Psychiatric Nursing

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Psychiatric Nursing

(Psychiatric Nursing)

sessing and Treating Clients with With Bipolar Disorder

Bipolar disorder is a unique disorder that causes shifts in mood and energy, which results in depression and mania for clients. Proper diagnosis of this disorder is often a challenge for two reasons: 1) clients often present as depressive or manic, but may have both; and 2) many symptoms of bipolar disorder are similar to other disorders. Misdiagnosis is common, making it essential for you to have a deep understanding of the disorder’s pathophysiology. For this Assignment, as you examine the client case study in this week’s Learning Resources, consider how you might assess and treat clients presenting with bipolar disorder.

Learning Objectives

Students will:
  • Assess client factors and history to develop personalized plans of bipolar therapy for clients
  • Analyze factors that influence pharmacokinetic and pharmacodynamic processes in clients requiring bipolar therapy
  • Evaluate efficacy of treatment plans
  • Analyze ethical and legal implications related to prescribing bipolar therapy to clients across the lifespan ..

 

The Assignment

Examine Case Study: An Asian American Woman With Bipolar Disorder. You will be asked to make three decisions concerning the medication to prescribe to this client. Be sure to consider factors that might impact the client’s pharmacokinetic and pharmacodynamic processes.

At each decision point stop to complete the following:

  • Decision #1
    • Which decision did you select?
    • Why did you select this decision? Support your response with evidence and references to the Learning Resources.
    • What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources.
    • Explain any difference between what you expected to achieve with Decision #1 and the results of the decision. Why were they different?
  • Decision #2
    • Why did you select this decision? Support your response with evidence and references to the Learning Resources.
    • What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources.
    • Explain any difference between what you expected to achieve with Decision #2 and the results of the decision. Why were they different?
  • Decision #3
    • Why did you select this decision? Support your response with evidence and references to the Learning Resources.
    • What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources.
    • Explain any difference between what you expected to achieve with Decision #3 and the results of the decision. Why were they different?
    •  you can use my sample/ edit or do a new assignment.

you can edit or use my sample with same medication therapy.

Walden University .. 6630n(Psychiatric Nursing)

2 Assessing and Treatment for Bipolar Disorder Patient Introduction Bipolar disorder is not an uncommon illness. It is a very chronic and severe mental disorder, affecting approximately 1-2% of the adult population. The signs and symptoms of bipolar disorder are different depending on the type of episode (i.e., manic or depressive). Each episode marks a critical change from the way a person usually acts and their typical mood, and can be characterized by a sudden change in the general attitude of the patient, the way the patient thinks and the behavior. 1 The changes will be sudden that it will be noticed by people around (Robert et al., 2017). This dangerous demonstrative unpredictability mood disorder can be found in all area of life, that is, from the poor to the rich, this disorder affects millions of people in all facets of life (Robert et al., 2017). Bipolar disorder can be seen mostly in the age starting at 25years or older, but it is not totally absent in the teenage age. It shows that about 2.6 percent of the population are diagnosed as bipolar. 3 (National Alliance on Mental Illness, 2017).

If not well treated ,Bipolar disorder can be critical; 1 early identification of symptoms with an appropriate treatment plan may include psychotherapy, medications, a healthy lifestyle and a regular schedule will keep the patient healthy (National Alliance on Mental Illness. (2017). 1 The NP should have a good understand of this disorder to be able to take care of this the patient because of its long-term management and how it affects the health in totality (National Alliance on Mental Illness. (2017). 1 My focus of this paper will look into an Asian American Woman with a bipolar disorder, symptoms management, diagnosing the symptom, and the complete treatment. The paper will consider the most safe and appropriate options of treatment and the outcome as the treatment, and care.(Psychiatric Nursing)

Decision Selected My patient is an Asian American woman age 39 years with 4 children and 3 ground children. The husband notices that sometimes she will be singing loud to the top of her voice and dancing not to the music she sang. In another time she will just fill like not doing anything and nothing will interest her, and she will lay on the bed for hours without going to the business she spent her years building and love so much.Patient is withdrawn and non-interactive. 4 She is diagnosed Bipolar disorder.

1 Decision # 1 Reason Selected My best treatment of choice for this disorder will be to begin Risperdal 2 mg orally twice a day. Risperdal is the best choice to treat bipolar disorder. (Lee et al., 2011). Risperdal called risperidone is in the chemical class benzisoxazole derivatives which are antipsychotic. It is an effective medication for bipolar disorder (Lee et al., 2011). The reasons of choosing Risperdal is because it is used to treat schizophrenia and the risperidone works with the brain to stabilize the brain (Lee et al., 2011). Risperidone rebalances dopamine and serotonin to improve thinking, mood, and behavior. Risperidone belongs to a class of drugs called atypical antipsychotics approved by U.S. Food and Drug Administration (FDA) The drug is also used to treat symptoms of bipolar disorder and irritability (NAMI, 2017).(Psychiatric Nursing)

Expected Results We will need to have some subjective and objective changes. 1Patient should be able to verbalize changes within the first month of the treatment.

During the next visit with the patient after one month, she is expected to express changes in the clarity of her brain. The freedom from indistinctness or ambiguity because of the medicine will help her to balance certain natural substances in her brain.She should also notice a change in her ability to concentrate on her activities (Lee et al., 2011). No side effects.

Differences between Expected outcome and Actual outcome Patient came back after a month (4 WEEKS) and report that she experiences some improvement in the symptom including some improvement with concentration. My patient reported some drowsiness. 1 Drowsiness is one of the side effect of high dose of Risperdal. The genetic testing, reveals that she is positive for CYP2D6. Asians are more likely to have decreased CYP2D6 activity compared to Caucasians (Lee et al., 2011). I will reduce the dosage of this medication. 1 A positive outcome should be that there was a little bit of improvement in symptoms, patient able to sleep, more concentration. Patient and family report drowsiness during the day time which is one the side effect of high dose Risperdal.

