Executive Summary

In this assignment, you will propose a quality improvement initiative from your place of employment that could easily be implemented if approved. Assume you are presenting this program to the board for approval of funding. Write an executive summary (750-1,000 words) to present to the board, from which the board will make its decision to fund your program or project. Include the following:


 The purpose of the quality improvement initiative.

 The target population or audience.

 The benefits of the quality improvement initiative.

 The interprofessional collaboration that would be required to implement the quality improvement initiative.

 The cost or budget justification.

 The basis upon which the quality improvement initiative will be evaluated.


Prepare this assignment according to the guidelines found in the APA Style Guide. 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

Skin Attendance

Please answer the 5 questions below for attendance credit. Submit your answers to the proper assignment folder. Please do not share work.


 What are the major risk factors for Atopic Dermatitis and what is the therapeutic management for a child suffering from this dermatologic disease? 

 Explain the differences between bacterial, viral and fungal skin infections.

 What is pediculous capitis and what would you include when educating parents about the treatment course?

 Describe characteristics (appearance, sensations patient may feel) of a superficial burn, partial thickness burn, and full thickness burn. Do not discuss first degree, second degree, or third degree burns (they are not medical terms)

 Describe 4 signs of an inhalation injury in a burn victim

Discussion

Describe the characteristics of performance-driven team. Describe the difference between intrinsic and extrinsic motivation and explain why it is important in understanding the types of motivation when it comes to team performance.

Personal Statement

Discuss reasons for applying to the Accelerated Bachelors of Science in Nursing program at the XXXXXX and how it fits into personal, educational, and professional goals

Legal and Ethical Considerations for Group and Family Therapy

Considering the Health Insurance Portability and Accountability Act (HIPPA), the idea of discussing confidential information with a patient in front of an audience is probably quite foreign to you. However, in group and family therapy, this is precisely what the psychiatric mental health nurse practitioner does. In your role, learning how to provide this type of therapy within the limits of confidentiality is essential. For this Discussion, consider how limited confidentiality and other legal and ethical considerations might impact therapeutic approaches for clients in group and family therapy.

Learning Objectives

Students will:


 Compare legal and ethical considerations for group and family therapy to legal and ethical considerations for individual therapy

 Analyze the impact of legal and ethical considerations on therapeutic approaches for clients in group and family therapy

 Recommend strategies to address legal and ethical considerations for group and family therapy


To prepare:


 Review this week’s Learning Resources and consider the insights they provide on group and family therapy.

 View the media, Legal and Ethical Issues for Mental Health Professions, Volume I, and reflect on legal and ethical considerations for group and family therapy and individual therapy.


Post an explanation of how legal and ethical considerations for group and family therapy differ from those for individual therapy. Then, explain how these differences might impact your therapeutic approaches for clients in group and family therapy. Support your rationale with evidence-based literature.

Discussion

Due to the increasing percentage of older adult clients in the U.S., it is imperative that healthcare providers assess and confront their own attitudes and perceptions toward older adults.

In your initial post, address the following:


 Describe ageism and its impact on societal views of older adult clients.

 Explain how ageism can influence the healthcare provisions of older adult clients.

 As a healthcare provider, how can one best assess and confront attitudes, perceptions, behaviors, and biases toward older adults?

Medical Surgical case study

Musculoskeletal Systems FunctionThe nurse in the outpatient orthopedic clinic is reviewing the medical records of several patients being seen in the clinic today. In the most recent note by the provider, the nurse reads the following:'A 67-year-old, moderately obese woman examined today for increasing back and left shoulder pain. Limited circumduction of left arm noted in comparison with right arm. Strength of left arm is less than right, with less muscle definition in the left arm. Examination of back indicates significant kyphosis, and the patient states that she is ‘shrinking.’ Bone density testing of the hip is ordered.”1. How does the nurse interpret “limited circumduction”2. When the patient arrives, the nurse correlates the “kyphosis” with what physical finding? What causes kyphosis in the older adult?3. How should the nurse explain the patient’s decreasing height?4. What is the rationale for ordering bone density testing of the hip in this patient?Assignment should be in APA format.

