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The evidence-based practice relies on research and studies done elsewhere; hence for theinformation and knowledge provided to be reliable, it must be verifiable and be reviewed severaltimes. Thus, a database must provide accurate information detailing all the evidence and authorsof the data. Also, searching for information on the database should be relatively easy; th
I learned that that applying evidence-based practice led to better prognosis and morepatient satisfaction. Evidence-based practice has the advantage of delivering the best care withimproved patient outcomes when done in an organization with a supportive culture. Also, itenables nurses to deliver the best of care based on the skills and knowledge acquired by applyingevidence-based practice. Additionally, since nurse practices based on what has already beenresearched and actual patient care data, a nurse feels more confident while delivering patientcare. Also, it leads to more nurse satisfaction due to an increased quality of care and patientoutcomes. It tries to integrate research and data from evidence-based data combined with nurseexpertise, patie
Evidence-based practice (EBP) and the quadruple aim both help to create improved healthcare equality, improve patient outcomes, reduce hospital cost, and improve the work life of clinicians (Malnyk, Gallagher-Ford, & Fineout-Overholt, 2016). EBP is a problem-solving approach that provides the best evidence to inform nursing practice and help to provide the best patient outcomes (Melnyk & Fine-Overhold, 2018). The quadruple aim consists of improving each patient’s experience of care, improving health population, reducing the per capita cost of healthcare, and improving the lives of the healthcare workforce (Sikka, Morath, & Leape, 2015). It is essential that both the quadruple aim and EBP are equally implemented to achieve the desired outcomes due to the fact that one cannot be fully achieved without the other. EBP can help reach the Quadruple Aim in all four measures, which are patient experience, population health, cost, and work life of healthcare providers. The patient experience is enhanced when utilizing EBP into care delivery and decisions made by healthcare
Substance Current Use and History: The patient reports a history of occasional alcohol use. However, she denies any illicit substance or tobacco use. She also denies vaping. Family Psychiatric/Substance Use History: She denies any family mental health issues, and collaborative information about her parents is not reachable during this assessment. There is no history of substance use in the family.
NRNP/PRAC 6645 Comprehensive Psychiatric Evaluation TemplateSubjective:CC: "I have not been completely truthful with you." HPI: The patient, D.A., is a 17-year-old Hispanic female presenting with panic features and depression to the clinic. The patient does not report how long she has been experiencing the symptoms. She reports taking her medications every day, including Abilify, Pristiq, and Zoloft.
Based on the examination of the patient's results, the appropriate differential diagnoses are Bipolar I Disorder, Social Anxiety disorder, and Attention-deficit/hyperactivity disorder (ADHD). They are listed below in order of the most appropriate or primary. 1. F31.2 Bipolar I disorder, Current or most recent episode manic, with psychotic features: Bipolar I Disorder is known as having a cycle of manic, depressive, hypomanic, or mixed symptoms such as manic-depressive disorder. The patient may simultaneously 4
COMPREHENSIVE PSYCHIATRIC EVALUATION NOTE Subjective: CC: “I am pretty tired, otherwise I am ok”. HPI: T.M is a 27-year-old male who presented voluntarily for a psychiatric psychotherapy session. He has a history of anxiety, poor sleep, impulsive behaviors, paranoia, depression, irritability, anger, mood instability. He reports "manic" episodes in the back. The patient also has a history of sadness, decreased energy, decreased motivation, decreased concentration, isolation, and social anxiety. The patient also has a good response to the current medication regimen. Past Psychiatric History:
COMPREHENSIVE PSYCHIATRIC EVALUATION NOTE Cognitive-behavioral therapy (CBT): The patient will discover how to transform negative thought patterns and actions into positive responses. Managing symptoms, avoiding relapse triggers, and problem-solving are all essential aspects of psychiatric mental health disorders treatment.
. Support your response with specific examples from this week’s media and at least three peer-reviewed, evidence-based sources. Explain why each of your supporting sources is considered scholarly.
The client in the video ‘Joe’ presented to the therapist with reports of not feeling very alive. The client had attended therapy two years ago and got in touch with some anger issues. Currently, he reports having a difficult time understanding where he is and feels constricted. Humanistic-existential was used in this client to help him develop the capacity for self-awareness and choice (Miyassarova, 2020). Since he does not understand where he is in life, the therapy would help create a personal identity in the client and enable him to be fully present for quality relationships (Miyassarova, 2020). Humanistic-existential therapy was the treatment of choice since it would help Joe search for the meaning, purpose, values, and beliefs of life to have a more meaningful existence. Conclusion
Differences between Humanistic-Existential Psychotherapy and CBT Humanistic-existential and CBT vary in their concepts and the therapy approach they use. Humanistic-existential therapy focuses on the overlap to the future and expectations from the future. It seeks to process the expectations in the way they relate to an individual’s need to fulfill the meaning of their life (Miyassarova, 2020). On the other hand, CBT stresses an individual’s actual thoughts, emotions, and behaviors and stresses how they were acquired and maintained (Fordham et al., 2018). Humanistic-existential therapy focuses on the notion of conscious choice and includes the concepts of human consciousness, freedom, intentionality, authenticity, responsibility, and engagement (Miyassarova, 2020). CBT does not stress authenticity, responsibility, and engagement.