Decision Point Two Reason Selected The next best option is not to discontinue Risperdal, but to lower dose to Risperdal 1 mg orally at hours of sleep (HS) since expected outcome was not achieved based on decision one. My patient and , her family reported that patient has been drowsy during the day because of Risperdal 2mg. I will continue on Risperdal because the patient confirm improvement on the symptoms and the side effect observed was a regular adverse reaction because of her descendant background (American Psychiatric Association, 2017). The reduction to Risperdal 1mg BID to Risperdal 1 mg will be closely monitor.(Psychiatric Nursing)

Expected Results Risperdal 1mg orally at bedtime is a reduced dosage from the 2mg which is expected to eliminate the drowsiness and toxicity in the patient Stahl, (2013).The patient is expected to continue to have decrease in the bipolar symptom. The effect of the medication should be observable and notice by the family member as a testimony (American Psychiatric Association, 2017).

Differences between Expected outcome and Actual outcome During the patient four weeks follow up examination shows that the bipolar disorder symptom dissipated to noticeable level. This indicate a therapeutic effect of Risperdal 1mg at night brought about the therapeutic effect on the patient and patient is tolerating and adjusting to the medication in a positive way (Dean, 2017). The patient did not experience the drowsiness and there was no toxicity, therefore the expected result and the actual result were the same. Risperdal therapy will continue with this medication and the dosage, and a close monitoring will still be needed until the next four weeks appointment (Dean, 2017).

Decision Point Three Decision Selected Risperdal 1mg orally at HS will be continued Reason for Selection The decision to continue with the medication was because the desire result, and the actual result are in pari-passu. To change the current medication or tamper with the dosage may offset the patient and thereby destabilize the rate of her healing (Dean, 2017). The patient is still under assessment and close monitoring continue until the next appointment date.(Psychiatric Nursing)

Expected Results It is expected that the patient will increase in good mental stability and continue to maintain reduction in bipolar disorder symptom with the dosage of Risperdal 1mg at night (Robert et al., 2017). The patient is anticipated to having good sleep at night and well improve in her interaction with relatives and friends, with ability to concentrate on matters that concern her and carrier (Robert et al., 2017).

Differences between Expected outcome and Actual outcome The therapeutic decision is working in this patient in accordance to the expectation. The treatment agrees with the standard way of treatment of an Asian descendant, the starting procedural treatment for bipolar disorder to the maintaining of such patient that are been positive for CYP2D6.The side effect of drowsiness in the day and toxicity is agreement with Asian descent (Robert et al., 2017). The patient will have to be place on the same medication till the next visit for examination. The actual result is that the medication is achieving the therapeutic effect that is needed by the patient (Dean, 2017).

Ethical Considerations for Treatment plan Ethics demand that a patient should agree to treatment before it could be administering unto the patient. The law concerning patient’s preferences for treatment are overlook when the patient is in jeopardy of life threatening or severe psychiatric illness. Psychiatric advance directives are employing to make decision on the patient (Srivastava, 2011). When a practitioner treating a patient with bipolar is confronted with ethical conflicts of helping the patient to attain best result or their autonomy. The autonomy will be the choice of the practitioner (Srivastava, 2011). The law clearly stipulate that practitioners should always carefully consider what moral weight should be given to the values of doing well and avoiding harm (U.S. Food and Drug Administration, 2017).(Psychiatric Nursing)

2 Conclusion Psychiatric nurses should assess the function of the client not only during admission even during remission period and plan for rehabilitation services since functioning is a complex and demanding task. However, it is very important to bring back the client to his fullest possible level to normal life by planning effective psychoeducation about illness, communication training and teaching problem solving skills to client and family. 1 Many drugs are available for the treatment of bipolar disorder, but the professional will have to carefully select a medication that will be the best treatment for the patient. It is worth knowing that genetics influences the absorption of drugs, metabolism, excretion, and distribution. In the case study the Asian woman with positive CYP2D6 will exhibit a certain side effect which will not be in a patient with negative CYP2D6 (Dean, 2017). Therefore, the dosage and frequent of dispensing of drugs be based on the genetic testing (National Alliance on Mental Illness, 2017). The treatment of bipolar disorders in Asian descent must be handled carefully and in accordance with the Food and Drug Administration set guidelines (U.S. Food and Drug Administration, 2017). In conclusion the safety of the patient and the life of family and friends should be the paramount concern of the practitioners.(Psychiatric Nursing)

References American Psychiatric Association. (2017). 1 Treatment of Patients with Bipolar Disorder.

Retrieved from: 1http://psychiatryonline.org/pb/assets/raw/sitewide/practice_guidelines/guidelines/bipolar.pdf Dean, L. (2017). 1 Risperidone Therapy and CYP2D6 Genotype. Retrieved from:

1 https://www.ncbi.nlm.nih.gov/books/NBK425795/ Lee, S. Y., Martins, S. S., Keyes, K. M., & Lee, H. B. (2011). 1 Mental Health Service Use by Persons of Asian Ancestry With DSM-IV Mental Disorders in the United States. Psychiatric Services (Washington, D.C.), 62(10), 1180–1186.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3698479/ Nami National Alliance on Mental Illness. (2017). 1 What Is Risperdal and What Does It Treat?

Retrieved from: 1 https://www.nami.org/learn-more/treatment/mental-health-medications/risperidone (Risperdal).

Robert, M., Keck, P., & David Solomon, D. (2017). 1 Bipolar disorder in adults:Choosing maintenance treatment. Retrieved from: 1https://www.uptodate.org/contents/bipolar-isorder-in-adults-choosing-maintenance-treatment Srivastava, S. (2011). Ethics Commentary: Bipolar Disorder: 1 Ethical Considerations in the Treatment of Bipolar Disorder. Retrieved from:

1 https://focus.psychiatryonline.org/doi/abs/10.1176/foc.9.4.foc461?journalCode=foc Stahl, S. M. (2013). 1 Stahl’s essential psychopharmacology: Neuroscientific basis and practical applications (4th ed.). New York, NY: Cambridge University Press.

U.S. 1 Food and Drug Administration. (2017). 1 The Facts on Bipolar Disorder and FDA- Approved Treatments. Retrieved from: 1https://www.fda.gov/ForConsumers/ConsumerUpdates/ucm530107.htm

 
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Mental Health Counseling Discussion

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Mental Health Counseling Discussion

(Mental Health Counseling Discussion)

Mental health counseling is a therapeutic process that provides individuals with a supportive and confidential space to explore and address emotional, psychological, and behavioral challenges. Through open dialogue, clients collaborate with trained mental health professionals, such as counselors or therapists, to gain insight into their thoughts, feelings, and behaviors.