Introductory Nutrition

This project allows you to demonstrate the depth of your understanding of the important concepts presented in this course, so please start it as early as you can.

Please submit Part 1 and Part 2 of this assignment to Blackboard. 

· Diet and Wellness reports should be submitted as pdf documents. There should be 9 pdf reports. 

· Answers to questions in Section B, C, D, and questions in Part 2 into 1 Microsoft Word document and submit it in Blackboard.

Part 1: Dietary Self-Assessment (up to 70 points)

Section A: Food Record 

Record 3 days of your food and beverages in the Diet and Wellness app (as you did at the start of the semester), and generate 3 Daily Food Log reports to show your diet record. You can generate your Food Logs from the Reports tab in D&W+. Adjust the date in each case to obtain the Food Log from the appropriate day. 

Section B: Diet & Wellness Plus Diet Analysis

Generate an Intake vs Goals report, as well as 3 Source Analysis reports (for kilocalories, saturated fat, and sodium). You can generate these reports from the Reports tab in D&W+. For each report, you need to set a start date and an end date to capture all 3 days. 

Section C: Your Genetic Risk for Chronic Disease

Recall from Chapter 1 that each of us has a unique risk for developing chronic conditions such as heart disease or diabetes. This risk is based on how we eat, lifestyle choices such as exercise habits and smoking, and the genes we inherit from our parents.

1. List 6 relatives (parents, grandparents, aunts, uncles, siblings, and cousins for example). As you choose these people, focus on older relatives as well as any younger family members who have already been diagnoses with health conditions. They may be living or not.

2. Indicate which (if any) of these people had or have any of the following conditions: 

· Heart Disease

· Pre-hypertension, Hypertension, or Stroke

· Obesity

· Cancer

· Pre-diabetes, Gestational diabetes, or Type 2 diabetes

· Osteoporosis

If you cannot list any “blood” relatives, then list people with whom you grew up. If you don’t know if anyone has had these conditions, list their current age or the age at which they died.

Section D: Interpretation

Using the information from parts sections A, B, and C above, answer the 6 questions below.

1. List 4 vitamins and/or minerals that you consumed in adequate amounts and discuss how this protects you.

2. List 4 vitamins and/or minerals that you consumed in low amounts, and discuss the potential dangers to your health.

3. List your calorie, saturated fat, and sodium intake, and indicate if you overconsumed any of them. Discuss the potential dangers to your health.

4. Discuss 3 chronic disease conditions you are at risk for (or would otherwise avoid) based on your 3-day typical eating pattern and your Medical family tree

5. Using information from Chapters 7 and 8, identify 4 foods you are willing to eat to correct any shortages of vitamins and/or minerals.

6. Using your Source Analysis reports, identify 4 foods you could cut back on to reduce excess calories, saturated fat and/or sodium.

For this Part 1 you are submitting the following to Blackboard for grading:

· 3 Food Logs

· 4 Reports: 1 Intake vs Goals and 3 Source Analysis (Kilocalories, Saturated Fat, and Sodium)

· Family History of Chronic Disease (in a table format)

· Your answers to the 6 questions.

Part 2: Food Bank Analysis (up to 30 points)

Many Americans rely on food banks to make sure they and their families have enough to eat. Although food banks have some capacity to collect and distribute perishables (fresh fruits, vegetables, dairy, and meat), they tend to rely on packaged foods with a long (unrefrigerated) shelf-life. This, of course, affects the nutritional content of their offerings.

1) Identify a local food pantry, and research their mission and the nutrition services they provide.

2) Using the food bank typical food list on the last page, create a menu for one day (breakfast, lunch and dinner). Please make sure you include foods from each of the food groups:

a) Grains

b) Milk

c) Protein

d) Fruit

e) Vegetable

3) Enter your choices into Diet and Wellness as though you are the client, and generate a Food Log report and an Intake vs. Goals Report.

