Question 4251: Developmental Assessment and school age child

The needs of the pediatric patient differ depending on age, as do the stages of development and the expected assessment findings for each stage. In a 600-700-word paper, examine the needs of a school-aged child between the ages of 5 and 12 years old and discuss the following:
1. Compare the physical assessments among school-aged children. Describe how you would
modify assessment techniques to match the age and developmental stage of the child.
2. Choose a child between the as of 5 and 12 years old. Identify the age of the child and describe the typical developmental stages of children that age.
3. Applying developmental theory based on Erickson, Piaget, or Kohlberg, explain how you would developmentally assess the child. Include how you would offer explanations during the assessment, strategies you would use to gain cooperation, and potential findings from theassessment.

Instructions

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
You are required to submit this assignment to LopesWrite. Refer to the  LopesWrite Technical Support articles  for assistance.

Question 4252: Analysis of Current Evidence Based Practice Guidelines for Otitis Media

Instructions

APA style formatting, font 12, double spaced with headers.
Will need Title page, content 3 full double spaced  pages in length, plus a minimum of 3 peered reviewed references in the Reference page.  (Total of 5 pages).

Assignment: Analysis of Current Evidence Based Practice Guidelines for the Treatment of Otitis Media
This Assignment requires a current, evidence based practice guideline that is specific to the child in the following scenario. Once you find the appropriate guideline, you will be ready for analysis and evaluation.
First, carefully review the case. Then, using the Internet, find a current (no older than 4 years old 2014-2018) relevant evidence based practice guideline for the treatment of otitis media for this particular pediatric patient.
There should be a minimum of three current (within the last 5 years) peer-reviewed references including the authors of the guideline.

Make sure to address the following in your paper:
Use below headings while answering questions

• Briefly explain your search strategy. For example, how did you find the correct guideline?
• Who developed the guideline?
• Is this a revision of a previous guideline or an original? What is the date of publication?
• Explain the concept of “systematic review of current best evidence.”
• How was conflict of interest managed in the development of these guidelines
• How is quality of evidence defined?
• Explain differences among strong recommendation, recommendation, and optio
• What are “key Action statements?”
• For this particular child, what are the specific treatment recommendations including any diagnostics, medications (include exact dosage, frequency, length of treatment), follow-up, referral, prevention, and pain control.
  

  Case:

  A 5-year-old male is brought to the primary care clinic by his mother with a chief complaint of bilateral ear pain for the last three days. The mother states that the child has been crying frequently due to the pain. Ibuprofen has provided minimal relief. This morning, the child refused breakfast and appeared to
  be “getting worse.” Vital signs at the clinic reveal HR 110 bpm, 28 respiratory rate, and tympanic temperature of 103.2 degrees F. The mother reports no known allergies. T

he child has not been on antibiotics for the last year.
The child does not have history of OM. The child is otherwise healthy without any other known health problems.
After your questioning and examination, you diagnose this child with bilateral Acute Otitis Media.
 MN581_Unit9AssignmentGradingRubric1.xlsx

Question 4253: Provide a summary of your learning style according to the VARK questionnaire

Learning styles represent the different approaches to learning based on preferences, weaknesses, and strengths. For learners to best achieve the desired educational outcome, learning styles must be considered when creating a plan. Complete “The VARK Questionnaire,” located on the VARK website, and then complete the following:
VARK Result: Visual 11, Aura 5, Read/write 14, Kinetic 8, Multimodal learning preferences

1.  Click “OK” to receive your questionnaire scores.
2.  Once you have determined your preferred learning style, review the corresponding link to view your learning preference.
3.  Review the other learning styles: visual, aural, read/write, kinesthetic, and multimodal (listed on the VARK Questionnaire Results page).
4.  Compare your current preferred learning strategies to the identified strategies for your preferred learning style.
5.  Examine how awareness of learning styles has influenced your perceptions of teaching and learning.

Instructions

In a paper(1000 words),summarize your analysis of this exercise and discuss the overall value of learning styles. Include the following:
1.  Provide a summary of your learning style according the VARK questionnaire.
2.  Describe your preferred learning strategies. Compare your current preferred learning strategies to the identified strategies for your preferred learning style.
3.  Describe how individual learning styles affect the degree to which a learner can understand or perform educational activities. Discuss the importance of an educator identifying individual learning styles and preferences when working with learners.
4.  Discuss why understanding the learning styles of individuals participating in health promotion is important to achieving the desired outcome. How do learning styles ultimately affect the possibility for a behavioral change? How would different learning styles be accommodated in health promotion?
Cite to at least three peer-reviewed or scholarly sources to complete this assignment.

Sources should be published within the last 5 years and appropriate for the assignment criteria.
Prepare this assignment according to the guidelines found in the APA Style Guide.

Question 4254: nursing informatics

Workflow analysis aims to determine workflow patterns that maximize the effective use of resources and minimize activities that do not add value. There are a variety of tools that can be used to analyze the workflow of processes and clarify potential avenues for eliminating waste. Flowcharts are a basic and commonly used workflow analysis method that can help highlight areas in need of streamlining.
In this Assignment, you select a common event that occurs regularly in your organization and create a flowchart representing the workflow. You analyze the process you have diagrammed and propose changes for improvement.
To prepare:

• Identify a common, simple event that frequently occurs in your organization that you would liketo evaluate.
• Consider how you would design a flowchart to represent the current workflow.
• Consider what metrics you would use to determine the effectiveness of the current workflow and identify areas of waste.
  To complete:
  Write a 3- to 5-page paper which includes the following:
• Create a simple flowchart of the activity you selected. (Review the Sample Workflow of Answering a Telephone in an Office document found in this week’s Learning Resources for an example.)

Next, in your paper:

• Explain the process you have diagrammed.
• For each step or decision point in the process, identify the following:
• Who does this step? (It can be several people.
• What technology is used?
• What policies and rules are involved in determining how, when, why, or where
  the step is executed?
• What information is needed for the execution of this step?
• Describe the metric that is currently used to measure the soundness of the workflow. Isit effective?
• Describe any areas where improvements could occur and propose changes that couldbring about these improvements in the workflow.
• Summarize why it is important to be aware of the flow of an activity.
• Remember to include a cover page, introduction, and summary for your paper.

Question 4255: What are the five essential components of Nightingales Theory?

