Assignment Discussion
A walk through the Business section of any bookstore or a quick Internet search on the topic will reveal a seemingly endless supply of writings on leadership. Formal research literature is also teeming with volumes on the subject.
However, your own observation and experiences may suggest these theories are not always so easily found in practice. Not that the potential isn’t there; current evidence suggests that leadership factors such as emotional intelligence and transformational leadership behaviors, for example, can be highly effective for leading nurses and organizations.
Yet, how well are these theories put to practice? In this Discussion, you will examine formal leadership theories. You will compare these theories to behaviors you have observed firsthand and discuss their effectiveness in impacting your organization.
To Prepare:
Review the Resources and examine the leadership theories and behaviors introduced.
Identify two to three scholarly resources, in addition to this Module’s readings, that evaluate the impact of leadership behaviors in creating healthy work environments.
Reflect on the leadership behaviors presented in the three resources that you selected for review.
By Day 3 of Week 4
Post two key insights you had from the scholarly resources you selected. Describe a leader whom you have seen use such behaviors and skills, or a situation where you have seen these behaviors and skills used in practice. Be specific and provide examples. Then, explain to what extent these skills were effective and how their practice impacted the workplace
Journal Entry
Apply documentation skills to examine family therapy sessions *
Develop diagnoses for clients receiving family psychotherapy *
Analyze legal and ethical implications of counseling clients with psychiatric disorders *
* The Assignment related to this Learning Objective is introduced this week and submitted in Week 3.
Select two clients you observed or counseled this week during a family therapy session. Note: The two clients you select must have attended the same family session.
Then, address in your Practicum Journal the following:
Using the Group Therapy Progress Note in this week’s Learning Resources, document the family session.
Describe (without violating HIPAA regulations) each client, and identify any pertinent history or medical information, including prescribed medications.
Using the Diagnostic and Statistical Manual of Mental Health Disorders, Fifth Edition (DSM-5), explain and justify your diagnosis for each client.
Explain any legal and/or ethical implications related to counseling each client.
Support your approach with evidence-based literature.
Evidence-base Practice
The most common sampling method is the convenience sample; therefore, many of the studies that you find for evidence use this sampling method. What are the implications of using a convenience sample on the way that you interpret and use the findings?
Compare the sampling strategies for quantitative studies with qualitative studies. What negative effects could occur if you used a quantitative sampling method for a qualitative study and vice versa?
Literature Evaluation Table
In nursing practice, accurate identification and application of research is essential to achieving successful outcomes. The ability to articulate research data and summarize relevant content supports the student's ability to further develop and synthesize the assignments that constitute the components of the capstone project.
The assignment will be used to develop a written implementation plan.
For this assignment, provide a synopsis of the review of the research literature. Using the ""Literature Evaluation Table,"" determine the level and strength of the evidence for each of the eight research articles you have selected. The articles should be current (within the last 5 years) and closely relate to the PICOT question developed earlier in this course. The articles may include quantitative research, descriptive analyses, longitudinal studies, or meta-analysis articles. A systematic review may be used to provide background information for the purpose or problem identified in the proposed capstone project.
Case Study Analysis
Alterations in the Cardiovascular and Respiratory Systems (Advanced Patho-WK4),"An understanding of the cardiovascular and respiratory systems is a critically important component of disease diagnosis and treatment. This importance is magnified by the fact that these two systems work so closely together. A variety of factors and circumstances that impact the emergence and severity of issues in one system can have a role in the performance of the other. Effective disease analysis often requires an understanding that goes beyond these systems and their capacity to work together. The impact of patient characteristics, as well as racial and ethnic variables, can also have an important impact.
An understanding of the symptoms of alterations in cardiovascular and respiratory systems is a critical step in the diagnosis and treatment of many diseases. For APRNs this understanding can also help educate patients and guide them through their treatment plans.
In this Assignment, you examine a case study and analyze the symptoms presented. You identify the elements that may be factors in the diagnosis, and you explain the implications to patient health.
Case Study:
45-year-old woman presents with a chief complaint of 3-day duration of shortness of breath, cough with thick green sputum production, and fevers. Patient has a history of COPD with a chronic cough but states the cough has gotten much worse and is interfering with her sleep. Sputum is thicker and harder for her to expectorate. CXR reveals a flattened diaphragm and an increased AP diameter. Auscultation demonstrates hyper resonance and coarse rales and rhonchi throughout all lung fields.
