Instructions Unit 1 Assignment – Clinical Preparation Tool- Instructions- 800w-4 references- due 11-4-23

Topic: Suicidal Ideation 

Suicide Assessment C-SSRS

The Columbia Lighthouse Project. (2016). 


Identify risk. Prevent suicide

Links to an external site.
. https://cssrs.columbia.edu/

For this week utilize the tool listed above to complete the assignment.

Overview  

As you will learn throughout the program, the diagnosis of a variety of psychiatric illnesses is not always an easy or straightforward process. Multiple observations and assessment methods are often employed to reach a diagnosis. This approach can include the use of standardized assessment instruments.  This then aids you in defining a treatment plan and choosing specific treatment plans to use in the care of your clients.  

You are tasked with
identifying a standardized assessment instrument/tool to measure the disorders listed for each week. You will keep these instruments in the form of a “portfolio” that you can use in your clinical practice to assess clients who present with a variety of symptoms.  

Instructions:  

Instrument/ Tool criteria:  

For each assessment, you are tasked with selecting, you will identify an instrument and:  

1. List what
DSM diagnosis the tool/instrument is used for.  

2.
Identify an assessment/diagnosis instrument. 

3. Appraise a scholarly, peer-reviewed article that addresses the use of the instrument to support your choice as an evidence-based instrument for practice.  

4. Evaluate the instrument’s appropriateness for diagnosing the condition it is designed to assess or if the developers of the instrument reported that the instrument is only part of a comprehensive assessment for the disorder.  

5. Describe whether or not the instrument can be used to measure patient response to therapy/treatment or if it is strictly for assessment and diagnosis.  

6. Discuss the psychometrics/scoring of the instrument, including reliability and validity.  

7. Discuss any limitations associated with the use of the instrument. 

8. Include a link to view the assessment if possible. 

 Use the following template in completing your portfolio assignments. Your information can be in a bulleted format or just a couple of sentences for each criterion listed above. However, you must use APA citations.  You are NOT required to write this in a paper format.  Turn in one document for each week’s topics.  (However, create a file on your desktop to compile your portfolio as you move through the term.)  This will ensure you can have easy access to show the full portfolio and once you begin clinicals and practice.  Throughout the program, you will continue to add to the portfolio in each course. 

Anxiety and Related Disorders

Week 4

DSM: Generalized Anxiety Disorder

Instrument: Generalized Anxiety Disorder 7 (GAD-7) and Generalized Anxiety Disorder 2

(GAD-2)

Article: Validation and Standardization of the Generalized Anxiety Disorder Screener (GAD-7)

in the General Population. Medical Care

Appropriateness for Dx: The GAD-7 and GAD-2 is screening tools for initial assessment for

mental health screening. The screening is the process used by healthcare provider to assess the

need to further evaluate for anxiety disorders. This helps determine the need for further

questioning on the anxiety the individual may be experiencing.

Response to Therapy/Treatment: This screening is effective for self-reporting of anxiety for

the healthcare provider. The evidence supports the validity and reliability of the GAD-7 and

GAD-2 for screening for anxiety disorders (Löwe et al., 2008).

Assessment Instruments

Psychometrics: The questionnaire is a self-reporting tool used for the individual to report any

problematic areas dealing with anxiety. The screening tool has 7 questions in the GAD-7 and the

shorter briefer questionnaire has 2 questions. The questionnaire asks the individual “Over the last

2 weeks, how often have you been bothered by the following problems?”. Then list 7 different

items relating to anxiety and the GAD-2 is the same just stops after question 2. The is effective

screening tool to help see the problem areas. The individual has several different choices to

provide feedback. It is on a scaled system to calculate a score. For example, the first choice “0”

has the words “not at all” and the last choice is “nearly every day” with the score of “+3”. The

calculated score at the end is broke down by minimal, mild, moderate, severe anxiety based on

the scoring.