Create your Assignment submission and be sure to cite your sources if needed, use APA style as required, and check your spelling.
Assignment:
Case Study:

Mrs. Adams, a 68-year-old widow who was referred to case management upon discharge from the hospital based on her physician’s recommendation that she is not able to care for herself independently.
Her diagnosis is diabetes, hypertension, and breast cancer. She is 5 days’ post-op from a right sided mastectomy.   Mrs. Adams apartment is located in a low income area of the city where crime is prevalent.  Upon assessment by the Community Health Nurse, Mrs. Adams apartment was in disorder
with minimal airflow or light. Her cloths appeared unchanged and she had no food in the apartment.
The small apartment also housed 3 cats and a small dog who Mrs. Adams considers family since the death of her husband 1 year ago. Mrs. Adams complains of pain and draining from her surgical site and a broken air conditioner.

• Using Nightingales Environmental Theory, what actions would the nurse take upon the first assessment?
• What are the five essential components of Nightingales Theory?
• Prioritize an appropriate care plan for Mrs. Adams?
• Apply Nightingale’s Environmental Theory to an area of your nursing practice, what patient population would benefit from this approach?  Support this practice change with at least one evidenced-based article (this means current EBP of 5 years of less for the article.)

Instructions

The assignment should be completed in APA format, as an essay of between 1000 and 1500 words. The paper should include at least 2 outside references and the textbook. The paper should be in APA format
with a title page, level headings, and reference page, please see the Shell that I have included in this module. 1st person is not acceptable in APA papers, make sure to keep this is 3rd person.

Question 4256: Pathophysiology Case Study

Intructions:
No Plegarism please, assignemnt will be checked with Turnitin.
Will need 4 full pages double spaced for the case study, APA Style, Times New Roman, font 12, Title Page and a Reference page.
In your discussion be sure to include evidence of your knowledge of tissue and organ structure and function to physiologic alterations in systems and analyze the cause and effect relationship in responseto disease.
Make sure all of the questions in the case study have been addressed and answered.
Cite at least 3 References; journal articles, textbooks, or evidenced-based websites to support the content. 3.
All sources must be within five years (2012-2017).

Case Study 7 Disorders of Hemostasis

Leona is 52 years old and smokes. She is also overweight and has atherosclerosis. When she was given a two-week vacation from work, she packed up her bags and flew from Minnesota to Sydney, Australia, for the trip she always wanted to take. Unfortunately, just three days after she arrived, she was hospitalized when her left calf became inflamed, causing her considerable pain. The physician attending to her told her she developed a deep vein thrombosis.
Explain, using your knowledge of hypercoagulability, why the trip to Australia contributed to Leona’s DVT?

Why was Leona already at risk for thrombus development?How does Leona’s atherosclerosis affect platelet function? Conversely, what is the effect of increased platelet activity on the development of atherosclerosis?
How do atherosclerosis and immobility promote changes in blood coagulation?
When Leona was in hospital, she received heparin therapy. Explain why this course of action was taken to treat her DVT. Why was she not given heparin tablets to take back to the hotel with her?

Question 4257: Nursing

Choose two issues or challenges that the leaders of today’s health care organizations face. Select from among the following topics:
1. Staff Shortage (Physicians, Nurses, Allied Health Providers, Ancillary Services)
2. Reorganization in Response to Merger or Consolidation of Services
3. Layoffs as a Result of Declining Revenues
4. Influx of Registry, Part-Time, and Temporary Contract Staff
5. Poor Performance Outcomes Leading to a Reduction in Medicare Reimbursement Dollars
6. Poor Job Satisfaction Rates Resulting in Turnover
You are the manager of an ancillary service department at a large, 500+ bed hospital. Develop a proposal (750-1,200 words) that is directed toward your staff, in which you address the following:
1. Inform the staff of the two issues (from the topics provided) your organization is facing.
2. Describe the impact of these issues on your department.
3. Describe how improved communication, collaboration, and teamwork can improve conditions in your department.
4. Identify at least two examples from the required or recommended readings of techniques found to foster inclusion and improve communication and collaboration.

5. A minimum of three academic references from credible sources are required for this assignment.

Instructions:
Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.
This assignment uses a grading rubric. Instructors will be using the rubric to grade the assignment; therefore, students should review the rubric prior to beginning the assignment to become familiar with the assignment criteria and expectations for successful completion of the assignment.
You are required to submit this assignment to Turnitin. Refer to the directions in the Student Success Center. Only Word documents can be submitted to Turnitin.

Question 4258: Using Variance Analysis in Decision Making

Assignment: Using Variance Analysis in Decision Making
Having a budget is critical for the financial stability of an organization. Keeping track of how well the organization is actually adhering to the budget, and subsequent identification of why the budget numbers are being missed is equally important. Without this critical “why” piece, it is difficult to make the necessary adjustments to the budget or to organizational behavior that might be promoting
overspending.
A good budget is built with thoughtful consideration of future costs and revenue. Though your budget is formulated with expected figures in mind, the actual resulting values may vary considerably. This variance–from projected to actual–can be a pleasant surprise or a fiscal nightmare and can make financial decision making difficult. Fortunately, variance analysis can enable management to determinewhy variance occurred and what can be done to mitigate its effects.
For those not comfortable with the use of Microsoft Excel, this week’s Optional Resources suggest several tutorials.

To prepare:

• Review the information in this week’s Learning Resources dealing with variance analysis, how it is calculated, and how it can be used in decision making.
• View the video  Week 8 Application Assignment Tutorial: Variance Analysis, provided in this week’s Learning Resources.
• Use the Week 8 Application Assignment Template, provided in this week’s Learning Resources, to complete this assignment.   Carefully examine the information in each of the scenarios and provide the necessary calculations.  Using this information will help you answer the questions.
  By Day 7
  Note: For those Assignments in this course that require you to perform calculations you must:
• Use the Excel spreadsheet template for the Week 8 assignment
• Show all your calculations and formulas in the spreadsheet.
• Answer any questions included with the problems (as text in the Excel spreadsheet).
  A title and reference page are NOT needed in this assignment. Put your name and assignment at the top of the Excel spreadsheet.
  Use the Week 8 Application Assignment Template for the Week 8 assignment
  Salary Variance Scenario For this Assignment run a variance analysis. Based on the information you obtain: assess the results of the analysis, suggest potential causes of the budget variances and an explanation for addressing the
  situation.
  Using the following performance data calculate the volume adjusted labor rate variance and volume adjusted efficiency variance. Your Variable Expense Factor is 40% and your Volume Change Factor is 50%.
  Note: Submit the Excel spreadsheet containing your Salary Variance Scenario calculations to the Assignment submission link.

