My Plan Reflection

Introduction

There are so many potential careers in healthcare, choosing one that will make you happy means finding one that fits your personality as well as your goals. The earlier you plan for the career you want the more successful you will be in pursuing it. There are many things to consider when thinking about a career, of course, there are the skills and education you need to have, which we will discuss in depth in this course, but there are other questions to consider as well. What do you want to do every day? Would you like to sit at a desk, work with people one-on-one or would you rather work with groups? Do you like teaching? For example, where do you want to work, a hospital, office, or community center?  What kind of people do you want to work with, children, adults, or the elderly? Is there a specific segment of the population you enjoy working with such as veterans, special needs children, or handicapped? Do you want to travel or would you rather have a job that keeps you in one setting all day or in a residential facility?   In this chapter, you should think about the aspects of your career that you want to shape your life and how you work.  You will begin by analyzing your personality so you can narrow down career choices based on compatibility with your personality.  By the end of this chapter, we hope you have a checklist of important things to make choosing a career easier for you.

Briefly, in one paragraph (no more), describe your feelings about your My Plan results. Specifically: How did you feel about the results? Were you surprised by any aspect of the results? Were some aspects what you expected? BE SPECIFIC about your feelings. Thinking back to the last module, when you submitted your initial thoughts on your chosen career, how well do the results align with your current career intentions? As a result of the career assessments, are you considering any changes to your career plans?

The results of the My Plan Personality assessment are ESFJ.

Emotional Focus:???? Extroverted (E)

Information Gathering:???? Sensor (S)

Decision Making:???? Feeler (F)

Structural Orientation:???? Judgers (J)

The top two career results of the MY Plan career interest inventory assessment are Conventional and Social.

mental health

Psychiatric Diagnosis and DSM 5 Diagnostic Criteria

History of Present Psychiatric Illness

(Presenting signs & symptoms/ Previous Psychiatric Admission / Outpatient Mental Health Services)

CON
CEPT MAP

Pathophysiology – (to the cellular level)

Medical Diagnosis

Clinical Manifestations (all data subjective and objective: labs, radiology, all diagnostic studies) (What symptoms does your client present with?)

Complications

Treatment (Medical, medications, intervention and supportive)

Risk Factors (chemical, environmental, psychological, physiological and genetic)

Nursing Diagnosis

Problem statement: (NANDA)

Related to: (What is happening in the body to cause the issue?)

Manifested by: (Specific symptoms)

General Appearance

Presenting Appearance (nutritional status, physical deformities, hearing impaired, glasses, injuries, cane)
Basic Grooming and Hygiene (clean, disheveled and whether it is appropriate attire for the weather)

Gait and Motor Coordination (awkward, staggering, shuffling, rigid, trembling with intentional movement or at rest),
posture (slouched, erect),
any noticeable mannerisms or gestures

Level of Participation in the Program/Activity (Group attendance and milieu participation, exercise)

Manner and Approach

Interpersonal Characteristics and Approach to Evaluation (oppositional/resistant, submissive, defensive, open and friendly, candid and cooperative, showed subdued mistrust and hostility, excessive shyness)

Behavioral Approach (distant, indifferent, unconcerned, evasive, negative, irritable, depressive, anxious, sullen, angry, assaultive, exhibitionistic, seductive, frightened, alert, agitated, lethargic, needed minor/considerable reinforcement and soothing).
Coping and stress tolerance.

Speech (normal rate and volume, pressured, slow, loud, quiet, impoverished)

Expressive Language (no problems expressing self, circumstantial and tangential responses, difficulties finding words, echolalia, mumbling)

Receptive Language (normal, able to comprehend questions,

Orientation, Alertness, and Thought Process

Recall and Memory (recalls recent and past events in their personal history).
Recalls three words (e.g., Cadillac, zebra, and purple)
Orientation (person, place, time, presidents, your name)

Alertness (sleepy, alert, dull and uninterested, highly distractible)
Coherence (responses were coherent and easy to understand, simplistic and concrete, lacking in necessary detail, overly detailed and difficult to follow)

Concentration and Attention (naming the days of the week or months of the year in reverse order, spelling the word “world”, their own last name, or the ABC's backwards)

Thought Processes (loose associations, confabulations, flight of ideas, ideas of reference, illogical thinking, grandiosity, magical thinking, obsessions, perseveration, delusions, reports of experiences of depersonalization).
Values and belief system

Hallucinations and Delusions (presence, absence, denied visual but admitted olfactory and auditory, denied but showed signs of them during testing, denied except for times associated with the use of substances, denied while taking medications)

Judgment and Insight (based on explanations of what they did, what happened, and if they expected the outcome, good, poor, fair, strong)

Mood and Affect

Mood or how they feel most days (happy, sad, despondent, melancholic, euphoric, elevated, depressed, irritable, anxious, angry).
Affect or how they felt at a given moment (comments can include range of emotions such as broad, restricted, blunted, flat, inappropriate, labile, consistent with the content of the conversation.

