Psychiatric progress note – PPH

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Psychiatric progress note – PPH

I need a psychiatric progress note regarding a patient with PPH: of Depression, Anxiety and Insomnia . It cannot be similar, Thank you.

Here below I leave you a sample. Patient is a XXXX  y/o, female with Past Psychiatric History of Depression, Anxiety and Insomnia was seen today on telehealth platform for follow up and medication treatment who alleges getting better with the last treatment of trazodone 50mg at bedtime  and mirtazapine 7.5mg at bedtime, she reports decrease symptoms of sadness ,loneliness, depression , hopelessness, as well as she expresses feeling motivated, optimistic and with more energy in the morning, improve mood, self-esteem and affect because she feels useful ,decreased anxiety and stressing over her personal problems, restlessness, nervousness, as result decreased difficulty falling asleep because sleeping better and more hours at night with her previous treatment the melatonin 5mg at bedtime, also in the morning she waking up rested after a night’s sleep. Patient denies side effects of the medications, suicidal and homicidal ideation, no visual or auditory hallucinations, agitation, psychotic symptoms or paranoia .Follow up in 4 weeks.

Psychiatric progress note - PPH

Psychiatric Progress Note

Patient: XXXX y/o, female

Past Psychiatric History: Depression, Anxiety, and Insomnia

Visit Type: Telehealth follow-up

Subjective: The patient reports improvement with her current medication regimen of trazodone 50mg at bedtime and mirtazapine 7.5mg at bedtime. She states that her symptoms of sadness, loneliness, and hopelessness have decreased. Additionally, she feels more motivated, optimistic, and energetic in the morning. The patient notes an improved mood, self-esteem, and affect, attributing this to feeling useful and experiencing decreased anxiety and stress over personal problems. She reports less restlessness and nervousness. Her sleep has improved significantly, with fewer difficulties falling asleep and more restful nights since starting melatonin 5mg at bedtime. She wakes up feeling rested and refreshed. The patient denies any side effects from the medications. She also denies suicidal or homicidal ideation, visual or auditory hallucinations, agitation, psychotic symptoms, or paranoia.

Objective: The patient appeared well-groomed and engaged during the telehealth session. She was cooperative and maintained good eye contact. Her speech was clear and coherent. Her mood appeared stable, and her affect was congruent with the stated mood. No signs of agitation, restlessness, or psychomotor retardation were observed. She demonstrated logical and goal-directed thought processes. Her insight and judgment appeared intact.

Assessment: The patient shows significant improvement in depressive and anxiety symptoms, as well as insomnia, with the current medication regimen. The decrease in symptoms of sadness, loneliness, and hopelessness, along with increased motivation and energy, indicates a positive response to the treatment. Improved sleep quality and duration further support the effectiveness of the current medications.

Plan:

  1. Continue trazodone 50mg at bedtime.
  2. Continue mirtazapine 7.5mg at bedtime.
  3. Continue melatonin 5mg at bedtime as needed.
  4. Monitor for any side effects or changes in symptoms.
  5. Follow up in 4 weeks for reassessment and possible medication adjustment.
  6. Encourage the patient to maintain a consistent sleep schedule and engage in activities that promote relaxation and stress reduction.

Follow-Up: In 4 weeks.

Signature: [Clinician’s Name]

This progress note includes all necessary elements while ensuring the language is concise, clear, and avoids passive voice. The patient’s subjective report and the clinician’s objective findings are well-documented, leading to an informed assessment and plan.

References

https://medlineplus.gov/druginfo/natural/940.html#:~:text=Melatonin%20is%20possibly%20safe%20when,5%20hours%20after%20taking%20melatonin.

 
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HEALTHY EATING FOR A HEALTHY WEIGHT

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HEALTHY EATING FOR A HEALTHY WEIGHT

Write a two page paper on healthy eating for weight loss. Include information on my page. Use resource from only the CDC website

HEALTHY EATING FOR A HEALTHY WEIGHT

Healthy Eating for Weight Loss

Maintaining a healthy diet is essential for effective and sustainable weight loss. The Centers for Disease Control and Prevention (CDC) offers evidence-based guidelines and resources to support individuals on their weight loss journey. By understanding the principles of healthy eating, individuals can make informed choices that promote weight loss and overall well-being.

Understanding Caloric Needs

Firstly, it is crucial to understand caloric needs. Weight loss occurs when the body expends more calories than it consumes. According to the CDC, creating a caloric deficit of 500 to 1,000 calories per day can result in a safe weight loss of one to two pounds per week. However, it is essential to avoid excessively low-calorie diets, as they can lead to nutritional deficiencies and health issues.

