Tag: Clinical-Nursing

  • Mr. P is a 76-year-old male with cardiomyopathy and congestive heart failure

    Mr. P is a 76-year-old male with cardiomyopathy and congestive heart failure

    In a short essay (500-750 words), answer the Question at the end of Case Study 2. Cite references to support your positions.

    Case Study 2

    Mr. P is a 76-year-old male with cardiomyopathy and congestive heart failure who has been hospitalized frequently to treat CHF symptoms. He has difficulty maintaining diet restrictions and managing his polypharmacy. He has 4+ pitting edema, moist crackles throughout lung fields, and labored breathing. He has no family other than his wife, who verbalizes sadness over his declining health and over her inability to get out of the house. She is overwhelmed with the stack of medical bills, as Mr. P always took care of the financial issues. Mr. P is despondent and asks why God has not taken him.

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    Question

    Considering Mr. P’s condition and circumstance, write an essay of 500-750 words that includes the following:

    • Describe your approach to care.

    • Recommend a treatment plan.

    • Describe a method for providing both the patient and family with education and explain your rationale.

    • Provide a teaching plan (avoid using terminology that the patient and family may not understand). Mr. P is a 76-year-old male with cardiomyopathy and congestive heart failure.

  • NSG 6999

    NSG 6999

    State your PICOT question
    .
     
    Indicate in parentheses after each segment, what part of PICOT 
    the preceding words represen
    t
    .
     
    For example: In patients recently discharged from the 
    hospital following care for heart failure (P), do hand-off calls by the nurse to the primary 
    care provider using the SBAR format (situation, background, assessment, recommendation)
    (I) compared to no calls (C) decrease readmission rates (O) over a one year period (T
    )
    .
     
    Discuss which process model resonates with you and will help keep you focused during the
    projec
    t
    .
     
    Process models included in your text (Melnyk & Fineout-Overholt, 2011) are:
    Clinical scholar model 
    Stetler model of evidence-based practice 
    Iowa model of evidence-based practice to promote quality care 
    Model for evidence-based practice change by Rosswurm and Larrabee 
    Johns Hopkins Nursing Evidence-Based Practice (JHNEBP) Model
    Provide feedback to your classmates that focuses on:
    The use of correct PICOT format for the question to guide the literature search
    .
     
    Does the question reflect a clinical research question or one appropriate for an evidence-
    based practice project?

    Week 3 – NSG 6999 Assignment 1 Discussion

     
    In this discussion, you will share your search strategies that you have employed to find
    evidence for your study
    .
    For this discussion:
    State your PICOT question
    .
     
    Did using the terms used in this question lead you to useful
    research studies?
    What MESH terms have you tried? Did they help you find additional studies? Are you finding
    MESH terms useful to expand or delimit your search?
    Are you finding relevant articles? If not, how did you modify your search to increase
    productivity?
    Indicate which databases you used

    —

    those you found useful and those that were no
    t
    .
     
    What levels of evidence do the studies you are finding represent?
    Post any questions or concerns you may have and provide feedback and recommendations
    to your classmate
    s
    .
    Working together and sharing search strategies is very helpfu
    l
    .
     
    Use the Search Tracker to keep track of search term
    s
    .
     
    Using the appropriate Rapid Clinical Appraisal (RCA) Tools, appraise one or two articles and
    add the information to your Evaluation Table to receive feedback from faculty
    .
     
    At this
     juncture, your ta
    ble is a work in progress
    .
     
    You will complete it in Week 4
    .
     
    The RCA Tools
    and Evaluation Table in Word for you to complete can be found in the Week 3 Overview
    section
    .
     

    Week 4 – NSG 6999 Assignment 1 Discussion

     
    Discuss your experience completing the rapid critical appraisal proces
    s
    .
     

    Was it really “rapid” or was it more of a laborious process?

     

    iii

     

    Did reading the abstract help you make quick decisions about including or excluding the
    study?
    What worked best for you in terms of the approach you decided to use to complete the

    appraisal and Evaluation Table? What didn’t work?

     
    Post any questions or concerns you may have and provide feedback and recommendations
    to your classmate
    s
    .
    Working together and sharing search strategies is very helpfu
    l
    .
     

    Week 5 – Assignment 1 Discussion

     
    This week the discussion focuses on creating a Synthesis Table(s) as a means to summarize
    and organize the body of evidence from the Evaluation Table
    .
     
    The Synthesis tables will be
    included in your formal proposal in the Appendix
    .
     
    In the body of the paper, you will describe 
    the “keeper” studies in narrative forma
    t

    .
     
    For this NSG 6999 discussion, include the following:
    Share your approach to synthesizing the evidence
    .
     
    What were the variables of interest you
    identified?
    Learning to write in a scholarly fashion requires that you are able to succinctly summarize
    an article in a sentence or two and cite it appropriately using APA forma
    t
    .
     
    In this discussion,
    practice summarizing 2 articles you have identified from the Synthesis Table as pertinent to
    your proposa
    l
    .
     
    Include the level of evidence, study design, and evidence of rigor
    .
     
    Use
    appropriate APA citation in text and references
    .
     
    Incorporate feedback from peers and faculty
    in your Dropbox assignment for this week
    .
     
    In addition to research studies, patient preference and clinical expertise should also be
    considered
    .
     
    Discuss how you will incorporate these important perspectives into your project
    proposa
    l
    .
     

    Week 6 – NSG 6999 Assignment 1 Discussion

     

    For this week’s NSG 6999 discussion, please address the following:

     
    Briefly describe the clinical issue or problem for your project, the setting, and population of
    interest to orient classmates and faculty
    Write your clinical question
    Describe the intervention you plan to test
    What type of study will you conduct? Will it be experimental? Quasi-experimental? Provide a
    rationale for your answe
    r
    .
     
    Provide feedback on the clinical questions of your colleagues

    Week 7 – NSG 6999 Assignment 1 Discussion

     
    This discussion will focus on the measurement tools you will use to evaluate change from 
    the intervention
    .
     
    The purpose of this discussion is to fine-tune your thinking about 
    evaluation by receiving feedback from colleagues and faculty
    .
     
    Include in your discussion:
    Write a brief description of your project that starts by stating your clinical question and 
    succinctly explaining your planned intervention in order to orient everyone
    .
     
    Will you need to develop your own evaluation tools or are valid and reliable tools available? NSG 6999.

  • PEDIATRIC/ADOLESCENT OBESITY PICOT ESSAY

    Pediatric/Adolescent Obesity Picot Essay

    Write concisely in detail.

    Provide background information for the study including the objective of the proposed research, purpose, research question, hypothesis and other information deemed relevant.

    • Provide background information on Childhood obesity. Pediatric/Adolescent Obesity Picot Essay.

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    • Please number the objective of the proposed research (at least 4-5 objectives)

    • Purpose of the project

    • Research question

    Describe the research design of the study (i.e., state whether the study is correlational, experimental, etc. and define the variables).

    • The tools to use in research of CHILDHOOD OBESITY (6-18)

    • State references backing the tools

    • What is going to be measured. Pediatric/Adolescent Obesity Picot Essay.

    • what will happen in the intervention.

    • Will parents be part of the educational intervention?

    PICOT QUESTION

    • P – Population/ Patient = Obese or overweight child or adolescent who attended a primary care pediatric setting- 6-18-year-old.

    • I – Intervention/ Indicator = Implementation of a multidisciplinary pediatric obesity program.

    • C – Comparator/control = no pediatric obesity program

    • O – Outcome = 5 % decrease in Body Mass Index (BMI) and reduction in childhood obesity.

    • T – Time = over a period of 6 months. Pediatric/Adolescent Obesity Picot Essay

  • CHF PICOT ESSAY

    CHF PICOT Essay

    Ø Create an overview of the PROJECT (Please be detailed)

    Instruments; What instruments will you use? What evidence or research exists for the instruments? Have they been determined to be valid or reliable? If so, for what groups? If you are using an instrument or tool that has not been well studied, ensure that you provide evidence to justify its use in your project. CHF PICOT Essay.

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    • Data collection methods: Are there any other points of data that you will be collecting that have not previously been mentioned? The emphasis in this section should be on fully describing specifically what data you will be using in your study. Part of the purpose of doing this is to detect flaws in the plan before they become problems in the project. CHF PICOT Essay.

    • Data analysis plan. Data Analysis Plan: How will you analyze your data? This section should explain in some detail how you will manipulate the data that you assembled to get at the information that you will use to answer your question. When describing statistical tests, ensure that you have specified the appropriate information, such as the significance level and type of confidence interval (one- or two sided). CHF PICOT Essay.