Rapport (easy to establish, initially difficult but easier over time, difficult to establish, tenuous, easily upset)
Facial and Emotional Expressions (relaxed, tense, smiled, laughed, became insulting, yelled, happy, sad, alert, day-dreamy, angry, smiling, distrustful/suspicious, tearful, pessimistic, optimistic)

Response to Failure on Test Items (unaware, frustrated, anxious, obsessed, unaffected)
Impulsivity (poor, effected by substance use)
Anxiety (note level of anxiety, any behaviors that indicated anxiety, ways they handled it)

Lab

Range

Value

Reason Obtained

Risk Assessment:

Suicidal and Homicidal Ideation

(ideation but no plan or intent, clear/unclear plan but no intent) Self-Injurious Behavior (cutting, burning) Hypersexual, Elopement, Non-adherence to treatment

Discharge Plans and Instruction: Placement, outpatient treatment, partial hospitalization, sober living, board and care, shelter, long term care facility, 12 step program

Teaching Assessment and Client / Family Education:

(Disease process, medication, coping, relaxation, diet, exercise, hygiene) Include barriers to learning and preferred learning styles

discussion 5 diversity

 

After studying Module 5: Lecture Materials & Resources, discuss the following:

Jay and Sue Kim, ages 29 and 26 years and married for 2 years, immigrated from South Korea and settled in Los Angeles. They have lived in a small one-bedroom apartment since their arrival. Both graduated from the same Korean university with baccalaureate degrees in English literature. They have one child, Joseph, age 1 year. When they arrived in the United States, Jay was unable to find a job because of his poor proficiency in English, despite his major in English literature. He eventually obtained a job with a moving company through a church friend. Sue is not working because of their son. Although the Kim’s did not attend a church before immigration, they are now regularly attending a Korean Protestant church in their neighborhood.

Sue is pregnant again, determined by a home pregnancy kit, with their second child and concerned about the medical costs. They did not use any contraceptives because she was breastfeeding. Because of financial limitations, Sue did not initially have prenatal care with her first pregnancy. However, she did keep up with the Korean traditional prenatal practice, tae-kyo. Eventually, she received help from her church and delivered a healthy son. She is not sure whether she can get financial help from her church again but is confident that her second child will be healthy if she follows the Korean traditional prenatal practices.

Jay is concerned about job security because he recently heard from colleagues that the moving company might soon go bankrupt. Although Jay has not been satisfied with his current job (he thinks that he is overqualified), this news is still a cause for concern. Moreover, Sue’s recent pregnancy has made Jay more stressed, and he has started drinking alcohol. Joseph cannot stand up by himself and still wants to be breastfed. Although Sue has tried to give foods such as oranges, apples, steamed rice, and milk (because she is now pregnant), Joseph refuses to eat them and cries for breastfeeding. Joseph’s weight is low-normal for same-age babies.

  1. Describe the Korean cultural practice tae-kyo. Is this practice congruent with allopathic recommendations for prenatal care?
  2. How do food choices among Koreans differ with pregnancy and postpartum?
  3. Describe cultural attitudes toward drinking among Koreans.
  4. Identify two or three culturally congruent strategies a healthcare provider might use to address Jay’s drinking.

Submission Instructions:

  • Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources.  Your initial post is worth 8 points.
  • You should respond to at least two of your peers by extending, refuting/correcting, or adding additional nuance to their posts. Your reply posts are worth 2 points (1 point per response.) 
  • All replies must be constructive and use literature where possible.
  • Please post your initial response by 11:59 PM ET Thursday, and comment on the posts of two classmates by 11:59 PM ET Sunday.
  • You can expect feedback from the instructor within 48 to 72 hours from the Sunday due date. 

Wk 4 Video part 3

Provide a response 3 discussions 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.

Responses exhibit synthesis, critical thinking, and application to practice settings…. Responses provide clear, concise opinions and ideas that are supported by at least two scholarly sources…. Responses demonstrate synthesis and understanding of Learning Objectives…. Communication is professional and respectful to colleagues…. Presenters’ prompts/questions posed in the case presentations are thoroughly addressed…. Responses are effectively written in standard, edited English.

Questions:

1.  What role can patients themselves play in their treatment?

2.  In cases of comorbid bipolar disorder and PTSD, how can a trauma-informed care approach enhance treatment outcomes?

3.  What other diagnosis can you apply to the patient in this case?

Nursing I have an assignment thats due now, but if someone can have it done by 3AM, or 5AM, I would really appreciate it ! I thought I would have time to get to it,

Assignment that is medical related, or nursing. Have to do a SOAP note, so you would have to know what a SOAP note is in regards to the medical field and there are questions you have to answer about CPT codes, billing codes for patient visits, Dx. codes, etc. But Ican add the diagosis codes.

Thanks Julie 

551 uni 7

Darlene, age 32 years, has been having back pain for a number of years, ever since suffering a compressed L2 disc as the result of a motor vehicle accident that led to surgery and extensive physiotherapy. Now she is missing time from work as a secretary because of constant pain. Darlene has been referred to you for chronic pain.

