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REPLY1

(This reply is for my professor)

she wrote this feedback for my)

Hello Maria. Reflecting on your area of nursing expertise, what has been your experience with working within an interprofessional team? Did you have an opportunity to speak up on behalf of your patient but failed to do so? If so, what prevented you from speaking up and how would you handle a situation similar to this should it arise in the future?

REPLY2

Interprofessional collaboration is the collective involvement of various professional healthcare providers working with patients, families, caregivers, and communities to consider and communicate each other’s unique perspective in delivering the highest quality of care. (Moss et al, 2016) At work, I saw a physician did not wash his hands before and after seeing a patient who I was taking care of. The doctor was busy, and I was afraid to interrupt him. I knew I should have told him that washing hands is important to prevent the spread of infections between patients. However, I was not able to tell him about it because of the fear. Hesitancy to speak up is one of the factors that may contribute to communication errors and/or adverse events. (Okuyama et al, 2014)

According to Okuyama et al (2014), effective communication and teamwork skills are crucial to improve patient safety for health care professionals. Health care professionals are expected to speak up about their concerns before a critical event reaches a patient to provide a chance to correct the plan or intervention. (Okuyama et al, 2014) In addition, establishing a culture that empowers staff to speak up when concerned about the quality or safety of patient care is important. The Michigan Health & Hospital Association (MHA) Keystone Center has implemented the Speak‐Up! Award program that acknowledges frontline health care staff for voicing their concerns and making care safer. (Novak, 2019) And this program presents evidence that fostering a psychologically safe culture of speaking up yields fiscal and humanistic returns, both of which are crucial to sustainable, meaningful progress in safety and quality. (Novak, 2019)

During my practicum, the safe transition of medical was a problem faced by the organization. Transition of care refers to the movement and coordination of care from one setting to another (AHRQ, 2018). How can we provide a safe transition of care for all patients? The whole team (doctors, nurses, case managers, PT/OT, pharmacist, dieticians, and specialist) plays a critical role in planning for a safe discharge and ensuring a smooth transition of care from hospital to home or other care settings, which should start on the day of admission. Care providers must communicate important information to the patient, families, caregivers, and among themselves in a timely manner. Physicians must ensure that patient understand their medical conditions/plan of care, coordinate patient’s health care to various settings and providers and receive enough knowledge and resources upon discharge to home or other healthcare settings (The Joint Commission, 2012). Case managers collaborate with the interdisciplinary team to discuss patients’ needs such as SNF placement, home health care, DME, transfer to high level of care, home PT/OT, order medical supplies, IV antibiotics, and ensure patient has a safe place to recover. Nurses must ensure that patient/families/caregivers receive a clear discharge instruction including recommendations, medication regimens, follow-up care, education on self-care, warning signs of worsening conditions, who to contact in case of emergency, and how to promote health and prevent illness in the patient’s preferred language (The Joint Commission, 2012). Providing a safe and effective transition of care from the hospital to home or other health care settings prevent readmission and adverse events, which is the care team’s responsibilities.

What’s your response to this dq??

During my practicum, the safe transition of medical was a problem faced by the organization. Transition of care refers to the movement and coordination of care from one setting to another (AHRQ, 2018). How can we provide a safe transition of care for all patients? The whole team (doctors, nurses, case managers, PT/OT, pharmacist, dieticians, and specialist) plays a critical role in planning for a safe discharge and ensuring a smooth transition of care from hospital to home or other care settings, which should start on the day of admission. Care providers must communicate important information to the patient, families, caregivers, and among themselves in a timely manner. Physicians must ensure that patient understand their medical conditions/plan of care, coordinate patient’s health care to various settings and providers and receive enough knowledge and resources upon discharge to home or other healthcare settings (The Joint Commission, 2012). Case managers collaborate with the interdisciplinary team to discuss patients’ needs such as SNF placement, home health care, DME, transfer to high level of care, home PT/OT, order medical supplies, IV antibiotics, and ensure patient has a safe place to recover. Nurses must ensure that patient/families/caregivers receive a clear discharge instruction including recommendations, medication regimens, follow-up care, education on self-care, warning signs of worsening conditions, who to contact in case of emergency, and how to promote health and prevent illness in the patient’s preferred language (The Joint Commission, 2012). Providing a safe and effective transition of care from the hospital to home or other health care settings prevent readmission and adverse events, which is the care team’s responsibilities.

Comment 1

The Christian concept of imago dei is described by Shelly & Miller (2006) as man being created in the image of God, granting dignity and honor to everyone while separating mankind from everything else on earth.