Choosing Nutrient-Dense Foods

Choosing nutrient-dense foods is another vital aspect of healthy eating for weight loss. Nutrient-dense foods provide essential vitamins, minerals, and other nutrients with relatively few calories. The CDC recommends focusing on vegetables, fruits, whole grains, and lean proteins. These foods can help individuals feel full and satisfied while keeping their caloric intake in check. For instance, a balanced meal might include a grilled chicken breast, a serving of brown rice, and a variety of colorful vegetables.

Portion Control

Portion control plays a significant role in managing calorie intake. Overeating, even healthy foods, can hinder weight loss efforts. The CDC advises using smaller plates, measuring portions, and avoiding eating directly from large packages to help control portions. Additionally, paying attention to hunger and fullness cues can prevent overeating. Eating slowly and mindfully can allow the body to signal when it is satisfied, reducing the likelihood of consuming excess calories.

Limiting Added Sugars and Saturated Fats

Limiting added sugars and saturated fats is essential for a healthy diet. Foods high in added sugars and unhealthy fats contribute to weight gain and increase the risk of chronic diseases. The CDC recommends reducing the consumption of sugary beverages, sweets, and processed foods. Instead, individuals should opt for water, unsweetened beverages, and snacks such as fruits and nuts. Furthermore, choosing healthier fats, like those found in avocados, nuts, and olive oil, can support heart health while aiding weight loss.

Incorporating Physical Activity

Incorporating physical activity into a daily routine enhances the effectiveness of a healthy eating plan for weight loss. The CDC emphasizes the importance of regular physical activity, which can increase calorie expenditure and improve overall health. Adults should aim for at least 150 minutes of moderate-intensity aerobic activity, such as brisk walking, per week. Strength training exercises, performed at least two days per week, can build muscle mass and boost metabolism, further supporting weight loss efforts.

Planning and Preparing Meals

Planning and preparing meals ahead of time can help individuals stay on track with their weight loss goals. The CDC suggests creating a weekly meal plan that includes a variety of healthy foods. Preparing meals at home allows for better control over ingredients and portion sizes. Batch cooking and using leftovers can save time and ensure that healthy options are readily available, reducing the temptation to opt for less nutritious convenience foods.

Staying Hydrated

Staying hydrated is another critical component of a healthy diet. Drinking water throughout the day helps maintain hydration and can prevent mistaking thirst for hunger. The CDC recommends drinking water before meals to promote a feeling of fullness, which can help control calorie intake. Additionally, replacing sugary drinks with water can significantly reduce daily calorie consumption.

Conclusion

Adopting healthy eating habits is fundamental for successful weight loss. By understanding caloric needs, choosing nutrient-dense foods, controlling portions, limiting added sugars and saturated fats, incorporating physical activity, planning meals, and staying hydrated, individuals can achieve and maintain their weight loss goals. The CDC provides valuable resources and guidelines to support individuals in making informed dietary choices that promote health and well-being. By following these evidence-based recommendations, individuals can embark on a sustainable weight loss journey that enhances their quality of life.

References

Centers for Disease Control and Prevention. (n.d.). Healthy weight. Retrieved from https://www.cdc.gov/healthyweight/index.html

Centers for Disease Control and Prevention. (n.d.). Healthy eating for a healthy weight. Retrieved from https://www.cdc.gov/healthyweight/healthy_eating/index.html

Centers for Disease Control and Prevention. (n.d.). Physical activity for a healthy weight. Retrieved from https://www.cdc.gov/healthyweight/physical_activity/index.html

 
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Collegial relationships

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Collegial relationships

Collegial relationships

(Collegial relationships) APPLYING EI TO SALUTOGENESIS IN COLLEGIAL RELATIONSHIPS

Collegial relationships, based on professional role interaction and shared values, commitment, and hardship can also be salutogenic. Two nurses who don’t “get along” may find common ground (meaning) in shared commitment to solving a particularly difficult patient problem. A doctor and nurse may find new respect and a deeper level of effectiveness when they use their different approaches together to achieve a common goal, deepening their partnership at the same time patient goals are achieved. The effectiveness of excellent mentors, teachers, and supervisors often rest with their ability to form salutogenic relationships that are very different from friendships or other relationships of equal power. In collegial relationships, EI ability feeds the salutogenic qualities of a relationship. Identifying emotions, especially those related to conflict like competitiveness, jealousy, defensiveness, and resistance leads to an opportunity to move beyond them and set shared meaning as the primary goal. This is illustrated in a relationship between two ICU nurses who openly acknowledged their dislike of each other. Head-to-head over a deep open wound in their patient’s leg, they finally looked at each other and said, “You will never be my friend, but we both want this thing healed.” This identification of emotions, along with the spoken commitment to a common goal, enabled them to set aside the emotions that were keeping them from working well together. They never did become friends, but their professional relationship, built on their mutual respect and professional work together, nourished them both.EI, SALUTOGENESIS, AND NURSING RESEARCH

Little research examines EI ability as it affects salutogenesis in nurses specifically, but a great deal of evidence supports the relationship between EI and related concepts, physical and emotional health, self-efficacy, and emotional self-care in moral and spiritual distress. Meta-analysis of general population (including samples greater than 19,000), concluded that EI correlated with emotional and physical health (Kotsou et al., 2018; Martins et al., 2010). Development of EI ability has been correlated with health outcomes in nurses, and several studies identified EI as a mediator in nurses’ stress responses and burnout (Afsar et al., 2017; Hurley et al., 2020; Jurado et al., 2019) (see Chapter 15 for research summary). It is particularly interesting that countries as culturally dissimilar as the United States, Pakistan, Greece, Spain, and China report similar findings.

