Justifying the Diagnosis Based on DSM-V Criteria According to American Psychiatric Association (2013), a client is diagnosed with generalized anxiety disorder when he/she presents with complaints of excessive worry and anxiety over an event or activity that has occurred for more than 6 months, the client has found it difficult to control the worry and anxiety which may be associated with any three of the following symptoms: easy fatigue, irritability, restlessness, muscle tension, difficulty in paying attention and sleep disturbance. Besides, a patient’s focus on anxiety should not be associated with panic attacks, social phobia, obsessive-compulsive disorder, separation anxiety disorder or post-traumatic stress disorder(Er, 2015).

Client Description A 30-year-old Caucasian female S K was referred by her primary care physician to our outpatient clinic with complaints of : extreme worry, stress, difficulty to concentrate, a lot of anxiety and thoughts. She had also been unable to sleep for the past one month. These symptoms were her first and were as a result of a divorce with her husband. She had reportedly not felt as bad before. She denied panic attacks but admitted to experiencing excess worry. The husband left her with three children for another woman and she was worried that her job was well paid to support her with the children. For approximately four months, she has persistently been in court about the divorce and has used a lot of finances to seek support for the children from her divorced husband. SK denied delusions, homicidal and suicidal ideation, audio and visual hallucinations. The client had been undergoing counseling for four months now but the counseling had not proven to be effective. She had also been started on Sertraline 100 mg daily and Xanax 0.25 mg before going to bed but had also not proven to be effective. Due to poor progress in treatment, she was thus referred by her primary care physician for further management.

The nursing theory that will be used to guide my practice is Orem’s self-care theory. The rationale for selecting Orem’s self-care theory is because it provides a clinical guideline to plan and implement good self-care principles. Orem hypothesized that people have the capacity to take care of their health; in case the ability to take care of self is distorted, healthcare providers can help such individuals regain the ability by care provision and education (Afrasiabifar et al, 2016). Therefore, during my practice, Orem’s self-care theory will guide me in being the facilitator and change agent for all my clients

The cognitive theory developed by Aaron Beck will be used to guide my practice. The focus of this theory is on how an individual’s thinking can influence and change their feelings and behaviors. Therefore, cognitive theory attempts to explain an individual’s behavior by understanding their thought process (Wampold, 2015). For instance, the cognitive theory is used by therapists to teach clients how to identify their maladaptive thought patterns and change such thoughts into constructive ones. NURS 6640 Psychotherapy With Individuals week 1 – 11 discussions and assignments.

In a 2- to 3-page paper, address the following: Briefly describe humanistic-existential psychotherapy and the second approach you selected. Explain at least three differences between these therapies. Include how these differences might impact your practice as a PMHNP. Focusing on one video you viewed, explain why humanistic-existential psychotherapy was utilized with the patient in the video and why it was the treatment of choice. Describe the expected potential outcome if the second approach had been used with the patient.

Analyze a Current Health Care Problem or Issue Patients face different barriers to health care every day as discussed in assessment two. It may be lack of transportation, lack of insurance, unavailability of the provider, or even mobility issues that may delay a person from receiving care and for this reason patients will wait till the last minute to see a doctor or use the Emergency Room (ER) for non-emergency reasons. When patients misuse the emergency room as a primary care visit it places a great strain not only for the ones seeking critical emergency care but to the providers as well. Inaccessibility to health care then causes great strains on patients, it is particularly true for those who may not have insurance or have a newly diagnosed condition in which they need care for and are pending an initial consult with the provider. When the ER is used as a patients first choice to receive health care it can cause detrimental consequences, such as gaps in care or failure to acknowledge or comply with preventative care (Maeng, Hao, & Bulger, 2017).

Health Care Reform in the US has been an unwavering battle depicting how the most expensive health care system in the world will look like and how it will be paid for.My rationale for choosing this topic is to demonstrate key factors as to how Information Technology and the APN role can effectively impact this issue.Despite much advancement towards a universal healthcare such as the Affordable Care Act (ACA), we have only found more complications relating to cost and quality in care.With low insurance coverage and an increase in healthcare costs the healthcare system is becoming overwhelmed with patients and understaffed with workers.Although the ACA has extended health coverage to millions of Americans we have not accounted for the healthcare worker population.Along with the welfare gains for low income individuals in poor health and welfare losses for high income individuals in good health, insurance companies are decreasing certain coverage’s and adversely driving the cost of care up (Jung & Tran, 2016)

NUR250: Clinical Nursing Practicum: Care of Patients Across the Lifespan

Throughout your master’s program, you will complete research on various topics. Knowing how to construct a strong problem statement and complete a critical analysis of the available information to write a literature review is essential. Should all nurses that show impairment at work be reported to the state nursing board? I say no to that position

Good morning, Mr. Sampson. My name is Kelly, and I will be your nurse today. I will help you with your discharge instructions and provide you with details about the medicine you will need to treat your uncontrolled high blood pressure. Your blood pressure has been elevated throughout your stay, which puts you at a higher risk for heart disease, kidney issues, stroke, and heart attack (Wolters Kluwer, 2021).

