Tag: Clinical-Nursing

  • Zachary LaFontaine Infant Well Visit Shadow health

    Zachary LaFontaine Infant Well Visit Shadow health

    TRANSCRIPT

    Good morning. How are you?

    Greet

    02/18/22 7:58 PM EST

    Hi.

    you have a beautiful baby (No matching questions found.)

    Question

    02/18/22 7:58 PM EST

    what brings you here? Zachary LaFontaine Infant Well Visit Shadow health

    Question

    02/18/22 7:59 PM EST

    We’re here for Zachary’s wellness visit. It was hard to work it into our schedule, but I know it’s important.

    I am glad you could make it.

    Empathize

    02/18/22 8:00 PM EST

    I appreciate it.

    How is Zachary doing?

    Question

    02/18/22 8:00 PM EST

    Zachary is a very happy baby. He smiles quite a bit. It’s nice coming home from school or work to see him.

    How old are you? (No matching questions found.)

    Question

    02/18/22 8:01 PM EST

    where do you work? (No matching questions found.) Zachary LaFontaine Infant Well Visit Shadow health

    Question

    02/18/22 8:01 PM EST

    who do you leave him with when you work? (No matching questions found.)

    Question

    02/18/22 8:02 PM EST

    who do you leave him with when you work? (No matching questions found.)

    Question

    02/18/22 8:02 PM EST

    it is important to interact with baby

    Educate

    02/18/22 8:03 PM EST

    Ok, that sounds good.

    How is he eating?

    Question

    02/18/22 8:03 PM EST

    Zachary only gets breastmilk, no formula at all.

    how many times a day does he eat? (Clarified to How often do you feed your son?.)

    Question

    02/18/22 8:03 PM EST

    I try for 2-3 hours during the day and 3-4 at night. We don’t always manage it, though. (Clarified to how often I feed my son.)

    how is he sleeping?

    Question

    02/18/22 8:04 PM EST

    Zachary always has a hard time sleeping on nights I come home late, Tuesdays and Thursdays. It’s hard on me because I can barely get any sleep those nights, and I don’t get much as it is. I wake up early for class after taking care of Zachary all night. It’s a lot.

    I understand it could be a lot, i am glad you are taking care of Zach

    Empathize

    02/18/22 8:06 PM EST

    I appreciate that.

    Zachary LaFontaine Infant Well Visit Shadow health

    Zachary LaFontaine Infant Well Visit Shadow health

    what are your goals for breastfeeding?

    Question

    02/18/22 8:31 PM EST

    I want to only breastfeed Zachary. I know formula is an option, but that would be a last resort. I want to focus on giving my baby breast milk.

    that is great. breast milk is the best for a baby

    Educate

    02/18/22 8:32 PM EST

    I understand.

    where your son sleep? (Clarified to Where does your son sleep?.) Zachary LaFontaine Infant Well Visit Shadow health

    Question

    02/18/22 8:32 PM EST

    Zachary sleeps in a bassinet at night or sometimes in his cradleboard. He’s always swaddled and always on his back. I keep the bassinet empty and in my room, so I’m always nearby Zachary LaFontaine Infant Well Visit Shadow health. I’m really afraid of SIDS or anything like that, so I did a lot of reading on sleep safety. (Clarified to where my son sleeps.)

    how is your son sleeping?

    Question

    02/18/22 8:33 PM EST

    Zachary always has a hard time sleeping on nights I come home late, Tuesdays and Thursdays. It’s hard on me because I can barely get any sleep those nights, and I don’t get much as it is. I wake up early for class after taking care of Zachary all night. It’s a lot.

    it is important sleep supervision for safety

    Educate

    02/18/22 8:34 PM EST

    Good to know.

    what do you know about developmental milestones? (No matching questions found.)

    Question

    02/18/22 8:34 PM EST

    developmental milestones? (No matching questions found.)

    Question

    02/18/22 8:35 PM EST

    milestones? (No matching questions found.)

    Question

    02/18/22 8:35 PM EST

    milestones?any verbal language? (No matching questions found.)

    Question

    02/18/22 8:35 PM EST

    any verbal language? (No matching questions found.)

    Question

    02/18/22 8:36 PM EST

    does your son makes any sound? (Clarified to Does your son make gestures?.)

    Question

    02/18/22 8:36 PM EST

    He squirms around a lot and smiles. [AUDIO COMING SOON] (Clarified to if my son makes gestures.) Zachary LaFontaine Infant Well Visit Shadow health

    can your son make noise?

    Question

    02/18/22 8:37 PM EST

    He coos and burbles. It’s pretty cute.

    are you reading books? (No matching questions found.)

    Question

    02/18/22 8:38 PM EST

    are you learning about kids? (No matching questions found.)

    Question

    02/18/22 8:38 PM EST

    are you learning about your son? (No matching questions found.)

    Question

    02/18/22 8:38 PM EST

    does your son follow sounds? (Clarified to Does your son track you with his eyes?.)

    Question

    02/18/22 8:39 PM EST

    He does, yes. He also loves staring at strangers. He seems curious about everything. (Clarified to if my son follows me with his eyes.)

    does your son follows the sound of your voice?

    Question

    02/18/22 8:39 PM EST

    Zachary will look at me if I talk to him. Sometimes he’ll stare at me or make a little coo. [AUDIO COMING SOON]

    are you depressed?

    Question

    02/18/22 8:40 PM EST

    Well . . . I don’t know? I don’t think I’m technically depressed, but I’ve just been so busy and tired that I barely have time to reflect on myself like that. I feel overwhelmed. I don’t know how I am going to handle everything and raise Zachary. But I’ll figure it out. I have to. [AUDIO COMING SOON]

    post partum depression is a frequent finding, please let us know if anything we can help with

    Educate

    02/18/22 8:41 PM EST

    Alright, thanks.

     Inspected head circumference growth chart

    Exam Action

    02/18/22 8:41 PM EST

     Inspected weight and length growth chart

    Exam Action

    02/18/22 8:51 PM EST

     Inspected head circumference growth chart

    Exam Action

    02/18/22 8:57 PM EST

     Inspected nose

    Exam Action

    02/18/22 8:58 PM EST

     Inspected ears

    Exam Action

    02/18/22 8:59 PM EST

     Frenulum attached middle of mouth floor. Appropriate length and movements. Appears thin. Palate meets at the midline completely. Tongue appears smooth and uvula located at midline. Zachary LaFontaine Infant Well Visit Shadow health

    Exam Action

    02/18/22 8:59 PM EST

     Inspected ears

    Exam Action

    02/18/22 9:00 PM EST

     Frenulum attached middle of mouth floor. Appropriate length and movements. Appears thin. Palate meets at the midline completely. Tongue appears smooth and uvula located at midline.

    Exam Action

    02/18/22 9:00 PM EST

     Inspected skin

    Exam Action

    02/18/22 9:00 PM EST

     Inspected skin: diaper area

    Exam Action

    02/18/22 9:01 PM EST

     Inspected genitalia

    Exam Action

    02/18/22 9:01 PM EST

     Assessed Musculoskeletal Barlow and Ortolani

    Exam Action

    02/18/22 9:02 PM EST

     Assessed eyes: pupils

    Exam Action

    02/18/22 9:04 PM EST

     Assessed red reflex

    Exam Action

    02/18/22 9:05 PM EST

     Assessed Eye Tracking

    Exam Action

    02/18/22 9:05 PM EST

     Assessed extremities

    Exam Action

    02/18/22 9:05 PM EST

     Assessed grasp: Able to lift shoulders off table with expected head lag.

    Exam Action

    02/18/22 9:06 PM EST

     Assessed Moro Reflex: Infant briskly abducts arms and legs symmetrically, then brings legs up against trunk. Zachary LaFontaine Infant Well Visit Shadow health

    Exam Action

    02/18/22 9:06 PM EST

     Assessed Moro Reflex: Infant briskly abducts arms and legs symmetrically, then brings legs up against trunk.

    Exam Action

    02/18/22 9:06 PM EST

     Assessed Tonic Reflex and neck range of motion.

    Exam Action

    02/18/22 9:06 PM EST

     Assessed pulse

    Exam Action

    02/18/22 9:06 PM EST

     Assessed Rooting Reflex: Infant turns head in direction of stimulus and opens mouth.

    Exam Action

    02/18/22 9:07 PM EST

     Infant response with sucking motion. Tongue protrudes past lips.

    Exam Action

    02/18/22 9:07 PM EST

     Assessed neurological stepping/walking reflex

    Exam Action

    02/18/22 9:07 PM EST

     Palpated abdomen

    Exam Action

    02/18/22 9:08 PM EST

     Anterior fontanelle palpated is diamond-shaped, soft, flat, approximately 2-3 cm in width and 3-4 cm in length. Posterior fontanelle is triangle shaped 0.5-1 cm in size, soft, and flat.

    Exam Action

    02/18/22 9:08 PM EST

     Auscultated Upper Right Abdomen: Abdomen rounded, appropriate for age.

    Exam Action

    02/18/22 9:09 PM EST

     Auscultated Upper Left Abdomen: Abdomen rounded, appropriate for age.

    Exam Action

    02/18/22 9:09 PM EST

     Auscultated Lower Left Abdomen: Abdomen rounded, appropriate for age. Zachary LaFontaine Infant Well Visit Shadow health

    Exam Action

    02/18/22 9:09 PM EST

     Auscultated Lower Right Abdomen: Abdomen rounded, appropriate for age.

    Exam Action

    02/18/22 9:09 PM EST

     Auscultated Top Right Chest: Apical pulse palpated reveals rate steady and regular intervals.

    Exam Action

    02/18/22 9:10 PM EST

     Auscultated Top Left Chest: Apical pulse palpated reveals rate steady and regular intervals.

    Exam Action

    02/18/22 9:10 PM EST

     Auscultated Upper Left Chest: Apical pulse palpated reveals rate steady and regular intervals.

    Exam Action

    02/18/22 9:10 PM EST

     Auscultated Lower Left Chest: Apical pulse palpated reveals rate steady and regular intervals. Zachary LaFontaine Infant Well Visit Shadow health

    Exam Action

    02/18/22 9:10 PM EST

     Auscultated Lower Left Chest: Apical pulse palpated reveals rate steady and regular intervals.

    Exam Action

    02/18/22 9:10 PM EST

     Auscultated Lower Left Chest: Apical pulse palpated reveals rate steady and regular intervals.

    Exam Action

    02/18/22 9:10 PM EST

     Auscultated Upper Upper Right Chest

    Exam Action

    02/18/22 9:10 PM EST

     Auscultated Upper Upper Left Chest

    Exam Action

    02/18/22 9:10 PM EST

     Auscultated Upper Right Chest

    Exam Action

    02/18/22 9:10 PM EST

     Auscultated Upper Left Chest

    Exam Action

    02/18/22 9:10 PM EST

     Auscultated Lower Left Chest

    Exam Action

    02/18/22 9:10 PM EST

     Auscultated Lower Right Chest

    Exam Action

    02/18/22 9:10 PM EST

     Auscultated Lower Right Back

    Exam Action

    02/18/22 9:11 PM EST

     Auscultated Lower Left Back

    Exam Action

    02/18/22 9:11 PM EST

     Auscultated Upper Left Back

    Exam Action

    02/18/22 9:11 PM EST

     Auscultated Upper Right Back

    Exam Action

    02/18/22 9:11 PM EST

     Auscultated Upper Upper Right Back

    Exam Action

    02/18/22 9:11 PM EST

     Auscultated Upper Upper Left Back Zachary LaFontaine Infant Well Visit Shadow health

    Exam Action

    02/18/22 9:11 PM EST

  • treatment plan progress notes

    Assignment 2: Practicum – Assessing Client Progress

    Name

    Institution

     

     

    Part 1: Progress Note

    Treatment Modality Used and Efficacy of Approach

    The client in this case is undertaking cognitive behavioral therapy to help manage her anxiety and other mental disturbances. This psychological approach is effective in treating virtually all the mental health disorders and hence presents an appropriate approach for the case (Kaczkurkin & Foa, 2015).

    Progress

    The client demonstrates significant improvement in managing her anxiety and though patterns. She has been able to identify anxiety triggers, learnt breathing and relaxation techniques and other non-pharmacological interventions. Her depressive and anxiety symptoms have also reduced significantly over the course of treatment.

    Modifications

    Minimal modifications were done to the treatment plan since the client was cooperative and willing to get better. Having a family therapy can help change the attitude of the family members and the spouse and help them provide social support by understanding her situation (Jadav & Sharma, 2018).

    Clinical Impressions

    The client’s symptoms included poor performance in academics demonstrated by her failure in the nursing class. She presents moderately dysphoric mood, lack of attention and concentration, negative thoughts, low self-esteem associated with her past failures, decreased interest in activities, feelings of unimportance, poor energy and severe impaired in concentration and psychomotor retardation (Gazzillo, Dimaggio & Curtis, 2019). She has increased worry and muscle tension.