    Ø Describe what meaning the output of any statistical tests will help answer and how it relates to your PICOT/clinical problem.

    Ø Please Create a substantive paper to develop a solid plan for the project that incorporates deliverable implementation.

    PICOT question

    PICOT QUESTION: In African American males with CHF, what are the tools needed for the effective management of this condition in the primary care clinics to help improve the overall outcome among?

    P= Pt population: African American males with CHF

    I= Interventions: Management of CHF among African American males in the US through effective educational and monitoring and evaluation tools in the primary care clinics, CHF PICOT Essay.

    C= Comparison: As compared to noneducational and monitoring tools in the management of CHF among African American males in the US in the primary care cl

    O Outcome: Decrease in the frequency of adverse events and an improved overall outcome among this population of patients with CHF.

    T= Time: Over one-year period. CHF PICOT Essay.

  • MANAGEMENT OF CONGESTIVE HEART FAILURE IN AFRICAN AMERICAN MALES IN THE PRIMARY CARE CLINICS ESSAY

    Management of Congestive Heart Failure in African American Males in the Primary Care Clinics Essay

    Overview of Project Topic :Management of African American males with CHF in the primary care clinics

    PLEASE USE HEADINGS TO ADDRESS EACH

    Ø Create an overview of the PROJECT (Please be detailed)

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    Ø Approach/design (This section should make clear to the reader the manner in which you intend to approach the clinical question and the techniques and logic that you will use to address it).

    Ø Methods- What will you do? – This section should be clear, direct, and to the point, while including all information. Ensure that your methods describe a clear and feasible time frame. When others replicate your work, it allows for verification of your findings, an opportunity for improved quality, safety, or finances in another setting, or the potential for collaboration with colleagues who share your same interests. To make results verifiable, you need to give a complete and accurate description of the techniques that will be used for the project. Management of Congestive Heart Failure in African American Males in the Primary Care Clinics Essay

    Ø Site (Primary care clinic) This section should include a description of key information related to the primary care setting

    Ø Participant information (40-80-year old’s) This section should include a description of key information and key variables that describe any participants (often called the sample) included in the project. Management of Congestive Heart Failure in African American Males in the Primary Care Clinics Essay.

    Ø Describe what meaning the output of any statistical tests will help answer and how it relates to your PICOT/clinical problem.

    Ø Please Create a substantive paper to develop a solid plan for the project that incorporates deliverable implementation. Management of Congestive Heart Failure in African American Males in the Primary Care Clinics Essay.

    PICOT question

    PICOT QUESTION: In African American males with CHF, what are the tools needed for the effective management of this condition in the primary care clinics to help improve the overall outcome among? Management of Congestive Heart Failure in African American Males in the Primary Care Clinics Essay.

    P= Pt population: African American males with CHF

    I= Interventions: Management of CHF among African American males in the US through effective educational and monitoring and evaluation tools in the primary care clinics,

    C= Comparison: As compared to noneducational and monitoring tools in the management of CHF among African American males in the US in the primary care cl

    O = Outcome: Decrease in the frequency of adverse events and an improved overall outcome among this population of patients with CHF.

    T= Time: Over one-year period. Management of Congestive Heart Failure in African American Males in the Primary Care Clinics Essay.

  • Assessment in Child and Adolescent Psychiatry – NURS 6660

    Assessment in Child and Adolescent Psychiatry – NURS 6660

    Week 2: Assessment in Child and Adolescent Psychiatry

    Kathryn Barnard was a nurse first and second an early developmental specialist with a PhD in early ecological development. Dr. Barnard, with her nursing background, was instrumental in developing assessment tools and interventions to promote infant mental health. A center is named after her at the University of Washington, aptly named the Kathryn Barnard Center for Infant Mental Health and Development. Dr. Barnard reminds us that mental health is lifelong. Proper treatment of children from their earliest moments is instrumental to their development. One of her sayings was “infants can’t wait” (Weber, 2015).

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    All diagnosis, from infancy to adulthood, begins with an examination. While an organic basis for most medical disorders can be determined through the use of diagnostic testing, the field of psychiatry is different in that patients cannot be sent to the lab for blood tests to determine the degree of depression. Similarly, patients cannot be sent to the radiology department for a “scan” to determine how severe their bipolar disorder is. Instead, the field of psychiatry must use psychiatric assessments such as the comprehensive integrated physical exam, diagnostic interviews, and questionnaires to make diagnoses. These tools must be specialized to address the needs of children and adolescents. Assessment in Child and Adolescent Psychiatry – NURS 6660.

    Diagnostic assessment of the child and adolescent is a specialized area of expertise. Some of the diagnostic and clinical features will be like your assessment of the adult. However, the PMHNP will be seeing children who have been to the PCP. Many PCPs are comfortable handling ADHD and other straightforward childhood disorders. That means that the PMHNP and those in his or her office will be seeing the more complicated patients.

    This week, you explore the many different psychiatric assessment tools and begin to explore treatment options. You also begin developing your resume and portfolio.

    Photo Credit: JGI/ Jamie Grill / Blend Images / Getty Images

    Assessment in Child and Adolescent Psychiatry – NURS 6660 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.

    Assessment in Child and Adolescent Psychiatry – NURS 6660 Required Readings

    Sadock, B. J., Sadock, V. A., & Ruiz, P. (2014).
    Kaplan & Sadock’s synopsis of psychiatry: Behavioral sciences/clinical psychiatry
    (11th ed.). Philadelphia, PA: Wolters Kluwer.

    Chapter 2, “Contributions of the Psychosocial Sciences” (pp. 93–130)

    Chapter 6, “Classification in Psychiatry” (pp. 290–299)

    Chapter 31, “Child Psychiatry” (pp. 1107–1152)

    American Psychiatric Association. (2013).
    Diagnostic and statistical manual of mental disorders
    (5th ed.). Washington, DC: Author. Assessment in Child and Adolescent Psychiatry – NURS 6660.

    “Neurodevelopmental Disorders”

    “Intellectual Disabilities”

    “Communication Disorders”

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

    Resume, Portfolio, and Cover Letter Resources

    CoverLetter.us. (2017).
    Nurse practitioner cover letter sample 1
    . Retrieved from http://www.coverletter.us/nurse-practitioner-cover-letter/

    Dahring, R. (2013). Cover letter caveats
    .
    Retrieved from https://web.archive.org/web/20161117160433/http://nurse-practitioners-and-physician-assistants.advanceweb.com:80/Columns/Career-Coach/Cover-Letter-Caveats.aspx. Assessment in Child and Adolescent Psychiatry – NURS 6660.

    Porche, D. J., & Danna, D. (2015). Cover letter & resume preparation: Every detail is important when applying for a job.
    Advance Healthcare Network for NPs & PAs.
    Retrieved from https://web.archive.org/web/20160818183515/http://nurse-practitioners-and-physician-assistants.advanceweb.com:80/Features/Articles/Cover-Letter-Resume-Preparation.aspx

    Walden University Career Services Center. (2017).
    Resumes & CVs: Home
    . Retrieved from http://academicguides.waldenu.edu/careerservices/resumesandcvs

    Document:
    Cover Letter, Resume, and Portfolio Assignment Guide (PDF)

    Optional Resources

    Thapar, A., Pine, D. S., Leckman, J. F., Scott, S., Snowling, M. J., & Taylor, E. A. (2015).
    Rutter’s child and adolescent psychiatry
    (6th ed.). Hoboken, NJ: Wiley Blackwell.

    Chapter 2, “Diagnosis, Diagnostic Formulations, and Classification” (pp. 17–30)

    Assessment in Child and Adolescent Psychiatry – NURS 6660 Discussion: Working With Children and Adolescents Versus Adults

    Infant, childhood, and adolescent development are a continual interplay between nature (genetic or biologic predisposition) and nurture (environmental experiences). The nature/nurture continuum and debate will always be a part of your career as a PMHNP.  Knowing common developmental milestone is important in the role as a child provider. Not only is it essential to the diagnostic process, but it is also important to the interdisciplinary interactions with other mental health professionals. The study of normal developmental processes, however, is only one tool that allows the mental health professional to understand the child being evaluated. There are many different assessment instruments and interviewing techniques that PMHNPs can have in their toolkit when working with children and adolescents. Assessment in Child and Adolescent Psychiatry – NURS 6660.