Psychotherapy is a type of treatment applied in treating patients with psychological issues. It helps eliminate or control distressing symptoms to help the individual function better and improve their well-being and healing process (Locher et al., 2019). Psychotherapy is used to address issues such as coping difficulties, the impact of trauma, medical illnesses, loss of loved ones, and mental disorders. This paper seeks to compare humanistic-existential therapy with cognitive-behavioral theory and explore why humanistic-existential psychotherapy was utilized in a video. Humanistic-Existential Therapy vs. Cognitive Behavioral Theory Humanistic-Existential therapy is a type of psychotherapy approach that focuses on the human condition. It encourages human capacities and aspirations while at the same time recognizing human limitations (Krug, 2019). Besides, it emphasizes acceptance and growth with an assumption that people have the capacity for self-awareness and choice. Humanistic-Existential psychotherapy is anchored upon a basic belief that all individuals undergo intrapsychic conflict from their interaction with particular conditions inherent in human existence (Krug, 2019).
Comparing Humanistic-Existential Psychotherapy with Cognitive Behavioral Therapy(CBT) Even though pharmacologic agents have been used to treat patients with mental health issues, psychotherapy is a therapeutic technique that does not require these agents. The approach uses talk therapy and counselling to reduce the symptoms of the identified mental illness by modifying behavior. Depending on the underlying illness, the therapist can choose from a wide variety of psychotherapeutic techniques to treat their clients. Additionally, the setting of the therapy, such as individual, group, or family sessions, can also determine the type of psychotherapy adapted for the client. This paper aims to compare humanistic-existential psychotherapy with cognitive behavioral therapy according to different aspects, including definitions, how they impact a psychiatric-mental health nurse practitioner’s practice, and identify why humanistic-existential psychotherapy was utilized with the patient in one of the assigned videos
Comparing Humanistic-Existential Psychotherapy with Other Approaches Sample Paper Psychologists have developed various theories on human psychology. The Humanist, existential, and humanist existential models explain the personality changes. The models are central in therapies as they define how people perceive and accept life challenges. The humanist model emphasizes the innate goodness in people, while the humanist-existential psychotherapy model argues that personalities change, and people can develop new attributes based on circumstances.
Two models: Humanistic-existential psychotherapy and Humanist psychotherapy Humanistic-existential Psychotherapy According to the premise of humanistic existential psychotherapy (HE), human personality is dynamic and undergoes changes throughout life, defining personality at each stage (Hounkpatin et al., 2015 Walden NRNP 6645 Week 7 Humanistic–Existential Therapy). The model combines existentialist and humanistic perspectives. Humans are good, according to the humanist viewpoint, but the existentialist contends that people are neither good nor bad (Daei Jafari et al., 2020). Integration of the two models creates a dynamic person capable of actualizing based on situations and strengths. The model is adopted as a transition from the traditional conception of personality as a stable element that remains consistent throughout life. The HE models framework asserts that individuals confront and challenge a meaningless life as they transform their lives into a personality they desire. The person pursues self-rated health, self-efficacy, psychological turning point, and life satisfaction that involves a subjective evaluation of an individual’s wellbeing (Hounkpatin et al., 2015).
I would share my diagnosis of the disorder by offering a detailed description of the disorder in an honest manner. Cultivating a productive emotional relationship is an effective strategy for developing and sustaining a progressive therapeutic relationship. According to McMain et al (2015), emotional awareness is important in therapeutic interaction since emotional reactivity and sensitivity of either the therapist or the client can hinder therapeutic procedure and obstruct a positive therapeutic connection from developing. Tension and conflict in therapeutic relationship are intensified when either the client or therapist disregards them until they overwhelm both parties. So as to cultivate a positive therapeutic relationship, it will be crucial that diagnosis and therapy take in the emotions of both the therapist and the client.
Psychotropic medications that i can use to treat a client with this disorder include antidepressants, mood stabilizers, antipsychotic medications, and sedatives. Bradford and Holt (2015) argue that psychotropic medications are normally regarded as second-line treatment after psychotherapy, though they can be used to treat borderline personality disorder. Nevertheless, there is no evidence for the single best medication for borderline personality disorder and the majority of researchers recommends that drug therapy must be targeted towards individual symptoms of the disorder.
Therapeutic approach i might use to treat a client presenting with borderline personality disorder The most effective therapeutic therapy that I can use to treat a client presenting with the disorder is dialectical behavioral therapy. This therapy is a form of cognitive behavioral therapy that provides patients with novel skills of managing painful emotions and lessening struggles in relationships. According to Biskin and Paris (2012), dialectical behavioral therapy has a strict order of targets for treatment and life-threatening behavior at the topmost of the hierarchy. A major dialectics in the treatment of borderline personality disorder is the equilibrium that the psychotherapist must attain in authenticating the behaviors and experiences of the client whilst enhancing change.
Jenny is an 80 year old female diagnosed with borderline personality disorder. Her major symptoms include emotional instability, suicidal thoughts, low mood feelings, outbursts of rage and anxiety. According to Stoffers-Winterling et al (2012), borderline personality disorder is marked by widespread pattern of variability in impulse control, affect regulation, self- image and interpersonal relationships.
Cognitive Behavioral Therapy in the Family and Individual Settings CBT, or Cognitive-Behavioral Therapy, is a mental treatment that was created through logical research. That is, the entirety of the parts of CBT have been tried by analysts to decide if they are compelling and that they do what they are expected to do. Research has demonstrated that CBT is one of the best medications for the administration of tension. Fortunately in spite of the fact that it is best finished with a prepared CBT advisor, you can apply CBT standards at home to deal with your own nervousness and overcome your feelings of dread. What are the Principles of CBT? CBT includes adapting new aptitudes to deal with your manifestations. It shows you better approaches for deduction and carrying on that can assist you with dealing with your nervousness over the long haul. There are a couple of rules that are critical to comprehend when utilizing CBT (Corey, 2013). .
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