History and Events in Nursing

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History and Events in Nursing

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Introduction

From its humble beginnings as a loving and supportive function to a highly skilled and specialized profession, nursing has a rich history that has developed through centuries. This essay examines two important historical occurrences or subjects that have substantially impacted the nursing profession. The significance of professional nursing organizations and their contributions to nursing are also covered in depth.

History and Events in Nursing:

Nursing history began in the 1860s. As society grows and the demand for nurses rises, laws, the law, improved educational procedures, and surroundings affect nursing and its practice. Modern nursing relies on technology. VR, remote access, robots, and biotechnology are improving. Once Computers have made information access easier for doctors and patients worldwide, it is becoming cheaper and more widely available. Enterprise computer systems are equipment, programs, users, and activities networks. Computers boost student and instructor academic achievement and clinical staff decision-making and communication in nursing education. Reading, computer-assisted training, and distant learning are examples. We cannot continue our normal routine due to the epidemic’s stress. The computer keeps us informed. New knowledge is easier to gather, organize, and understand.

Florence Nightingale (1820–1910), a British nurse and social activist, is often regarded as the progenitor of modern nursing. During the Crimean War (1853–1856), she was deployed alongside a cohort of nurses under her tutelage to provide medical assistance to wounded soldiers in military healthcare facilities (Ellis, 2019). Due to Nightingale’s meticulous documentation and rigorous data analysis, it became evident that most fatalities were attributed to preventable diseases and inadequate hygiene practices rather than injuries sustained in conflict. The author’s approach, which emphasized the importance of cleanliness, hygiene, and evidence-based treatment, significantly transformed nursing practices. The accomplishments of Florence Nightingale established the foundation for contemporary professional nursing, hence holding considerable importance within the nursing field. She advocated elevating nursing as a profession deserving of great regard, emphasizing the vital function that skilled and proficient nurses fulfill within healthcare establishments. Subsequently, nursing education and practice have embraced her emphasis on evidence-based practice and quality improvement in healthcare as a fundamental principle (Ellis, 2019).

The American Red Cross, founded by Clara Barton in the year 1881, is also another important organization in nursing History (Groves et al., 2024). Clara Barton is a nurse and a humanitarian who became experienced during the Civil War in America, majorly because she provided care and support to wounded soldiers because of being on the front lines during the war. After being introduced to the worldwide Red Cross movement, she returned to the US and established the American Red Cross. Her work demonstrates the role of nurses in providing humanitarian aid in times of disaster. Under her leadership, the American red cross movement provided care and relief during the crisis, which displayed the important role played by nurses in responding to disasters and crises; the establishment of the American red cross movement also emphasized the need to have homogenous and organized nursing care. The findings emphasized the relevance of skilled nurses in emergencies and the critical role a well-organized institution plays in efficiently coordinating and providing healthcare services (Groves et al., 2024).

Professional Nursing Organizations

  1. American Association of Critical-Care Nurses(AACN)

Importance to nursing: AACN plays a vital role in supporting nurses who work in critical care environments by offering essential assistance, educational resources, and advocacy tailored to their distinct needs (Kleinpell et al., 2018). Critical care nurses encounter intricate problems, and the American Association of Critical-Care Nurses (AACN) holds a pivotal position in enhancing their professional capabilities and advancing the well-being of patients.

Resources they provide to members: It provides access to practice materials, chances for ongoing education, evidence-based recommendations, and research papers. Through credentials like the CCRN (Critical et al.) and networking opportunities, they offer opportunities for career growth (Kleinpell et al., 2018).

Cost of membership:  According to the type of membership, AACN provided a variety of membership tiers as of 2021, with annual dues varying from about $78 to $120. The group had more than 100,000 members.

Current Issues: The AACN supports safe staffing levels, patient-centered care, and improved working conditions for critical care nurses. They also focus on initiatives that promote critical care professionals’ resilience, assist nurses’ psychological well-being, and advance equitable healthcare (Kleinpell et al., 2018).

  1. The American Nurses Association(ANA)

Importance to nursing: The ANA is important for nursing because it acts as the collective voice of registered nurses and defends their rights, pursuits, and professional advancement. It promotes excellent patient care standards and advances the nursing field (Linton & Koonmen, 2020).

Resources they provide to members: It provides its members with various resources, such as webinar access, chances to train, regulatory and advocacy updates, networking opportunities, and membership to nursing articles. It also offers opportunities for growth as a practitioner, including accreditations and ongoing training (Linton & Koonmen, 2020).

Cost of membership: Depending on the type of membership and education level, ANA membership varies in price. The annual membership fee for a standard member (RN with a bachelor’s degree or higher) ranged from roughly $174 to $218 as of September 2021. More than 50 organizations, including state and specialty nursing associations, comprised more than 4 million individual nurse participants (Linton & Koonmen, 2020).

Current Issues: It is constantly working to address numerous nursing, healthcare, and patient advocacy-related challenges. Increasing healthcare fairness, diversifying the nursing workforce, supporting safe staffing ratios, promoting fair pay and benefits for nurses, and supporting legislation safeguarding nurses’ rights and welfare are some key areas (Linton & Koonmen, 2020).

