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Clinical Decision-Making NU671

Unit 2Weekly Clinical Communication and Documentation Requirements. 600w. 3 references. Due 11-11-22

For this assignment the focus is a 50y/o male patient. construction worker. Came in for follow up after a 2024 ICD-10-CM Diagnosis Code M75. 102: Unspecified rotator cuff tear or rupture of left shoulder, not specified as traumatic. The injury occurred 1 month prior. The patient has not returned to work since his injury and is suffering from chronic pain, anxiety and depression related to his financial obligations at home. Patient is the head of his household; his wife does not work. He came in for a follow-up with his primary care provider. His blood pressure was also elevated due his stress. He was placed on fluoxetine (Prozac) 20 milligrams (mg) once a day in the morning and Carvedilol 6.25 milligrams (mg) 2 times a day. Over the counter Tylenol and ibuprofen recommended for pain. Patient education was provided regarding medication management and stress management.

1. Clinical Highlights.

· On your journey to become a psychiatric mental health nurse practitioner discuss a patient encounter that was particularly interesting and what you learned from it?

· Identify a personal learning need you discovered while assessing or managing a specific diagnosis. What steps will you take to improve your understanding or skills?

2. Looking Ahead

· What clinical goal would you like to tackle next week?

· What is your proposed clinical schedule (date/time/total hours) for next week?

Old assignment-paper
This is the assignment that was completed previous semester. I am retaking this class. The assignments are the same but I cannot submit the same work, the instructor runs all papers through the plagiarism checker. Please redo this assignment so I can resubmit it the content will be the same. Thanks

Unit 3 Weekly Clinical Preceptee Communication And Documentation

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Student’s Number

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Date

Unit 3 Weekly Clinical Preceptee Communication And Documentation

Clinical Highlights

I had a patient interaction that was especially intriguing and taught me essential lessons throughout my training to become a psychiatric mental health nurse practitioner. A session was held with a young adult experiencing acute anxiety and depression. The patient's background of childhood trauma had a significant effect on how she felt mentally. It was challenging to develop a therapeutic connection with her when we first started our session because she looked reserved and guarded. I eventually won her trust through attentive listening and compassionate conversation. I discovered the extent of the patient's emotional suffering as she opened up and the survival skills she had developed. The experience showed me the value of being persistent and patient while establishing a connection with people who have undergone trauma. It reaffirmed how crucial it is to give people a secure, judgment-free area to express their emotions.

The incident also highlighted the challenges of treating coexisting mental health disorders. Her depression and anxiety were linked and exacerbated each other, which posed special difficulties in creating an all-encompassing treatment strategy. I saw the significance of providing mental health treatment using a holistic approach that considers all facets of a patient's life, particularly their social network, way of life, and coping mechanisms.

Personal Learning Need

I discovered a personal learning needs for treating individuals with personality disorders throughout my evaluations and management of various conditions. I found that there was room for development in the areas of understanding and treating borderline personality disorder (BPD). I felt the need to improve my knowledge and abilities since BPD is a complicated and sometimes misunderstood disorder. Acquiring evidence-based clinical knowledge is important in ensuring that people with BPD have better treatment (Iliakis et al., 2019). I have various actions I want to take to increase my knowledge about and management abilities for BPD. I will first do an in-depth study and analyze recent BPD literature to understand the underlying causes, symptoms, and evidence-based treatment options for BPD. This study will help me stay current on the most recent developments and suggestions for treating personality disorders.

I intend to seek mentoring or supervision from seasoned mental health practitioners knowledgeable about treating people with personality problems. Mentoring often provides mental health practitioners with insightful advice that will make them handle challenging situations easier (Zajac et al., 2021). I will look for chances for continuing education relevant to BPD and similar personality disorders. I will be able to communicate with professionals, gain knowledge from practical examples, and have conversations with others with similar learning interests by participating in these educational activities. Ultimately, I want to use my clinical rotations to put my newfound understanding of BPD and its treatment into practice. I may use evidence-based therapies and assess their efficacy while getting feedback from seasoned preceptors by actively interacting with BPD patients.

