Decision Tree-wk 10

Case Study: https://cdn-media.waldenu.edu/2dett4d/Walden/NURS/6630/DT/week_08/index.html

 

You will be asked to make three decisions concerning the medication to prescribe to this client. Be sure to consider factors that might impact the client’s pharmacokinetic and pharmacodynamic processes.

At each decision point, you should evaluate all options before selecting your decision and moving throughout the exercise. Before you make your decision, make sure that you have researched each option and that you evaluate the decision that you will select. Be sure to research each option using the primary literature.

Introduction to the case (1 page)

  • Briefly explain and summarize the case for this Assignment. Be sure to include the specific patient factors that may impact your decision making when prescribing medication for this patient.

Decision #1 (1 page)

  • Which decision did you select?
  • Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
  • Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
  • What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature).
  • Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples.

Decision #2 (1 page)

  • Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
  • Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
  • What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature).
  • Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples.

Decision #3 (1 page)

  • Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
  • Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
  • What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature).
  • Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples.

Conclusion (1 page)

  • Summarize your recommendations on the treatment options you selected for this patient. Be sure to justify your recommendations and support your response with clinically relevant and patient-specific resources, including the primary literature.

References to include:

 

  • Stahl, S. M. (2021). Stahl’s essential psychopharmacology: Neuroscientific basis and practical applications (5th Ed.) Cambridge University Press.
    • Chapter 13, “Impulsivity, Compulsivity, and Addiction” (pp. 538-578)

 

  • Salmon, J. M., & Forester, B. (2012). Substance abuse and co-occurring psychiatric disorders in older adults: A clinical case and review of the relevant literature. Journal of Dual DiagnosisLinks to an external site., 8(1), 74–84. https://doi.org/10.1080/15504263.2012.648439

nutrition

Nutrition plays a vital role in a person's overall health and well-being. Not getting enough of the recommended

nutrients over the long-term can lead to malnutrition which often results in disease and illness.

In a 3-page paper, written in APA format using proper spelling/grammar, address the following:

1. Define malnutrition and identify a specific disease that can result from it.

2. Perform library research about the selected disease, and explain its physiological effects on a

person's body.

3. Describe the relationship between specific foods/nutrients and the disease. Use the questions

below to guide your response.

4. Does research indicate that a lack of specific foods/nutrients increase a person's chance of

contracting the disease?

5. Are there specific foods/nutrients that should be avoided by an individual afflicted with the

disease?

6. How do specific foods/nutrients work physiologically within the body to help combat the

disease?

7. Evaluate nutritional recommendations to help combat the disease.

8. Cite at least 3 credible references and present the resources in APA format on the References

page.

9.

Nursing Assignments 1 4010

Introduction:- Interprofessional collaboration is a critical aspect of a nurse’s work. Through interprofessional collaboration, practitioners and patients share information and consider each other’s perspectives to better understand and address the many factors that contribute to health and well-being (Sullivan et al., 2015). Essentially, by collaborating, health care practitioners and patients can have better health outcomes. Nurses, who are often at the frontlines of interacting with various groups and records, are full partners in this approach to health care.

Reflection is a key part of building interprofessional competence, as it allows you to look critically at experiences and actions through specific lenses. From the standpoint of interprofessional collaboration, reflection can help you consider potential reasons for and causes of people's actions and behaviors (Saunders et al., 2016). It also can provide opportunities to examine the roles team members adopted in a given situation as well as how the team could have worked more effectively.

As you begin to prepare this assessment you are encouraged to complete the What is Reflective Practice? activity. The activity consists of five questions that will allow you the opportunity to practice self-reflection. The information gained from completing this formative will help with your success on the Collaboration and Leadership Reflection Video assessment. Completing formatives is also a way to demonstrate course engagement

Note: The Example Kaltura Reflection demonstrates how to cite sources appropriately in an oral presentation/video. The Example Kaltura Reflection video is not a reflection on the Vila Health activity. Your reflection assessment will focus on both your professional experience and the Vila Health activity as described in the scenario.

