10-2 Presentation: Quality Improvement Initiative

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Follow Rubric Verbatim:

 

What to Submit

Submit this assignment as a 7-to 15-slide presentation with detailed speaker notes.

mood disorders

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 Provider Review outside of interview:

Temp 98.2  Pulse  90 Respiration 18  B/P  138/88

Walden University. (2021). Case study: Petunia Park. Walden University Blackboard. https://waldenu.instructure.com

Laborator Data Available: Urine drug and alcohol screen negative.  CBC within normal ranges, CMP within normal ranges. Lipid panel within normal ranges. Prolactin Level 8; TSH 6.3 (H)

 Develop a Focused SOAP Note, including your differential diagnosis and critical-thinking process to formulate a primary diagnosis. Incorporate the following into your responses in the template:

  • Subjective: What details did the patient provide regarding their chief complaint and symptomatology to derive your differential diagnosis? What is the duration and severity of their symptoms? How are their symptoms impacting their functioning in life? 
  • Objective: What observations did you make during the psychiatric assessment?  
  • Assessment: Discuss the patient’s mental status examination results. What were your differential diagnoses? Provide a minimum of three possible diagnoses with supporting evidence, listed in order from highest to lowest priority. Compare the DSM-5-TR diagnostic criteria for each differential diagnosis and explain what DSM-5 criteria rules out the differential diagnosis to find an accurate diagnosis. Explain the critical-thinking process that led you to the primary diagnosis you selected. Include pertinent positives and pertinent negatives for the specific patient case.
  • Plan: What is your plan for psychotherapy? What is your plan for treatment and management, including alternative therapies? Include pharmacologic and nonpharmacologic treatments, alternative therapies, and follow-up parameters as well as a rationale for this treatment and management plan. Also incorporate one health promotion activity and one patient education strategy.
  • Reflection notes: Reflect on this case. Discuss what you learned and what you might do differently. Also include in your reflection a discussion related to legal/ethical considerations (demonstrate critical thinking beyond confidentiality and consent for treatment!), social determinates of health, health promotion, and disease prevention that takes into consideration patient factors (such as age, ethnic group, etc.), PMH, and other risk factors (e.g., socioeconomic, cultural background, etc.).

References:

 

  • Boland, R. Verdiun, M. L. & Ruiz, P. (2022). Kaplan & Sadock’s synopsis of psychiatry (12th ed.). Wolters Kluwer. 
    • Chapter 6, “Bipolar Disorders”
    • Chapter 2, “Neurodevelopmental Disorders and Other Childhood Disorders”
      • Section 2.9, “Depressive Disorders and Suicide in Children and Adolescents” (pp. 174-180)
      • Section 2.10, “Early-Onset Bipolar Disorder” (pp. 181-184)
    • Chapter 7, “Depressive Disorders”
    • Chapter 21, “Psychopharmacology”
    • Chapter 22, “Other Somatic Therapies”
  • Zakhari, R. (2020). The psychiatric-mental health nurse practitioner certification review manual. Springer.
    • Chapter 11, “Mood Disorders”

Discussion 10

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 Imagine that you work at a large Northern Midwest clinic. Your department implemented a very successful quality improvement six months ago that has reduced medication errors. The improvement requires the evidence-based practice of having two nurses review the vaccine type and dosage. The hospital’s CFO has recently suggested not requiring the two-nurse process for vaccine administration for the summer, since it requires extra staffing to make sure there are enough nurses to perform the processes. In summer, especially during extended hours, it is difficult to find enough nurses for that staffing level since almost all the nurses use their vacation time during the summer. You have overheard some nurses supporting the CFO’s suggestion for the summer. While the success of the new intervention was shared with the clinic director, you do not know if that major improvement was communicated with the nurses.

This discussion will help you explain how to persuade and change behaviors of various stakeholders to sustain quality improvement and identify how to persuade and generate enthusiasm to sustain an initiative.

In your initial post, address the following:

  • What could you do to build support and sustain the two-nurse vaccine administration quality improvement?
  • What are some ways you could create new enthusiasm for the two-nurse vaccine administration quality improvement with nurses?
  • If the CFO asked for your opinion on his suggestion, how would you reply?

Comprehensive psyc eval

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See attached docs

Deficits or Strengths

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follow all directions

Healthcare Policy and Analysis

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Contextual Factors 

Trauma and Time

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follow all directions

Post discussion

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The Administrative Simplification Compliance Act of 2001 requires that all Medicare claims be submitted electronically. Discuss at least two (2) vulnerabilities in the protection of electronic health information?

2. Identify and discuss specific resources or federal agencies that you will utilize to remain informed and current in public health trends and practices.

DW8

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  1. Application of Course Knowledge: Answer all questions/criteria with explanations and detail.
    • Reflect on your learning experience in this course. Which concepts stood out to you and made an impact?  How do you envision using these concepts in your future nursing practice as a master’s prepared nurse practitioner?
    • Describe how course learning activities and assignments will help you achieve Program Outcome 3: Engage in lifelong personal and professional growth through reflective practice and appreciation of cultural diversity. (Cultural Humility)
    • Describe how course assignments or activities will help you achieve ONE of the sub-competencies from the advanced-level nursing education competencies from AACN Essentials Competency 5.2 Contribute to a culture of patient safety.
      • 5.2g Evaluate the alignment of system data and comparative patient safety benchmarks.
      • 5.2h Lead analysis of actual errors, near misses, and potential situations that would impact safety.
      • 5.2i Design evidence-based interventions to mitigate risk.
      • 5.2j Evaluate emergency preparedness system-level plans to protect safety.

Analyzing a Current Health Care Problem

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please see instructions.