Looking Ahead

My clinical objective for the coming week is to improve my capacity for performing thorough mental health evaluations. A comprehensive assessment is crucial to psychological mental health practice since it is the basis for a precise diagnosis and efficient treatment planning (Maruish, 2019). The following is the proposed clinical schedule for next week.

I intend to spend 30 hours on clinical work, education, and independent study during the week. I plan to considerably enhance my assessment abilities as a psychiatric mental health nurse practitioner by devoting time and effort to this clinical objective and offering better treatment to my future patients.

References

Iliakis, E. A., Sonley, A. K., Ilagan, G. S., & Choi-Kain, L. W. (2019). Treatment of borderline personality disorder: is supply adequate to meet public health needs?.
Psychiatric Services,
70(9), 772-781.

Maruish, M. E. (2019).
Essentials of treatment planning. John Wiley & Sons.

Zajac, S., Woods, A., Tannenbaum, S., Salas, E., & Holladay, C. L. (2021). Overcoming challenges to teamwork in healthcare: a team effectiveness framework and evidence-based guidance.
Frontiers in Communication,
6, 606445.

Reflect on this class and what you learned.

The Roles of Congress and The Presidency

Discussion

Required Resources

Read/review the following resources for this activity:

· Textbook: Chapters 4 and 10

· Lesson: Read this Week's Lesson which is located in the Modules tab

· Initial Post: minimum of 2 scholarly sources (must include your textbook for one of the sources). Follow-Up Post: minimum of 1 scholarly source for your Follow-Up Post.

· Your Initial Post and your Follow-Up Post must be based on the same Option that you chose in order to receive credit for both posts. 

Initial Post Instructions

For the initial post, respond to one of the following options, and label the beginning of your post indicating either Option 1 or Option 2:

·
Option 1: Political scientists disagree on the exact causes of low representation of women in Congress. Why do you think there are so few women in Congress in comparison to men? How likely is it that these patterns of representation will dramatically change over your lifetime? For this discussion question, you will have to do some research online.

·
Option 2: What characteristics do you think voters look for when choosing a president? Do you think voters choose the characteristics they are looking for depending on the socioeconomic and political environment – lack of jobs, riots, COVID-19, environmental concerns and other issues etc.? Explain your answer.

Be sure to make connections between your ideas and conclusions and the research, concepts, terms, and theory we are discussing this week.

Follow-Up Post Instructions

Respond to the same Option you chose for your Initial Post (i.e., if you chose Option 1 for your Initial Post, your Follow-Up Pst should also be for Option 1). Respond to at least one peer. Further the dialogue by providing more information and clarification. Minimum of 1 scholarly source which can include your textbook or assigned readings or may be from your additional scholarly research.

Writing Requirements

· Minimum of 2 posts (1 initial & 1 follow-up)

· Minimum of 2 sources cited (assigned readings/online lessons and an outside source) for your Initial Post, and 1 scholarly source for your Follow-Up Post.

· APA format for in-text citations and list of references

EBOOK: The Struggle for Democracy, 2018 Elections and Updates Edition

https://bookshelf.vitalsource.com/reader/books/9780135246849/pageid/227 or

· email:
[email protected]

· pwd: Bryanthierry@09

Initial Post Instructions

The Discussions in this course are set up deepen your understanding of the material as you make real world connections and employ creative thinking. To get the most from these discussions, full engagement is expected on the part of the student. Be sure to stop by the discussion section frequently, not only to post, but to read the postings of your peers and instructor. Engaging with your peers and learning together is key to this experience. For you initial post, choose one of the options below:

Option 1:

A growing concern in agricultural and food chemistry is the presence of residues in food. We use many forms of organic chemicals in agriculture and food chemistry and there is growing concern as to how safe these materials are. Choose an organic chemical used in agricultural of food chemistry and report on the functional groups contained in your compound, the uses of the compound, and the safety of that compound. This research will require one or more

Option 2:

Choose a compound that is classified as an ether, aldehyde, ketone, ester, or alcohol, or amide. Report on important applications of this compound using at least one outside source. Next, write the condensed structural formula of a simple molecule with an ether, aldehyde, ketone, ester, or alcohol functional group for your peers to name (do not give away the answer!).