    Psychosocial Information

    The client is a nursing student and unemployed. She is not married but dating a spouse who does not approve of her studies. She lives with her family that does not provide any social support and feels that she should have chosen a different major. None of the family members has been to college.

    Safety Issues

    The safety issues associated with the client’s condition include the risks of self-harm and suicidal thoughts associated with depression (Bruns & Letcher, 2018). In addition, she could become a drug addict since she drinks socially during the weekends which can aggravate her mental and physiological condition.

    Clinical Emergencies

               
    There are no clinical emergencies associated with the patient’s condition.

    Medications

    The client is under no prescribed or unprescribed medications.

    Treatment compliance

    The patient adheres to the treatment plan as required. She is determined to seek counselling and engage in cognitive behavioral therapy to promote her recovery. She has taken measure to recognize her stressors and dysfunctional thoughts, record them and device a healthier thought pattern and put them into practice by week three of CBT.

    Clinical Consultations

    Clinical consultations were conducted through phone calls, emails and messages. The client also visited the clinic for follow up appointments with the psychiatrist.

    Collaboration with other Professionals

    Treatment involved collaboration between the psychiatrist, physical therapist, physician and the family therapist. This helped monitor the progress of the client, device appropriate CBT activities and involve the family in the treatment plan (Tzur Bitan & Lazar, 2019).

    Therapist’s Recommendations

    The therapist recommendations include compliance and consistency with the CBT and maintenance of positive thought processes. The client was in agreement with the recommendations.

    Referrals

    No referrals were made. The client was very responsive to the treatment plan.

    Termination/issues

    The client termination was unscheduled. Following her positive recovery within a short time, she decided to end the session due to the financial constrains associated with her lack of job and insurance cover that would cover her continued attendance.

    Informed Consent, Child Abuse and Therapists Exercise of Clinical Judgment

    The client consented to her treatment plan. The practitioner provided information regarding her condition, the treatment plan and the expected consequences. This supported informed consent as required by the psychiatrist nursing guidelines.

    Abuse

               
    The client has not experienced any form of child or elder abuse.

    Therapist’s exercise of clinical judgment

    The clinical judgment was conducted based on the objective and subjective information obtained from the client. As such, the clinical judgment involved informed and collaborative decision making between the client and the therapist.

    Part 2: Privileged Note

    A privilege notes was utilized in documenting and analyzing the therapeutic session conversations. It provided the basic information outline concerning what was addressed during the session. In this case, the items excluded from the note include the initialization and completion of the session, the treatment frequency and modalities, the patient’s clinical test results, diagnostic and prescription medication summary and monitoring. In addition, the treatment plans and status of functioning, symptoms, prognosis and summary of the progress note are not included.

    The reason for exclusion of the above items was to prevent turning the privilege note into a progress note. Typically, the privilege note should contain the items left out from  the progress note and they provide more details regarding the patient’s condition for privacy purposes, the Health Insurance Portability and Accountability Act of 1996 protects this information considering its sensitivity and confidentiality.

    The preceptor utilizes privilege noted to document their conversations during the sessions they have with their patients. The preceptor includes the observations made during the therapy session, thoughts and feelings regarding situation of the clients’ psychiatric diagnosis hypothesis and the uniqueness of the patient’s condition. This document assists in the documentation, analysis of the issue and the formulation of effective plans for treating the client. However, the preceptor’s notes do not follow a particular format.

     

    References

    Bruns, K. L., & Letcher, A. (2018). Protective Factors as Predictors of Suicide Risk Among Graduate Students. Journal of College Counseling, 21(2), 111–124.
    https://doi-org.ezp.waldenulibrary.org/10.1002/jocc.12091

    Gazzillo, F., Dimaggio, G., & Curtis, J. T. (2019). Case formulation and treatment planning: How to take care of relationship and symptoms together. Journal of Psychotherapy Integration.
    https://doi-org.ezp.waldenulibrary.org/10.1037/int0000185

    Jadav, R., & Sharma, A. (2018). Effectiveness of Non-Pharmacological Management of Anxiety for Patients going for General Anaesthesia-A Literature Review. International Journal of Nursing Education, 10(4), 104–108.
    https://doi-org.ezp.waldenulibrary.org/10.5958/0974-9357.2018.00113.7

    Kaczkurkin, A. N., & Foa, E. B. (2015). Cognitive-behavioral therapy for anxiety disorders: an update on the empirical evidence. Dialogues in clinical neuroscience, 17(3), 337–346.

    Tzur Bitan, D., & Lazar, A. (2019). What do people think works in psychotherapy: A qualitative and quantitative assessment of process expectations. Professional Psychology: Research and Practice, 50(4), 272–277. https://doi-org.ezp.waldenulibrary.org/10.1037/pro0000241

     

    Learning Objectives
    Students will:
    Assess progress for clients receiving psychotherapy
    Differentiate progress notes from privileged notes
    Analyze preceptor’s use of privileged notes
    To prepare:
    Reflect on the client you selected for the Week 3 Practicum Assignment.
    Review the Cameron and Turtle-Song (2002) article in this week’s Learning Resources for guidance on writing case notes using the SOAP format.
    The Assignment
    Part 1: Progress Note
    Using the client from your Week 3 Assignment, address the following in a progress note (without violating HIPAA regulations):
    Treatment modality used and efficacy of approach
    Progress and/or lack of progress toward the mutually agreed-upon client goals (reference the Treatment plan—progress toward goals)
    Modification(s) of the treatment plan that were made based on progress/lack of progress
    Clinical impressions regarding diagnosis and/or symptoms
    Relevant psychosocial information or changes from original assessment (i.e., marriage, separation/divorce, new relationships, move to a new house/apartment, change of job, etc.)
    Safety issues
    Clinical emergencies/actions taken
    Medications used by the patient (even if the nurse psychotherapist was not the one prescribing them)
    Treatment compliance/lack of compliance
    Clinical consultations
    Collaboration with other professionals (i.e., phone consultations with physicians, psychiatrists, marriage/family therapists, etc.)
    Therapist’s recommendations, including whether the client agreed to the recommendations
    Referrals made/reasons for making referrals
    Termination/issues that are relevant to the termination process (i.e., client informed of loss of insurance or refusal of insurance company to pay for continued sessions)
    Issues related to consent and/or informed consent for treatment
    Information concerning child abuse, and/or elder or dependent adult abuse, including documentation as to where the abuse was reported
    Information reflecting the therapist’s exercise of clinical judgment
    Note: Be sure to exclude any information that should not be found in a discoverable progress note.
    Part 2: Privileged Note
    Based on this week’s readings, prepare a privileged psychotherapy note that you would use to document your impressions of therapeutic progress/therapy sessions for your client from the Week 3 Practicum Assignment.
    The privileged note should include items that you would not typically include in a note as part of the clinical record.
    Explain why the items you included in the privileged note would not be included in the client’s progress note.
    Explain whether your preceptor uses privileged notes, and if so, describe the type of information he or she might include. If not, explain why.

    Enclosed is my assign week 3 practicum and the patient that I used Psychiatry New Evaluation History and Physical

    Patient MRN: 0000
    Date of Service: 9/13/19

    Presenting Problem: “Difficulty concentrating and increased anxiety”

    HPI: Our patient is a 29-year-old female, with no formal psychiatric history, who presents with moderate symptoms of depression and anxiety in context with poor academic performance. She stated that she failed her nursing class three times and, on the verge, to be kicked out of the nursing program. She states that her family is not supportive of her career and she attributes to the fact that none of her family went to college. She states that they do not even support her decision to come in for an evaluation. She states that her family believes that she can “handle it” without seeking professional help. Her significant other also has been unsupportive, stating that she should stop studying so much and spend time with him.

    During the evaluation, her mood was moderately dysphoric, and has progressively worsened for the last 8 months. This has been aggravated by the feature mentioned above. Patient also has negative thoughts regarding her ability to pass the class, poor self-esteem due to recent class failures and inability to see positive outcomes regarding her situation. Other new depressive symptoms include reduced interest in activities, feelings of unimportance, poor energy and severe impaired in concentration and psychomotor retardation. She does not have any history of prior self-harm thoughts, denies any thoughts of hurting herself or others.

    The patient also meets criteria for generalized anxiety disorder. Symptoms include muscle tension, difficulty concentrating, increase worry.

    Home medications:
    None

    Allergies: NKDA

    Past psychiatric history:
    No Formal Psychiatric History

    Past medical history:
    No past medical history

    Social history: Patient is a nursing student at a local college. She currently does not work. She states that her family are not supportive of her career and wishes she would pick a different major. She denies any recreational drug use and drinks socially on the weekends.

    FAMILY HISTORY:
    Father: unknown
    Mother: Negative
    Children: Patient has no children
    Paternal and Maternal Grandparents, all Negative

    REVIEWS OF SYSTEM:
    Cardiovascular Negative
    Constitutional Negative
    Endocrine Negative
    Eyes Negative
    ENT Negative
    Gastrointestinal Negative
    Genitourinary Negative
    Neurologic Negative
    Respiratory Negative
    Integumentary Negative
    Psychiatric no manic episodes, or symptoms, no prior traumatic events, no delusions, no hallucinations, no prior self-harm attempts, has moderate to severe anxiety, positive for depression screen, all other ROS negative)

    Vitals: Blood pressure __133/100 Heart Rate _89_ Pulse Ox 98% RA__ Resp Rate 18

    Musculoskeletal Exam: Muscle strength 5 of 5 times 4 extremities, Gait and station intact

    Mental Status Exam:
    A&Ox4, Cooperative, dressed casually, well groomed, with moderate psychomotor retardation. Mood moderately dysphoric, affect congruent, restricted, with a normal intensity. Speech fluent with proper syntax, prosodic, with decreased spontaneity, no abnormalities in rate, articulation, or volume. Thoughts slightly circumstantial, no flight of ideas, no looseness of associations. Thought content logical and focused on care plan, and severity of symptoms, no self-harm thoughts. No delusions, no perceptional disturbances. Cognition intact, however inattentive, with impaired concentration. Good fund of knowledge, no abnormalities in language, able to name objects and repeat phrases. Recent and remote memory intact, estimated intellectual functioning average, Moderate to good insight, has awareness of mood symptoms, good judgment.

    Diagnostic Studies: Patient advised to have baseline labs drawn by PCP

    Differential Diagnosis:
    1. Rule out generalized anxiety disorder
    2. Rule out major depression disorder
    3. Rule out ADHD

    Case Formulation: includes a complete and rational picture of what the patient is trying to pursue in psychotherapy in spite of the obstacle that prevent the patient for pursuing her goal.

    1. Presenting Issues: difficulty concentrating and anxiety.
    2. Factors to create vulnerability to precipitate problem: poor academic performance and poor social support and family never gone to college. Although these are present, the patient also has protective factor such as emotional stability and flexibility (Bruns & Lether, 2018). This is apparent in that patient continued to persevere and continue with her schooling to meet her goals.
    3. Factors not involve in the initial problem that help maintained problem: she is working and studying, unforeseen events like car trouble and missed two practicums and that is automatic fail.
    4. Factors to help patient cope: She is determined to seek out counseling, tutoring, filled out a request form to extend test time and to take the tests in a quiet environment. According to Tzur & Lazar, psychotherapy is known to be effective for patients with depression and anxiety (2019). She has taken measure to recognize her stressors, including not knowing her learning style in which she has implemented interventions to figure out her best learning style. For instance, studying power points, attempting to record lectures, and pictures to learn better by auditory or visual.

    Treatment Plan:
    1. Cognitive behavioral therapy once a week for eight weeks. Most research has acquired the effectiveness and efficacy of CBT for anxiety including PTSD, GAD, and phobias.
    2.Patient will recognize dysfunctional thoughts, record them and device a healthier thought pattern and put them into practice by week three of CBT.

    3.Manage anxiety triggers by implementing non-pharmacological interventions such as deep breathing exercises, imagery to promote relaxation by week three of CBT. Non pharmacologic intervention is the best way to reduce anxiety. Patients benefits and also promote patient’s comfort through enhancing stress threshold by regulating the internal process of the body and improve immunity.
    4. Report decrease anxiety and depression symptoms by the end of week five.

    References:

    Bruns, K. L., & Letcher, A. (2018). Protective Factors as Predictors of Suicide Risk Among Graduate Students. Journal of College Counseling, 21(2), 111–124. https://doi-org.ezp.waldenulibrary.org/10.1002/jocc.12091

    Gazzillo, F., Dimaggio, G., & Curtis, J. T. (2019). Case formulation and treatment planning: How to take care of relationship and symptoms together. Journal of Psychotherapy Integration. https://doi-org.ezp.waldenulibrary.org/10.1037/int0000185

    Jadav, R., & Sharma, A. (2018). Effectiveness of Non-Pharmacological Management of Anxiety for Patients going for General Anaesthesia-A Literature Review. International Journal of Nursing Education, 10(4), 104–108. https://doi-org.ezp.waldenulibrary.org/10.5958/0974-9357.2018.00113.7

    Kaczkurkin, A. N., & Foa, E. B. (2015). Cognitive-behavioral therapy for anxiety disorders: an update on the empirical evidence. Dialogues in clinical neuroscience, 17(3), 337–346.