Question 4259: Journal Entry

Select one nursing theory and one counseling theory to best guide your practice in psychotherapy.
Explain why you selected these theories. Support your approach with evidence-based literature.
Develop at least three goals and at least three objectives for the practicum experience in this course.
Create a timeline of practicum activities based on your practicum requirements.

Question 4260: Capstone Project Change Proposal

In this assignment, students will pull together the change proposal project components they have been working on throughout the course to create a proposal inclusive of sections for each content focus area in the course. At the conclusion of this project, the student will be able to apply evidence-based
research steps and processes required as the foundation to address a clinically oriented problem or issue in future practice.
Students will develop a 1,500 word paper that includes the following information as it applies to the problem, issue, suggestion, initiative, or educational need profiled in the capstone change proposal:
1. Background
2. Problem statement

3. Purpose of the change proposal
4. PICOT
5. Literature search strategy employed
6. Evaluation of the literature
7. Applicable change or nursing theory utilized
8. Proposed implementation plan with outcome measures
9. Identification of potential barriers to plan implementation, and a discussion of how these could be overcome
10. Appendix section, if tables, graphs, surveys, educational materials, etc. are created

Instructions

Review the feedback on the Topic 3 assignment, PICOT Statement Paper, and Topic 6 assignment, Literature Review. Use the feedback to make appropriate revisions to the portfolio components before submitting.
Prepare this assignment according to the guidelines found in the APA Style Guide.
NO PLAGIARISM PLEASE, MINIMUM OF SIX REFERENCES.
 LiteratureReview_to_use.docx
 PICOT_to_use.docx
 sample_to-use.docx

Question 4261: Advanced Practice Nursing

No Plegarism please, assignment will be checked with Turnitin.
Will need minimum of 5 full pages, title, and reference page APA Style, double spaced, times new roman, font 12, and and (3 references within 5 years 2014-2018) with intext citations).

Patient care hinges in part on adequate and timely information exchange between treating providers.
Referral and reply letters are common means by which doctors and nurse practitioners exchange information pertinent to patient care. Ensuring that letters meet the needs of letter recipients saves time for clinicians and patients, reduces unnecessary repetition of diagnostic investigations, and helps to avoid patient dissatisfaction and loss of confidence in medical practitioners.
As a Nurse Practitioner (NP) you will need to know the difference between a consultation and a referral for treatment, when ordering and when carrying out consultations or referrals.

Consultations

A consultation is a request for opinion or advice, so that the requestor can manage the patient. A consultation is billed under one of the consultation codes listed in Physicians’ Current Procedural Terminology (CPT) (99241-99245 for outpatient of office consultations). If the NP is the consultant, the NP should document the request for a consultation, the reason for the consult, and the NP’s evaluation and recommendations.
When an NP requests a consultation from another provider, the N P should request “consultation” on the referral form, rather than “referring.”

Referrals:

A referral is made when the referring provider wants to turn the management of the patient over to the referred-to provider, at least for the current complaint.
When a NP refers a patient, the NP should state on the referral form that the NP is “referring the patient for evaluation and treatment.” The referred-to provider will bill an evaluation and management code, rather than a consultation code.

Writing Assignment: Consult:

Write up a consult request and include all key elements.
Ms. Perez has been referred to Ms. Wilson FNP-C,APRN, MSN  for consultation regarding eczema unresponsive to treatment in the past six months.
Document the evaluation and recommendations for how Ms. Wilson FNP-C,APRN,MSN should deal with the consultation request and bill a consultation code.

Writing Assignment: Referral:

Write up a referral request and include all key elements.
As an NP and Ms. Perez primary care provider, you decide to refer her to Dr. Owens a dermatologist for evaluation and treatment regarding eczema unresponsive to treatment in the past six months.
1. Document your referral to Dr. Owens
2. Document the evaluation and recommendations for how Dr. Owens should deal with the referral and bill a referral code.

Instructions: Written Paper (Microsoft Word doc): minimum 5 FULL PAGES, doubled spaced, words using 6th edition APA formatting
Please review the grading rubric under Course Resources in the Grading Rubric section.
 MN569_Unit6AssignmentGradingRubric.xlsx

Question 4262: Culturally Competent Nursing

For this assignment, you will interview a person from a cultural background that is different from your own. Using the twelve domains of culture from the Purnell Model, discuss the health practices of that culture and compose a scholarly paper in a Microsoft Word document of 5–6 pages formatted in APA style.
In your paper, you should include the following:
Select a person from a cultural group different from your own. You may choose a patient, friend, or work colleague. For the sake of confidentiality, do not reveal the name of the person you interview;
use only initials.
For the person you select, complete the cultural assessment using questions 1 through 12 from the Purnell Model for Cultural Competence in your textbook, Transcultural Health Care: A Culturally Competent Approach.
On a separate page, cite all sources using APA format.
 Use this APA Citation Helper as a convenient reference for properly citing resources.
 This handout will provide you the details of formatting your essay using APA style.
 You may create your essay in this APA-formatted template.
Submission Details:
 Name the document SU_NSG4074_W2_A2_LastName_FirstInitial.doc.
 Submit it to the Submissions Area by the due date assigned.

Question 4263: The truth is that the reader is always right

As a nurse embarking on an advanced degree, you are developing the characteristics of a scholar-practitioner, which includes strong communication skills. Writing in a scholarly manner involves supporting your thoughts with evidence from the literature and appropriately using APA formatting.
One of the challenges of scholarly writing is paraphrasing the thoughts of others in your work.
Paraphrasing, and correctly citing the original author for his or her ideas, allows you to take the ideas of others, summarize them, and incorporate them into your own writing. When summarizing the ideas of others, it is important to avoid plagiarizing (copying the words and ideas of others as though they were
your own). In addition to expanding your knowledge of APA, this week’s Learning Resources help you to distinguish between paraphrasing and plagiarizing.
To prepare:
 Think about the sometimes subtle difference between plagiarizing and paraphrasing.

 Read the following paragraphs, which were written by Patricia O’Conner:
A good writer is one you can read without breaking a sweat. If you want a workout, you don’t lift a book—you lift weights. Yet we’re brainwashed to believe that the more brilliant the writer, the tougher the going.
The truth is that the reader is always right. Chances are, if something you’re reading doesn’t make sense, it’s not your fault—it’s the writer’s. And if something you write doesn’t get your point across, it’s probably not the reader’s fault—it’s yours. Too many readers are intimidated and humbled by what they can’t understand, and in some cases that’s precisely the effect the writer is after. But confusion is not complexity; it’s just confusion. A venerable tradition, dating back to the ancient Greek orators, teaches that if you don’t know what you’re talking about, just ratchet up the level of difficulty and no one will ever know.

