Psychosocial Problems

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Psychosocial Problems

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It is anticipated that the initial discussion response should be in the range of 250-300 words. Response posts must demonstrate topic knowledge and scholarly engagement with peers. This is not the only criteria utilized for evaluation; substantive content is imperative. All questions in the topic must be addressed. Please proofread your response carefully for grammar and spelling. Do not upload any attachments. All responses need to be supported by a minimum of one scholarly resource. Journals and websites must be cited appropriately. Citation and reference must adhere to APA format (6th Ed.).

Classroom Participation

Students are expected to initially address the discussion question by Wednesday of each week. Participation in the discussion forums is expected with a minimum total of three (3) substantive postings (this includes your initial posting and posting to two peers) on three (3) different days per week. Substantive means that you add something new to the discussion, you aren’t just agreeing. This is also a time to ask questions or offer information surrounding the topic addressed by your peers. Personal experience is appropriate for a substantive discussion and should be correlated to the literature.

All discussion boards will be evaluated utilizing rubric criterion inclusive of content, analysis, collaboration, writing and APA. If you fail to post an initial discussion you will not receive these points, you may however post to your peers for partial credit following the guidelines above. Due to the nature of this type of assignment and the need for timely responses for initial posts and posting to peers, the Make-Up Coursework Policy (effective July 2017) does not apply to Discussion Board Participation.

Discussion Prompt [Due Wednesday]

Mildred is a 45-y.o. married female with three children. She presents to you with complaints of fatigue and difficulties sleeping. She states she wants to get a good night’s sleep and is requesting a prescription to help her sleep. Mildred tells you she is awake off and on during the night, frequently thinking about her husband’s recent layoff from construction work and the effect this is having on the family. She lies down often during the day and has been so fatigued that she took some time off from work during the last 2 weeks. She is tearful at times during the visit and looks sad and anxious. On further discussion, she says she feels overwhelmed, helpless, and anxious. She tells you about an episode where she felt her heart beating rapidly, had difficulty catching her breath, felt she was going to have a heart attack, and became frightened until her husband was able to help calm her down. She is not eating as much as usual, and when she reads the newspaper, she doesn’t remember what she has read.

  1. What would your focused clinical assessment include?
  2. What are your initial differential diagnoses?
  3. What major psychological question needs to be addressed?
  4. What testing would you order to rule out any medical problems?
  5. What is your plan of care?
  6. What are the mainstays of treatment?What is your initial follow up plan?
  7. What education would you provide to your patient?

Peer Responses/Participation [Due Sunday]

  • Make sure to respond to at least two of your fellow classmates postings as well and challenge each other to go beyond just the surface.
  • Share your thoughts on how you support their ideas and explain why.
  • Present new references that support your opinions.

Please be sure to validate your opinions and ideas with citations and references in APA format.

Explain      the tension between individual rights and the collective good.

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Most of the recent successes in improving the public’4 s health has had to address the tension of individual rights versus the collective good. Anti-smoking campaigns and laws banning smoking in public places protect people from the negative health effects of second-hand smoke, yet some believe that they infringe on the individual rights of those who choose to smoke. Requiring childhood immunizations has helped prevent diseases such as polio and measles, but some parents assert that they have the right to decide if being immunized is in the best interest of their children.

This tension also exists in the allocation of scarce resources, from providing adequate staff coverage to making decisions about the amount of health care to provide. Given the nurse’s involvement in policy and health care delivery, it is important to understand the dynamics of this tension, as well as the legal and ethical implications.

To prepare:

  • When      have you encountered a tension between the individual right and the      collective good in your nursing practice?
  • With      information from the Learning Resources in mind, consider relatively      recent examples of health care policy that demonstrate this tension. For      this Discussion, select one example of timely health care policy that      allows you to evaluate the tension between individual rights and the      collective good. Conduct additional research as necessary using credible      websites and the Walden Library.

By tomorrow 04/04/2018 3pm, write a minimum of 550 words in APA format with at least 3 scholarly references from the list of required readings below. Include the level one headings as numbered below”

Post a cohesive response that addresses the following:

  • In      the first line of your posting, identify a health care policy.
  • Explain      the tension between individual rights and the collective good.
  • Analyze      the ethical and legal considerations of the policy.