    Tzur Bitan, D., & Lazar, A. (2019). What do people think works in psychotherapy: A qualitative and quantitative assessment of process expectations. Professional Psychology: Research and Practice, 50(4), 272–277. https://doi-org.ezp.waldenulibrary.org/10.1037/pro0000241

  • week 2 Part 2: Academic Resources and Strategies

    Week 2 | Part 2: Academic Resources and Strategies

     

    I have identified the following academic resources and/or strategies that can be applied to success in the nursing practice in general or my specialty in particular. week 2 Part 2: Academic Resources and Strategies.

    Directions: In the space below Identify and describe
    at least three academic resources
    or strategies that can be applied to the MSN program, and
    at least three

    professional resources
    that can be applied to success in the nursing practice in general or your specialty in particular. For each, explain how you intend to use these resources, and how they might benefit you academically and professionally.

    BUY A PLAGIARISM-FREE PAPER NOW

    Academic Resource/Strategy
    1

    The Writing Center (academic integrity and writing) The writing center will contribute to my success in the MSN program. As an involved participant in the writing center my confidence in writing along with my writing skills and how to include evidence-based training into professional and academic vocation will be improved. This improvement will make provision for my constructive societal contribution through intellectual research and dedication to the desired quality of patient care. Per the Writing Center “writing can be a central tool for exploring, envisioning, expressing and enacting social change” (About: Social Change at the Writing Center, 2020). Among the tools I will inherit and use from the Writing Center include scholarly writing, utilize correct APA format, grammar, and the conventional rules of writing. With these skills I will integrate progressive positive social change in the work environment by way of research and practice. week 2 Part 2: Academic Resources and Strategies.

     

     

    Academic Resource/Strategy
    2

    The Learning Resource Center provides a myriad of tools to support nurses as the life-long learners they are. These centers are equipped with educational and technological resources to foster/enhance everyone’s educational need. The appealing resource in the center seeks to challenge and improve everyone’ s need.

     

     

    Academic Resource/Strategy
    3

    The Walden Library

    This is an excellent resource for all life-long learners. week 2 Part 2: Academic Resources and Strategies I plan on utilizing the Walden school Library throughout the duration of my program. This is a great resource to have especially with research and finding scholarly articles.

     

     

    Professional Resource/Strategy
    1

    American Psychiatric Nurses Association

    American psychiatric Nurses Association. (n.d.). Retrieved April 12, 2021, from https://www.apna.org/i4a/pages/index.cfm?pageid=1.

     

    Professional Resource/Strategy
    2

     

    American Association of Nurse Practitioners

    Education. (n.d.). Retrieved April 12, 2021, from https://www.aanp.org/education?gclid=EAIaIQobChMI5NmyyI_47wIVzB6tBh0esAYqEAAYASAAEgLjFfD_BwE

     

     

    Professional Resource/Strategy
    3

     

    The NP Journal

    American psychiatric Nurses Association. (n.d.). Retrieved April 12, 2021, from https://www.apna.org/i4a/pages/index.cfm?pageid=1 week 2 Part 2: Academic Resources and Strategies

     

     

    ADDITIONAL RESOURCES/STRATEGIES

     

    Reference

    Laureate Education, Inc. (Executive Producer). (2018).
    Tips for effective online composition and communication
    [Video file]. Baltimore, MD: Author.

     

     

     

     

    Week 3 | Part 3:
    Strategies to Promote Academic Integrity and Professional Ethics

     

    I have analyzed the relationship between academic integrity and writing, as well as the relationship between professional practices and scholarly ethics. I have also identified strategies I intend to pursue to maintain integrity and ethics of my academic work while a student of the MSN program, as well as my professional work as a nurse throughout my career. The results of these efforts are shared below. week 2 Part 2: Academic Resources and Strategies

     

    Directions: In the space below craft your analysis/writing sample, including Part 1 (The Connection Between
    Academic and Professional Integrity) and Part 2 (Strategies for Maintaining Integrity of Work).

     

     

    Part 1: Writing Sample: The Connection Between Academic and Professional Integrity

     

    In the space below write a 2- 3-paragraph analysis that includes the following:

     

    Explanation for the relationship between academic integrity and writing

    Explanation for the relationship between professional practices and scholarly ethics

    Cite at least 2 resources that support your arguments, being sure to use proper APA formatting.

    Use Grammarly and SafeAssign to improve the product.

    Explain how Grammarly, Safe Assign, and paraphrasing contributes to academic integrity week 2 Part 2: Academic Resources and Strategies

     

     

     

     

    PART 2: Strategies for Maintaining Integrity of Work

     

    Expand on your thoughts from Part 1 by:

     

    Identifying and describing strategies you intend to pursue to maintain integrity and ethics of your 1) academic work while a student of the MSN program, and 2) professional work as a nurse throughout your career. Include a review of resources and approaches you propose to use as a student and a professional.

     

     

    Week 4 | Part 4:
    Research Analysis

     

    I have identified one topic of interest for further study. I have researched and identified one peer-reviewed research article focused on this topic and have analyzed this article.  The results of these efforts are shared below.

     

    Directions: Complete Step 1 by using the table and subsequent space below identify and analyze the research article you have selected. Complete Step 2 by summarizing in 2-3 paragraphs the results of your analysis using the space identified.

     

     

     

     

     

     

    Step 1: Research Analysis

    Complete the table below

    Topic of Interest:

    week 2 Part 2: Academic Resources and Strategies

    Research Article:

    Include full citation in APA format, as well as link or search details (such as DOI)

     

    Professional Practice Use:

    One or more professional practice uses of the theories/concepts presented in the article

     

    Research Analysis Matrix

    Add more rows if necessary

    Strengths of the Research

    Limitations of the Research

    Relevancy to Topic of Interest

    Notes

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

    week 2 Part 2: Academic Resources and Strategies

     

     

     

     

     

     

     

     

     

     

    Step 2: Summary of Analysis

    Craft a summary (2-3 paragraph) below that includes the following:

    Describe your approach to identifying and analyzing peer-reviewed research

    Identify at least two strategies that you would use that you found to be effective in finding peer-reviewed research

    Identify at least one resource you intend to use in the future to find peer-reviewed research

     

     

     

     

     

     

    Week 5 | Part 5:
    Professional Development

     

    I have developed a curriculum vitae to capture my academic and professional accomplishments to date.

     

    The results of my efforts are below. week 2 Part 2: Academic Resources and Strategies

     

    Directions: Complete Step a curriculum vitae (CV) in the space provided.

     

     

     

    Curriculum Vitae (CV)

    Use the space below to write your CV based on your current education and professional background. Alternatively, you may write this in a separate document and copy/paste the results below.

    NOTE: If needed there are a variety of online resources available with tips and samples of graduate nurse CVs.

    Week 6 | Part 6:
    Finalizing the Plan

     

    I have considered various options for my nursing specialty, including a close look at my selected (or currently preferred) specialty and second-preferred specialty.  I have also developed a justification of my selected (or preferred) specialty. Lastly, I have examined one professional organization related to my selected or preferred specialty and considered how I can become a member of this organization.

     

    The results of my efforts are below.

     

    Directions: Complete Step 1 by writing 2-3 paragraphs in the space below comparing the nursing specialty you have selected – or the one you prefer if your choice is still under consideration –  to your second preference. Identify each specialty and describe the focus and the role that graduates are prepared for. Identify any other differentiators you feel are significant, especially those that helped or may help you reach a decision.

     

    Complete Step 2 by writing a paragraph identifying and justifying your reasons for choosing your MSN specialization. Be sure to incorporate any feedback you received from colleagues in this week’s Discussion Forum.

     

    Complete Step 3 by examining and identifying one professional organization related to your selected or preferred specialty. Explain how you can become a member of this organization.

     

     

    Step 1: Comparison of Nursing Specialties

    Use the space below to write 2-3 paragraphs comparing the nursing specialty you have selected – or the one you prefer if your choice is still under consideration –  to your second preference. Identify each specialty and describe the focus and the role that graduates are prepared for. Identify any other differentiators you feel are significant, especially those that helped or may help you reach a decision. week 2 Part 2: Academic Resources and Strategies

     

     

    Step 2: Justification of Nursing Specialty

    Use the space below to write a paragraph identifying and justifying your reasons for choosing your MSN specialization. Be sure to incorporate any feedback you received from colleagues in this week’s Discussion Forum.

     

     

     

     

     

     

     

     

    Step 3: Professional Organizations

    Use the space below to identify and examine one professional organization related to your selected or preferred specialty. Explain how you can become a member of this organization. week 2 Part 2: Academic Resources and Strategies

  • Nursing Care plan strategies to address falls

    Nursing strategies to address falls

    Introduction

    Medical personnel are well positioned to meet the needs of the communities they serve through clinical inquiry that allows them to bridge the gap between clinical practice, scientific information and research result. In fact, today’s medical personnel are capable of integrating information from different sources and across disciplines, through cultivating the spirit of inquiry, translation and dissemination of evidence-based knowledge to bring about changes to medical practice (Lundy & Janes, 2016). That is the case with fall incidence in which case evidence is presented to show that falls are a problem within an inpatient rehab unit, along with proposing solutions to the current problem based on evidence from medical research results. In this respect, the purpose of the present paper is to discuss the need for change in a medical facility, and proposing viable solutions based on collected evidence.

    Discussion

    Incidence of falls in the inpatient rehab unit

    A review of the variation between actual fall incidence and targeted incidence as presented in the nurse-sensitive quality indicator shows that the inpatient rehab unit has been getting better at achieving its targeted falls figures. In this case, the unit initially had problems achieving the desired fall incidence reporting the worst variation figures in the first quarter of 2006 at 21.44. Over time, the facility improved its capacity to achieve the targeted figures with the best variation results reported in the first quarter of 2010 at -6.05 (see Figure 1). Based on the changing variation figures, there is a need to develop protocols for handling patients to ensure that fall incidence are effectively reduced.

     

    Figure 1. Variation between actual falls and targeted incidence reported over time

    A review of the falls data in terms of staffing levels shows that there is some correlation between them. In this case, there is a negative correlation between percentage BSN and total falls such that increasing the percentage BSN reduces the number of falls with the inverse being equally true. On the other hand, increasing the percentage of certificate nurses increases the number of falls (see Table 1 and Figure 2). It can be explained that BSN are more knowledgeable and proficient than certificate nurses thereby making them better prepared to reduce fall incidence.

    Table 1. Correlation between mean falls figures, percentage BSN and percentage certification

     

    TOTFALLS

    %BSN

    % CERT

    TOTFALLS

    1

    %BSN

    -0.28555

    1

    % CERT

    0.123284

    0.586249

    1

     

    Figure 2. Mean falls figures compared to mean percentage BSN and percentage certification

    Understanding the problem from a nursing perspective

    The identified problem is the incidence of falls in the unit. The intention is to identify nursing practice approaches to eliminate these incidence. Natan, Heyman and Israel (2016) mention this problem by conceding that there are specific factors responsible for the occurrence of falls among patients, particularly those in a rehabilitation facility. Of importance is the fact that the patients at high risk of falls in these facilities are have unique characteristics that can be used to identify and target them for greater nursing intervention so as to reduce the possibility of falling. Based on this awareness, it is logical to suggest that nursing personnel working in rehabilitation units can refine their operating procedures to ensure that risks and incidences of falls are eliminated (Weber & Kelley, 2013).

    Nursing interventions to eliminate risks and incidences of falls in a rehabilitation unit

    Three nursing strategies have been identified to address the presented problem. The first strategy entails increasing nursing supervision on patients at highest risk of falls based on demographics. This requires that more knowledgeable and proficient nurses be employed since they are better prepared to reduce fall incidence. This would entail reviewing the falls data to determine if it has demographic implication to include gender, age, ethnicity, and the particular condition. If possible, designate these patients for fall precaution, key in the same information in their charts, and use restrains where necessary. For instance, Natan, Heyman and Israel (2016) report that the fall risk for elderly persons in rehabilitee units is 14%. The study further adds that males with normal BMI, suffering from cardiovascular ailments, transferred from internal medicine, and very active during rehabilitation are more likely to experience falls (Natan, Heyman & Israel, 2016). Hunt (2016) similarly mentions that patients at high risk of falls should be identified using screening tools with the intention of targeting them for focused care to reduce fall incidence. This means that nursing personnel should closely supervise the patient demographics identified as being at highest risk of falls in rehabilitation units, and target them for closer supervision.

    The second strategy is to engage the patients and their family members during the process of admission by informing them about the need for a collaborative effort to prevent fall incidence. In this case, it is accepted that treatment side effects and deconditioning in the rehabilitation unit cause fall to occur since patients are tempted to overestimate their functional status and abilities, resulting in them taking unnecessary risks and falling. For that matter, it is projected that since nurses can only attend to the patients periodically, then integrating the patients and their family members into the care planning process would inform them of the risk of fall, make them aware of how to avoid the risks, and actively implement fall avoidance strategies even when the nurse is not around (Vonnes & Wolf, 2017).