Don’t confuse simplicity, though, with simplemindedness. A good writer can express an extremely complicated idea clearly and make the job look effortless. But such simplicity is a difficult thing to achieve because to be clear in your writing you have to be clear in your thinking. This is why the simplest
and clearest writing has the greatest power to delight, surprise, inform, and move the reader. You can’t have this kind of shared understanding if writer and reader are in an adversary relationship. (pp. 195–196) Source: O’Conner, P. (2003). Woe is I: The grammarphobe’s guide to better English in plain nglish. New York: Riverhead Books.

Directions

 Paraphrase this passage from O’Conner using no more than 75–100 words. Remember that paraphrasing means summarizing the essence of the original text. It does not mean creating a thesaurus-based revision of the author’s original words or copying the piece, or any part of it, word for word. For this activity, do not use any direct quotes.
 Turn your paraphrase into Grammarly and SafeAssign.
 Review your reports.
 Review the other tools, resources, and services available to you through the Walden Writing Center that support your growth as a scholarly writer.
 Consider which of these resources you find to be most useful.
 Review learning resources on APA formatting rules and information within the Walden Writing Center on APA.

Post a description of your experience of using Grammarly and SafeAssign and share at least one insight you gained about paraphrasing and avoiding plagiarism as a matter of academic integrity.  Recommend at least one other online resource that supports scholarly writing, and explain your rationale. Lastly, share two APA formatting rules with the class and a specific page number in the APA manual where this rule can be located
Support your Discussion assignment with specific resources used in its preparation using APA formatting.
You are asked to provide a reference for all resources, including those in the Learning Resources for this course.

Question 4264: Conflict Resolution

Directions
To Prepare:

• Read Finkelman (2016), Chapter 13: Improving Teamwork: Collaboration, Coordination, and Conflict Resolution, section on Negotiation and Conflict Resolution, pp. 324-333 (see attached chapter 13 in word document).
• Observe nurses in a care delivery setting. Identify a recurring conflict with the potential to negatively impact patient care. Decide if delegation was an issue in the conflict. This should be from your practice setting or prelicensure experiences.
• Provide details of what happened, including who was involved, what was said, where it occurred, and what was the outcome that led you to decide the conflict was unresolved.
• Identify the type of conflict. Explain your rationale for selecting this type.
• Outline the four stages of conflict, as described in our text, and how they relate to your example.
• Propose strategies to resolve the conflict. Search scholarly sources in the library and the Internet for evidence on what may be effective.
• Discuss if delegation was an issue in the conflict. Be specific.
• Describe how you would collaborate with a nurse leader to reach consensus on the best strategy to employ to deal with the conflict.
• Describe the rationale for selecting the best strategy.
• Provide a summary or conclusion about this experience or assignment and how you may deal with conflict more effectively in the future.
• Type your paper using Microsoft Word 2010 or later.

Instructions

Write a 5-7-page paper due today 1/21 before midnight (not including the title or References pages) using APA format and at least four scholarly references no older than 5 years that includes the following level one headings:

1) Start your paper with an introduction ending with a purpose statement (e.g. “the purpose of this paper is…”)
2) Describe an unresolved (recurring) conflict that you experienced or observed. Identify the type of conflict.
3) Provide details of what happened, including who was involved, what was said, where it occurred, and what was the outcome that led you to decide the conflict was unresolved.
4) Outline the four stages of conflict, as described in Finkelman, and how the stages relate to your example. Decide if delegation was an issue in the conflict. Be specific.
5) Describe the strategies for conflict resolution and how you would collaborate with a nurse leader to resolve the conflict. Cites the course textbook and three scholarly sources.
6) Provide a conclusion or summary about this experience and how you may deal with conflict more effectively in the future.

Question 4265: Practicum Journal: Voluntary and Involuntary Commitment

Assignment 1: Practicum Journal: Voluntary and Involuntary Commitment
Psychiatric Mental Health Nurse Practitioner (PMHNP) may find themselves working in a wide variety of settings—each having their own unique challenges and inherent legal issues. For instance, what do you do in your state of practice when you are providing a therapy/treatment session and a client reports
active suicidal ideation? What do you do if you are covering inpatient psychiatric consults and are called to see a patient in the ICU who overdosed on prescription medication requiring intubation?

What do you do if you are a PMHNP on an inpatient unit and a client who admitted themselves on a voluntary
basis suddenly states that they have decided to sign themselves out of the hospital so that they can go home to kill themselves? These are just some of the legal questions that PMHNPs must know the answers to specific to their state of licensure/practice.
In this Assignment, you investigate your state’s laws concerning voluntary and involuntary commitment.
You also analyze a case to determine if the client is eligible for involuntary commitment.

Scenario for Week 7 Case:

You are a PMHNP working in a large intercity hospital. You receive a call from the answering service informing you that a “stat” consult has been ordered by one of the hospitalists in the ICU. Upon arriving in the ICU, you learn that your consult is a 14 year old male who overdosed on approximately 50
Benadryl (diphenhydramine hydrochloride) tablets in an apparent suicide attempt. At the scene, a suicide note was found indicating that he wanted to die because his girlfriend’s parents felt that their daughter was too young to be “dating.” The client stated in the suicide note that he could not “live without her” and decided to take his own life.

Although he has been medically stabilized and admitted to the ICU, he has been refusing to talk with the doctors or nurses. The hospital staff was finally able to get in touch with the clients parents (using contact information retrieved from the 14 year old’s cell phone). Unknown to the hospital staff, the parents are divorced, and both showed up at the hospital at
approximately the same time, each offering their own perspectives on what ought to be done.

The client’s father is demanding that the client be hospitalized because of the suicide, but his mother points out that he does not have “physical custody” of the child. The client’s mother demands that the client be discharged to home with her stating that her son’s actions were nothing more than a “stunt” and “an attempt at manipulating the situation that he didn’t like.” The client’s mother then becomes “nasty” and informs you that she works as a member of the clerical staff for the state board of nursing, and if you fail to discharge her child “right now” she will make you “sorry.” How would you proceed?
To Prepare for this Practicum Assignment:

• Review the Learning Resources concerning voluntary and involuntary
  commitment.
• Read the Week 7 Scenario in your Learning Resources.
• Research your state’s laws concerning voluntary and involuntary commitment.
  The Assignment (3 pages):
• Based on the scenario, would you recommend that the client be voluntarily
  committed? Why or why not?
•  Based on the laws in your state, would the client be eligible for involuntary
  commitment? Explain why or why not.
•  Did understanding the state laws confirm or challenge your initial
  recommendation regarding involuntarily committing the client? Explain.
•  If the client were not eligible for involuntary commitment, explain what actions
  you may be able to take to support the parents for or against voluntary commitment.
•  If the client were not eligible for involuntary commitment, explain what initial
  actions you may be able to take to begin treating the client.

