FOCUSED SOAP NOTE AND PATIENT CASE PRESENTATION,5

  

How would you address the Caregiver role strain that the spouse is likely to undergo?

What are some important factors to consider when treating elderly patients?

W2.2 R see attachment

Make a follow-up of a student's weekly discussion and respond with your opinion regarding to her post

——You don't have to post this in APA format necessarily, it's just giving feedback to the student .



Alayna Polter

Hello Professor and class, 

Ethical guidelines ensure patients are safe from harm. Having someone prescribe a medication who is not properly educated on the possible side effects, directions, doses, drug interactions and many other implications is considered unethical. A huge component of prescribing ethically includes examining the patients’ needs for the current situation in which they are seeking medical help for which was not done in this case study (Duquesne University, 2020). There is also a legal implication due to providers having the responsibility to make informed medical decisions before prescribing medications due to potential side effects, drug interactions etc. If the doctor prescribes the wrong medication, inappropriate dosages, or misinforms about the possible side effects they could be held liable (Harris, 2020). This will clearly affect everyone including the practice. Practicing without a license will presume this care was negligent. If this individual was injured this could justify punitive damages. If this was ruled in favor of, compensation for the harm would be involved as well as additional penalties for “deceiving the victim” (Suszek, 2023). This would cost the practice in fines as well as diminish their reputation. A medical director is in charge of running the facility, implementing regulations, budgets and many other things. This problem will quickly become their problem when trying to sort out this situation. As for the medical assistant, I am going to discuss the punishment where I live because it can vary depending on state. In Florida this medical assistant is practicing without a license and as a first-time offense this would usually be a first-degree misdemeanor. The penalties for this can include up to one year in jail and up to $1,000 in fines (The Law Place, n.d.).

I clearly do not think this medical assistant was trying to be malicious by her actions. However, she is probably not aware of the implications behind these actions and needs to be educated about what can happen if she does not follow her scope of practice. Therefore, to ensure this does not happen again, everyone needs to be educated about their roles. This is not just directed to medical assistants, but others could be informed how to best utilize them in their practice. It was stated in the case study that this was a busy primary care practice, and management should work to improve the stressful conditions for these workers. They have a lot of different roles and should have the efficient help to get their tasks done but understand exactly what they can and cannot do (Family Medicine, 2022). I also believe something in the computer system would have to be changed. It should not be that easy for someone without the proper education to put in a prescription. I think everyone needs a pin number or password to put in medications for patients.

A leadership quality I would apply is setting ethical standards. Healthcare lacking ethics can have extremely harmful effects on patients lives. Leaders that have built a reputation around integrity can set ethical standards for their team members and influence them to do the same. Another positive change would be having accountability. We all will make mistakes and being accountable for your actions will be favorable for your team. Lastly, applying mentorship is very important, in this circumstance there were many nurse practitioners, and providers that would all be very good leaders. Mentors are able to assess and support others to acquire the necessary skills to exceed in their role (DeVry University, 2022).

 

References

Aprn’s role in Ethical Prescribing: Duquesne University. Duquesne University School of Nursing. (2020, May 20). 

https://onlinenursing.duq.edu/blog/aprns-role-responsibility-ethical-prescribing/Links to an external site.

13 key traits for leadership in Healthcare. devry.edu. (2022, February 23). https://www.devry.edu/blog/key-traits-for-leadership-in-healthcare.html#:~:text=Leading%20with%20a%20positive%20attitude,difficulties%20more%20effectively%20and%20productively.

Family Medicine researchers identify most effective practices of medical assistants in the primary care setting, as well as barriers: Family medicine: Michigan medicine. Family Medicine. (2022, June 16). https://medicine.umich.edu/dept/family-medicine/news/archive/202206/family-medicine-researchers-identify-most-effective-practices-medical-assistants-primary-care

Harris, J. R. (2020, April 8). 
Who is liable for errors involving drug prescriptions?. Harris Lowry Manton LLP. 

https://www.hlmlawfirm.com/blog/who-is-liable-for-errors-involving-drug-prescriptions/Links to an external site.

Suszek, A. (2023, August 8). 
Practicing medicine without a license: Criminal & Civil Liability. www.alllaw.com. https://www.alllaw.com/articles/nolo/medical-malpractice/practicing-without-license-criminal-civil-liability.html#:~:text=Laws%20vary%20by%20state%2C%20but,in%20addition%20to%20prison%20sentences.

What are the penalties for practicing without a license in Florida?. What are the penalties for practicing without a license in Florida? – The Law Place. (n.d.). https://www.thelawplace.com/faqs/what-are-the-penalties-for-practicing-without-a-license-in-florida/#:~:text=Fines%20and%20Imprisonment,5%20years%20in%20state%20prison.

 

W7

In 2–3 pages, plus Introduction, conclusion, and references page. APA format and free plagiarism

· Explain the controversy that surrounds your selected disorder.(Antisocial personality disorder )

· Explain your professional beliefs about this disorder, supporting your rationale with at least three scholarly references from the literature.