References

Saunders, R., Singer, R., Dugmore, H., Seaman, K., & Lake, F. (2016). Nursing students' reflections on an interprofessional placement in ambulatory care. 
Reflective Practice, 17(4), 393–402.

Sullivan, M., Kiovsky, R., Mason, D., Hill, C., Duke, C. (2015). Interprofessional collaboration and education. 
American Journal of Nursing, 115(3), 47–54.

· Demonstration of Proficiency:- Competency 1: Explain strategies for managing human and financial resources to promote organizational health.

· Identify how poor collaboration can result in inefficient management of human and financial resources supported by evidence from the literature.

· Competency 2: Explain how interdisciplinary collaboration can be used to achieve desired patient and systems outcomes.

· Reflect on an interdisciplinary collaboration experience noting ways in which it was successful and unsuccessful in achieving desired outcomes.

· Identify best-practice interdisciplinary collaboration strategies to help a team to achieve its goals and work more effectively together.

· Competency 4: Explain how change management theories and leadership strategies can enable interdisciplinary teams to achieve specific organizational goals.

· Identify best-practice leadership strategies from the literature, which would improve an interdisciplinary team’s ability to achieve its goals.

· Competency 5: Apply professional, scholarly, evidence-based communication strategies to impact patient, interdisciplinary team, and systems outcomes.

· Communicate via video with clear sound and light.

· The full reference list is from relevant and evidence-based (published within 5 years) sources, exhibiting nearly flawless adherence to APA format.

Professional Context:- This assessment will help you to become a reflective practitioner. By considering your own successes and shortcomings in interprofessional collaboration, you will increase awareness of your problem-solving abilities. You will create a video of your reflections, including a discussion of best practices of interprofessional collaboration and leadership strategies, cited in the literature.

Scenario:- As part of an initiative to build effective collaboration at your Vila Health site, where you are a nurse, you have been asked to reflect on a project or experience in which you collaborated interprofessionally and examine what happened during the collaboration, identifying positive aspects and areas for improvement.

You have also been asked to review a series of events that took place at another Vila Health location and research interprofessional collaboration best practices and use the lessons learned from your experiences to make recommendations for improving interprofessional collaboration among their team. Your task is to create a 5–10 minute video reflection with suggestions for the Vila Health team that can be shared with leadership as well as Vila Health colleagues at your site. Note: If you require the use of assistive technology or alternative communication methods to participate in this activity, please contact 
[email protected] to request accommodations. If, for some reason, you are unable to record a video, please contact your faculty member as soon as possible to explore options for completing the assessment.

Instructions:- Using Kaltura, record a 5–10 minute video reflection on an interprofessional collaboration experience from your personal practice, proposing suggestions on how to improve the collaboration presented in the 

Vila Health: Collaboration for Change
 activity.

Be sure that your assessment addresses the following criteria. Please study the scoring guide carefully so you will know what is needed for a distinguished score:

· Reflect on an interdisciplinary collaboration experience, noting ways in which it was successful and unsuccessful in achieving desired outcomes.

· Identify how poor collaboration can result in inefficient management of human and financial resources, citing supporting evidence from the literature.

· Identify best-practice leadership strategies from the literature that would improve an interdisciplinary team’s ability to achieve its goals, citing at least one author from the literature.

· Identify best-practice interdisciplinary collaboration strategies to help a team achieve its goals and work together, citing the work of at least one author.

· Communicate in a professional manner, is easily audible, and uses proper grammar. Format reference list in current APA style.

You will need to relate an experience that you have had collaborating on a project. This could be at your current or former place of practice, or another relevant project that will enable you to address the requirements. In addition to describing your experience, you should explain aspects of the collaboration that helped the team make progress toward relevant goals or outcomes, as well as aspects of the collaboration that could have been improved.

A simplified gap-analysis approach may be useful:

· What happened?

· What went well?

· What did not go well?

· What should have happened?

After your personal reflection, examine the scenario in the Vila Health activity and discuss the ways in which the interdisciplinary team did not collaborate effectively and the negative implications for the human and financial resources of the interdisciplinary team and the organization as a whole.

