BIOLOGICAL BASIS AND ETHICAL/LEGAL CONSIDERATIONS OF PSYCHOTHERAPY

Post an explanation of whether psychotherapy has a biological basis. Explain how culture, religion, and socioeconomics might influence one’s perspective on the value of psychotherapy treatments. Describe how legal and ethical considerations for group and family therapy differ from those for individual therapy, and explain how these differences might impact your therapeutic approaches for clients in group, individual, and family therapy. Support your rationale with at least three peer-reviewed, evidence-based sources and explain why each of your supporting sources is considered scholarly. Attach the PDFs of your sources. 

APA format

Min 3 resources (Please send PDF of peer-reviewed resources)

DISCUSSION BOARD

Give an example that illustrates how the social determinants of health from adventist healthcare (Neonatal intensive care unit) influences health outcomes.

Describe the reasons for the health care disparities.

What interventions could reduce the health disparities/health inequalities in your population? 

Give 3 scientific citations.

Clinical Judgement

 Read the article “Thinking Like a Nurse: A Research-Based Model of Clinical Judgment in Nursing” by Christine Tanner, which is linked below using the link provided.

https://search.ebscohost.com/login.aspx?direct=true&AuthType=ip,shib&db=ccm&AN=106314107&site=eds-live&custid=s9076023

In at least three pages, answer the following questions:

  1. What do you feel are the greatest influences on clinical judgment? Is it experience, knowledge, or a combination of those things?
  2. In your opinion, what part does intuition play in clinical judgment? How do you think you’ll be able to develop nursing intuition?

Additional sources are not required but if they are used, please cite them in APA format.

assessment 1 4050

Assessment 1

Preliminary Care Coordination Plan

Instruction

Develop a 3-4 page preliminary care coordination plan for a selected health care problem. Include physical, psychosocial, and cultural considerations for this health care problem. Identify and list available community resources for a safe and effective continuum of care.

Introduction– The first step in any effective project is planning. This assessment provides an opportunity for you to strengthen your understanding of how to plan and negotiate the coordination of care for a particular health care problem. Include physical, psychosocial, and cultural considerations for this health care problem. Identify and list available community resources for a safe and effective continuum of care.

NOTE: You are required to complete this assessment before Assessment 4.

Preparation- As you begin to prepare this assessment, you are encouraged to complete the Care Coordination Planning activity. Completion of this will provide useful practice, particularly for those of you who do not have care coordination experience in community settings. The information gained from completing this activity will help you succeed with the assessment. Completing formatives is also a way to demonstrate engagement.

Scenario

Imagine that you are a staff nurse in a community care center. Your facility has always had a dedicated case management staff that coordinated the patient plan of care, but recently, there were budget cuts and the case management staff has been relocated to the inpatient setting. Care coordination is essential to the success of effectively managing patients in the community setting, so you have been asked by your nurse manager to take on the role of care coordination. You are a bit unsure of the process, but you know you will do a good job because, as a nurse, you are familiar with difficult tasks. As you take on this expanded role, you will need to plan effectively in addressing the specific health concerns of community residents.

To prepare for this assessment, you may wish to:

· Review the assessment instructions and scoring guide to ensure that you understand the work you will be asked to complete.

· Allow plenty of time to plan your chosen health care concern.

Instructions- Note: You are required to complete this assessment before Assessment 4.

Develop the Preliminary Care Coordination Plan

Complete the following:

· Identify a health concern as the focus of your care coordination plan. In your plan, please include physical, psychosocial, and cultural needs. Possible health concerns may include, but are not limited to:

· Stroke.

· Heart disease (high blood pressure, stroke, or heart failure).

· Home safety.

· Pulmonary disease (COPD or fibrotic lung disease).

· Orthopedic concerns (hip replacement or knee replacement).

· Cognitive impairment (Alzheimer's disease or dementia).

· Pain management.

· Mental health.

· Trauma.

· Identify available community resources for a safe and effective continuum of care.

Document Format and Length

· Your preliminary plan should be an APA scholarly paper, 3–4 pages in length.

· Remember to use active voice, this means being direct and writing concisely; as opposed to passive voice, which means writing with a tendency to wordiness.

· In your paper include possible community resources that can be used.

· Be sure to review the scoring guide to make sure all criteria are addressed in your paper.

· Study the subtle differences between basic, proficient, and distinguished.

Supporting Evidence

Cite at least two credible sources from peer-reviewed journals or professional industry publications that support your preliminary plan.