    In this Discussion, you examine the differences in assessing and treating children and adolescents versus adults. You take into consideration your own clinical experiences, as well as your experiences in your clinical rotation, and the information from the readings thus far.

    Assessment in Child and Adolescent Psychiatry – NURS 6660 Learning Objectives

    Students will:

    Analyze the importance of developmental assessments

    Analyze assessment instruments used for evaluating children and adolescents

    Analyze treatment options used for children and adolescents

    Analyze roles parents play in assessment and treatment

    To Prepare for the Discussion

    Review the Learning Resources concerning psychiatric assessments and assessment tools. Assessment in Child and Adolescent Psychiatry – NURS 6660.

    Note: 
    For this Discussion, you are required to complete your initial post before you will be able to view and respond to your colleagues’ postings. Begin by clicking on the “Post to Discussion Question” link and then select “Create Thread” to complete your initial post. Remember, once you click submit, you cannot delete or edit your own posts and cannot post anonymously. Please check your post carefully before clicking 
    Submit
    !

    By Day 3

    Post your answers to the following:

    Explain why a developmental assessment of children and adolescents is important.

    Describe two assessment instruments and explain why they are used for children and adolescents but not adults.

    Describe two treatment options for children and adolescents that may not be used when treating adults.

    Explain the role parents play in assessment and treatment. Assessment in Child and Adolescent Psychiatry – NURS 6660.

    By Day 6

    Respond
     to at least 
    two
     of your colleagues by offering additional insights or alternative perspectives on their diagnosis or provide alternate next questions and why you selected those.

    Submission and Grading Information

    Grading Criteria

    To access your rubric:

    Week 2 Discussion Rubric

    Post by Day 3 and Respond by Day 6

    To participate in this Discussion:

    Week 2 Discussion

    Assessment in Child and Adolescent Psychiatry – NURS 6660 Assignment 1: Practicum: Cover Letter, Resume, and Portfolio

    For this Assignment, you create a professional cover letter, resume, and portfolio that you can use as you pursue your next professional role.

    Assessment in Child and Adolescent Psychiatry – NURS 6660 Learning Objectives

    Students will:

    Create professional cover letters, resumes, and portfolios

    To Prepare for the Assignment:

    Review the Learning Resources concerning developing your professional cover letter, resume, and portfolio.

    Review the Cover Letter, Resume, and Portfolio Assignment Guide. Assessment in Child and Adolescent Psychiatry – NURS 6660

    Refer to the Walden University Career Center website for resources to develop your cover letter and resume. With the assistance of the Walden University Career Center website, you can make your cover letter, resume, and portfolio accessible online to your faculty and potential employers.

    Your professional cover letter, resume, and portfolio are due by 
    Day 7 
    of
     Week 10
    . It is highly recommended that you begin planning and working on this Assignment as soon as it is viable. The following checklists outline all of the items you should include in your cover letter, resume, and portfolio.

    Checklist for Cover Letter (S/U grade)

    Your cover letter should be:

    Presented and formatted in a professional business manner

    Addressed properly

    Clear and concise and include:

    Content Introduction

    Content Body

    Content Conclusion

    Written in a professional style and include:

    Correct spelling, punctuation, and grammar

    Clear and accurate sentence structure

    Checklist for Resume (S/U) 

    Your Resume should be clear, concise, and well-organized and it should also include your:

    Name, address, business phone number, and e-mail address (top center of resume)

    Profile: 2–3 sentences describing goal and positive attributes/characteristics

    Certifications and licensure

    Education

    Professional experience

    Honors/awards

    References

    Assessment in Child and Adolescent Psychiatry – NURS 6660

    Checklist for Portfolio (S/U)

    Your Portfolio should be clear, concise, and well-organized and it should also include your:

    Personal philosophy statement

    Self-assessment

    Personal goals (short term and long term)

    Achievements

    Cover letter

    Resume

    Diplomas for formal education

    Letters of recommendation

    References (list names, affiliation, and contact information)

    Certifications

    Certificates of attendance for continuing education

    Transcripts

    Publications

    Oral presentations and/or poster presentations

    By Day 7 of Week 10

    Submit
     your Assignment.

    Assessment in Child and Adolescent Psychiatry – NURS 6660 Assignment 2: Board Vitals

    This week you will be responding to twenty Board Vitals questions that cover a broad review of your Nurse Practitioner program courses up to this point.

    These review questions will provide practice that is critical in your preparation for the national certification exam that’s required to certify you to practice as a nurse practitioner. These customized test questions are designed to help you prepare for your Nurse Practitioner certification exam. It is in your best interest to take your time, do your best, and answer each question to the best of your ability. Assessment in Child and Adolescent Psychiatry – NURS 6660.

    You can access Board Vitals through the link sent to you in email or by following the link below:

    https://www.boardvitals.com/

    By Day 7

    Complete the Board Vitals questions.

    Assessment in Child and Adolescent Psychiatry – NURS 6660 Making Connections

    This week, you explored the many different psychiatric assessment tools and began to explore treatment options. You also began developing your resume and portfolio.

    Next week, you begin exploring disorders that occur early in the life course by working with your group to develop a Parent Guide. You also examine a case and determine a differential diagnosis and treatment plan that incorporates both psychotherapy and psychopharmacology. Assessment in Child and Adolescent Psychiatry – NURS 6660.

    Looking Ahead

    You will be working with other colleagues within a wiki format to create Parent Guides in Weeks 3, 7, and 10. Your instructor will assign your group by 
    Day 1
     of 
    Week 2
    . Assessment in Child and Adolescent Psychiatry – NURS 6660.

  • Comprehensive Integrated Psychiatric Assessment

    Week 1: Comprehensive Integrated Psychiatric Assessment

    “We adopted Maria from an orphanage in Guatemala when she was 4 years old. We were hoping she would love us as much as we love her, but she is always so distant and will not let us get close. She continually bumps her head on the wall and screams when we try to make her stop. She is now 5, and we have tried everything to help her understand that we just want to love her and have her be part of our family.” Comprehensive Integrated Psychiatric Assessment.

    Jessica and Jason, Parents of 5-year-old Maria

    The delicate dance—engagement and empathy.

    Laureate Education (Producer). (2017d). Working with Children and Adolescents [Video file]. Baltimore, MD: Author.

    ORDER A CUSTOM-WRITTEN PAPER NOW

    Note:
    The approximate length of this media piece is 2 minutes.

     

    Accessible player
     
    –Downloads–
    Download Video w/CC
    Download Audio
    Download Transcript

    The comprehensive integrated psychiatric assessment is one of the most important elements of the psychiatric-mental health nurse practitioner’s (PMHNP) skill set to understand, diagnose, and develop a treatment plan for Maria. The psychiatric interview is a craft by which one human being becomes acquainted with another’s deepest thoughts, fears, emotions, and behavior. “This task is not unlike exploring a darkened room in an old Victorian house” (Shea, p. 3) with only a candle for illumination. As the PMHNP sees more of the client’s life unfold, the picture becomes clearer. Comprehensive Integrated Psychiatric Assessment.

    This week, you explore in depth the elements of the comprehensive integrated psychiatric assessment and diagnostic process.

    Photo Credit: sbrogan / iStock / Getty Images Plus

    Comprehensive Integrated Psychiatric Assessment 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

    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 5, “Examination and Diagnosis of the Psychiatric Patient” (pp. 192–289)

    Chapter 31, “Child Psychiatry” (pp. 1082–1107)

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

    “Introduction”

    “Use of the Manual”

    “Cultural Formulation”

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

    Kaplan, C. (2017). Ethical dilemmas.
    Advanced Healthcare Network.
    Retrieved from https://web.archive.org/web/20160416180027/http://nurse-practitioners-and-physician-assistants.advanceweb.com/Article/Ethical-Dilemmas-2.aspx

    Pumariega, A. J., Rothe, E., Mian, A., Carlisle, L., Toppelberg, C., Harris, T., . . .  Smith, J. (2013). Practice parameter for cultural competence in child and adolescent psychiatric practice.
    Journal of the American Academy of Child & Adolescent Psychiatry
    ,
    52
    (10), 1101–1115. Retrieved from http://www.jaacap.com/article/S0890-8567(13)00479-6/pdf

    American Academy of Child & Adolescent Psychiatry (AACAP). (2012a). Practice parameter for psychodynamic psychotherapy with children.
    Journal of the American Academy of Child & Adolescent Psychiatry
    ,
    51
    (5), 541–557. Retrieved from http://www.jaacap.com/article/S0890-8567(12)00141-4/pdf. Comprehensive Integrated Psychiatric Assessment.