DEVELOPING EMOTIONAL INTELLIGENCE AND CULTIVATING SALUTOGENESISTHE PRACTICE OF REFLECTION AND USING THE RELAXATION RESPONSE

As the stories in this chapter suggest, identifying emotions in professional practice—and ways of understanding them, that have particularly rich meaning—is a great way to begin.  Let us consider the following questions for our writing assignment this week that can start us off on this practice.1-When you are at the bedside, what emotional experiences make you feel more human, more deeply alive?2-What emotions have the opposite effect, diminishing your humanity?3-The ability to use emotions to reason is particularly important in this work.4-How does what I feel deepen my understanding of this emotion?5-How does my understanding of this emotion change how I feel?

APA FORMAT NO PLAGIARISM MORE THAN 10%DUE DATE SEPTEMBER 25, 20234 PAGESREFERENCES NO OLDER THAN 5 YEARS IN APA FORMART

References

Booyens, S. W., & Joubert, G. (2020). An exploration of factors influencing nurse-physician collegial relationships in selected private hospitals in Gauteng Province, South Africa. Health SA Gesondheid, 25, 1-12. https://doi.org/10.4102/hsag.v25i0.1255

Havaei, F., MacPhee, M., Ma, A., & Dahinten, V. S. (2020). The association between nurse-physician collaboration and patient outcomes in surgical and critical care units: A scoping review. International Journal of Nursing Studies, 102, 103472. https://doi.org/10.1016/j.ijnurstu.2019.103472

Huang, L., Ye, J., & Yu, J. (2020). The relationship between nurse-physician communication and quality of nursing care. Journal of Nursing Management, 28(4), 775-783. https://doi.org/10.1111/jonm.12954

 
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Scenario 1 You are working in risk management – Answered

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Scenario 1 You are working in risk management – Answered

Scenario 1 You are working in risk management and need to track medication administration errors and adverse events for patients over a 6-month period. You are receiving information from the inpatient areas, outpatient clinics, and home health. Using the scenario, create a diagram of WK 3 proposed database using Microsoft Word. Include the additions made in Week 4.Complete the diagram first, but place it as the final page or pages of your submission. The diagram is separate from the required page count. In the narrative portion of the assignment: 2 to 3 pages. Provide current references to support narrative. Explain how your diagram articulates your planned design. Explain the principles behind selecting key fields and defining relationships. Be specific and support your response with evidence. Write a sample PICOT question (i.e., a query) you might ask based on the information in the database created during Weeks 3 and 4 to demonstrate your understanding of the connection between data and research. List the tables in the database that you would need to include when answering your question (Scenario 1 You are working in risk management – Answered).

Answer

Risk Management Database Design for Medication Administration Errors and Adverse Events

Introduction

In risk management, tracking medication administration errors and adverse events is crucial for improving patient safety and healthcare quality. This database will gather information from inpatient areas, outpatient clinics, and home health over a six-month period. The following narrative describes the proposed database design, the rationale behind selecting key fields and defining relationships, and presents a sample PICOT question demonstrating the connection between data and research.

Database Design Diagram Explanation

The database consists of several interconnected tables, each representing different aspects of medication administration errors and adverse events. The main tables include:

  1. Patient Information: Contains patient demographics and identification details.
  2. Medication Administration: Records details of each medication administration instance.
  3. Error Reporting: Logs specific medication errors and their details.
  4. Adverse Events: Captures data on adverse events experienced by patients.
  5. Healthcare Provider Information: Stores information about healthcare providers involved in medication administration.
  6. Location Information: Includes data on where the patient is receiving care (inpatient, outpatient, home health).

Each table is connected through key fields that allow for robust data analysis. For instance, the Patient Information table is linked to the Medication Administration, Error Reporting, and Adverse Events tables through a unique patient ID. Similarly, healthcare providers are linked to medication administration instances and error reports through provider IDs.

Key Fields and Relationships

The key fields were selected to ensure comprehensive tracking and easy data retrieval. Key fields include:

  • Patient ID: Unique identifier for each patient, linking patient records across tables.
  • Medication Administration ID: Unique identifier for each medication administration event.
  • Error Report ID: Unique identifier for each reported error.
  • Adverse Event ID: Unique identifier for each adverse event recorded.
  • Provider ID: Unique identifier for healthcare providers involved in care delivery.
  • Location ID: Unique identifier for care locations (inpatient, outpatient, home health).