This is important to healthcare because human lives depend on healthcare.  By focusing the attention on preserving life and granting each person dignity, we value each human’s life over and above everything else on earth, as God intended.  While postmodernism would hold a humans life less valuable since that philosophy believes the humans are simply another organism on earth, with the same value as a rock (Shelly &, 2006).

This belief is relevant because if we are all viewed as imago dei, then there are moral consequences if we choose to treat humans as
equal to all other animals in creation.  As Shelly & Miller (2006) asserts, men may eat other animals in the world, but according to the Christian concept of imago dei, we were placed here as separate and superior beings and it is not appropriate to eat another human being, shoot a person for an illness or disability, and while we are free
to choose, it is our responsibility to treat the sick and dying with dignity and respect with hope for a positive outcome.

Comment 2

The Christian concept of imago Dei as explained by our text is that all humans are created in the image and likeness of god; because of this, human life is deemed valuable and special among all other life forms (Shelly & Miller, 2006). This is an important and basic concept that bares relevance to many aspects within humanity. In the context of healthcare, this is an especially crucial and fundamental understanding. Healthcare providers, caregivers, and all disciplines of the occupation should practice with this core understanding always in mind which transcends across religions and personal beliefs/opinions. Human life is a gift, and as such, each life is significant and meaningful, deserving of respect, empathy, kindness and dignity. A person’s worth and dignity is not determined by their health status, bodily functions or medical prognosis. Healthcare workers should always uphold this truth and honor a person’s right to this understanding. This should be a standard of all care, regardless of if the person’s medical decisions are not in opposition to the healthcare worker’s personal opinion or choice (Sevensky, n.d.).

              Comprehensive Integrated Psychiatric Assessment

The comprehensive integrated psychiatric assessment of a child or adolescent consists of gathering information from not only the child but from several sources, most notably the family members, caregivers, and the child’s teacher or school counselor. Because of this, the diagnostic assessment becomes more complicated. Issues of confidentiality, privacy, and consent must be addressed. Also, the PMHNP must take into consideration the impact of culture on the child.

In this Discussion, you review and critique the techniques and methods of a mental health professional as he or she completes a comprehensive integrated psychiatric assessment of an adolescent.

                                               To Prepare for the Assignment:

· Review the Learning Resources concerning the comprehensive integrated psychiatric assessment.

· Watch the Mental Status Examination video.

· Watch the two YMH Bostonvideos.

                                                           Assignment 

Based on the YMH Boston Vignette 4 video, post answers to the following questions:

· What did the practitioner do well?

· In what areas can the practitioner improve?

· At this point in the clinical interview, do you have any compelling concerns? If so, what are they?

· What would be your next question, and why?

PLEASE, INCLUDE INTRODUCTION, CONCLUSION, 3 OR MORE REFERENCES LESS THAN 5 YEARS OLD, AND ANSWER ALL THE QUESTIONS AS INSTRUCTED

Learning Resources

Required Readings

Sadock, B. J., Sadock, V. A., & Ruiz, P. (2014). Kaplan & Sadock’s synopsis of psychiatry: Behavioral sciences/clinical psychiatry (11th ed.). Philadelphia, PA: Wolters Kluwer.

  • Chapter 5, “Examination and      Diagnosis of the Psychiatric Patient” (pp. 192–289)
  • Chapter 31, “Child Psychiatry” (pp. 1082–1107)

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author.

  • “Introduction”
  • “Use of the Manual”
  • “Cultural Formulation”

Kaplan, C. (2017). Ethical dilemmas. Advanced Healthcare Network. Retrieved from http://nurse-practitioners-and-physician-assistants.advanceweb.com/Article/Ethical-Dilemmas-2.aspx

Pumariega, A. J., Rothe, E., Mian, A., Carlisle, L., Toppelberg, C., Harris, T., . . .  Smith, J. (2013). Practice parameter for cultural competence in child and adolescent psychiatric practice. Journal of the American Academy of Child & Adolescent Psychiatry52(10), 1101–1115. Retrieved from http://www.jaacap.com/article/S0890-8567(13)00479-6/pdf

American Academy of Child & Adolescent Psychiatry (AACAP). (2012a). Practice parameter for psychodynamic psychotherapy with children. Journal of the American Academy of Child & Adolescent Psychiatry51(5), 541–557. Retrieved from http://www.jaacap.com/article/S0890-8567(12)00141-4/pdf

American Psychological Association. (2017). Code of Ethics. Retrieved from http://www.apa.org/ethics/code/

 

Required Media

Gajbhare, P. (2014, March 8). Mental status examination [Video file]. Retrieved from https://www.youtube.com/watch?v=VjWVYgf2UcU

Note: The approximate length of this media piece is 36 minutes.