    American Psychological Association. (2017).
    Code of Ethics
    . Retrieved from http://www.apa.org/ethics/code/

    Document:
    Child and Adolescent Diagnostic Assessment Worksheet (Word document)

    Document:
    Practicum Journal Template (Word document)

    Required Media

    Gajbhare, P. (2014, March 8).
    Mental status examination
    [Video file]
    .
    Retrieved from https://www.youtube.com/watch?v=VjWVYgf2UcU

     

    Note:
    The approximate length of this media piece is 36 minutes.

    YMH Boston. (2013a, May 22).
    Vignette 1 – Introduction to a preventive services visit
    [Video file]
    .
    Retrieved from https://www.youtube.com/watch?v=pQy-jwiu7gM

     

    Note:
    The approximate length of this media piece is 3 minutes.

    YMH Boston. (2013c, May 22).
    Vignette 4 – Introduction to a mental health assessment
    [Video file]
    .
    Retrieved from https://www.youtube.com/watch?v=JCJOXQa9wcE

     

    Note:
    The approximate length of this media piece is 4 minutes.

    Optional Resources

    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 1, “Neural Sciences” (pp. 1–92)

    Chapter 31.2, “Assessment, Examination, and Psychological testing” (pp. 1107–1118)

    Thapar, A., Pine, D. S., Leckman, J. F., Scott, S., Snowling, M. J., & Taylor, E. A. (2015).
    Rutter’s child and adolescent psychiatry
    (6th ed.). Hoboken, NJ: Wiley Blackwell.

    Discussion: Comprehensive Integrated Psychiatric Assessment

    The comprehensive integrated psychiatric assessment of a child or adolescent consists of gathering information from not only the child but from several sources, most notably the family members, caregivers, and the child’s teacher or school counselor. Because of this, the diagnostic assessment becomes more complicated. Issues of confidentiality, privacy, and consent must be addressed. Also, the PMHNP must take into consideration the impact of culture on the child.

    In this Discussion, you review and critique the techniques and methods of a mental health professional as he or she completes a comprehensive integrated psychiatric assessment of an adolescent.

    Comprehensive Integrated Psychiatric Assessment Learning Objectives

    Students will:

    Evaluate comprehensive integrated psychiatric assessment techniques

    Recommend assessment questions

    To Prepare for the Discussion:

    Review the Learning Resources concerning the comprehensive integrated psychiatric assessment.

    Watch the 
    Mental Status Examination 
    video.

    Watch the two YMH Bostonvideos.

    Note: 
    For this Discussion, you are required to complete your initial post before you will be able to view and respond to your colleagues’ postings. Begin by clicking on the “Post to Discussion Question” link and then select “Create Thread” to complete your initial post. Remember, once you click submit, you cannot delete or edit your own posts and cannot post anonymously. Please check your post carefully before clicking 
    Submit
    ! Comprehensive Integrated Psychiatric Assessment.

    By Day 3

    Based on the YMH Boston
     Vignette 4 
    video
    , post answers to the following questions:

    What did the practitioner do well?

    In what areas can the practitioner improve?

    At this point in the clinical interview, do you have any compelling concerns? If so, what are they?

    What would be your 
    next
     question, and why?

    Comprehensive Integrated Psychiatric Assessment

    By Day 6

    Respond
     to at least 
    two
     of your colleagues by offering additional insights or alternative perspectives on their diagnosis or provide alternate next questions and why you selected those.

    Submission and Grading Information

    Grading Criteria

    To access your rubric:

    Week 1 Discussion Rubric

    Post by Day 3 and Respond by Day 6

    To participate in this Discussion:

    Week 1 Discussion

    Assignment: Practicum Journal Entry: Analyzing an Ethical Decision

    In your role as a PMHNP, you will encounter several situations that will require your ability to make sound judgments and practice decisions for the safety and well-being of individuals, families, and communities. There may not be a clear-cut answer of how to address the issue, but your ethical decision making must be based on evidenced-based practice and what is good, right, and beneficial for patients. You will encounter patients who do not hold your values, but you must remain professional and unbiased in the care you provide to all patients regardless of their socio-demographic and ethnic/racial background. You must be prepared to critically analyze ethical situations and develop an appropriate plan of action. For this Assignment, you review the literature and discover the various ethical dilemmas PMHNPs encounter and how these issues are typically addressed in your state. Comprehensive Integrated Psychiatric Assessment.

    Comprehensive Integrated Psychiatric Assessment Learning Objectives

    Students will:

    Analyze salient ethical issues in psychiatric mental health practice

    Compare ethical dilemmas with state health laws and regulations

    Analyze ethical decision-making processes

    To prepare:

    Review literature for moral/ethical issues encountered by a PMHNP.

    Select one of the articles you found that was published within the last 5 years to use as a focus for this assignment. Comprehensive Integrated Psychiatric Assessment.

    Write
     a 2-page paper 
    in which you do the following:

    Summarize the moral/ethical issue in the article (no more than 1 paragraph).

    Describe the moral and ethical dilemmas surrounding the issue.

    Analyze the ethical issue and compare them to the state health laws and regulations in your state.

    Outline the process of ethical decision making you would use to address this ethical dilemma.

    Comprehensive Integrated Psychiatric Assessment

    Note:
     Be sure to use the Practicum Journal Template, located in this week’s Learning Resources.

    By Day 7 of Week 4

    Submit
     your Assignment.

    Making Connections

    This week, you explored in depth the elements of the comprehensive integrated psychiatric assessment and diagnostic process.

    Next week, you explore the many different psychiatric assessment tools and begin to explore treatment options. You also begin developing your resume and portfolio. Comprehensive Integrated Psychiatric Assessment.

    Looking Ahead 1: Didactic Assignments

    Week 3:
     You will work in a group to develop a “Parent Guide,” which will serve as a teaching tool for parents with children who have been diagnosed with a specific mental health disorder.

    Week 5:
     You will assess one of the clients in your practicum who you do not think is adequately progressing according to expected clinical outcomes.

    Week 6: 
    You will use one of your adult clients who had a psychiatric emergency as an example as you compare how you would assess a child or adolescent client who had a psychiatric emergency.

    Week 7: 
    You will work in a group to develop a “Parent Guide,” which will serve as a teaching tool for parents with children who have been diagnosed with a specific mental health disorder.

    Week 10: 
    You will work in a group to develop a “Parent Guide,” which will serve as a teaching tool for parents with children who have been diagnosed with a specific mental health disorder.

    Comprehensive Integrated Psychiatric Assessment.

  • NURS 6600: Capstone Synthesis Discussion: Practicum Professional Development

    NURS 6600: Capstone Synthesis Discussion: Practicum Professional Development

    Discussion: Practicum Professional Development

    Objectives: Progress Appraisal

    In Week 1, you developed your practicum professional development objectives. How have your experiences thus far in the practicum contributed to your growth as nurse leader-manager or nurse informaticist? What difficulties, if any, have you experienced, and how might this affect the achievement of your objectives?

    In this Discussion, you assess your progress toward fulfilling your practicum professional development objectives and consider how you could enhance or alter your activities to achieve your aims. NURS 6600: Capstone Synthesis Discussion: Practicum Professional Development.

    ORDER A CUSTOM-WRITTEN PAPER NOW

    To prepare:

    Reflect on the practicum professional development objectives you developed and outlined in your Practicum Professional Experience Plan in Week 1.

    Keeping in mind the practicum activities you have engaged in thus far, consider the following questions:

    How have these activities helped to promote your professional development? NURS 6600: Capstone Synthesis Discussion: Practicum Professional Development.

    Are you satisfied with your progress toward meeting your objectives? If not, what will you do to ensure you achieve them before the end of your Practicum Experience? As a reminder, you must complete all of your practicum hours on or before Day 5 of Week 11.

    What challenges or unexpected opportunities have arisen at your practicum site? How has this affected your professional development?

    Think about the experiences you may have in the forthcoming weeks. Do you foresee any particular challenges on the horizon? If so, what is your plan for addressing those challenges? NURS 6600: Capstone Synthesis Discussion: Practicum Professional Development.

    Think about the time you have spent with your Preceptor. How has this time enhanced or changed your understanding of the role and functions of the nurse leader-manager or nurse informaticist?

