challenges encountered in working with patients with mental health issues

Read chapter 27 of the class textbook and review the attached PowerPoint presentation. Once done answer the following questions;

What types of challenges have you encountered in working with patients with mental health issues? How do you feel these challenges would be different in a community-based setting? Would it be easier or more difficult and why?

Discuss scenarios in which community health nurses might encounter ethical issues related to mental health. Examples could include hospice patients wanting to end their lives or asking nurses to give them too much medication; school nurses having students confide things to them that indicate serious mental health issues; nurses working in homeless shelters whose patients are abusing drugs and potentially exposing others to a communicable disease, etc.

As stated in the syllabus the assignment must be presented in an APA format word document, Arial 12 font attached to the forum on the discussion board. A minimum of 3 evidenced-based references must be used (excluding the class textbook). A minimum of 2 replies to any of your peers sustained with the appropriate references must be posted. Only the assignment must be attached in a word document in the forum, replies do not. References must be no older than 5 years. A minimum of 700 words is required.

 
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MANAGED CARE AND ACCOUNTABLE CARE ORGANIZATIONS SLP2

The overall goal of the Session Long Project in this course is to examine health care delivery in the United States from a personal perspective and provide recommendations for improvement.

According to the United States Census Bureau (2016), rural areas cover 97% of the nation’s land area, but contain 19.3 percent of the population (about 60 million people). Access to health care services is vital to good health; however, U.S. rural residents face a variety of access barriers. For rural residents to have sufficient health care access, necessary and appropriate services must be available and obtainable in a timely manner.

Rural Health Information Hub. (2017). Healthcare Access in Rural Communities. Retrieved from https://www.ruralhealthinfo.org/topics/healthcare-access

United States Census Bureau. (2016). New Census Data Show Differences Between Urban and Rural Populations. Retrieved from https://www.census.gov/newsroom/press-releases/2016/cb16-210.html

For Module 2 SLP, you are employed at a non-profit organization in rural Minot, North Dakota (population ≈ 49,000). As the Lead Health care Project Manager, you have been charged with developing a project charter for the new “Rural Health Improvement” project. This project goal is to increase access to health care services in the area. Based on your module reading and your own research, include the following in your project charter:

Factors of your project (i.e., aim, timeframe, cost, scope, etc.).

Major stakeholders and each stakeholder interest in the project.

At least two innovative approaches to health care delivery.

At least two expected outcomes of your project.

You may use the following template as a guide to create your Project Charter: https://www.med.unc.edu/pediatrics/quality/documents/Improvement%20Project%20Charter%20Template.doc/view

Use this guide on completing a Project Charter.

SLP Assignment Expectations

Conduct additional research to gather sufficient information to support your project charter.

Limit your paper to 2 pages.

Support your SLP with peer-reviewed articles, using at least 2-3 references. Use the following source for additional information on how to recognize peer-reviewed journals: http://www.angelo.edu/services/library/handouts/peerrev.php.

You may use the following source to assist in formatting your assignment: https://owl.english.purdue.edu/owl/resource/560/01/.

 
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Psychiatric Care and Mental Health in the Community

Review the attached PowerPoint presentation. Once done answer the following questions

1. What types of challenges have you encountered in working with patients with mental health issues? How do you feel these challenges would be different in a community-based setting? Would it be easier or more difficult and why?

2. Discuss scenarios in which community health nurses might encounter ethical issues related to mental health. Examples could include hospice patients wanting to end their lives or asking nurses to give them too much medication; school nurses having students confide things to them that indicate serious mental health issues; nurses working in homeless shelters whose patients are abusing drugs and potentially exposing others to a communicable disease, etc.

As stated in the syllabus the assignment must be presented in an APA format word document, Arial 12 font attached to the forum on the discussion board. A minimum of 3 evidenced-based references must be used. References must be no older than 5 years. A minimum of 700 words is required.

No plagiarism!

 
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mental health issues

What types of challenges have you encountered in working with patients with mental health issues? How do you feel these challenges would be different in a community-based setting? Would it be easier or more difficult and why?

Discuss scenarios in which community health nurses might encounter ethical issues related to mental health. Examples could include hospice patients wanting to end their lives or asking nurses to give them too much medication; school nurses having students confide things to them that indicate serious mental health issues; nurses working in homeless shelters whose patients are abusing drugs and potentially exposing others to a communicable disease, etc.

As stated in the syllabus the assignment must be presented in an APA format word document, Arial 12 font attached to the forum on the discussion board. A minimum of 3 evidenced-based references must be used (excluding the class textbook). References must be no older than 5 years. A minimum of 700 words is required.

 
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CCMH 504 Week 6 Developmental Stage Brochure

Resource: Brochure Builder

Imagine that your team works at a family counseling agency, and you have been tasked with developing an informational brochure regarding the different developmental stages.

Create a 6-panel brochure or pamphlet with information on your instructor-assigned developmental stage. Include the following:

§ Provide the demographic considerations for the population.