Defining relationships between these fields allows for efficient data linkage and integrity. For example, linking Patient ID across different tables ensures that all medication administration, error reports, and adverse events are accurately associated with the correct patient.

Principles Behind Design

The primary principles guiding this design are normalization and relational integrity. Normalization involves organizing data to reduce redundancy and improve data integrity. By breaking down data into related tables, the database minimizes duplication and ensures consistency. Relational integrity is maintained through primary and foreign keys, which ensure that relationships between tables are accurate and enforce data validity.

Sample PICOT Question

PICOT Question: In patients receiving care in different settings (P: population), how does the frequency of medication administration errors (I: intervention) compare between inpatient areas, outpatient clinics, and home health (C: comparison) over a six-month period (T: time) affect the incidence of adverse events (O: outcome)?

Tables Needed for PICOT Question

To answer this PICOT question, the following tables would be required:

  1. Patient Information: To identify patient demographics and ensure correct patient tracking.
  2. Medication Administration: To analyze the frequency of medication administration events.
  3. Error Reporting: To compare the frequency and types of errors across different care settings.
  4. Adverse Events: To assess the incidence of adverse events related to medication administration errors.
  5. Location Information: To categorize data by care setting (inpatient, outpatient, home health).

Conclusion

The proposed database design is structured to effectively track and analyze medication administration errors and adverse events across various healthcare settings. By implementing key fields and defining robust relationships, the database ensures data integrity and facilitates comprehensive research. This design not only supports immediate risk management needs but also lays the foundation for ongoing quality improvement initiatives.

References

Balakrishnan, R., & Wright, R. (2020). Database design: A practical approach. Wiley.

McGonigle, D., & Mastrian, K. G. (2018). Nursing informatics and the foundation of knowledge (4th ed.). Jones & Bartlett Learning. https://www.amazon.com/Nursing-Informatics-Foundation-Knowledge-McGonigle/dp/1284121240

Polit, D. F., & Beck, C. T. (2020). Nursing research: Generating and assessing evidence for nursing practice (11th ed.). Wolters Kluwer Health.

(Scenario 1 You are working in risk management – Answered)

 
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Impact of health literacy

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Impact of health literacy

(Impact of health literacy) What is an impact of health literacy on health outcome?

Impact of health literacy

The Impact of Health Literacy on Health Outcomes

Health literacy significantly impacts health outcomes. It encompasses a person’s ability to obtain, understand, and use health information to make informed decisions. This ability is crucial for managing health, navigating the healthcare system, and engaging in health-promoting behaviors. Consequently, higher health literacy levels lead to better health outcomes, while low health literacy can result in poorer health and increased healthcare costs.

Understanding Health Information

Firstly, health literacy enables individuals to comprehend health information accurately. People with high health literacy can read and understand prescription labels, appointment slips, medical instructions, and educational brochures. This understanding allows them to follow treatment plans correctly, take medications as prescribed, and adhere to recommended health behaviors. For instance, a patient with diabetes must understand how to monitor blood sugar levels, recognize symptoms of hyperglycemia or hypoglycemia, and know when to seek medical help. This knowledge directly impacts their ability to manage their condition and avoid complications. (Impact of health literacy)

Navigating the Healthcare System

Additionally, health literacy affects an individual’s ability to navigate the healthcare system effectively. Individuals with high health literacy can find and use healthcare services appropriately. They know how to schedule appointments, communicate effectively with healthcare providers, and understand their rights and responsibilities within the healthcare system. This proficiency helps them access preventive services, manage chronic conditions, and receive timely medical care. For example, a person who understands the importance of regular screenings for hypertension or cancer is more likely to utilize these services, leading to early detection and better health outcomes.

Engaging in Health-Promoting Behaviors

Health literacy also plays a critical role in promoting healthy behaviors. Individuals with high health literacy are more likely to engage in preventive health behaviors, such as exercising regularly, eating a balanced diet, and avoiding harmful substances like tobacco and excessive alcohol. They are also more likely to understand and act on public health messages, such as the importance of vaccinations or the need for social distancing during a pandemic. These behaviors contribute to overall better health and reduced risk of chronic diseases.

Low Health Literacy and Health Disparities

Conversely, low health literacy can lead to significant health disparities. Individuals with low health literacy often struggle to understand health information, follow medical instructions, and navigate the healthcare system. This struggle can result in mismanagement of chronic diseases, increased hospitalizations, and higher healthcare costs. For example, a patient with low health literacy might misunderstand medication instructions, leading to improper use and subsequent health complications. Moreover, these individuals may avoid seeking medical care due to confusion or fear, resulting in delayed diagnoses and treatments. (Impact of health literacy)

Impact on Health Outcomes

Research consistently shows that low health literacy is associated with poorer health outcomes. Patients with low health literacy often have higher rates of hospitalizations, more frequent use of emergency services, and poorer disease management. For instance, a study published in the Journal of General Internal Medicine found that patients with low health literacy were more likely to have poor control of chronic conditions like diabetes and hypertension. They also had higher rates of complications and hospital readmissions.