    Post an assessment of your progress toward achieving your practicum professional development objectives, including how your involvement in specific practicum activities has contributed to your development. Explain what you will do to ensure you achieve your objectives by the end of your practicum. Summarize challenges or unexpected opportunities that have arisen, as well as any challenges that you anticipate may arise. Explain how you will address those challenges. Finally, summarize what you have learned about the role and functions related to your specialization through time spent with your Preceptor. NURS 6600: Capstone Synthesis Discussion: Practicum Professional Development.

    Read a selection of your colleagues’ responses.

    Respond to at least two of your colleagues on two different days, using one or more of the following approaches:

    Ask a probing question, substantiated with additional background information, evidence, or research.

    Share an insight from having read your colleagues’ postings, synthesizing the information to provide new perspectives. NURS 6600: Capstone Synthesis Discussion: Practicum Professional Development.

    Validate an idea with your own experience and additional research.

    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.

    Cipriano, P. F., & Murphy, J. (2011). The future of nursing and health IT: The quality elixir. Nursing Economic$, 29(5), 286–289.

    Note: Retrieved from the Walden Library databases.

     

    “Technology tools will continue to revolutionize how we plan, deliver, document, review, evaluate, and derive the evidence about care” (p. 289). This article examines how nurses can use information technology to transform nursing and redesign the health care system. It focuses on the use of technology to promote quality and notes that technology can also be used to address challenges in education, research, leadership, and policy.

    McKimm, J., & Swanwick, T. (2009). Setting learning objectives. British Journal of Hospital Medicine, 70(7), 406–409. NURS 6600: Capstone Synthesis Discussion: Practicum Professional Development.

    Note: Retrieved from the Walden Library databases.

     

    This article clarifies the terminology associated with learning objectives and explains how learning objectives relate to professional development and the transformation from novice to expert. It also introduces common pitfalls when setting learning objectives and provides suggestions for avoiding them.

    Murphy, J. (2011). The nursing informatics workforce: Who are they and what do they do? Nursing Economic$, 29(3), 150–153.

    Note: Retrieved from the Walden Library databases.

     

    The author examines the nursing informatics workforce, explaining that professionals in this well-established specialty area can play an integral role in transforming health care. NURS 6600: Capstone Synthesis Discussion: Practicum Professional Development.

    Sørensen, E. E., Delmar, C., & Pedersen, B. D. (2011). Leading nurses in dire straits: Head nurses’ navigation between nursing and leadership roles. Journal of Nursing Management, 19(4), 421–430.

    Note: Retrieved from the Walden Library databases.

     

    “Successful nursing leaders navigate between nursing and leadership roles while nourishing a double identity” (p. 421). In this article, the authors examine how individuals in key professional roles negotiate between and apply nursing and leadership skills.

    Warm, D., & Thomas, B. (2011). A review of the effectiveness of the clinical informaticist role. Nursing Standard, 25(44), 35–38. NURS 6600: Capstone Synthesis Discussion: Practicum Professional Development.

    Note: Retrieved from the Walden Library databases.

     

    The authors investigate the application of specialized knowledge and expertise to facilitate the appropriate use of emerging technologies in clinical settings. They argue for informaticists’ involvement in strategic development and delivery of information management and technology initiatives to promote patient-centered outcomes. NURS 6600: Capstone Synthesis Discussion: Practicum Professional Development.

    Wilkinson, J. E., Nutley, S. M., & Davies, H. T. O. (2011). An exploration of the roles of nurse managers in evidence-based practice implementation. Worldviews on Evidence-Based Nursing, 8(4), 236–246.

    Note: Retrieved from the Walden Library databases.

     

    In this article, the authors examine the role nurse managers should play in leading and facilitating evidence-based practice.

    Armstrong, P. (2013). Bloom’s taxonomy. Retrieved from http://cft.vanderbilt.edu/teaching-guides/pedagogical/blooms-taxonomy/

     

    Vanderbilt University provides this overview of Bloom’s taxonomy. This site also presents the original and updated versions of the taxonomy along with verb suggestions for each level. NURS 6600: Capstone Synthesis Discussion: Practicum Professional Development.

    Clark, D. (2013). Bloom’s taxonomy of learning domains. Retrieved from http://www.nwlink.com/~donclark/hrd/bloom.html

     

    This article addresses three domains of learning: cognitive, affective, and psychomotor.

    University of Central Florida, Office of Experiential Learning (n.d.). Writing SMART learning objectives, Retrieved from http://explearning.ucf.edu/registered-students/tips-for-success/writing-smart-learning-objectives/195

     

    This blog post focuses on the distinction between learning outcomes and objectives. Consider this information as you develop your practicum professional development objectives this week.

    The University of North Carolina at Charlotte, Center for Teaching & Learning. (2013). Writing objectives using Bloom’s taxonomy. Retrieved from http://teaching.uncc.edu/articles-books/best-practice-articles/goals-objectives/writing-objectives-using-blooms-taxonomy. NURS 6600: Capstone Synthesis Discussion: Practicum Professional Development.

     

    This resource outlines elements of Bloom’s Taxonomy.

    Document: Practicum Professional Experience Plan (Word Document)

     

    Use this form to develop your Practicum Professional Experience Plan as outlined this week.

    Document: Practicum Professional Experience Plan (Word Document)

     

    Use this form to develop your Practicum Professional Experience Plan as outlined this week.

    Document: Practicum Journal (Word Document)

     

    During your Practicum Experience, you are  required to submit your time log and three journal entries. You will use this  form to complete your journal reflections.

    Document: School of Nursing Practicum Manual: Master of Science in Nursing (MSN): Quarter-Based Programs (PDF)

     

    This comprehensive manual outlines all of the requirements for the Practicum Experience.

    Clinical Resources

    Document: Introduction to Clinical Experiences (PowerPoint)

    Document: Practicum Manual (PDF)

     

    Wk 6 Discussion

     

    I have grown as far as learning how to perform my job in a leadership role, versus a staff nurse on the floor. I have had several opportunities where I had to use critical thinking skills from a managerial standpoint. For instance, there was a situation where a nurse had previously been warned regarding attendance. I was allowed to sit in with the Manager of the unit as we discussed with the employee further disciplinary actions. I asked the employee several questions, and allowed them input, which ultimately, the employee informed both myself and the manager she has been homeless for over a month, and she was trying to deal with the situation without losing her job. In the end, there was a need for a full time nurse, therefore the nurse accepted in hopes this will help with her financial situation. NURS 6600: Capstone Synthesis Discussion: Practicum Professional Development.

     

    The one difficulty that has arisen thus far has been is that the last two Managers meetings have fell on Wednesdays, which they were originally on Fridays the days I complete my Practicum. Fortunately my Preceptor has been of good help with them allowing a briefing and my having the notes, and agendas from the meetings.

    With the activities that have occurred while on my Practicum, I have been fortunate to show the Supervisor of the department of Clinical Education, Staffing Development that I am a team player. She has informed me that by being dedicated, and have a willingness to learn, I would be a great asset to their team. I have been introduced to the Leadership staff, and have been invited to the Leadership Development Institute Seminar that will be held October 13
    th
    .

    To this point I am satisfied with my progress.  I have been making great headway as far as Practicum Project.

    The one challenge that has arisen is that one of the Clinical Educators has taken another job in which this puts a little more pressure on my preceptor to now perform orientations in two sections, whereas it was previously done with three nurses. The one good thing is a nurse will be coming this Monday to assist with scheduling and call backs. Because I am available on Mondays and Fridays, I have been able to assist with classes. NURS 6600: Capstone Synthesis Discussion: Practicum Professional Development.

    At this time I do not foresee any challenges on the horizon.

    While spending time with Preceptor I now have a greater understanding of how much is put into the role of a leader. Before now I could do my job, complete the days work, and leave, Now it’s not that simple, I am responsible for how the department flows, how the staff is engaged, as well as having to maintain my home and work life balance.

     

    Practicum Professional Development Objectives Progress

     

    The overall goal of my practicum project is to improve the Pressure Injury Program in the Community Living Center (CLC).  To do this I have set a few objectives.  The first was to educate the front line staff on pressure ulcer/injury prevention.   I have completed the pre-test focus groups and the actual trainings start this week.  Another objective was to improve the handoff process.  Focus groups, observations and interviews are continuing in week 6 of my project.  Both objectives are on target based upon my established timeline. NURS 6600: Capstone Synthesis Discussion: Practicum Professional Development.