Required Readings

Bodenheimer, T., & Grumbach, K. (2016). Understanding health policy: A clinical approach (7th ed.). New York, NY: McGraw-Hill Medical.

  • Chapter      13, “Medical Ethics and Rationing of Health Care”This chapter discusses the four principles of medical ethics—beneficence,      malfeasance, autonomy, and justice, and views current health care      conditions through these lenses. Distributive justice, allocation of      limited health care resources, rationing, and the ethics of health care      financing are also examined.

Bae, S., & Brewer, C. (2010). Mandatory overtime regulations and nurse overtime. Policy, Politics & Nursing Practice, 11(2), 99–107.

The authors examine the effect of government regulations on health care issues by studying nurse overtime. They discovered that states with mandatory overtime regulations had higher total RN work hours.

Blum, J. D., & Talib, N. (2006). Balancing individual rights versus collective good in public health enforcement. Medicine & Law, 25(2), 273–281.

This article examines the balance of public good and individual liberty through the examples of policies regarding communicable disease and childhood immunization. The impact of the U.S. Supreme Court Case, Jacobson v. Massachusettson health care policy is discussed.

Pauly, B. (2008). Harm reduction through a social justice lens. International Journal of Drug Policy, 19(1), 4–10.

The author discusses the ethical issue of marginalized groups, such as the homeless, and their barriers to health care. The philosophy of harm reduction and various social justice theories are examined as possible guides to a policy initiative.

Ruger, J. P. (2008). Ethics in American health 2: An ethical framework for health system reform. American Journal of Public Health, 98(1), 1756–1763.

Wieck, K. L., Oehler, T., Green, A., & Jordan, C. (2004). Safe nurse staffing: A win-win collaboration model for influencing health policy. Policy, Politics & Nursing Practice, 5(3), 160–166.

Optional Resources

Fowler, M. (2008). Guide to the code of ethics for nurses: Interpretation and application. M. D. M. Fowler (Ed.). Silver Spring, MD: The American Nurses Association, Inc.

O’Connor, J. C., MacNeil, A., Chriqui, J. F., Tynan, M., Bates, H., & Eidson, S. K. (2008). Preemption of local smoke-free air ordinances: The implications of judicial opinions for meeting national health objectives. Journal of Law, Medicine & Ethics, 36(2), 403–412.

Rogers, E. M., & Peterson, J. C. (2008). Diffusion of clean indoor air ordinances in the southwestern United States. Health Education & Behavior, 35(5), 683–697.

Trentham, M. (2009). Patient abandonment—What is it really? ASBN Update, 13(1).

explain a treatment and management plan for the patient’s skin disorder, including appropriate dosages for any recommended treatments.

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Diagnosis and Management of Skin Disorders:

 

Case Study 2: Address this case as your patient and you are the nurse practitioner seeing the patient:

 

An 8-month-old presents to your office with a rash on both cheeks that has progressively worsened over the last week. Mom first noticed the rash after his 6-month checkup. He has generalized dry skin and rubs at his cheeks often

 

To prepare:

 

•Review the DermNet NZ and Dermnet Skin Disease Atlas websites in this week’s Learning Resources.

 

•Select one of the four case studies of skin disorders. Analyze the skin disorder in the case you selected including lesion type, lesion distribution, color, and any ancillary findings.

 

•Consider a differential diagnosis for the skin disorder in the case study you selected. Determine the most likely diagnosis for the patient.

 

•Think about a treatment and management plan for this disorder. Consider appropriate dosages for any recommended treatments.

 

POST  1 TO 2 PAGES  DISCUSSION PAPER ON  : An explanation of the skin disorder in the case study you selected.

 

Include in your explanation the lesion type, lesion distribution, color, and any ancillary findings.

 

Then, present a differential diagnosis and explain which is the most likely diagnosis for the patient and why.

 

Finally, explain a treatment and management plan for the patient’s skin disorder, including appropriate dosages for any recommended treatments.

 

 

 

References

 

Burns, C. E., Dunn, A. M., Brady, M. A., Starr, N. B., & Blosser, C. G. (2013). Pediatric primary care (5th ed.). Philadelphia, PA: Elsevier.

