In this paper, some questions might be answered with actual information, such as the organization’s mission, vision, and history, while others require logical thinking. For example, You need to explain what and why a leadership style(s) is suitable for the target clients. Use the concepts learned from the textbook or from your own research to support your explanation.
NURS 755 Case Analysis Exercise (CAE) Assignment Instructions Overview The student will
Case Analysis Exercise (CAE) Assignment Instructions
The student will complete a Case Analysis Exercise (CAE) Assignment during PMHNP Practicum I. The CAE assignment(s) allow the student to analyze a patient encounter from their practicum experience. The student will choose one (1) patient encountered during their practicum experience based on the population focus of adult and geriatric. The student will analyze each encounter for the Case Analysis Exercise (CAE) Assignment.
The patient will be a 14-year-old female with a diagnosis of depression. Please follow the template attached and include 4 differential diagnosis
Introduction: Discuss (past tense) the reason for selecting the patient encounter. Briefly discuss practicum objectives that encounter assisted in meeting for this practicum experience. 1 – 2 Paragraph(s).
SOAP: Replicate SOAP from case encounter.
Differential Diagnoses: Develop a comprehensive list of differential diagnosis and rank according to the highest index of suspicion. There should be a minimum of 4 differential diagnoses. Include ICD-10 codes. Support rationale for probability of choices with subjective and objective data and references
Epidemiology: Briefly discuss the incidence, prevalence, and at risk populations for each differential diagnosis.
Etiology and Pathophysiology: Provide a 1 paragraph synopsis of the etiology and pathophysiology for each differential diagnosis; address any genetic, neurobiological, or psychosocial factors
Clinical manifestation history and mental status exam findings) that would be associated with each differential diagnosis. Discuss common presentation and history of present illness for each differential diagnosis. Discuss expected mental status examination findings for each differential diagnosis.
Diagnostics: Present the diagnostic test that are appropriate in order to inform each differential and the rationale for each diagnostic test. Discuss the evidence that supports the indication and appropriateness for each diagnostic test. Discuss the risks and benefits of each diagnostic test. Discuss the cost effectiveness of the chosen diagnostic tests compared with other potential diagnostic test. Discuss if further diagnostic test are needed for the diagnosis or management of the diagnosis including the rationale and risk-benefit ratio.
Final Assessment(s): Present the final diagnosis discussing the diagnostic reasoning and process which contributed to the formulation of the final assessment. Provide a comprehensive assessment of the patient that includes all current diagnosis and relevant past diagnosis in order of priority.
Management: Provide a narrative of the plan of care for the final assessment. The plan of care should be supported by current evidence for each component of the plan. Include if pertinent diagnostic tests, non-pharmacological and pharmacological therapies, referrals, safety, and follow up. Discuss the short-term and long-term outcomes associated with the plan of care.
Health Promotion and Counseling: Discuss and provide an evidence-based rationale of appropriate risk assessments and holistic, preventative screenings for the patient considering their age, race, gender, family history and/or health status. Discuss important topics for health promotion and counseling integrating medical, psychiatric, and spiritual aspects.
Patient/Family Education: Discuss patient/family education pertinent to the care of the patient, including the rationale. Consider the health literacy of the patient and family..
Christian Worldview: Discuss the PMHNP role in managing the patient presenting with a mental health condition topic of this paper in context of the within the Christian worldview.
Level of Evaluation and Management: Provide the level of evaluation and management that this patient encounter generated. Discuss how the level of management was justified according to a reputable source.
Format and Presentation: Limit 8 pages (excluding title and reference pages); Scientific Underpinning: Scholarly, peer-reviewed articles published within the past 5 years, sources should include primary sources, meta-analysis, or expert guidelines along with level of evidence; Format (Times New Roman, 12 point font, 1-inch margins); current APA format, grammar/spelling/sentence and paragraph structure/transitions).
Note: Your assignment will be checked for originality via the Turnitin plagiarism tool.
