Tag: Clinical-Nursing

  • NSG 4065 Personal Statement

    NSG 4065 Personal Statement

    Assignment 1: Personal Statement

    Post a brief 1–2 page description of what you understand by holistic nursing and a holistic nursing experience you have had to this 
    Discussion Area.  

    Your description should also include the following:

    How do you see this course  enhancing your professional practice?

    At least two things that you would  like to get from this course.

    Spend some time reading the introductions of others to get to know the experiences of your classmates.
     
    Ask questions and respond to the overall experience of your peers within this 
    Discussion Area. 
    Post your response to at least two of your peers’ postings. NSG 4065 Personal Statement.

    NSG 4065 Week 1 Discussion 2 
    Assignment 2: Discussion Assignment

    Post responses to both of the discussion prompts.
     
    All discussions should be posted to the appropriate topic in this Discussion Area using the American Psychological Association (APA) format.

    ORDER A PLAGIARISM-FREE PAPER HERE

    Citations should conform to APA guidelines.

    Click the APA icon to refer to the APA style format.

    Begin commenting on at least 2 of your peers’ responses. You can ask questions or respond generally to the overall experience.NSG 4065 Personal Statement  Be objective, clear, and concise. Always use constructive language, even in criticism, to work toward the goal of positive progress. All comments should be posted to the appropriate topic in this Discussion Area.

    Prompt 1

    In the Holistic view of health and illness, there is a definite distinction made between the outcomes of healing and cure. One of the ideas stated in the reading is that healing can occur even in the absence of cure. Do you agree or disagree with this statement? Why? Give sources to support your position. Be sure to include clinical experiences from your nursing practice and citations from the readings or the online library NSG 4065 Personal Statement.

    Prompt 2

    In the lecture you saw that there are four holistic modalities to self—physical, mental, emotional, and spiritual. NSG 4065 Personal Statement Choose one modality and discuss how improving health in that modality will improve health in the whole being. Give examples from your clinical experience and cite sources from the readings or the online library.

    NSG 4065 Week 1 Assignment 3 Latest SU 
    Assignment 3: Project Introduction

    In a holistic care philosophy, developing a plan that addresses the care of the Whole person is necessary to support health and healing. The holistic caring process utilizes the steps of assessment, identification of patterns/challenges/needs, defining specific outcomes, developing a therapeutic care plan, and implementation and evaluation of the plan. The following aspects of the person should be included in the plan: physical, emotional, mental, and spiritual patterns and needs. NSG 4065 Personal Statement.

    Make a case file of a family member, friend, or coworker. This cannot be a patient from your clinical practice. The file should include the following details: initials, age, past and present health status, present concerns, past and present coping patterns, healing beliefs, health values, social support, religious/spiritual practices, and his or her personal health goals NSG 4065 Personal Statement.

    Write a summary regarding all the aspects of the patient (physical, mental, emotional, and spiritual) on the basis of the information you get on compiling the responses.

    Post a summary of your experience of this process in a 2-3 page Word document to the W1: Assignment 3 Dropbox. NSG 4065 Personal Statement
    .

  • Nurs 6640 week 1 discussion – biological basis of psychotherapy treatments essay examples

    Nurs 6640 week 1 discussion – biological basis of psychotherapy treatments essay examples 

    Psychotherapy and Biology

    Before the question of whether psychotherapy has a biological basis, we must first understand what psychotherapy means. Nurs 6640 week 1 discussion – biological basis of psychotherapy treatments essay examples. Psychotherapy is “any alteration in an individual’s interpersonal environment, relationships, or life situation brought about especially by a qualified therapist and intended to have the effect of alleviating symptoms of mental or emotional disturbance” (Merriam-Webster, 2018).

    ORDER A PLAGIARISM-FREE PAPER HERE

    There is an increasing consensus with evidence provided by neuroscience, psychology, and the cognitive sciences the psychotherapy does have a biological basis (Prosser, Helfer, & Leucht, 2016). The combination of these three sciences developed the free-energy principle which acknowledges that the environments we inhabit are complex and ever changing and the brain must constantly adapt to these changes (Prosser, Helfer, & Leuch, 2016). The free-energy framework claims that the brain attempts to adapt to the changing environment by minimizing prediction error, and by doing this the brain changes how the structure of the environment is encoded in the brain sometimes causing mental disorders (Prosser, Helfer, & Leucht, 2016).

    Psychotherapy has also been shown to change activity levels in the prefrontal cortex. According to a UCLA study on depression people with this condition had abnormally high activity in the prefrontal cortex (Deen, 2015). The researchers found that the patients who participated in interpersonal therapy had a decrease in prefrontal cortex activity (Deen, 2015). The author continues with a study preformed in the Netherlands with individuals with chronic fatigue syndrome (CFS). It was found the people with CFS have a decrease in the gray matter in the brain but after several sessions of cognitive behavioral therapy there was a significant increase in gray matter volume in the prefrontal cortex (Deen, 2015).

    Influences on Psychotherapy Treatment

    There are many factors that influence a person’s value of psychotherapy including socioeconomic status, race and racial beliefs, racial match, and religious factors. With many factors potentially influencing the clients perspective of psychotherapy it is important that the practitioner become culturally competent. Nurs 6640 week 1 discussion – biological basis of psychotherapy treatments essay examples.

    Racial factors can hinder quality care for the mental health patient. In some studies racial match of clients can be associated with an increase in the utilization of mental health services and promote favorable outcomes (Meyer & Zane, 2013, p. 3). The increase in more favorable outcomes could be because the ethnic minority clients may view ethnically similar psychotherapists as a more credible source of help because the assume a shared culture or values (Meyer & Zane, 2013, p. 3).

    As stated before, there are many factors that can influence the value a person placed on psychotherapy, even the words used can increase the value a client places on therapy. Regarding the Navajo and psychotherapy, they see it as a practice pertaining to illness and healing and the terminology used becomes important (Lewis-Fernández, 2011, p. 5). When the word belief is applied to aspects of therapy it carries the connotation of falsehood, instead of saying what is your belief on mental illness and psych therapy one should use the terms values, attitudes on, view, but never beliefs (Lewis-Fernández, 2011, p. 6). Nurs 6640 week 1 discussion – biological basis of psychotherapy treatments essay examples In this example of culture and how it influences psychotherapy it would be very important to be culturally competent in the Navajo culture because just the verbiage used could alter the outcome of psychotherapy.

    References

    Deen, S. (2015). How Psychotherapy Changes the Brain.
    American Psychiatric Association
    .

    Lewis-Fernández, R. (2011). Commentary on “Elements of Psychotherapy in Navaho Religion”: A Perspective from Contemporary Cultural Psychiatry.
    Psychiatry: Interpersonal and Biological Processes
    ,
    74
    (4), 293-300. doi:10.1521/psyc.2011.74.4.293

    Merriam-Webster. (2018, February 24). PSYCHOTHERAPY. Retrieved from https://www.merriam-webster.com/dictionary/psychotherapy

    Meyer, O. L., & Zane, N. (2013). THE INFLUENCE OF RACE AND ETHNICITY IN CLIENTS’ EXPERIENCES OF MENTAL HEALTH TREATMENT.
    Journal of Community Psychology
    ,
    41
    (7), 884-901. doi:10.1002/jcop.21580

    Prosser, A., Helfer, B., & Leucht, S. (2016). Biological v. psychosocial treatments: A myth about pharmacotherapy v. psychotherapy.
    British Journal of Psychiatry
    ,
    208
    (04), 309-311. doi:10.1192/bjp.bp.115.178368. Nurs 6640 week 1 discussion – biological basis of psychotherapy treatments essay examples.

     

    Nurs 6640 week 1 discussion – biological basis of psychotherapy treatments essay examples 2

    Explanation of Whether Psychotherapy Has a Biological Basis

    Practicing as a psychiatric mental health practitioner is not a profession that is geared towards implementing direct care for people to provide immediate recovery (Holttum, 2014). Yet, it is a profession that is recovery-focused and involves taking the time to learn about people, believing in their strengths, while supporting their personal recovery, goals, and endeavors opposed to focusing on their problems (Holttum, 2014). Thus, the avenue by which this is done is through psychotherapy (Holttum, 2014). According to Wheeler (2014), there are various psychotherapy approaches that may be used as a psychological intervention for people with mental illness. Additionally, psychotherapy has been proven to have a biological basis similar to the biological treatment that may be seen through the use of medications (Aboujaoude, 2009). For example, Aboujaoude (2009) explains how evidence has proven through brain imaging research that cognitive behavioral therapy (CBT) produces alterations in the brain that is similar to the changes that are produced by psychotropic medications. Hence, this evidence proves that psychological interventions can modify an individual’s symptoms (Aboujaoude, 2009). An example of this can be seen in people with obsessive-compulsive disorder (OCD). Patients with OCD present with neuronal hyperactivity that is measured by an increased rate of glucose metabolism that can be observed on a positron emission tomography (PET), particularly in the caudate nucleus region of the brain (Aboujaoude, 2009). Thus, psychotropic medications such as Prozac or psychotherapy treatments such as CBT have been proven to reduce the rate of glucose metabolism and improve OCD symptoms (Aboujaoude, 2009). Nurs 6640 week 1 discussion – biological basis of psychotherapy treatments essay examples. Hence, giving CBT the appearance of working as a biological treatment like psychotropic medications (Aboujaoude, 2009).