Limitations:

Limitations: The limitations on the screening tool is the individual answering truthfully or to the

best of their ability. The assessment and further evaluation by the healthcare provider is

necessary for validation of the diagnosis.

References

Löwe, B., Decker, O., Müller, S., Brähler, E., Schellberg, D., Herzog, W., & Herzberg, P. Y.

(2008). Validation and Standardization of the Generalized Anxiety Disorder Screener (GAD-7) in

the General Population. Medical Care, 46(3), 266–274.

· respond to peers thoughtfully, add value to the discussion, and apply ideas, insights, or concepts from scholarly sources, such as: journal articles, assigned readings, textbook material, lectures, course materials, or authoritative websites. For specific details and criteria, refer to the discussion rubric in the Menu (⋮) or in the Course Overview Weekly Discussion Guidelines. 

1st peer post:

Kiersten Echols

 There are many things that can influence your predisposition to specific disease processes. For example, culture can affect your predisposition to disease based on genetic factors and diet. Certain cultures have diets that contain higher sodium or higher use of trans fat. For example, if we take the Collins-Kim's Korean culture diet, their traditional dishes tend to contain more sodium which can lead to a pre-disposition and a higher likelihood of high blood pressure later in life. Financials can influence your predisposition to disease because they may influence the environment you live in and the food you eat. If you are on a lower income, you are more likely to live in an area that may be higher in air pollutants and unhygienic living spaces directly causing diseases such as COPD or Asthma. You also may only be able to afford lower quality food containing higher sodium, saturated fats, and processed foods containing chemicals leading to obesity or high cholesterol. Your genetics play just as big of a role as all of the factors listed above in your risk of disease development. Things such as Sickle Cell disease are passed down through the generations, most common in African-American ancestry, and are unavoidable if it is part of your genetic makeup when you are born. 

 The two family members I would like to focus on are Noah Collins and Grandpa Kim (Akio). The lifespan considerations I would look at for Noah would be her higher risk for things like heart disease and diabetes. These things are more common in African Americans and should be monitored as they age. Given that we do not know anything about her birth parent's health history, she should be screened for any genetic diseases that are prominent in this population such as Sickle Cell. For Grandpa Kim, considering he already has a diagnosis of hypertension, I would make sure he sees his PCP and Cardiologist regularly to watch his heart health closely. This diagnosis may be related to the high sodium diet from Korean dishes leading to increased inflammation in the body. He needs to adhere to the lifestyle changes that must be made when given this diagnosis such as watching sodium intake, monitoring his blood pressure daily, and taking his medications regularly throughout his life. 

References

Basdeki, E. D., Kollias, A., Mitrou, P., Tsirimiagkou, C., Georgakis, M. K., Chatzigeorgiou, A., Argyris, A., Karatzi, K., Manios, Y., Sfikakis, P. P., & Protogerou, A. D. (2021, July 30). 
Does sodium intake induce systemic inflammatory response? A systematic review and meta-analysis of randomized studies in humans. Nutrients. 

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8399701/

Centers for Disease Control and Prevention. (2019, January 3). 
Introduction to environmental public health tracking. Centers for Disease Control and Prevention. 

https://www.cdc.gov/nceh/tracking/tracking-intro.html#:~:text=Environmental%20hazards%E2%80%94like%20water%20and,acute%20illnesses%20like%20heat%20exhaustion
.

Centers for Disease Control and Prevention. (2018, January 19). 
Behavior, environment, and genetic factors all have a role in causing people to be overweight and obese. Centers for Disease Control and Prevention. 

https://www.cdc.gov/genomics/resources/diseases/obesity/index.htm

Kim, S. H., Kim, M. S., Lee, M. S., Park, Y. S., Lee, H. J., Kang, S., Lee, H. S., Lee, K.-E., Yang, H. J., Kim, M. J., Lee, Y.-E., & Kwon, D. Y. (2016, March 15). 
Korean diet: Characteristics and historical background. Journal of Ethnic Foods. 

https://www.sciencedirect.com/science/article/pii/S2352618116300099#:~:text=The%20principal%20aspects%20of%20the,and%20sesame%20or%20perilla%20oil
.