Assignment 2-page case study analysis)
In your Case Study Analysis related to the scenario provided, explain the following
· The cardiovascular and cardiopulmonary pathophysiologic processes that result in the patient presenting these symptoms.
· Any racial/ethnic variables that may impact physiological functioning.
· How these processes interact to affect the patient
Public Policy Meeting
Submit a 3-4 page summary paper on the public policy meeting. Include headings in your paper that address these components:
The purpose of the meeting, key participants, key agenda items, and meeting logistics
Background information and a description about the committee
One specific topic that was discussed at the meeting and an explanation of the committee process
An analysis of the key stakeholder positions related to the topic discussed
Key interactions that occurred at the meeting
Outcomes of the meeting including the specific topic focus
APA format (6th ed.), proper grammar, and references as appropriate
Cognitive Behavioral Theory Versus Rational Emotive Behavioral Theory
In a 1- to 2-page paper, address the following:
Briefly describe how cognitive behavioral therapy (CBT) and rational emotive behavioral therapy (REBT) are similar.
Explain at least three differences between CBT and REBT. Include how these differences might impact your practice as a mental health counselor.
Explain which version of cognitive behavioral therapy you might use with clients and why. Support your approach with evidence-based literature
Discussion
Kenya Mcclendon
Based on this 35 y.o. female with symptoms of a “very painful” vesicular rash along the left lateral rib, under the breast and has fatigue. Additionally, the woman has a 6-month-old infant who is breastfeeding and three other children over 3 years of age, all of whom were not vaccinated. Vesicular rashes can appear on almost any region of the skin and vesicular rash that appear on the trunk area are filled with red blisters. (Mayo Clinic, 2018). Based on the information provided, chickenpox or shingles, herpes are possible diagnoses, however, chickenpox appears to be the probable diagnosis.
Chickenpox is an infection caused by the varicella-zoster virus. It causes an itchy rash with small, fluid-filled blisters, which is non-painful. Chickenpox is highly contagious to people who haven't had the disease or been vaccinated against it. The chickenpox vaccine protects children and the initial dose if given between 12-15 months of age. Due to the woman declining the vaccine for her children, there is a high risk and the likelihood that her children may have also been exposed to the virus. I would ask if the children had an itchy rash, fever, poor appetite, or had gone to a daycare. Based the woman’s rash being painful, chickenpox is ruled out. The most probable diagnosis is shingles.
Shingles is an infection caused by the varicella-zoster virus, which is the same virus that causes chickenpox. (Mayo Clinic, 2018). Even after the chickenpox infection is over, the virus may live in your nervous system for years before reactivating as shingles. This type of viral infection is characterized by a red skin rash that can cause pain and burning. Shingles usually appears as a stripe of blisters on one side of the body, typically on the torso, neck, or face. (Mayo Clinic, 2018). The woman is experiencing symptoms of fatigue due to recent stress related to providing 24-hour care in her home to her mother, who is seriously ill.
I would gather more information by asking the woman if her mom currently has a rash, did her mom have a history of chickenpox and was she vaccinated. Shingles could spread through direct contact with fluid from the rash blisters. (CDC, 2019). Treatment includes antiviral medications such as Acyclovir (Zovirax),: 800 mg PO q4hr while awake (5 times daily) for 7-10 days, Valacyclovir (Valtrex) 1000 milligrams (mg) three times a day for seven days and Famciclovir 500 milligrams (mg) every eight hours for seven days. (CDC, 2019). These medications are the most effective to treat shingles, shorten the length and severity of the illness and should be taken as soon as possible after the rash appears. (CDC, 2019). Pain medicine, would include Acetaminophen 325-650 mg every four hours as needed. The woman requires a two week follow-up care with medical provider.
Reference
Centers of Disease Control and Prevention (2019). Shingles. Retrieved from https://www.cdc.gov/shingles/about/index.html
Mayo Clinic Staff. (2018). Shingles.
mayoclinic.org/diseases-conditions/shingles/symptoms-causes/syc-20353054
2 Goldie Nwachuku
Which conditions should be considered as possible diagnoses?
Ans: It is possible the 35 year old woman has Shingles or herpes zoster, which is a viral infection caused by chicken pus virus known as varicellar-zoster virus
What additional information should be gathered to make the diagnosis?
Ans:Taking medical history, looking at the rash and scraping the tissue from the rash or swab some fluid from the blisters and send to lab for testing
Which condition is the woman likely experiencing?
Ans:The woman is experiencing herpes zoster or shingles virus due to the symptoms of severe pain and rash on the left lateral rib area.
What other information should you obtain from the patient?