    Explanation of How Culture, Religion & Socioeconomics Influence the Perspective of the Value of Psychotherapy Treatments

    Culture
              

               
    In order to effectively diagnose and treat clients with mental illness, the mental health practitioner would need to consider the client’s culture, religion, and socioeconomic influences to determine how to appropriately provide psychotherapy treatments (Wheeler, 2014). Although it is not imperative to have a vast knowledge base regarding numerous cultures, practitioners should have a working knowledge of the client’s background and research their culture (Wheeler, 2014). Making cultural generalizations will not be helpful when it comes to distinguishing how to work specifically with diverse individuals (Wheeler, 2014). Thus, to be effective, mental health care professionals should be willing and open to ask genuine questions pertaining to their client’s culture while admitting to ignorance and allowing teaching moments by their patients (Wheeler, 2014). When practitioners acknowledge that they may make mistakes regarding their client’s culture and may need to be corrected at times, it will decrease the power imbalance in the client-practitioner relationship while strengthening the therapeutic connection and alliance (Wheeler, 2014). In addition, practitioners should assess his/her own cultural competency by identifying personal prejudices and biases towards diverse cultures and assessing their knowledge of the client’s cultural-bound illnesses, and worldviews (Wheeler, 2014). Also, mental health professionals should evaluate their desire for being culturally competent as well as evaluating their ability and skill to conduct cultural assessments and culturally based physical exams (Wheeler, 2014). According to Wheeler (2014), an individual’s culture has the tendency to shape their judgments, attributions, and perceptions. Nurs 6640 week 1 discussion – biological basis of psychotherapy treatments essay examples. Therefore, when mental health practitioners have patients from different cultural backgrounds they should inquire how the client feels about working with them which may open up dialogue concerning any issues that could influence the value of psychotherapy treatment (Wheeler, 2014).

    Religion

    On the other hand, religion may influence one’s perspective of the value of psychotherapy treatments by recognizing how its theme may provide both harmony and balance in the client’s life or the very opposite (Prieto, Simao, & Nasello, 2007). Some practitioners have found that complexities may occur when religion is addressed during psychotherapy due to the diverse concepts pertaining to spirituality and religion (Prieto, Simao, & Nasello, 2007). Needless to say, mental health professionals should have a high quality of skills, knowledge, and exhibit ethical professionalism when integrating religious and spiritual aspects of the client’s life during psychotherapy treatment (Prieto, Simao, & Nasello, 2007). Thus, collecting and aligning information based on the patient’s values and beliefs will be a beneficial tool during the therapeutic process (Prieto, Simao, & Nasello, 2007). For example, practitioners should identify the relevance of whether religion or spiritual variances play a role in the clinical traits presented, as well as researching the role that religion plays in the client’s belief system (Prieto, Simao, & Nasello, 2007). The representations of God along with religious ideals should also be identified to determine its relevance and clinically approached (Prieto, Simao, & Nasello, 2007). According to Prieto, Simao, and Nasello (2007) adding religious or spiritual problems as a diagnostic category in the DSM-IV acknowledges how both spiritual and religious principles can be the center of psychotherapy treatment Nurs 6640 week 1 discussion – biological basis of psychotherapy treatments essay examples. However, practitioners must be careful not to influence their clients with their own personal religious, moral, or political values for by doing so will not only violate the therapeutic contract but will also reduce the client’s freedom and the therapist’s neutrality (Prieto, Simao, & Nasello, 2007).

    Socioeconomics

    An individual’s socioeconomic status can highly influence the perspective of the value of psychotherapy treatments. For example, Kim and Cardemil (2012) explain how psychotherapy processes are generally grounded in a middle-class worldview and can fail to meet the needs of clients from a lower socioeconomic class. Kim & Cardemil (2012) further explicate how research has shown that people from low-income backgrounds are not as likely to seek mental health services as higher socioeconomic classes would. Nurs 6640 week 1 discussion – biological basis of psychotherapy treatments essay examples Thus, when individuals with low-income do seek mental health services they are less likely to receive interventions that are evidence-based and more likely to discontinue services prematurely (Kim & Cardemil, 2012). Other factors that affect the continuity of mental health services for low-income individuals might include lack of transportation, child care, cultural diversities, and mistrust in the mental health care system (Kim & Cardemil, 2012). On the other hand, mental health practitioners may also face psychological barriers of their own when working with clients from a lower socioeconomic class that can affect the client’s treatment (Kim & Cardemil, 2012). Barriers might include feeling overwhelmed by their client’s despondent circumstances, negative stereotypes, and negative idealizations of individuals with low-income (Kim & Cardemil, 2012). Thus, such attitudes can create blind spots in providing adequate care leading to the assumption that psychotherapy would not be beneficial for this class (Kim & Cardemil, 2012). Nurs 6640 week 1 discussion – biological basis of psychotherapy treatments essay examples Therefore, in order to overcome such barriers, mental health professionals will need to devote explicit attention to social class issues during the psychotherapy process (Kim & Cardemil, 2012). This will require significant self-reflection, open acknowledgment of differences, and commitment to connect with the discomfort one might feel when working with clients that present diverse issues that are not commonly familiar to the mental health professional (Kim & Cardemil, 2012). Therefore, to attend to the issues of social class mental health professionals will need to assess the client’s social class and incorporate social class issues into the psychotherapy process (Kim & Cardemil, 2012).

     

    References

    Aboujaoude, E. (2009).  The biology of psychotherapy: Therapy is a biological treatment.

    Retrieved on August 23, 2018, from https://www.psychologytoday.com/us/blog/compulsive-acts/200907/the-biology-psychotherapy

    Holttum, S. (2014). When bad things happen our brains change but psychotherapy and support

    can help the recovery of our brains and our lives.
    Mental Health and Social Inclusion, 18
    (2), 52–58. doi:10.1108/MHSI-02-2014-0006

    Kim, S., & Cardemil, E. (2012). Effective psychotherapy with low-income clients: The

    importance of attending to social class. 
    Journal of Contemporary Psychotherapy
    , 
    42
    (1),

    27-35.

    Prieto, J.F.P., Simao, M. J. P., S., & Nasello, A. G. (2007). Spirituality, religiousness and

    psychotherapy. 
    Archives of Clinical Psychiatry,34
    (1), 136-145. doi:10.1590/S0101-60832007000700017

    Wheeler, K. (Eds.). (2014).
    Psychotherapy for the advanced practice psychiatric nurse: A how-

    to guide for evidence-based practice
    (2nd ed.). New York, NY: Springer Publishing Company.

     

    Nurs 6640 week 1 discussion – biological basis of psychotherapy treatments essay examples  response

    I enjoyed reading your post! I agree that in order to implement effective psychotherapy treatment the client’s culture, socioeconomic status, beliefs, values, and religion should be acknowledged and integrated into their treatment. Wadsworth (2012) explains the importance of identifying social inequality, the tension associated with living in poverty, and attending to the vigorous external and societal circumstances that impact the client’s mental health during psychotherapy Nurs 6640 week 1 discussion – biological basis of psychotherapy treatments essay examples. Thus, helping clients to attain insight into the difficulties they are experiencing concerning poverty-related stress will involve discussions pertaining to developing skills for coping with their stress, opposed to helping them to be happy with living in poverty (Wadsworth, 2012). As a result, clients can discover how to make positive changes that will enable them and their families to further progress (Wadsworth, 2012).

    Also, I especially agree with the fact that often times people from lower socioeconomic classes may not have access to receiving proper psychotherapy treatments due to the lack of resources (Hodkinson, Godoy, Beers, Lewin, 2017). According to Hodkinson, Godoy, Beers, and Lewin (2017) some individuals living in poverty may be influenced psychologically which may lead to mental health issues. In addition, a vast majority of individuals with mental health issues are not receiving the mental health services that they need (Hodkinson, Godoy, Beers, Lewin, 2017). For example, it has been reported that less that 15 percent of children living in poverty, in need of mental health care, receive mental health services with fewer children completing their treatment (Hodkinson, Godoy, Beers, Lewin, 2017). Wadsworth (2012) explains how the stressors that are shaped and exacerbated through living in poverty may often lead to compromised mental health. There are many barriers that lead to the lack of mental health treatment that include lack of insurance, long distances to travel, parental fears that their children will be removed from their home due to low-income status (Hodkinson, Godoy, Beers, Lewin, 2017). Also, mental health clinic hours are often provided during the day and individuals working in low-wage jobs may not present the flexibility to attend appointments on a weekly basis (Hodgkinson, Godoy, Beers, Lewin, 2017). Therefore, to improve low-income client’s access to mental health care some believe that integrating mental health services into primary care settings will enable clients to receive the well-rounded care they need (Hodgkinson, Godoy, Beers, Lewin, 2017). Nurs 6640 week 1 discussion – biological basis of psychotherapy treatments essay examples. However, in order to implement this, modifications in policies, healthcare financing, community service system infrastructure, provider practices, clinical workflow, and workforce development would need to take place (Hodgkinson, Godoy, Beers, Lewin, 2017).

     

    References

    Hodgkinson, S., Godoy, L., Beers, L. S., & Lewin, A. (2017). Improving Mental Health Access

    for Low-Income Children and Families in the Primary Care Setting. 
    Pediatrics
    , 
    139
    (1), doi:10.1542/peds.2015-1175

    Wadsworth, M. (2012). Working with Low-income Families: Lessons Learned from Basic and

    Applied Research on Coping with Poverty-related Stress. 
    Journal of Contemporary Psychotherapy
    , 
    42
    (1), 17. doi:10.1007/s10879-011-9192-2

     

     

    Nurs 6640 week 1 discussion – biological basis of psychotherapy treatments essay examples  response

    I enjoyed reading your post. You presented very interesting facts on how psychotherapy can be presented as a biological process. Nurs 6640 week 1 discussion – biological basis of psychotherapy treatments essay examples Moreover, I agree with what you said regarding the occurrence of bodily chemicals being produced in a person’s body as a direct result of psychotherapy. Gottschalk (1990) explains how the biological process of learning and memory can create temporary or permanent alterations in the brain’s chemistry due to psychotherapy. In addition, psychological stress can hasten specific cerebral and systemic biochemical modifications that will retain emotionally tinged events and stimulate an increase of cerebral glucose metabolism that is localized to that region (Gottschalk, 1990). Porterfield (2017) explicates how researchers have determined that there are numerous neurochemicals and physiological occurrences that exhibit three fundamental pillars of psychotherapy which include empathy, fear extinction, and attachment. Some of these chemicals might include vasopressin, arginine, oxytocin, or the mu-opioid receptors which are all vital when it comes to managing attachment (Porterfield, 2017).