· Explain strategies for maintaining the therapeutic relationship with a patient that may present with this disorder.

· Finally, explain ethical and legal considerations related to this disorder that you need to bring to your practice and why they are important.

Nursing

NR326 Mental Health Nursing

RUA: Scholarly Article Review Guidelines


Purpose

The student will review, summarize, and critique a scholarly article related to a mental health topic.

Course outcomes: This assignment enables the student to meet the following course outcomes.

(CO 4) Utilize critical thinking skills in clinical decision-making and implementation of the nursing process for psychiatric/mental health clients. (PO 4)

(CO 5) Utilize available resources to meet self-identified goals for personal, professional, and educational development appropriate to the mental health setting. (PO 5)

(CO 7) Examine moral, ethical, legal, and professional standards and principles as a basis for clinical decision-making. (PO 6)

(CO 9) Utilize research findings as a basis for the development of a group leadership experience. (PO 8)

Due date: Your faculty member will inform you when this assignment is due. The Late Assignment Policy applies to this assignment.

Total points possible: 100 points


Preparing the assignment

1) Follow these guidelines when completing this assignment. Speak with your faculty member if you have questions.

a. Select a scholarly nursing or research article, published within the last five years, related to mental health nursing. The content of the article must relate to evidence-based practice.

· You may need to evaluate several articles to find one that is appropriate.

b. Ensure that no other member of your clinical group chooses the same article, then submit your choice for faculty approval.

c. The submitted assignment should be 2-3 pages in length, excluding the title and reference pages.

2) Include the following sections (detailed criteria listed below and in the Grading Rubric must match exactly).

a. Introduction (10 points/10%)

· Establishes purpose of the paper

· Captures attention of the reader

b. Article Summary (30 points/30%)

· Statistics to support significance of the topic to mental health care

· Key points of the article

· Key evidence presented

· Examples of how the evidence can be incorporated into your nursing practice

c. Article Critique (30 points/30%)

· Present strengths of the article

· Present weaknesses of the article

· Discuss if you would/would not recommend this article to a colleague

d. Conclusion (15 points/15%)

· Provides analysis or synthesis of information within the body of the text

· Supported by ides presented in the body of the paper

· Is clearly written

e. Article Selection and Approval (5 points/5%)

· Current (published in last 5 years)

· Relevant to mental health care

· Not used by another student within the clinical group

· Submitted and approved as directed by instructor

f. APA format and Writing Mechanics (10 points/10%)

NR326 Mental Health Nursing

RUA: Scholarly Article Review Guidelines

NR326 Mental Health Nursing

RUA: Scholarly Article Review Guidelines

NR326_RUA_Scholarly_Article_Review_V4b_FINAL_MAY21 2

· Correct use of standard English grammar and sentence structure

· No spelling or typographical errors

· Document includes title and reference pages

· Citations in the text and reference page

For writing assistance (APA, formatting, or grammar) visit the
APA Citation and Writing page in the online library.

Please note that your instructor may provide you with additional assessments in any form to determine that you fully understand the concepts learned in the review module.



Grading Rubric Criteria are met when the student’s application of knowledge demonstrates achievement of the outcomes for this assignment.

Assignment Section and Required Criteria

(Points possible/% of total points available)

Highest Level of Performance

High Level of Performance

Satisfactory Level of Performance

Unsatisfactory Level of Performance

Section not present in paper

Introduction

(10 points/10%)

10 points

8 points

0 points

Required criteria

1. Establishes purpose of the paper

2. Captures attention of the reader

Includes 2 requirements for section.

Includes 1 requirement for section.

No requirements for this section presented.

Article Summary

(30 points/30%)

30 points

25 points

24 points

11 points

0 points

Required criteria

1. Statistics to support significance of the topic to mental health care

2. Key points of the article

3. Key evidence presented

4. Examples of how the evidence can be incorporated into your nursing practice

Includes 4 requirements for section.

Includes 3 requirements for section.

Includes 2 requirements for section.

Includes 1 requirement for section.

No requirements for this section presented.

Article Critique

(30 points/30%)

30 points

25 points

11 points

0 points

Required criteria

1. Present strengths of the article

2. Present weaknesses of the article

3. Discuss if you would/would not recommend this article to a colleague

Includes 3 requirements for section.

Includes 2 requirements for section.

Includes 1 requirement for section.

No requirements for this section presented.

Conclusion

(15 points/15%)

15 points

11 points

6 points

0 points

1. Provides analysis or synthesis of information within the body of the text

2. Supported by ides presented in the body of the paper

3. Is clearly written

Includes 3 requirements for section.

Includes 2 requirements for section.

Includes 1 requirement for section.

No requirements for this section presented.

