Client Questions

Research a health care organization or network that spans several states with in the United States (United Healthcare, Vanguard, Banner Health, etc.). Assess the readiness of the health care organization or network you chose in regard to meeting the health care needs of citizens in the next decade. Prepare a 1,000-1,250 word paper that presents your assessment and proposes a strategic plan to ensure readiness. Include the following: Describe the health care organization or network. Describe the organization’s overall readiness based on your findings. Prepare a strategic plan to address issues pertaining to network growth, nurse staffing, resource management, and patient satisfaction. Identify any current or potential issues within the organizational culture and discuss how these issues may affect aspects of the strategic plan. Propose a theory or model that could be used to support implementation of the strategic plan for this organization. Explain why this theory or model is best. Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required. 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 required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

Access CA BRN Website: NP standardized Procedures  Choose a Chronic Health Problem for Adults and write a complete SP. Follow guidelines per CA BRN examples.

Discuss the changing landscape of the US health care system through the ACA and specific initiatives that have been funded, enacted and currently implemented to improve health care for all Americans

Write a 500?650?word essay on the Stages?of?Life and the influence of age in health care from a patient’s perspective. Interview a friend or family member about that person’s experiences with the health care system. You may develop your own list of questions. Suggested questions: Do you feel that your stage?of?life had any effect on your interaction with health care professionals? Which areas of the hospital or clinic were most concerned with your well?being and feelings? Was your family with you during this hospital stay or outpatient visit? Was your family included in your treatment, such as post?procedure instructions? You are required to submit this assignment to LopesWrite

Describe how you will utilize and implement the IOM Nursing Reports from 2010 and 2016 in your role as an Advanced Practice Nurse Submission Details: Post your response to the Discussion Area by the due date assigned. Respond to at least two posts by the end of the week

In a 2- to 3-page paper, create an interview transcript of your responses to the following interview questions: •Tell us about a healthcare program, within your practice. What are the costs and projected outcomes of this program?  •Who is your target population? •What is the role of the nurse in providing input for the design of this healthcare program? Can you provide examples? •What is your role as an advocate for your target population for this healthcare program? Do you have input into design decisions? How else do you impact design? •What is the role of the nurse in healthcare program implementation? How does this role vary between design and implementation of healthcare programs? Can you provide examples? •Who are the members of a healthcare team that you believe are most needed to implement a program? Can you explain why?