  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 4, “Theories of Personality and      Psychopathology” (pp. 151–191)
 Chapter      31, “Child Psychiatry” (pp. 1181–1205)
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.).
Washington, DC: Author

• “Neurodevelopmental Disorders”
•  “Specific Learning Disorder”
•  “Motor Disorders”
  Murphy, T. K., Lewin, A. B., Storch, E. A., Stock, S. (2013). Practice parameter for the assessment and treatment of children and adolescents with tic disorders. Journal of the American Academy of Child &
  Adolescent Psychiatry, 52(12), 1341–1359. Retrieved from http://www.jaacap.com/article/S0890-8567(13)00695-3/pdf
  McGarvey, E. L., Leon-Verdin, M., Wancheck, T. N., & Bonnie, R. J. (2013). Decisions to initiate involuntary commitment: The role of intensive community services and other factors. Psychiatric Services, 64(2), 120–126.
  Kaltiala-Heino, R. (2010). Involuntary commitment and detainment in adolescent psychiatric inpatient care. Social Psychiatry and Psychiatric Epidemiology, 45(8),785–793. doi:10.1007/s00127-009-0116-3
  Lindsey, M. A., Joe, S., Muroff, J., & Ford, B. E. (2010). Social and clinical factors associated with psychiatric emergency service use and civil commitment among African-American youth. General Hospital Psychiatry, 32(3), 300–309. doi: 10.1016/j.genhosppsych.2010.01.007 Stahl, S. M. (2014). Prescriber’s Guide: Stahl’s Essential Psychopharmacology (5th ed.). New York, NY: Cambridge University Press.

Instructions

PLEASE REMEMBER TO INCLUDE  INTRODUCTION, CONCLUSION & REFERENCES. (TOTAL PAGES 3, EXCLUDING THE REFERENCES)

Question 4266: Statistics for Nursing Research

Complete Exercises 6, 8, and 9 in Statistics for Nursing Research: A Workbook for Evidence-Based Practice, and submit as directed by the instructor.
Use MS Word to complete “Questions to be Graded: Exercise 27” in Statistics for Nursing Research: A Workbook for Evidence-Based Practice. Submit your work in SPSS by copying the output and pasting into the Word document. In addition to the SPSS output, please include explanations of the results where
appropriate.

Question 4267: A middle-aged female presents to the office complaining of strep throat

Case Study 4:

A middle-aged female presents to the office complaining of strep throat. She states she suddenly developed a sore throat yesterday afternoon, and it has gotten worse since then. During the night she felt like she was chilled and feverish. She denies known recent contact with anyone else who had strep
throat, but states she has had strep before and it feels like she has strep now. She takes no medications, but is allergic to penicillin. The physical examination reveals a slender female lying on the examination table. She has a temperature of 101 degrees Fahrenheit, heart rate of 112, respiratory rate of 22, and
blood pressure of 96/64. The head, eyes, ears, nose, and throat evaluation is positive for bilateral tonsillar swelling without exudates. Her neck is supple with bilateral, tender, enlarged anterior cervical nodes.

To prepare:

•Review this week’s media presentations and Parts 5–8 of the Buttaro et al. text.

•Reflect on the provided patient information including history and physical exams.

•Think about a differential diagnosis. Consider the role the patient history and physical exam played in
your diagnosis.

•Reflect on potential treatment options based on your diagnosis.

POST 1 TO 2 PAGES ON:

Explanation of the differential diagnosis for the patient in the case study that you selected. Describe the role the patient history and physical exam played in the diagnosis. Then, suggest potential treatment options based on your patient diagnosis.

REFERENCES/ MEDIA

Institute for Safe Medication Practices. (n.d.). Retrieved November 28, 2012,
from http://www.ismp.org/

Buttaro, T. M., Trybulski, J., Polgar Bailey, P., & Sandberg-Cook, J. (2013). Primary care: A collaborative
practice (4th ed.). St. Louis, MO: Mosby

. ◦Part 5, “Evaluation and Management of Skin Disorders” (pp. 227–312)

◦Part 6, “Evaluation and Management of Eye Disorders” (pp. 313–344)

◦Part 7, “Evaluation and Management of Ear Disorders” (pp. 345–364)
◦Part 8, “Evaluation and Management of Nose Disorders” (pp. 365–384)

Media

•Laureate Education, Inc. (Executive Producer). (2013a). Case studies: Ear disorder. Baltimore, MD:
Author.

Laureate Education, Inc. (Executive Producer). (2013e). Case study: Throat disorder. Baltimore, MD: Author

Question 4268: Familial Health Traditions

Familial Health Traditions
Instructions:
1. Read and follow the directions on pages 160 and 161.
2. Conduct an interview with an older family member.
3. Summarize your findings regarding familial and social changes, and
your ethnocultural and religiousheritage. (Include one example)
4. Your paper should be:
 One (1) page
 Typed according to APA style for margins, formating and spacing standards
 See NUR3045 – Library (located on left-side on menu) for tutorial Using APA
Style

 Typed into a Microsoft Word document, save the file, and then upload the file.
 I ATTACHED THE PDF OF THE BOOK SO YOU CAN LOOK AT PAGE 160 AND 161 WHCIH IS PART OF CHAPTER 7

 cultural_diversity_in_health_and_illness_8th_edition_-_rachel_e._spector.pdf

Question 4269: Patient’s Spiritual Needs: Case Analysis Details:

In addition to the topic study materials, use the chart you completed and questions you answered in the Topic 3 about “Case Study: Healing and Autonomy” as the basis for your responses in this assignment.
Answer the following questions about a patient’s spiritual needs in light of the Christian worldview.
1. In 200-250 words, respond to the following: Should the physician allow Mike to continue making decisions that seem to him to be irrational and harmful to James, or would that mean a disrespect of a patient’s autonomy? Explain your rationale.
2. In 400-500 words, respond to the following: How ought the Christian think about sickness and health? How should a Christian think about medical intervention? What should Mike as a Christian do? How should he reason about trusting God and treating James in relation to what is truly honoring the principles of beneficence and nonmaleficence in James’s care?
3. In 200-250 words, respond to the following: How would a spiritual needs assessment help the physician assist Mike determine appropriate interventions for James and for his family or others involved in his care?
Remember to support your responses with the topic study materials.
While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
You are required to submit this assignment to LopesWrite. Refer to the  LopesWrite Technical Support articles  for assistance.
This benchmark assignment assesses the following competencies:
BS Nursing (RN to BSN)
5.2: Assess for the spiritual needs and provide appropriate interventions for individuals, families, and groups.