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1 3 Case Presentation: Case Conceptualization (Cp-Cc) Assignment Case Conceptualization Step 1:
This sport and recreation program you select can be designed for any population, including children, youth, adults, and seniors. Writing Assignment Help 1
Case Presentation: Case Conceptualization (Cp-Cc) Assignment
Step 1: Identify and List Client Concerns And Any Other Problem Areas
Seeking to belong
Rejection by father-in -law
Inability to provide for their family
Learning problems while growing up
Low level of education
Lack of body positivity
Trying to fit in
binge drinking during the weekend
Overwhelmed by Responsibilities
Problems at work
Fear of interacting with others
Identity problems in their formative years
Step 2: Organize Concerns Into Logical Thematic Groupings
Descriptive-Diagnostic Theme Used
F43.23 Adjustment disorder, with mixed anxiety and depressed mood, acute (principal) – Irritability, Headache, Fatigue, Anxiety, Low Moods, and Low Self Esteem
Z56.9 Other problem related to employment—Job change, job reduction, threat of job loss; Family discord
Z60.3 Acculturation difficulty – Trying to fit in at work “feeling the pressure to be in the inner circle,” always trying to meet his father-in-law’s expectations, refereing to his looks as “Mexican Features.” He describes his work environment as “like crossing the border again into a whole new world.”
Step 3: Theoretical Inferences: Attach thematic groupings to Inferred Areas of Difficulty
Cognitive Behavioral Therapy is a type of therapy whereby psychologists uses conversations to assist the client in stating their thoughts and feelings (David, Christea, & Hofman, 2011). It allows them to analyze their thought processes and use appropriate techniques to actively influence their thoughts as well as change how they perceive themselves or their situation.
Maladaptive thoughts (CBT)
Maladaptive thinking in his view of self: Mr Lopez has a low sense of self, which arises from the fact that he is a Mexican immigrant.
He refers to his perceived unattractive features as Mexican features. He attributes the activities taken at work as making him feel that he is new in America again; he refers to it as a new world away from his home in Mexico. His sense of self is shaped by how others view him, described by his charming persona, constant attention seeking as a child, and funny personality as an adult. People pleasing is also associated with this derivation of self from others.
Maladaptive thoughts (CBT)
Maladaptive thoughts in his view of responsibility: He feels responsible for taking care of his entire family, including his parents-in-law. He is overwhelmed by his responsibilities, although continues to put himself in uncomfortable scenarios such as attending networking events to keep on meeting his responsibilities of being the ultimate family provider. He also predominantly ties his responsibilities to the ability to meet his financial obligations such that he feels as if he failed his father-in-law, given his economic situation.
Step 4: Narrowed Inferences and Deeper Difficulties
Deepest Negative Distortion
(CBT): I have a lot of responsibilities and a family to support
Case Conceptualization Narrative
Using a CBT lens (Beck Institute, n.d.; Murdock, 2017), Goerge’s core maladaptive belief is hyper independence. He believes his key responsibility is to care for his entire family. He predominantly ties his responsibilities to provide financially to the entire household, including the extended family. He takes on all of these responsibilities despite them being stressful and a burden to him financially. He ties this aspect to his identity, as not being able to meet his familial obligations significantly worries him. It also contributes to the other challenges that he is experiencing. Lopez moved to America for better opportunities, referring it to a new world, away from his motherland, where his father abandoned him and his mother was depressed and an alcoholic. His being is thus tied to his ability to be there for his family, which he translates as being able to cater for all their economic needs fully. The thought of losing his job eventually worries him, and he tries all he can to keep it. Specifically, this includes immersing himself in a world where he feels like he does not belong, which he refers to as the “inner circle.”
The fact that he is Mexican in a predominantly white circle fuels this fear, given that he is afraid that he may not be able to meet his expectations because of his background. He feels uncomfortable in his new circle as he predominantly subscribes to the Mexican culture, which is not practiced in his new environment. His conflict with his father-in-law also contributes to this issue, given that he needs to prove himself by his economic ability to win his acceptance. These cognitive errors that tie his value to his economic ability affect his interpretations of relationships, given the case of his father-in-law. By controlling his financial state, Mr Lopez may successfully avoid other underlying issues, such as his real sense of self, skewed by his childhood experience of abandonment and not belonging. He also measures his Mexican spirit in this new land by adhering to customary practices despite them being stressful for him. An example is taking care of his parents-in-law despite not being financially able, as customary in Mexican culture.
David, D., Cristea, J., & Hofman, S. (2011). Why cognitive behavioral therapy is the current gold standard of psychotherapy. Front Psychiatry, 9(4). https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5797481/
Tan, S. (2011). Counseling and psychotherapy a christian perspective. Baker Academic.