U.S. National Library of Medicine. (n.d.). 
Why are some genetic conditions more common in particular ethnic groups?: Medlineplus Genetics. MedlinePlus. 

https://medlineplus.gov/genetics/understanding/inheritance/ethnicgroup/#:~:text=People%20in%20an%20ethnic%20group,frequently%20seen%20in%20the%20group
.

Weida, E. B., Phojanakong, P., Patel, F., & Chilton, M. (2020, May 18). 
Financial Health as a measurable social determinant of health. PloS one. 

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7233592/

 

2nd peer post:

Jasmin Seay

Culture affects an individual's beliefs regarding healthcare, including whom they seek as providers, how they respond to recommendations, and their willingness to adhere to lifestyle changes and treatment modalities (Hernandez & Blazer, 2006; Nielsen-Bohlman et al., 2004). The Collins-Kim family consists of individuals descending from Greek/Scottish/Irish and East Asian cultures. East Asian culture primarily seeks herbal and holistic treatments as opposed to Western medicine. Finances determine the quality of accessible healthcare resources (Hernandez & Blazer, 2006; Purdue University, 2020). Financial stress/strain directly impacts health because it can influence the adoption of unhealthy coping mechanisms (Purdue University, 2020). A potential example is the history of smoking and obesity within the Collins family. The environment presents similar, if not more detrimental damage than genetics because environmental conditions can mutate genes and trigger disease(National Institute of Environmental Health Sciences, 2018). Environmental factors include air pollutants, chemical and noise exposures, and climate change (Regis College, 2020). Regarding genetic influence, family history directly influences the genetic prevalence of a disease occurrence in subsequent generations (Hernandez & Blazer, 2016). There were various incidences of this in the case study, for example, Elliot Collins has asthma which likely was influenced by his mother who has a history of asthma. Additionally, heart disease was prominent in both of Leslie Collins parent's health history. I chose to follow Leslie Collins and Kali Collins-Kim throughout the case study. With analysis of Leslie Collins personal history and family history, he is a great risk of:

· Obesity (he is currently overweight for his height and family history – both parents) (Earhart, 2010)

· Heart Disease (hypertension, hyperlipidemia, and ex-smoker) 

· COPD (ex-smoker and family history – paternal) (Hersh et al., 2011)

Upon review of Kali Collins-Kim, she is at risk of:

· Antibiotic Resistance (PCN allergy = increased use of broad-spectrum antibiotics) (Blumenthal et al., 2019)

· Dementia and Alzheimer's (family history – maternal) (Alzheimer's Association, 2023)

REFERENCES

Alzheimer's Association. (2023). 
Causes and Risk Factors for Alzheimer’s Disease. Alzheimer’s Disease and Dementia. https://www.alz.org/alzheimers-dementia/what-is-alzheimers/causes-and-risk-factors#:~:text=Another%20strong%20risk%20factor%20is

Blumenthal, K. G., Peter, J. G., Trubiano, J. A., & Phillips, E. J. (2019). Antibiotic allergy. 
The Lancet, 
393(10167), 183–198. https://doi.org/10.1016/s0140-6736(18)32218-9

Earhart, S. (2010). 
Obesity – The Link between Your Weight and Your Family. Obesity Action Coalition. https://www.obesityaction.org/resources/obesity-the-link-between-your-weight-and-your-family/#:~:text=Research%20on%20families%20and%20obesity

Hernandez, L. M., & Blazer, D. G. (2006). 
The Impact of Social and Cultural Environment on Health. Nih.gov; National Academies Press (US). https://www.ncbi.nlm.nih.gov/books/NBK19924/

Hernandez, L. M., & Blazer, D. G. (2016). 
Genetics and Health. Nih.gov; National Academies Press (US). https://www.ncbi.nlm.nih.gov/books/NBK19932/