     

    References

    Gottschalk, L. A. (1990). The psychotherapies in the context of new developments in the

    neurosciences and biological psychiatry. 
    American Journal of Psychotherapy
    , 
    44
    (3), 321-339.

    Porterfield, A. (2017). Psychotherapy revival: Can “talk” therapy change our brains and genes? Nurs 6640 week 1 discussion – biological basis of psychotherapy treatments essay examples.

    Genetic Literacy Project,
    Retrieved on August 30, 2018, from https://geneticliteracyproject.org/2017/03/10/psychotherapy-revival-can-talk-therapy-change-brains-genes/

     

     

    Nurs 6640 week 1 discussion – biological basis of psychotherapy treatments essay examples 3

    Psychotherapy treatments are influenced by culture, religion, and socioeconomics in various ways individual patient belief in the values. According to some psychologists, they debate that some different factors can influence the therapy such as culture sensitivity which can integrate with the treatment processes and also some treatments can be included in certain individual cultural setups due to the outcomes such as expectations, identity, and various cultural ways that can assist in providing the right treatment for the individual client. According to Howie, Prasad & Kristel, (2013), those that support the multi-cultural design debate that the psychological actions are easily distinguishable cultural background not universal for everyone.  Individual culture has its specific way of looking at different things for example some cultures belief that hallucinations is a way of communicating with those in the spiritual world and they are highly respected instead of looking at them like they have mentally issues or been crazy.

    Some group of people in certain religion belief that they have some power to improve mental health, relationship, and physical health in comparing with those that are non-religious. Religion is also known to be one of the factors that help to stabilize psychological health (Aschenbrenner, & Venable, 2009) Nurs 6640 week 1 discussion – biological basis of psychotherapy treatments essay examples. Sometimes individual likes to go to a therapist that has the same religion for therapy to help in well-being of a mental problem the person has and in other hand there are individuals who like to opt in attending any particular therapist, so the individual can get neutral treatment of any psychological condition that they have.

    Usually individual with healthy life are more concerned about their mental health so they go for checkups frequently to make sure that they have a healthy life and maintain it. These people make sure that they eat food rich in nutrients to help them improve psychological health and also people that are rich does not take life for granted because they know that they will pay more to maintain a healthy life, so they make sure they eat healthy food. But people that are not rich are not really concerned about their mental health due to no money to take care of themselves and having no resources. In the community today, the poor people are not able to get the appropriate education that they need and does not know the importance of psychotherapy treatments.

    References

    Aschenbrenner, D. S., & Venable, S. J. (2009). Drug therapy in nursing. Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins.

     

    Howie, P., Prasad, S., & Kristel, J. (2013). Using art therapy with diverse populations: Crossing cultures and abilities.

    Nurs 6640 week 1 discussion – biological basis of psychotherapy treatments essay examples 4

    Biological basis of Psychotherapy

    Before we can determine whether there is a biological basis of psychotherapy, it is important to start with a foundation based on an understanding of what psychotherapy means by definition.  Psychotherapy is defined as a process in which psychological problems are treated through communication and relationship factors between an individual and a trained mental health professional ( Herkov, 2016).  The success of psychotherapy is based on effective communication between therapist and client centered on therapeutic principles, structure, and technique (2016).

    There has been a number of evidence based principles provided by neuroscience, psychology, and the cognitive sciences that suggest psychotherapy does have a biological basis (Prosser et al, 2016) Nurs 6640 week 1 discussion – biological basis of psychotherapy treatments essay examples.  Principles such as  the free-energy principle is an example of how psychotherapy is based on biological basis.  For instance, the free-energy principle suggests that due to the complexity and variation of the environment, the brain has to constantly adapt by minimizing prediction error, which in turn can sometimes cause mental disorders (Prosser et al, 2016).

     Influences that vary value of psychotherapy treatment

    There are various factors that can influence the client’s value or perspective on the importance of psychotherapy such as one’s culture and religion.  These various factors must be acknowledged and addressed by the health care professional prior and during treatment. For instance psychotherapy treatment can be influenced by one’s culture; people belonging to an ethnic group who report discrimination or prejudice are less likely to seek mental health treatment (Jang et al, 2009).  For instance, in a study of 426 Korean Americans over the age of 60 report feeling depression; however, about 71% reported it being a sign of weakness and 14% indicated seeking help would bring family shame (2009).  Another factor that may influence psychotherapy treatment is religion.  Religion and spirituality have recently been discovered as an important component and motivation in people’s lives when pertaining to psychotherapy, which in  turn affects a person’s wellbeing and their belief that they will have a positive outcome (Mizock et al, 2012).  According to several studies, 30-90% of people have reported that the spirituality to be a driven force and an important component in their recovery from mental illnesses (2012).  In recent years they have found many benefits in the treatment of individuals with schizophrenia using psychotherapy and religion and spirituality.

    References

    Herkov, M. (2016). What is Psychotherapy? Retrieved from https://www.psychcentral.com/lib/what-is-psychotherapy/

    Jang, Y., Chiriboga, D., & Okazaki, S. (2009). Attitudes of older Korean Americans toward mental health services. Journal of the American Geriatrics Society, 55:616-620. Retrieved from https://doi.org/10.1080/13607860802591070 Nurs 6640 week 1 discussion – biological basis of psychotherapy treatments essay examples

    Mizock, L., Millner, U., & Russinova, Z. (2012) Spiritual and Religious Issues in Psychotherapy with Schizophrenia: Cultural Implications and Implementation. Retrieved from 
    www.mdpi.com/journal/religions

    Prosser, A., Helfer, B., & Leucht, S. (2016). Biological vs. psychological treatments. A myth about pharmacotherapy vs. psychotherapy. British Journal of Psychiatry. 208(4)., 309-311. doi:10.1192/bjp.bp.115.178368

    Bottom of Form

     

    Nurs 6640 week 1 discussion – biological basis of psychotherapy treatments essay examples 5

    Discussion Week # 1

    Initial Post.

     

    The biological basis of psychotherapy treatments has been debatable, but with the advent of advanced neuro health technology, there is ample evidence that there is synergistic benefits when certain external factors such as age, culture, religion, socioeconomics and environmental  are linked with cognitive areas of the brain when psychotherapy is applied. Wheeler (2014), posits that “psychotherapy mediates the reintegration and connection of neural networks that have become mal adaptively linked due to adverse life events facilitating healing of the brain” (p.53). The author bases this assessment by the use of evidence based neurophysiological research and theory that emphasizes that “healing and Integration” is as a result of therapeutic relationship (p.53).

    Fournier and Price (2014) in their research work point out that the complexities that characterize most patients create a variant responses in treatment. In this vein, they posit that “no psychotherapeutic intervention works equally well for all patients, and the mechanisms through which psychotherapy reduces symptoms and enhances functioning remain difficult to specify”. This underscores the fact that patient respond to treatments differently but they insist on evidence based research in biologic neuro imaging changes with patients who receive psychotherapy. The use of a two-fold examinations to determine “treatment outcome prediction” and “treatment mechanism” warrant more research in the future according to the authors.

    The adaptability of the brain can be enhanced by its malleability and with reinforcements from psychotherapy. This brain flexibility is better explained by Holttum (2014), with the illustration of the brain changes in some humans and animals who have suffered severe stressful situations to appoint that this “gene-expression has been altered by the brain switching it on or off thus enhancing self-coping methods when encountered with more stressful situation. Holttum (2014) emphasizes on the role of psychotherapists as guides to recovery. In his conclusion, Holttum points out the works Morrison et al (2014). He states “Morrison 
    et al.
     (2014) have added to the evidence that cognitive therapy can help, and it should be made routinely available to people diagnosed with psychotic conditions. People should be able to choose not to take harmful medications on a long-term basis”.

    The influence of culture, religion, and socio economics factors can either enhance or mar psychotherapeutic treatments. Nurs 6640 week 1 discussion – biological basis of psychotherapy treatments essay examples In a changing world where there is a mosaic clinical picture, care must be taken in psychotherapeutic approach. Psychotherapists must be versed with cultural competence. Wheeler (2014) succinctly underscores this cultural competence in awareness in our biases, skill in conducting cultural assessments, knowledge about the patient’s worldview, encounters with patients from diverse cultural backgrounds and the desire to be culturally competent (p. 20). These are fundamental questions that can enhance therapy especially with a diverse clientele in today’s healthcare milieu. Any lack of knowledge in the patient can blur the picture of the patient’s diagnosis, making the therapy ineffective. The American Nurses Association (2014) remains guide in such domain in guiding the scope of practice in a free unbiased approach taking into consideration the background of the patient.

    In summary, the author in the Laureate Education (Producer). (2015e)  clearly points out the Dodo bird conjecture which describes the variant approaches of Psychotherapy as a win-win situation. In this light, the author posits that all forms of psychotherapeutic approaches are beneficial for the patient based on the positive outcomes as research evidence shows, and also on the dynamic presentation of patients. The psychotherapist must have an unbiased view and a holistic approach with considerations to culture, religion, and socio economics backgrounds to enhance a better patient outcome.

     

    References

    American Nurses Association. (2014).
     Psychiatric-mental health nursing: Scope and standards of practice (2nd ed.)
    . Washington, DC: Author. Standard 1 “Assessment” (pages 44 & 45)

     

    Fournier, J.C. & Price, R.B. (2014). Psychotherapy and neuroimaging. 
    Psychotherapy: New    evidence and new approaches,
     12(3), 290-298.