YMH Boston. (2013a, May 22). Vignette 1 – Introduction to a preventive services visit [Video file]Retrieved from https://www.youtube.com/watch?v=pQy-jwiu7gM

Note: The approximate length of this media piece is 3 minutes.

YMH Boston. (2013c, May 22). Vignette 4 – Introduction to a mental health assessment [Video file]Retrieved from https://www.youtube.com/watch?v=JCJOXQa9wcE

Note: The approximate length of this media piece is 4 minutes.

 

Comment 1

The Christian concept of imago dei is described by Shelly & Miller (2006) as man being created in the image of God, granting dignity and honor to everyone while separating mankind from everything else on earth.

This is important to healthcare because human lives depend on healthcare.  By focusing the attention on preserving life and granting each person dignity, we value each human’s life over and above everything else on earth, as God intended.  While postmodernism would hold a humans life less valuable since that philosophy believes the humans are simply another organism on earth, with the same value as a rock (Shelly &, 2006).

This belief is relevant because if we are all viewed as imago dei, then there are moral consequences if we choose to treat humans as
equal to all other animals in creation.  As Shelly & Miller (2006) asserts, men may eat other animals in the world, but according to the Christian concept of imago dei, we were placed here as separate and superior beings and it is not appropriate to eat another human being, shoot a person for an illness or disability, and while we are free
to choose, it is our responsibility to treat the sick and dying with dignity and respect with hope for a positive outcome.

Comment 2

The Christian concept of imago Dei as explained by our text is that all humans are created in the image and likeness of god; because of this, human life is deemed valuable and special among all other life forms (Shelly & Miller, 2006). This is an important and basic concept that bares relevance to many aspects within humanity. In the context of healthcare, this is an especially crucial and fundamental understanding. Healthcare providers, caregivers, and all disciplines of the occupation should practice with this core understanding always in mind which transcends across religions and personal beliefs/opinions. Human life is a gift, and as such, each life is significant and meaningful, deserving of respect, empathy, kindness and dignity. A person’s worth and dignity is not determined by their health status, bodily functions or medical prognosis. Healthcare workers should always uphold this truth and honor a person’s right to this understanding. This should be a standard of all care, regardless of if the person’s medical decisions are not in opposition to the healthcare worker’s personal opinion or choice (Sevensky, n.d.).

Comment 1

The Christian concept of imago dei is described by Shelly & Miller (2006) as man being created in the image of God, granting dignity and honor to everyone while separating mankind from everything else on earth.

This is important to healthcare because human lives depend on healthcare.  By focusing the attention on preserving life and granting each person dignity, we value each human’s life over and above everything else on earth, as God intended.  While postmodernism would hold a humans life less valuable since that philosophy believes the humans are simply another organism on earth, with the same value as a rock (Shelly &, 2006).

This belief is relevant because if we are all viewed as imago dei, then there are moral consequences if we choose to treat humans as
equal to all other animals in creation.  As Shelly & Miller (2006) asserts, men may eat other animals in the world, but according to the Christian concept of imago dei, we were placed here as separate and superior beings and it is not appropriate to eat another human being, shoot a person for an illness or disability, and while we are free
to choose, it is our responsibility to treat the sick and dying with dignity and respect with hope for a positive outcome.

Comment 2

The Christian concept of imago Dei as explained by our text is that all humans are created in the image and likeness of god; because of this, human life is deemed valuable and special among all other life forms (Shelly & Miller, 2006). This is an important and basic concept that bares relevance to many aspects within humanity. In the context of healthcare, this is an especially crucial and fundamental understanding. Healthcare providers, caregivers, and all disciplines of the occupation should practice with this core understanding always in mind which transcends across religions and personal beliefs/opinions. Human life is a gift, and as such, each life is significant and meaningful, deserving of respect, empathy, kindness and dignity. A person’s worth and dignity is not determined by their health status, bodily functions or medical prognosis. Healthcare workers should always uphold this truth and honor a person’s right to this understanding. This should be a standard of all care, regardless of if the person’s medical decisions are not in opposition to the healthcare worker’s personal opinion or choice (Sevensky, n.d.).