4) Identify 3 nutrients for which you met the DRI recommendations.

5) Identify 3 nutrients for which you were below the DRI recommendations.

6) Discuss 3 implications of your Intake vs Goals report findings on the long-term health of people who rely on food banks for long periods of time.

7) Based on question 6, List 3 pieces of advice you would provide to these clients based on your analysis.

For Part 2 you are submitting the following to Blackboard for grading:

· The name and mission of your chosen food pantry

· 1 Food Log

· 1 Intake vs Goals Report

· Your answers to questions 4, 5, 6, and 7 above.

  

Food Bank Typical Inventory

  

Grains

Infant cereal

Macaroni

Oatmeal

Grits

Cream of wheat

Pretzels

Muffin mix

Pancake mix

Rice pilaf

Rigatoni

Cereal 

Quick bread mix

Flour 

Macaroni & cheese, boxed 

Rice (brown or white)

Spaghetti

Cornmeal

Noodles 

Biscuit mix

Canned pasta

Graham crackers

Noodle soups

Dairy

Dried milk

Infant formula

Evaporated (canned) milk 

Boxed milk

Canned & Boxed pudding

Parmesan cheese

Structural Versus Strategic Family Therapies

Summarize the key points of both structural family therapy and strategic family therapy.

 Compare structural family therapy to strategic family therapy, noting the strengths and weaknesses of each.

 Provide an example of a family in your practicum using a structural family map. Note: Be sure to maintain HIPAA regulations.

 Recommend a specific therapy for the family, and justify your choice using the Learning Resources.Required Readings


helpfull links

McNeil, S. N., Herschberger, J. K., & Nedela, M. N. (2013). Low-income families with potential adolescent gang involvement: A structural community family therapy integration model. American Journal of Family Therapy, 41(2), 110-120. doi:10.1080/01926187.2011.649110

Méndez, N. A., Qureshi, M. E., Carnerio, R., & Hort, F. (2014). The intersection of Facebook and structural family therapy volume 1. American Journal of Family Therapy, 42(2), 167-174. doi:10.1080/01926187.2013.794046 

Nichols, M., & Davis, S. D. (2020). The essentials of family therapy (7th ed.). Boston, MA: Pearson.

Chapter 4, “Bowen Family Systems Therapy” (pp. 56-71)

Chapter 5, “Strategic Family Therapy” (pp. 72-88)

Chapter 6, “Structural Family Therapy” (pp. 89-104

Nichols, M., & Tafuri, S. (2013). Techniques of structural family assessment: A qualitative analysis of how experts promote a systemic perspective. Family Process, 52(2), 207-215. doi:10.1111/famp.12025

Ryan, W. J., Conti, R. P., & Simon, G. M. (2013). Presupposition compatibility facilitates treatment fidelity in therapists learning structural family therapy. American Journal of Family Therapy, 41(5), 403-414. doi:10.1080/01926187.2012.727673 

Sheehan, A. H., & Friedlander, M. L. (2015). Therapeutic alliance and retention in brief strategic family therapy: A mixed-methods study. Journal of Marital and Family Therapy, 41(4), 415-427. doi:10.1111/jmft.12113

​Szapocznik, J., Muir, J. A., Duff, J. H., Schwartz, S. J., & Brown, C. H. (2015). Brief strategic family therapy: Implementing evidence-based models in community settings. Psychotherapy Research: Journal of the Society for Psychotherapy Research, 25(1), 121-133. doi:10.1080/10503307.2013.856044

TherapistAid. (2020). Genograms for psychotherapy. Retrieved from https://www.therapistaid.com/therapy-guide/genograms

Case study

Identify and assess the key principles of inner leadership, leading people, managing resources, leader credibility and relevance and community outreach for a health leader . 1 or two pages