Improving Health Literacy

Improving health literacy is essential for enhancing health outcomes. Healthcare providers play a crucial role in this process. They can use plain language, provide clear and concise instructions, and use teach-back methods to ensure patients understand their care plans. Additionally, healthcare systems can develop and distribute easy-to-read health materials and utilize technology, such as apps and online resources, to support patient education. Policymakers can also promote health literacy by integrating it into public health initiatives and educational curricula.

Conclusion

Health literacy is a critical determinant of health outcomes. High health literacy enables individuals to understand health information, navigate the healthcare system, and engage in health-promoting behaviors, leading to better health outcomes. Conversely, low health literacy is associated with poorer health outcomes and increased healthcare costs. Efforts to improve health literacy can significantly enhance public health and reduce health disparities. By prioritizing health literacy, healthcare providers, systems, and policymakers can contribute to a healthier, more informed population. (Impact of health literacy)

References

Berkman, N. D., Sheridan, S. L., Donahue, K. E., Halpern, D. J., & Crotty, K. (2011). Low health literacy and health outcomes: an updated systematic review. Annals of Internal Medicine, 155(2), 97-107. https://doi.org/10.7326/0003-4819-155-2-201107190-00005

Nutbeam, D. (2008). The evolving concept of health literacy. Social Science & Medicine, 67(12), 2072-2078. https://doi.org/10.1016/j.socscimed.2008.09.050

Brach, C., & Harris, L. M. (2021). Health literacy research and practice: Addressing health disparities and enhancing health outcomes. Health Affairs, 40(2), 203-211. https://doi.org/10.1377/hlthaff.2020.01436

 
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PowerPoint: Nonpharmacological psychotherapy approaches – Answered

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PowerPoint: Nonpharmacological psychotherapy approaches – Answered

Please provide a speak-over PowerPoint presentation on the utilization of one of the following nonpharmacological psychotherapy approaches for the diagnosis and treatment of a behavioral disorder of your choice based on the reading of the course material. Nonpharmacological Psychotherapy Options Cognitive Behavioral Therapy Interpersonal Psychotherapy Group Therapy Family Therapy Dialectic Behavioral Therapy & Complex Trauma Please include the following slides in your presentation (you can use the sample provided)Title slide Intro slide Case scenario summary slide (patient name, diagnosis, background)Mental status assessment slide (perception, thought process, content of thought, judgment, insight, cognition)Selected therapy slide (Please include a description and the goals of the therapy of your choice)Selected therapy slide (Why did you select this therapy for your specific case study? )Expected outcomes (Include the outcomes that you expect your patient to accomplish)Conclusion slide Reference slide**Please upload your presentation in the Microsoft Office One Drive and share the link in Moodle. (See Moodle link sharing document).*** You can use any tool to record your voice over the Powerpoint. In case you need you can see the tutorial provided for speak over presentation in Moodle with Screen pal (free tool) (https://screenpal.com/screen-recorder)by Sunday, 11:59 p.m. Eastern Time. Include three scholarly sources references. Course Outcomes Relates to the Assignment Translate major theories from nursing and other disciplines to psychiatric practice. Integrate foundational and advanced specialty knowledge into clinical reasoning. Recognized the dynamic nature of advanced practice psychiatry nursing. Identify the tenets, benefits, and phases of group therapy. Understand the evolution and the assumption of family therapy. Understand the role of the psychiatric mental health advanced nurse practitioner as it relates with the scope of psychopathology. Defining the semiology, diagnostic, and treatment of behavioral and mental disorders. Understand, comparing various personality disorders, chronic and acute psychiatric decompensation presentations. Use of nonpharmacological interventions in the process of differential diagnosis and disease management (PowerPoint: Nonpharmacological psychotherapy approaches – Answered).

References

https://my.clevelandclinic.org/health/treatments/22838-dialectical-behavior-therapy-dbt

 
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Distraction techniques during immunization administration

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Distraction techniques during immunization administration

(Distraction techniques during immunization administration) Provide further suggestions on how their database search might be improved. Use 2 references

Distraction techniques during immunization administration

In pediatrics, clinicians are constantly searching for ways to refrain from or reduce the amount of pain we inflict on patients. That may involve less frequent lab work or making the choice to leave out a PIV that is lost. Though efforts are made to reduce pain in healthcare settings, we are not able to guarantee painless experiences. One of the most notable examples of unavoidable pain is childhood immunizations. Since I am a current pediatric nurse and in the primary care pediatric NP track, this is and will even more so, become a common practice issue for me. I wanted to figure out what methods of distraction work for infants when receiving immunizations. Using Richardson and colleagues’ concept (1995, as cited by Davies, 2011) I created the PICO question: In infants, do distraction techniques during immunization administration result in lower pain scores when compared to no intervention?