    The final strategy entails screening patients for falls and orienting them to the rehabilitation environment. This includes screening mobility and stability skills such as sitting down, walking, and standing. This strategy determines the patients’ functional abilities to facilitate planning for ways in which nurses can ensure safety and improve problem areas. Additionally, nursing personnel should review medication to determine whether they increase the risk of medication and discuss with other members of the care team on whether the patient has an absolute need for the medication (Bulechek et al., 2013).

    Conclusion

    One must accept that nurses are well positioned to meet the medical needs of their patients through close interactions and professional knowledge. In addition, one must acknowledge that the variation for fall incidence reported in the inpatient rehab unit is a problem since it shows that there is a disconnect between actual and target fall figures. To address this concern from the nurses’ perspective, three strategies have been proposed. The first strategy is to increase nursing supervision on patients at highest risk of falls to include designating them for fall precaution and keying in the same information. The second strategy is to apply a collaborative effort that entails engage the patients and their family members during the process of admission. The final strategy is to screen patients for falls and orienting them to the rehabilitation environment. Overall, it is anticipated that applying the three mentioned strategies will reduce the incidence of falls within the inpatient rehab unit.

     

     

    References

    Bulechek, G., Butcher, H., Dochterman, J. & Wagner, C. (2013).
    Nursing interventions classification
    . St. Louis, MO: Elsevier/Mosby.

    Hunt, K., (2016). Keeping our frail and elderly patients out of hospital.
    Practice Nurses
    , 46(2), 16-20.

    Lundy, K. S. & Janes, S. (eds) (2016).
    Community health nursing: caring for the public’s health
    (3
    rd
    ed.). Burlington, MA: Jones & Bartlett Learning.

    Natan, M., Heyman, N. & Israel, J. (2016). Identifying risk factors for elder falls in geriatric rehabilitation in Israel.
    Rehabilitation Nursing
    , 41, 54–59.

    Vonnes C, Wolf D. (2017). Fall risk and prevention agreement: engaging patients and families with a partnership for patient safety.
    BMJ Open Quality
    , 6(2), e000038. doi: 10.1136/bmjoq-2017-000038. Retrieved from https://bmjopenquality.bmj.com/content/6/2/e000038

    Weber, J. R. & Kelley, J. H. (2013).
    Health assessment in nursing
    . Philadelphia, PA: Lippincott Williams & Wilkins.

     

    First look at the dashboard I have submitted with the assignment as an attachment. We are going to use the dashboard indicator and focus on falls. Look at how many falls there was each quarter. There is a mean for each quarter as a variance look and analyze the data. Compare the fall rate with the mean and variance (variance means did they meat their golf?) IF they didn’t meat their goals look at the other QIs like staffing levels or Rounding, or %BSN and see if there is a correlation between the two. Were falls due to low staff? If they had enough staff, state that, but try to correlate why the falls rates are high or low with another indicator on the dashboard. Maybe they have fallen all because the patients were not educated about using the call light, or poor nurse rounding (which is also oon the dashboard) Falls is the QI that we are comparing and contrasting and trying to correlate other QIs to Falls. Are falls high or low depending on what the dashboard says. Maybe first quarter they were high and staffing was on point, but second quarter they were lower but staffing was the same you can correlate that no matter if they had x staff or x staff second quarter was lower. This is just an example as I have not looked and studied the dashboard just trying to give you an example. Based on what you correlate come up with a care plan for that patent. The care plan should be evidence-based ways to make sure they do not fall that the nurse can implement to make them not fall so the fall QI gets better.

    1.SELECT One Quality Indicator that needs improvement. Thoroughly review the statistical data provided in the Dashboard and develop a nursing action plan based on best practices.
    To prepare
    Review the Week Assignment Rubric
    • Review the Week 4 Resources that pertain to the NDNQI and use of dashboards
    Choose a Nurse-Sensitive Quality Indicator that needs improvement based on the data presented in the Dashboard. Include information on why this area was chosen.
    • Develop a nursing plan that outlines suggestions on how to improve performance in the chosen area.
    Provide at least three best practices from evidenced-based literature to support your nursing plan.

  • Balanced Scorecard Analysis and Strategic Plan example for a health care organization

    FHOS balanced scorecard and strategic plan

    Name

    Institution

    Table of contents

    Executive summary
    . 3

    Environmental analysis of FHOS
    . 4

    Strategic plan
    . 5

    Balanced scorecard
    . 14

    Communication plan
    . 18

    Conclusion
    . 21

    References
    . 22

     

     

     

     

     

    Executive summary

    An environmental analysis was conducted for FHOS using TOWS matrix that identified some opportunities and challenges unique to the internal and external environments. Strategic analysis determined that these challenges could be addressed and opportunities leveraged to improve the quality of care provided at the facility. This lead to the presentation of the strategic plan that offered actions that the facility can control and engage in to improve performance. Plan determined that focus should be on the administration and finance departments, as well as medical department with the actions planned to be carried out over a two year period. Even as the plan is presented, a balanced scorecard is necessary to determine whether the strategic plan achieved the set objectives in the set time of two years. The balanced scorecard was based on four quadrants presented as financial perspective and shareholder value, patient value perspective, process and internal operations perspective, and personnel learning and growth perspective. In addition, a communication plan was presented to identify the value of formal and informal communication approaches to the strategic plan implementation to include the importance of feedback.

     

    FHOS balanced scorecard and strategic plan

    Environmental analysis of FHOS

    Florida Hospital Orland South (FHOS) is identified as a medical facility that has been operational since 1908 as a nonprofit organization. It currently handles 106,024 emergency cases every year along with 55,301 inpatients, and 176,086 outpatients. It has 336 critical care beds and 1,414 licensed beds run by approximately 8,000 personnel who include about 2,000 physicians. Its extensive internal and external mechanisms are responsible for ensuring that the facility continues to function and survive even as it meets its objective of achieving longer, healthier, happier lives for the community that patronizes its health services. A review of the facility’s environment using TOWS analysis shows that the facility can leverage its services for better performance.

    A review of the external environment identified factors influencing the facility. Firstly, evaluating the political factors showed that the government support and political stability presents opportunities for the facility. Secondly, the prevailing economic conditions present some challenges in terms of balancing between income, expenditure, and profits. Thirdly, the existing social and cultural factors presents opportunities for the facility, particularly when addressing the ever-increasing healthcare needs of the population. Finally, the prevailing legal and ethical factors present some challenges, particularly the factors concerning medical records access, protection, and confidentiality, as well as treatment consent (Morrison, 2016).

    A review of the internal environment identified factors that influence the facility’s capacity to deliver care. Firstly, the facility’s mission statement, vision, and purpose present a formal principles that declare the range of activities that the facility can engage in. Secondly, a review of the facility’s technological capabilities shows that it needs to make an additional investment in technology, particularly in terms of facilitating the management of patient records with regards to access and confidentiality. Thirdly, a review of the supply chain shows that there is a need for improvements, particularly in terms of costs reduction and improved efficiency. Finally, an evaluation of the facility’s information system shows that there is a need for investment in improving the current system to improve quality of care and data security while avoiding possible legal sanctions under confidentiality laws (Jaana, Teitelbaum & Roffey, 2014). Given the results of the internal and external environmental analysis for FHOS, it is clear that the facility has opportunities for growth through addressing the existing shortcomings and leveraging the identified strengths (Arthur, n.d.).

    Strategic plan

    The environmental analysis based on TOWS matric identified some challenges that the facility is facing, and which would be best addressed through strategic actions that include:

    Increasing the number of patients who patronize the facility.

    Building the capacity of the personnel employed by the facility.

    Acquiring and offering modern medical equipment.

    Prudently managing the facility’s financial resources.

    Identifying and strengthening weak management systems and structures.

    Improving the sharing of information within the facility and with stakeholders.

    Improving monitoring and evaluation efforts.

    Strengthening research efforts.

    Expanding services and efforts.

    Subsidizing medical services to make them affordable by looking for alternative funding sources.

    Improving the satisfaction levels of the patients who patronize the facility.

    Collaborating with funding partners who include both governmental and non-governmental organizations.

    Improving the adequacy of relevant policies to include the standard operating procedures that influence the delivery of services, strategies for mobilizing resources, strategies for communication, procurement policies, and finance manual.

    Addressing staff turnover and understaffing concerns since they affect service delivery.

    Adequate job description.

    Strengthening the organization structure.

    Strengthening the facility’s information management system.

    Creating an asset register.

    Expanding services and facilities to meet the increasing demand.

    Improving the ICT infrastructure.

    Improving security and safety within the facility.

    Getting representation in health management and planning committees to direct policy development and implementation to be in line with the facility objectives.

    To address the identified strategic issues, a strategic direction was determined that would be implemented over the next two years with the focus being on six key areas. Firstly, focus will be on improving the patients’ satisfaction levels by addressing any shortcomings they may have identified. Secondly, putting measures in place to improve the security and safety of the patients and facility. Thirdly, improving health information system. Fourthly, providing modern medical facilities and equipment. Fifthly, improving physical infrastructure in the facility. Finally, strengthening the facility’s institutional capacity.

    The proposed direction will be implemented in two departments as identified in Tables 1 and 2.

    Table 1. Strategic direction for FHOS administration and finance departments

    Priority areas for the next two years

    Strategic goals

    Strategies

    Strengthening FHOS’ institutional capacity.

    To strengthen the facility’s administration.

    ·   Recruit a professional security agency to address the facility’s security concerns.

    ·   Offer a conducive working environment for personnel.

    ·   Offer work incentives that include insurance cover.

    To effectively manage the facility’s assess.

    ·   Review the procurement instructions and implement changes to improve activities.

    ·   Develop a policy to dispose non-useful assets even as useful assets are acquired.

    ·   Prepare a register of all the assets.

    ·   Strengthen the management of the facility’s procurement procedures.

    To increase the facility’s revenue by 20%.

    ·   Increase the patients’ satisfaction levels so that they continue to patronize the facility’s services even as they encourage others to do the same.

    To strengthen the facility’s financial management.

    ·    Develop strategies for collecting debts.

    ·    Developing and implementing annual budgets.

    ·    Reviewing the financial controls applied internally.

    ·    Encouraging sensible financial management.

    To strengthen ICT use that facilitates the efficiency of service delivery.

    ·    Procure ICT systems and equipment.

    ·    Develop ICT policies.

    To strengthen the facility’s human resource capacity.

    ·    Implement a performance management system.

    ·    Build staff capacity. Recruit personnel to address shortages.

    ·    Review the human resource manual and enforce it.

    ·    Strengthen human resource capacity.

    Waste and sanitation system management

    To improve sanitation and waste management.

    ·    Establish a biogas system that gets rid of the waste while supplementing energy supply.

    Strengthen records management

    To strengthen the management of records.

    ·    Strengthen how data is collected, analyzed and disseminated.

    ·    Train facility’s personnel on how to manage records.

    ·    Procure and install better records management systems that include an updated hospital information system.

    ·    Review the current system for managing records to identify and address shortcomings.

    Develop the facility’s infrastructure

    To expand the hospital’s infrastructure to handle a larger number of patients and address more medical conditions.

    ·    Procure medical equipment based on need and funds availability.

    ·    Expand health facilities.

     

    Table 2. Strategic direction for FHOS medical department

    Unit

    Priority areas for the next two years

    Strategic goals

    Strategies

    Community outreach programs

    Community outreach programs

    To promote community outreach programs.

    ·    Increase access to high quality medical care services.

    Doctors, clinicians and nurses

    Establish new medical units

    To establish new medical units.

    ·    Private wards to be established.

    ·    Establish emergency and casualty wings separately.

    Construct ad expand wards

    To construct and expand nursing stations and wards.

    ·    Construct and expand nursing stations and wards.

    Procure medical equipment

    Procure and install medical equipment in the facility’s wards.

    ·    Procure medical equipment.

    Strengthen the facility’s medical staffing capacity

    To strengthen the facility’s staffing capacity.

    ·    Train personnel.

    ·    Recruit personnel.

    Mortuary

    Mortuary expansion

    To expand the mortuary unit’s storage space.

    ·    Expand the mortuary working area and storage space.

    Procure mortuary equipment

    To procure and install mortuary equipment.

    ·    Procure mortuary equipment.

    Strengthen the facility’s mortuary staffing capacity

    To strengthen the facility’s staffing capacity.

    ·    Train personnel.

    ·    Recruit personnel.

    Theatre

    Procure theatre equipment

    To procure and install theatre equipment.

    ·    Procure theatre equipment.

    ·

    Strengthen the facility’s theatre staffing capacity

    To strengthen the facility’s staffing capacity.

    ·    Train personnel.

    ·    Recruit personnel.

    Pharmacy

    Expand the pharmacy unit

    To expand the pharmacy’s working space.

