 7-year-old African American boy who is brought to the school clinic by her mother with a CC of being “anxious and worried all the time.” The patient reports that he is worried all the time about many things, including being left by his family and being lost, and has nightmares about the same. He reports having nightmares almost daily. The patient states that she feels lonely due to his father’s absence and feels his mother is not giving him much attention compared to his brother. Her mother reports a decrease in the patient’s school performance characterized by increased absenteeism and lack of concentration in school. He has issues with wetting the bed even after being given medications to help with the issue. As a result, he finds it difficult to interact with his peers at school since they say he smells bad. DC has also been displaying violence both in school and at home. The patient’s mother reports a sudden loss in appetite, with the patient losing three pounds within the past three days. He has never had any prior visitations to a psychiatric clinic before this and was referred by the child’s pediatrician who states that there is nothing physically wrong with DC. Past Psychiatric History: General Statement: The patient has never had any psychiatric assessment before and was referred back to the school clinic by his pediatrician citing the absence of physiological issues. Caregivers: The patient is under the care of his mother. Hospitalizations: No hospitalization. The patient also denies having any thoughts of hurting himself Medication trials: No indication from the mother of having participated in any medical trials. Psychotherapy or Previous Psychiatric Diagnosis: Denies having a past diagnosis of a psychological health condition. Substance Current Use and History: Denies any history of substance use or secondary exposure to the same. Family Psychiatric/Substance Use History: denies knowing any family member with a psychiatric or substance use history. Psychosocial History: The patient is currently a grade two student but has very few social interactions or friends at school. The patient’s father was killed on a military mission and currently lives with her mother. The patient has a dog called sparky and LEGOs which he likes to play with. Medical History: No history of mental conditions. Current Medications: Previous prescription of desmopressin. Allergies: no allergies reported. Reproductive Hx: N/A. ROS GENERAL: positive for sudden weight loss, occasional loss of concentration. Denies having any fever or fatigue. HEENT: N/A SKIN: N/A CARDIOVASCULAR: No chest discomfort, tightness, or pain RESPIRATORY: No shortness of breath or wheezing sound GASTROINTESTINAL: N/A GENITOURINARY: Denies having UTI. Normal volume and consistency of urination NEUROLOGICAL: No neurological disorders. MUSCULOSKELETAL: No MS disorders noted HEMATOLOGIC: N/A LYMPHATICS: Non-contributory ENDOCRINOLOGIC: No endocrinologic abnormalities were noted Objective: Physical exam: Vital Signs: T 35.2, HR, 70, BP 100/58, Wt. 38, Ht. 4’5, RR 18, HEENT: Non-contributory. Skin: Non-contributory. CV: Regular HR and rhythm. No bruits or murmurs, chest