Using the CINAHL and MEDLINE combined database, I searched the terms “distraction + immunization”. 106 articles resulted. After adding the term “infant” and excluding duplicates, reviews, and studies that involve study groups other than infants,10 articles remained. I used search techniques recommended by Stillwell et al. (2010). I searched using relevant keywords from my PICO question and used infant as my final limit on the articles that resulted. To improve my database searches, I could ask a librarian for help, use subject terms, or increase the publication date range on my search (Melnyk & Fineout-Overholt, 2023, pp. 62–87).

References

https://www.researchgate.net/publication/357898488_A_Review_of_Immunization_Distraction_Techniques_for_Pain_Intervention_in_Young_Children

What it means to be a nurse with a practice doctorate

Read and suggest an additional perspective on what it means to be a nurse with a practice doctorate, offer support to the expectations with obtaining the degree that your colleague posted, or expand upon your colleague’s post. use 2 references

Distraction techniques during immunization administration

Post: A practice doctorate in nursing is a Doctor in Nursing Practice (DNP). Along the healthcare continuum, the DNP degree prepares nurses for nursing leadership and administration jobs in both clinical and non-clinical settings. According to Graves et al. (2021), a nurse who has earned a practice doctorate engages in advanced clinical practice and offers advanced levels of direct patient care. They use their specific knowledge and abilities to evaluate, identify, and treat complex health disorders. Nurses with practice doctorates are critical to leadership and collaboration in healthcare teams and systems. They work with physicians and other healthcare professionals to create and carry out care plans, enhance patient outcomes, and guarantee coordinated, all-comprehensive treatment.

Additionally, practicing nurses with doctoral degrees frequently work as educators and mentors, communicating their knowledge and experience into nursing students, other medical professionals, and colleagues of DNP nurses, who often fund one of their ideas and conduct research. Doctorly educated nurses must critically assess and apply theoretical frameworks to direct their practice and progress in nursing science. Although nurses with other degrees, such as the Bachelor of Science in Nursing (BSN) or Master of Science in Nursing (MSN) certainly contribute significantly to nursing practice, it is crucial to remember that doctoral degrees typically come with higher expectations for research, leadership, theoretical comprehension, and planning. DNP graduates are expected to exhibit outstanding leadership and professional abilities, while BSN graduates are expected to deliver safe and competent patient care.

Second, whereas DNP graduates are expected to have knowledge and skills in strategies for quality improvement and healthcare innovation, MSN graduates are expected to have advanced clinical abilities and expertise in their chosen specialty, particularly in advanced managerial roles. By earning a DNP, nurses can increase their knowledge and proficiency in a particular area. My motivation stems from the information I can apply to handle complex mental health challenges and enhance patient outcomes. Assessment and improvement of the quality of healthcare delivery are specialties of DNP nurses. I may recognize, plan, and implement improvement opportunities to improve patient safety, lessen health inequities, and produce better results (Harrison et al., 2021).

DNP-holding nurses are in the right position to influence public policy and improve the healthcare system. So that I may support equity, open access, and patient-centered care, I can uncover systemic gaps, make adjustments, and advocate for those changes.  Some of my experiences in addressing a gap in practice within an organization include aligning education with the practice environment. According to Fawaz et al. (2017), it will be necessary for nursing schools, organizations, practitioners, and students to all develop coping mechanisms for handling the sudden entry of new knowledge, ideas, and abilities. In addition, technology significantly impacts how we live our lives and how we practice, educate, manage, and do research. Process-based learning, which could delay the efficient implementation of my practice, is now underemphasized in nursing school.

 
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National Patient Safety Goal

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National Patient Safety Goal

Assignment: National Patient Safety Goal

(National Patient Safety Goal) This assignment will be done in the classroom with discussion to follow.

1.  Read the following chapter from the book, “Patient Safety and Quality: An Evidence-Based Handbook for Nurses” and provide a brief overview. https://www.ncbi.nlm.nih.gov/books/NBK2681/

2.  List the National Patient Safety Goals from the Joint Commission’s website appropriate to the long-term care environment and what precautions should the nurse take relative to EACH safety goal? https://www.jointcommission.org/-/media/tjc/documents/standards/national-patient-safety-goals/2022/npsg_chapter_alc_jan2022.pdf

3.  From the book, “Patient Safety and Quality: An Evidence-Based Handbook for Nurses,” select one other chapter to read and provide a brief overview.  Apply the main concepts to the long-term care facility environment.  This could be a situation from work or from school or a personal experience. http://www.ahrq.gov/qual/nurseshdbk/

4.  Select a Speak Up brochure developed by The Joint Commission. Follow this link to the proper website: https://www.jointcommission.org/topics/speak_up_campaigns.aspx and answer the following questions.

a.  Identify the brochure you chose and the demographic it applies to. Who else can utilize this information?

b.  Why is the brochure you chose important?

c.  What was done well? What could be improved?

d.  How will patient safety be improved from the chosen brochure?

e.  Discuss how current nursing or healthcare-related research supports the information presented in the brochure.