    ·    Expand the pharmacy’s working area.

    Procure equipment for the pharmacy unit

    To procure and install an information management system that integrates with the facility’s systems.

    ·    Procurement of information management equipment

    Strengthen the facility’s pharmacy staffing capacity

    To strengthen the facility’s staffing capacity.

    ·    Train personnel.

    ·    Recruit personnel.

    Radiology

    Procure equipment for the radiology unit

    To procure and install diagnostic imaging equipment.

    ·    Procurement of imaging equipment based on need, as well as furniture.

    Expand the radiology unit

    To expand the radiology’s working space.

    ·    Expand the radiology unit’s working area.

    Strengthen the facility’s pharmacy staffing capacity

    To strengthen the facility’s staffing capacity.

    ·    Train personnel.

    ·    Recruit personnel.

    Laboratory

    Redesign and expand the laboratory

    To redesign and expand the working space.

    ·    Redesigning and expanding the laboratory working area.

     

    Balanced scorecard

    A balanced scorecard refers to a strategic planning and management tool that is used to monitor performance against strategic goals, while improving external and internal communication, and aligning business activities with the organization’s strategy and vision. In fact, it suggests that exclusive use of traditional measures are myopic and ill-advised since they are an account of past events. In essence, it is a performance measurement framework that managers can use to gain an understanding of the facility’s performance in both the financial and non-financial arenas. This implies that it retains the traditional tools for measuring performance even as it includes other factors critical to success, which include relationship with stakeholders (such as patients and medical personnel) and capabilities. To facilitate the whole performance measurement, the balanced scorecard as applied for the FHOS case views the business model from four perspectives to include: learning and growth (personnel) perspective; process (internal operations) perspective; patients’ value perspective; and financial perspective (Kerin, Hartley & Rudelius, 2014). The present analysis makes use of a balanced scorecard to evaluate the strategic model for use by FHOS.

     

     

    Table 3. FHOS balanced scorecard quadrants

    Financial perspective and shareholder value

    1.     Market share: improve market share by 30% over the next two years through aggressive marketing and innovative medical services based on perceived local needs.

    2.     Revenues and costs: Improve revenues while reducing costs so that profitability increases by 15%. This would occur through expenditures review that focuses on profitable ventures as costs are reduced.

    3.     Profitability: Improve profitability by 15% through better spending reviews.

    4.     Competitive position: Invest 10% of profits on research activities to facilitate the development of innovative medical services.

    Patient value perspective

    1.     Patient retention or turnover: Ensure that 70% of patients repeatedly patronize the facility by offering a wider range of related medical services.

    2.     Patient satisfaction: Create a patient care center that is staffed by knowledgeable medical personnel capable of handling patient related issues. Additionally, evaluating the quality of all medical services in terms of comparisons with other medical facilities before offering them.

    3.     Patient value: creating a public relations office dedicated to addressing all the patients’ issues so that they feel a part of the facility.

    Process and internal operations perspective

    1.     Measure of process performance: developing feedback systems that match facility performance to the set objectives.

    2.     Service or productivity improvement: engaging knowledgeable and experienced personnel who can direct the facility operations to achieve the set objectives.

    3.     Operations metrics: engaging personnel in developing realistic matrices that measure actual performance.

    Personnel learning and growth perspective

    1.     Personnel satisfaction: reviewing remuneration packages to match responsibilities using competitive figures based on the industry standards.

    2.     Personnel turnover or retention: creating a system that collects personnel opinions and addresses them to improve their satisfaction levels. The target is 5% annual retention to include retirees.

    3.     Level of organization capability: organizing regular training programs for personnel so that they are aware of the latest advances in the healthcare industry as measured through the number of persons who successfully complete the training programs.

    4.     Nature of organizational culture or climate: adopting technological advances to augment personnel input as measured through medical industry reviews such as updating the information system to facilitate access to patient records.

     

    The first perspective is the financial perspective, which reinforces the need for traditional financial data in evaluating the performance of any business entity. Any business model would recognize that accurate and timely data is always a priority, making it clear that this need cannot be overemphasized and adding that there can never be enough processing and handling of data of any kind. By implementing a database and cloud-based system for medical data, FHOS intends to automate and centralize data related activities. The point is that the financial perspective has been given the same emphasis as the other three perspectives to result in a balanced situation, although there are situations when the financial perspective will be overemphasized, particularly when analyzing cost-benefits and risk assessment (see table 3; Kerin, Hartley & Rudelius, 2014).

    The second perspective is the patient perspective. It recognizes the increasing importance of patients and the need to satisfy them to ensure FHOS growth and success. With this in mind, the strategy applied at the facility must include indicators of patient satisfaction such as an understanding that failure to satisfy the patients will cause them to switch to other medical facilities that are able to meet their needs. As such, good performance within the patient perspective will act as an indicator that FHOS has a good future within the highly competitive healthcare industry, while poor performance in the patients perspective will act as an indicator that decline is likely to occur in the future even though the current performance figures paint a favorable picture. In developing the patient satisfaction matrix, FHOS must recognize that there are different patient groups who have diverse medical services needs (see table 3; Kerin, Hartley & Rudelius, 2014).

    The third perspective is the internal business processes perspective that will allow the managers and other supervisors to know how well the facility is being run, and whether it is in line with the stated mission and vision, as well as strategic objectives. This perspective would focus on whether the facility’s services conform to the requirements stated by the patients and industry expectations as stated by regulators. It includes matrices that have been prudently deliberated and presented by the facility’s personnel most knowledgeable about the operations since external consultants would be unable to develop effective matrices (see table 3; Winston et al., 2013).

    The final perspective is the learning and growth perspective whereby the facility is expected to make provisions for the inclusion of personnel training geared towards improving performance. This is based on the understanding that personnel are the most important knowledge repository. The rapid technological advances have made it necessary for FHOS personnel to be in a continuous learning mode thereby heightening personnel importance as a knowledge repository. In addition, the model includes a matrix that aids managers in allocating funds towards training activities that are anticipated to result in the most benefit for FHOS as a business. In any case, learning constitutes the foundation for success for the facility even as it anticipates to grow and succeed. It is important to note that training is only one aspect of learning, which includes other facets in the form of technical tools (such as computer systems and classroom environments), tutors and mentors, as well as facilitating good communication that allows FHOS personnel to get aid whenever problems arise (see table 3; Winston et al., 2013).

    The balanced scorecard facilitates performance measurement by focusing on four perspectives that include learning and growth perspective, process perspective, patient value perspective, and financial perspective. Overall, it is anticipated that applying the formulated balanced scorecard will allow FHOS to successfully meet the set strategic objectives.

    Communication plan

    Even as the strategic plan is prepared and applied, there is a need to prepare and apply a communication plan. The communication plan is intended to complement the strategic plan by improving information exchange within the facility. It recognizes that the strategic plan is intended to offer benefits to the facility by improving operational efficiency and effectiveness to achieve better patient outcomes. The facility will benefit from the communication plan since it allow the personnel to practice high-quality communication strategies and skills. This is based on the understanding that communication aids the facility to meet its goals and objectives (Ellis, 2016). In addition, the facility must have the capacity to manage and resolve conflicts that could arise when the strategy is implemented, reducing the misuse of informal communication by the stakeholders, and improving willingness to provide the facility’s management with constructive feedback. In essence, it ensures that informal organizational communication is not misused by the personnel through actions such as gossiping and peddling of rumors about the strategic plan intentions since such communication is unethical, decreases coordination and cooperation, destroys trust between relational partners, is likely to undermine interpersonal relationships and is not appropriate in a working environment. The official communication would be considered as the only reliable source of information to reassure personnel and prepare them for impending changes. For instance, the intention to hear more personnel must be addressed in terms of reassuring the present personnel that their jobs is not in jeopardy and some of them could even  be up for promotions or better employment terms when transferred to the new department (Kreps, 2011).

    The principal motivation for controlling and enhancing informal communication lines is to motivate personnel; particularly where rumor is concerned and involved. In order to enhance informal communication lines, the management is expected to unequivocally notify other personnel and stakeholders that immoral and unethical messages and communications will not be accepted since this could disrupt the strategic plan implementation in the facility. The facility’s personnel and stakeholders will have an occasion to report any cases of immoral and unethical informal communication anonymously with punitive action initiated against the violators. The punitive action may include forcing the offender to attend a training session on organizational ethics and morals. Even though it could be difficult to maintain control over informal communication for the strategic plan’s implementation, the upper management personnel must protect the quality of information flowing through the facility’s rumor mill (Abigail & Cahn, 2011).

    As has been established, the strategic plan intends to enhance communication within the facility. This will occur by focusing on refining both the formal and informal communication lines between all the personnel and stakeholders. Formal communication lines are significant for the reason that they are the principal conduit for all personnel to exchange work-related information such as the intended changes, involvement and implications. The main motive for enhancing formal communication lines is to buoy up the facility’s personnel to deliver constructive feedback to the management to improve the strategic plan and present their understanding of what is intended. Feedback – criticism – is important in the facility’s communication, since, it is the mainstay of effective communication. Short of feedback, both the message senders and receivers are unlikely to accomplish a common understanding of the message (Abigail & Cahn, 2011).

    In order to implement feedback within the facility’s communication structure, the management will have to provide some form of compensation for personnel who deliver relevant, timely, and honest feedback as a strategy. This will be achieved by starting a recompense program whereby personnel who provide the most relevant, timely and honest feedback can be rewarded with a certificate of recognition that can later be redeemed for financial gratuity. Another strategy for promoting feedback will involve instituting an open communication policy between the upper level and lower level personnel. For instance, the managers must avail themselves to listen and respond to any criticisms from other personnel, with the whole exchange done without any victimization. In order to institute an open communication policy, the managers must display active listening skills that allow them to fully comprehend the messages that other personnel are attempting to communicate to them (Trenholm, 2011). In this respect, the communication plan focuses in ensuring that there is effective communication that opens up the communication channels without creating an occasion for abuse so that it ends up supporting the implementation of the strategic plan.

    Conclusion

    One must accept that based on the environmental analysis, FHOS has opportunities for improving its capacity to offer higher quality medical care. In addition, one must acknowledge that a strategic plan actualizes the facility intentions to improve performance by identifying areas that require improvements and changes. Also, it is clear that even with the strategic plan, a balanced scorecard is necessary to assess the strategic plan’s implementation in terms of achieving the set intentions. Besides that, a communication plan is necessary since it informs personnel and other stakeholders about the strategic plan while offering an opportunity for feedback that facilitates changes to the strategic plan for better performance.

    References

    Abigail, A. & Cahn, D. (2011).
    Managing conflict through communication
    (4
    th
    ed.). Boston, MA: Allyn & Bacon Publishers.

    Arthur, L. (n.d.).
    The implications of environmental analysis on strategic plan
    .
    Houston Chronicle
    . Retrieved from http://smallbusiness.chron.com/implications-environmental-analysis-strategic-plan-35303.html

    Ellis, P. (2016).
    Evidence-based practice in nursing
    (3
    rd
    ed.). London: Learning Matter/SAGE Publications Ltd.

    Ginter, P., Duncan, W. & Swayne, L. (2013) .
    Strategic management of health care organizations
    (7
    th
    ed.). San Francisco, CA: Jossey-Bass.

    Jaana, M., Teitelbaum, M., & Roffey, T. (2014).
    IT strategic planning in hospitals: From theory to practice
    . International Journal of Technology Assessment in Health Care
    , 30(3), 289-297.

    Kerin, R., Hartley, S. & Rudelius, W. (2014).
    Marketing
    (12
    th
    ed.). New York, NY: McGraw-Hill Education.

    Kreps, L. (2011).
    Communication in organizations
    . San Diego, CA: Bridgepoint Education Publishers.

    Morrison, M. (2016).
    PEST/ PESTLE analysis Introduction
    .
    RapidBI
    . Retrieved from https://rapidbi.com/Introduction-to-the-PESTLE-analysis-tool/#PESTLEtemplete

    Trenholm, S. (2011).
    Thinking through communication
    (6
    th
    ed.). Boston, MA: Allyn & Bacon Publishers.

    Winston, W., Stevens, R., Sherwood, P. & Dunn, J. (2013).
    Market analysis: assessing your business opportunities
    . London: Routledge.

     

    Assessment 5 needs to go along with Assessment 1,2,3,and 4….

    Assessment 5
    Balanced Scorecard Analysis and Strategic Plan

    Overview
    Create an integrated strategic management and implementation plan for a health care organization that incorporates instructor and real world feedback into a final balanced scorecard analysis and strategic plan.

    Note: The assessments in this course are presented in sequence and must be completed in order. You may not begin this assessment until you have completed and received feedback from your instructor for each of the previous assessments in this course.

    SHOW LESS
    The successful implementation of a strategic plan requires effective communication and a thorough understanding of not only the role of the organization within the greater community, but the role of leadership within the organization. By effectively engaging stakeholders and understanding the philosophy of strategic management, leaders can mitigate challenges and hurdles that face those directing change.

