The community mental health nurse Care Programme Approach

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This is a paper that is focusing on the community mental health nurse Care Programme Approach. The paper also contains various questions in the attachment to further answer the assignment.

The community mental health nurse Care Programme Approach

Question 1
Following a Care Programme Approach meeting, a community mental health nurse (CMHN) trained in smoking cessation visited Jane and her mum at home to discuss Jane’s health needs.  Jane agreed to attend her GP surgery to have her diabetes and chronic obstructive pulmonary disease reviewed, and to discuss her weight and smoking. The CMHN was aware that Jane was taking an antipsychotic treatment (Olanzapine) for a diagnosis of Schizophrenia. Which has weight gaining properties, but acknowledged to Jane that she didn’t know much else about the impact Olanzapine might have on Jane’s physical health.  Jane wanted to stop smoking too. However, was worried that doing so might make her put weight on (she heard this from one of her friends).

At the GP appointment, Jane was told that her body mass index and blood pressure were above the recommended guidelines and he informed her that both problems are likely to be caused by her diet and her smoking.  The GP has suggested that Jane would benefit from joining the local Stop Smoking Group.

Following her appointment with the GP, tells the CMHN that she wants to prioritise losing weight over stopping smoking. Jane also tells the CMHN that she does not want to attend the local National Health Service Stop Smoking Group. She is too embarrass about her weight and is afraid to go.  It’s Jane’s 60th birthday in 5 months’ time and she says that she would like to lose 2 stone and stop smoking by then; she’d also like to know more about the factors that have an impact on her physical health.  She says she is in preparation to do some exercise to lose weight but does not know where to begin.  Jane’s mum has said she would like to help Jane reach her goals too. The CMHN has agreed to visit Jane weekly to monitor her overall physical and mental health. Also, help her lose weight and stop smoking.

Question 1
(a)         Using the template provided formulate a care plan to manage two of Jane’s current challenges. (10 marks)
PLEASE NOTE: the wordage used in your care plan do not count towards the word allowance for answering this question.

Using the breadth of learning from this module:

Discuss and analyse the potential impact of the two care plans for Jane’s health and wellbeing you have written, with reference to holistic and evidenced based care.

Case Study – Kidney Transplant

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Paper details Case Study – Kidney Transplant

E.M is a 24-year-old female that had a kidney transplant six months ago. She is currently taking cyclosporine, mycophenolate, and prednisone.

She comes to the emergency room at the request of the transplant coordinator with body aches, chills, and severe headache. The assessment and laboratory data noted the following: • T-101.9°F – HR 120 – RR 24, BP 195/100, SPO2 98% RA • Bilateral 1+ edema noted in the ankles • Pain and tenderness when palpating around the kidneys • WBC 2,500 • She has not urinated in 12 hours. She is diagnosed with acute organ rejection and transferred to the transplant unit and started on Antithymocyte globulin (rabbit) and high dose steroids. [McCuistion, L.E., Vuljoin-DiMaggio, K., Winton, M.B., and Yeager, J.J., (2018). Pharmacology A Patient-Centered Nursing Approach (9 ed.) St. Louis, MO: Elsevier.] Assignment: 1. Write two nursing diagnoses with related to and as evident by statements (Only one may be at risk for)? 2. Write a short-term (during shift) and a long-term (before discharge) SMART goal for the patient? 3. What is the action for cyclosporine, mycophenolate, and Antithymocyte globulin (rabbit)? 4. Why does E.M require cyclosporine, mycophenolate, and prednisone? 5. What significant side effects/adverse effects are possible with cyclosporine, mycophenolate, and Antithymocyte globulin (rabbit)? 6. In addition to the physician and nurse, name five other professions that should be involved in M.J.’s care and why? 7. Name some advantages and problems with interdisciplinary teams?

Apply the principles of the Quality Use of Medicines framework to a patient

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Apply the principles of the Quality Use of Medicines framework to a patient scenario.

Paper details Dear writer,

This paper about applying the principles of the Quality Use of Medicines framework to a patient scenario.