In preparing for the written part of the case study, you should carefully review your transcript and field notes. Then, identify common themes or patterns that emerge based on the interviews and observations.

In the paper, the student must discuss the characteristics and behaviors exhibited by this child, focusing upon social, emotional, behavioral, and academic strengths and concerns as gathered from direct observations and the information provided by parents, caregivers, and child. Describe the similarities and differences of this child’s growth and development in relation to the information provided in the course text. Crucially, the case study needs to include an analysis of the child grounded by at least two different theories of child development as presented or learned during the course. The case study requires a minimum of two research articles connecting the chosen theories of child development in relation to the child. An annotated reference list should include these two research articles. Field notes (typed, rather than raw notes) should be included as an appendix. The student’s confidentiality is essential. A pseudonym must be used in place of the child’s first and last names.

This case study assignment will be a minimum of seven pages. This assignment will be rubric scored based on the elements identified above

 

 

Based on what you have learned about emotion and motivation, as well as biological (nature) and environmental/social (nurture) factors, explore the debate on what is known about the causes of aggressive behavior. Include the following sections in your essay.

Introduction Paragraph

Body Paragraphs:

Nature: Biological Basis of Behavior

Is one gender naturally (genetically) more or less aggressive than the other gender? Why or why not? Discuss evidence to support your position. (Refer to specific theories, models, and research of particular psychologists in this section of the paper.)

Nurture: Social and Environmental Influences on Behavior

Does exposure to aggressive behavior in the environment (i.e. home, role models, caregivers, media – TV, movies, music, and video games), encourage or discourage aggressive behavior? Discuss evidence to support your position. (Refer to specific theories, models, and research of particular psychologists in this section of the paper.)

Conclusion Paragraph

Based on what you have learned about biological and environmental influences on behavior, which plays a more influential role in helping us understand aggression?

Requirements: Length = approximately 2-3 pages.

 

Research = use two scholarly sources in addition to the textbook.  

  • attachment

    naturenurturepaperrubricfinal6412.docx

I need someone to create a 1 double-sided tri-fold brochure. Then a 3 page Reflection Paper that includes a minimum of five references in APA format.
Brochure
1) Prepare an informational brochure that identifies the most important facts that older adults, staff, caregivers, families, and public need to know about elder abuse prevention and caregiver stress.
2)  Evaluate the elder abuse community resources supporting aging, families, and elder care.
For your brochure, you will identify the most important considerations for preventing elder abuse and identify helpful caregiver stress management resources. Address the following questions in your brochure:
What are the most important considerations for preventing elder abuse?
What are three to four important facts that individuals and families need to know about elder abuse prevention?
Why is it important to evaluate caregiver stress and provide caregiver stress management resources?
What types of elder abuse prevention resources and caregiver stress management resources are available and how do they provide support to older adults, staff, caregivers, families, and the public?
What are three to four valuable resources that older adults, staff, caregivers, families, and public should know about elder abuse prevention (including at least one way to report suspected elder abuse in your own community)?
Reflection Paper
Then, develop a separate 3 page Reflection Paper that evaluates the resources you included in the brochure. Do the resources provide adequate support to prevent or report elder abuse? What areas are lacking? What are the strengths and weaknesses of the resources?
References
Center for Disease Control. (2017). Elderly Abuse Prevention. Retrieved from http://www.cdc.gov/features/elderabuse/index.html
Fearing G, Sheppard CL, McDonald L, Beaulieu M, Hitzig SL. A systematic review on community-based interventions for elder abuse and neglect.external icon J Elder Abuse Negl. 2017; 29(2-3): 102-133. doi: 10.1080/08946566.2017.1308286.
MacNeil, G., Kosberg, J. I., Durkin, D. W., Dooley, W. K., DeCoster, J., & Williamson, G. M. (2010). Caregiver mental health and potentially harmful caregiving behavior: The central role of caregiver anger. Gerontologist, 50, 76-86. doi:10.1093/geront/gnp099.
National Committee for the Prevention of Elder Abuse. (2003). The role of culture in elder abuse. Source: http://www.preventelderabuse.org/issues/culture.html.
Samuels, C. (2020). Eye-Opening Facts About Elder Abuse, and How to Effectively Report It. https://www.aplaceformom.com/caregiver-resources/articles/elder-abuse/.
U.S. Administration on Aging. (2011). A profile of older Americans: 2011  (PDF, 436KB). http://www.aoa.gov/aoaroot/aging_statistics/Profile/2011/docs/2011profile.pdf