  1. As the nurse practitioner working with Darlene, what aspects of disorders of pain are important to understand?
  2. How would you effectively manage Darlene’s pain at this time?

Instructions: discussion post, 1 page is long enough. APA format. Has to have 3 references. 

Reflection 1

 

One  of the key points of learning from experience is to reflect on what you  did. Reflect on choosing an article. Answer the following questions in a  document of between 250 and 500 words. Save your response as a word  document and include a 7th edition APA cover page. Upload the document  to complete the assignment. Do not cut and paste from any document of  quote from any source. This is a reflection on your own experiences, so  you should not need to do this.

A. How did you choose the question?

B. What difference could the answer to the question make?

C. Who will be affected by the answer to the question?

D. Could anyone else be affected?

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.

Case study Analysis 2

***This assignment utilizes TurnItIn.  When you submit this assignment to the assignment drop box, it will automatically be submitted to TurnItIn.  You will receive an Originality Score along with an Originality Report that should be carefully reviewed.  If revisions need to be made to your assignment, you will be able to make additional submissions, and you will quickly receive updated Originally feedback. It is important to plan ahead so that you have enough time to review your originality feedback and make any revisions to your assignment 
before the final due date. Please see instructions for using TurnItIn in the Course Welcome module under Useful Resources.

How many submissions to TurnItIn are allowed?

· For 3000 level courses, you will be allowed a total of three (3) submissions to TII (original plus 2 additional)

· For 4000 level courses, you will be allowed a total of two (2) submissions to TII (original plus 1 additional) (excluding elective courses LDR 4400, NSG 4310, NSG 4410, NSG 4430)

· For elective courses, you will be allowed a total of three (3) submissions to TII (original plus 2 additional)

NOTE:  If you must submit your assignment 
AFTER the due date, please refer to the RN to BSN Late Assignment Policy in the Syllabus for questions related to a request to submit a late assignment.

Assignment Instructions: 

· Review the case study scenario below and the client's family history and medical profile information from unit 1.  

· Next, write a 6-8-page paper analysis of the client (including title and reference page) according to the assignment specifications, outline, and grading rubric. 

Case Study 2 Scenario:

Client, William Collins, arrived to the emergency room for an exacerbation of Chronic Obstructive Pulmonary Disease (COPD). The emergency department nurse enters the triage room to find Mr. Collins sitting at the side of the bed leaning forward with both arms on the bedside tray. He complains he is having shortness of breath that he is unable to control with his usual medications. His son is with him at the bedside because his wife is unable to come with him due to dialysis. 

Case Study Analysis Assignment Outline: 

 The case study analysis paper should include the following sections with responses and rationales for all the prompts.

Introduction (3-5 paragraphs) 

Provide an overview of the pathophysiology of the disease exhibited by the client. Include: 

· What additional assessment findings would you look for? 

· What lab abnormalities would you expect to see? 

· What diagnostics would you anticipate the healthcare team ordering? 

· Provide a rationale for your answers. 

Implications for Self-Care (2 paragraphs) 

· Consider Maslow’s hierarchy of needs and describe where the client falls in that hierarchy and how this will impact care and healing.  

· How does this disease process impact the client’s and/or their care provider’s ability to care for themselves? 

Patient Education Strategy (2-3 paragraphs) 

· Identify 3-5 appropriate nursing interventions and teaching points for your client based on the pathophysiology and assessment findings. 

· Describe the educational strategies that should be incorporated when building a plan of care for your client. 

· Support with rationale. 

Interdisciplinary Collaboration (2-3 paragraphs) 

· Identify 2-4 interdisciplinary team members who need to be included in the care of the client. Include rationale. 

· Consider the care the client will need while inpatient and upon discharge.  

· Consider nutrition, community services, and financial implications. 

Conclusion 

· Summarize the key concepts of this disease process and client case study scenario.  

References 

· A minimum of three references should be used in this paper.  

· References should be no more than five years old. 
Exceptions include seminal works, such as original publications by nurse theorists.  

· One reference must be your textbook, 

· One reference must be from a peer-reviewed journal,  

· One reference must be from an authoritative website such as the CDC, NIH or Healthy People 2030.

Assignment Specifications: 

· Name the paper with a File Naming Protocol: When you save the paper, name it: LastName_NSG 3300_CaseStudyAnalysis_1.docx 

· Paper reflects clinical and professional client/cases, and no references to personal or family issues.

APA Formatting 

· All papers should be written in APA formatting. This paper should include: 

· Formal components, such as a title page, and APA formatting with an introductory and conclusion paragraph that summarizes the key concepts 

· APA-formatted 
level headings 

· APA margin, font, and paragraph spacing 

· Include page numbers 

· Appropriate in-text reference citations 

· A reference page, in correct APA format 

600 w6 p1

What are the benefits of evaluating the role of outcomes in practice change through research? Discuss how you would evaluate the roles of outcomes through a change proposed from research findings.

Expectations

Initial Post:

keep all posts you win on bids in US sources

  • Length: A minimum of 250 words, not including references
  • Citations: At least one high-level scholarly reference in APA from within the last 5 years

Peer Responses: