Category: Nursing

The PICO Question 
After studying Module 1: Lecture Materials & Resources, and completing 500 clinical hours, students undoubtedly witness problems or gaps in healthcare.  The PICO question Population/ Patient Problem: (P), Intervention: (I), Comparison: (C), Outcome: (O) is to ask a searchable and answerable question that provides evidence to improve practice.  In a well-written discussion post address, the following:
Describe a real-world, current problem in US psychiatric care.  This could be a problem that affects clinical decisions and may include a broad range of biological, psychological, and sociological issues.
Formulate a PICO question based on the question chosen in the announcement.  You will use this question in each discussion for this term.
Summarize the reason this PICO question is so important to advanced practice nursing.
Submission Instructions:
Your initial post should be at least 500 words, formatted and cited in the current APA style.
Provide support for your work from at least five academic sources less than 5 years old. Visit Purdue OwlLinks to an external site. for specific examples on how to create in-text citations and cite references using the current APA format.
Students will use this PICO question when creating the abstract and academic poster.
Students may not duplicate the PICO question of another student at St. Thomas University.
Grading Rubric 
Your assignment will be graded according to the grading rubric.
Discussion Rubric
Criteria Ratings
Identification of Main Issues, Problems, and Concepts Distinguished – 4 points
Post is substantively accurate. Identifies and demonstrates a sophisticated understanding of the issues, problems, and concepts surrounding the assignment. Provides exceptional and thought-provoking analysis that directly addresses details and/or examples of the main topic.
APA Formatting Guidelines Distinguished – 2 points
The reference page contains at least the required current scholarly academic reference and text reference. Follows APA guidelines of components: double space, 12 pt. font, abstract, level headings, hanging indent, and in-text citations.
Writing Mechanics Distinguished – 2 points
Rules of grammar, usage, and punctuation are followed; spelling is correct.
Response to Posts of Peers Distinguished – 2 points
Constructively responded to two other posts and either extended, expanded, or provided a rebuttal to each.
Total Points  10

Discuss the specific socioeconomic, spiritual, lifestyle, and other cultural factors related to the health of the patient you selected.
Describe the Subjective, Objective, Assessment, Planning (S.O.A.P.) approach for documenting patient data and explain what they are.
Discuss the functional anatomy and physiology of a psychiatric mental health patient. Which key concepts must a nurse know in order to assess specific functions
Case study attached in photos

Objectives: 
This assignment is intended to show evidence that you have achieved or are working towards the following learning objectives: 
Analyze and describe findings for improvement in a clinical scenario if TeamSTEPPS® methods and practices are used.  
Instructions: 
Step 1: To begin preparing for your case study analysis first watch this simulation. Within the simulation you’ll be able to identify multiple roles interacting with the patient, at times in conflict.  
As you watch the simulation consider the four tenants of TeamSTEPPS®: teamwork, communication, situation monitoring, and mutual support.  
Part I–Video: Conflict Management in the Interprofessional Team Simulation (6:03)  
Cameron Comstock Actor. (2018, November 14). Shoulder final client [Video]. YouTube. https://www.youtube.com/watch?v=p3qHqQMi_M0  
Conflict Management in the Interprofessional Team Simulation.docx
As you watch the case study video consider this summary of the case, but also include your own findings: 
Personnel Involved: Nurse, OT, AT, PT, Health Administrator 
Materials: Professional Code of Ethics, Scope of Practice (State = California), moral model of ethical decision-making  
Case Scenario: A newly licensed nurse is delivering massage to a 22-year-old athlete-patient who recently underwent a shoulder reconstruction due to a sport collision-injury. The patient has requested massage to relieve pain. During the delivery of this massage, the physical and occupational therapist arrive to determine course of treatment. Another member of the healthcare team, the athletic trainer, observed surgery and has orders from the surgeon to perform scar tissue massage therapy. All healthcare professionals feel this is in their scope of treatment, how do we proceed? Who is reimbursable? Who should be providing care in this setting? Who needs to get involved, if anyone else? 
Additional Points to Consider: The nurse is providing an inappropriate massage that is contraindicated at this stage of the patient’s soft tissue healing. The patient’s insurance has limited post-operative rehabilitation coverage. The PT, OT, and AT feel that each of them should be the rehabilitation discipline managing this patient’s case. Integrate strategies for conflict management of this interprofessional patient scenario to bring this scenario to a patient-centered resolution. 
Step 2: Part II–Analysis: Resolving the organizational conflict with TeamSTEPPS® best practices.  
As you have completed your coursework you have completed lessons, simulations, and readings on the various techniques, tools, and methods of applying TeamSTEPPS® principles. 
Each of you is enrolled in a graduate program at USAHS. As part of your role as a graduate student, you will gain many skills in the program that will lead you to a career path to becoming leaders in your field. In your role as a current or future leader, you will face many challenges in your leadership decision-making. Part of those challenges include ethical dilemmas, differing opinions, team personality conflicts, role differentiation, and leadership discrepancies. All these issues impact the strategic vision of the organization and the organization’s culture, and indirectly or directly the patient’s outcome. 
Step 3: For this assignment you will develop a 4-to-6-page paper using APA 7th edition student paper template that analyzes the scenario and describes the best TeamSTEPPS® best practice to improve interprofessional collaboration in future scenarios.  
To formulate your paper, you will begin by reviewing the scenario, roles of each team member, and the conflict presented. You will draw upon the skills you have gained throughout the course to develop a best practice solution.  
Develop your paper to include the following: 
Title page 
Introduction 
Clinical scenario descriptions (team members and roles, conflict, situation) 
Plan to improve interprofessional practice through TeamSTEPPS® (outline at least two concepts and two tools). (2 concepts and 2 Tools I chose :1. Team Leadership-tools- brief, huddle,debrief)(2.Communication-tools -check-back, teach back, closed loop communication)  
Explain how the implementation of best practice can influence culture and reduce conflict/harm (hint: shared mental model) 
Conclusion 
References 
You will need to include at least three scholarly sources to support your best practice, one of which may be the AHRQ website. 