Respond to your colleague by providing at least two ways that their strategies may be expanded or improved.   NOTE: Positive comment                                                          Main Post   Treating Childhood Abuse Psychiatric  Nurse Practitioners who work with children are mandatory reporters  (Child Welfare Information Gateway, 2019). Each state enacts specific  statutes that will clarify the guidelines/requirements about reporting  suspected child abuse, and it is the obligation of the PMH-NP to know  the law in his/her praciting state (Child Welfare Information Gateway,  2019). Assessing for Abuse Sadock,  Sadock & Ruiz (2014) identify certain vulnerability factors for  PTSD, including the presence of childhood trauma, inadequate support,  genetic predisposition to psychiatric illnesses, and recent stressful  life changes, all of which the patient in the case study displays. I  would keep those facts in mind as I assess any patient for the  possibility of abuse/trauma. First  and foremost, establishing a therapeutic alliance is paramount; there  can be no self-disclosure without trust (Wheeler, 2014). I’m not sure if  this is a “strategy,” per se, but it is the foundation of any  relationship between the PMH-NP and her clients.  As  I researched this topic, and I researched for hours because of the  gravitas of this topic, I found little conclusive evidence for specific  strategies. What I did find was a study from the WHO’s Mental Health Gap  Action Programme (2015) that concluded with,  “Evidence  supporting the efficacy of strategies for detecting maltreatment of  children and youth within the context of mental health and developmental  assessment is sparse and inconclusive. No studies have evaluated the  performance of measures in predicting referrals and health outcomes.  However, it is generally agreed that it is important for health care  providers to detect child maltreatment. It is recognised that assessment  of child maltreatment requires a clinician who is competent enough to  ask the right questions and to respond appropriately’ (p. 17).  While  this is disheartening, it is also a call to action. Not only do we need  to be attentive and alert with our younger patients, it is also clear  that we can and should be doing more to establish evidence-based  protocols for these situations.  With  this particular case, considering this is a nineteen year old adult  presenting with a history of abuse versus current abuse (at least that  has been disclosed thus far), establishing trust and normalizing the  feelings of the client will be my priority. Also, I think it’s  imperative that we know our limits as clinicians and, while I might feel  competent to prescribe medications for this client, I am well aware  that bad therapy can worsen trauma for those with PTSD. I used to work  closely with our Trauma Stress Center at work and they consistently  drove home the importance of shoring up coping skills for these patients  before ever delving into the trauma, itself. I think too often some  clinicians overestimate their ability to help without taking into  consideration the possibility of doing harm. Exposure to Social Media As  with most things in life, exposure to social media has both pros and  cons, particularly when it comes to mental health/awareness/illness. On  the one hand, good information and resources are readily available;  however, there is also a glut of bad information. While there does seem  to be some evidence that social media can increase depression and/or  loneliness (Healthline, 2018) due to the tendency to compare oneself to  others, there are other studies which have not reached that same  conclusion. Instead, a study by Berryman, Ferguson & Negy (2018)  seem to suggest that the way social media is utilized is more important  than the mere use of social media. Certainly, at times social media can  increase connection with others. Mandatory Reporting As  previously referenced, the mandatory reporting requirements vary from  state to state (Child Welfare Information Gateway, 2019); however, in  the particular case, the client is nineteen years old. In the case of  adults, unless this is a elderly adult or adult with disabilities  (National Adult Protective Services Association, 2020). If Morgan is not  being currently abused and does not have a disability, mandatory  reporting is not required. As  a side note, per the ANCC IQ practice questions for certification  (American Nurses Association, 2020), even if you suspect that an elderly  patient is being abused, if that patient is competent, you must respect  his/her wishes if they explicitly forbid you from reporting the abuse  to anyone. That surprised me but the rationale states, “The patient is  an adult. He has the right to make decisions for himself. Not all states  have mandatory elder abuse statutes or mandatory domestic abuse  statutes” (https://learning.ana-nursingknowledge.org/ d2l/le/content/8482/viewContent/40740/View, 2020). I would obviously double-check with state statutes to clarify state law.                                                                     References American Nurses Association. (2020). Psychiatric Mental Health Nurse Practitioner  Certification Practice IQ. Retrieved from https://learning.ana-nursingknowledge.org/d2l home/8482 Berryman, C., Ferguson, C.J. & Negy, C.  (2018). Social Media Use and Mental Health  Among Young Adults. The Psychiatric Quarterly 89(2), 307–14. doi:10.1007/s11126-017-9535-6. Child Welfare Information Gateway. (2019). Mandatory reporters of child abuse and  neglect. Washington, DC: U.S. Department of Health and Human Services, Children’s Bureau. Healthline. (2018). The FOMO is Real: How Social Media Increases Depression and Loneliness. Retrieved from https://www.healthline.com/health-news/social-media-use-increases- depression-and-loneliness National Adult Protective Services Association. (2020). What is Adult Protective Services? Retrieved from https://www.napsa-now.org/get-help/how-aps- helps/#:~:text=In%20most%20states%20in%20the,professionals%20to%20report%20their%20concerns. Sadock, B. J., Sadock, V. A., & Ruiz, P. (2014). Kaplan & Sadock’s synopsis of  psychiatry: Behavioral sciences/clinical psychiatry (11th ed.). Philadelphia, PA: Wolters Kluwer. Wheeler, M. (Ed.) (2014). Psychotherapy for the advanced practice psychiatric nurse: A how-to guide for evidence-based practice. New York, NY: Springer. World Health Organization (WHO). (2015). Effective strategies for detecting maltreatment of  Children and youth within the context of mental health and developmental assessment. Retrieved from https://www.who.int/mental_health/mhgap/evidence/resource/child_q15.pdf

1. Try taking a different route to class the next time it meets. Before you do this, think about how many changes, large and small, you will have to make to do this. a-Will you have to leave earlier to be in class on time?  b-Will you meet different people on your way to class? c-See different sights? d-Would you change your route to class on the day of the final exam?  e-Why or why not? Summarize the positives and negatives of this small change. Relate your responses to this change to the way staff nurses feel when an administrator makes what he or she thinks is a “minor” change.  2. Think about a change that has occurred in your life. Some examples may be a change of role, a move, a marriage, a birth, a divorce, or a death.  a-How did you react to the change?  b-Would you have reacted differently if you had had more information? c-Using Lewin’s model, describe the basic elements in the situation and how you eventually achieved a comfortable outcome.

Write a short (50-100-word) paragraph response for each question posed below. Submit this assignment as a Microsoft Word document. Define CAM. Describe the patient who uses CAM the most. List some common misconceptions about CAM. Identify methods of including the use of CAM in patient education. Discuss the safe use of CAM. List ways in which conventional medicine and CAM can be integrated. Define ethical theories, ethical principles, and values. Provide examples of ethical issues in patient education and compliance, and describe ways in which an effective professional/patient relationship and a poor health professional/patient relationship can impact these issues. Explain what is meant by “ethical patient education practices”. Explain the purpose of informed consent. Discuss what factors determine the patient’s ability to give informed consent. Compose a sample informed consent form. . Discuss the process of communication to use with the patient and the family when obtaining informed consent.

Students are to select a topic from your readings addressing a specific disease (see list below) and pharmacological treatment used to manage the disease process. Write a 300- 500 words discussion that describes the pathophysiology of the disease in detail, listing at least two (2) nursing diagnoses and current treatment for the disease for your initial posting.   Topics: Hypertension A minimum of two references are required and one reference must be an original research article.  The two current textbooks can be used as one of your references but must use a Scholarly Journal Article or online peer-reviewed journal.  Online sources like Wikipedia cannot be used as a reference.   Reference is to be cited in APA style.