     

    Holttum, S. (2014). When bad things happen our brains change but psychotherapy and support can help the recovery of our brains and our lives. 
    Mental Health and Social Inclusion, 18
    (2), 52–58. doi:10.1108/MHSI-02-2014-0006

    Laureate Education (Producer). (2015e). 
    Therapies are helpful: Dodo bird conjecture
     [Video file]. Baltimore, MD: Author.

    Wheeler, K. (Eds.). (2014). 
    Psychotherapy for the advanced practice psychiatric nurse: A how-to guide for evidence-based practice
    (2nd ed.). New York, NY: Springer Publishing Company. Nurs 6640 week 1 discussion – biological basis of psychotherapy treatments essay examples

  • DOC 732R DAY 1 Learner-Led Presentations and Essay Assignment Discussion

    Learner-Led Presentations and Discussion

    Present
     your Proposal Draft and Selected Methodology Presentation.

    Note:
     Each learner will present, with focus on the problem, purpose, and research questions. The facilitator will offer comments and lead a discussion of 15 minutes each, including discussion.

    Assess
     the fit between the methodology you selected and the problem you plan to investigate. The facilitator will lead a discussion on the individual designs and on the relationship that exists between the design selection, the study’s purpose, the conceptual framework, and the means of presenting results.

    ORDER A PLAGIARISM-FREE PAPER HERE

    Note: 
    All learners must present, even if a methodology has not been selected. Learners who have not yet selected a methodology will describe the modifications they intend to make to their proposal to accommodate selection. Present what you have. Progress will vary among the class. The purpose is to understand initial proposal progress and identify improvement opportunities.

    This presentation must be uploaded to the Assignment Files tab by 11:59 p.m., Mountain Standard Time, at the end of Day 1. Learner-Led Presentations and Discussion DOC 732R DAY 1 Learner-Led Presentations and Essay Assignment Discussion.

    Submit
     your Learner-Led Presentations and Discussion assignment to
     
    the Assignment Files tab.

    DOC 732R DAY 2 How Are We Doing?

    Discuss
     with the facilitator and the class any issues, opportunities, questions, or concerns you have about your proposal progress at this point in the course.

    Submit
     an in-process checkpoint to your facilitator by 7 p.m. in the time zone in where the residency occurs via the Assignment Files tab in response to the following questions:

    What am I learning?

    Where do I need assistance?

    What barriers do I see?

    Submit
     this summary of your reflections on these questions to the Assignment Files tab by 7 p.m. of Day 2, in the time zone where residency occurs.

    Click 
    the Assignment Files tab to submit your DOC 732R DAY 1 Learner-Led Presentations and Essay Assignment Discussion.

  • Decision Tree – DIFFERENTIAL DIAGNOSIS, Psychotherapy & PSYCHOPHARMACOLOGY

    Decision Tree – DIFFERENTIAL DIAGNOSIS, Psychotherapy & PSYCHOPHARMACOLOGY

    Assignment 1-Decision Tree-WK3-D-WK4

    For this Assignment, as you examine the client case study in this week’s Learning Resources, consider how you might assess and treat adult and older adult clients presenting symptoms of a mental health disorder.

    Learning Objectives

    Students will:

    • Evaluate clients for treatment of mental health disorders

    • Analyze decisions made throughout diagnosis and treatment of clients with mental health disorders

    Examine Case 1: You will be asked to make three decisions concerning the diagnosis and treatment for this client. Be sure to consider co-morbid physical as well as mental factors that might impact the client’s diagnosis and treatment.

    At each Decision Point, stop to complete the following:

    ORDER A PLAGIARISM-FREE PAPER HERE

    • Decision #1: Differential Diagnosis

    o Which Decision did you select?

    o Why did you select this Decision? Support your response with evidence and references to the Learning Resources.

    o What were you hoping to achieve by making this Decision? Support your response with evidence and references to the Learning Resources. Decision Tree – Differential Diagnosis, Psychotherapy & Psychopharmacology.

    o Explain any difference between what you expected to achieve with Decision #1 and the results of the Decision. Why were they different?

    • Decision #2: Treatment Plan for Psychotherapy

    o Why did you select this Decision? Support your response with evidence and references to the Learning Resources.

    o What were you hoping to achieve by making this Decision? Support your response with evidence and references to the Learning Resources.

    o Explain any difference between what you expected to achieve with Decision #2 and the results of the Decision. Why were they different?

    • Decision #3: Treatment Plan for Psychopharmacology

    o Why did you select this Decision? Support your response with evidence and references to the Learning Resources.

    o What were you hoping to achieve by making this Decision? Support your response with evidence and references to the Learning Resources.

    o Explain any difference between what you expected to achieve with Decision #3 and the results of the decision. Why were they different? Decision Tree – Differential Diagnosis, Psychotherapy & Psychopharmacology.

    • Also include how ethical considerations might impact your treatment plan and communication with clients and their family.

    Note: Support your rationale with a minimum of three academic resources. While you may use the course text to support your rationale, it will not count toward the resource requirement.

    NOTE

    1. DIFFERENTIAL DIAGNOSIS- SELECT ANTISOCIAL PERSONLAITY DISORDER AND JUSTIFY FROM THE CASE #1 SCENARIO ATTACHED.

    2. FOR • Decision #2: Treatment Plan for Psychotherapy – WRITE ON PSYCHOTHERAPY HERE AND NOT MEDICATION

    ONE OF THEM IS ” group-based cognitive behavior therapy ” AND JUSTIFY THAT.

    3. PSYCHOPHARMACOLOGY- WHAT MEDICATION IS APPROPRIATE FOR THE PATIENT AND ANSWER THE QUESTION AS APPLIED.

    Case #1

    A woman with personality disorder

    SUBJECTIVE

    Rhonda is a 32-year-old Hispanic female who presents to your office for her initial appointment. When you ask what brought her to your office, she states: “I’m at the end of my rope, I don’t know what else to do.” She then bursts into tears. Rhonda explains that she has very few friends left, and everyone seems to have “abandoned” her. Rhonda explains that she goes out of her way to help other people, and to be nice to them, but this does not seem to help.

    Rhonda then stands up and begins to pace around your office at times using wild hand gestures to explain the circumstances that led up to her making the appointment with you. Decision Tree – Differential Diagnosis, Psychotherapy & Psychopharmacology She describes the recent breakup with her boyfriend as traumatic and explains “when we first met, he was the best guy in the world. He treated me really well. But he just became a complete monster! Even though he broke off the relationship with me, I was glad to see it end. I hate his guts!”

    Rhonda explains that her current financial situation is also precarious. She states that she recently purchased an automobile, and is not certain how she is going to pay for it. She states that she had a car that was repossessed last year at that time, and that she borrowed some money from a friend to help pay for the car; the friend later turned around and accused her of theft. “It was my friend’s fault. She told me she would loan me the money and then backed out. I only took the money because she said she would loan it to me … people just can’t go back on their word like that when other people are counting on them.”

    Rhonda reports that she was “always in trouble” as a kid. She states that people were always picking on her, to which she adds: “the other kids my age were just stupid. They didn’t know how to have fun.” She says “I have always been impulsive, but it’s fun. Sometimes people can be such prudes … you only go around life once, so you have to make the best of it.”

    OBJECTIVE

    Rhonda is currently single. She has no children. Educationally, she had completed two semesters toward her bachelor of arts degree in fine arts. Rhonda currently works as a waitress at a local restaurant. She has held this job for about 2 weeks. Prior to this, Rhonda worked as a housekeeper for a local hotel chain. She states that she was fired from this job because her coworkers were jealous of her and “planted” evidence of her stealing from hotel patrons. She was also arrested for cashing checks under an alias, for which she spent 120 days in jail. Decision Tree – Differential Diagnosis, Psychotherapy & Psychopharmacology.

    Rhonda has a history of multiple incarcerations for offences ranging from larceny to possession of controlled substances to possession of an illegal firearm. She was also arrested several times for fighting and on at least one occasion, used a baseball bat to beat up a girl who she thought was trying to “set her up” with the police.

     

    MENTAL STATUS EXAM

    Rhonda is alert and oriented × 4 spheres. Her speech is clear, coherent, goal directed, and spontaneous. She reports her mood as “terrible!” Affect is labile and seems to change rapidly with the subject being discussed. Her eye contact is normal, but at times, she appears to stare at you. Rhonda is oriented to person, place, and time. She denies visual/auditory hallucinations, no overt paranoia or delusional thought processes noted. Rhonda denies any suicidal or homicidal ideation.

    Decision Point One

    BASED ON THE INFORMATION PROVIDED IN THE SCENARIO ABOVE, WHICH OF THE FOLLOWING DIAGNOSES WOULD THE PSYCHIATRIC/MENTAL HEALTH NURSE PRACTITIONER (PMHNP) GIVE TO RHONDA?

    In your write-up of this case, be certain to link specific symptoms presented in the case to DSM–5 criteria to support your diagnosis.

     Borderline Personality Disorder

     Histrionic Personality Disorder

     Antisocial Personality Disorder

     

    Decision Point One

     

    Antisocial Personality Disorder

     

    Decision Point Two

     

    Refer to psychologist for psychological testing

     

    RESULTS OF DECISION POINT TWO

    Client returns to clinic in four weeks

    The psychologist’s report indicates that a comprehensive psychological battery was performed for the purposes of diagnostic clarification. The end result suggested that Rhonda has traits of multiple personality disorders, but scores highest in antisocial personality traits, suggesting antisocial personality disorder. Decision Tree – Differential Diagnosis, Psychotherapy & Psychopharmacology.

    When Rhonda returns to the office, you review the psychologist’s report with her. Rhonda seems upset, but also states “well, that’s why I am here, to get better … what do I need to do?”

    Decision Point Three

     

    Refer to group-based cognitive behavior therapy

     

    Guidance to Student

    Referral to a psychologist was appropriate for the purposes of diagnostic clarification. Psychological tests can help tease out the actual personality disorder that Rhonda has. In this case, Rhonda’s symptoms are most consistent with antisocial personality disorder, but as you can see, she has signs/symptoms of other personality disorders.