Hersh, C. P., Hokanson, J. E., Lynch, D. A., Washko, G. R., Make, B. J., Crapo, J. D., & Silverman, E. K. (2011). Family History Is a Risk Factor for COPD. 
Chest, 
140(2), 343–350. https://doi.org/10.1378/chest.10-2761

National Institute of Environmental Health Sciences. (2018). 
Gene and Environment Interaction. National Institute of Environmental Health Sciences. https://www.niehs.nih.gov/health/topics/science/gene-env/index.cfm

Nielsen-Bohlman, L., Panzer, A. M., & Kindig, D. A. (2004). Culture and Society. In 
www.ncbi.nlm.nih.gov. National Academies Press (US). https://www.ncbi.nlm.nih.gov/books/NBK216037/#:~:text=Cultural%20health%20beliefs%20affect%20how

Purdue University. (2020, January). 
A surprising connection: Financial wellness and your overall health – Healthy Boiler – Purdue University. Www.purdue.edu. https://www.purdue.edu/hr/CHL/healthyboiler/news/newsletter/2020-01/finances-health.php#:~:text=%E2%80%9CFinancial%20stress%20can%20and%20does

Regis College. (2020, November 16). 
Environmental Factors that Affect Health. Regis College Online. https://online.regiscollege.edu/blog/environmental-factors-that-affect-health/

  

Discussion 2

Discuss how a comprehensive clinical assessment presents a unique opportunity for intervention in the psychotherapeutic context.

Two scholarly sources references are required unless stated otherwise by your professor. 

The student provides a substantive response to the discussion question or topic 

Here are the categories of the new discussion rubric:

Initial Post relevance to the topic of discussion, applicability, and insight. (20%)

Quality of Written Communication Appropriateness of audience and words choice is specific, purposeful, dynamic, and varied. Grammar, spelling, punctuation. (20%)

Inclusion of APNA standards essentials explored in the discussion as well as the role-specific competencies as applicable.(10%)

Rigor, currency, and relevance of the scholarly references. (Use articles that are below 5 years). (20%)

Assistance with formatting 

  

Respond by making recommendations for how they might strengthen the leadership behaviors profiled in their StrengthsFinder assessment, or by commenting on lessons to be learned from the results that can be applied to personal leadership philosophies and behaviors.

2 scholarly references

According to Clifton Strengths results, the top 5 Signature Theme report presents.

Consistency –I are keenly aware of the need to treat people the same, no matter what.

Achiever –Achiever describes a constant need for achievement. By the end of the day, I must achieve something tangible in order to feel good about myself.

Significance- I want to be very significant in the eyes of other people. I want to be heard and be part or be useful. You want to stand out.

Restorative – I love to solve problems. I enjoy the challenge of analyzing the symptoms, identifying what is wrong,

Woo- stands for winning others over. I enjoy the challenge of meeting new people and getting them to like me.

                                                                                   Core values

     The two core values I would like to improve on or strengthen are accountability and healthy competition. I am responsible for my own action, so I must make the right decision or do what is right. To me healthy competition is helping my family and friends, colleagues strive to the best and professional outcome.

                                                                                    strengths

   Also, I would like to improve my strength on good communication skills and to learn and acquire more knowledge and skills to help me become a professional Nurse. It will help me to build a better relationship with other people.

                                                                                  Characteristics

    Based on Clifton strength result, the two essential quality I would like to improve is emotional intelligence by helping people to think and act. Emotional intelligent is the ability to build relationships with others and understand their feelings or emotions.  Encouraging myself and others will also help to reach goals. 

                                                            Reference

Broome, M., & Marshall, E. S. (2021). Transformational leadership in nursing: From expert

           clinician to influential leader (3rd ed.). New York, NY: Springer.

Rath, T. (2007). StrengthsFinder 2.0. Gallup Press.