Question 4270: Benchmark – Policy Brief

The benchmark assesses the following competencies:
1.4 Participate in health care policy development to influence nursing practice and health care. Research public health issues on the “Climate Change” or “Topics and Issues” pages of the American Public Health Association (APHA) website. Investigate a public health issue related to an environmental
issue within the U.S. health care delivery system and examine its effect on a specific population.
Write a 750-1,000-word policy brief that summarizes the issue, explains the effect on the population, and proposes a solution to the issue.
Follow this outline when writing the policy brief:
1. Describe the policy health issue. Include the following information:

(a) what population is affected,

(b) at what level does it occur (local, state, or national), and

(c) evidence about the issues supported by
resources.
2. Create a problem statement.
3. Provide suggestions for addressing the health issue caused by the current policy. Describe what steps are required to initiate policy change. Include necessary stakeholders (government officials, administrator) and budget or funding considerations, if applicable.
4. Discuss the impact on the health care delivery system.
Include four peer-reviewed sources and two other sources to support the policy brief.
Prepare this assignment according to the guidelines found in the APA Style Guide,  An abstract/thesis is required.

Question 4271: Worldview Analysis and Personal Inventory

Based on the required topic study materials, write a reflection about worldview and respond to following:
1. In 250-300 words, explain the Christian perspective of the nature of spirituality and ethics in contrast to the perspective of postmodern relativism within health care.
2. In 250-300 words, explain what scientism is and describe two of the main arguments against it.
3. In 750-1,000 words, answer each of the worldview questions according to your own personal perspective and worldview:

(a) What is ultimate reality?

(b) What is the nature of the universe?
(c) What is a human being?

(d) What is knowledge?

(e) What is your basis of ethics?

(f) What is the purpose of your existence?

Instructions

Remember to support your reflection with the topic study materials.
While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

Question 4272: Diary of Medical Mission Trip

Throughout this course, you have viewed the “Diary of Medical Mission Trip” videos dealing with the catastrophic earthquake in Haiti in 2010. Reflect on this natural disaster by answering the following questions:
1.  Propose one example of a nursing intervention related to the disaster from each of the following levels: primary prevention, secondary prevention, and tertiary prevention. Provide innovative examples that have not been discussed by a previous student.
2. Under which phase of the disaster do the three proposed interventions fall? Explain why you chose that phase.
3. With what people or agencies would you work in facilitating the proposed interventions and why?
Link to the “Diary of Medical Mission Trip” videos:
http://lc.gcumedia.com/zwebassets/courseMaterialPages/nrs427v_nrs427v.php

Question 4273: The Collaborative Learning Community:

The Collaborative Learning Community: EBP Identification of Clinical Question assignment is due.
Prepare for your upcoming Topic 5 assignment, Collaborative Learning Community: EBP Literature

Search/Appraisal of Evidence. Remember to record all communication in the CLC Forum.
Use the evidence hierarchy pyramid provided in Figure 2.1 in the Nursing Research: Generating and Assessing Evidence for Nursing Practice textbook as a guide for the levels of evidence in your reference list.
Locate case studies, relevant clinical articles written by experts, research articles, evidence-based guidelines, protocols, and theories that may guide the identification of appropriate solutions. This can include the articles reviewed in Topic 3. Note: Not all theories will have research that allows them to have a level assigned to them. This does not mean they are not good theories. A true proposal would require a comprehensive review of the literature and inclusion of all relevant works.
Appraise the evidence using the guidelines provided in the Nursing Research: Generating and Assessing Evidence for Nursing Practice textbook. Use these guidelines to discard references that are untrustworthy or irrelevant. Box 2.2 can help with this decision-making process. Chapter 5 provides
guidance on how to synthesize the article findings.

Use the assigned Topic Material, “CLC EBP Research Table,” to consolidate and present the findings.
Limit the articles to no more than 10 (two per student in the CLC group would be reasonable). Choose one group member to submit the completed assignment by the end of Topic 5.

Question 4274: Developmental Red Flags

Wellness visits are an important part of pediatric primary care. During these visits, patient growth and development are assessed. As an advanced practice nurse who performs these assessments, you must be able to distinguish between normal and abnormal growth and development to recognize red flags.
While some patients may not meet milestones due to differences in rates of development, abnormal development might also be a red flag of an underlying problem. In this Discussion, you examine the following case studies and consider potential developmental red flags:

Case Study 1

A mother brings in her 16-month-old, Brittany, for treatment of an acute illness. During the history, the mother reports that her mother-in-law is concerned about the toddler’s development. Further questioning reveals the following:
 Brittany was a term infant born vaginally with no intrapartum complications. Birth weight was 8 pounds 1 ounce and current weight is 26 pounds 9 ounces.
 She was breastfed until 12 months of age and now drinks 24 ounces of whole milk and eats table foods daily.
 Physical milestones are as follows: Rolled front to back at 6 months, developed pincer grasp at 11 months, crawled at 8 months, and began cruising at 10 months. She does not walk independently.
 Social development includes mimicking adult behavior, four-word vocabulary (mama, dada, baba, and no), follows one-step commands, and quiets easily when comforted.

Case Study 2:

You see a 30-month-old named Brian for a well-child visit. His mother reports the following
development:
 Physical: Walks independently, runs, able to climb stairs alternating feet, makes a tower of nine cubes, and is able to button his pants.
 Social: Follows one-step commands, uses one-word sentences, and has a vocabulary of approximately six words. He is resistant to nighttime and feeding routines, he has marked temper tantrums, and Mom states he does not calm when she tries to comfort him.