    Personal Development

    My involvement in these specific practicum actives has contributed to my professional development.  To achieve the first objectives of educating front line staff, it was necessary for me to use my communication and facilitation skills in focus groups and during the pre-test meetings.  In a few of these group meetings, I needed to utilize conflict management skills when arguments arose over lack of performance on the part of some team members.  The conflict strategy I used was compromising.  Compromising allows each party to give up something so that a win-win outcome is the result (Marquis & Huston, 2015).  In working towards a change in the handoff process, once again my communication skills were necessary as well as my change agent skills.  It was necessary for me to get the staff to understand how the current process is failing and that they are an essential part of the solution.

    Achieving Objectives

    In order to achieve the first objective of educating the front line staff on pressure injury prevention, I will need to continue to present the trainings in week 6 and 7.  This will ensure I can meet my timeline goal of collecting the post-tests in week 8.  The hand-off process changes will need to be listed by week 7 so they can be implemented by week 9.  I will continue to hold the meetings and gather the suggestions during this time.

    Challenges

    So far, the biggest challenge for me is the ability to get every front line staff to the meetings and to complete the trainings.  Because of scheduled sick leave and vacations, some staff may not be able to participate in my project until their return.  The challenge for me is to get the highest percent of participation as possible.  The challenge for me in the handoff process is lack of employee engagement.  I have found so far, that the charge nurses didn’t seem to want to offer any solutions.  It’s as they were just waiting for someone to tell them how to do it.  I had a hard time explaining in the first few meetings that they were the ones to come up with the solution for a better handoff.  The importance of being involved as an active member of the planning team was explained. I plan to address these challenges by continuing to meet with staff and present the justification for the project and why I need everyone to participate.  I plan to use the Appreciative Inquiry Process in our problem solving meetings.  In this approach to problem solving, participants work towards the ideal handoff process during the design phase of the process (Manion, 2011). NURS 6600: Capstone Synthesis Discussion: Practicum Professional Development.

    I did have an unexpected opportunity during my front line focus groups.  A group from the National Office of Nursing Services (ONS) made a scheduled visit to discuss and review our evidence based practice at our facility. Separate meetings were held on quality improvement and I was able to participate in the one for skin care.  It was a great opportunity to explain my project and how it should help improve quality in the CLC.

    Preceptor Role & Function

    During the first half of my practicum project, I have been able to meet and update my preceptor a few times per week.  I have learned that her role and function as my preceptor isn’t just to guide me to keep on track with my goals and objectives, but to encourage me.  I have found that my preceptor offers me suggestions to improve the way I am meeting the objectives, but at the same time, she is giving me the freedom to do it my way.  I have found that her encouragement during my weekly updates gives me the motivation to continue to push forward to finishing this class and earning my degree.  She has also encouraged me to be a mentor after I finish my degree and help other students with their projects. One key goal of being a preceptor is to always create a positive and rich learning environment (Ulrich, 2010).  My preceptor is always finding unplanned events in my workday to use as an example to add value to my project.  I look forward to working with my preceptor for the duration of my project. NURS 6600: Capstone Synthesis Discussion: Practicum Professional Development.

     

    References

    Manion, J. (2011).  
    From Management to Leadership
     (3
    rd
     ed.).  San Francisco, CA: Jossey-Bass, A Wiley Imprint.

    Marquis, B.L., & Huston, C.J. (2015
    ).  Leadership roles and management functions in nursing: Theory and Application
     (8
    th
     ed.). Philadelphia, PA: Lippincott, Williams & Wilkins.

    Ulrich, B.T. (2010).  The Preceptor Role. 
    Nursing Informatics
    .  Retrieved from: http://nursinginformatics-umdnj.com/toolkit/images/Preceptor_role.pdf. NURS 6600: Capstone Synthesis Discussion: Practicum Professional Development.

  • Feeding, Eating, and Elimination Disorders in Childhood

    Week 10: Feeding, Eating, and Elimination Disorders in Childhood

    “I am so tired and frustrated. Jackson refuses to breastfeed, and bottle feeding is not much easier. He was the perfect baby when he was born, but now, 6 months later, he is only a few pounds heavier. He won’t take any more than 4 ounces of formula at a time and wakes up several times during the night. We started him on baby food early, but even then he only eats one or two bites before he starts kicking and crying. The pediatrician says there is nothing wrong physically as he is meeting all his milestones, but he just won’t eat.”

    ORDER A CUSTOM-WRITTEN PAPER NOW

    Children and adolescents with feeding, eating, and elimination disorders may come to the attention of providers in a variety of settings. These disorders are disturbing to parents and may have significant morbidity for youth. It is not uncommon to hear of youth with eating disorders including anorexia and bulimia. It is less common to hear of pica and rumination disorder. Elimination disorders of enuresis and encopresis are troubling to children and parents and cause significant difficulty in daily functioning. Feeding, Eating, and Elimination Disorders in Childhood.

    This week, you work with your group again to develop a Parent Guide for a feeding, eating, or elimination disorder. You also submit your cover letter, resume, and portfolio. Feeding, Eating, and Elimination Disorders in Childhood.

     

    Feeding, Eating, and Elimination Disorders in Childhood 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

    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 28, “Psychotherapies” (pp. 901–907)

    Chapter 31, “Child Psychiatry” (pp. 1205–1216)

    American Psychiatric Association. (2013).
    Diagnostic and statistical manual of mental disorders
    (5th ed.). Washington, DC: Author. Feeding, Eating, and Elimination Disorders in Childhood.

    “Feeding and Eating Disorders”

    “Elimination Disorders”

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

    Lock, J., & La Via, M. C. (2015). Practice parameter for the assessment and treatment of children and adolescents with eating disorders.
    Journal of the American Academy of Child & Adolescent Psychiatry
    ,
    54
    (5), 412–425. Retrieved from http://www.jaacap.com/article/S0890-8567(15)00070-2/pdf

    Stahl, S. M. (2014).
    Prescriber’s Guide: Stahl’s Essential Psychopharmacology
    (5th ed.). New York, NY: Cambridge University Press. Feeding, Eating, and Elimination Disorders in Childhood.

     

    Note:
    All Stahl resources can be accessed through the Walden Library using the link. This link will take you to a login page for the Walden Library. Once you log in to the library, the Stahl website will appear.

    To access information on the following medications, click on The Prescriber’s Guide, 5th Ed. tab on the Stahl Online website and select the appropriate medication. Feeding, Eating, and Elimination Disorders in Childhood.

    Review the following medications:

    Bulimia nervosa/binge eating

    Bulimia nervosa/binge eating

    Enuresis

    fluoxetine

    topiramate

    zonisamide

    imipramine

    Note:
     Many of these medications are FDA approved for adults only. Some are FDA approved for disorders in children and adolescents. Many are used “off label” for the disorders examined in this week. As you read the Stahl drug monographs, focus your attention on FDA approvals for children/adolescents (including “ages” for which the medication is approved, if applicable) and further note which drugs are “off label.” Feeding, Eating, and Elimination Disorders in Childhood.

    Optional Resources

    Thapar, A., Pine, D. S., Leckman, J. F., Scott, S., Snowling, M. J., & Taylor, E. A. (2015).
    Rutter’s child and adolescent psychiatry
    (6th ed.). Hoboken, NJ: Wiley Blackwell.

    Chapter 71, “Feeding and Eating Disorders” (pp. 1016–1034)

    Feeding, Eating, and Elimination Disorders in Childhood 
    Discussion: Parent Guide

    Feeding, eating, and elimination disorders can be difficult to detect and treat. Parents need education and information to determine if their infant, child, or adolescent may have these types of disorders. A Parent Guide can be a useful tool to help both the clinician and the parent in understanding the child or adolescent and providing behavioral strategies for helping families work with these disorders. For this Discussion, you will be assigned a feeding, eating, or elimination disorder.

    In this Discussion, you work with your group again to develop a Parent Guide for your assigned feeding, eating, or elimination disorder.

    Feeding, Eating, and Elimination Disorders in Childhood Learning Objectives

    Students will:

    Analyze signs and symptoms of feeding, eating, and elimination disorders

    Analyze pathophysiology of feeding, eating, and elimination disorders

    Analyze diagnosis and treatment methods for feeding, eating, and elimination disorders

    Create professional cover letters, resumes, and portfolios

    Feeding, Eating, and Elimination Disorders in Childhood.

    To Prepare for this Feeding, Eating, and Elimination Disorders in Childhood Assignment:

    Your Instructor will assign you to a group and a disorder by Day 1 of Week 2.

    Review the resources concerning your assigned disorder.