Ans: Taking Medical history including history of chicken pox and chicken pox vaccine (Hollier, 2016).
What treatment plan should you prescribe?
Ans: Research study shows that shingle vaccine is a preventative therapy and not a treatment for those who already have shingles.
No treatment for shingles
Antiviral medications taken 3 days after rash appears to help reduce severity of shingle attack
Cool wash cloth, pain reliever, calamine lotion, oatmeal bath to help relieve itching.
What follow-up care should you recommend?
Ans:According to Centers for Disease control and prevention (CDC), it is recommended that the patient with shingles stay away from anyone who has not had chicken pox or the chicken pox vaccine or any one with weak immune system.
After recovering, to get RZV, shingrix a preferred shingles vaccine given in 2 doses separated by 2 to 6 months apart.
Based on the likely diagnosis, what are your concerns about the other members of the family?
Ans: Shingles are not contagious but one can catch chicken pox from someone with shingles if one never have chicken pox or vaccine as in the case of the three children over 3 years whom parents have chosen not to vaccinate against common childhood illnesses. Stress can increase risk of shingles. Immune system may be weaker when one have infection.
The new born baby of mother with shingle may be given Zoster immune globulin due to baby immature of immune system to fight off the attack.
The main objective of medical research on shingles are to develop drugs to fight the disease and prevent or treat its complications and also to study and understand the disease well to prevent it especially in people at high risk (National Center for Immunization and Respiratory Disease).
Psychotherapy With Individuals
1.Practicum Journal Entry: You will write about a client you observed or counseled.
Select a client whom you observed or counseled this week. Then, address the following in your Practicum Journal:
Describe the client (without violating HIPAA regulations) and identify any pertinent history or medical information, including prescribed medications.
Using the Diagnostic and Statistical Manual of Mental Health Disorders, 5th edition (DSM-5), explain and justify your diagnosis for this client.
Explain any legal and/or ethical implications related to counseling this client.
Support your approach with evidence-based literature.
Diagnosis here is Major Depressive disorder and Anxiety. Use a 60 years male. diagnosed with Major depressive disorder. now in the therapist office complaining of Anxiety.
Medication are Sertraline(Zoloft)
2. Practicum Journal Entry: You will write about a client you observed or counseled and explain whether cognitive behavioral therapy would be effective with this client.
Select a client that you observed or counseled this week. Then, address the following in your Practicum Journal:
Describe the client (without violating HIPAA regulations) and identify any pertinent history or medical information, including prescribed medications.
Using the DSM-5, explain and justify your diagnosis for this client.
Explain whether cognitive behavioral therapy would be effective with this client. Include expected outcomes based on this therapeutic approach. Support your approach with evidence-based literature.
Explain any legal and/or ethical implications related to counseling this client.
This use a 55 years old male with the diagnosis of major depressive disorder and Post traumatic disorder.
Developing Organizational Policies and Practices
Competing needs arise within any organization as employees seek to meet their targets and leaders seek to meet company goals. As a leader, successful management of these goals requires establishing priorities and allocating resources accordingly.
Within a healthcare setting, the needs of the workforce, resources, and patients are often in conflict. Mandatory overtime, implementation of staffing ratios, use of unlicensed assisting personnel, and employer reductions of education benefits are examples of practices that might lead to conflicting needs in practice.
Leaders can contribute to both the problem and the solution through policies, action, and inaction. In this Assignment, you will further develop the white paper you began work on in Module 1 by addressing competing needs within your organization.
To Prepare:
Review the national healthcare issue/stressor you examined in your Assignment for Module 1, and review the analysis of the healthcare issue/stressor you selected.
Identify and review two evidence-based scholarly resources that focus on proposed policies/practices to apply to your selected healthcare issue/stressor.
Reflect on the feedback you received from your colleagues on your Discussion post regarding competing needs.
The Assignment (4-5 pages):
Developing Organizational Policies and Practices
Add a section to the paper you submitted in Module 1. The new section should address the following:
Identify and describe at least two competing needs impacting your selected healthcare issue/stressor.
Describe a relevant policy or practice in your organization that may influence your selected healthcare issue/stressor.
Critique the policy for ethical considerations, and explain the policy’s strengths and challenges in promoting ethics.
Recommend one or more policy or practice changes designed to balance the competing needs of resources, workers, and patients, while addressing any ethical shortcomings of the existing policies. Be specific and provide examples.
Cite evidence that informs the healthcare issue/stressor and/or the policies, and provide two scholarly resources in support of your policy or practice recommendations.