§ Describe the significant developmental milestones and competencies according to the main developmental theorists, including Piaget and Erikson.

§ Describe the developmental challenges faced.

§ Explain developmentally appropriate counseling considerations.

§ Describe the developmentally appropriate counseling approaches.

Include a minimum of two to four additional professional resources beyond the text.

Format your brochure or pamphlet consistent with APA guidelines.

Click the Assignment Files tab to submit your assignment.

 
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patient privacy

For this assessment you need to read widely and demonstrate your understanding of the topic to your peers. Students will present for 12 minutes on individual topics. And should set aside an additional 3 minutes for group discussion arising from the questions you pose. . You will not be using power point rather a discussion in the round. Provide a handout to group participants of at least the case study and your questions. Provide your list of readings to your tutor.

You are required to introduce your self and your topic (3 Marks)

Define and discuss your reading about the implications for health care practice. (10 Marks)

Prepare and present a case study to illustrate your topic and how it relates to health care practice. (10 Marks)

Develop discussion questions for the group to consider and respond to about the case study you have developed. (6 Marks)

Conclude with key points. (3 Marks)

Provide hand-outs to your group and give your tutor a list of the key readings you have used in APA 6th edition style. (3 marks)

Student Name:

Student Number:

Group and week:

Topic:

Marking Rubric

Introduces self and topic (3 Marks)

Not achieved (0)

Introduces self but not clear about focus of topic (1)

Introduces self and some objectives for topic for discussion (2)

Introduces self and clear focus of topic for discussion (3)

Define and discuss your reading about the implications for health care practice. (10 Marks)

Not achieved (0)

Very few references and does not convince that they have read widely (2)

Clarity of presentation needs improvement but extensive references (4)

Is descriptive of the readings and implications for clinical practice (6)

Is critical or the readings and implications for practice (8)

Can also provide a balanced discussion (10)

Prepare and present a case study to illustrate your topic and how it relates to health care practice. (10 Marks)

Not achieved (0)

Case study has some relationship to topic (2)

Case study has some relationship to topic and engages the group (4)

Case study is relevant and illustrates most key points (6)

Case study is relevant and illustrates major key points (8)

A well written case study that is presented well as a teaching resource (10)

Develop discussion questions for the group to consider and respond to about the case study you have developed. (6 Marks)

Not achieved (0)

Discussion questions developed but not focussed (1)

Discussion questions developed that are relevant to the case study (2)

Discussion questions developed that are relevant to case study and engaging (4)

Discussion questions developed that are relevant to the case study, relate back to the literature and engage the group (6)

Conclude with key points. (3 Marks)

Not achieved (0)

Is able to conclude key points but not reflect on key points from discussion (1)

Is able to conclude key points from presentation and discussion (3)

Provide hand-outs to your group and give your tutor a list of the key readings you have used in APA 6th edition style. (3 marks)

Not achieved (0)

Provides but references are not in APA 6th edition style and would need edits (1)

Provides and MOST references are in APA 6th edition style (2)

Provides and ALL references are in APA 6th edition style (3)

Feedback:

 
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sudden decrease of vision

Jessica is a 32 y/old math teacher who presents to the ER with a friend for evaluation of sudden decrease of vision in the left eye. She denies any trauma or injury. It started this morning when she woke up and has progressively worsened over the past few hours. She had some blurring of her vision 1 month ago and thinks that may have been related to getting overheated, since it improved when she was able to get in a cool, air-conditioned environment. She has some pain if she tries to move her eye, but none when she just rests. She is also unable to determine colors. She denies tearing or redness or exposure to any chemicals. Nothing has made it better or worse.

She is normally healthy. She had chickenpox at age 10 and a tonsillectomy/adenoidectomy at age 11. She has no medical problems. She has never been hospitalized. She has four children, all spontaneous vaginal deliveries. She completed a bachelor’s degree in mathematics and a master’s degree in education. She quit smoking 10 years ago (two packs daily for 5 years); she drinks an occasional wine cooler, and she denies illicit drug use. Her father has a coronary artery disease (he had a stent placed at age 67) and a mother with hypertension.

She denies fever, chills, night sweats, weight loss, fatigue, headache, changes in hearing, sore throat, nasal or sinus congestion, neck pain or stiffness, chest pain or palpitations, shortness of breath or cough, abdominal pain, diarrhea, constipation, dysuria, vaginal discharge, swelling in the legs, polyuria, polydipsia, and polyphagia.

