AMA journal

 Choose a case from the AMA Journal of Ethics Case Index and take a position. For this assignment you will evaluate the ethical arguments for or against the issue. Identify the potential legal arguments (consider current federal guidelines), indicate any potential professional code conflicts you foresee, and support your position with an explanation of your own ethical/moral foundation.

In your 3 pages paper:

  • Identify the issue and state your ethical position.
  • How might this scenario play out or impact you in your role as a nurse practitioner? 
  • Defend your position with legal, ethical, and professional evidence.
  • As part of your position, propose strategies and solutions for addressing the issues.
  • What other ethical issues does this case bring to light, if any?

Post- Tania

 Respond to  your  colleagues by recommending strategies to overcome the challenges your  colleagues have identified. Support your recommendation with  evidence-based literature and/or your own experiences with clients. 

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Cognitive  behavior therapy involves talk therapy and has proven to be an  effective approach to deal with various issues related to for example  mental issues. Cognitive behavior therapy is different in group and  family settings. In groups, more than one patient is involved for  treatment and they usually not related (Fehr, 2014). Group  psychotherapy helps people who would like to improve their ability to  cope with problems. While in individual therapy the therapist meets with  only the patients and families, in group therapy the meeting is with a  whole group and one or more therapists. Group therapy helps people learn  about themselves and improve their interpersonal relationships.  In such context various therapeutic factors are offered which include  the development of socialization techniques, imparting information,  altruism, imitative behavior, universality, instillation of hope, among  others. The therapy is effective in addressing such issues as  depression, obesity, panic, work in specific populations, and eating  disorders. However, cooperation becomes an issue and the individuals may  quit. In family settings, individuals that are closely related come  together for treatment and support (Dattilio, & Epstein, 2016). This  may involve the family members supporting. In search context  communication skill and collaboration becomes effective. Also,  confidence is built while at the same time improving cohesion and  support. 

An  example of group therapy was seen when a group of people with different  goals and issues came together for training and the approaches used  were different from those in family settings. Group therapy can benefit  many different people, from those having difficulties with interpersonal  relationships as adolescents with self-esteem problem and depression,  for example, group therapy teaches socialization skills needed to help  function in environments outside the home. Several teens slide into  isolation and loneliness due to their emotional and social issues. Group  therapy activities are designed to help them realize that they are not  alone in facing these challenges. Besides, it helps them realize the  value of emotional support that facilitates healing. Mindful speaking is  a great therapeutic activity that focuses on communication and  mindfulness in participants. These two skills are essential for the  management of emotions in teens. This activity allows team members to  know each other’s strengths and ways to inculcate them. Positive  responses from each other will also help them heal. Another example is  seen from a single parent who supported his son who had a separation  anxiety disorder. through the proper training of the boy and the parent,  they obtained positive outcomes.

Some  of the challenges that may be encountered include lack of cohesion due  to limited engagement and even collaboration. This challenge is often  common in most group therapies due to differences among the members and  leadership related issues. There is also the difficulty in meeting the  intended goals due to the complexity of schedules and the issues to be  addressed. This is associated with time clashes among the individuals  and the varying degrees of issues among the individuals.  An example was  seen when a 21 male participant refused to engage in a group session  because he did not feel safe sharing any information with other  strangers. This further resulted in extending the session as more time  was spent in trying to make the participant more comfortable.  Group  therapy offers the opportunity to both receive support from others and  to give support to others. Both of these notions are important in  treatment. Receiving support from others is part of the bonding or  therapeutic alliance that occurs in groups, whereas giving support to  others allows for growth and learning.Group therapy provides a broad safety net for individuals who may otherwise be hesitant to discuss their feelings.

 

     

                                            References 

Dattilio, F. M., & Epstein, N. B. (2016). The cognitive-behavioral couple and family therapy.

Fehr, S. S. (2014). Introduction to group therapy: A practical guide (2nd ed.). Routledge.

