CMA1

Sam, nurse

journal entry psych

NO PLAGERISM

Compare and contrast the serious medical and social
consequences of alcohol abuse to drug abuse. Which
abuse do you think is more detrimental to a client’s
quality of life? Why? Which abuse do you think is more
detrimental to a client’s family? Explain your answers.

I believe alcohol use is more detrimental, utilize the powerpoint to complete this, the setting of the clinical rotation is Newark Beth Israel Medical Center, Newark, NJ 

go into detail and complete the following questions by answering the questions below. assignment must be 3 pages:

Assignment:

In your entry, briefly review the content, idea, issue, or event you are reacting to,
but go beyond an impersonal description of it. Comment on the significance of the
event, and explain what meaning it has for you. You may discuss how relevant the
idea is for you academically, professionally, or personally. Demonstrate that you
have thought about the issue in some way that is not superficial, hopefully by
relating it to class concepts. Then consider the implications of what you have
discussed, speculate on how the meanings or insights you’ve gained can be used
for improvement or growth

My initial thoughts/feelings on the topic were:

Input from readings and the class have altered my perception in the following
ways: 

Please substantiate this section with 3 scholarly references to the literature. Be
specific in this section.

Three implications for nursing practice are:
In this section make the implications relevant specifically to the topic at hand and
not nursing in general.
1.
2.
3

Describe a significant situation or event which occurred in your clinical day.
Explain why the event was important to you, as related to developing
understanding of the nursing care of a client who has (a) mental health
condition(s). Note that “significant event” differs from “critical incident;” i.e.,
the event or situation about which you write your journal entry should
reflect your specific personal learning/development of insight, as opposed to
an evaluation of the event/situation as “minor” or “major” to clinical practice
in general.

• Discuss how this event might have been perceived by others involved (e.g.,
the client, staff, classmates) and those external to the event. For example,
pretend you are someone else (a client, staff nurse, teacher, classmate, etc.)
and react to something you did today in your clinical practice; i.e., if you
attempted to communicate with a client who had aphasia today, write about
the situation from the perspective of the client, etc. Explore alternative ways
of interpreting and responding to the event, including an evaluation of the
feasibility and acceptance of each of these alternatives.

• Identify the specific learning has occurred for you in reflecting about this
event. What specific thing(s) did you learn today and how will you apply that
learning in your practice as a nurse? Identify some differences in what you
learned today from what you learned previously. How will you apply this
learning in your practice as a nurse? As appropriate, you may wish to re-
read a journal entry from a previous week, and write a reaction to what you
wrote, in relation to new learning that has occurred over time.

Note: State that seeing many young children attempting to end their lives made it difficult to try and not relate it to my younger siblings and keep everything neutral – the experience was an eye opener

unit 7 discussion

see attached

week 4 peds reply

APA format

Minimum 1 paragraph per reply

Total of 2 replies

Due in 8 hrs

WK 6 BLOG

WK 6 DIS. DATA

SOAP NOTE

 

  • Review the Focused SOAP Note template, which you will use to complete this Assignment. There is also a Focused SOAP Note Exemplar provided as a guide for Assignment expectations.
  • Review the video, Case Study: Sherman Tremaine. You will use this case as the basis of this Assignment. In this video, a Walden faculty member is assessing a mock patient. The patient will be represented onscreen as an avatar.
  • Consider what history would be necessary to collect from this patient.
  • Consider what interview questions you would need to ask this patient.

The Assignment

Develop a focused SOAP note, including your differential diagnosis and critical-thinking process to formulate a primary diagnosis. Incorporate the following into your responses in the template:

  • Subjective: What details did the patient provide regarding their chief complaint and symptomology to derive your differential diagnosis? What is the duration and severity of their symptoms? How are their symptoms impacting their functioning in life? 
  • Objective: What observations did you make during the psychiatric assessment?  
  • Assessment: Discuss the patient’s mental status examination results. What were your differential diagnoses? Provide a minimum of three possible diagnoses with supporting evidence, and list them in order from highest priority to lowest priority. Compare the DSM-5-TR diagnostic criteria for each differential diagnosis and explain what DSM-5-TR criteria rules out the differential diagnosis to find an accurate diagnosis. Explain the critical-thinking process that led you to the primary diagnosis you selected. Include pertinent positives and pertinent negatives for the specific patient case.
  • Plan: What is your plan for psychotherapy? What is your plan for treatment and management, including alternative therapies? Include pharmacologic and nonpharmacologic treatments, alternative therapies, and follow-up parameters, as well as a rationale for this treatment and management plan. Also incorporate one health promotion activity and one patient education strategy.
  • Reflection notes: What would you do differently with this patient if you could conduct the session again? Discuss what your next intervention would be if you were able to follow up with this patient. Also include in your reflection a discussion related to legal/ethical considerations (demonstrate critical thinking beyond confidentiality and consent for treatment!), health promotion, and disease prevention, taking into consideration patient factors (such as age, ethnic group, etc.), PMH, and other risk factors (e.g., socioeconomic, cultural background, etc.).
  • Provide at least three evidence-based, peer-reviewed journal articles or evidenced-based guidelines that relate to this case to support your diagnostics and differential diagnoses. Be sure they are current (no more than 5 years old).

By Day 7 of Week 5

Submit your Focused SOAP Note.

Nursing Homework question 330

Nursing Assignment 2

Attached