    Of the available choices, group-based cognitive behavior therapy may be useful in treating individuals with this personality disorder, but all “improvement” in signs/symptoms should be met with great skepticism. Decision Tree – Differential Diagnosis, Psychotherapy & Psychopharmacology.

    Dialectical behavior therapy is ineffective in people with APD.

    Beginning Latuda is not appropriate, as there are currently no FDA-approved medications to treat APD. Also, prescribing medications to someone with antisocial personality disorder could lead to misuse or diversion.

     

    Decision Point One

     

    Borderline Personality Disorder

    Decision Point Two

     

    Refer to psychologist for psychological testing

     

    RESULTS OF DECISION POINT TWO

    Client returns to clinic in four weeks

    The psychologist’s report indicates that a comprehensive psychological battery was performed for the purposes of diagnostic clarification. The end result suggested that Rhonda has traits of multiple personality disorder, but scores highest in antisocial personality traits, suggesting antisocial personality disorder (APD). Decision Tree – Differential Diagnosis, Psychotherapy & Psychopharmacology.

    When Rhonda returns to the office, you review the psychologist’s report with her. Rhonda seems upset, but also states “well, that’s why I am here, to get better … what do I need to do?”

    Decision Point Three

     

    Begin Abilify 15 mg orally daily

     

    Guidance to Student

    DBT has not been demonstrated as an effective means of treating APD. There are currently no FDA-approved medications to treat APD either, and Abilify has been associated with an increase in impulse control issues (such as gambling). Also, prescribing medications to someone with antisocial personality disorder could lead to misuse or diversion.

    Of the available choices, group-based cognitive behavior therapy may be useful in treating individuals with this personality disorder, but all “improvement” in signs/symptoms should be met with great skepticism Decision Tree – Differential Diagnosis, Psychotherapy & Psychopharmacology.

     

    Decision Point One

     

    Borderline Personality Disorder

     

     

    Decision Point Two

    Refer to psychologist for psychological testing

     

    RESULTS OF DECISION POINT TWO

    Client returns to clinic in four weeks

    The psychologist’s report indicates that a comprehensive psychological battery was performed for the purposes of diagnostic clarification. The end result suggested that Rhonda has traits of multiple personality disorder, but scores highest in antisocial personality traits, suggesting antisocial personality disorder (APD).

    When Rhonda returns to the office, you review the psychologist’s report with her. Rhonda seems upset, but also states “well, that’s why I am here, to get better … what do I need to do Decision Tree – Differential Diagnosis, Psychotherapy & Psychopharmacology?”

    Decision Point Three

     

    Begin group-based cognitive behavioral therapy

     

    Guidance to Student

    DBT has not been demonstrated as an effective means of treating APD. There are currently no FDA-approved medications to treat APD either, and Abilify has been associated with an increase in impulse control issues (such as gambling) Decision Tree – Differential Diagnosis, Psychotherapy & Psychopharmacology. Also, prescribing medications to someone with antisocial personality disorder could lead to misuse or diversion.

    Of the available choices, group-based cognitive behavior therapy may be useful in treating individuals with this personality disorder, but all “improvement” in signs/symptoms should be met with great skepticism.

     

    Week 3: Personality Disorders

    I cannot believe these people. Don’t they know who I am? I deserve better treatment than this. That hostess should have seated me immediately, but I had to wait for 10 minutes and then she put me at this table right by the kitchen. I see an empty table right in the middle where I should be. I am just going to get up and move there. I don’t care what the hostess says, rules don’t apply to me.

    Ashley, age 25

    Personality disorders represent perhaps the most challenging disorders that the psychiatric mental health nurse practitioner will have to address in their professional careers. Personality disorders can co-occur in every mental health disorder and, in some cases, can mask as disorder . Although difficult to treat, the PMHNP must be able to identify personality disorders and endeavor to work with the client to not only recognize the disorder, but to treat a disorder that clients often do not believe they have.

    This week, you will explore the many personality disorders and use the DSM-5 criteria for diagnosing individuals with specific personality disorders. You will use the Decision Tree format to diagnose and treat a client with a personality disorder. You also will complete the Fitzgerald University Exit Comprehensive Exam to determine your readiness for the certification exam. Decision Tree – Differential Diagnosis, Psychotherapy & Psychopharmacology.

    Photo Credit: kaisersosa67 / iStock / Getty Images Plus / Getty Images

    Learning Resources

    Note:
    To access this week’s required library resources, please click on the link to the Course Readings List, found in the
    Course Materials
    section of your Syllabus.

    Required Readings

    American Nurses Association. (2014).
    Psychiatric-mental health nursing: Scope and standards of practice (2nd ed.)
    . Washington, DC: Author.

    Standard 12 “Leadership” (pages 76-77)

    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 22, “Personality Disorders” (pp. 742–762)

    Chapter 13, “Psychosomatic Medicine” (pp. 451–464)

    Gabbard, G. O. (2014).
    Gabbard’s treatment of psychiatric disorders
    (5th ed.). Washington, DC: American Psychiatric Publications. Decision Tree – Differential Diagnosis, Psychotherapy & Psychopharmacology.

    Chapter 68, “Paranoid, Schizotypal, and Schizoid Personality Disorders”

    Chapter 69, “Antisocial Personality Disorder”

    Chapter 70, “Borderline Personality Disorder”

    Chapter 71, “Histrionic Personality Disorder”

    Chapter 72, “Narcissistic Personality Disorder”

    Chapter 73, “Cluster C Personality Disorders

    Note:
    You will access this book from Walden Library databases.

    American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author.

    “Personality Disorders”

    Note:
    You will access this book from Walden Library databases.

    Perry, J. C., Presniak, M. D., & Olson, T. R. (2013). Defense mechanisms in schizotypal, borderline, antisocial, and narcissistic personality disorders.
    Psychiatry: Interpersonal & Biological Processes, 76
    (1), 32–52. doi:10.1521/psyc.2013.76.1.32

    Note:
    You will access this article from Walden Library databases.

    Rees, C. S., & Pritchard, R. (2015).
    Brief cognitive therapy for avoidant personality disorder. Psychotherapy, 52
    (1), 45–55. doi:10.1037/a0035158

    Note:
    You will access this article from Walden Library databases.

    Required Media

    Laureate Education. (2017a).
    A woman with personality disorder
    [Interactive media file]. Baltimore, MD: Author.

    Kernberg, O. (n.d.).
    Psychoanalytic psychotherapy for personality disorders: An Interview with Otto Kernberg
    , MD. [Video file]. Mill Valley, CA: Psychotherapy.net

    Note:
    This video is approximately 94 minutes of length. You will access this article from Walden Library databases Decision Tree – Differential Diagnosis, Psychotherapy & Psychopharmacology.

  • Case of Tarasoff v. Regents of the University of California: PSY 622 Essay Assignment

    Case of Tarasoff v. Regents of the University of California: PSY 622 Essay Assignment

    PSY 622 Assignment Case of Tarasoff v. Regents

    Case of Tarasoff v. Regents of the University of California

    Details:

    In 750-1,000 words, consider the case of Tarasoff v. Regents of the University of California to answer the following:

    1- Discuss why the case is important to mental health clinicians.

    2- Describe the violence risk assessment instruments a clinician might use to meet the requirements provided for in Tarasoff. Case of Tarasoff v. Regents of the University of California. Case of Tarasoff v. Regents of the University of California: PSY 622 Essay Assignment.

    3- Discuss if a clinician should be held civilly liable for violent behavior of an inmate the clinician assessed.

    ORDER A PLAGIARISM-FREE PAPER HERE

    Provide three to five peer reviewed resources to support your explanations.

    Prepare this assignment on Case of Tarasoff v. Regents of the University of California according to the guidelines found in the APA Style Guide. Written from scratch.

    Case of Tarasoff v. Regents of the University of California

    PSY 622 Assignment Psychotropic Medications

    Details:

    Prepare a 12-15-slide PowerPoint presentation on the topic of Psychotropic Medications.

    1.} The presentation must include a discussion of the following:

    Antipsychotic medication agents {listtext

    2.} Antidepressant medication agents

    3.} Mood stabilizers or antimanic medication agents

    4.} Antianxiety medication agents

    5.} Medication agents used in the treatment of substance abuse

    6.} Mental health therapy in conjunction with the use of medication agents

    7.} Criticism of any of the medication agents, including alternative treatments

    Provide a minimum of three scholarly resources to support your explanations. Speaker notes of 75-100 words for each slide are required.Case of Tarasoff v. Regents of the University of California

    PSY 622 DQ Consider groups like Alcoholics

    Consider groups like Alcoholics Anonymous. Do such groups provide adequate solutions to people’s alcohol- or drug-related problems? Why or why not? Use scholarly resources to support your explanation. Case of Tarasoff v. Regents of the University of California: PSY 622 Essay Assignment.

    PSY 622 DQ Consider the growing American

    Consider the growing American incarceration complex. With such an investment in incarceration, what place does rehabilitation have in the future? How may the American prison system encourage and fund rehabilitation efforts when that is not the primary focus? Use 1 scholarly resource and at least 220 words.

    PSY 622 Grand Canyon DQ Should female offenders receive

    Should female offenders receive the same program and service opportunities that male offenders receive, or are there any significant, substantive differences between men and women that warrant the provision of different services? If different services were provided, would this violate the equal protection clause of the 5th or 14thAmendment?

    PSY 622 Grand Canyon DQ Some people do not want to comply

    Some people do not want to comply with societal behavioral norms. This may be exasperated in a correctional setting. how can a mental health professional be able to assist in changing anti social behavioral of disruptive inmates? how effective would these methods be in the face of irrational behavior? Must be 250 words with at least 1 scholarly resource reference. Case of Tarasoff v. Regents of the University of California: PSY 622 Essay Assignment.

