Group Theory Mental Health Counseling

The questions for this week will come directly from the assigned workbook pages (pages 53-58). Please include the questions at the beginning of each response so that your answers are clearly delineated in your submission. 1. As a leader, how would you prepare members for the termination phase of a group? What resistance or difficulties might you expect to encounter? 2. What might you do if members of a group bring up a conflict between group members that has not been resolved? 3. During the last group session, a member says “I don’t want this group to end. I’d like to see us continue meeting as a group.” What would you be inclined to do? Why?

Pathophysiology and Nursing management of client health

Case Study: Mrs. J. It is necessary for an RN-BSN-prepared nurse to demonstrate an enhanced understanding of the pathophysiological processes of disease, the clinical manifestations and treatment protocols, and how they affect clients across the life span. Evaluate the Health History and Medical Information for Mrs. J., presented below. Based on this information, formulate a conclusion based on your evaluation, and complete the Critical Thinking Essay assignment, as instructed below. Health History and Medical Information Health History Mrs. J. is a 63-year-old married woman who has a history of hypertension, chronic heart failure, and chronic obstructive pulmonary disease (COPD). Despite requiring 2L of oxygen/nasal cannula at home during activity, she continues to smoke two packs of cigarettes a day and has done so for 40 years. Three days ago, she had sudden onset of flu-like symptoms including fever, productive cough, nausea, and malaise. Over the past 3 days, she has been unable to perform ADLs and has required assistance in walking short distances. She has not taken her antihypertensive medications or medications to control her heart failure for 3 days. Today, she has been admitted to the hospital ICU with acute decompensated heart failure and acute exacerbation of COPD. Subjective Data Is very anxious and asks whether she is going to die. Denies pain but says she feels like she cannot get enough air. Says her heart feels like it is “running away.” Reports that she is exhausted and cannot eat or drink by herself. Objective Data Height 175 cm; Weight 95.5kg. Vital signs: T 37.6C, HR 118 and irregular, RR 34, BP 90/58. Cardiovascular: Distant S1, S2, S3 present; PMI at sixth ICS and faint: all peripheral pulses are 1+; bilateral jugular vein distention; initial cardiac monitoring indicates a ventricular rate of 132 and atrial fibrillation. Respiratory: Pulmonary crackles; decreased breath sounds right lower lobe; coughing frothy blood-tinged sputum; SpO2 82%. Gastrointestinal: BS present: hepatomegaly 4cm below costal margin. Intervention The following medications administered through drug therapy control her symptoms: IV furosemide (Lasix) Enalapril (Vasotec) Metoprolol (Lopressor) IV morphine sulphate (Morphine) Inhaled short-acting bronchodilator (ProAir HFA) Inhaled corticosteroid (Flovent HFA) Oxygen delivered at 2L/ NC Critical Thinking Essay In 750-1,000 words, critically evaluate Mrs. J.’s situation. Include the following: Describe the clinical manifestations present in Mrs. J. Discuss whether the nursing interventions at the time of her admissions were appropriate for Mrs. J. and explain the rationale for each of the medications listed. Describe four cardiovascular conditions that may lead to heart failure and what can be done in the form of medical/nursing interventions to prevent the development of heart failure in each condition. Taking into consideration the fact that most mature adults take at least six prescription medications, discuss four nursing interventions that can help prevent problems caused by multiple drug interactions in older patients. Provide a rationale for each of the interventions you recommend. Provide a health promotion and restoration teaching plan for Mrs. J., including multidisciplinary resources for rehabilitation and any modifications that may be needed. Explain how the rehabilitation resources and modifications will assist the patients’ transition to independence. Describe a method for providing education for Mrs. J. regarding medications that need to be maintained to prevent future hospital admission. Provide rationale. Outline COPD triggers that can increase exacerbation frequency, resulting in return visits. Considering Mrs. J.’s current and long-term tobacco use, discuss what options for smoking cessation should be offered. You are required to cite to a minimum of two sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and relevant to nursing practice. Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required. This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

Disorders of Blood Pressure Regulation

Description

A 56-year-old patient with newly diagnosed stage I hypertension has been referred to you for counseling regarding lifestyle modifications.

He is married with four children; two in high school, two in college. His job as a senior vice-president for a major retail chain requires that he work long hours and frequently eat at restaurants. He smokes two packs of cigarettes a day, has a body mass index (BMI) of 29 kg/m2, and a waist–hip ratio of 1.6.

He usually drinks one to two dry martinis to relax after he gets home from work. In your initial post answer the following questions: How would you develop a realistic plan to help this patient reduce his blood pressure and prevent complications? Which risk factors would be among your top two or three priorities for this patient, and what interventions or recommendations would you provide for  modifying these?

Case Study – Systemic Lupus Erythematosus

Case Study – Systemic Lupus Erythematosus

Michelle is a 40-year-old teacher who was recently diagnosed with Lupus Erythematosus.