Building on this investigation, identify at least one leadership best practice or strategy that you believe would improve the team’s ability to achieve their goals. Be sure to identify the strategy and its source or author and provide a brief rationale for your choice of strategy.

Additionally, identify at least one interdisciplinary collaboration best practice or strategy to help the team achieve its goals and work more effectively together. Again, identify the strategy, its source, and reasons why you think it will be effective.

You are encouraged to integrate lessons learned from your self-reflection to support and enrich your discussion of the Vila Health activity.

You are required to submit an APA-formatted reference list for any sources that you cited specifically in your video or used to inform your presentation. The 

Example Kaltura Reflection
 will show you how to cite scholarly sources in the context of an oral presentation.

Refer to the Campus tutorial 

Using Kaltura [PDF]
 as needed to record and upload your reflection.

· Additional requirements:-
References: Cite at least 3 professional or scholarly sources of evidence to support the assertions you make in your video. Include additional properly cited references as necessary to support your statements.

·
APA Reference Page: Submit a correctly formatted APA reference page that shows all the sources you used to create and deliver your video.

· You may wish to refer to the Campus 

APA Module
 for more information on applying APA style.

Portfolio Prompt: Remember to save the final assessment to your ePortfolio so that you may refer to it as you complete the final Capstone course.

Collaboration and Leadership Reflection Video Scoring Guide

CRITERIA

NON-PERFORMANCE

BASIC

PROFICIENT

DISTINGUISHED

Reflect on an interdisciplinary collaboration experience, noting ways in which it was successful and unsuccessful in achieving desired outcomes.

Does not describe an interdisciplinary collaboration experience.

Describes an interdisciplinary collaboration experience, but the reflection on the success or failure to achieve desired outcomes is missing or unclear.

Reflects on an interdisciplinary collaboration experience, noting ways in which it was successful and unsuccessful in achieving desired outcomes.

Reflects on an interdisciplinary collaboration experience, noting ways in which it was successful and unsuccessful in achieving desired outcomes. Includes ways in which reflective nursing practice can help build a better understanding of past experiences to improve future practice decisions.

Identify ways poor collaboration can result in inefficient management of human and financial resources, supported by evidence from the literature.

Does not Identify ways poor collaboration can result in inefficient management of human and financial resources.

Identifies poor collaboration, but does not address how it can result in inefficient management of human and financial resources or does not provide supporting evidence from the literature.

Identifies how poor collaboration can result in inefficient management of human and financial resources supported by evidence from the literature.

Identifies how poor collaboration can result in inefficient management of human and financial resources supported by evidence from the literature. Multiple authors from the literature are discussed.

Identify best-practice leadership strategies from the literature that would improve an interdisciplinary team’s ability to achieve its goals.

Does not identify best-practice leadership strategies from the literature that would improve an interdisciplinary team’s ability to achieve its goals.

Identifies leadership strategies, but it is unclear how they would improve an interdisciplinary team’s ability to achieve its goals, or does not provide supporting evidence from the literature.

Identifies best-practice leadership strategies from the literature that would improve an interdisciplinary team’s ability to achieve its goals.

Identifies best-practice leadership strategies from the literature that would improve an interdisciplinary team’s ability to achieve its goals. Multiple authors from the literature are discussed.

Identify best-practice interdisciplinary collaboration strategies to help a team to achieve its goals and work together more effectively.

Does not identify best-practice interdisciplinary collaboration strategies to help a team to achieve its goals and work together more effectively.

Identifies interdisciplinary collaboration strategies, but it is unclear how they would help a team to achieve its goals and work together more effectively together.

Identifies best-practice interdisciplinary collaboration strategies to help a team to achieve its goals and work together more effectively.

Identifies best-practice interdisciplinary collaboration strategies to help a team to achieve its goals and work together more effectively. Multiple authors from the literature are discussed.

Communicate via video with clear sound and light.

Does not communicate professionally in a well-organized presentation.

Does not communicate via video or video is difficult to hear and see.

Communicates via video with clear sound and light.

Communicates via video with clear sound and light. Content delivery is focused, smooth, and well-rehearsed.