Sage  publishing. (2020). Case studies | Online resources. Retrieved from  https://study.sagepub.com/cac7/student-resources/chapter-6/case-studies

Scheid  linger, S. (1955). The concept of identification in group  psychotherapy. American Journal of Group Psychotherapy, 9, 661-672.

post-Jean

 Respond to  your  colleagues by recommending strategies  to overcome the challenges your  colleagues have identified. Support  your recommendation with  evidence-based literature and/or your own  experiences with clients. 

                                              Main Post

 

Cognitive-behavioral therapy is a relevant  psychotherapeutic process that is reliably used due to its easy  implementation and consistency in both group settings as well as in  family settings. The utilization of CBT in a group is beneficial and  effectively improve the individual’s quality of life, healthy  functioning and better social functioning of individual with depressive  symptoms (Zhang, Jing, Qinyu, Zhenghui, & Yindi, 2016). Group CBT  mitigate depressive symptoms and the related behavioral damage by  backing the conflicts of absurd cognition and giving the individual from  the group with the competencies required to transform their illogical  cognitions. According to Piacentini, et al., (2011) cognitive-behavioral  therapy in a family setting is effective in reducing the severity of  symptoms and functional damage to the patient. Use of  cognitive-behavioral therapy in family integrate cognitive strategies  and behaviorism and implement them to the family system. Due to the  regular development and flexibility, cognitive behavioral therapy in the  family is able to emphasize a number of challenges, from highlighting  changes within individuals in families to changes family cooperation  styles. There are several evidence articles which indicates that in the  background of specific psychosocial comorbidities and improvement in the  management of the psychological disease is effectively accomplished  through addressing by the interventions (Magidson & Weisberg,  2014).  Family and group cognitive-behavioral therapies both have  effective in the treatment of anxiety among individuals but group  behavioral therapy is consuming more time but cost-effective as compared  to other psychotherapies for changing positive behavior, mitigate  depression and anxiety among young students. Interventions of CBT in a  group is effective for individual students with behavioral issues,  depression, and anxiety (Eiraldi, et al., 2016).

During my practicum experience, I have  observed the effectiveness of both family and group CBT. In Family CBT  therapist or counselor made few observations. Firstly, the counselor  gently inquired about the depression of young individual students and  then asked the parents of students about their academic and social  activities. Inquiry and communication both help in the implementation of  CBT strategies to counter depression and anxiety among young students  and improve the relationship of the depressed young individual with all  family members. The CBT in group occurred two to three times in a week  for the group of young students with depression, anxiety, and behavioral  problems which impact their performance. Several sessions had been  carried out with students in which they talked about their experiences,  feelings, and fears, then counselor introduced the CBT strategy to  develop positive behavior and end CBT group session with future  assignments delivered to them which was useful in modifying positive  behavior and anxiety. In this study of CBT in a group for students,  counselor divide interventions into two categories first, for the  assessment and modification of an individual’s behavioral pattern  within-group and second, evaluate and adapt distorted and extreme  depression and anxiety. According to Eiraldi, et al., (2016) CPP is the  most effective CBT strategy adopt by counselors to mitigate depression,  anxiety, and behavioral issues among individuals. CPP is focused on  relaxation and social skills training, awareness to students about  problem-solving and emotional control. Communication and long-time  connectivity with their young students as clients are the two important  challenges identified in group CBT which influence on the effective  implementation of CBT techniques.

                                            

                                           References

Eiraldi, R.,  Power, T. J., Schwartz, B. S., Keiffer, J. N., McCurdy, B. L., Mathen,  M., & Jawad, A. F. (2016). Examining effectiveness of group  cognitive-behavioral therapy for externalizing and internalizing  disorders in urban schools. Behavior Modification, 40(4), 611-39.

Magidson, J. F., & Weisberg, R. B. (2014). Implementing cognitive behavioral therapy in specialty medical settings. Cognitive Behavioural Practice, 24(4), 367-71.

Piacentini, J.,  Bergman, R. L., Chang, S., Langley, A., Peris, T., Wood, J. J., &  McCracken, J. (2011). Controlled comparison of family cognitive  behavioral therapy and psychoeducation/relaxation training for child  obsessive-compulsive disorder. Journal of the American Academy of Child & Adolescent Psychiatry, 50(11), 1149-1161.