Article Selection and Approval

(5 points/5%)

5 points

4 points

3 points

2 points

0 points

1. Current (published in last 5 years)

2. Relevant to mental health care

Includes 4

Includes 3

Includes 2

Includes 1

No requirements for

NR326 Mental Health Nursing

RUA: Scholarly Article Review Guidelines

NR326_RUA_Scholarly_Article_Review_V4b_FINAL_MAY21 4

3. Not used by another student within the clinical group

4. Submitted and approved as directed by instructor

requirements for section.

requirements for section.

requirements for section.

requirement for section.

this section presented.

APA Format and Writing Mechanics

(10 points/10%)

10 points

8 points

7 points

4 points

0 points

1. Correct use of standard English grammar and sentence structure

2. No spelling or typographical errors

3. Document includes title and reference pages

4. Citations in the text and reference page

Includes 4 requirements for section.

Includes 3 requirements for section.

Includes 2 requirements for section.

Includes 1 requirement for section.

No requirements for this section presented.

Total Points Possible = 100 points

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Nursing Public Speech Outline – Geriatrics

This speech will be about geriatric nursing, so please make that the topic of concentration.

  

· Your outline format is required to match this speech outline format attached exactly as presented.

·  I’m attaching a sample outline that follows the required format.

· You must include and underline THREE sources in your outline.

· Incorporate sources into the body of the speech as demonstrated in the outline sample.

INVESTIGATING A CRITICAL PRACTICE QUESTION THROUGH A LITERATURE REVIEW

Complete Parts 1 and 2 of your Assignment:

  • Part 1: Literature Review: Be sure you have completed all required sections of the template (PDF) document.(attached below)
  • Part 2: Critical Assessment p aper: look at the rubric for instructions. keep in mind to also Apply feedback of value to you in completing your synthesis of evidence to inform a practice change initiative focusing on quality improvement

RUBRIC:- The Assignment: Part 1: Literature Review of at least 10 scholarly articles:• Using the Walden university Library as your source, search to select at least 10 scholarly articles that represent current literature (i.e., published within the previous 5 years) with evidence that addresses your critical question (I will send you the critical question) and could inform a practice change initiative for quality improvement. Using the Individual -Evidence Summary/Synthesis Tool template document, complete all sections for each article.

-The Assignment: Part 2: (example attached below) Critical Assessment In a p a per of at least 7 pages, plus cover page and references page, include the following:• Write a critical assessment of your search outcomes that synthesizes the evidence from your literature review.

-Demonstrate clear connections between the practice problem that informs your critical question, your appraisal of evidence that addresses the critical question, and resulting clarification on the need for a practice change initiative focusing on quality improvement. Be specific and provide examples.

-Written Expression and Formatting: Paragraph/Sentence StructureParagraphs make clear points that support well-developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are clearly structured and carefully focused–neither long and rambling nor short and lacking substance.

-Written Expression and Formatting: The assignment contains parenthetical/in-text citations, and at least 10 evidence-based references are listed.

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

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

The student must answer the graded discussion with a substantive reply to the graded discussion question(s)/topic(s) posted by the course instructor by Thursday, 11:59 p.m. Eastern Time. Two scholarly sources references are required unless stated otherwise by your professor. 

The student provides a substantive response to the discussion question or topic on Thursday day and posts a minimum of two additional responses to peers on another day(s). The answers to classmates must be posted by Sunday, 11:59 pm Eastern Time. We expect each student to participate in the discussion board in a respectful manner. 

Remember that a new discussion rubric was approved by the professors, committee members, and a majority of the students. Please review the rubric before posting to ensure a maximum of points. 

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%)

Peer & Professor Responses. The number of responses, quality of response posts. (20%)

Timeliness of the initial post and the answers to the peers. (10%

Search forumsSearch forumsAdd discussion topic

Nursing homework

Can you help me with my assignement.

module 5

 

Jackie is a 31-year-old pregnant patient (2nd child, two different fathers) single mother of a 6-year-old who is coming for prenatal care since she suspects she is pregnant. She is no longer with the father of Robby, her firstborn. She indicates “pretty serious partying” with the likely father of the baby. By pretty serious partying she means 10-12 drinks per occasion, one to two times per week, plus intermittent methamphetamine use.Which clinical information would be most critical for you to collect in the first visit?What are the greatest risk factors for substance use disorder for this patient?Which harm reduction strategies would you recommend?Identify your city. Then refer this patient to three agencies near you that would support positive health outcomes for this patient.   (These agencies must not have been used in past discussion posts). What was your rationale for choosing these three agencies? 

Different-Speak: Gender and Culture-2

 

To discuss your communication plan, you want to hold the most productive meeting possible. You know that, in general, women look for equality among other team members when speaking. Men tend to interrupt and speak more frequently during meetings, taking up more time and space. There are many communication differences between men and women. Because your staff includes 6 men and 6 women, gender communication differences are important. With your colleagues, discuss ways to ensure that everyone at the meeting has the opportunity to fully communicate their ideas. Discuss the following:

  • 1 nonverbal difference between males and females
  • 1 verbal difference between males and females.
  • How and why you can use this knowledge to communicate to the female and male audiences in the organization that you selected

The materials found in the MUSE may help you with this assignment such as the presentation Gender Speak