The disease has attached her GI tract. One week ago she endured a bowel resection and ostomy placement after high doses of steroids failed to control her autoimmune response. She is presently crying because she hates the ostomy, hates the steroid effects, is afraid of losing her job, and she just doesn’t feel well. She is nauseated and has cold symptoms. This morning her glucose level was 324, her white count was 15,000, her temperature is 100.8, and her incision is “red and sore.” Her medications include: • Solu-Medrol IV 40mg BID • Hydroxychloroquine PO 150 mg twice a day • Vicodin ES PO 1 tablet every six hours for moderate pain PRN • Acetaminophen PO 650mg every 4 hours PRN for mild pain or temp > 100.5 Assignment: 1. Name three nursing priorities, and why? 2. List a short-term (during shift) and a long-term (within one week) SMART goal for the patient? 3. What are the classification, action, and therapeutic effects (reason) for solu-medrol, hydroxychloroquine, and acetaminophen? 4. List drug interactions or contraindications to be concerned about for solu-medrol, hydroxychloroquine, and acetaminophen? 5. What adverse effects/side effects does the nurse need to monitor for solu-medrol, hydroxychloroquine, and acetaminophen? 6. Because of the temperature of 100.8, you administer 650mg of acetaminophen. Two hours later Michelle asks for a Vicodin, how would you respond? 7. Michelle asks if you can stop giving her the solu-medrol, why is this not an ideal course of action?

The Blum Model

Description

The Blum Model

After completing the lecture and reading assignments, compose a well- written response paper to the following question: The Blum Model points to four key determinants of health. Select at least one of these determinants and discuss the implications for the Christian health administrator. o Requirements: Do not use the question in the response. Papers must include a substantive elaboration on the topic as well as support from scripture.

Explain how health care reform has helped shift the focus from a disease-oriented health care system to one of wellness and prevention

Explain how health care reform has helped shift the focus from a disease-oriented health care system to one of wellness and prevention. Discuss ways in which health care will continue this trend and explain the role of nursing in supporting and facilitating this shift. In replies to peers, provide three example of wellness and prevention initiatives your organization or specialty area has in place.

Matching Theory to Client Intervention Paper

Matching Theory to Client Intervention Paper:

Paper details Matching Theory Case Study Unsettling Transition Mrs. Elizabeth Cuthbert is an 81 year old Caucasian woman. She has been diagnosed with syncope (fainting spells), hypertension, and chronic obstructive pulmonary disease. For the last four months she has resided in a nursing facility and receives skilled nursing services. Mrs. Cuthbert’s move to the facility occurred as a result of repeated syncope and falls. Her condition has been exacerbated by the recent development of a foot drop, a weakening of the structures in her ankle that allows the foot to dangle when walking. This ailment has increased her risk of falling. Mrs.Cuthbert has been fitted with an ankle foot orthosis (AFO) and provided with a walker, but she claims these aids make her feel “weak.” Mrs. Cuthburt receives physical therapy for her balance and occupational therapy for her tasks of daily living. Her discharge plan involves placement in an assisted living apartment once she has developed the safety and ambulation skills that will allow her to live without constant monitoring. Mrs.Cuthbert’s medications for the last six months include therapeutic aspirin, blood pressure medication,and Tylenol for pain relief from her fall and osteoarthritis.

She is compliant with her medications. Mrs.Cuthbert was widowed 20 years ago and has lived alone in her home of 35 years since that time. Her immediate family includes two adult children, who live in the area, and three grandchildren, who visit and send her letters. Family members visit frequently, at least twice a week. Mrs.Cuthbert Expresses a negative attitude toward the aged in comments during unrelated discussions. For instance, when the social worker intern first met her, she cast aspersions on an“old dog” who lived in the unit, and then went on to make negative comments about her own appearance, saying she looked like “an old hag.” She received the social workers supportive comments positively, but the change in attitude appears transitory. The results of a mini-mental status examination conducted on Mrs.Cuthbert indicated that she was aware of person, time, and place. Mrs.Cuthbert was also evaluated using a mood scale to determine her risk for depression. She scored 7 out of 15 (a score higher than 5 is indicative of depression). Her response to the mood-scale questions revealed feelings of worthlessness, low energy, insomnia, and diminished interest in pleasurable activities. Mrs. Cuthbert evidences no symptoms of mania. Mrs.Cuthbert is undergoing significant change in her social support system as a result of her move to the nursing facility. She no longer has the neighbors whom she visited each day as she went about retrieving her newspaper, checking on her garden, and watering her outdoor plants. She has lost the use of her car and feels that she should give up driving permanently to prevent possible accidents. She also no longer has the option of walking to her place of worship because of her current condition. An additional problem for Mrs.Cuthbert is her reluctance to make safety changes that will allow her to move to an assisted living apartment in a nearby community where several lifelong friends reside. She has been very reluctant to adopt the walker or the AFO and has been refusing the majority of her physical and occupational therapy treatments because she is “tired.” During her care plan meeting, Mrs. Cuthbert expressed surprise that the entire interdisciplinary team had gathered to discuss her case with her and her family. She asked, “Why are all of you interested in me?” She stated that she wanted to move to assisted living because she would be able to visit with her friends there once she did so. When told that she could not move until she addressed the safety and ambulation deficits she is experiencing, she expressed interest in cooperating with the various therapists and counselors. According to Mrs. Cuthbert’s daughter, Barbara, until her current health problems and the move to the nursing facility, her mother was a relatively contented person. She crocheted,enjoyed crossword puzzles, called on friends, assisted two shut-ins whom she has known for years, and had her grandchildren over for weekend visits. Since her admission to the nursing home, it has become difficult for Mrs. Cuthbert to accomplish several of her old activities, and simply not feasible to continue others. However, she has also discontinued the activities that were appropriate for her while at the nursing home, except for doing crossword puzzles. Barbara noted that her mother was not interested in going out for meals as she had been before fall. Her daughter speculated that her mother might not want to be seen in public with the AFO and walker, but noted that she also refused take-out meals offered as well. When asked, Barbara was unaware of any history of mood disorders or other mental illness in her mother’s background, but said that her mother wouldn’t typically speak of such things anyway. Mrs. Cuthbert financial situation is sound. She owns her own house and collects pensions from both her own employment as a secretary and her husband’s work.