Grading Requirements

The requirements, outlined below, correspond to the grading criteria in the Preliminary Care Coordination Plan Scoring Guide, so be sure to address each point. Read the performance-level descriptions for each criterion to see how your work will be assessed.

· Analyze your selected health concern and the associated best practices for health improvement.

· Cite supporting evidence for best practices.

· Consider underlying assumptions and points of uncertainty in your analysis.

· Describe specific goals that should be established to address the health care problem.

· Identify available community resources for a safe and effective continuum of care.

· Organize content so ideas flow logically with smooth transitions; contains few errors in grammar/punctuation, word choice, and spelling.

· Apply APA formatting to in-text citations and references, exhibiting nearly flawless adherence to APA format.

· Write with a specific purpose with your patient in mind.

· Adhere to scholarly and disciplinary writing standards and current APA formatting requirements.

Additional requirements– Before submitting your assessment, proofread your preliminary care coordination plan and community resources list to minimize errors that could distract readers and make it more difficult for them to focus on the substance of your plan. Be sure to submit both documents.

Portfolio Prompt: Save your presentation to your ePortfolio.

Course Competencies- By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and scoring guide criteria:

· Competency 1: Adapt care based on patient-centered and person-focused factors.

· Analyze a health concern and the associated best practices for health improvement.

· Competency 2: Collaborate with patients and family to achieve desired outcomes.

· Describe specific goals that should be established to address a selected health care problem.

· Competency 3: Create a satisfying patient experience.

· Identify available community resources for a safe and effective continuum of care.

· Competency 6: Apply professional, scholarly communication strategies to lead patient-centered care.

· Organize content so ideas flow logically with smooth transitions; contains few errors in grammar/punctuation, word choice, and spelling.

· Apply APA formatting to in-text citations and references, exhibiting nearly flawless adherence to APA format.

Scoring guide

Preliminary Care Coordination Plan Scoring Guide

CRITERIA

NON-PERFORMANCE

BASIC

PROFICIENT

DISTINGUISHED

Analyze a health concern and the associated best practices for health improvement.

Describe specific goals that should be established to address a selected health care problem.

Identify available community resources for a safe and effective continuum of care.

Organize content so ideas flow logically with smooth transitions; contains few errors in grammar/punctuation, word choice, and spelling.

Apply APA formatting to in-text citations and references, exhibiting nearly flawless adherence to APA format.

60s

Introduction

Many organizations work to better local and global communities' quality of life and promote health and safety in times of crisis. As public health and safety advocates, nurses must be cognizant of how such organizations help certain populations. As change agents, nurses must be aware of factors that impact the organization and the services that it offers. Familiarity with these organizations enables the nurse to offer assistance as a volunteer and source of referral.

This assessment provides an opportunity for you gain insight into the mission, vision, and operations of a community services organization.

Preparation

You are interested in expanding your role as a nurse and are considering working in an area where you can help to promote equal opportunity and improve the quality of life within the local or global community. You are aware of several nonprofit organizations and government agencies whose work contributes to this effort in some way. You have particular interest in one of these organizations but would like to know more about its contributions to public health and safety improvements. You would like to report the results of your research in a scholarly paper that you could submit for publication.

Research a local, national, or global nonprofit organization or government agency selected from the 
Assessment 02 Supplement: Community Resources [PDF] 
 Download Assessment 02 Supplement: Community Resources [PDF]resource. Determine how the selected organization or agency contributes to public health and safety improvements, promotes equal opportunity, and improves the quality of life within the community. Submit your findings in a 3–5 page report.

As you begin to prepare this assessment, it would be an excellent choice to complete the Nonprofit Organizations and Community Health activity. Complete this activity to gain insight into promoting equal opportunity and improving the quality of life in a community. The information gained from completing this activity will help you succeed with the assessment.

Note: As you revise your writing, check out the resources listed on the Writing Center's 
Writing Support page.

Instructions

First, select one of the local, national, or global nonprofit organizations or government agencies presented in the 
Assessment 02 Supplement: Community Resources [PDF] 
 Download Assessment 02 Supplement: Community Resources [PDF]resource.

Then research the nonprofit organization or government agency that you selected. Determine how the organization or agency contributes to public health and safety improvements, promotes equal opportunity, and improves the quality of life within the community. Submit your findings in a 3–5 page report structured according to the following specifications:

Document Format and Length

Format your paper using APA style.