    By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:

    Competency 1: Analyze organizational structure, design, culture, and climate in relation to environmental forces.
    Analyze potential long-term opportunities and operational components in the strategic planning process.
    Competency 2: Develop a strategic organizational plan that provides human and financial resources to support targeted organizational outcomes.
    Analyze the effect of the strategy formulation on human, financial, and technical resources.
    Competency 3: Recommend an organizational structure and design to optimize a strategic plan.
    Apply strategic planning tools and research to determine alternative strategies for a health care organization’s future success.
    Competency 4: Communicate in a manner that is scholarly, professional, and consistent with expectations for professionals in health care administration.
    Incorporate feedback from stakeholders and colleagues in the construction of an integrated strategic plan.
    Assemble a professional final report that meets the needs and expectations of a specific audience.
    Competency Map
    CHECK YOUR PROGRESS
    Use this online tool to track your performance and progress through your course.
    Toggle Drawer
    Context
    In the workplace it is essential to periodically measure outcomes of key performance indicators on the strategic plan in order to meet the overall goals of the organization.

    Toggle Drawer
    Questions to Consider
    To deepen your understanding, you are encouraged to consider the questions below and discuss them with a fellow learner, a work associate, an interested friend, or a member of the business community.

    SHOW LESS
    What is the purpose of the balanced scorecard?
    How do key performance indicators in the four perspectives affect the department, service line, or strategic business unit in which you currently work or desire to work?
    From the time that a new vision and directional strategy are defined, what are the logical steps that you as a healthcare leader can take to assure that your actions align with the needs of the organization?
    How do you, your team, your department, et cetera, add value in a measurable way to the organization?
    Toggle Drawer
    Resources
    Suggested Resources
    The following optional resources are provided to support you in completing the assessment or to provide a helpful context. For additional resources, refer to the Research Resources and Supplemental Resources in the left navigation menu of your courseroom.

    Capella Resources
    Click the links provided to view the following resources:

    ePortfolio.
    Using Kaltura [PDF].
    APA Paper Template.
    APA Paper Tutorial.
    SHOW LESS
    Skillsoft Tutorials
    If you feel you need help using PowerPoint the following resources will help you expand your skills.

    Search Capella Tutorials for PowerPoint tutorials.
    Library Resources
    The following e-books or articles from the Capella University Library are linked directly in this course:

    Ballé, M., Morgan, J., & Sobek, D. K. (2016). Why learning is central to sustained innovation. MIT Sloan Management Review, 57(3), 63–71.
    Daly, R. (2014). The structure of value. Healthcare Financial Management, 68(1), 56–63.
    Gingrass, J. (2015). Changing the channel: Strategies for expanding patient access. Healthcare Financial Management, 69(4), 64–68.
    Ginter, P. M., Duncan, W. J., & Swayne, L. E. (2013) . Strategic management of health care organizations (7th ed.). San Francisco, CA: Jossey-Bass.
    Mangelsdorf, M. E. (2016). Mastering strategy. MIT Sloan Management Review, 57(2), 67–71.
    Sheffi, Y. (2015). Preparing for disruptions through early detection. MIT Sloan Management Review, 57(1), 31–42.
    Course Library Guide
    A Capella University library guide has been created specifically for your use in this course. You are encouraged to refer to the resources in the MHA-FP5010 – Strategic Health Care Planning Library Guide to help direct your research.

    Assessment Instructions
    Overview
    This assessment is the culmination of your work in the course. It includes the analyses you made of your selected organization, details of your proposed strategic plan, and recommendations for implementing your plan. An important aspect of this assessment is providing the rationale used when you incorporate feedback from stakeholders and/or colleagues (instructor, mentor…) into your integrated final report.

    Preparation
    To successfully complete this assignment, you will be expected to:

    Use strategic management and knowledge management theory and research to analyze the current environment of a health care organization.
    Apply strategic planning tools and research to determine alternative strategies for a health care organization’s future success.
    Synthesize operational and financial components in the strategic planning process.
    Evaluate the effect of your strategy formulation.
    Integrate additional knowledge that you have gained and feedback you have received as the course progressed.
    Incorporate any necessary instructor feedback and real-world feedback (from colleagues, for example) into previously submitted assessments, including your Kaltura recording and PowerPoint presentation.
    Integration of Feedback
    Step One: Share this plan with a colleague in your profession (preferably in the health care organization you are analyzing) and receive feedback on your management and implementation strategies.
    Step Two: Integrate additional knowledge that you have gained along with the feedback you have received as the course progressed. Incorporate real-world and instructor feedback into previously submitted elements, including your Kaltura recording and PowerPoint presentation.
    Refine each element accordingly and assemble a fully integrated plan. Create footnotes where refinements were made as a result of feedback received. Call out your rationale for changes made or reasons you chose to retain elements even though a stakeholder might have called for a change.
    Re-record your 5–10 minute presentation as needed.
    Final Report
    Create a 12–15-page final report addressed to senior leadership in your selected organization that contains your balanced scorecard analysis and your proposed strategic plan. Your final report should contain the following elements.

    Title page.
    Executive summary: This is a 1-page summary of the main points of your analysis, an overview of the feedback you have received from stakeholders, along with the major recommendations contained in your strategic plan.
    Table of Contents.
    Section headings and sub-headings (based on the content of your analysis and your strategic plan).
    Footnotes: Provide a reference or footnote where substantive refinements were made from previous assessments. Support your rationale for changes or lack of changes in both management strategies as well as implementation strategies with relevant scholarly resources.
    References.
    Appendices.
    Additional Requirements
    Written communication: Written communication should be free of errors that detract from the overall message.
    APA formatting: Resources and citations are formatted according to current APA style and formatting.
    Number of resources: Minimum of 10 peer-reviewed research resources.
    Length of PowerPoint presentation: 10–12 presentation slides.
    Length of final report: 12–15 pages, excluding cover page and references.
    Submit your integrated strategic plan, PowerPoint presentation, and refined Kaltura presentation to this assessment.

    Portfolio Prompt: You may choose to save this assessment to your ePortfolio.

    Balanced Scorecard Analysis and Strategic Plan Scoring Guide

    Due Date:
     End of Unit 5.

    CRITERIA

    NON-PERFORMANCE

    BASIC

    PROFICIENT

    DISTINGUISHED

    Analyze potential long-term opportunities and operational components in the strategic planning process.

    Does not analyze potential long-term opportunities and operational components in the strategic planning process.

    Analyzes potential long-term opportunities and operational components in the strategic planning process, but the analysis is unclear or incomplete.

    Analyzes potential long-term opportunities and operational components in the strategic planning process.

    Analyzes potential long-term opportunities and operational components in the strategic planning process, and identifies specific criteria that could be used to measure success.

    Analyze the effect of the strategy formulation on human, financial, and technical resources.

    Does not analyze the effect of the strategy formulation on human, financial, and technical resources.

    Analyzes the effect of the strategy formulation on human, financial, and technical resources, but the analysis is unclear or incomplete.

    Analyzes the effect of the strategy formulation on human, financial, and technical resources.

    Analyzes the effect of the strategy formulation on human, financial, and technical resources; identifies knowledge gaps, unknowns, missing information, unanswered questions, or areas of uncertainty (where further information could improve the analysis).

    Apply strategic planning tools and research to determine alternative strategies for a health care organization’s future success.

    Does not apply strategic planning tools and research to determine alternative strategies for a health care organization’s future success.

    Lists strategic planning tools and research options for a health care organization, but does not demonstrate how the tools or research was or can be used to determine alternative strategies.

    Applies strategic planning tools and research to determine alternative strategies for a health care organization’s future success.

    Applies strategic planning tools and research to determine alternative strategies for a health care organization’s future success, and identifies specific criteria that could be used to measure success of the alternative strategies.

    Incorporate feedback from stakeholders and colleagues in the construction of an integrated strategic plan.

    Does not describe feedback from stakeholders and colleagues in the construction of an integrated strategic plan.

    Describes, but does not respond or incorporate feedback from stakeholders and colleagues in the construction of an integrated strategic plan.

    Incorporates feedback from stakeholders and colleagues in the construction of an integrated strategic plan.

    Incorporates feedback from stakeholders and colleagues in the construction of an integrated strategic plan, and provides an sound rationale for feedback for the inclusion or omission of feedback received.

    Assemble a professional final report that meets the needs and expectations of a specific audience.

    Does not assemble a professional final report that meets the needs and expectations of a specific audience.

    Assembles a final report for a specific audience, but the needs and expectations of that audience are only partially met.

    Assembles a professional final report that meets the needs and expectations of a specific audience.

    Assembles a professional final report that exceeds the expectations of a specific audience, by demonstrating superior ability to deliver specific evidence-based recommendations that support and sustain the mission, vision and goals of the system at large.

  • NURS 6002 / 3 Part 1: Developing an Academic and Professional Network Example

    NURS 6002 / 3 Part 1: Developing an Academic and Professional Network Example

     

     

     

    Academic and Professional Success Plan Template

     

    Prepared by:

     

    Trudi Walker

     

     

    This document is to be used for
    NURS 6003 Transition to Graduate Study for Nursing
    to complete Assessments 1-6. Just as importantly the document serves to organize your
    thoughts
    about planning for your academic and professional success.NURS 6002 / 3
    Part 1: Developing an Academic and Professional Network
    Example

    For specific instructions see the weekly assessment details in the course, or ask your instructor for further guidance.

     

    ORDER A PLAGIARISM-FREE PAPER HERE

     

    Week 1 | Part 1: My Academic and Professional Network

     

    I have identified and secured the participation of the following academic (at least two) and professional (at least two) individuals and/or teams to form the basis of my network. This network will help me to clarify my vision for success and will help guide me now and in the future. NURS 6002 / 3 Part 1: Developing an Academic and Professional Network Example

     

    Directions: Complete the information below for each member of your network. For more than four entries repeat the items below with details of your additional network member(s) in the ‘ADDITIONAL NETWORK MEMBERS’ section.

     

     

    NETWORK MEMBER 1

     

    Name: xx

     

     

    Title: Student Success Advisor

     

     

    Organization: xx

     

     

    Academic or Professional: Academic

     

     

    Why I selected this individual and/or team and how they will support my success in the MSN program and as a practicing nurse: xxx has been calling to check in to make sure I have everything I need academically. She has been helping me with navigating the University page and figuring my way out as its been a lot. NURS 6002 / 3 Part 1: Developing an Academic and Professional Network Example

     

    Notes:

     

     

     

     

     

    NETWORK MEMBER 2

     

    Name: xxx

     

     

    Title: Enrollment Specialist

     

     

    Organization: xx

     

     

    Academic or Professional: Academic

     

     

    Why I selected this individual and/or team and how they will support my success in the MSN program and as a practicing nurse: I selected xxx because he has been very instrumental in me getting back into the groove of school and helping me keep up and reminding me when things are due. NURS 6002 / 3 Part 1: Developing an Academic and Professional Network Example

     

    Notes:

    NETWORK MEMBER 3

     

    Name: xxx

     

     

    Title: PMHNP Student/RN

     

     

    Organization: xx

     

     

    Academic or Professional: Professional

     

     

    Why I selected this individual and/or team and how they will support my success in the MSN program and as a practicing nurse: I selected Raquel because she has been encouraging and inspiring me every step of the way, as well as giving me the drive and motivation needed to go when life says otherwise.

     

    Notes:

     

     

    NETWORK MEMBER 4

     

    Name: xxx

     

     

    Title: Special Educator

     

     

    Organization: xxx

     

     

    Academic or Professional: Professional

     

     

    Why I selected this individual and/or team and how they will support my success in the MSN program and as a practicing nurse: xxx has been my main motivator when I think I just cannot make it anymore she is always there to push me through. Always there to help me with finding research or researching difficult assignments.

     

    Notes:

     

     

     

    ADDITIONAL NETWORK MEMBERS

     

     

    Week 2 | Part 2:
    Academic Resources and Strategies

     

    I have identified the following
    academic resources and/or strategies
    that can be applied to success in the nursing practice in general or my specialty in particular. NURS 6002 / 3 Part 1: Developing an Academic and Professional Network Example

     

    Directions: In the space below Identify and describe
    at least three academic resources
    or strategies that can be applied to the MSN program, and
    at least three

    professional resources
    that can be applied to success in the nursing practice in general or your specialty in particular. For each, explain how you intend to use these resources, and how they might benefit you academically and professionally.

     

     

    Academic Resource/Strategy
    1

     

     

     

     

    Academic Resource/Strategy
    2

     

     

     

     

    Academic Resource/Strategy
    3

     

     

     

     

    Professional Resource/Strategy
    1

     

     

     

    Professional Resource/Strategy
    2

     

     

     

    Professional Resource/Strategy
    3

     

     

     

     

    ADDITIONAL RESOURCES/STRATEGIES

     

     

     

     

     

    Week 3 | Part 3:
    Strategies to Promote Academic Integrity and Professional Ethics

     

    I have analyzed the relationship between academic integrity and writing, as well as the relationship between professional practices and scholarly ethics. I have also identified strategies I intend to pursue to maintain integrity and ethics of my academic work while a student of the MSN program, as well as my professional work as a nurse throughout my career. The results of these efforts are shared below.

