FOCUSED SOAP NOTE AND PATIENT CASE PRESENTATION, 21

  

Respond at least 2 times each . The goal is for the discussion forum to function as robust clinical conferences on the patients. Provide a response to 1 of the 3 discussion prompts that your colleagues provided in their video presentations. You may also provide additional information, alternative points of view, research to support treatment, or patient education strategies you might use with the relevant patient.

Discussion 7

Discuss the safety and effectiveness of alternative and complementary medicine for the treatment of specific

illnesses such as cancer, diabetes, and hypertension.  Share your opinions about holistic and allopathic care.

Would have any conflicts or concerns supporting a patient who chooses holistic or allopathic medicine?

Instructions: 

Post your discussion to the Moodle Discussion Forum.  Initial post must be made by Day #3.  Word limit 500 words. Please make sure to provide citations and references (in APA, 7th ed. format) for your work.  

Informed Consent and Cultural Competence

Case Study:Dr. Emily Clark, a seasoned cardiologist at Mercy General Hospital, is presented with a challenging case involving Mr. Rajan Patel, a 58-year-old man who recently immigrated from India. Mr. Patel has been diagnosed with a significant heart condition that requires a surgical procedure. While the surgery has a high success rate, like all medical procedures, it comes with its own set of risks and benefits. Mr. Patel, whose primary language is Gujarati, has limited proficiency in English. He nods and smiles politely during consultations, giving Dr. Clark the impression that he understands. However, when asked to explain the procedure back to her, it becomes evident that he does not fully grasp the intricacies of the surgery or its potential complications. Dr. Clark recognizes the importance of informed consent and wants to ensure that Mr. Patel truly understands the procedure, its risks, and its benefits. She believes in the ethical principle of autonomy, which dictates that every patient has the right to make decisions about their own body and health. However, she also acknowledges the principle of beneficence, which compels her to act in the best interest of her patient.  

Instructions

Note: The requirements outlined below correspond to the grading criteria in the scoring guide. At a minimum, be sure to address each point. For this assessment, develop a solution to a specific ethical dilemma faced by a health care professional. In your assessment:1. briefly summarize the facts surrounding the case study. Identify the problem or issue that presents an ethical dilemma or challenge and describe that dilemma or challenge.

  • Identify who is involved or affected by the ethical problem or issue.
  • Access and use the three components of the ethical decision-making model (moral awareness, moral judgment, and ethical behavior) to analyze the ethical issues.
    • Apply the three components outlined in the Ethical Decision-Making Model media.
  • Analyze the factors that contributed to the ethical problem or issue identified in the case study.
    • Describe the factors that contributed to the problem or issue and explain how they contributed.
  1. Apply academic peer-reviewed journal articles relevant to an ethical problem or issue as evidence to support an analysis of the case.
    • In addition to the readings provided, use the Capella library to locate at least one academic peer-reviewed journal article relevant to the problem or issue that you can use to support your analysis of the situation. The NHS-FPX4000: Developing a Health Care Perspective Library Guide will help you locate appropriate references.
      • Cite and apply key principles from the journal article as evidence to support your critical thinking and analysis of the ethical problem or issue.
      • Review the Think Critically About Source Quality resource.
        • Assess the credibility of the information source.
        • Assess the relevance of the information source.
  2. Discuss the effectiveness of the communication approaches present in a case study.
    • Describe how the health care professional in the case study communicated with others.
    • Assess instances where the professional communicated effectively or ineffectively.
    • Explain which communication approaches should be used and which ones should be avoided.
    • Describe the consequences of using effective and non-effective communication approaches.
  3. Discuss the effectiveness of the approach used by a professional to deal with problems or issues involving ethical practice in a case study.
    • Describe the actions taken in response to the ethical dilemma or issue presented in the case study.
    • Summarize how well the professional managed professional responsibilities and priorities to resolve the problem or issue in the case.
    • Discuss the key lessons this case provides for health care professionals.
  4. Apply ethical principles to a possible solution to an ethical problem or issue described in a case study.
    • Describe the proposed solution.
    • Discuss how the approach makes this professional more effective or less effective in building relationships across disciplines within his or her organization.
    • Discuss how likely it is the proposed solution will foster professional collaboration.
  5. Write clearly and logically, with correct use of spelling, grammar, punctuation, and mechanics.
    • Apply the principles of effective composition.
    • Determine the proper application of the rules of grammar and mechanics.
  6. Write using APA style for in-text citations, quotes, and references.
    • Determine the proper application of APA formatting requirements and scholarly writing standards.
    • Integrate information from outside sources into academic writing by appropriately quoting, paraphrasing, and summarizing, following APA style.

discuss

Read a selection of your colleagues’ responses and respond to at least two of your colleagues on two different days by expanding on your colleague’s post or suggesting an alternative viewpoint/perspective on the experiences described by your colleagues.