This is a chapter case study. All you have to do is answer the questions on the same           document that I have provided. I also provided the rubric. There are five questions that      have to be answered. Thank you

Assignment Instructions:
Writing clear and concise instructions is crucial in healthcare environments to ensure consistency and safety in task execution. For this assignment, you’ll create a set of instructions for a healthcare-related task targeting nonspecialists, such as new nurses or family caregivers. Your instructions should include both text and visuals, guiding users through the process effectively.
Your task:
Choose a healthcare-related task you’re highly familiar with, ensuring it’s manageable yet requires multiple steps. Your instructions should be original, not copied from existing sources.
Instructions:
Introduction:
Provide a brief overview of the task and its importance.
Mention the target audience (new nurses, family caregivers, etc.).
Materials Needed:
List all necessary materials and tools for the task.
Include images of each item for easy identification.
Step-by-Step Instructions:
Break down the task into 5-7 clear and sequential steps.
Use headings, bullets, and lists for better organization.
Include accompanying images for each step, illustrating key actions.
Write in simple language, avoiding jargon or technical terms.
Visual Aids:
Ensure visuals are clear, well-lit, and easy to understand.
Use arrows or annotations to highlight important details in images.
Document Design:
Design your instructions for readability and clarity.
Use appropriate fonts, colors, and spacing.
Arrange text and images logically to guide users smoothly.
Infographic or Document:
Decide whether to create an infographic or a document.
Choose a free infographic maker tool for design if preferred.
References:
If sourcing images online, cite them properly in a References section. Here’s a resource on citing images found onlineLinks to an external site..
Follow citation guidelines for online images.
Conclusion: Summarize the importance of clear instructions in healthcare and the significance of your task. Emphasize the user’s ability to successfully complete the task following your instructions.
Remember to keep your instructions between 250-500 words and ensure they’re accessible and understandable for your target audience.