Effective counseling involves active listening, empathy, and non-judgmental understanding. Therapists employ various therapeutic modalities, such as cognitive-behavioral therapy (CBT), psychodynamic therapy, or mindfulness techniques, tailored to the client’s unique needs. The goal is to help individuals develop coping strategies, improve self-awareness, and build resilience.

This therapeutic alliance facilitates personal growth and enhances well-being by addressing issues like anxiety, depression, trauma, or relationship difficulties. The counseling process often empowers clients to identify and modify negative thought patterns, fostering healthier perspectives and behaviors. Additionally, counselors may provide psychoeducation to enhance emotional intelligence and equip individuals with tools for self-management.

Ultimately, mental health counseling is a collaborative journey toward positive change, fostering self-discovery and emotional healing. It acknowledges the interconnectedness of mental, emotional, and physical well-being, promoting holistic approaches to improve overall quality of life.

Think through how aspects of human development impact the effectiveness of counseling programs, focusing on how those programs might be adapted for people at particular stages in their lives.

Focus on how work and career development issues impact early adulthood. Consider this aspect of the human development trajectory and specific ways in which it impacts career development and career choices. The articles in this unit address theories in career counseling.

Consider individuals in the early adult phase of development (ages 24–34). In what ways might career planning programs be particularly helpful for this population of adults who find themselves at crossroads in their career decisions?

Imagine that you are in a position to develop a career planning program for young adults (ages 24–34) in your specialization. Create an outline of how you might go about each of the following steps in developing this program, pointing out how your approach would specifically address the needs of those considering a new career or career change:

· Planning the program.

· Organizing the program at the beginning

· Determining the initial requirements to implement the program (people, funds, space, approvals, et cetera).

· Projecting the resources required to administer the program on a daily and weekly basis.

· Evaluating the success of the program, including the kinds of results you would look for to measure its effectiveness.

 
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Professional Development Power Point

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Professional Development Power Point

(Professional Development Power Point)

Prepare a PowerPoint presentation of 8–10 slides that explains why an understanding of complimentary alternative medicine (CAM) and spirituality is important for members of health care teams; examines the ethical, legal, and financial principles related to CAM and spirituality; and describes how these forms of health care can impact plans of action.

 

Preparation

Your organization has seen an increase in the number of individuals using complimentary alternative medicine (CAM), traditional medicine, holistic health, and spirituality. In addition to your work on the interdisciplinary team, you have been asked by your organization to prepare and deliver an educational session on CAM, traditional medicine, holistic health, and spirituality that can be used by all health care teams. How will you complete this task?

You should focus on these concepts as they pertain to your population (from the Windshield Survey assessment), but also in a broader sense. Use the Capella library and the Internet to look for recent research articles or information on these topics to use as supporting resources in your assessment.

Requirements

For this assessment, prepare a PowerPoint presentation in which you:

  • Identify the topics you will cover in your educational plan.
  • Provide a list of resources your audience can use to further their understanding of complimentary alternative medicine (CAM).
  • Explain why it is important for nurses and members of other health care teams to develop an understanding of CAM, traditional medicine, holistic health, and spirituality.
  • Examine any ethical, legal, and economic principles related to CAM, traditional medicine, holistic health, and spirituality.
  • Describe how these forms of health care can affect a plan of action for individuals and populations.

Your presentation should include a slide with the title of your educational session, a slide with the topics that will be covered (your agenda), and a reference slide at the end. Use the notes section of each slide to provide additional information on each topic, along with supporting references. References and in-text citations must adhere to APA guidelines.

Additional Requirements

  • Include a title slide and reference slide. The completed assessment should be 8–10 slides in length, not including the title slide and reference slide.
  • Reference at least three current scholarly or professional resources.
  • Use current APA format for references.
  • Be creative!
 
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Assessment Methods

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Assessment Methods

(Assessment Methods)

Self-Monitoring: Influencing Effective Behavior Change in Your Clients,” article below

Select a health behavior other than exercise. Write a 1,200 word paper including the following:

Develop your own self-monitoring scale for this health behavior.

Explain how you would use this scale as an assessment tool in a behavioral health intervention.

Summarize three current behavioral assessment techniques. Include a minimum of three scholarly references.

Use article below Format your paper consistent with APA guidelines.

Self-Monitoring: Influencing Effective Behavior Change in Your Clients by Melissa Burgard, B.S., and Kara I. Gallagher, Ph.D., FACSM

Learning Objective To understand how to effectively use self-monitoring to assist clients with behavior change and improve client outcomes.

Key words: Behavior Change, Self-Monitoring, Weight Loss, Feedback, Clients.

Behavior change is a difficult process. As a health/ fitness professional, assisting clients with behavior change can be particularly challenging because client interaction is often limited. Many times, these meetings are not sufficient to target both eating and exercise behaviors and address the many barriers clients face. Because many health behaviors need to be targeted outside of these meetings, finding ways to track progress also is necessary to successfully provide clients with appropriate feedback and direction.

Thus, teaching clients to self-monitor is an effective strategy for targeting both eating and exercise behavior change. Self-monitoring allows you to review your clients’ current eating and exercise behaviors, identify what needs to be modified so clients can reach their personal health/fitness goals, and provide feedback. By definition, self-monitoring is ‘‘the systematic observation and recording of target behavior’’(Assessment Methods)

(1) and has been described as the most effective technique and the ‘‘cornerstone’’ of behavioral treatments for weight loss

(2). Self-monitoring increases a client’s self-awareness, and this has been shown to positively influence eating and exercise behaviors

(3). Several weight loss studies have shown that the more consistent participants were at self-monitoring and the more self-monitoring diaries were completed, the greater was the weight loss

(4–6). In a review of studies, D.S. Kirschenbaum, Ph.D., determined that consistency is best defined as recording at least 75% of eating and exercise behaviors

(7). This relationship also has been found in high-risk situations. In a study examining weight change during the holiday season, only the most consistent self-monitors lost weight

(8).Although self-monitoring is considered to be a valuable tool for behavior change, it does require the consideration of several factors to be applied and used appropriately with your clients. Teaching your client to effectively and consistently self-monitor is a process that is dependent upon the client’s personality, goals, and knowledge regarding his or her behavior. Taking individual differences into account, your goal as the health/fitness professional should be to ‘‘help clients be the best self-monitors they can be’’

(8).As a guide, you can use the following ‘‘Four Ps of Self-Monitoring’’ to determine the best self-monitoring fit for your clients.