The full reference list is from relevant and evidence-based (published within 5 years) sources, exhibiting nearly flawless adherence to APA format.

Does not provide a reference list of relevant and/or evidence-based sources (published within 5 years).

A majority of reference list sources are relevant and/or evidence-based (published within 5 years) submitted with few APA errors.

The full reference list is from relevant and evidence-based (published within 5 years) sources, exhibiting nearly flawless adherence to APA format.

The full reference list is from relevant and evidence-based (published within 5 years) sources, exhibiting flawless adherence to APA format.

nursing

 How often do you engage with or witness death in your work? How has this experience or the lack of it shaped your view of death? Has it gotten easier or harder for you to accept the fact of death? As you explain, include your clinical specialty. 

Applying nursing theory as a nurse educator

how to apply theory to be an efficient nurse educator

Psychopathology

Thinking about what you’ve learned in this course about 

1-    If you had the power to change anything in this class that is assessment related, what would you change and why?

2-    How will the concepts you learned in this class help you in your career? 

The student must answer the graded discussion with a substantive reply to the graded discussion question(s)/topic(s) posted by the course instructor by Thursday, 11:59 p.m. Eastern Time. Two scholarly sources references are required unless stated otherwise by your professor. 

The student provides a substantive response to the discussion question or topic on Thursday day and posts a minimum of two additional responses to peers on another day(s). The answers to classmates must be posted by Sunday, 11:59 pm Eastern Time. We expect each student to participate in the discussion board in a respectful manner. 

Remember that a new discussion rubric was approved by the professors, committee members, and a majority of the students. Please review the rubric before posting to ensure a maximum of points. 

Here are the categories of the new discussion rubric:

Initial Post relevance to the topic of discussion, applicability, and insight. (20%)

Quality of Written Communication Appropriateness of audience and words choice is specific, purposeful, dynamic, and varied. Grammar, spelling, punctuation. (20%)

Inclusion of APNA standards essentials explored in the discussion as well as the role-specific competencies as applicable.(10%)

Rigor, currency,  and relevance of the scholarly references. (Use articles that are below 5 years). (20%)

Peer & Professor Responses. The number of responses, quality of response posts. (20%)

Timeliness of the initial post and the answers to the peers. (10%

w2PEP

this is in correspondence with the goals and objective of the previous work. the one you did,

Summary of strengths:

Psychiatric examination and therapy have been my clinical basis. I am confident in detecting clinical signs, differentiating pathophysiological and psychopathological problems, and performing thorough examinations. My mental state tests, psychosocial data interpretation, and functional evaluations demonstrate my comprehensive patient evaluation skills. I also excel in diagnostic reasoning, accurate diagnosis, and patient-responsive pharmacotherapy. Professional integrity, interdisciplinary teamwork, and empathy and non-judgment demonstrate my patient-centered care. Self-assessment and goal-setting help me grow via reflective practice. With my skills in these areas, I'm ready to improve and seize development possibilities.

Opportunities for growth:

I see places where I can improve my clinical skills as I reflect. While confident in many areas, I want to improve my capacity to distinguish normal and atypical age-related physiological and psychological symptoms to better comprehend patient presentations. I also see an opportunity to improve my selection of evidence-based clinical practice guidelines for psychotherapy planning and precision intervention. Another focus is creating age-appropriate customized care plans based on screening instrument results to improve my ability to give focused and effective treatments. I can recognize complex needs and build therapies that connect with patients' particular situations by strengthening these abilities. I want to improve my mental consultation suggestion and referral documentation. This will help multidisciplinary teams communicate and provide comprehensive patient care. My desire to enhance these areas drives my dedication to progress, helping me to confidently confront complicated mental health practice difficulties. Taking advantage of these changes will improve my skills and help me give excellent care to people and their families.

Now, write three to four (3–4) possible goals and objectives for this practicum experience. Ensure that they follow the SMART Strategy, as described in the Learning Resources.

1.

Goal: Enhance Diagnostic Reasoning Skills

a.
Objective: Refresh your DSM-5 criteria for common psychiatric diseases.

b.
Objective: Discuss differential diagnosis with preceptor regularly to emphasize various patient situations.

c.
Objective: Assess data and make accurate diagnoses based on age-related physiological and psychological changes.