PICOT Question In hospitalized adult patients is hand washing with soap and water

PICOT Question In hospitalized adult patients is hand washing with soap and water
Topic: PICOT question: In hospitalized adult patients is hand washing with soap and water or the use of alcohol-based hand sanitizer more effective in preventing Hospital Acquired Infection HAI compared to no hand washing at all during their course of hospital

 

Paper details:

Critically appraise a minimum of 14 peer-reviewed articles meeting your PICOT question search strategy. Complete the appraisal using an appropriate critical appraisal checklist. Submit your completed checklists to Canvas’ assignment manager. Sources should be between 2015-2019

Treat Montresor of A Cask of Amontillado from a psychoanalytical perspective

Treat Montresor of “A Cask of Amontillado” from a psychoanalytical perspective and at least 750 words. Discuss what a psychoanalyst might find wrong with him. What treatment methods might be used to improve his condition. The sources cant be anonymous. They must have authors who are qualified to analyze literature. Refrain from using a three-point thesis. Make your thesis statement original and forceful, but do not offer your main essay points in it.

 

Treat Montresor of “A Cask of Amontillado” from a psychoanalytical perspective and at least 750 words. Discuss what a psychoanalyst might find wrong with him. What treatment methods might be used to improve his condition.

 

Use parenthetical documentation to cite the sources in your essay and create a “Sources Cited” section following the essay. In other words, use MLA style.

All4You! PROGRAM EVALUATION

Description According to the U.S. Health and Human Services, their program All4You! “is designed to reduce the number of students who have unprotected sexual intercourse, which is associated with increased risk of HIV, other sexually transmitted infections (STIs), and unplanned pregnancy.

The program also aims to change key determinants related to sexual risk taking, such as attitudes, beliefs, and perceived norms. The All4You! program has two primary instructional components—a skills-based HIV, other STD and pregnancy prevention curriculum and service- learning visits in the community—that are integrated and delivered as a 14-session program (about 26 hours total).

The target audience for All4You! includes students in alternative high school settings, who are ages 14 to 18.” In this Application assignment, you should review the general resources on program evaluation in this week’s Assignment folder and All4You! Reports. ALL4YOU! A RANDOMIZED TRIAL OF AN HIV, OTHER STDs, AND PREGNANCY PREVENTION INTERVENTION FOR ALTERNATIVE SCHOOL STUDENTS Karin K. Coyle, Douglas B. Kirby, Leah E. Robin, Stephen W. Banspach, Elizabeth Baumler, and Jill R. Glassman. PREGNANCY PREVENTION INTERVENTION IMPLEMENTATION REPORT Program Name: All4You! Developers: Karin K. Coyle, PhD; Douglas B. Kirby, PhD; Leah E. Robin, PhD; Stephen W. Banspach, PhD; Elizabeth Baumler, PhD; and Jill R. Glassman, PhD Then please answer each of the questions below using complete sentences with evidence and arguments – not just one or two short phrases.

1. Which type(s) of program evaluation models were used in assessing the program? Explain your choice, referring to the guides provided this week. a. Begin by defining what a program evaluation model is and what types you have seen in the week’s readings. After that, make an argument for which program evaluation model was used in the All4You program evaluation included in the week’s readings.

2. The evaluators made the decision to incorporate self-report questionnaires as important data collection tools. Why do you think they selected this approach? What are specific advantages and disadvantages of this strategy?

3. What are some of the strengths of the evaluation? What do you see as some of the limitations? Why? 4. Evaluate the part of the evaluation that was conducted as a research project. This requires reading the file Report2_All4You_Evaluation_Study.pdf which is included in the assignment materials. How confident can you be of the results reported?