Purpose of Self-Monitoring It is helpful to explain the benefits of self-monitoring to your clients so they understand the value and importance it has in promoting behavior change. Self-monitoring can lead to self-awareness regarding behaviors and can help the client regulate behavior more effectively by avoiding and coping with situations that often lead to failure. Self-monitoring records can help identify the specific nature of these situations by answering questions of how, what, when, where, and why. For example, self-monitoring can provide information regarding specific details of client behavior such as:(Assessment Methods)

How many calories do they eat? How much activity do they perform? What type of foods do they eat? What foods do they tend to overeat? What time of day are they most likely to exercise? What types of exercise do they enjoy? When do they eat the majority of their calories? When are they most likely to miss a planned exercise session? Where do they make poor food choices? Where do they have opportunities for exercise? Why do they miss exercise sessions? Why do they want to lose weight or begin an exercise program? By addressing the specific details of clients’ behaviors that occur outside of in-person sessions, you can better assist them with recognizing patterns of behavior that may impact progress.

Personalized Approach What to Monitor Once you have explained to the client the underlying purpose and benefits of self-monitoring, the next step is to decide with the client what behaviors to monitor in order to best reach their health/fitness goals. It is essential to keep in mind that this should not be a one-size-fits-all approach. Take a personalized approach to tracking client behavior that is based upon personality, environment, and individual characteristics and goals. For example, for clients who wish to lose weight, monitoring both eating and exercise information is the best way to determine if they are on track. For other clients, eating behaviors may be related to stressful situations, and thus, feelings of stress may be an additional variable you may want to monitor to assist with weight loss.(Assessment Methods)

Collecting baseline data is an important component of self-monitoring because it provides you with an understanding of what your clients are currently doing, which behaviors require minor modification, and which behaviors you may need to target more heavily. More information is helpful, but it is not necessary to have clients heavily self-monitor at the beginning of a program. Rather, collecting a typical weekday and a typical weekend day of information may be sufficient to capture a snapshot of current behaviors. Once this information is collected, it is beneficial to discuss these initial self-monitoring records with your clients. This will allow you to identify what areas or behaviors they find to be most troublesome and to gain greater insight into how they believe these behaviors can be changed.

Amount of Detail Some clients may prefer to keep highly detailed self-monitoring records that include, for example, date, time, place, mood, description of food, quantity of food, calories, grams of fat, and hunger level (Figure 1). Others will simply want to record whether they made healthy eating choices at each meal. In determining the amount of detail your clients should use, pay careful attention to clients’ attitudes regarding monitoring, personalities, and time constraints. For some, more will be better, and this will provide you with ample information to offer feedback and direction; others may become overwhelmed and disheartened by trying to attend to too many variables.

There are pros and cons to having clients provide a large amount of detail regarding behaviors. For example, although measuring body weight can tell you whether a client is on track, it does not provide you with information regarding the behaviors that may influence that weight. Conversely, having clients keep detailed self-monitoring records may offer too much information, thus making it more difficult to focus on the most crucial behaviors that need to be targeted for change.(Assessment Methods)

Persistence The frequency and consistency with which clients selfmonitor also may be a factor in the success of behavior change. If clients only self-monitor once a month, this is not likely to provide enough information for you to assess progress or for them to make positive behavior changes. The self-monitoring process should be frequent and consistent enough to provide valuable information yet not so cumbersome that clients become overwhelmed. Because self-monitoring is a skill that may need to be developed, your role is to encourage and guide your clients as they become more consistent with this behavior.

When determining the appropriate amount of self-monitoring for your clients, consider the following points: Will daily self-monitoring be beneficial? Will self-monitoring three times per week be adequate? What format will be most convenient for your clients?

Accurate Recording Encourage your clients to be accurate in their selfmonitoring efforts. Some clients may record only the healthy behaviors and fail to include the less healthy behaviors. For example, they may omit the handful of M&Ms they grabbed from a candy dish at work or forget to record the amount of salad dressing they used at lunch. One way to increase accuracy is to have clients carry a self-monitoring tool with them so they can record information immediately. For example, if a client is eating on the run and does not have time to sit down and record what they eat, they can use a small notebook to jot down this information. Alternatively, they can record this information on a small handheld voice recorder. This tool can be especially useful for monitoring exercise behaviors when a client may not have time to record information in writing. Although immediate recording may not always be possible, encourage your clients to record information as soon as they can after the behavior occurs.(Assessment Methods)

Positive Reinforcement Encourage your clients to positively reinforce themselves for effective self-monitoring. If clients have achieved their self-monitoring goals for the week or have improved upon their consistency, they should recognize and reward their efforts. This recognition and reward can take many forms and should be based on individual preference. Some clients may appreciate verbal recognition, while others may prefer a more tangible reward such as purchasing new workout gear. The important aspect is that the recognition and reward are commensurate with the effort the client has put forth. The importance of positively reinforcing clients cannot be overstated. Recognizing successful self-monitoring efforts will not only increase the likelihood of continued success but also will foster a positive client/trainer relationship.

A Tool for Health/Fitness Professionals Self-Monitoring Tools In addition to the benefits that self-monitoring can provide your clients, self-monitoring also can be a useful tool for you. The information gathered from your clients’ self-monitoring records can provide you with valuable insight into areas that may need to be targeted for change. For example, if a client consistently misses morning workouts, it may be helpful to explore whether these missed workouts are related to lack of time, dislike of morning exercise, or some other factor.