· Refer to the 
APA Style Paper Tutorial [DOCX] to help you in writing and formatting your paper. Be sure to include:

· A title page and references page. An abstract is not required.

· Appropriate section headings.

· Your paper should comprise 3–5 pages of content plus title and references pages.

Supporting Evidence

Cite at least three credible sources from peer-reviewed journals or professional industry publications published within the past 5 years that support your research findings.

Graded Requirements

The research requirements, outlined below, correspond to the grading criteria in the assessment scoring guide, so be sure to address each point.

· Explain how the organization's mission and vision enable it to contribute to public health and safety improvements.

· Include examples of ways a local and/or global initiative supports organizational mission and vision and promotes public health and safety.

· Evaluate an organization's ability to promote equal opportunity and improve the quality of life in the community.

· Consider the effects of social, cultural, economic, and physical barriers.

· Assess the impact of funding sources, policy, and legislation on the organization's provision of services.

· Consider the potential implications of funding decisions, policy, and legislation for individuals, families, and aggregates within the community.

· Explain how an organization's work impacts the health and/or safety needs of a local community.

· Consider how nurses might become involved with the organization.

· Organize content so ideas flow logically with smooth transitions; contains few errors in grammar/punctuation, word choice, and spelling.

· Apply APA formatting to in-text citations and references exhibiting nearly flawless adherence to APA format.

· Write with a specific purpose and audience in mind.

· Adhere to scholarly and disciplinary writing standards and APA formatting requirements.

Additional Requirements

Before submitting your paper, proofread it to minimize errors that could distract readers and make it difficult for them to focus on your research findings.

Competencies Measured

By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and scoring guide criteria:

Competency 1: Analyze health risks and health care needs among distinct populations.

·

·

· Explain how an organization's work impacts the health and/or safety needs of a local community.

Competency 2: Propose health promotion strategies to improve the health of populations.

·

·

· Explain how an organization's mission and vision enable it to contribute to public health and safety improvements.

Competency 3: valuate health policies, based on their ability to achieve desired outcomes.

·

·

· Assess the impact of funding sources, policy, and legislation on an organization's service delivery.

Competency 4: Integrate principles of social justice in community health interventions.

·

·

· Evaluate an organization's ability to promote equal opportunity and improve the quality of life in a community.

Competency 5: Apply professional, scholarly communication strategies to lead health promotion and improve population health.

·

·

· Organize content so ideas flow logically with smooth transitions; contains few errors in grammar/punctuation, word choice, and spelling.

· Apply APA formatting to in-text citations and references exhibiting nearly flawless adherence to APA format.

Discussion

 * Animal research is a necessary practice in the world of medical research, allowing scientists to develop life-saving interventions and to spot catastrophic problems before new techniques or products make their way to actual patients. However, this does not mean that we should deny that there are serious ethical issues involved.

* Animal testing is not a pretty or pleasant process. It causes pain and suffering to animal subjects, and legitimate cases of abuse have been uncovered by animal rights groups. Consequently, the practice should be tightly regulated, and alternative methods should be employed whenever possible.

1) Discuss a specific research study involving animals that had ethical issues.

2) What were the ethical issues involved?

3) What could have been done to conduct the research study differently to avoid these ethical issues?

Assessing individual and community needs

Please see the attachment for the instructions

Evolution of Quality Management IP

 Week 1: Introduction (250)

  • You will prepare an outline of the Quality Control Manual. The first part of the manual will be the Introduction.
    • Provide a history of the quality management evolution and why it is needed.
    • List and discuss 2–3 of the specific directions that companies are adopting in terms of strategic quality management.
    • Clearly identify the organization that your quality control manual is intended for.
    • Explain the evolution of and the pros and cons of such programs as Deming and Six Sigma.
  • With each week, you should include a minimum of 3 new cited references. As such, the references should be varied and different with each section addition. You can reuse references, but repeat references do not count toward the minimum 3 new cited references.

Nursing Unit 1 Assignment – Clinical Preparation Journal. 800w. 4 references. due 11-3-23

repeated class see sample and instructions 

NURSING

Student Instructions for i-Human Virtual Simulation

NR325/NR330 Scott Baldwin


PURPOSE:

The following information is to be used in guiding your preparation and participation in the virtual simulation scenario for this course. This document will provide applicable course outcomes in preparation for your simulation.

SCENARIO OVERVIEW:

19-year-old male presents to the emergency department for a single episode of collapse with jerking and a loss of consciousness.