Why are Professional Organizations, in general, important to nursing as a profession

Professional organizations play a crucial role in the field of nursing. They provide a platform for nurses to connect, collaborate, and stay updated on the latest developments in the profession. These organizations offer their members a range of services and benefits, including professional development opportunities, networking events, access to resources and research, and advocacy support (Zabel, 2019). They also serve as a collective voice to represent the interests and concerns of nurses at a local, national, and international level. By joining a professional organization, nurses can enhance their knowledge and skills, expand their professional network, and contribute to advancing nursing (Zabel, 2019).

Conclusion

This essay has thoroughly explained the historical developments and key moments that have shaped the nursing profession from its infancy to the present. It is clear from the case study analysis and the discussion of professional nursing organizations that nursing is still essential to healthcare delivery and public health activities. The information gleaned from this analysis emphasizes the relevance of honoring the contributions of nursing trailblazers and ongoing efforts to enhance the profession to fulfill the always-evolving needs of healthcare. By recognizing our nursing legacy, we can continue to clear the way for a better and more significant future for nursing and healthcare.

References

Ellis, H. (2019). Florence Nightingale: Creator of modern nursing and public health pioneer. Journal of Perioperative Practice, 30(5), 145–146. https://doi.org/10.1177/1750458919851942

Groves, J. T., Vear, K. M., & Smith, M. (2024). Disaster nursing. Ciottone’s Disaster Medicine, pp. 250–255. https://doi.org/10.1016/b978-0-323-80932-0.00037-9

Kleinpell, R., Cook, M. L., & Padden, D. L. (2018). American Association of Nurse Practitioners national nurse practitioner sample survey: Update on acute care nurse practitioner practice. Journal of the American Association of Nurse Practitioners, 30(3), 140-149. https://doi.org/10.1097/jxx.0000000000000030

Linton, M., & Koonmen, J. (2020). Self-care is an ethical obligation for nurses. Nursing Ethics, 27(8), 1694-1702. https://doi.org/10.1177/0969733020940371

Zabel, D. (2019). The mentoring role of professional associations. Career Paths and Career Development of Business Librarians, pp. 155–167. https://doi.org/10.4324/9781315877334-14

History and Events in Nursing

Paper details

Write a 1000 word APA paper addressing each of the following points. Be sure to completely answer all the questions for each bullet point. There should be two main sections, one for each bullet below. Separate each section in your paper with a clear heading that allows your professor to know which bullet you are addressing in that section of your paper. Support your ideas with at least three (3) scholarly sources using citations in your essay. Make sure to cite using the APA writing style for the essay. The cover page and reference page in correct APA do not count towards the minimum word amount. Review the rubric criteria for this assignment.

  • Explore the history of nursing and choose two events/topics from history related to nursing (ie education, practices, important people, etc.) and explain each one in detail and why they are important to the nursing profession.
  • Research two professional nursing organizations and discuss the following for each organization chosen:
    • The name of the organization and why this organization is important to nursing
    • What resources they provide to members
    • Cost of membership and how many members are part of the organization
    • Current issues the organization is working on
    • Finally, after researching this question answer in detail: Why are Professional Organizations in general important to nursing as a profession?
  • There is NO ABSTRACT in papers for this course. At the top of page 2 you will repeat the title of your assignment (not in bold, but centered) and then write a brief introduction paragraph of the ENTIRE paper (main sections should be mentioned; THIS INCLUDES ANY TOPICS FOR CASE STUDY SECTIONS).
  • Intro is followed by a Level 1 subheading (bold and centered) for the first half of the assignment. This week it’s History and Events in Nursing.  Any question/point you are addressing under this heading should be marked clearly with Level 2 subheading which are bolded and flush left.
  • Immediately after the first section above without any spaces, you will also use another Level 1 subheading (bold and centered) prior to the second half of the assignment which is the case study. This week it’s Professional Nursing Organizations. Again, differentiate which question/point you are answering by using a Level 2 subheading (bold and at the left margin).
  • After both sections are discussed at length – there will be ONE Conclusion – needed for all papers as the last Level 1 subheading bold and centered that summarizes the entire paper/knowledge gained
  • There will be ONE alphabetized reference page for all sources set “hanging” with references in APA format. All citations need a reference!
  • All references listed are cited correctly in APA format in the text. Points are docked for incorrect citations and not meeting the source requirement.
  • Should use 3rd person the majority of the time but it is OK to use 1st person when describing a personal experience related to a specific question.

Diversity in the Workplace

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Diversity in the Workplace

Diversity in the Workplace

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Health Medical

Rasmussen College

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Description

For the first time in history, five distinct generations – Matures/Traditionalists, Baby Boomers, Gen X, Gen Y, and Gen Z – are employed sided by side in the workplace. Each generation has distinct attitudes, behaviors, expectations, habits and motivational buttons. At work, generational differences can affect everything, including recruiting, building teams, dealing with change, motivating, managing, and maintaining and increasing productivity. Effective management of this multigenerational workforce is vital to longevity and success.

For this assignment:

Review the following policy regarding diversity in the workplace.