By examining self-monitoring records, you also may be able to identify patterns of behavior that may be contributing to a lack of success. This information can help you modify your approach and develop strategies to better assist your clients in reaching their health/fitness goals. Self-monitoring is an effective tool for facilitating behavior change. The information gathered from selfmonitoring records allows you to tailor interventions to target specific behaviors that are crucial to your clients’ success. By teaching your clients to self-monitor, you can empower them to take an active role in their behavior change process and provide them with the skills they need to maintain positive behavior changes long term.

References(Assessment Methods)

  1. Baumeister RF. Self-regulation and depletion of limited resources: Does self-control resemble a muscle? Psychol Bull. 2002;128: 247–66.
  2. Kirschenbaum DS, Gillis R, Smith GP. The Psychology of Weight Control. Champaign, IL: Human Kinetics; 1982.
  3. Burke LE, Choo J, Music E, Warziski M, Styn M, Kim Y, Sevick MA. PREFER study: A randomized clinical trial testing treatment preference and two dietary options in behavioral weight management—Rationale, design and baseline characteristics. Contemp Clin Trials. 2006;27:34–48.
  4. Boutelle KN, Kirschenbaum DS. Further support for consistent self-monitoring as a vital component of successful weight control. Obes Res. 1998;6:219–24.
  5. Linde JA, Jeffery RW, French SA, Pronk NP, Boyle RG. Self-weighing in weight gain prevention and weight loss trials. Ann Behav Med. 2005;30:210–6.
  6. McGuire MT, Wing RR, Klem ML, Lang W, Hill JO. What predicts weight regain in a group of successful weight losers? J Consult Clin Psychol. 1999;67:177–85.
  7. Kirschenbaum DS. Self-regulatory failure: A review with clinical implications. Clin Psychol Rev. 1987; 7:77–104.
  8. Wing RR, Hill JO. Successful weight loss maintenance. Annu Rev Nutr. 2001;21:323–41.

15ACSM’S HEALTH & FITNESS JOURNALA JANUARY/FEBRUARY 2006 VOL. 10, NO. 1 Copyr ight © Lippincott Williams & Wilkins. Unauthorized reproduction of this article is prohibited.

 
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The Problem: The Case Of The Troubling Inquiry

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The Problem: The Case of the Troubling Inquiry

(The Problem: The Case Of The Troubling Inquiry)

At lunch one day a friend, who is an excellent mid-level scientist in the company in which you work, tells you she wants to talk with you about a problem. She has a suspicion that she is being paid less that her male colleagues and wants your help. You have just been doing some research and know that the women scientists are in fact being paid less than the men with comparable experience and comparable education in the field. The hiring practice had been to bring people in at the lowest possible salary. You know that the research shows that because women tend to be more tentative about salary, they don’t ask for top dollar. You have just completed a salary survey in your company and know that women scientists are currently being paid 10% less then men with the same credentials in many cases. Your preliminary work indicates that to bring the women into parity with the men will cost approximately $37,500 per quarter.

Here is the assignment:

(The Problem: The Case Of The Troubling Inquiry)

Worksheet 5: For this part of the Assignment, you are asked to Be Reflective, asyou consider both how you made the decision as well as your response to theAssignment. In this segment you consider how you corrected for personal bias and your own blind spots—hubris—and have attended to the common good.This part of the Assignment must have citations and references. Use the questions as headings for each section, and write no more than a paragraph on each.

● Discuss whether or not the ethical analysis made sense. As you considered the section in the Baird text that described the process that those from the deontological school of thought use for ethical analysis, what were the strengths and weaknesses of this process? What were the problems with the process?What are the sticking points?

● Did you like the results? Did you like the reasons for taking the action, the rationale that is part of the deontological school of thought? Do you get a sense that you would follow these results or the rationale in real life? Why or why not?

● What insights do you have about this problem that you would like to share with others? What information would you appreciate from them?

● How would adding the world of emotion and conscience help clarify your decision, as described on the first page of Chapter 7 of the Baird text? Ethical maturity is often defined as not only being responsible but also considering others in the decision. Why is considering others important in the particular problem you were asked to resolve?

● Consider the spiritual perspective—spirituality being defined as that which gives life and work meaning and purpose. As you begin to see yourself in light of the community, how can you (and others in the organization) begin to discipline your desires so you can live fully in the present with faith and trust, avoiding self-righteousness and self-deception?

 
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Psychology Service Project

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Psychology Service Project

(Psychology Service Project)

Need project done

 

attachment is the essay template and a quzz in section 5 to be completed based on the data in that section.

 

Pleaase view the attachement

 

The service project we will pretend is a non profit organization in East NY, Brooklyn. East NY community is riddened with crime violence and drugs. The non profit is a youth organization that provides an outlet for youths ages 10 to 18 to come together to movivate each other. They offer counseling and other recreational activites to foster positive growth.

 

 

 

OTHER INFORMATION

(Psychology Service Project)

What WILL YOU BE DOING FOR YOUR SERVICE PROJECT?  For this assignment you will be required to serve a MINIMUM of 4 hours of community service at an agency of your choosing. You will be responsible for getting contact information including the name, title, phone number and email address for the SUPERVISOR or agency CONTACT PERSON for your project.  After completing the service you will be required to give that information in the 1st question on your essay, so we can contact your supervisor/contact person if we have questions about your project. In writing your essay, you must answer in complete thoughts and complete sentences.  Each question will be worth a certain amount of points totaling 100 points for this assignment.

 

how WILL YOU find out about places to volunteer?  You will find a HANDOUT with contact information for various organizations in the SERVICE PROJECT FOLDER entitled “VOLUNTEER OPPORTUNITIES FOR SERVICE PROJECT”.  

A few examples of places you might be interested in that you will find on your list include:

·         Snack pack for kids or KID’S Cafe

·         High Plains Food Bank, AC FOOD PANTRY,  or your local food bank

·         Faith City mission or City Church or Salvation Army

·         Family Support Services or Catholic Family Services

·         Evelyn Rivers Projects (Sunshine House supports AC students and Christmas Project supports children)

·         Dove Creek Equine Rescue or Amarillo Society for the Prevention of Cruelty to Animals

·         Harrington Cancer Center (kids unit) or Hope & Healing Place or Ronald McDonald House

These are only a few examples.   See the VOLUNTEER OPPORTUNITIES FOR SERVICE PROJECT HANDOUT

 

how WILL YOU BE GRADED ON THIS PROJECT:  This essay will be worth 100 points or equal to an exam towards your final grade.  Your essay will be graded according to the rubric that is shown on the last pages of this document!  Below, you will find all the questions for your essay.  As well, you will find a TEMPLATE in the SERVICE PROJECT FOLDER, which you will USE to complete your essay.  Be sure you take time to notice what you will be graded on.  See Appendix 1.