1. Intra- and interdisciplinary collaboration is undoubtedly one of my highest priority areas of interest a Doctor of Nursing Practice (DNP) student, and eventual practicing DNP. Throughout my nursing career, I have experienced a wide variety of collaboration styles; some within the same company but in different outpatient locations or departments, and other collaboration styles that were implemented as a company-wide initiative. Unfortunately, I have perceived many of these collaborative efforts as poor.

            Prior to completing my psychiatric-mental health nurse practitioner education with Walden, I worked in a variety of mental health settings including inpatient and outpatient mental health treatment that would also include dual diagnosis substance use treatment. Many of these settings offered collaboration that was purely transactional, and provided the minimum information required to complete the engagement. Often intradisciplinary, these were nurse-to-nurse shift handoffs or patient transfer calls to coordinate the delivery of a patient from the emergency department up to the psychiatric floor. Many aspects were involved in the quality, or lack thereof, of the communication that would take place. The essence of time was always and has been shown to be one of the most common barriers to effective care coordination at any level, as well as providers unfortunately passing the responsibility of initiating the contact (Šanc & Prosen, 2022).

            In my most recent position as a psychiatric nurse practitioner, there have been company-wide initiatives to ensure the presence interdisciplinary collaboration. The support from all levels of management has encouraged follow through of these initiatives, modeling importance and engagement in the practice (McEwen & Wills, 2019). Communication has been supported by assuring quick connection between a patient’s individual therapist and their psychiatric prescriber, with access to an internal instant messaging system providing a more casual and convenient platform for collaboration while cutting back on emails. Approximately nine to twelve months ago, the medical director was attending a weekly meeting with all the individual therapists and was available for additional consulting if needed. As the psychiatry team rapidly grew from five to ten prescribers, this became a daunting number of patients for the medical director to quickly review and answer questions for on-the-spot. I was happy to be a part of a problem-solving initiative introducing a consult hour, where individual therapists can schedule ten-minute Zoom meetings with a mutual patient’s psychiatric provider for additional consultation during a dedicated block of time each Friday between noon and 1pm EST. This has provided a great opportunity to collaborate in a more personal manner, offering spoken-word collaboration rather than electronic communication as the company covers approximately twenty-five states.

            In addition to weekly clinical consult hour, the psychiatry team meets weekly for one hour to offer time for intradisciplinary collaboration. This meeting is utilized to review patient cases where a diagnosis may feel unclear, or the prescriber may be seeking additional professional recommendation on a direction for medications. While the Henry et al. (2018) case study offered collaboration from individuals with varying specialty backgrounds, the weekly psych team meeting offers similar benefits as many of the psychiatric nurse practitioners have prior nursing experience in critical care which has been immensely supportive when ruling out or assessing physical health implications of a mental health diagnosis. Despite all prescribers specializing in psychiatry currently, there remains a vast array of experiences throughout advanced-practice as well including substance use treatment, severe-persistent mental illness, and specialization in neurocognitive disease. Collaborating with all different areas of psychiatry provides an even more in-depth evaluation of a specialty area and further improves patient outcomes.

As a Registered Nurse with 16 years of experience working in the field of inpatient psychiatry and substance use disorders, I have been a member of many different interdisciplinary treatment teams.  It is easy to say that some teams were more effective than others.  The most successful interdisciplinary teams, in my experience, place a high value on the importance of communication.  There was a recent study conducted by Ansa et al. (2020) whereby 551 staff members of a large medical hospital from varying disciplines answered survey questions related to interprofessional collaboration.  The staff members ranked communication as the top indicator of a successful team, followed by knowledge of role limitations and trust/mutual respect.

            Intradisciplinary collaboration can be defined as “a relational and respectful process among nursing colleagues that allows for the effective use of the knowledge, skills, and talents of all nursing designations to achieve optimal client and health system outcomes” (Canadian Nurses Association, 2020).  More succinctly, it means working towards a common goal within a single discipline rather than joining many disciplines together to achieve a goal.  While both of these approaches have value, it is essential to consider which collaboration style will yield more successful results for a given problem.

Personal Experiences with Inter versus Intradisciplinary Collaboration

 One of my previous organizations had an issue with the nursing admission workflow.  In this case, we took an intradisciplinary approach in order to brainstorm solutions.  We invited only those from the nursing discipline who wanted to participate to join leadership in the conference room to determine how we could improve the workflow.  While we were able to come up with a solid solution for this workflow gap, we neglected to factor in the roles of the direct care staff, admissions coordinators, and providers, which meant we had to go back and do so after the fact.