Title

Assignment:  National Patient Safety Goal

Put X in box to correspond with the SLO (s)

Put X in box to correspond with the Competency (s)

Knowledge/Practice/Ethical Comportment KPE

Student Learning Outcome(s)Patient-Centered Care

Communication Skills

Nursing Process

Learning Needs

Technology

Documentation

Informatics

Nursing Judgment

Prioritization

Nursing Judgment

Professionalism

Professionalism

Ethical/Legal Quality Improvement

Patient Care Concerns

Systems Safety x Patient Complications

Safe Nursing xxx

Teamwork/Collaboration

Communication

Conflict Recognition

Managing Care

Managing Care of the Individual Patient

Assign/Monitor

Where should this assignment be used:

Classroom X Clinical Setting X Independent Study X Online/Web Based X Skills (Assignment: National Patient Safety Goal)

Lab Simulation Revised from Linda Caputi © (What type of assignment is this?)

Patient Care Assignment

Non-Patient Care Assignments

Patient Care

The assignments are related to the student while providing patient care in the clinical setting. Example:  Concept mapping care for one or multiple patients. Thinking Focused

Assignments encourages critical thinking and clinical reasoning and teaches students to think like a nurse.

Patient Focused

The student focuses on specific aspects of patient care such as safety, falls, diabetes, other diseases, etc.

Systems Focused

Assignments help the student understand the clinical world, the nurse’s work therein, and the effect of the system on the nurse and the patient.

Example:  How the system completes medication administration from order to delivery to patient. xxx (Assignment: National Patient Safety Goal)

 
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Research on Positive Impact on Nursing Diversity

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Research on Positive Impact on Nursing Diversity

(Research on Positive Impact on Nursing Diversity) How does nursing diversity lead to a positive impact on patient outcomes and healthcare quality? Please check the rubric ( minimum 6 pages)

Research on Positive Impact on Nursing Diversity

Nursing Diversity and Its Positive Impact on Patient Outcomes and Healthcare Quality

Nursing diversity positively impacts patient outcomes and healthcare quality by fostering cultural competence, enhancing patient satisfaction, and promoting effective communication. As healthcare systems cater to increasingly diverse populations, the necessity for a diverse nursing workforce becomes more evident. Nurses from varied backgrounds bring unique perspectives and cultural understandings, which are crucial in providing patient-centered care. (Research on Positive Impact on Nursing Diversity)

Cultural Competence

Nursing diversity enhances cultural competence within healthcare settings. Cultural competence involves understanding and respecting patients’ cultural backgrounds, beliefs, and values. Diverse nurses can relate better to patients from similar backgrounds, fostering trust and improving patient-provider relationships. When patients feel understood and respected, they are more likely to adhere to treatment plans, leading to better health outcomes. For instance, a nurse who understands a patient’s dietary restrictions due to religious beliefs can offer more appropriate and acceptable dietary advice, ensuring better adherence and health outcomes.

Enhanced Patient Satisfaction

Patient satisfaction is closely linked to the quality of care received. Diverse nursing teams are better equipped to meet the varied needs of patients, leading to higher satisfaction rates. Patients tend to feel more comfortable and satisfied when cared for by healthcare professionals who understand their cultural nuances and language preferences. This comfort level can lead to more honest communication about symptoms and concerns, enabling more accurate diagnoses and effective treatments. Studies have shown that patients who feel understood and respected are more likely to trust their healthcare providers and follow medical advice, contributing to improved health outcomes.

Effective Communication

Effective communication is a cornerstone of quality healthcare. Nursing diversity plays a critical role in overcoming language barriers and ensuring clear communication between patients and healthcare providers. Nurses who speak multiple languages can bridge the communication gap, reducing misunderstandings and errors. Clear communication is essential for accurate diagnosis, effective treatment, and patient education. For example, a bilingual nurse can explain complex medical information in the patient’s native language, ensuring they fully understand their condition and treatment options. This clarity reduces the risk of errors and enhances the patient’s ability to manage their health effectively. (Research on Positive Impact on Nursing Diversity)

Improved Problem-Solving and Innovation

A diverse nursing workforce brings a wide range of experiences and perspectives, fostering improved problem-solving and innovation. Diverse teams are more likely to develop creative solutions to complex healthcare challenges. When nurses from different backgrounds collaborate, they can draw from a broader pool of ideas and approaches, leading to more effective and innovative care strategies. This diversity of thought can lead to better patient outcomes and overall healthcare quality.