EDITING YOUR WORK: Good ideas require excellent writing to be understood! Please take time to EDIT your work carefully as you will be graded on your grammar and writing mechanics for the 5 part essay, along with the organization of your thought and the “knowledge you posses” related to the data and graphs on poverty, as well as the questions being asked about your project.  Write in complete sentences, remember punctuation and capitalization and proper grammar count!  JUST A NOTE: “I” is a proper noun and should BE CAPITALIZED! This is NOT A TEXT MESSAGE TO YOUR FRIENDS! It’s a COLLEGE-LEVEL WRITING ASSIGNMENT!

(Psychology Service Project)

Prior to UPLOADING your essay in the SERVICE PROJECT ESSAY DROP BOX, please be sure you edit it well, read it out loud to catch errors in your grammar and spelling, along with focusing your ideas to be clear and sharp.  After your final edit, SAVE YOUR DOCUMENT as a WORD file or a RICH TEXT FORMAT file on your computer in a location you can find it.  Your document should have either a .doc or .docx extension or a .rtf extension at the end of the file name. Then go to the DROP BOX, select BROWSE and retrieve your file. When you upload it, you should be able to see it in the TEXT BOX if it’s a WORD file.  If it’s a RTF file, you should see a box indicating the file is there.

            CITING SOURCES:  A part of your grade will be over proper citing of sources for this project.  Remember, in the items that are required to have a bibliography/reference section, be sure you cite your source with the authors name, date of publication and that title of the source, and publisher along with any pages you used, or, if your source is an online source include the title , any author, date, and the web address stating “Retrieved from”.

For example:  Myers, D. (2014) Exploring Psychology (9th Edition).  Worth, pages 35-39.     OR

Henslin, J. (2016).  Sociology: A Down-to-Earth Approach.  Core Concepts (6th Edition). Pearson, page 102.

For an online source (particularly those related to your agency history) you will have a citation that looks like this:

High Plains Food Bank: About The Agency.   Retrieved May 21, 2016 from https://www.hpfb.org/Hunger

As well, be sure you cite your sources in the body of your text: For example:

The purpose of the High Plains Food Bank is to help “food insecure” families get the nutrition they need in the 29 counties of the Texas Panhandle (High Plains Food Bank: About, May 21, 2016).

Or: Myers (2014, p. 375) tells us that people must have their basic needs met before they can accomplish higher order goals.  This idea is put forth in Maslow’s Hierarchy of Needs (Maslow, 1970), which shows that needs like hunger and thirst must be met before people will go after personal goals like building self-esteem and attaining an educational degree.

 

HINT: IF YOU LOOK IN YOUR REFERENCE SECTION OF YOUR TEXTBOOK, you will find the proper FORMAT for any REFERENCE that you are using for this essay!

 
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Searching and Analysis Literature.

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Systematic Reviews: Searching and Analysis of Literature.

Systematic Reviews: Searching and Analysis of the Literature. COMPLETE PART I THROUGH PART IV

This Assignment expands upon the work you have been conducting for this week’s Discussion.) you will conduct a search for literature on your selected practice problem. A Literature Review Matrix template will be used to identify gaps in the literature.

To prepare:

Consider the practice problem you addressed in this week’s Discussion. (You may select a new issue if necessary, but it is not recommended): Practice problem chosen: Health literacy and self-care activities, self-efficacy, and health related outcome of patients with type 2 Diabetes.

Review the guidelines in the Literature Review Matrix, included in the Learning Resources.

 

Formulate a research question around your issue as indicated in Part I. Then

complete Part II, III, IV of the Matrix, identifying the resources you will use, search terms and criteria, and Boolean search strings.

Using the Walden Library, locate 10 articles related to your research question. At least one article must be a systematic review.

 

All of the articles should be primary sources.

Actual Assignment:

Complete Part I and Part II of the Literature Review Matrix template.

Review the information on empiricism presented in Chapter 1 of Theoretical 

Basis for Nursing and Chapter 6 in The Practice of Nursing Research: Appraisal, Synthesis, and Generation of Evidence as you consider your response to Part IV.

Complete Part III of the Literature Review Matrix.

In your analysis of the strengths and weaknesses of the existing literature, note the appropriate use of the theoretical frameworks.

Complete Part IV addressing the influence of empiricism on quantitative methodology.

REFERENCES

McEwin, M., & Wills, E.M. (2014). Theoretical basis for nursing. (4th ed.). Philadelphia, PA: Wolters Kluwer Health.

Chapter 10, “Introduction to Middle Range Nursing Theories”

Chapter 11, “Overview of Selected Middle Range Nursing Theories”

Gray, J.R., Grove, S.K., & Sutherland, S. (2017). Burns and Grove’s the practice of nursing research: Appraisal, synthesis, and generation of evidence (8th ed.). St. Louis, MO: Saunders Elsevier.

Chapter 3, “Introduction to Quantitative Research”

Chapter 4, “Introduction to Qualitative Research”

Chapter 6 guides nurses through the process of identifying research objectives, developing research questions, and creating research hypotheses.

Chapter 7 examines the process of preparing for a literature review to support research efforts.

Chapter 13, “Outcomes Research”

Moran, K., Burson, R., & Conrad, D. (2017). The doctor of nursing practice scholarly project: A framework for success (2nd ed.). Burlington, MA: Jones & Bartlett Learning.