LEARNER OBJECTIVES:

1. Define the components of a focused nursing assessment. (CO1, 2)

2. Explain the approach for a focused nursing assessment for an adult brought to the emergency department, via ambulance, for a single episode of collapse with jerking and loss of consciousness. (CO1, 2)

3. Demonstrate an appropriate assessment for an adult brought to the emergency department, via ambulance, for a single episode of collapse with jerking and loss of consciousness. (CO1, 2, 3)

4. Distinguish between the treatment/interventions options for an adult brought to the emergency department, via ambulance, for a single episode of collapse with jerking and loss of consciousness. (CO1, 2, 4, 6)

5. Recommend appropriate treatment/interventions for an adult brought to the emergency department, via ambulance, for a single episode of collapse with jerking and loss of consciousness. (CO1, 2, 3, 4, 6)

6. Design an appropriate care plan for an adult brought to the emergency department, via ambulance, for a single episode of collapse with jerking and loss of consciousness. (CO1, 2, 4, 6)

STUDENT ROLES DURING SIMULATION:

You are the staff nurse at the hospital who will be conducting a comprehensive assessment. After completing your assessment, you are expected to document your findings as a nurses note in SBAR format.

KEY FEATURES OF i-HUMAN:

· As the nurse, you are expected to complete the case scenario using the following tabs: EHR, History, Physical, Nursing Notes, Summary

· There are required questions and/or additional information provided related to this case. The questions, information, and videos must be completed/reviewed prior to progressing to the next tab.

· Nursing Notes: At the end of the simulation, you will document your assessment findings using ISBAR.

CONFIDENTIALITY:

To preserve the educational value, integrity, and safety of the learning environment, you agree to maintain strict confidentiality about the proceedings of the simulation session, details of the training scenarios, and the performance of all participants. You acknowledge that this expectation aligns with the guidelines related to the Health Insurance Portability and Accountability Act (HIPAA) as well as laws governing Protected Health Information (PHI) in client care environments.  You will not view, discuss, share, record, or disclose any confidential information pertaining to the session. You understand that lapses in confidentiality are considered academic misconduct and could result in dismissal from the academic program. 

 

FICTION AGREEMENT:

You will suspend judgment of realism for any given simulation in exchange for the promise of learning new knowledge and skills, treating the simulated patients with the same care due an actual patient, act with a genuine desire to learn even when it may be difficult to do so.  

DUE DATE:

The virtual simulation must be completed during

Week 5
.

SIMULATION TIMING:

· Pre-simulation preparation: 30-60 minutes

· Pre-brief: 15 minutes

· Run Time: 2.75 hours

· Debriefing: 60 minutes

ASSESSMENT & EVALUATION

Faculty will utilize your participation measurements in the i-Human case, and debriefing discussions to identify areas of opportunity for enhancement of your clinical growth. Your experiences in i-Human will contribute to your overall completion of clinical requirements for the course as documented on the Clinical Learning Evaluation tool.

i-Human Evaluation – What does my total score mean?

A screenshot of a computer  Description automatically generated with medium confidence

REVIEW AND COMPLETE PRIOR TO THE START OF THE VIRTUAL SIMULATION:

To prepare for the simulation, you are
required to complete the pre-simulation questions below and submit this prework to the faculty via uploading your Word document in Canvas prior to the start of the virtual simulation. If you do not complete the pre-simulation questions and upload them, you will

not
be able to access or participate in the simulation.

1. Create a list of symptoms/cues a nurse would expect to find during each of the phases of a seizure.

a. Pre-Ictal Phase

b. Early Ictal Phase

c. Late Ictal Phase

d. Post-Ictal Phase

2. The healthcare provider ordered Lorazepam PRN for a client at risk for having a seizure. Describe the information that a nurse should know prior to administration including:

a. Purpose of the Medication

b. Therapeutic Use

c. Complications

d. Interventions

e. Medication Administration, Contraindications, Precautions

f. Nursing Interventions

g. Client Education

h. Evaluation of Medication Effectiveness

3. A nurse is caring for a client who suddenly begins to have a seizure. What are the priority nursing actions?

**Immediately following the completion of the virtual simulation, you will complete the evaluation of the simulation using the link provided.

©2023 Chamberlain University LLC. All rights reserved.

Chamberlain University | National Management Offices | 500 W. Monroe St., Suite 1300 | Chicago, IL 60661

image1.png

image2.jpg