    PSY 622 Grand Canyon DQ The psychologist/mental health

    The psychologist/mental health professional must sometimes walk a fine line between the best interests of a juvenile offender and the desires of his or her parent or guardian. How can a psychologist/mental health professional develop a mutually beneficial agreement for a juvenile offender and parents or guardians? What pitfalls might exist for a psychologist/mental health professional placed into such a situation? 200 words with at least 1 scholarly source.

    PSY 622 Grand Canyon DQ What special considerations

    What special considerations must be made with an inmate who self-injures? What role can a psychologist or other mental health provider play to curb self-injury by inmates? 250 words and at least 1 scholarly resource

    PSY 622 Grand Canyon Assignment Sexual Deviance

    Details:

    In 750-1,000 words, do the following:

    1- Define sexual deviance in your own words.

    2- Describe different forms of sexual deviance that exist.

    3- Analyze whether sexual deviance may derive from psychological or biological issues.

    Case of Tarasoff v. Regents of the University of California: PSY 622 Essay Assignment

    4- Analyze whether the field of psychopathology can provide solutions to the problem of sexual deviance.

    Use three to five scholarly resources to support your explanations.

    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 Turnitin.

    PSY 622 Grand Canyon Assignment Substance Use in America

    Details:

    Consider the problem of substance use in America. In 1,250-1,500 words, do the following:

    1- Define substance use in your own words.

    2- Discuss why Americans seemingly have such a desire for illegal narcotics.

    3- Explain how treatment for substance use would be different if it was considered a disease versus a choice or behavior change.

    Case of Tarasoff v. Regents of the University of California: PSY 622 Essay Assignment

    4- Examine if the theories of psychopathology adequately explain substance use.

    Provide three to five peer-reviewed sources to support your claims.

    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 Turnitin. Please refer to the directions in the Student Success Center.

    This benchmark assignment assesses the following programmatic competencies: 5.3: Explain addictive behaviors and treatments Case of Tarasoff v. Regents of the University of California: PSY 622 Essay Assignment.

  • Applying Current Literature to Clinical Practice – Karbelnig, A. M. (2016). “The analyst is present”: Viewing the psychoanalytic process as performance art. Psychoanalytic Psychology, 33(supplement 1), S153–S172. doi:10.1037/a0037332

    Applying Current Literature to Clinical Practice – Karbelnig, A. M. (2016). “The analyst is present”: Viewing the psychoanalytic process as performance art. Psychoanalytic Psychology, 33(supplement 1), S153–S172. doi:10.1037/a0037332

    Assignment: Applying Current Literature to Clinical Practice

    Literature in psychotherapy differs from other areas of clinical practice. Generally, there are no clinical trials in psychotherapy because it is often neither appropriate nor ethical to have controls in psychotherapy research. This sometimes makes it more difficult to translate research findings into practice. In your role, however, you must be able to synthesize current literature and apply it to your own clients. For this Assignment, you begin practicing this skill by examining current literature on psychodynamic therapy and considering how it might translate into your own clinical practice.

    ORDER A PLAGIARISM-FREE PAPER HERE

    Learning Objective

    · Evaluate the application of current literature to clinical practice

    To prepare:

    · Review and evaluate the psychodynamic therapy article attached in the file and reflect on the insights they provide.

    Applying Current Literature to Clinical Practice – Karbelnig, A. M. (2016). “The analyst is present”: Viewing the psychoanalytic process as performance art. Psychoanalytic Psychology, 33(supplement 1), S153–S172. doi:10.1037/a0037332

    The Assignment

    In a 5- to 10-slide PowerPoint presentation, address the following:

    · Provide an overview of the article you selected.

    · What population is under consideration?

    · What was the specific intervention that was used? Is this a new intervention or one that was already used?

    · What were the author’s claims?

    · Explain the findings/outcomes of the study in the article. Include whether this will translate into practice with your own clients. If so, how? If not, why?

    · Explain whether the limitations of the study might impact your ability to use the findings/outcomes presented in the article. Support your position with evidence-based literature.

    Note:

    The presentation should be 5-10 slides, not including the title and reference slides. Include presenter notes (no more than ½ page per slide) and use tables and/or diagrams where appropriate. Be sure to support your work with specific citations from the article you selected. Support your approach with evidence-based literature.

    BELOW ARE THE ARTICLE TO SELECT FROM

    Select one of the following articles on psychodynamic therapy to evaluate in your Assignment:

    Aznar-Martinez, B., Perez-Testor, C., Davins, M., & Aramburu, I. (2016). Couple psychoanalytic psychotherapy as the treatment of choice: Indications, challenges, and benefits.
    Psychoanalytic Psychology, 33
    (1), 1–20. doi:10.1037/a0038503

    Karbelnig, A. M. (2016). “The analyst is present”: Viewing the psychoanalytic process as performance art.
    Psychoanalytic Psychology, 33
    (supplement 1), S153–S172. doi:10.1037/a0037332

    LaMothe, R. (2015). A future project of psychoanalytic psychotherapy: Revisiting the debate between classical/commitment and analytic therapies.
    Psychoanalytic Psychology, 32
    (2), 334–351. doi:10.1037/a0035982

    Migone, P. (2013). Psychoanalysis on the Internet: A discussion of its theoretical implications for both online and offline therapeutic technique.
    Psychoanalytic Psychology, 30
    (2), 281–299. doi:10.1037/a0031507

    Tummala-Narra, P. (2013). Psychoanalytic applications in a diverse society.
    Psychoanalytic Psychology, 30
    (3), 471–487. doi:10.1037/a0031375

    Applying Current Literature to Clinical Practice – Karbelnig, A. M. (2016). “The analyst is present”: Viewing the psychoanalytic process as performance art. Psychoanalytic Psychology, 33(supplement 1), S153–S172. doi:10.1037/a0037332

    uARTICLE REVIEW

    uName:

    uInstitution:

    u
    OVERVIEW OF THE ARTICLE

    uEvolution of psychoanalysis makes it difficult to present a universally accepted definition.

    uDifficulty arises from the two contrasting theoretical and clinical perspectives.

    uA more accurate definition should consider the artistic intersection of the theoretical and clinical perspectives.

    u

    u
    OVERVIEW OF THE ARTICLE

    contd.

    uPsychoanalysis is all about performance with the aim of achieving and reinforcing singularity, authenticity and individuality even as the capacity for change is explored at the personal level.

    uAlthough the clinical perspective should take precedence when defining psychoanalysis, at the core should be an awareness that it is an artistic endeavor that seeks to bring about new life.

    u
    FINDINGS/OUTCOMES

    uPsychoanalysis has evolved since it was first presented in 1896.

    uDefinitions have revolved around scientism and humanism.

    uPsychoanalysis relies on four foundational tenets:

    upresence of unconscious mind

    uhumans are motivated by a force or drive

    uhumans will form repetitive psycho-behavioral patterns

    utransference in which unconscious features are projected into psychoanalytic relationships.

    u
    FINDINGS/OUTCOMES
    contd.

    uTechnology has had minimal influence on psychoanalysis, thus constraining the clinical definition and legitimizing the theoretical definition.

    uPsychoanalytic intervention is all about artistic performance within relationships

    u
    FINDINGS/OUTCOMES contd.

    uPsychoanalysis shout be replaced with ‘transformational encounters’.

    uThe new term (transformational encounters) offers a better definition of the process by acknowledging that it is focused on bringing about change within realistic limits.

    u
    FINDINGS/OUTCOMES contd.

    uAn accurate definition should include the unpredictable, dynamic and nonlinear performance.

    uPsychoanalysis is continuously evolving.

    uA definition as a performance art should be more acceptable since the theoretical and clinical perspective intersect at this point.

    uOverall, there is no true definition of psychoanalysis, but performance art is the most acceptable definition.

    u
    LIMITATIONS

    uThe study relies on secondary information and personal opinions.

    uThe ideas presented by the author use circular reasoning.

    u
    References

    uAveyard, H. (2014).
    Doing a literature review in health and social care: a practical guide
    . Berkshire: Open University Press.

    uKarbelnig, A. M. (2016). “The analyst is present”: Viewing the psychoanalytic process as performance art.
    Psychoanalytic Psychology
    , 33(supplement 1), S153–S172. doi: 10.1037/a0037332

    uLeavy, P. (2014).
    The Oxford handbook of qualitative research
    . Oxford: Oxford University Press.

    uMcKendry, S. (2016).
    Critical thinking skills for healthcare
    (3rd ed.). New York, NY: Routledge.

    uSilva, E., Healey, P., Harris, N. & van den Broeck, P. (2014).
    The
    Routledge
    handbook of planning research methods
    . New York, NY: Routledge.

  • DHA 721 WEEK 6 Competitive Markets and Market Power Essay assignment Paper

    DHA 721 WEEK 6 Competitive Markets and Market Power Essay assignment Paper

    Competitive Markets and Market Power Paper 
    Scenario:

    You are the Chief Executive Officer of a large and complex integrated health delivery system (IHDS). The IHDS is a for-profit health system and is located in a major metropolitan area market. The metropolitan market is in high competition with similar large integrated health delivery systems, public and private, that compete directly with your IHDS. DHA 721 WEEK 6 Competitive Markets and Market Power Essay assignment Paper. Major characteristics of this market are booming economic activity, dynamic and diverse populations, labor market shortages, and a high uninsured population percentage (25% of the total population) which has been trending higher.

    ORDER A PLAGIARISM-FREE PAPER HERE

    Your IHDS operates multiple long-term acute care facilities and is affiliated with teaching hospitals, outpatient- and surgical centers, rehab and ancillary facilities, wellbeing- and urgent-care outlets, and multiple physician group practices (primary care and subspecialties clinics in different locations). You also have affiliation agreements with regional and national managed care plans and third-party payers. DHA 721 WEEK 6 Competitive Markets and Market Power Essay assignment Paper.