2 1 Music Therapy, Guided Imagery, and Massage Therapy for Stress Reduction
Music Therapy, Guided Imagery, and Massage Therapy for Stress Reduction
Nancy Nurse, RN
Nursing 382 Holistic Nursing Assessment and Practice
Dr. Laura Schwarz, DNP, RN, CNE
Patients of all ages with all kinds of diseases, illnesses, and injuries are affected by stress. Music therapy, guided imagery, and massage therapy were investigated for their effectiveness in stress reduction for nurses and patients. Investigation of the definitions, implementation methods, effectiveness, and benefits of each of these therapies was conducted through personal experiences and a critical review of literature. The types of individuals who would benefit from these therapies were also identified. The personal experiences provided validation of the evidence found in the literature review for the effectiveness of these therapies on stress reduction. Investigation of these therapies also identified other benefits of use. Recommendation for implementation in nursing practice is education for patients and healthcare providers on these therapy methods and their effectiveness on stress reduction.
Objectives, after attending this presentation, the attendee will be able to
Define complementary medicine and alternative medicine.
Describe definition, methods of implementation, and effectiveness of each CAM modality.
Articulate personal and patient benefits of each CAM modality.
2 1 Prayer, Guided Imagery and Music Therapies for Control of Pain
Prayer, Guided Imagery and Music Therapies for Control of Pain or Stress
Peter Nurse, RN
Minnesota State University, Mankato
NURS382 Holistic Nursing Assessment and Practice
Dr. Laura Schwarz, DNP, RN, CNE
Pain and stress are problems that are common among hospitalized patients. These problems are also common among hospital nursing staff. Prayer, guided imagery and music therapies are some complementary and alternative medicine (CAM) therapies that may provide relief from pain and stress. These treatments were studied using literature research and personal implementation to determine their potential efficacy. Numerous peer-reviewed studies were reviewed supporting the use of all these therapies for stress and/or pain management, either alone or as adjuncts. Personal experience also recommends the use of these therapies. These therapies are easily implemented by the nurse and deliver benefit to patients at low cost. These therapies may improve overall patient satisfaction with hospital services.
Objectives, after participating in this session, the learner will be able to
Describe selected CAM therapies, indications for use, and potential benefits.
Provide patients with practical strategies for implementation of selected CAM therapies for use in the hospital setting.
CAM Abstract Instructions Virtual Nursing Symposium (VNS) Abstracts should be 300 words
CAM Abstract Instructions Virtual Nursing Symposium (VNS)
Abstracts should be 300 words or less, use Times New Roman 12-point font, be double-spaced, and written in past tense (see examples in content area of D2L)
Format and content for the abstracts is as follows:
Author and Presentation Information (first page)
Title of Presentation
Name and credentials of author
Course and faculty
Body of Abstract (second page)
Description of the project or study. Include a statement of the problem and the population addressed
Method(s) used (literature review, model/theory, practice change/improvement)
Evidence to support project or summary of results
Implications for practice and future recommendations.
Objectives: list 2-3 measurable learning objectives for the audience of your PowerPoint presentation, e.g. “learners will…” or “attendees will…” Please check out this resource for measurable verbs you may use in your objectives (as well as verbs to avoid) https://www.csun.edu/sites/default/files/BloomsverbsforCT_0.pdf.
Note: some verbs such as “understand” are not measurable.
You will be responsible for posting the PowerPoint presentation and Abstract in the Virtual Nursing Symposium found in the N382 Courseroom in the discussion area by the due date listed in the course calendar. Ask at least four of your peers a profound question about their chosen CAMs the first day the symposium is scheduled (see calendar). The presenter is responsible for checking into their presentation thread once daily both days of the symposium to answer any questions posted by attendees.
Insufficient or Not Addressed
Description of the project or study.
Includes a statement of the problem and the population addressed (.5 point)
Discussion of the method(s) used (study method, literature review, model/theory, practice change/improvement) (.5 point)
Analysis of evidence to support project or summary of results (1 point)
Discussion of implications for practice and recommendations. (1 point)
Objectives: lists 2-3 measurable learning objectives for the audience (1.5 point)
Title page & abstract format according to guidelines,
Proper spelling & grammar
Symposium Participation (Professor will Grade)
Insufficient or Not Addressed
Asks at least four peers a profound question about their chosen CAMs some time during the two days the symposium is scheduled (see calendar).
Checks Symposium both days & responds to questions asked by others of own presentation