2.
Goal: Strengthen Psychotherapeutic Treatment Planning

a.
Objective: Learn about evidence-based psychotherapy methods for various ages.

b.
Objective: Work with preceptor to choose psychotherapy methods for different patient circumstances, following professional criteria.

c.
Objective: Confidently use age-appropriate psychotherapy counseling methods and adjust them to patient reactions.

3.
Goal: Optimize Screening Instruments and Referrals

a.
Objective: Research and comprehend mental health screening tools throughout the lifetime.

b.
Objective: Effectively and supportively screen patients using screening equipment.

c.
Objective: Independently analyze screening instrument findings to suggest areas for additional examination and intervention.

I need plagiarism minimized, good references and medical words. the paper follows correct APA format, valid references (more than 4)

·

· Review your Clinical Skills Self-Assessment Form you submitted and think about areas for which you would like to gain application-level experience and/or continued growth as an advanced practice nurse. How can your experiences in the practicum help you achieve these aims?  

· Review the information related to developing objectives provided in this week’s Learning Resources. Your practicum learning objectives that you want to achieve during your practicum experience must be: 

· Specific  

· Measurable  

· Attainable  

· Results-focused  

· Time-bound

· Reflective of the higher-order domains of Bloom’s taxonomy (i.e., application level and above)  

Note: Please make sure your objectives are individualized and outlined in your Practicum Experience Plan (PEP). While you may add previous objectives to continue to work toward. You must have 3 new objectives for each class, each quarter. 

· Discuss your professional aims and your proposed practicum objectives with your Preceptor to ascertain if the necessary resources are available at your practicum site.  

· Select one nursing theory and one counseling/psychotherapy theory to best guide your clinical practice. Explain why you selected these theories. Support your approach with evidence-based literature.

· Create a timeline of practicum activities that demonstrates how you plan to meet these goals and objectives based on your practicum requirements.

THE ASSIGNMENT

Record the required information in each area of the Practicum Experience Plan template, including 3–4 
measurable practicum learning objectives you will use to facilitate your learning during the practicum experience.  

pn 2 m8 diss

 

A nurse at the local Senior Center made the following notation about a client: A 74-year-old female client wearing eyeglasses with bifocal lenses and hearing aid in her left ear. Walks with a shuffling gait, using a cane for support. Wearing house slippers and housedress. States, “My other doctor says I should have my eyes looked at by an expert. It’s been a while, and my eyes seem to be acting up lately. I can’t see so good anymore.” The client states that she takes medication for “sugar” and her blood pressure and has worn glasses for years with the last prescription changed about 3 years ago. “I was a seamstress for many years and quit when I couldn’t see to thread the needles anymore-just in time too. These new materials are too hard to work with!” Denies using any eye drops. Describes vision changes as difficulty seeing well at night, especially if trying to read. Uses a magnifying glass to help when reading. No eye pain or discharge, although eyes sometimes feel “dry and scratchy,” with the left eye being worse than the right. Admits to rubbing eyes but without relief.

Develop a Plan of Care for this patient that includes:

  • 2 Nursing Diagnosis
  • 2 goals for each Nursing Diagnosis
  • Interventions with rationales

Improving test taken strategies

please see the attached files for details information and rubrics.

Discussion 6

  Florida Nurses Association 

Go to the FNA website and critically read and review the topics under the tabs “legislative” and “get involved”.  Based on the textbook reading and FNA website discuss at least 2-topics below:

  • The Nursing Legislation and Advocacy page on the FNA website identifies 4-different ways for you to get involved with advocacy.  Discuss which way(s) you would most likely get involved with and why?
  • Find and peruse the Barbara Lumpkin Toolkit (BLT).  What are your thoughts about the information provided in the toolkit and what did you learn that you didn’t know before?
  • The Florida Keys community experiences unique healthcare needs.  Identify 1-healthcare issues or trends would you consider advocating for that would have an impact on nursing in the Florida Keys.  Based on the BLT how would you go about advocating for the healthcare issue?