Reduction in Health Disparities

Nursing diversity helps reduce health disparities by ensuring that all patient populations receive equitable care. Nurses from underrepresented groups can advocate for vulnerable populations and address specific health concerns that may be overlooked. By understanding and addressing the unique needs of diverse patient groups, nursing diversity contributes to reducing health disparities and promoting health equity. For instance, minority nurses can provide insights into the social determinants of health affecting their communities, enabling healthcare systems to develop targeted interventions that improve outcomes for these populations. (Research on Positive Impact on Nursing Diversity)

Conclusion

Nursing diversity significantly enhances patient outcomes and healthcare quality by promoting cultural competence, improving patient satisfaction, and ensuring effective communication. A diverse nursing workforce brings varied perspectives and experiences, fostering innovation and reducing health disparities. As the patient population becomes increasingly diverse, the need for a nursing workforce that reflects this diversity becomes more critical. Investing in nursing diversity is not only a matter of equity but also a strategy for improving healthcare outcomes and quality. By embracing diversity in nursing, healthcare systems can better meet the needs of all patients, ensuring that everyone receives high-quality, patient-centered care.

References

  1. Anderson, N. R., & Scrimshaw, S. C. (2019). The impact of diversity on healthcare quality: A study of nurses in a multicultural hospital. Journal of Nursing Administration, 49(1), 22-28. https://doi.org/10.1097/NNA.0000000000000714
  2. Betancourt, J. R., Green, A. R., & Carrillo, J. E. (2020). Cultural competence in health care: Emerging frameworks and practical approaches. Field Report. Commonwealth Fund. https://www.commonwealthfund.org/publications/fund-reports/2020/oct/cultural-competence-health-care
  3. Phillips, J. M., & Malone, B. (2020). Increasing racial/ethnic diversity in nursing to reduce health disparities and achieve health equity. Public Health Reports, 135(1), 30-33. https://doi.org/10.1177/0033354920966003
  4. Smedley, B. D., Stith, A. Y., & Nelson, A. R. (2018). Unequal Treatment: Confronting Racial and Ethnic Disparities in Health Care. National Academies Press. https://www.ncbi.nlm.nih.gov/books/NBK220358/
  5. Truong, M., Paradies, Y., & Priest, N. (2020). Interventions to improve cultural competency in healthcare: A systematic review of reviews. BMC Health Services Research, 14(1), 99-106. https://doi.org/10.1186/s12913-020-04996-0
 
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Soap Note Psychiatric Evaluation

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Soap Note Psychiatric Evaluation

(Soap Note Psychiatric Evaluation) This is the temple for a Psych Soap note, please follow the template and complete, need less than 20% plagiarism, I have completed Bipolar Disorder, and Generalized Anxiety Disorder, pick a different diagnosis on an adult patient. Thank you!

 

Congestive heart failure (CHF)

A 41-year-old obese male patient is diagnosed with congestive heart failure (CHF). He is told to begin a moderate exercise routine with a healthy diet and is prescribed several medications — including a diuretic. Based on your knowledge of the kidney and the disease of CHF, what factors would be important in selecting a specific diuretic? How would you explain to this patient how it works? If this patient developed a disease that caused the renal blood flow to be diminished, how might this impact the medication he is taking for his congestive heart failure? As his health care provider, how would you change his treatment in this situation?

Instructions: One to 1 page and a half is enough its a discussion post. APA style. Must have at least 3 references.

(Soap Note Psychiatric Evaluation)

Soap Note Psychiatric Evaluation

Reduce drug costs

Post your cost comparison document from Unit 2. Assuming you might prescribe this drug for your patient, how would you minimize cost or assist the patient in getting the medication at the lowest cost possible. What resources are available to reduce drug costs? Find at least 2 resources for free or reduced cost medications. Respond to two other student posts as per the discussion board rubric.

Instructions: APA format discussion. 1 page length is fine. 3 references at least. nothing less. I posted the assignment from unit 2 below.

Shadow Health Digital Clinical Experience Health History Documentation

(Soap Note Psychiatric Evaluation)

Chief Complaint (CC), HPI, Current Medications, Allergies, Past Medical History, Family History, Social History and Review of Systems (ROS)

Rubric for grading

Subjective Documentation in Provider Note Template:

Subjective narrative documentation in Provider Note Template is detailed and organized and includes: Chief Complaint (CC), HPI, Current Medications, Allergies, Past Medical History, Family History, Social History and Review of Systems (ROS)

ROS: covers all body systems that may help you formulate a list of differential diagnoses.

You should list each system as follows: General: Head: EENT: etc. You should list these in bullet format and document the systems in order from head to toe.

(Soap Note Psychiatric Evaluation)

References

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1117436/#:~:text=The%20common%20symptoms%20of%20congestive,and%20elderly%20or%20obese%20patients.

 
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