 

Chapter 36, “Dermatologic Disorders” (pp. 877–927)

 

DermNet New Zealand Trust. (2014). DermNet NZ. Retrieved from http://www.dermnetnz.org/

 

 

 

•Dermnet.com. (2011). Dermnet Skin Disease Atlas. Retrieved from http://www.dermnet.com/

 

Practice Guidelines for the Diagnosis and Management of Skin and Soft Tissue Infections: 2014 Update by the Infectious Diseases Society of America by  Stevens, D.L.,  Bisno, A.L., Chambers, H.F., Dellinger, E.P.,  Goldstein,  E.J.C., Gorbach, S.L., Hirschmann, J.V., Kaplan, S.L., Montoya, J.G., & Wade, J.C. in Clinical Infectious Diseases , 59(2), 10-52.

 

Describe the health concerns and issues for the population.

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Write for your organization a 3–5-page impact report regarding the health concerns of a new immigrant population. Describe the population’s health concerns and issues, explain current pharmacological treatments, and explain how culture and traditional practices may affect use of pharmacology. Identify evidence-based strategies for the organization and nursing staff to use to educate the population and promote health and wellness.

By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:

  • Competency 1: Apply practice guidelines and standards of evidence-based practice related to pharmacology for safe and effective nursing practice.
    • (IMPORTANT) -Describe current pharmacological treatment regimens for the health concerns and issues of a population.
  • Competency 2: Explain the relationship between quality patient outcomes, patient safety, and the appropriate use of pharmacology and psychopharmacology.
    • (IMPORTANT) -Explain traditional beliefs and practices of a population with regard to health concerns and issues.
    • (IMPORTANT) -Explain how the cultural values and traditional practices of a population affect the acceptance and use of pharmacology.
  • Competency 3: Apply the principles and practices of cultural competence with regard to pharmacological interventions.
    • (IMPORTANT) -Identify evidence-based, culturally sensitive strategies an organization can use to educate a population about the appropriate use of pharmacology.
    • (IMPORTANT) -Identify evidence-based, culturally sensitive strategies nurses can use with a population to promote health and wellness.
  • Competency 4: Communicate in a manner that is scholarly, professional, and consistent with expectations of a nursing professional.
    • (IMPORTANT) -Describe the health concerns and issues for a specific population.
    • (IMPORTANT) -Write content clearly and logically with correct use of grammar, punctuation, and mechanics.
    • (IMPORTANT) -Correctly format citations and references using current APA style.

Assessment Instructions

 

Imagine the county health department notifies your organization that a large number of immigrants are expected to be resettled in your area. The organization, wanting to be prepared to handle any health concerns of the population, tasks each department with readying for the influx of immigrants. Your supervisor asks you to prepare an impact report on the pharmacological needs of the population that can be shared with other departments.

Preparation

Complete the following as you prepare for your impact report:

  1. Choose one of the global areas below as the area from which the population will be coming.
    • Sub-Saharan Africa.
    • India.
    • China.
    • Dominican Republic.
    • Guatemala.
    • Jamaica.
    • Bangladesh.
    • Saudi Arabia.
    • Pakistan.
    • Mexico.
  2. Research the most common health concerns and issues for immigrants from your chosen global area, the pharmacological treatments that will likely be prescribed, and any cultural values or traditional practices that may impact patient outcomes.

Requirements

Once you have identified the population you will be using for this assessment, include the following in your impact report:

  • Describe the health concerns and issues for the population.
  • Describe current pharmacological treatment regimens for the main health concerns and issues.
  • Explain any traditional beliefs and practices associated with the health concerns and issues. Does the population engage in culturally based methods of treating the health concern?
  • Explain how cultural values and traditional practices might affect acceptance and use of prescribed pharmacological treatments. Be sure to consider the relationship between quality patient outcomes, patient safety, and the appropriate use of pharmacology.
  • Identify evidence-based, culturally sensitive strategies the organization can use to educate the population about the correct use of the pharmacology treatments.
  • Identify evidence-based, culturally sensitive strategies the nursing staff can employ with the population to promote health and wellness.

Write this assessment as an impact report formatted as other reports of a similar nature in your organization or an organization with which you are familiar. Include a title page and reference page and follow APA guidelines for your in-text citations and references.

Additional Requirements

  • Number of pages: 3–5
  • At least 3 current scholarly or professional resources.
  • Times New Roman font, 12 point, double-spaced font.