You have been working as a veterinary assistant at a small animal clinic for the last two years. Part of your responsibilities involve assisting with client education when clients must provide care or treatment after minor problems with their furry companions.

Melanie is a long-time client of the practice. One summer day, Melanie brings her dog Zoey to the clinic because Zoey has been limping for the last several days. During the appointment, the veterinarian determines that Zoey has suffered damage to her distal and metacarpal pads from walking on hot pavement. You assist the veterinary technician clean up and bandage the pads. The appointment has run very long, so you are trying to free up the examination room for another patient. You walk out of the room with Melanie and explain to her that Zoey should be walked only in grassy areas during the day and that she should not walk on hot pavement. You also quickly explain that the bandages must be kept clean and dry; you let Melanie know that she should use plastic bags or booties over the bandages before taking Zoey outside if it is raining.

Two days later, Melanie returns with Zoey, whose bandages are wet, dirty, and falling off. Melanie is quite upset about the condition of the bandages. Clearly, Melanie has not followed the instructions that were given to her. She is very upset and eventually begins yelling that you clearly have no idea what you are doing.

Write a one- to two-page response that answers the following questions.

1. How should you respond to the situation? Explain why your suggestion is appropriate.

2. Describe how the original situation could have been better handled. Explain why.

 

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Psychiatric Psychotherapy with Individuals Practicum – Client Termination Summary

                                                        Learning Objectives

Students will:

· Develop client termination summaries

To prepare:

· For guidance on writing a Client Termination Summary, review pages 693–712 of the Wheeler text in this week’s Learning Resources.

· Identify a client who may be ready to complete therapy.

                                                           The Assignment

With the client you selected in mind, address the following in a client termination summary (without violating HIPAA regulations):

· Identifying information of client (i.e., hypothetical name, age, etc.)

· Date initially contacted therapist, date therapy began, duration of therapy, and  

   date therapy will end

· Total number of sessions, including number of missed sessions

· Termination planned or unplanned

· Presenting problem

· Major psychosocial issues

· Types of services rendered (i.e., individual, couple/family therapy, group therapy, 

   etc.)

· Overview of treatment process

· Goal status (goals met, partially met, unmet)

· Treatment limitations (if any)

· Remaining difficulties and/or concerns

· Recommendations

· Follow-up plan 

· Instructions for future contact

· Signatures

PLEASE DO NOT FORGET TO INCLUDE INTRODUCTION, CONCLUSION AND  REFERENCES

                                                           Learning Resources

Required Readings:

Wheeler, K. (Ed.). (2014). Psychotherapy for the advanced practice psychiatric nurse: A how-to guide for evidence-based practice (2nd ed.). New York, NY: Springer Publishing Company.

• Chapter 18, “Psychotherapy With Older Adults” (pp.      625–660)
• Chapter      20, “Termination and Outcome Evaluation” (pp. 693–712)

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author.

McGuire, J. (2009). Ethical considerations when working with older adults in psychology. Ethics & Behavior, 19(2), 112–128. doi:10.1080/10508420902772702

Swift, J. K., & Greenberg, R. P. (2015). What is premature termination, and why does it occur? In Premature termination in psychotherapy: Strategies for engaging clients and improving outcomes (pp. 11–31). Washington, DC: American Psychological Association. doi:10.1037/14469-002

 

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1. Describe the organizational characteristics of the facility in which you currently have a clinical assignment. Include the following:

a. Type of organization

b. Overall climate of the facility 

c. How the organization is structured 

d. Formal and informal goals and processes of the organization 

2. Why is the work climate of an organization important to nurse leaders and managers?

3. What are the ways in which a nurse can enhance his or her expertise?

4. Explain “shared governance,” and describe how it can affect the power structure of a health-care organization. 

5. Why is it important for staff nurses to understand the culture and real goals of the organization in which they work? 

1. Describe your ideal organization. Explain each feature and why you think it is important.

2. Interview one of the staff nurses on your unit. Find out what practices within the organization help to empower the nurses. Compare this list of practices with those discussed in the textbook. 

3. Recall the last time you walked into a hospital, clinic, or physician’s office for the first time. What was your first impression? Did you feel comfortable and welcome? Why or why not? If you could change the first impression this facility makes, what would you do?

4-What changes could be made at a very low cost? What changes would be expensive?Finally, discuss why it is important for a health-care facility to make a good first impression. 

Essentials of Nursing Leadership & Management
6th Edition

Sally A. Weiss  MSN, EdD, RN, CNE, ANEFRuth M. Tappen  EdD, RN, FAAN

ISBN-13: 978-0-8036-3663-7

 

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In today’s complex health care society, identify 4 healthcare issues that particularly are concerning for healthcare disparities.

Assignment length is 5 pages long excluding cover and reference pages.

Must follow APA format

 

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CLINICAL CASE DECISION INSTRUCTIONS

1. Your comments should be substantiated and substantive. Postings require two citations from 1 scholarly journal and/or 1 outside textbook. Textbooks assigned to this course may be used for an additional citation only.   
2. Each of the two references must be from a different reference source.
3. To gain full credit for the assignment, the response must be a full page, but no more than three (3) pages in length, which includes the reference list.
4. Students are required to use APA format, proper citations, and references.  Students using direct quotes from referenced sources in the body of the paper must include quotations.
5. Students will be assigned to a question.

Clinical Decision Case study.

Begin with a Head-Toe assessment, you decide if it should be treated as episodic with rationale.

You have been assigned two (2) cases to provide analysis. All cases should include the following

a. Pathophysiology and pharmacology of the disease

b. Expected signs and symptoms of the disease.

c. Nursing Diagnosis with a plan of care.

d. All questions pertaining to the case as listed under each case. 

You have been assigned two (2) cases to provide analysis. 

C1.  Mr. Bush, a 45-year-old middle school teacher arrives at the emergency department by EMS ground transport after he experienced severe mid-sternal chest pain at work. On arrival to the ED,

a.  What priority interventions you would initiate?

b. What information would you require to definitively determine what was causing Mr. Bush’s chest pain?

C2. Explain how diuretics, receptor antagonists, angiotensin converting enzyme antagonists, and angiotensin receptor antagonists reduce blood pressure in individuals with primary hypertension.

 

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