Case Study 3

Jose is a 36-month-old who presents for a preschool evaluation. His father reports the following development:
 Physical: Walks, runs, and jumps independently, walks up stairs alternating feet, pedals a three- wheeler, scribbles, copies circles and squares, and is able to balance on one foot for 2 to 3 seconds.
 Social: Recognizes three colors; speech is 75% understandable; uses three- to four-word sentences; talks about friends, favorite activities, and family; frequently engages in imitative play; has an imaginary friend; does stutter on occasion when excited or when intent on getting something said. Will typically repeat the first word in a sentence three to four times, but does not repeat syllables or consonants. This happens three to four times a week.
To prepare:
 Review this week’s media presentations, as well as “Developmental Management of Infants” and “Developmental Management of Toddlers and Preschoolers” in the Burns et al. text.
 Think about how physical, social, and cognitive development vary during infancy, toddlerhood, and the preschool years. Reflect on normal versus abnormal growth and development and consider the decision-making process of identifying and managing red flags of abnormal development.
 Select one of the three case studies provided. Reflect on the patient information included in the case study and consider any developmental red flags.
 Reflect on standardized screening tools, clinical guidelines, and management strategies that would be used to assess and manage the patient in your selected case study.
By Day 3
Post an explanation of any developmental red flags that presented in the case study you selected based on the stages of normal physical, social, and cognitive development for infants, toddlers, and preschoolers. Explain how you differentiated between normal and abnormal growth and development
for this patient and identify which standardized screening tools, clinical guidelines, and management strategies you might use to assess and manage this patient and why.

Question 4275: nursing education

As faculty members, you have been asked to design a 4-hour Leadership Strategies course that would accommodate the learning styles for a selected 10 students. The students have all completed a learning style inventory in which three of the students are determined visual learners, four are kinesthetic
learners, and the rest are auditory learners. Note: The intended audience for the course can be either newly graduated nurses or experienced staff nurses as you choose.

Compose a 1,000-1,250-word paper which describes your plan to accommodate the learning styles of each student. This plan starts with defining course objectives; use the “A-B-C-D Method of Writing Objectives” resource as a guide. The objectives should incorporate Bloom’s taxonomy, be written at the appropriate level for the audience, and include at least two learning domains (cognitive, psychomotor, and affective). Make sure to include the following:

1. An outline of the course content and agenda that will be covered.

2. Descriptions of the learning activities and the rationale for the learning activities selected.

3. Strategies to assess learning, based on the learner objectives

4. Use at least three scholarly, peer-reviewed sources less than 5 years old in addition to the course materials.

Instructions

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is required.
Refer to “Learning Styles Rubric,” prior to beginning the assignment to become familiar with the expectations for successful completion.  You are required to submit this assignment to Turnitin. Please refer to the directions in the Student Success Center. Please use the -A-B-C-D Approach to Objective provided.    SEE A-B-C-D APPROACH BELOW.

A-B-C-D Approach to Objective Writing
Writing objectives is much like writing outcomes in the nursing process. Objectives must be measurable, contain action verbs, be specific, include timelines, and indicate the degree to which you expect the learner to achieve.  A helpful formula to write objectives is the A-B-C-D approach:  Audience: Who is the audience for the class? Is it a student nurse? A staff nurse? A participant in a class?  Behavior: What do I want the audience to accomplish by the end of the class? An example of a behavior is being able to identify the signs and symptoms of infection. Condition: How will students demonstrate mastery and be assessed in their learning? An example could be that students will demonstrate their knowledge of a lab or clinical area by taking a written test.  Degree: How well will students perform their new knowledge?

Should students be able to identify all signs and symptoms of infection, or would it be satisfactory if they identified only two symptoms?  A sample objective that illustrates these points is: “After reading this lecture (condition), the graduate student in the nurse educator track (audience) will be able to write an
objective (behavior) using the A-B-C-D approach (degree).”  The above objective dictates that the student will be able to write an objective, as opposed to discussing or identifying it. Since the objective says “write,” the student must write an objective to meet this objective. If the objective instead said:
“List the components of a complete learner objective,” the appropriate evaluation would require that the student list the A-B-C-D; whereas the objective “describe the components” would have students describe the meaning of each A-B-C-D step. Well-written objectives will dictate the evaluation process.

Question 4276: Case Study on Moral Status

Details:
Based on “Case Study: Fetal Abnormality” and other required topic study materials, write a 750-1,000-word reflection that answers the following questions:
1. What      is the Christian view of the nature of human persons, and which      theory of moral status is it compatible with? How is this related to the      intrinsic human value and dignity?

2. Which      theory or theories are being used by Jessica, Marco, Maria, and Dr. Wilson to determine the moral status of the fetus? What from the case study specifically leads you to believe that they hold the theory you selected?
3. How does the theory determine or influence each of their recommendations for action?
4. What theory do you agree with? Why? How would that theory determine or influence the recommendation for action?
Remember to support your responses with the topic study materials.
While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
You are required to submit this assignment to LopesWrite. Refer to the  LopesWrite Technical Support articles  for assistance.

Question 4277: Psychiatric Nursing Questions

This quiz will cover the following topics in the attachment, which relate to psychotherapy with individuals in the Wheeler textbook and the Fisher textbook.
See the attachment for the open book quizzes and study guide.
Learning Resources
Required Readings
Wheeler, K. (Ed.). (2014). Psychotherapy for the advanced practice psychiatric nurse: A how-to guide for evidence-based practice (2nd ed.). New York, NY: Springer Publishing Company.

Question 4278: Describe your personal values and spiritual beliefs

Write a paper of 750-1,000 words examining your personal values and beliefs. Include the following:
APA format, 3 references
1. Describe your personal values and spiritual beliefs.
2. Using the elements of cost, quality, and social issues to frame your description, differentiate your beliefs and opinions about health care policy. Give examples of relevant ethical principles, supported by your values.

3. Analyze how factors such as your upbringing, spiritual or religious beliefs/doctrine, personal and professional experiences, and political ideology affect your current perspective on health care policy.
4. Examine any inconsistencies you discovered relative to the alignment of your personal values and beliefs with those concerning health policy. Discuss what insights this has given you.