Patient is alert; she appears anxious. BP 135/85 mm Hg; HR 64bpm and regular, RR 16 per minute, T: 98.5F. Visual acuity 20/200 in the left eye and 20/30 in the right eye. Sclera white, conjunctivae clear. Unable to assess visual fields in the left side; visual fields on the right eye are intact. Pupil response to light is diminished in the left eye and brisk in the right eye. The optic disc is swollen. Full range of motions; no swelling or deformity. Mental status: Oriented x 3. Cranial nerves: I-XII intact; horizontal nystagmus is present. Muscles with normal bulk and tone; Normal finger to nose, negative Romberg. Intact to temperature, vibration, and two-point discrimination in upper and lower extremities. Reflexes: 2+ and symmetric in biceps, triceps, brachioradialis, patellar, and Achiles tendons; no Babinski.

Instructions:

Make a whole history and physical examination in a comprehensive manner with all its elements included: CC, HPI, PMH, FH, SH, MEDICATIONS, ALLERGIES, ROS PER APPARATUS OR SYSTEMNS, HEAD TO TOE PHYSIACL EXAMINATION PER SYSTEMS ( write your presentation in H&P format no paragraph format).

Based on this information, what is your presumptive nursing diagnosis? All nursing diagnosis that apply to the case written in NANDA format related to … and evidence by…., NO MEDICAL DIAGNOSIS.

Teaching plan and nursing care plan per each nursing diagnosis on this case.

Requirements.

1- All written assignment and documentations must be in APA 6th edition format.

2- Double spaces, minimum 4 pages long , minimum 3 up to date bibliography. (UP to date means last 3 years.), Note: have to be written in APA format.

 
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the topic is family planning

This is a Collaborative Learning Community (CLC) assignment.

It is important to promote the professional role of the nurse to provide health promotion and disease preventive care. Collaborating with other health care professionals and consumer groups in the community in redesigning health care can help meet the goals for Healthy People 2020.

Refer to http://www.healthypeople.gov/ to open the Healthy People 2020 home page.

Select the “Topics & Objectives” tab to access the 2020 Topics & Objectives – Objectives A-Z page.

Select one of the Healthy People “Topic Areas” for improving health.

Submit the proposed area to the instructor for approval. No group may work on the same focus area as another group.

Develop a PowerPoint presentation (15-20 slides) with accompanying speaker’s notes and citations.

For help designing PowerPoint slides, refer to the “Create Your First Presentation” PowerPoint tutorial, located on the Microsoft website:

https://support.office.com/en-us/article/Create-your-first-presentation-ac88d138-a7a0-402c-b5a5-812641e59c8e?ui=en-US&rs=en-US&ad=US

In the presentation, address the following:

State the objective of the presentation.

State the Healthy People 2020 focus area your group has selected and the rationale for selection of the specific focus area.

Explain how the focus area relates to the individual, the family, and the community, as well as to all age groups throughout the life span.

Identify ways to enhance or optimize health in the selected focus area using evidence-based research. A minimum of three peer-reviewed articles must be utilized.

Address the health disparity among different segments of the population for the selected focus area.

Provide a brief description of at least two community resources and at least two website resources for professionals and clients.

Provide a brief profile of at least one health-related organization for the selected focus area.

APA style is required for essays only. Solid academic writing is always expected. For all assignment delivery options, documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are not required to submit this assignment to Turnitin.

 
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gaining the support and funding

Comment1

The first step to gaining the support and funding with your idea to improve patient care is to perform research and be prepared. One should be able to support their ideas with literature and evidence based practice. I would input my idea along with the evidence based practice into a neatly design PowerPoint. The presentation would last approximately 10 minutes. The presentation will clear and simple for the upper management team to understand. The presentation would state the purpose of the idea, benefits of the idea, cost of the idea, and the population that the idea is targeting. I would show compassion for my idea while connecting with the upper management. At the end of the presentation there will be allotted time for any questions that upper management may have.

Top tips for presenting an effective presentation: Show compassion and connect with the audience, focus on the audience needs, keep it simple, smile and make eye contact, start strong, keep slides to the minimum of 10-30, tell stories, use your voice effectively, body language, and relax, breath, enjoy (Anderson, 2013)

comment2

Communication is a process through which information, understanding, and perceptions are passed from one person to another; communication is very important in nursing as it is an integral part in the field. Many of the times when we meet for the council meeting, staffs have been coming up with ideas on how patient care can be improved and the process has been encouraged as it seeks to come up with new ways of improving service to the patients. In some instances, there are ideas which I approve without involving the management, and there are others which need the approval of the top management to be implemented.

My unit council had noted that patients have been walking for long to access services within the facility, this is because the parking lot is located fur and sometimes the patients have been facing challenges (Huber, 2017).To present the changes to the upper management I used oral presentation though there were some visual tools to help in illustrating issues which cannot be presented verbally. During the presentation, I made sure to explain how the idea come about and how my unit has come up with a solution to the problem. In the discussion, we talked of the possible outcome if the idea was implemented and how it would improve service to the patients. The issue could be solved by coming up with valet parking for emergency patients. By the time we left the boardroom, the management had approved the implementation of valet parking for emergency patients. The reason why I chose this type of communication is that it is easy to get the feedback and I can evaluate the visual impressions of the management.

 
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