    Use your group’s Discussion Board to design and develop the Parent Guide before posting to the group wiki. For further guidance, refer to the 
    Accessing Group Discussions
     instructions below.

    Using evidence-based research, design and develop a Parent Guide for your assigned disorder including:

    Signs and symptoms

    Pathophysiology

    How the disorder is diagnosed

    Treatment options

    Provide a minimum of three academic references.

    By Day 5

    One designated group member
     should post the completed Parent Guide to the Discussion.

    By Day 7

    Respond
     to at least 
    two
     other groups’ wikis by providing at least two contributions for improving or including in their Parent Guide and at least two things that you like about their guide. Feeding, Eating, and Elimination Disorders in Childhood.

    Submission and Grading Information

    Accessing Group Discussions and Wikis

    To access your group’s discussion
    , click on the 
    Parent Guide Groups
     link. Once you have clicked on the link, select your assigned team (e.g., Team A, Team B, Team C, etc.) to access your team’s home page. Select 
    Group Discussion Board
     under the Group Tools menu to work on your participate in your group’s discussion. Feeding, Eating, and Elimination Disorders in Childhood.

    To access your group’s wiki
    , click on the 
    Parent Guide Groups
     link. Once you have clicked on the link, select your assigned team (e.g., Team A, Team B, Team C, etc.) to access your team’s home page.

    Creating a Wiki Page

    Create the first wiki topic page by entering the group’s wiki area and selecting 
    Create Wiki Page
    . Use the group’s assigned disorder as the name of your wiki. Then add your Parent Guide in the Content text box. You can use the editor functions to format the text and include files, images, web links, multimedia, and mashups. Select 
    Submit
     when you have completed the wiki page. Feeding, Eating, and Elimination Disorders in Childhood.

    Grading Criteria

    To access your rubric:

    Week 10 Parent Guide Discussion Rubric

    To access your group discussion / wiki:

    Parent Guide Groups

    Post to Discussion by Day 5 and Respond by Day 7

    To participate in this Discussion:

    Parent Guide Groups – Week 10

    Assignment 1: Practicum: Week 2 Cover Letter, Resume, and Portfolio

    By Day 7

    Submit
     your cover letter, resume, and portfolio, which were assigned in Week 2.

    Submission and Grading Information

    To submit your completed Assignment for review and grading, do the following:

    Please save your Assignment using the naming convention “WK10Assgn1+last name+first initial.(extension)” as the name.

    Click the 
    Week 10 Assignment 1 Rubric 
    to review the Grading Criteria for the Assignment.

    Click the 
    Week 10 Assignment 1 
    link. You will also be able to “View Rubric” for grading criteria from this area.

    Next, from the Attach File area, click on the 
    Browse My Computer
     button. Find the document you saved as “WK10Assgn1+last name+first initial.(extension)” and click 
    Open
    .

    If applicable: From the Plagiarism Tools area, click the checkbox for 
    I agree to submit my paper(s) to the Global Reference Database
    .

    Click on the 
    Submit
     button to complete your submission.

    Grading Criteria

    To access your rubric:

    Week 10 Assignment 1 Rubric

    Check Your Assignment Draft for Authenticity

    To check your Assignment draft for authenticity:

    Submit your Week 10 Assignment 1 draft and review the originality report.

    Submit Your Assignment by Day 7

    To submit your Assignment:

    Week 10 Assignment 1

    Assignment 2: Practicum: Week 9 Decision Tree

    By Day 7

    Submit
     your Assignment. Refer to Week 9 for additional guidance.

    Submission and Grading Information

    To submit your completed Assignment for review and grading, do the following:

    Please save your Assignment using the naming convention “WK10Assgn2+last name+first initial.(extension)” as the name.

    Click the 
    Week 10 Assignment 2 Rubric 
    to review the Grading Criteria for the Assignment.

    Click the 
    Week 10 Assignment 2 
    link. You will also be able to “View Rubric” for grading criteria from this area.

    Next, from the Attach File area, click on the 
    Browse My Computer
     button. Find the document you saved as “WK10Assgn2+last name+first initial.(extension)” and click 
    Open
    .

    If applicable: From the Plagiarism Tools area, click the checkbox for 
    I agree to submit my paper(s) to the Global Reference Database
    .

    Click on the 
    Submit
     button to complete your submission.

    Feeding, Eating, and Elimination Disorders in Childhood

    Grading Criteria

    To access your rubric:

    Week 10 Assignment 2 Rubric

    Check Your Assignment Draft for Authenticity

    To check your Feeding, Eating, and Elimination Disorders in Childhood Assignment draft for authenticity:

    Submit your Week 10 Assignment 2 draft and review the originality report.

    Submit Your Assignment by Day 7

    To submit your Assignment:

    Week 10 Assignment 2

    Feeding, Eating, and Elimination Disorders in Childhood Assignment 3: Board Vitals

    This week you will be responding to twenty Board Vitals questions that cover a broad review of your Nurse Practitioner program courses up to this point.

    These review questions will provide practice that is critical in your preparation for the national certification exam that’s required to certify you to practice as a nurse practitioner. These customized test questions are designed to help you prepare for your Nurse Practitioner certification exam. It is in your best interest to take your time, do your best, and answer each question to the best of your ability. Feeding, Eating, and Elimination Disorders in Childhood.

    You can access Board Vitals through the link sent to you in email or by following the link below:

    https://www.boardvitals.com/

    By Day 7

    Complete the Board Vitals questions.

    Practicum Reminder

    Time Logs

    You are required to keep a log of the time you spend related to your practicum experience 
    and enter every patient you see each day
    . You can access your time log from the Welcome Page in your Meditrek account. You track time individually for each patient you work with. Please make sure to continuously input your hours throughout the term. Feeding, Eating, and Elimination Disorders in Childhood.

    Making Connections

    This week, you worked with your group again to develop a Parent Guide for a feeding, eating, or elimination disorder. You also submitted your cover letter, resume, and portfolio.

    Next week, you explore psychological issues that may arise in children faced with special circumstances and the assessment and treatment options specific to these special populations. Feeding, Eating, and Elimination Disorders in Childhood.

  • NURS 6600: Capstone Synthesis Practicum

    NURS 6600: Capstone Synthesis Practicum

    Student Guide to Creating a Final Professional Portfolio

    Purposes and Definition

    The purposes of a Portfolio are to do the following:

    Provide a repository for your educational and professional accomplishments

    Document your educational progression and growth throughout the program

    Evaluate your achievement of program learning outcomes

    Project a professional image through the organization and presentation of the material

    Communicate accomplishments to colleagues and the professional community

    NURS 6600: Capstone Synthesis Practicum

    Documentation and Evidence

    ORDER A PLAGIARISM-FREE PAPER HERE

    Your Professional Portfolio will contain the following documentation and evidence*:

    Program of Study

    A Professional Development Plan (PDP)

    A current Curriculum Vitae (CV)/Résumé

    Portfolio Assignments
    from each of the courses

    Continuing Education (CE),
    if applicable

    NURS 6600: Capstone Synthesis Practicum

    Other Non-Electronic Documents,
    if applicable

    End of Program Outcome Evidence Chart

    Final Reflection

    *See the
    Portfolio Sections and Formatting Guidelines
    (below) for details about
    each of these items to be included in your Portfolio.

    Evidence Collection and Documentation Storage

    At the beginning of the MSN program, you should have initiated the process of collecting evidence and storing materials and information in an organized way. In preparation for assembling your Professional Portfolio, you may wish to complete the following:

    Set up computer and paper files related to each section of your Portfolio, as indicated in the Portfolio Template. For example, you may have a computer file with documentation of your CE activities and a paper file containing the actual. NURS 6600: Capstone Synthesis Practicum.

    certificates.

    Organize course files into the categories that help you to analyze your learning and development (papers, journal, reflections, professional development, course assignments, etc.). For example, you might save all your journal entries in one file and identify a selection of these entries to demonstrate your growth over time.

    NURS 6600: Capstone Synthesis Practicum Sections and Formatting Guidelines

    Your Professional Portfolio consists of
    one
    document, with specified sections.

    Save a version of the Portfolio Template to create your Professional Portfolio document.

    Prior to copying and pasting the NURS 6600: Capstone Synthesis Practicum assignments into your saved version of the Portfolio
    Template,
    review the Portfolio Assignment from each of your prior courses and make the following adjustments:

    If there are any Instructor comments in an assignment, address the comments and then delete the notations to create a clean version of the assignment. Be sure the Track Changes function is turned
    off
    in the document.