I’m not satisfied about the content of this assignment and the way paragraphs divided, the way the paper was written was in wrong direction and i will explain that. when I ordered revision, the writer fix some parts and left the rest. I will try as I can to make clear instructions about the problem that may help you to fix this work. just to be clear we have: – patient scenario – assignment 1 about pharmacokinetics and pharmacodynamic. – assignment 2 which current paper about applying the principles of the Quality Use of Medicines framework to a patient scenario. 1- this assignment 2 based on two previous papers, first we wrote patient scenario and then the second work based on the patient scenario and the medications that he used, I wrote about the pharmacokinetics and pharmacodynamic of medications (assignment 1). current paper supposed to be built on assignment 1, so I will attach the three works, and after you read them you will have clear idea about what you are dealing with. 2- Please read the patient scenario and assignment 1, you will find the main problem is old patient who have type 2 diabetic and other associated diseases. The case scenario is about specific problem which is possible to happen in diabetic patient (if any diabetic patient takes the diabetic medication without eating before can face hypoglycemia and some time lead to coma if the condition is critical. so, since this current paper should build on previous works, it should be in the same scope or problem. in another word, if we need to write about the four diseases in the patient ( diabetes mulitas, asthma, rheumatoid arthritis transient ischemic attack (TIA) and the patient’s medications that have been discussed in assignment 1 to apply the principles of the Quality Use of Medicines framework to a patient scenario. we need to keep the same direction of the main problem (hypoglycemia) and then we write about the rest problems. for example, when we write about diabetic type 2 in elderly, we should write about hypoglycemia in this case and even in last two important parts in this paper (Strategies for Medical Education of Patients Based on Ethical and Socio-Cultural Aspects, and Recommendations for Further Research). if you read this part you will find it in general and there was no mention or focus on the main problem.

Dialectical behavior therapy as treatment for borderline personality disorder

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Topic Clare is brought to the ER after slashing her wrist with a razor. She had previously been in the ER for drug overdose and has history of addictions. She can be sarcastic, belittling and aggressive to those who try to care for her. She has a history of difficulty with interpersonal relationships at her job. Clare is diagnosed with borderline personality disorder. First, identify the defense mechanisms Clare is using, and second,discuss the various dialectical behavioral activities that can be utilzed with Clare.

Nursing Leadership and Management.

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Description 1. Why is the subject of workplace health and safety of concern to nurses? How are these concepts related to patient safety and patient outcomes? 2. What action is suggested when you are faced with an angry or hostile coworker? 3. Why is substance misuse among nurses a serious concern? What is the most appropriate way to handle a suspicion that a coworker may be involved in serious substance misuse? 4. What is the most common physical injury experienced by LPNs and nursing assistants? How can a nurse manager help staff avoid physical injury at work? 5. Describe several examples of sexual harassment in the workplace. Discuss methods of dealing with these instances. 6. Review the policies and procedures on the following safety issues in your current clinical rotation. Compare with other students in the class. What are the similarities and differences? What might this mean in terms of workplace safety? • Latex allergies • Needlestick injuries • Violence 3. Go to the ANA website and explore the sections on workplace and patient safety under the heading “Professional Nursing Practice.” Which concepts discussed in these sections are particularly important to the beginning RN? Why? 4. Interview one of the staff nurses on your unit. Explore his or her feelings and concerns related to the following topics. Based on the comments, develop strategies to address the concerns. • Substance abuse among nurses • Emergency preparation • Quality of work life within the organization

Describe a health promotion model used to initiate behavioral changes

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Description

Describe a health promotion model used to initiate behavioral changes. How does this model help in teaching behavioral changes? What are some of the barriers that affect a patient’s ability to learn? How does a patient’s readiness to learn, or readiness to change, affect learning outcomes?See attached for material. This is not an essay but just an answer to a question. I will copy and paste what you write to an online school website. References needs to be APA. Please use attached as a 1 of the sources.