Question 4279: Ethical Dilemmas

Write a 1,000-1,500-word essay in which you analyze ethical thinking and use values-based decision-making to address a case study from the perspective of the Christian worldview. Choose one case study from the five options listed in the attached “Ethical Dilemmas” document. After an appropriate introductory paragraph with a thesis statement in which you name the scenario you are choosing, address each of the following six sections with at least one paragraph each. Write at least one paragraph for each component using  he underlined titles for a subheading.
1. Ethical Dilemma: Briefly describe the ethical dilemma in your own words, including:

(a) what in the scenario makes it difficult to make an ethical decision and

(b) at least two options for resolving the scenario, providing a brief overview of what sort of ethical decisions each option might make.
2. Core Beliefs: What beliefs about God and humanity from the Christian worldview are relevant to the scenario? How might these core worldview commitments of Christians influence one’s decision-making with regard to this scenario?
3. Resolution: Describe the Christian worldview’s proposal for resolving the ethical dilemma. How should the person in the scenario act according to the Christian worldview? What is the best course of action for a Christian? (Note: The resolution should be consistent with Christian worldview commitments.)
4. Evaluation: What might be the unintended consequences and perceived benefits of the resolution proposed by the Christian worldview?
5. Comparison: How does the Christian worldview resolution compare to how another worldview might resolve the dilemma? Choose a specific contrasting worldview, such as atheism, pantheism, or scientism.
6. Conclusion: Synthesize the main points, pulling the ideas of the paper together.
7. References

Benchmark – Ethical Dilemmas

In at least 65 words, complete your introductory paragraph with a thesis statement in which you will address each of the following six sections with at least one paragraph each.

Ethical Dilemma

In at least 75 words, briefly describe the ethical dilemma in your own words.
Core Beliefs In at least 140 words, respond thoroughly to the questions in the assignment. Be sure to include citations.

Resolution

In at least 140 words, respond thoroughly to the questions in the assignment. Be sure to include citations.
Evaluation
In at least 140 words, respond thoroughly to the questions in the assignment. Be sure to include citations.
Comparison
In at least 140 words, respond thoroughly to the questions in the assignment. Be sure to include citations.
Conclusion
In at least 140 words, synthesize the main points, pulling the ideas of the paper together. Be sure to include citations and  you need references

Choose only one of the ethical dilemmas below to address in your essay.

1.Pornography
2. Euthanasia
3. Abortion
4.Performance Enhancing Drugs
5.Religious Tolerance

Question 4280: Privileged Note

Part 2: Privileged Note
Based on this week’s readings, prepare a privileged psychotherapy note that you would use to document your impressions of therapeutic progress/therapy sessions for your client from the Week 3
Practicum Assignment. (THE WEEK 3 ASSIGNMENT IS ATTACHED)
· The privileged note should include items that you would not typically include in a note as part of the clinical record.
· Explain why the items you included in the privileged note would not be included in the client’s progress note.
· Explain whether your preceptor uses privileged notes, and if so, describe the
type of information he or she might include. If not, explain why.

Learning Resources

Required Readings,
Wheeler, K. (Ed.). (2014). Psychotherapy for the advanced practice psychiatric nurse: A how-to guide for evidence-based practice (2nd ed.). New York, NY: Springer Publishing Company.
 Chapter 5, “Supportive and Psychodynamic Psychotherapy”      (pp. 238–242)
 Chapter      9, “Interpersonal Psychotherapy” (pp. 347–368)
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.).
Washington, DC: Author. Abeles, N., & Koocher, G. P. (2011). Ethics in psychotherapy. In J. C. Norcross, G. R. VandenBos, D. K. Freedheim, J. C. Norcross, G. R. VandenBos, & D. K. Freedheim (Eds.), History of psychotherapy:
Continuity and change (pp. 723–740). Washington, DC: American Psychological Association.
doi:10.1037/12353-048 Cameron, S., & Turtle-Song, I. (2002). Learning to write case notes using the SOAP format. Journal of Counseling and Development, 80(3), 286–292. Retrieved from the Academic Search Complete database.
(Accession No. 7164780)

Nicholson, R. (2002). The dilemma of psychotherapy notes and HIPAA. Journal of AHIMA, 73(2), 38–39.
Retrieved from http://library.ahima.org/doc?oid=58162#.V5J0__krLZ4http://library.ahima.org/doc?oid=58162#.V5J0__
krLZ4

U.S. Department of Health & Human Services. (n.d.). HIPAA privacy rule and sharing information related to mental health. Retrieved from http://www.hhs.gov/hipaa/for-professionals/special-topics/mental-
health/Required Media
Sommers-Flanagan, J., & Sommers-Flanagan, R. (2013). Counseling and psychotherapy theories in context and practice [Video file]. Mill Valley, CA: Psychotherapy.net.
Stuart, S. (2010). Interpersonal psychotherapy: A case of postpartum depression [Video file]. Mill Valley, CA: Psychotherapy.net.

Question 4281: Captain of the Ship Project

“Captain of the Ship” Project – Obsessive-Compulsive Disorders
In earlier weeks, you were introduced to the concept of the “captain of the ship.” In this Assignment, you become the “captain of the ship” as you provide treatment recommendations and identify medical
management, community support resources, and follow-up plans for a client with an obsessive- compulsive disorder.

Learning Objectives

Students will:

• Recommend psychopharmacologic treatments based on therapeutic endpoints
  for clients with obsessive-compulsive disorders
• Recommend psychotherapy based on therapeutic endpoints for clients with
  obsessive-compulsive disorders
•  Identify medical management needs for clients with obsessive-compulsive
  disorders
• Identify community support resources for clients with obsessive-compulsive
  disorders
•  Recommend follow-up plans for clients with depression disorders
  To prepare for this Assignment:
• Select an adult or older adult client with an obsessive-compulsive disorder you
  have seen in your practicum.

In 3–4 pages, write a treatment plan for your client in which you do the following:

• Describe the HPI and clinical impression for the client
•  Recommend psychopharmacologic treatments and describe specific and
  therapeutic endpoints for your psychopharmacologic agent. (This should relate
  to HPI and clinical impression.)
•  Recommend psychotherapy choices (individual, family, and group) and specific
  therapeutic endpoints for your choices.
•  Identify medical management needs, including primary care needs, specific to
  this client.
•  Identify community support resources (housing, socioeconomic needs, etc.) and
  community agencies that are available to assist the client.
•  Recommend a plan for follow-up intensity and frequency and collaboration with
  other providers.
•  Remember to include Introduction and Conclusion
  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 10, “Obsessive-Compulsive and Related      Disorders” (pp. 418–436)
Gabbard, G. O. (2014). Gabbard’s treatment of psychiatric disorders (5th ed.). Washington, DC: American Psychiatric Publications. Chapter 21, “Obsessive-Compulsive Disorder”

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author. “Obsessive-Compulsive and Related Disorders”

Required Media
Bruce, T. & Jongsma, A. (Producers). (n.d.) Evidence-based treatment planning for obsessive compulsive disorder [Video file]. Mill Valley, CA: Psychotherapy.net.