ASSIGNMENT ONE: “CAPATAIN OF THE SHIP” PROJECT BIPOLAR DISODER2 HPI Mr George is a 41year old African American male who is accompanied by his wife reports at the clinic with a complaint of “My depression has gotten worse”. Client is married with two children who are in there late teens. Mr. George was previously incacerated and served 10 years in prison for gun possession and distribution of illegal substances. He has been out of the prison for two years however he has not been able to secure a job due to his criminal record. This causes him to have one and halve year of relapse to using cocaine to “numb my pain” but has been “clean” since June of this year. Mr George’s wife is supportive, working two jobs to cover the bills and pay her husband’s treatment bills. Client is an only son of a single mother who sexually

For this week's assignment, we have a client, Tyrel, an 8-year-old black male brought in by his mother due to possible psychiatric concerns. In the last two months, he has become irritable, has had trouble sleeping, and struggles with going to school and being around his classmates. He has anxiety about germs and having to wash his hands often.This behavior began shortly after contracting strep throat and has manifested into wanting to wash his hands and keep them clean not to get sick again. He has missed more than eight days of school in the past three weeks. His mother feels responsible for his behavior because she diligently reminds him to wash his hands more frequently before and after he eats, not to handle things that do not belong to him, and wash his hands after playing with other children. Her pregnancy was uncomplicated, there were no medical issues to note, he met all developmental milestones, and he has had all immunizations to date. Decision #1 From the information provided in the case study, I feel Obsessive-Compulsive Disorder (OCD) for Decision

Quality measures refer to tools used by health practitioners in measuring and quantifying the processes of health care. With the help of the same tools, the patient perceptions, outcomes and organizational structures will also be understood. Health facilities, in this case, are in a position to provide high-quality services concerning more quality goals in the health care sector (American Psychological Association, 2020). Therefore, measurements of care provided to patients will constitute the quality benchmarks that will be based on the standards of care that have been put into place. Numeric data and feedback from patients play a very significant role in improving health care. The benchmarks are also supposed to be guidelines and scopes of practice based on scientific data and statistical evidence (Christmals & Gross, 2017). Structural measures, process measures and outcome measures are methods used in measuring and monitoring the quality of care delivered and the achieved outcome

In the 21stcentury, there have been significant strives made towards the improvement of healthcare services globally. Governments and administrative bodies have taken initiatives towards the development and delivery of quality health care to all individuals without necessary focusing on their social and wealth levels. Despite their tremendous efforts, there are still various public health issues that have been a significant menace to general health care. From a recent report by the Center for Disease Control and Prevention (CDC),

“Integrating Care When the End is Near: Ethical Dilemmas in End-of-Life Care” written by Tziporah Rosenberg and Jenny Speice (2013) brings to light the hurdles associated with end of life care. End of life discussions are not easy to have with patients and their family members, and along with this, clinicians and other healthcare workers must be aware of the laws associated with interacting with patients and patients’ family members.

CURRENT ISSUES IN NURSING 2 Euthanasia and Assisted Suicide Current issues in nursing, specifically euthanasia and assisted suicide, is an interesting and controversial issue that we will be discussing. There are many things we agree on as a group and some we disagree on as a group. Some states have rules in place when it comes to assisted suicide, but many do not. How would you feel, if it was your loved one, that had a terminal illness and you knew it was going to be a long painful death? But as you will see, it is not as black and white as some would think. Why We Agree Most agreed that assisted suicide should be standard practice for anyone who has a terminal diagnosis. We feel that this would help the patients with respect for their autonomy

Ethical dilemmas are some of the most difficult struggles we face in healthcare. We are confronted with decisions about what is right, fair, kind and just (Ulrich, 2012). Being ethical involves, not only a formal code of ethics, but also the infusion of personal virtues and ideals. Differing personal values can create conflict between two ethically sound individuals (Ulrich, 2012). Euthanasia and physician-assisted suicide are increasingly being legalized and there is great debate over this legalization, creating an ethical dilemma for those in the medical profession (O’Rourke, et al., 2017)

The healthcare system is relied upon by patients and their families to do the ethical thing when it refers to a person’s life. These legal and ethical responsibilities can be an enormous moral burden on all those involved, including the nurses. The views of the patient, their families, and all the healthcare providers can lead to legal and ethical issues. The following is a case study of an eighty-five-year-old widow who suffered from pain related to severe osteoarthritis. The widow lived alone but was over-medicating herself and not eating so she was placed in a long- term care facility for her safety. Her children did not want to see their mother in pain, but they also did not want her over-medicated and lethargic

Case Study Medical ethics is concerned with the application of moral judgments and values in the provision of medical services. Mainly, bioethics exist as a tool for breaching the gap between theoretical medical ethics and the bedside ethics. According to Carr (2013), the primary goal of bioethics is to enhance the quality of patients’ care as they resolve ethical problems that arise in the provision of medical services.

The state of Alabama faces many important issues within its healthcare system. The issues starts with the need for hospitals and clinics in rural areas. For instance, there have been 13 hospitals that have been closed within Alabama since 2010. Most of these hospitals went out of practice due to a lack of federal funding but some of them affected by other issues such as lack of staffing, patients and practice