Patient Management and Delegation

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Use the grading rubric to create an outline of your assignment. Each section of the rubric should be a section of your final paper and could become the headings. Your assignment will be graded based on each element of the rubric. Compare each section of your paper with the rubric to ensure all elements are covered. Then, include an introduction and conclusion to tie the paper together. If you have any questions regarding the assignment please contact your instructor using the Course Help forum. Grading Rubric Competency 20 Points 16 Points 12 Points 0 Points Points Earned Reflection Reflects on feelings experienced as the charge nurse related to delegation and caseload management. Describes feelings experienced as the charge nurse related to delegation and caseload management. List feelings experienced as the charge nurse related to delegation or caseload management. . Does not complete assignment. /20 Summarize Summarizes the change nurse responsibilities. Discusses two charge nurse responsibilities. Names three or details one charge nurse responsibility Does not complete assignment. 20 Reflection Reflects on correct and incorrect decisions and responses; considers changes to make if repeating module. Reflects on correct and incorrect decisions and responses OR considers changes to make if repeating module Briefly lists correct and incorrect decisions and responses OR lists changes to make if repeating module Does not complete assignment. 20 Competency 30 Points 25 Points 15 Points 0 Points Application to Practice Reflects on 3 or more experiences can be applied to practice. Reflects on how the 2 of the experiences can be applied to practice. Reflects on how the 1of the experiences can be applied to practice. Does not complete assignment. /30 Competency 7 Points 4 Points 2 Points 0 points Points Earned Format Organization is logical, ideas are clear, and transitions are smooth. Spelling, grammar, punctuation, mechanics and usage correct and consistent with Standard American English. No typographical errors For Powerpoint, Bulleted points only, no paragraphs to read Augments all information with voice Organization good, ideas usually clear and transitions usually smooth. Spelling, grammar, punctuation, mechanics, and usage good and consistent with Standard American English; errors do not interfere with meaning or understanding. There are a few minor typographical errors For Powerpoint, Usually applies bulleted points. Briefly augments information with voice Organization does not meet requirements. Spelling, grammar, punctuation, mechanics and/or usage interfere with understanding and do not reflect scholarly writing. There are major typographical errors. For Powerpoint, rarely applies bulleted point Rarely augments with voice Does not complete assignment. No audio included /7 Competency 3 Points 2 Points 1 Point 0 points APA Format Demonstrates competent use of mechanics and APA Minimal APA errors Many APA errors Complete lack of understanding

Nursing diagnosis

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From the move ” good will hunting”by Robin William an Matt Damon > give 3 nursing diagnosis with 3 parts(nursing diagnosis, related factors and evidence by) > cite few subjective and objective data to support the nursing diagnoses. >Give the summary of the movie with emphasis to criticism of therapist communication techniques, communication blocks/pitfalls by therapist and strength, weaknesses of the therapy session and as a nurse how do you think you can apply the therapeutic communication you have learned in the movie to nursing in general.

How effective are smoking cessation interventions delivered by nurses

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1. Introduction to paper is clear and concise. A thesis statement identifies topic, purpose and scope of paper. 2. Review of literature identifies main issue. Impact/importance of topic is addressed for nurses/patients/profession as applicable. Each view point is clearly explained and supported. 3. Conclusion of paper summarizes main point discussed in the paper and brings the discussion to a close. 4. Basic APA format is used with title page and references list. running head in proper format and location, spacing, page numbers paragraph indents are correctly implemented. 5. in text cites are correctly formatted, including up to 2 direct qoutes. 6 use at least 3-4 .Sources. Sources cannot be no more than 5 years old. use reputable sources (articles, journals, etc….

E-PRESCRIPTIONS TECHNOLOGY AND S.T.E.E.E.P principles IN NURSING

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INSTRUCTIONS. THE PAPER MUST ADDRESS AND DEVELOP THE FOLLOWING ASPECTS: 1. E-PRESCRIPTIONS. Describe this technology or technological process used in the healthcare setting that lends itself to the S.T.E.E.E.P principles. (2 pages). A. Describe specifically how the selected technology contributes to meeting any or all of the STEEEP Principles. (Transcript length: 2 pages) B. Describe ONE negative impact/implication this technology or process has on nursing practice. ( length: 2 pages) C. Develop a comprehensive evidence-based solution (intervention/process) for reducing this negative impact and provide a thorough description of this proposed solution. (length: 2 pages) D. Include a description of how the effects/outcomes of the proposed solution might be evaluated/measured for success. (length: 2 pages) E. 3 REFERENCES ( LAST 3 YEARS) [Total suggested transcript length: 10 pages] Transcript should be prepared using APA style.