Differentials
Differentials: Three to five differential diagnoses including pertinent patient presentation/symptoms that should be considered and must be plausible to match the patient presentation. The student should write in detail WHY they thought the patient met this criterion using the previous information presented in part one and how the diagnosis was ruled out. The final diagnosis should NOT be included in the differential.
DIAGNOSIS
DSM-5 tr Final Diagnosis with ICD-10 Code: What is the rationale for the diagnosis? The student should write in detail the rationale that describes the specific symptomatology that qualifies the clinical presentation to be identified as the DSM-5 diagnosis, including diagnostic specifiers.
Treatment Plan
EBP: In one paragraph or more, review an Evidence-Based Practice article referring to this patient with this particular diagnosis, treatment, or medication (summarize the study, include a rating of the article, (citation for the rating scale & put the article and rating scale in your references), instruments utilized, relevant findings.
Measurement of patient progress and Assessment Tools
Measurement of patient progress and Assessment Tools: List 2-3 measures that could be utilized for this patient in the future to measure their progress. Include the name of the test, information about reliability & validity, score ranges, meaning of high vs low scores, how often the instrument should be administered, and patient score is assessed during evaluation. Mnemonic devices, such as “SIGECAPS” are not published/validated tests.
Psychopharmacology
Psychopharmacology: Medication with dose-instructions listed, pharmacodynamics, and pharmacokinetics. A detailed explanation is provided for the choice of this medication over other medications in the same category.
Diagnostic tests
Diagnostic tests that are specific to the case are described with the rationale whether or not they are done. Lab/Diagnostic template in Appendix A. List each test separately and provide the rationale (CBC is separated by each test – hemoglobin, hematocrit, etc and what abnormals could mean and the possible connection to a psychiatric diagnosis)
Psychotherapy
Psychotherapy: In one to two paragraphs, list 2 or more theoretical orientations which could be used in the treatment of this patient and give 3-4 sentences describing each theoretical orientation and why the treatment could be beneficial. Such options could include Interpersonal, psychodynamic, EMDR, Rogerian, CBT, Jungian, etc. Use references other than Sadler or Wheeler.
Psychoeducation
Psychoeducation: Pertinent information regarding aftercare, legal issues, health promotion such as diet, medical, psychological testing, medications, diagnosis, black box warnings, and educational websites
Follow-up
Follow-up: Instructions to the patient for follow-up visits, emergency access, or diagnostics. Include safety measures if indicated.
Attached is the Comprehensive Case one- with which your part two should be based
Also attached is the work sheet you should use in completing the assignment

Chief complaint: weakness, depression and fatigue
History of present illness: Diabetes, hypothyroidism and depression.
Ms. Abigail Harris is an 86-year-old African American woman who presented in the ED with weakness and fatigue.
Reports weakness and fatigue for last month, increasing over last 7 days. Ms. Harris is occasionally unable to get out of bed in the morning. The timing of fatigue is every morning. Reports that her fatigue is somewhat alleviated by lying down, and that she has slightly more energy in the afternoon. No known triggers.
Reports feeling guilty about appearance and lack of social interaction last two weeks. Reports not leaving her house much. She reports a depression diagnosis, and her current depression screening shows her positive for moderate depressive symptoms.
Underactive thyroid. 
Medication: Levothyroxine, Venlafaxine, insuline
Insulin aspart: 16 units, SC, TID mealtimes
Insulin glargine: 45 units, SC, daily
Levothyroxine: 50 mcg, P.O., daily
Venlafaxine extended-release (Effexor XR): 150 mg P.O. daily
Zolpidem: 5 mg, P.O., PRN at bedtime
GENERAL: weight loss, lost 9 pounds over the last month. Has some trouble falling asleep and staying asleep. Daytime fatigue, worst in morning, like a “hangover.” 
HEENT: Dizzy in the morning. Mild presbycusia and presbyopia (corrected with glasses) 
RESPIRATORY: Reports shortness of breath walking around the house (ex. to the bathroom). Mostly lays in bed at home lately. 
MUSCULOSKELTAL: Joint pain
GASTROINTESTINAL: Positive for anorexia: less desire to eat until later in the day. Still takes regular insulin “TID” (mealtimes). Positive for mild nausea and constipation. Negative for abdominal tenderness.
MUSCULOSKELETAL: Negative for joint pain, swelling.
NEUROLOGICAL: Weak, nearly fell twice last week. 
PSYCHOLOGICAL: History of depression and has a prescribed antidepressant medication. Does not endorse sad mood. Lost interest and pleasure associated with church and social activities for the last month. Feels unlike herself most mornings. Says that it would be okay if she didn’t wake up tomorrow morning.
Social history: Widowed, husband died 6 years ago.Never smoked, drinks alocohol occassionally. Lives in the home with her son and his wife. Primary caregiver is her son. Patient use to attend church, had a knitting group and use to walk her dog. 

please see the rubric below. it says what each slide requires. any questions please feel free to ask

After studying Module 1: Lecture Materials & Resources, discuss the following:
Describe the importance of folk medicine practices and folk healers to African Americans in the rural setting. 
Mrs. M., a Mexican American who just gave birth, tells the nurse not to include certain foods on her meal tray because her mother told her to avoid those foods while breastfeeding. The nurse tells her that she doesn’t have to avoid any foods and should eat whatever she desires. What concept does this demonstrate? 
Describe at least two communication barriers encountered by non-Navajo nurses when providing care to Navajo clients. 
Submission Instructions:
Your initial post should be at least 500 words, formatted, and cited in current APA style with support from at least 2 academic sources.

I’ve attached all instructions for this assignment. All references should be scholarly between 2020-2024. All in text citations and references need to be apa format
7. I need an initial post that’s 200 words and then two responses to peers 100 words each response, 2 references for each. I will send over two people that you can respond to when it’s available.