     

    Directions: In the space below craft your analysis/writing sample, including Part 1 (The Connection Between
    Academic and Professional Integrity) and Part 2 (Strategies for Maintaining Integrity of Work).

     

     

    Part 1: Writing Sample: The Connection Between Academic and Professional Integrity

     

    In the space below write a 2- 3-paragraph analysis that includes the following:

     

    Explanation for the relationship between academic integrity and writing

    Explanation for the relationship between professional practices and scholarly ethics

    Cite at least 2 resources that support your arguments, being sure to use proper APA formatting.

    Use Grammarly and SafeAssign to improve the product.

    NURS 6002 / 3 Part 1: Developing an Academic and Professional Network Example

    Explain how Grammarly, Safe Assign, and paraphrasing contributes to academic integrity

     

     

     

     

    PART 2: Strategies for Maintaining Integrity of Work

     

    Expand on your thoughts from Part 1 by:

     

    Identifying and describing strategies you intend to pursue to maintain integrity and ethics of your 1) academic work while a student of the MSN program, and 2) professional work as a nurse throughout your career. Include a review of resources and approaches you propose to use as a student and a professional.

     

     

    Week 4 | Part 4:
    Research Analysis

     

    I have identified one topic of interest for further study. I have researched and identified one peer-reviewed research article focused on this topic and have analyzed this article.  The results of these efforts are shared below.

     

    Directions: Complete Step 1 by using the table and subsequent space below identify and analyze the research article you have selected. Complete Step 2 by summarizing in 2-3 paragraphs the results of your analysis using the space identified.

     

     

     

     

     

     

    Step 1: Research Analysis

    Complete the table below

    Topic of Interest:

     

    Research Article:

    Include full citation in APA format, as well as link or search details (such as DOI)

    Professional Practice Use:

    One or more professional practice uses of the theories/concepts presented in the article

    NURS 6002 / 3 Part 1: Developing an Academic and Professional Network Example

    Research Analysis Matrix

    Add more rows if necessary

    Strengths of the Research

    Limitations of the Research

    Relevancy to Topic of Interest

    Notes

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

    Step 2: Summary of Analysis

    Craft a summary (2-3 paragraph) below that includes the following:

    Describe your approach to identifying and analyzing peer-reviewed research

    Identify at least two strategies that you would use that you found to be effective in finding peer-reviewed research

    Identify at least one resource you intend to use in the future to find peer-reviewed research

    NURS 6002 / 3 Part 1: Developing an Academic and Professional Network Example

     

     

     

     

     

     

    Week 5 | Part 5:
    Professional Development

     

    I have developed a curriculum vitae to capture my academic and professional accomplishments to date.

     

    The results of my efforts are below.

     

    Directions: Complete Step a curriculum vitae (CV) in the space provided.

     

     

     

    Curriculum Vitae (CV)

    Use the space below to write your CV based on your current education and professional background. Alternatively, you may write this in a separate document and copy/paste the results below.

    NOTE: If needed there are a variety of online resources available with tips and samples of graduate nurse CVs.

    Week 6 | Part 6:
    Finalizing the Plan

     

    I have considered various options for my nursing specialty, including a close look at my selected (or currently preferred) specialty and second-preferred specialty.  I have also developed a justification of my selected (or preferred) specialty. Lastly, I have examined one professional organization related to my selected or preferred specialty and considered how I can become a member of this organization.

     

    The results of my efforts are below.

     

    Directions: Complete Step 1 by writing 2-3 paragraphs in the space below comparing the nursing specialty you have selected – or the one you prefer if your choice is still under consideration –  to your second preference. Identify each specialty and describe the focus and the role that graduates are prepared for. Identify any other differentiators you feel are significant, especially those that helped or may help you reach a decision.

     

    Complete Step 2 by writing a paragraph identifying and justifying your reasons for choosing your MSN specialization. Be sure to incorporate any feedback you received from colleagues in this week’s Discussion Forum.

     

    Complete Step 3 by examining and identifying one professional organization related to your selected or preferred specialty. Explain how you can become a member of this organization. NURS 6002 / 3 Part 1: Developing an Academic and Professional Network Example

     

     

    Step 1: Comparison of Nursing Specialties

    Use the space below to write 2-3 paragraphs comparing the nursing specialty you have selected – or the one you prefer if your choice is still under consideration –  to your second preference. Identify each specialty and describe the focus and the role that graduates are prepared for. Identify any other differentiators you feel are significant, especially those that helped or may help you reach a decision.

     

     

    Step 2: Justification of Nursing Specialty

    Use the space below to write a paragraph identifying and justifying your reasons for choosing your MSN specialization. Be sure to incorporate any feedback you received from colleagues in this week’s Discussion Forum.

     

     

     

     

     

     

     

     

    Step 3: Professional Organizations

    Use the space below to identify and examine one professional organization related to your selected or preferred specialty. Explain how you can become a member of this organization. NURS 6002 / 3 Part 1: Developing an Academic and Professional Network Example

     

     

     

     

     

     

     

     

     

     

    – END –

  • Comprehensive Care Plan Example

    Comprehensive Plan of Care

    Institution of Affiliation

    Course Name

    Date

     

    Introduction

    For this assignment, the client is a 35 year old Hispanic male whose clinical diagnosis is Type II Diabetes Mellitus. The nursing diagnosis is uncontrolled levels of blood sugar due to non-compliance to medications as evidenced by a blood glucose level of 350mmol/l.  This paper details the clients comprehensive care plan and is divided into six sections which are adequately discussed namely; short term and long term nursing goals, nursing interventions, safety needs, the Cultural/Spiritual Implications and lastly the strategy for health maintenance, restoration and promotion.

    Short Term Goals

    The client’s blood glucose levels will reduce to below 200within one hour.

    The client will be able to demonstrate how to take his blood sugar levels and correctly interpret results.

    Long Term Goals

    The patient will be able to adhere to medications in the long term.

    The patient will be consistent in self-management with diet, exercise and medications

    The client will be able to adequately conduct self-risk-assessments at various time intervals

    Nursing Interventions

    Basing on the short term goals, to reduce the client’s blood glucose levels, insulin will be administered as directed by the physician. To achieve the objective on the client’s ability to take his blood glucose and interpret to the results, a practical demonstration through vides will be provided.  Adherence to diabetic medications promotes constant blood glucose levels such that, the client has good blood flow and reduced health risks. The nursing intervention for this goal will be educating the patient on the significance of consistency in diabetic treatments. The long term goal of self-management through exercise and diet will be actualized through referral to a dietician and close monitoring of weight and nutritional habits. So that the patient is able to conduct an individual self-risk assessment, he will be educated on the potential risks and complications of diabetes.

    Safety Needs

    The patient is also hypertensive hence the need to urgently control his blood pressure. He is also still a heavy smoker and drunker. For adequate blood pressure and diabetic management, it will be mandatory that the client limits alcohol intake and stops smoking.

    Cultural/Spiritual Implications

               
    Since the client is a Hispanic, there is the need to determine how culture and religion affect dietary and social life aspects as this has an influence on the management of diabetes. For instance, the Hispanic culture embraces a diet that is full of carbohydrates. Carbohydrates increase the levels of blood glucose and its intake should be controlled to prevent fluctuating blood glucose levels.

    Strategy for Health Restoration/ Maintenance and Promotion

    The client’s readiness to adhere to medications and potential barriers that hinder medication adherence will be determined. The client’s readiness to learn and signs for avoidance to learn will also be sought. A support person for the client will be identified and notified to provide the client with emotional support, moral support and psychological support when deemed necessary. The client will be expected to undergo basic health education on Diabetes. This education will be central to diabetes, its management, potential risks and significance. He will be provided with additional learning resources such as videos and websites on diabetes care. This will promote further learning based on the client’s speed and understanding. The client will also be provided with information about community resources, local community support groups and diabetic educators.

  • Applied Behavior Analysis Example

    Discussion: Applied Behavior Analysis

    Photo Credit: GoodIdeas / Adobe Stock

    You have made a significant decision to further your formal education in the field of applied behavior analysis. You likely have an interest in behaviors and their relationship with the environment and a desire to learn and apply behavioral techniques that will help individuals achieve beneficial behavioral change. While applied behavior analysts work with individuals of different ages, the skills of an applied behavior analyst are especially needed with children with autism.

    The Centers for Disease Control and Prevention (2020) reports that autism spectrum disorders (ASD) affect 1 in 54 children, representing a tripling of the prevalence rate since 2000. The respected and specialized behavior analysis assessment and intervention strategies you employ in your role as an applied behavior analyst can help autistic children and others with developmental issues to learn new skills and meet behavioral challenges.

    For this Discussion, you will analyze your decision to embark on a course of study that will lead to your becoming a Board Certified Behavior Analyst (BCBA).

    Reference:

    Centers for Disease Control and Prevention. (2020). Prevalence of autism spectrum disorder among children aged 8 years — autism and developmental disabilities monitoring network, 11 sites, United States, 2016
    .
     
    Surveillance Summaries
    , 
    69
    (4), 1–12. https://www.cdc.gov/mmwr/volumes/69/ss/ss6904a1.htm

    To Prepare

    Reflect on what motivated you to pursue a course of study that will lead to your becoming a Board Certified Behavior Analyst (BCBA).

    Consider what professional goals you will have once you earn your BCBA.

    By Day 4 of Week 4

    Post
     a reflection addressing the following:

    What led you to decide to study behavior analysis?

    What experience do you have in behavior analysis?

    What work do you hope to do once you earn your BCBA and how might this impact your desire for positive social change?

    Read
     your colleagues’ postings.

    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 
    To Participate in this Discussion
     link, then select 
    Create Thread
     to complete your initial post. Remember, once you click on 
    Submit
    , you cannot delete or edit your own posts, and cannot post anonymously. Please check your post carefully before clicking on 
    Submit
    !

    By Day 6 of Week 4

    Respond
     to at least 
    two
     colleagues’ posts by providing your perspectives on their professional goals once they earn their BCBA.

    Be sure to support your posts and responses with specific references to behavior-analytic theory and research. In addition to the Learning Resources, search the Walden Library and/or the internet for peer-reviewed articles to support your posts and responses. Use proper APA format and citations, including those in the Learning Resources.

    Return
     to this Discussion in a few days to read the responses to your initial posting. Note what you have learned and/or any insights that you have gained because of your colleagues’ comments.

  • Samantha Monroe Adolescent Sports Evaluation shadow health Transcript

    Samantha Monroe Adolescent Sports Evaluation shadow health Transcript

    Transcript

    Started:
     Mar 05, 2022 | 
    Total Time:
     306 min

    All Lines (91)
    Interview Questions (54)
    Statements (9)
    Exam Actions (28)

    Hello. my name is xxx, I will interview you and later conduct a physical exam.

    Greet

    03/05/22 5:41 AM EST

    Hello. Samantha Monroe Adolescent Sports Evaluation shadow health Transcript

    What is your relationship with the patient?

    Question

    03/05/22 5:42 AM EST

    Oh, this is my mom.

    Hey, I’m Jackie Monroe. This is my daughter, Samantha.

    Why are you here today?

    ORDER SHADOWHEALTH HELP HERE

    Question

    03/05/22 5:42 AM EST

    I’m here for a sports physical. I’m gonna play on my school soccer team. We’re called the Nightingales, which is pretty cool.

    Any medical issue?

    Question

    03/05/22 5:43 AM EST

    Uh, nope. No health issues.

    Any history of surgery?

    Question

    03/05/22 5:43 AM EST

    I had my tonsils removed when I was like 9, but that’s it.

    Yeah, that was Samantha’s only surgery.

    Any missing organ? (No matching questions found.) Samantha Monroe Adolescent Sports Evaluation shadow health Transcript

    Question

    03/05/22 5:45 AM EST

    Does your daughter have any missing organ? (No matching questions found.)

    Question

    03/05/22 5:46 AM EST

    Have you had any of your organs removed?

    Question

    03/05/22 5:46 AM EST

    Uh . . . no. All my organs are 100% present.

    Any allergies?

    Question

    03/05/22 5:49 AM EST

    No, I’ve never had any allergies before.

    Are your vaccinations current?

    Question

    03/05/22 5:50 AM EST

    Yeah, I’ve had all my vaccines.

    I always made sure she was up to date on her vaccinations.

    Are you using any medications?

    Question

    03/05/22 5:50 AM EST

    No, I don’t take anything.

    Are you using any vitamins or supplements?

    Question

    03/05/22 5:51 AM EST

    I take a multivitamin. Plus, I drink apple cider vinegar, which is kinda like a supplement.

    Do you pass out during exercise? (Clarified to Have you passed out during exercise?.)

