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It is anticipated that the initial discussion post should be in the range of 250-300 words. Response posts to peers have no minimum word requirement but must demonstrate topic knowledge and scholarly engagement with peers. Substantive content is imperative for all posts. All discussion prompt elements for the topic must be addressed. Please proofread your response carefully for grammar and spelling. Do not upload any attachments unless specified in the instructions. All posts should be supported by a minimum of one scholarly resource, ideally within the last 5 years. Journals and websites must be cited appropriately. Citations and references must adhere to APA format.

Classroom Participation

Initial Response

Scenario

A 60-year-old white female presents to your office for a follow-up after a recent Urgent Care visit with her daughter.

· The patient’s daughter reports that the patient has not been eating much for the past few weeks and complains of a gnawing pain in her stomach when she does eat and reports that she seems to be getting “full” very quickly with eating.

· The patient complains of mild nausea over the last two weeks.

· The patient has a history of a recent fall from a ladder about 9 months ago in which she shattered multiple teeth and develop and infection. She has been under the care of an oral surgeon for this.

· Her daughter reports that she has been having an increase in forgetfulness and that the patient’s colleagues have noticed she seems to be “off her game” for the last few weeks.

· Yesterday she was evaluated at Urgent Care and found to have a hemoglobin of 8.5 and hematocrit of 25, and she was instructed to follow-up in your office today.

· Upon examination today his lung sounds are clear and heart rhythm is regular. She has mild tenderness on palpation over her upper abdomen, but normal bowel sounds. Her skin is pale and dry. No other abnormalities are noticed on exam.

Please develop a discussion post that responds to each of the following prompts. Where appropriate your discussion needs to be supported by scholarly resources. Be sure to include in-text citations in the context of the discussion and provide a full reference citation at the end of the discussion post:

· Provide your diagnosis.

· Discuss how you would treat the patient’s current presentation and provide a rationale supported by scholarly reference for your treatment plan.

· Include your specific prescription(s) for the patient. (This must include the medication name, dose, route, and frequency as well as any special instructions that apply as you would include when writing a prescription).

· Describe the patient education you would provide in relation to your treatment plan.

· Provide your plan for follow-up and/or referral (if indicated)

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

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For non-periodical Web Document, Web Page, or Report, use the following below:
Author, A. A., & Author, B. B. (Date of publication). Title of document. http://Web address
Success, A., Commitment, B., & Willing, A. (2015, June 5). Example format to following when pulling from a web page.
REMEMBER : When there is no listed date, use (n.d.) for no date.
See the Purdue OWL for more guidance

Submission Instructions
Submit your completed assignment in MS Word document or equivalent document.

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Reflection papers consist of brief responses to a prompt related to the information. Using both the Category 5, 3, and 0 points, the Reflection Length* *(excludes reference section and direct quotes from references that are longer than five words). The Reflection paper content was greater than 150 words. The reflection paper content was between 100 and 149 words. The content of the reflection paper was less than 99 words. Grammar, Usage, and Spelling Reflection paper contained fewer than two grammar, usage, or spelling errors. The reflection paper contained 3-4 grammatical, usage, or spelling errors. The reflection paper contained more than five grammatical, usage, or spelling errors, and proofreading was not apparent. References and Utilization of Outside Resources: The author’s reflection paper does not align with the assignment prompt, primarily discussing personal opinions, irrelevant information, or presenting information with limited logic and a lack of development and organization of ideas.

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Many assessment principles are the same for children and adults; however, unlike with adults/older adults, where consent for participation in the assessment comes from the actual client, with children it is the parents or guardians who must make the decision for treatment. Issues of confidentiality, privacy, and consent must be addressed. When working with children, it is not only important to be able to connect with the pediatric patient, but also to be able to collaborate effectively with the caregivers, other family members, teachers, and school counselors/psychologists, all of whom will be able to provide important context and details to aid in your assessment and treatment plans.

Some children/adolescents may be more difficult to assess than adults, as they can be less psychologically minded. That is, they have less insights into themselves and their motivations than adults (although this is not universally true). The PMHNP must also take into consideration the child’s culture and environmental context. Additionally, with children/adolescents, there are lower rates of neurocognitive disorders superimposed on other clinical conditions, such as depression or anxiety, which create additional diagnostic challenges.

In this Discussion, you review and critique the techniques and methods of a mental health professional as the practitioner completes a comprehensive, integrated psychiatric assessment of an adolescent. You also identify rating scales and treatment options that are specifically appropriate for children/adolescents.

TO PREPARE

· Review the Learning Resources and consider the insights they provide on comprehensive, integrated psychiatric assessment. Watch the Mental Status Examination B-6 and Simulation Scenario-Adolescent Risk Assessment videos.

· Watch the YMH Boston Vignette 5 video and take notes; you will use this video as the basis for your Discussion post.

BY DAY 3 OF WEEK 1

Based on the YMH Boston Vignette 5 video, post answers to the following questions:

· What did the practitioner do well? In what areas can the practitioner improve?

· At this point in the clinical interview, do you have any compelling concerns? If so, what are they?