Zhang, B. X.,  Jing, Z. H., Qinyu, L. V., Zhenghui, Y. I., & Yindi, C. H. (2016).  Effect of group cognitive-behavioral therapy on the quality of life and  social functioning of patients with mild depression. Shanghai Archives of Psychiatry, 28(1), 18-19.

NSG- Principles of Assessment for RNs

  

Head-to-Toe Assessment

For this assignment, perform a complete head-to-toe assessment on someone of your choice or a hypothetical person who has at least two (2) systems issues. Use the head-to-toe template here (see attachment) to document your assessment (add more lines as needed). In a Microsoft Word document of 4-5 pages (in addition to the template) formatted in APA style, discuss the remaining criteria for the assignment. Please note that the title and reference pages should not be included in the total page count of your paper.

In your paper, address each of the following criteria:

· Use the template and include:

o System being assessed.

o Detailed review of each system with normal and abnormal findings.

o For any system for which you do not have equipment, explain how you would do the assessment.

o Normal laboratory findings for client age.

· An analysis of age-specific risk reduction health screening and immunizations.

· Two differential diagnoses (diseases) associated with possible abnormal findings.

· A plan of care (including two priority-nursing diagnoses, interventions, evaluation).

· Pharmacological treatments that can be used to address health issues for this client.

· Client and age appropriate evidenced-based practice strategies for health promotion.

On a separate references page, cite all sources using APA format. 

P8#2

      Hello i need a Briefly, Good and Positive Comment for this Post.Thank you.  I need at least two references     

Discussion Question: Applying Measurement Tools (HEDIS)

APA format. Use scholar authors only.  3 paragraphs. Include all references. Read all instructions. You have to use the scenario

THIS NEEDS TO BE INCLUDE IN THE DISCUSSION

Take on the role of the staff nurse in the scenario, and post an explanation of how you would go about finding out how many diabetics are in your practice and how many meet all components of HEDIS comprehensive diabetes care. 

One example of a measurement tool is the Healthcare Effectiveness Data and Information Set (HEDIS) comprehensive care measures. Review the components of HEDIS comprehensive diabetes care; then consider the following scenario.

You are a staff nurse working in a private primary care practice. It is a small practice with 2 MDs (internists), 2 nurses, 1 medical assistant, and an office staff for billing. There are approximately 1,000 patients in the practice. You have had no EHR until the last year, but all charts are manual, historically. Your physicians are starting to inquire about quality incentives, particularly regarding patients with diabetes.

THIS NEEDS TO BE INCLUDE IN THE DISCUSSION

Take on the role of the staff nurse in the scenario, and post an explanation of how you would go about finding out how many diabetics are in your practice and how many meet all components of HEDIS comprehensive diabetes care. 

References

Spath, P. (2018). Introduction to healthcare quality management (3rd ed.). Chicago, IL: Health Administration Press.
Chapter 3, “Measuring Performance” (pp. 35-78)
Chapter 4, “Evaluating Performance” (pp. 79-118)
 

Yoder-Wise, P. S. (2019). Leading and managing in nursing (7th ed.). St. Louis, MO: Mosby.
Chapter 23, “Managing Quality and Risk” (pp. 406-427)
Chapter 24, “Translating Research Into Practice” (pp. 427-449)
 

  

Perla, R. J., Provost, L. P., & Murray, S. K. (2011). The run chart: A simple analytical tool for learning from variation in healthcare processes. BMJ Quality and Safety, 20(1), 46–51. 

Health Reform Essay

Written Essay

Healthcare Reform:

1. The student will prepare a written essay regarding the Healthcare Reform, its

benefit and its negative aspects.

2. Analyze the current situation of healthcare services in the state of Florida

ethics

  Utilitarianism Summary 

Submit your one page double spaced summary here. This assignment requires you to write a one page double spaced summary essay based on the presentation you just attended. A summary is an essay the restates, in your own word, what you understood of the presentation. Each summary is worth 5% of your final grade. 

Each summary must be at least 400 words.

Hypovolemia and hypervolemia

What are The similarities and differences

Ethical Dilema Essay

Write an essay about an ethical dilema going on in the health care field at this time.