    Question

    03/05/22 5:52 AM EST

    No way. I’ve never passed out while I was exercising. (Clarified to if I have passed out during exercise.)

    Any dizziness?

    Question

    03/05/22 5:53 AM EST

    Oh, no. I feel totally fine right now Samantha Monroe Adolescent Sports Evaluation shadow health Transcript.

    Have you ever been dizzy? (Clarified to Have you felt dizzy in the past?.)

    Question

    03/05/22 5:53 AM EST

    I’ve only been dizzy like once or twice. And that was because I skipped lunch and then had to go to gym class. (Clarified to if I have felt dizzy in the past.)

    Am sorry about that

    Educate

    03/05/22 5:54 AM EST

    Thanks for the heads-up.

    Any heart problems after exercising? (Clarified to Have you had heart problems after exercise?.)

    Question

    03/05/22 5:56 AM EST

    No heart problems after exercise. (Clarified to if I have had heart problems after exercise.)

    Have you had heart problems during exercise?

    Question

    03/05/22 5:57 AM EST

    Nope. No problems during exercise.

    Have you been diagnosed with a heart problem?

    Question

    03/05/22 5:58 AM EST

    No, I’ve never been diagnosed with any heart problems that I know of.

    No, no heart problems.

    How is your breathing during and after exercise?

    Question

    03/05/22 5:59 AM EST

    My breathing is fine during and after exercise.

    Any history of seizures?

    Question

    03/05/22 6:00 AM EST

    Pretty sure I’ve never ever had a seizure.

    That is correct. No seizures or anything like that.

    Any injuries?

    Question

    03/05/22 6:01 AM EST

    Um, well I did sprain my ankle when I was like 10. That’s really it, though. I’m always good to play.

    Any rashes?

    Question

    03/05/22 6:01 AM EST

    No rashes. Ew.

    Any history of head injuries?

    Question

    03/05/22 6:02 AM EST

    Nope. My head’s fine.

    Have you had a concussion?

    Question

    03/05/22 6:03 AM EST

    I’ve never had a concussion, but I did see my friend wipeout at the skatepark once. It was crazy. He was skating, then boom. I was filming, so it was, you know, pretty scarring.

    Any numbness or tingling?

    Question

    03/05/22 6:04 AM EST

    No numbness or tingling. That sounds weird.

    Any weakness in your limbs?

    Question

    03/05/22 6:09 AM EST

    Nope, no weakness.

    Do you exercise in the heat?

    Question

    03/05/22 6:14 AM EST

    Sure. We do gym outside sometimes. When soccer season starts, practice and games are outside.

    Any eye problems?

    Question

    03/05/22 6:16 AM EST

    My eyes are fine.

    Have you started your periods?

    Question

    03/05/22 6:17 AM EST

    No, I haven’t started my period yet. It’s kind of weird because all my friends have? Whenever they talk about it, like the cramps or whatever, I just pretend like I’ve had mine, too. Just to fit in.

    She asked how old I was when I got my first period. I told her I was about 12.

    I understand your concerns, but it’s normal for a person of your age to not have started their periods yet.

    Educate

    03/05/22 6:20 AM EST

    Cool. Good to know.

    Tell me about your family medical history.

    Question

    03/05/22 6:21 AM EST

    Wait, like the entire family medical history or do you mean something more specific?

    Any genetic conditions in your family? (Clarified to Does anyone in your family have a genetic heart condition?.) Samantha Monroe Adolescent Sports Evaluation shadow health Transcript

    Question

    03/05/22 6:22 AM EST

    I don’t know. Mom? (Clarified to if anyone in my family has a genetic heart condition.)

    No, no one in the family has any genetic heart conditions.

    Any heart problems in your family?

    Question

    03/05/22 6:22 AM EST

    I don’t think anyone has heart problems, but I’m not totally sure.

    You know, I can’t think of anybody in the family who’s had heart problems.

    Any history of unexpected deaths in your family? (No matching questions found.)

    Question

    03/05/22 6:23 AM EST

    Any family history of unexpected deaths before the age of 35? (No matching questions found.)

    Question

    03/05/22 6:24 AM EST

    Has any of your family members had a pacemaker before age 35? (Clarified to Has anyone in your family had a pacemaker before 35?.)

    Question

    03/05/22 6:25 AM EST

    I’m not sure about the pacemaker thing. (Clarified to if anyone in my family had a pacemaker before thirty five.)

    To my knowledge, there isn’t anyone in the family who’s ever had a pacemaker.

    Do you feel your weight is okay? (Clarified to How do you feel about your weight?.)

    Question

    03/05/22 6:27 AM EST

    Um, I mean, I wish I could lose this baby fat. All my friends wear one size smaller than me, so it’s super awkward when they’re swapping clothes . . . and talking about their periods . . . just hard not to compare. (Clarified to how I feel about my weight.)

    I told her . . . middle school is tough, especially with all the social media they’re dealing with now. But luckily time goes by faster the older you get and one day you’re my age and it’s all in the rearview.

    I understand your concerns but you should not try to fit in or compare yourself to others.

    Educate

    03/05/22 6:29 AM EST

    Gotcha.

    Do you want to lose weight? (Clarified to Why do you think you need to lose weight?.)

    Question

    03/05/22 6:29 AM EST

    Just . . . to look more athletic, you know. Like I fit in with everybody. (Clarified to why I think I need to lose weight.)

    You should not try to fit in. Everyone is unique Samantha Monroe Adolescent Sports Evaluation shadow health Transcript.

    Educate

    03/05/22 6:30 AM EST

    Um, that makes sense.

    Tell me about your diet.

    Question

    03/05/22 6:31 AM EST

    I do the Mediterranean diet. It’s healthy. I try not to eat bad stuff. No candy, white carbs, processed food.

    Do you skip any meals?

    Question

    03/05/22 6:32 AM EST

    Yeah, I skip lunch once or twice each week.

    It is not advisable to skip any meal at your age because you are still growing

    Educate

    03/05/22 6:33 AM EST

    For sure. OK.

    How long have you been skipping your lunch? (Clarified to How long have you been skipping lunch?.)

    Question

    03/05/22 6:34 AM EST

    I started skipping lunch maybe a month ago? (Clarified to how long I have been skipping lunch.)

     Inspected weight and height growth chart

    Exam Action

    03/05/22 6:35 AM EST

     Inspected Skin

    Exam Action

    03/05/22 6:48 AM EST

     Assessed appearance Samantha Monroe Adolescent Sports Evaluation shadow health Transcript

    Exam Action

    03/05/22 6:49 AM EST

     Assessed Cervical Spine Range of Motion

    Exam Action

    03/05/22 6:52 AM EST

     Assessed Spine Range of Motion: Full range of motion performed without discomfort

    Exam Action

    03/05/22 6:53 AM EST

     Assessed wrist range of motion

    Exam Action

    03/05/22 7:01 AM EST

     Assessed Elbow Range of Motion

    Exam Action

    03/05/22 7:03 AM EST

     Assessed range of motion of shoulders – adduction and abduction: Strength equal bilaterally against full resistance

    Exam Action

    03/05/22 7:06 AM EST

     Assessed Trapezius Strength: Strength equal bilaterally against full resistance

    Exam Action

    03/05/22 7:06 AM EST

     Assessed deltoid strength and shoulder rotation

    Exam Action

    03/05/22 7:07 AM EST

     Assessed Hand and Finger Range of Motion and Strength: Right and left hand strength equal bilaterally against resistance

    Exam Action

    03/05/22 7:08 AM EST

     Assessed Symmetry of Extremities

    Exam Action

    03/05/22 7:09 AM EST

     Assessed leg symmetry, knee and ankle effusion

    Exam Action

    03/05/22 7:09 AM EST

     Assessed Calf Symmetry and Leg Strength

    Exam Action

    03/05/22 7:10 AM EST

     Tested Hip, Knee, and Ankle ROM

    Exam Action

    03/05/22 7:11 AM EST

     Tested Cardinal Fields of Vision

    Exam Action

    03/05/22 7:14 AM EST

     Tested peripheral vision

    Exam Action

    03/05/22 7:15 AM EST

     Tested visual acuity

    Exam Action

    03/05/22 7:15 AM EST

     Tested balance: Expected

    Exam Action

    03/05/22 7:16 AM EST

     Auscultated lungs

    Exam Action

    03/05/22 7:17 AM EST

     Auscultated abdomen

    Exam Action

    03/05/22 7:18 AM EST

     Auscultated heart

    Exam Action

    03/05/22 7:18 AM EST

     Screened Adam’s Forward Bend

    Exam Action

    03/05/22 7:20 AM EST

    Mrs. Monroe please step out so I can have a private conversation with your daughter.

    Educate

    03/05/22 7:34 AM EST

    Sure, no problem.

    I will be asking you some personal questions and I need you to know that you are in a safe and a nonjudgmental environment.

    Educate

    03/05/22 7:36 AM EST

    OK. That sounds alright.

    Tell me about your school life, friends and hobbies.

    Question

    03/05/22 7:38 AM EST

    Everything’s fine. I mean . . . My grades are average. I get a lot of Bs. I feel like my friends used to be really chill but I don’t know what happened this year. It’s like everybody got super skinny and so many more followers on their social accounts. Soccer is gonna be fun, for sure, but . . . everything was easier before I turned 13.

    Am sorry about that. Everything will be fine.

    Empathize

    03/05/22 7:39 AM EST

    Thanks. I’m glad you understand.

    Tell me about your support system.

    Question

    03/05/22 7:41 AM EST

    Yeah, me and my mom are pretty close, and I have some friends who get it. We talk and stuff.

    Have you ever used tobacco?

    Question

    03/05/22 7:42 AM EST

    Definitely not. I feel like I’ve heard smoking can help you lose weight, but I’m not ever gonna do it because it’s so bad for your lungs. That would ruin my soccer game.

    Have you used any drugs?

    Question

    03/05/22 7:43 AM EST

    No. I wouldn’t ever do drugs.

    Have you used alcohol?

    Question

    03/05/22 7:44 AM EST

    I don’t drink. No way.

    Are you interested in relationships and dating?

    Question

    03/05/22 7:45 AM EST

    I’m not really interested in that yet.

    Are you sexually active? Samantha Monroe Adolescent Sports Evaluation shadow health Transcript

    Question

    03/05/22 7:45 AM EST

    No.

    I would like to know more about your feeling of nervousness or anxiety.

    Question

    03/05/22 7:54 AM EST

    I mean . . . school’s a lot. Projects and tests and stuff. And I want to do really well in soccer. But I guess it’s mostly the whole “keeping up with appearances” thing. It’s like a full-time job.

    Am sorry about that.

    Empathize

    03/05/22 7:55 AM EST

    Thanks.

    I noticed that you are concerned about your body image, weight, and diet.

    Question

    03/05/22 7:57 AM EST

    Well, I’ve definitely started paying more attention to health stuff, but I thought that was a good thing. I just want to post a selfie and not have a double-chin, you know?

    Have you ever considered doing anything more extreme to manage your weight?

    Question

    03/05/22 7:58 AM EST

    No, I wouldn’t do anything dangerous. I promise.

    Do you have any questions for me?

    Question

    03/05/22 7:59 AM EST

    No, I don’t think so.

     You will now discuss the appropriate non-pharmacological interventions with Samantha and her mother, Ms. Monroe. 
    You will not be automatically scored on your choices or responses in this activity, but your instructor may choose to review your responses.

    Exam Action

    03/06/22 8:19 AM EST

    I am ready to begin the conversation with Samantha.

    Question

    03/06/22 8:20 AM EST

     In your own words, discuss life-threatening health problems related to disordered eating with Samantha and Ms. Monroe.

    Exam Action

    03/06/22 8:20 AM EST

    Forcing yourself to diet or skip meals can make you very sick because strong bones teeth, and hair require adequate nutrition.

    Question

    03/06/22 8:23 AM EST

    Oh, um yeah. That makes sense. I don’t want any of that to happen.

    Thank you. This is pretty concerning so we’ll take this very seriously.

     In your own words, discuss limiting media intake with Samantha and Jackie.

    Exam Action

    03/06/22 8:24 AM EST

    You should limit media exposure and remember that your body deserves to be fed, cared or, regardless of the size.

    Question

    03/06/22 8:30 AM EST

    Yeah, I mean I don’t want an eating disorder or anything like that. I just thought thinking like that was pretty normal, but I guess not.

    We’re just both going to have to rethink how we see our bodies and talk about nutrition. I don’t want to see my daughter struggle with her self-esteem.

     In your own words, discuss increasing knowledge of coping mechanisms with Samantha and Jackie.

    Exam Action

    03/06/22 8:33 AM EST

    You can try journalling, relaxation and stress management techniques, and affirmations

    Question

    03/06/22 8:58 AM EST

    Yeah, that make sense. It’s not like I want to feel this way, you know?

    I’m just glad we figured out that this was an issue. I had no idea.

     You have provided Samantha and her mother education on all appropriate non-pharmacological interventions Samantha Monroe Adolescent Sports Evaluation shadow health Transcript.