Review Chapter 6, “Developing the Scholarly Project”

Armola, R., Bourgault, A., Halm, M., Board, R., Bucher, L., Harrington, L., & … Medina, J. (2009). AACN levels of evidence: What’s new? Critical Care Nurse, 29(4), 70–73. doi: 10.4037/ccn2009969

Elkins, M. Y. (2010). Using PICO and the brief report to answer clinical questions. Nursing, 40(4), 59–60. doi: 10.1097/01.NURSE.0000369871.07714.39

Fawcett, J., & Garity, J. (2009). Chapter 6: Evaluation of middle-range theories. Evaluating Research for Evidence-Based Nursing. Philadelphia, Pennsylvania: F. A. Davis.

DeSanto-Madeya, S., & Fawcett, J. (2009). Toward Understanding and Measuring Adaptation Level in the Context of the Roy Adaptation Model. Nursing Science Quarterly, 22(4), 355–359.

Fineout-Overholt, E., Melnyk, B., Stillwell, S., & Williamson, K. (2010). Critical appraisal of the evidence: Part I an introduction to gathering, evaluating, and recording the evidence… fifth in a series. American Journal of Nursing, 110(7), 47–52. doi: 10.1097/01.NAJ.0000383935.22721.9c

Fineout-Overholt, E., Melnyk, B., Stillwell, S., & Williamson, K. (2010). Critical appraisal of the evidence: Part III the process of synthesis: Seeing similarities and differences across the body of evidence. American Journal of Nursing, 110(11), 43–51. doi: 10.1097/01.NAJ.0000390523.99066.b5

 
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Week Six – Correlations Exercises

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Week Six – Correlations Exercises

(Week Six – Correlations Exercises)

Correlations are used to describe the strength and direction of a relationship between two variables. A correlation between two variables is known as a bivariate correlation. In this module the Pearson Product-Moment Correlation will be used when running a correlation matrix. The Pearson correlation coefficient ranges from a value of -1.0 to 1.0. A correlation coefficient is never above 1.0 or below -1.0. A perfect positive correlation is 1.0 and a perfect negative correlation is -1.0. The size of the coefficient determines the strength of the relationship and the sign (i.e., + or -) determines the direction of the relationship. The closer the value is to zero the weaker the relationship and the closer the value is to 1.0 or -1.0 the stronger the relationship. A correlation coefficient of zero indicates no relationship between the variables.

A scatterplot is used to depict the relationship between two variables. The general shape of the collection of points indicates whether the correlation is positive or negative. A positive relationship will have the data points group into a cluster from the lower left hand corner to the upper right hand corner of the graph. A negative relationship will be depicted by points clustering in the lower right hand corner to the upper left hand corner of the graph. When the two variables are not related the points on the scatterplot will be scattered in a random fashion.

Using Polit2SetB dataset, create a correlation matrix using the following variables: Number of visits to the doctor in the past 12 months (docvisit), body mass index (bmi), Physical Health component subscale (sf12phys) and Mental Health component subscale (sf12ment). Run means and descriptives for each variable as well as the correlation matrix.

Follow these steps using SPSS:

1.Click Analyze, then correlate, then bivariate.

2.Select each variable and move them into the box labeled “Variables.”

3.Be sure the Pearson and two-tailed box is checked.

4.Click on the options tab (upper right corner) and check “means and standard deviations.” The exclude cases pairwise should also be checked. Click continue.

5.Click OK

To run descriptives for docvisit, bmi, sf12phys and sf12ment do the following in SPSS: 

1.Click Analyze then click Descriptives Statistics, then Descriptives.

2.Click the first continuous variable you wish to obtain descriptives for (docvisit) and then click on the arrow button and move it into the Variables box. Then click bmi and then click on the arrow button and move it into the Variables box. Then click sf12phys and then click on the arrow button and move it into the Variables box. Then click sf12ment and then click on the arrow button and move it into the Variables box.

3.Click the Options button in the upper right corner. Click mean and standard deviation.

4.Click continue and then click OK.

Assignment: Answer the following questions about the correlation matrix.

1.What is the strongest correlation in the matrix? (Provide correlation value and names of variables)

2.What is the weakest correlation in the matrix? (Provide correlation value and names of variables)

3.How many original correlations are present on the matrix?

4.What does the entry of 1.00 indicate on the diagonal of the matrix?

5.Indicate the strength and direction of the relationship between body mass index and physical health component subscale?

6.Which variable is most strongly correlated with body mass index? What is the correlational coefficient? What is the sample size for this relationship?

7.What is the mean and standard deviation for bmi and doctor visits?

Part II(Week Six – Correlations Exercises)

Using Polit2SetB dataset, create a scatterplot using the following variables: x-axis = body mass index (bmi) and the y-axis = weight-pounds (weight).

Follow these steps in SPSS:

1.Click Graphs, then click on Legacy Dialogs, then click “Scatter/Dot”.

2.Click “Simple Scatter” and then click “Define.”

3.Click on weight-pounds and move it to the Y-axis box and then click on body mass index and move it to the x-axis box.

4.Click OK.

To run descriptives for bmi and weight do the following in SPSS:

5.Click Analyze then click Descriptives Statistics, then Descriptives.

6.Click the first continuous variable you wish to obtain descriptives for (body mass index) and then click on the arrow button and move it into the Variables box. Then click weight-pounds and then click on the arrow button and move it into the Variables box.

7.Click the Options button in the upper right corner. Click mean and standard deviation.

8.Click continue and then click OK.

Assignment:

1.What is the mean and standard deviation for weight and bmi?

2.Describe the strength and direction of the relationship between weight and bmi?

3.Describe the scatterplot? What information does it provide to a researcher?

References 3 references required(Week Six – Correlations Exercises)

 

Required Media

Walden University. (n.d.). Correlations. Retrieved August 1, 2011, from http://streaming.waldenu.edu/hdp/researchtutorials/educ8106_player/educ8106_correlations.html

Required Readings

Gray, J.R., Grove, S.K., & Sutherland, S. (2017). Burns and Grove’s the practice of nursing research: Appraisal, synthesis, and generation of evidence (8th ed.). St. Louis, MO: Saunders Elsevier.