    The recent healthcare reforms (Affordable Care Act, Accountable Care Organizations, shift from volume-based to value-based healthcare delivery systems, bundled payment system, etc.) have impacted the macro- and micro-level economic models and current competitive advantage position and outlook for the IHDS.

    The Board of Directors has asked you to prepare an executive report about the economic impact of these trends and forces and to assess the economic outlook for your organization.

    Write
    , based on the scenario above, a 1,050- to 1,400-word executive report addressing the following:

    Assess the economic assumptions of a competitive market model on IHDS and identify the evidence for and against the competitive model.

    Evaluate the potential economic consequences of the applied community rating and experience rating on the IHDS. DHA 721 WEEK 6 Competitive Markets and Market Power Essay assignment Paper.

    Compare and contrast alternative delivery arrangements for the IHDS in terms of their microeconomic efficiency.

    Describe the determinants of market power for the IHDS and assess how it can use the market power to demonstrate superior economic efficiency and effectiveness.

    Explain how market power can affect labor market outcomes for your organization.

    Identify several alternative measures of the IHDS market competitiveness and economic evaluation.

    Include 
    at least 10 current peer-reviewed articles in your DHA 721 WEEK 6 Competitive Markets and Market Power Essay assignment paper.

    Format
     your Competitive Markets and Market Power Paper assignment according to APA guidelines.

    Submit 
    to the DHA 721 WEEK 6 Competitive Markets and Market Power Essay assignment Paper files tab.

    DHA 721 WEEK 8 Economic Impact of Managed Care Reform on the Healthcare Market Paper

    The concept of managed care and the Health Maintenance Organization (HMO) has been evolving since the early 1970s and has significantly impacted the delivery of health and medical care in the United States.

    Write
     a 1,050- to 1,400-word paper addressing the following:

    Define managed care and briefly describe the different types of managed care models and key characteristics of an HMO.

    Assess the economic impact of implementing managed care since the introduction of the 1973 HMO Act.

    Explain how consumer and provider incentives work to achieve cost reduction, improved resource allocation, and return on investment (ROI) in a managed care environment.

    Explain the economic impact of alternative provider payment methods on HMO performance.

    Compare and contrast the effects of HMOs with the effects of fee-for-services on resources used and quality of care. DHA 721 WEEK 6 Competitive Markets and Market Power Essay assignment Paper.

    Distinguish between employer and individual use of information on managed care health plan performance.

    Discuss the rationale and potential implications and consequences of moving from a volume-based to value-based healthcare delivery system.

    Include 
    at least 10 current peer-reviewed articles in your paper.

    Format
     your assignment according to APA guidelines.

    Submit 
    to the Assignment Files tab. DHA 721 WEEK 6 Competitive Markets and Market Power Essay assignment Paper.

  • Interaction Between Nurse Informaticists and Other Specialists discussion essay

    Interaction Between Nurse Informaticists and Other Specialists discussion essay

    Nature offers many examples of specialization and collaboration. Ant colonies and bee hives are but two examples of nature’s sophisticated organizations. Each thrives because their members specialize by tasks, divide labor, and collaborate to ensure food, safety, and general well-being of the colony or hive.

    Of course, humans don’t fare too badly in this regard either Interaction Between Nurse Informaticists and Other Specialists discussion essay. And healthcare is a great example. As specialists in the collection, access, and application of data, nurse informaticists collaborate with specialists on a regular basis to ensure that appropriate data is available to make decisions and take actions to ensure the general well-being of patients.

    In this Discussion, you will reflect on your own observations of and/or experiences with informaticist collaboration. You will also propose strategies for how these collaborative experiences might be improved.

    ORDER A PLAGIARISM-FREE PAPER HERE

    To Prepare:

    Review the Resources and reflect on the evolution of nursing informatics from a science to a nursing specialty.

    Consider your experiences with nurse Informaticists or technology specialists within your healthcare organization.

    Discuss a description of experiences or observations about how nurse informaticists and/or data or technology specialists interact with other professionals within your healthcare organization. Suggest at least one strategy on how these interactions might be improved. Be specific and provide examples. Then, explain the impact you believe the continued evolution of nursing informatics as a specialty and/or the continued emergence of new technologies might have on professional interactions. Interaction Between Nurse Informaticists and Other Specialists discussion essay.

  • PCN 605 Case Study of Tina Essay Assignment

    PCN 605 Case Study of Tina Essay Assignment

    Case Study: Tina

    PCN 605 Case Study of Tina

    Tina is a 17-year-old Navajo female who is brought into a counselor’s office for symptoms of depression; her family has noticed that she is more withdrawn than usual and she is often observed crying and talking to herself. Through the intake interview, the counselor learns that Tina hears voices daily that command her to perform certain acts of hygiene (showering, combing her hair, etc.) PCN 605 Case Study of Tina Essay Assignment. She further reveals that she believes these voices to be the result of witchcraft that her boyfriend is using to control her. Tina also states that she has used methamphetamines heavily for the past several months. She and her mother ask the counselor to work with Tina for the depression, but claim that they wish to see a medicine man for hearing voices.

    ORDER A PLAGIARISM-FREE PAPER HERE

    Where does the counselor begin with this client? Tina is clearly demonstrating symptoms of psychoses, yet it is difficult to determine what has caused them. Is she experiencing a severe depressive episode with psychotic features? Have the voices been induced by excessive drug use? Alternatively, should the counselor take into account the cultural acceptance of witchcraft and let the medicine man exclusively treat Tina? This case study is but one example of the way different cultures deviate in concept of mental illness as it presents itself in the counselor’s office.

    Viewing clients as devoid of their cultural backgrounds because notions of health and wellness differ greatly by who is defining them are unethical and unwise. In order to be as receptive as possible to a client’s position, counselors must constantly
     deconstruct and be aware of their own beliefs
     regarding psychopathology. This process of exploring a belief system has been given many names, one of which is 
    social constructionism
     (Lemma, 2011).

    Social constructionism is the concept that reality is formed and defined by the individual experience of it; the perceptions of any given society are constantly in flux as trends and knowledge shifts. PCN 605 Case Study of Tina Essay Assignment As such, the concept of psychology changes to meet the needs of each given culture. Ruder & Guterman (2007) state that “social constructionism is, itself, a social construction that is always changing and subject to reconstruction” (p. 387).

    PCN 605 Case Study of Tina References

    Rudes, J. & Guterman, J. (2007). The value of social constructionism for the counseling profession: A reply to Hansen. 
    Journal of Counseling & Development,85
    (4), 387-392

    PCN 605 Case Study of Tina Paper Details

    Review the diagnostic criteria on pages 99-100; 160-161; 561-562 of the DSM-5.

    A counselor’s own perception of psychopathology is extremely important in the diagnostic process.

    Using the case study of “Tina”, write a 500-750 word essay in which you examine your thought process about her presenting issues. Include the following in your paper:

    Discuss the historic and cross-cultural perspectives of psychopathology that could potential impact the diagnosis and treatment of Tina.

    After reviewing the several diagnoses that could pertain to Tina from the latest version of the DSM, what is your diagnostic impression?

    Substantiate your diagnostic impression with appropriate criteria from the current version of the DSM. PCN 605 Case Study of Tina Essay Assignment.

    Discuss how historic misconceptions of psychopathology could potentially impact the treatment of this client. As part of this discussion, you may include a diagnosis, any referrals that you would make, and a general course of treatment. At least five scholarly references in addition to the textbook in your paper.

    Prepare this PCN 605 Case Study of Tina assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. PCN 605 Case Study of Tina Essay Assignment.

    This PCN 605 Case Study of Tina 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 PCN 605 Case Study of Tina assignment to Turnitin. Refer to the directions in the Student Success Center. PCN 605 Case Study of Tina Essay Assignment.

  • Differential Diagnosis for Skin Conditions Essay Assignment Paper

    Differential Diagnosis for Skin Conditions Essay Assignment Paper

    Properly identifying the cause and type of a patient’s skin condition involves a process of elimination known as differential diagnosis. Using this process, a health professional can take a given set of physical abnormalities, vital signs, health assessment findings, and patient descriptions of symptoms, and incrementally narrow them down until one diagnosis is determined as the most likely cause.

    In this Differential Diagnosis for Skin Conditions Essay Assignment Paper, you will examine several visual representations of various skin conditions, describe your observations, and use the techniques of differential diagnosis to determine the most likely condition.

    To prepare:

    Review the Skin Conditions document provided in this week’s Learning Resources, and select one condition to closely examine for this Assignment.

    Consider the abnormal physical characteristics you observe in the graphic you selected. How would you describe the characteristics using clinical terminologies?

    Explore different conditions that could be the cause of the skin abnormalities in the graphics you selected. Differential Diagnosis for Skin Conditions Essay Assignment Paper.

    Consider which of the conditions is most likely to be the correct diagnosis, and why.

    Download the SOAP Template found in this week’s Learning Resources.

    ORDER A CUSTOM-WRITTEN PAPER NOW

    To complete:

    Choose one skin condition graphic (identify by number in your Chief Complaint) to document your assignment in the SOAP (Subjective, Objective, Assessment, and Plan) note format, rather than the traditional narrative style. Refer to Chapter 2 of the Sullivan text and the Comprehensive SOAP Template in this week’s Learning Resources for guidance. Remember that not all comprehensive SOAP data are included in every patient case.

    Use clinical terminologies to explain the physical characteristics featured in the graphic. Formulate a differential diagnosis of
    three to five
    possible conditions for the skin graphic that you chose. Determine which is most likely to be the correct diagnosis and explain your reasoning using at least 3 different references from current evidence based literature  Differential Diagnosis for Skin Conditions Essay Assignment Paper.

    Submission and Grading Information

    Grading Criteria

    To access your rubric:

    Week 4 Assignment 1 Rubric

    Check Your Assignment Draft for Authenticity

    To check your Assignment draft for authenticity:

    Submit your Week 4 Assignment 1 draft and review the originality report.