 2.           I worked for another organization that valued the importance of interdisciplinary collaboration very highly.  Treatment teams were created, and all other workflows stemmed from these teams.  The teams consisted of a Psychiatrist, a Social Worker, a Registered Nurse (RN), and a Mental Health Worker.  These teams would round on their patients together to ensure communication and collaboration were clear for the patient as well as within the team.  Treatment team meetings occurred after rounds and highly involved and extremely patient-specific treatment plans were developed and executed to ensure best patient care.  A recent case study determined that “combining students from different professions in the student-designed case study process supported a structured opportunity for socio-cultural learning, which is considered key to interprofessional learning” (Henry et al., 2018).  I believe that the same is true for healthcare.  By employing an interdisciplinary approach, communication and mutual respect are improved, which allows teams to solve problems together while considering each person’s unique perspective and skillset thereby improving patient car

AACN DNP Essentials

  

Discussion response

WK8

Be sure to provide 5 APA citations of the supporting evidence-based peer-reviewed articles you selected to support your thinking.

Please be sure to follow EACH AND EVERY BULLET POINT.

Make sure to ANSWER EACH QUESTION ACCURATELY.

(TOPIC: In Attachment**)

***Please be sure to include all information from the attachment in the assignment*****

Please use the template attached to complete the assignment.

*****PLEASE VIEW THE VIDEO, FOLLOW THE GUIDELINES ATTACHED, AND CRITIQUE THE ATTACHED *********

USE TEMPLATE ATTACHED*****

P1   https://video.alexanderstreet.com/embed/training-title-114-2/clips/178610

P2   https://video.alexanderstreet.com/embed/training-title-114-2/clips/178611

P3   https://video.alexanderstreet.com/embed/training-title-114-2/clips/178612

P4   https://video.alexanderstreet.com/embed/training-title-114-2/clips/178613

Nursing module 4 assignment

What steps do you take to locate primary and peer-reviewed research articles when performing a literature search?

What resources are available to you to engage in a meaningful and successful literature search?

As you have explored throughout this course, Walden University provides vast resources for student support to ensure success in their academic program of study. When it comes to research and using Library resources, several support mechanisms are available to you as well.

Taking the first step to think about a research topic or area of interest and filtering that topic using a series of keywords and operations will be a fundamental component for performing a literature search in Walden Library’s databases. While the ultimate goal is to produce a set or results that match your search criteria, you must keep in mind that that the quality of the research articles obtained will likely vary. Thus, you must critically examine and analyze the aims of the research produced and how it aligns, confirms, or negates your topic or area of research. As you develop proficiency in this area, you will discover that you can extract content themes and frameworks to enhance future research and the need to identify additional research support.

For this Assignment, consult the Walden Library webinars and resources provided. These resources serve as a general good first step for performing literature searches and engaging with the databases of research available to you. Think about a research topic or area of interest to focus on for this Assignment. Then, search the Walden Library to locate and retrieve peer-reviewed research articles that pertain to your topic or area of interest. 

6-paragraph assignment in which you do the following:

  •  a 1-pararaph introduction of how you conducted your literature search and the databases consulted in your search in relation to your practice area or area of interest. Be specific and provide examples.
  • a 1-paragraph summary of each of the articles you have selected (a total of 3 paragraphs).
  •  1 paragraph that synthesizes the three articles using a scholarly voice.
  •  a final paragraph in which you discuss the differences between summarizing and synthesizing research. Be specific and provide examples.

Healthcare informatics peers response

Please send it as good as possible

PE 3

 

  1. Compose a written comprehensive psychiatric and/or psychotherapy evaluation of a patient you have seen in the clinic.

Nursing

Instructions

Population Health Intervention and Social Marketing Assignment

In this assignment, you will build on the community assessment you completed. First, start with the Community Health Diagnosis, the priority health needs you identified at the end of the Community Assessment, and the goal and objectives you drafted when you completed the Goals and Behavioral Objectives lesson at How to Write Community Health Education Behavioral Objectives https://softchalkcloud.com/lesson/serve/D5P10ig3MWJOVx/html (from Module/Week 9)

Build on the community assessment assignment, community health diagnosis, goals, and behavioral objectives to add the population intervention and social marketing assignment.

Save the goals and objectives you use during this activity for a future discussion posting!

Population Health Intervention and Social Marketing Experience: Go to https://www.softchalkcloud.com/lesson/serve/C3ePZu4cWLHRdI/html

Complete the Population Health Intervention and Social Marketing Assignment learning/assessment activity and at the end of the activity—see the last page under references at the bottom of the page to retrieve a certificate of completion and submit to the courseroom dropbox for credit. Passing is 95% to earn the certificate but you may retake the questions in the module as many times as you want to earn a higher grade.

How to Save Your Certificate on Your Device in Digital Format

To save your certificate in digital format on your device, select print on your device when the certificate is showing. (Yes, select print, even though you will not be printing it!) Instead of choosing a printer on the printer options, select save as a PDF file. Save the certificate as a PDF to your device. Then upload the certificate to the courseroom dropbox for grade credit.

Another technique is to take a picture with your smartphone and upload the image to the assignment dropbox for grade credit.

Hovering your mouse over the certificate, using a right-click, and selecting the menu item to save as an image and saving to your device as a jpg or png file is the least effective method, as depending on your computer/web browser settings, this may save the certificate as blank.

The score summary is not required. The certificate is required for grade credit.