    Proofread each assignment to ensure that it is free of typographical, grammatical, structural, or punctuation errors. In some cases, this will mean correcting errors in your original document.

    Reformat each assignment using the guidelines below and as modeled in the Portfolio Template:

    o Update the title page of each Portfolio Assignment to match the template specifications.

    o If the NURS 6600: Capstone Synthesis Practicum assignment is in a format other than Word (e.g., PowerPoint or Excel), save it as a Word document, if possible, so that you can integrate it into your Portfolio document. If that is not possible, you may need to save an assignment as an image file to be included in your portfolio or list the item in Table 2 (Other Non-Electronic Documents).

    o Use Times New Roman font (12 point) throughout.

    o Ensure that each assignment is double-spaced throughout. (If necessary, select all or highlight the area to be updated, click on Format, Paragraph, and then select Line Spacing: Double.)

     

    In your saved version of the NURS 6600: Capstone Synthesis Practicum Portfolio Template, be sure to address the following:

    The first page of your Portfolio document (the cover page) should include all the information listed in the Portfolio Template, including your NURS 6600 section number, date of Portfolio submission, your full name, address, telephone number, e­mail address, your current position title (i.e. ICU Nurse, etc.), agency, and the city and state where you work. Be sure to follow the format presented in the Portfolio Template.

    You may update the Table of Contents manually once you have inserted all the sections of the Portfolio. If you use the functionality in Word to create your Table of Contents automatically, be sure to follow the wording and sequencing indicated in the Portfolio Template.

    Paste your Program of Study. This was initiated in NURS 6001 and may need to be revised/updated.

    Paste your Professional Development Plan. This plan, which was initiated in NURS 6001, should be reviewed and refined/updated as necessary.

    Paste a copy of your Curriculum Vitae (CV)/Résumé. The Portfolio Template includes formatting/sequencing suggestions.

    After you have properly formatted all of the assignments as indicated above,
    carefully paste each one in chronological order (including the course number on the assignment title page). Reminder:
    If necessary,
    documents may be included in your Portfolio as images or may be listed in Table 2.

    Foundation Requirements

    NURS 6001: Week 5: Professional Development Plan

     

    Graduate Nursing Leadership & Management Portfolio Requirements

    Course

    Course Name
    (italics) & Assignments

    NURS6201

    Leadership in Nursing and Health Care

     

    Week 2 Portfolio: Analyzing a Need for Change (Paper) (Assignment submitted in
    Week 8
    )

    NURS6211

    Finance and Economics in Health Care Delivery

     

    Week 11 Portfolio: Process Flow Analysis (Discussion) (Discussion Assignment submitted in
    Week 11
    )

    NURS6221

    Managing Human Resources

     

    Week 5 Portfolio: Coaching Employees (Paper) (Assignment submitted in
    Week 6
    )

    NURS6231

    Healthcare Systems and Quality Outcomes. NURS 6600: Capstone Synthesis Practicum

     

    Week 7 Portfolio: Section 3: Quality Measurement and Assessment (Assignment submitted in
    Week 8
    )

    NURS 6241

    Strategic Planning in Health Care Organizations

     

    Week 6 Portfolio: Comprehensive Course Project: Developing a Strategic Plan

    (Assignment submitted in
    Week 11
    )

    NURS 6600

    Capstone: Synthesis Practicum – Leadership and Management

     

    Practicum Project Presentation (Assignment submitted in
    Week 11
    )

    In Table 1 (Continuing Education), you may list and describe any Continuing Education (CE) course(s) you have completed during your academic journey (typically during the last two years). NURS 6600: Capstone Synthesis Practicum. It is not necessary to scan CE certificates.
    Note:
    Inclusion of CE credits is optional and not a required element of your Professional

    In Table 2 (Other Non-Electronic Documents), list documents for which you do not have electronic versions.

    Pictures, significant notes, communications from colleagues, or any other artifacts may be included to demonstrate how you have grown throughout your academic For example, if you conducted a workshop on hospice care, you might include a copy of the website information, an image of the brochure, and a scan of participant evaluation results. Use Word documents whenever possible; include scanned copies of original documents and/or write a brief description as necessary. NURS 6600: Capstone Synthesis Practicum.

     

    Type in the required information to complete the End of Program Outcomes Evidence Chart.

    Complete the Final Reflection.

    Ensure that your Portfolio has a professional appearance by confirming the following:

    o The date of submission/completion is indicated on each item included in your Portfolio, as appropriate

    o The font and font size (Time New Roman, 12 point) is consistent throughout the document (do not use all caps)

    o The margins on the document are standard: APA style indicates 1” on all four sides; while your portfolio may vary slightly from these specifications, it must be consistent and reflect a scholarly appearance. NURS 6600: Capstone Synthesis Practicum.

    o The Portfolio document includes page numbers at the top right corner. The page numbers are automatically formatted in the Portfolio Template. If necessary, you can adjust or add automatically formatted page numbers to your Word document by selecting Insert, Page Number in the tool bar and then selecting Top of Page, alignment Right

    o Images are used sparingly and only as needed, since including images can make the size of your Portfolio difficult to upload/download

    Q&A

    Why am I being asked to develop a comprehensive Portfolio?
    The Walden MSN Program Faculty believe a Portfolio:

    Promotes the synthesis of knowledge:
    To become a competent leader in the profession and your selected specialization, you need to synthesize a great deal of information from a variety of sources. Creating a Portfolio provides the structure for thinking about and communicating these interconnections.

    Promotes reflective thought:
    One hallmark of graduate education is the ability to think analytically and engage in self-assessment. Creating the Portfolio allows you to evaluate and demonstrate the achievements in acquiring advance nursing and specialty knowledge. NURS 6600: Capstone Synthesis Practicum.

    Provides evidence that assignment, course, and program learning outcomes
    have been met:
    The Portfolio reflects the different ways in which you have met the outcomes.

    Is my Portfolio graded?

    The individual assignments and parts of the Portfolio are graded throughout the program. The Final Portfolio is graded at various points during the curriculum, and compilation of the Portfolio is due at the end of the program in NURS 6600. The NURS 6600: Capstone Synthesis Practicum grading rubric is included in NURS 6600.

    When is my Portfolio due?

    Parts of the Portfolio are due as you complete assignments, projects, courses, and reflect on your growth and program experiences. The Portfolio will contain all the pieces of evidence that support your attainment of the learning and program outcomes. The Final Portfolio should be sent as a Word document to your assigned Faculty Member by
    Day 3
    of
    Week 11
    of NURS 6600.

    What are the contents of the Portfolio?

    Portfolios are individual creations, and will not look exactly alike. The Portfolio is organized into sections so that specific types of information and evidence can be extracted when needed. NURS 6600: Capstone Synthesis Practicum Data collection and research activities, related to organizational and program goals, are part of the content.

    Portfolio Term Definitions

    Program Outcomes
    – Statements that predict what learners will have gained as a result of the learning process; they are linked to the knowledge, understanding, skills, capabilities, and values that a student will have gained after completing the program.

    Learning Objectives
    – Statements that predict what learners should have gained as a result of the learning process, stated as course objectives. There are course objectives and program learning outcomes.

    Descriptive Statements
    – Statements that are intended to give the reader a mental image of something experienced (such as a scene, person, or sensation), “what is,” or “fact.” Descriptive statements can predict a future state of affairs.

    Résumé
    – A brief account of one’s professional or work experience and qualifications.

    Reflection
    – Statements describing your personal and professional growth in specific areas.

    Evidence
    – Basis for belief or disbelief, or knowledge on which to base belief.

     

    Growth
    – Personal progression from simple to more complex as the basis for “the growth of a culture.”

    Journal
    – A written, narrative record of observations, ideas, and insights that are recorded on a regular basis, while they are still fresh. NURS 6600: Capstone Synthesis Practicum. A journal allows you to store thoughts about interconnections between separate courses and document meaningful experiences, thoughts, and feelings about the process of becoming a master’s prepared nurse.

    Submitting Your Portfolio

     

    Resources:

    Bennett, A. M. (2008). Creating a professional portfolio. Retrieved from
    http://journals.lww.com/nursing/fulltext/2008/09000/creatingaprofessionalportfolio.45
    .aspx

    Casey, D. C., & Egan, D. (2010). The use of professional portfolios and profiles for career enhancement.
    British Journal Of Community Nursing, 15
    (11), 547–552. NURS 6600: Capstone Synthesis Practicum.