Chapter 23, “Using Statistics to Examine Relationships”

Statistics and Data Analysis for Nursing Research

Chapter 4, “Bivariate Description: Crosstabulation, Risk Indexes, and Correlation” (pp. 59–61 and 68–78)

Chapter 9, “Correlation and Simple Regression” (pp. 197–209)

 
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Strategic Needs Assessment Framework

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Strategic Needs Assessment Framework

(Strategic Needs Assessment Framework)

When you are engaged in program planning, a needs assessment helps to determine the actuality and details of a specific problem. It also addresses how the target population views the problem—which is critical since their perspective and motivation to change are essential for the success of the program.
In this week’s video, the necessity of appraising a community’s assets as well as its challenges is evident as Dr. Donna Shambley-Ebron and Dr. Rebecca Lee discuss needs assessments. What additional insights have you gleaned from the Learning Resources that you intend to apply to your program?
For this Discussion, you develop a framework for completing a needs assessment for your program. To do this effectively, it is essential to begin with the program and the population you have identified and then develop an appropriate approach for conducting a needs assessment. This also leads to consideration of the types of data needed and the data collection methods to be used.

To prepare:

  • Consider      aspects of your problem and population (breast cancer in African American women      in the USA) as you review the information on needs assessment presented in      the Learning Resources.
  • How      would you conduct a needs assessment? What considerations would influence      your decision making about this process?
  • What      would be the most efficient and effective methods for collecting data?      What challenges could be encountered?

By tomorrow Wednesday 12/19/18 2 pm, write a minimum of 550 words essay in APA format with at least 3 references from the list of required readings below. Include all headers as numbered below:

Post a cohesive scholarly response that addresses the following:

1) Discuss how you would conduct a needs assessment for your selected problem and the target population. Why is this approach appropriate for the problem you have identified? Support your response with evidence from the literature.

2) Describe your proposed data collection methods and evaluate any challenges you might encounter.

Required Readings

Assessment and Planning in Health Programs

Chapter 1, “Assessment for Developing Programs and Interventions: The Big Picture”

Chapter 1 notes the importance of looking not just at needs but also the assets associated with the target population and environment; that is, assessing what needs to be addressed given the assets that are present.

Chapter 3, “Data Collection Strategies for Needs Assessments and Evaluations”

In Chapter 3, the authors examine data collection, a key element of needs assessments. They also indicate that it is wise to plan ahead and consider data collection strategies for evaluation at the same time.

Kettner, P. M., Moroney, R. M., & Martin, L. L. (2017). Designing and managing programs: An effectiveness-based approach (5th ed.). Thousand Oaks, CA: Sage.

Chapter 4, “Needs Assessment: Theoretical Considerations”

Chapter 5, “Needs Assessment: Approaches to Measurement”

These two chapters provide foundational information as well as guidance for conducting a needs assessment as part of program planning.

Burrows, T., Hutchesson, M., Chai, L,K., Rollow, M., Skinner, G., & Collins, C. (2015). Nutrition interventions for prevention and management of childhood obesity: What do parents want from an eHealth program? Nutrients, 7, 10469–10479 doi:10.3390/nu7125546

Derguy, C., Michel, G., M’Bailara, K., Roux, S., & Bouvard, M. (2015). Assessing needs in parents of children with autism spectrum disorder: A crucial preliminary step to target relevant issues for support programs. Journal of Intellectual & Developmental Disability, 40(2), 156–166 doi.org/10.3109/13668250.2015.1023707

Millard, T., McDonald, K., Elliott, J., Slavin, S., Rowell, S., & Girdler, S. (2014). Informing the development of an online self-management program for men living with HIV: a needs assessment. BMC Public Health, 14, 1209 doi:10.1186/1471-2458-14-1209

Springer, A. E. & Evans, A.E. (2016). Assessing environmental assets for health promotion program planning: a practical framework for health promotion practitioners. Health Promotion Perspectives, 6(3), 111–118 doi: 10.15171/hpp.2016.19

Required Media (Strategic Needs Assessment Framework)

Laureate Education (Producer). (2011). Design and evaluation of programs and projects [Video file]. Baltimore, MD: Author.

“Needs Assessment” (featuring Dr. Rebecca Lee, Shiniche Thomas, and Dr. Donna Shambley-Ebron)

You may view this course video by clicking the link or on the course DVD, which contains the same content. Once you’ve opened the link, click on the appropriate media piece.

In this week’s videos, Dr. Rebecca Lee and Dr. Donna Shambley-Ebron discuss needs assessments. Then, Dr. Rebecca Lee demonstrates a windshield assessment along with Seven Hills community resident Shiniche Thomas.

 
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Psychological assignment help

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Psychological assignment help

(Psychological assignment help)

Prior to beginning this discussion, read the following required articles:

“Organizational Learning in Target Setting”

“Organizational Learning and Learning Organizations: An Integrative Framework”

“Improving Organizational Learning Through Leadership Training”

“Systematic Professional Development Training and Its Impact on Teachers’ Attitudes Toward ELLs: SIOP and Guided Coaching”

“Review of Organizational Resilience: How Learning Sustains Organizations in Crisis, Disaster, and Breakdowns”

For this discussion, you will be focusing on your self-development and your learning experiences in the context of the workplace. In your initial post, apply basic research methods and the alignment of content within research to the questions below by making connections between your personal experiences and the content from the readings. You might also utilize other peer-reviewed articles of interest to you to support your assertions and conclusions. Analyze how your personal development in the learning and cognition domains have matured and developed through your formative years and work experiences. Your writing should not simply answer each question; a fully developed personal analysis of your own growth and learning processes should be concise and well organized in a manner that exhibits your improved writing ability and reflects APA style format.

In addition to answering the questions below, include an introduction and conclusion to your post.

What types of training and education have you received in the workplace?

What do you do now that differs from your past educational learning experiences?

How have your life experiences affected your learning?

Have events in your life influenced your beliefs and how you assert yourself in the learning process?

How do you see yourself as a life-long learner?

Next, consider how organizational learning and culture affect you personally and apply skeptical inquiry to the resolution of problems related to your own learning and cognition. How might you adjust your current strategies? Finally, apply ethical principles and professional standards of learning and cognition psychology that you have learned about to teaching or counseling others in the workplace. What implications should you consider when working with others?

This discussion should be approximately 500 words in length and should establish your understanding of the content, apply appropriate methods of ethical practices, and exhibit appropriate scaffolding of personal experience to the week’s content.

 
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