· What would be your next question, and why?

Then, address the following. Your answers to these prompts do not have to be tailored to the patient in the YMH Boston video.

· Explain why a thorough psychiatric assessment of a child/adolescent is important.

· Describe two different symptom rating scales that would be appropriate to use during the psychiatric assessment of a child/adolescent.

· Describe two psychiatric treatment options for children and adolescents that may not be used when treating adults.

· Explain the role parents/guardians play in assessment.

Support your response with at least three peer-reviewed, evidence-based sources and explain why each of your supporting sources is considered scholarly. Attach the PDFs of your sources.

Upload a copy of your discussion writing to the draft Turnitin for plagiarism check. Your faculty holds the academic freedom to not accept your work and grade at a zero if your work is not uploaded as a draft submission to Turnitin as instructed.

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Explain your topic clearly, assuming the reader has no prior knowledge. Include relevant background information, history, and current context.
Identify the specific behavioral or attitudinal outcome you hope to influence (e.g., increase recycling, reduce plastic use, shift opinions on climate action).
Discuss why this issue matters–both to you personally and to the broader community or world.
State your campaign’s goal: What should your audience think, feel, or do as a result of your campaign?

2. Audience Analysis

Describe your target audience using psychographics (e.g., values, lifestyle, beliefs) and media habits. Who or what influences them (e.g., social media personalities, news sources, peers)?
Include any relevant attitudes this audience may already have about your topic–supportive, skeptical, unaware?
Reflect on communication strategy: What makes this audience a challenge to reach, and what opportunities exist to engage them effectively?

Note: Assume this is a real campaign you’ll be launching–be specific and strategic in your analysis. See my attached chosen situtation proposal to write about.

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Develop a 10–12 slide presentation with audio.

· The presentation should be 10 minutes in length.

· The intended audience is Stroke Neuro Unit in hospital.

· The focus of the presentation is on ethical standards and relevant policy issues that impact the coordination of care at your practicum site.

· Create a detailed narrative script for your presentation.

· The script should be 3–4 pages in length.

· This script will be submitted to Turnitin.

In your presentation:

· Explain how governmental policies related to the health and/or safety of the community affect the coordination of care as it relates to your practicum.

· Provide examples of a specific policy affecting your practicum site.

· Explain how national, state, and local policy provisions raise ethical questions or dilemmas for care coordination.

· What are the implications and consequences of specific policy provisions on your practicum site? Consider the impacts at the national, state, and local levels.

· What evidence do you have to support your conclusions?

· Assess the impact of the code of ethics for nurses on the coordination and continuum of care. Consider the factors that contribute to health, health disparities, and access to services specific to your patient population.

· Include any evidence you have to support your conclusions.

· Communicate key ethical and policy issues affecting the coordination and continuum of care for your practicum site. Make sure both narrative script and audio voice-over are included with your presentation.

· Present a concise overview.

· Support your main points and conclusions with relevant and credible evidence.

Be sure that your slide deck includes the following slides:

· Title slide.

· Presentation title.

· Your name.

· Date.

· Course number and title.

· References (at the end of your presentation).

Your slide deck should consist of 10–12 slides, not including a title and references slide. Your presentation should not exceed 10 minutes.

Create a detailed narrative script for your presentation in APA format with proper citation of supporting evidence. This would be the script of what you would say in an actual presentation. You do not need to present to your site but you may want to share it with your preceptor.

Supporting Evidence

Cite 4–5 credible sources from peer-reviewed journals or professional industry publications to support your presentation. Include your source citations on a references page appended to your narrative script.

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· Create an infographic that visually represents your care coordination plan.

· Create the infographic using a PowerPoint infographic template.

· Use clear and concise language.

· Include relevant icons, graphics, and colors to enhance readability.

1. Select one health concern and a patient population that aligns with your practicum setting. Examples include:

· Risk of post stroke depression in older adults who have suffered an ischemic stroke

2. Analyze your selected health concern and the associated best practices for health improvement.

· Address the following content elements in your analysis:

· Best practices: Summarize evidence-based best practices related to the chosen healthcare problem.

· Physical considerations: Address physical aspects of care (for example, medications, treatments, or monitoring).

· Psychosocial considerations: Consider mental health, emotional support, and patient coping strategies.

· Cultural considerations: Recognize cultural diversity and tailor care accordingly.

· Cite supporting evidence for best practices.

3. Describe two specific SMART (specific, measurable, achievable, relevant, time-bound) goals that should be established to address the healthcare problem and the evidence to support those goals.

· Include physical, psychosocial, and cultural considerations of your specific patient population.

· Discuss your SMART goals with your preceptor. Document discussion of SMART goals in Capella Academic Portal.

4. Identify available community resources for a safe and effective continuum of care.

· Compile a list of community resources relevant to the healthcare problem.

· Include local clinics, support groups, educational programs, and social services.

· Include physical, psychosocial, and cultural considerations of your specific patient population.

5. Apply APA formatting to in-text citations and references, exhibiting nearly flawless adherence to APA format.

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