    Submit Your Assignment by Day 7

    To submit your Assignment:

    Week 4 Assignment 1

     

    Differential Diagnosis for Skin Conditions Essay Assignment Paper Learning Resources

    Required Readings

    Note:
    To access this week’s required library resources, please click on the link to the Course Readings List, found in the
    Course Materials
    section of your Syllabus.

    Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2015).
    Seidel’s guide to physical examination
    (8th ed.). St. Louis, MO: Elsevier Mosby.

    Chapter 8, “Skin, Hair, and Nails” (pp. 114-165)

    This chapter reviews the basic anatomy and physiology of skin, hair, and nails. The chapter also describes guidelines for proper skin, hair, and nails assessments. Differential Diagnosis for Skin Conditions Essay Assignment Paper.

    Dains, J. E., Baumann, L. C., & Scheibel, P. (2016).
    Advanced health assessment and clinical diagnosis in primary care
    (5th ed.). St. Louis, MO: Elsevier Mosby.

    Chapter 28, “Rashes and Skin Lesions” (pp. 325-343)

    This chapter explains the steps in an initial examination of someone with dermatological problems, including the type of information that needs to be gathered and assessed.

    Note:
    Download and use the Adult Examination Checklist and the Physical Exam Summary when you conduct your video assessment of the skin, hair, and nails Differential Diagnosis for Skin Conditions Essay Assignment Paper.

    Seidel, H. M., Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2011). Adult examination checklist: Guide for skin, hair, and nails. In
    Mosby’s guide to physical examination
    (7th ed.). St. Louis, MO: Elsevier Mosby.

     

    This Adult Examination Checklist: Guide for Skin, Hair, and Nails was published as a companion to
    Seidel’s guide to physical examination
    (8th ed.), by Ball, J. W., Dains, J. E., & Flynn, J. A. Copyright Elsevier (2015). From https://evolve.elsevier.com/

    Seidel, H. M., Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2011). Skin, hair, and nails physical exam summary. In
    Mosby’s guide to physical examination
    (7th ed.). St. Louis, MO: Elsevier Mosby.

     

    Differential Diagnosis for Skin Conditions Essay Assignment Paper This Skin, Hair, and Nails Physical Exam Summary was published as a companion to
    Seidel’s guide to physical examination
    (8th ed.), by Ball, J. W., Dains, J. E., & Flynn, J. A. Copyright Elsevier (2015). From https://evolve.elsevier.com/

    Everyday Health, Inc. (2013).
    Resources for dermatology and visual conditions
    .

    Retrieved from http://www.skinsight.com/info/for_professionals

     

    This interactive website allows you to explore skin conditions according to age, gender, and area of the body.

    Clothier, A. (2014). Assessing and managing skin tears in older people. Nurse Prescribing, 12(6), 278–282. Retrieved from http://www.nurseprescribing.com/

    Retrieved from the Walden Library Databases.

    Watkins, J. (2013a). Skin rashes, part 1: Skin structure and taking a dermatological history. Practice Nursing, 24(1), 30–33. doi:10.12968/pnur.2013.24.1.30

    Retrieved from the Walden Library Databases. Differential Diagnosis for Skin Conditions Essay Assignment Paper.

    Watkins, J. (2013b). Skin rashes, part 2: Distribution and different types of rashes. Practice Nursing, 24(3), 124–127. Retrieved from http://www.practicenursing.com/

    Retrieved from the Walden Library Databases.

    Watkins, J. (2013c). Skin rashes, part 3: localized rashes. Practice Nursing, 24(5), 235–241. doi:10.12968/pnur.2013.24.5.235

    Retrieved from the Walden Library Databases.

    Document:
    Skin Conditions (Word document)

     

    This document contains five images of different skin conditions. You will use this information in this week’s Discussion.

    Document:
    Comprehensive SOAP Exemplar (Word document)

    Document:
    Comprehensive SOAP Template (Word document)

    Note:
    To access the online resources included with the textbook, you need to complete the FREE online registration that is located at
    https://evolve.elsevier.com/cs/product/9780323172660?role=student
    .

    To Register to View the Content

    Go to
    https://evolve.elsevier.com/cs/product/9780323172660?role=student

    Enter the name of the textbook,
    Seidel’s Guide to Physical Examination
    (name of text without the edition number) in the Search textbox.

    Complete the registration process.

    To View the Content for this Textbook

    Go to
    https://evolve.elsevier.com/
    .

    Click on
    Student Site
    .

    Type in your
    Username
    and
    Password
    .

    Click on the
    Login
    button.

    Click on the
    plus sign icon
    for Resources on the left side of the screen.

    Click on the
    name of the textbook
    for this course.

    Expand the
    menu
    on the left to locate all the chapters.

    Navigate to the
    desired content
    (checklists, videos, animations, etc.).

    Note:
    Clicking on the URLs in the APA citations for the Resources from the textbook
    will not
    link directly to the desired online content. Use the online menu to navigate to the desired content.

    Required Media

    Online media for
    Seidel’s Guide to Physical Examination

    In addition to this week’s media, it is highly recommended that you access and view the online resources included with the course text,
    Seidel’s Guide to Physical Examination
    . Focus on the videos and animations in Chapter 8 that relate to the assessment of the skin, hair, and nails.

    The following suturing tutorials provide instruction on the basic interrupted suture, as well as the vertical and horizontal mattress suturing techniques:

    Tulane Center for Advanced Medical Simulation & Team Training. (2010, July 8).
    Suturing technique.

    Retrieved from https://www.youtube.com/watch?v=c-LDmCVtL0o

    Mikheil. (2014, April 22).
    Basic suturing: Simple, interrupted, vertical mattress, horizontal mattress
    .

    Retrieved from https://www.youtube.com/watch?v=MFP90aQvEVM

    Optional Resources

    LeBlond, R. F., Brown, D. D., & DeGowin, R. L. (2014).
    DeGowin’s diagnostic examination
    (10th ed.). New York, NY: McGraw Hill Medical. Differential Diagnosis for Skin Conditions Essay Assignment Paper.

    Chapter 6, “The Skin and Nails”

    In this chapter, the authors provide guidelines and procedures to aid in the diagnosis of skin and nail disorders. The chapter supplies descriptions and pictures of common skin and nail conditions.

    Ethicon, Inc. (n.d.a).
    Absorbable synthetic suture material
    . Retrieved from https://web.archive.org/web/20170215015223/http://academicdepartments.musc.edu/surgery/education/resident_info/supplement/suture_manuals/absorbable_suture_chart.pdf

    Ethicon, Inc. (2006).
    Dermabond topical skin adhesive application technique
    . Retrieved from https://web.archive.org/web/20150921174121/http://academicdepartments.musc.edu/surgery/education/resident_info/supplement/suture_manuals/db_application_poster.pdf

    Ethicon, Inc. (2001).
    Ethicon needle sales types
    . Retrieved from https://web.archive.org/web/20150921171922/http://academicdepartments.musc.edu/surgery/education/resident_info/supplement/suture_manuals/needle_template.pdf

    Ethicon, Inc. (n.d.b).
    Ethicon sutures
    . Retrieved from https://web.archive.org/web/20150921202525/http://academicdepartments.musc.edu/surgery/education/resident_info/supplement/suture_manuals/suture_chart_ethicon.pdf

    Ethicon, Inc. (2002).
    How to care for your wound after it’s treated with Dermabond topical skin adhesive
    . Retrieved from https://web.archive.org/web/20150926002534/http://academicdepartments.musc.edu/surgery/education/resident_info/supplement/suture_manuals/db_wound_care.pdf

    Ethicon, Inc. (2005).
    Knot tying manual
    . Retrieved from https://web.archive.org/web/20160915214422/http://academicdepartments.musc.edu/surgery/education/resident_info/supplement/suture_manuals/knot_tying_manual.pdf

    Ethicon, Inc. (n.d.c).
    Wound closure manual
    . Retrieved from https://web.archive.org/web/20170829043048/http://academicdepartments.musc.edu/surgery/education/resident_info/supplement/suture_manuals/eth

    Assignment 1: Differential Diagnosis for Skin Conditions

    Properly identifying the cause and type of a patient’s skin condition involves a process of elimination known as differential diagnosis. Using this process, a health professional can take a given set of physical abnormalities, vital signs, health assessment findings, and patient descriptions of symptoms, and incrementally narrow them down until one diagnosis is determined as the most likely cause.

    In this Assignment, you will examine several visual representations of various skin conditions, describe your observations, and use the techniques of differential diagnosis to determine the most likely condition.

    To prepare:

    Review the Skin Conditions document provided in this week’s Learning Resources, and select one condition to closely examine for this Assignment.

    Consider the abnormal physical characteristics you observe in the graphic you selected. How would you describe the characteristics using clinical terminologies?

    Explore different conditions that could be the cause of the skin abnormalities in the graphics you selected. Differential Diagnosis for Skin Conditions Essay Assignment Paper.

    Consider which of the conditions is most likely to be the correct diagnosis, and why.

    Download the SOAP Template found in this week’s Learning Resources.

    To complete:

    Choose one skin condition graphic (identify by number in your Chief Complaint) to document your assignment in the SOAP (Subjective, Objective, Assessment, and Plan) note format, rather than the traditional narrative style. Refer to Chapter 2 of the Sullivan text and the Comprehensive SOAP Template in this week’s Learning Resources for guidance. Remember that not all comprehensive SOAP data are included in every patient case.

    Use clinical terminologies to explain the physical characteristics featured in the graphic. Formulate a differential diagnosis of
    three to five
    possible conditions for the skin graphic that you chose. Determine which is most likely to be the correct diagnosis and explain your reasoning using at least 3 different references from current evidence based literature. Differential Diagnosis for Skin Conditions Essay Assignment Paper.