Rasmussen Hospital and Clinics is committed to eliminate actions that oppress, exclude, limit or discriminate based on race, gender, ethnicity, financial ability, sexual orientation, religion, disability or age. We make every effort to make sure our employee workforce is representative and reflective of the communities in which our services are provided. Rasmussen Hospital and Clinics ensure our workplace, policies, procedures, practices, and ongoing training will free any barriers.
Create an Age Diversity Training Program- You will create a training program for your employees highlighting the five generations. Describe each generation including the core values, attitudes, and expectations related to the workplace and management. Be sure to point out key differences between people in each of the generations such as communication preferences and learning styles. Include in your training program the following.

  1. An agenda for your training session including date, time, room, and topics to be covered

Power Point Presentation

Summary- Propose how you as a supervisor or manager will help to bridge the generational divide and effectively manage a diverse workplace with your employees. Think of how generational differences in communication styles might affect misunderstandings, high employee turnover, difficulty in attracting employees and gaining employee commitment.

Orlando and the 1950s and 60s

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Orlando and the 1950s and 60s

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Orlando’s theory emphasized the need for nurses to recognize patients’ cries for help. Sam, an experienced family man, is the customer in this case. The local nurse, Ann, must determine whether she needs help or is just asking for it. In this case, Sam seems to decline his daughter’s offer to do the laundry (Smith et al., 2020). He also became upset when his daughter said that the absence of her siblings made it difficult for her to take care of her father. During the interview, he also avoided eye contact with the nurse.

The nurse should consider whether Sam is asking for help with all three things. Maybe he feels forced to be a burden to Susan, his daughter, which is why he does not give her the laundry. This is also conceivable because Sam’s eyes tear up as Susan describes how her siblings abandoned her to care for her father. Sam’s refusal to look you in the eye could also be interpreted as a nonverbal sign of distress (Smith et al., 2020).

Suppose Ann develops a family care plan for Sam. In that case, she will follow the steps of the intentional nursing process according to Orlando’s theory, which includes assessment, diagnosis, planning, implementation, and evaluation.She has assessed and diagnosed that Sam may need help to the extent that Sam being cared for by a nurse instead of Susan and her family may suit him so that he does not feel like a burden to My family. Ann, being responsible for Sam, should try to speak calmly and in an appropriate tone at all times, even when Sam seems complex or difficult to deal with. Orlando’s theory emphasizes that any action Ann takes requires her to evaluate whether the patient is communicating their need for help and how that need is being met. If not, Ann should reconsider her approach. If Sam is still not speaking, Ann can let him do some of the things he wants to do around the house, which can help him feel independent rather than being a burden to the family and Ann.

In many respects, America had a terrific time during the 1950s and 1960s. First, they symbolized the period following the Great War’s devastation. The possibility of a new cold war between the United States and the Soviet Union persisted. In the 1950s, America’s economy was at the top of the world, and innovations in television, birth control, and space exploration took place (Petrovskaya, 2023). Due to the considerable purchasing power of the average American family, Americans embraced a consumerist society. America transitioned from a production-based culture to one based on consumption throughout the 1960s.

Because nurses in the 1950s and 1960s were compelled to place patients in care units according to their disease severity, they developed an observant sense. The nature of the nurse-patient connection depended on the time. In the 1950s, nurses were required to wear caps, and their uniforms prioritized short sleeves over long sleeves. In the 1960s, aprons gained front buttons, and necklines widened (Aperibense et al., 2019). In the 1960s, men were permitted to work as nurses. With feminism on the rise, nurses and women generally enjoyed respect in the 1960s.

The Virginia Henderson theory, one of the leading nursing theories of the time, highlighted that nursing was a broader profession than only providing care for sick people. She stressed the need for nurses to determine the patient’s needs and provide an atmosphere where the patient can improve their performance without assistance (Watson et al., 2020). Later, Faye Abdellah portrayed nursing theory as having to shift from a disease-centred to a patient-centred approach, which required focusing on the patients and their families’ needs. She exhorted nurses to apply research to their clinical work. The nurses’ realization that they needed to play a part in patients’ treatment rather than concentrating exclusively on their illness was the most significant achievement of the 1950s and 1960s.

 

References

Aperibense, P. G., Silva, C. P., Santos, T. C., Almeida Filho, A. J., Nelson, S., & Peres, M. A. (2019). The uniform of nursing students: A strategy for constructing professional identity (1950-1960). Texto & Contexto – Enfermagem, 28. https://doi.org/10.1590/1980-265x-tce-2017-0593

Petrovskaya, O. (2023). Technology and nursing. Routledge Handbook of Philosophy and Nursing, 481-493. https://doi.org/10.4324/9781003427407-53

Smith, M. C. (2020). Nursing theories and nursing practice. FA Davis. Nursing theories and nursing practice (5th ed.).). F.A. Davis. ISBN 978-08036-79917.

Watson, K. S., Siegel, L. D., Henderson, V. A., Murray, M., Chukwudozie, I. B., Odell, D., Stinson, J., Ituah, O., Ben Levi, J., Fitzgibbon, M. L., Kim, S., & Matthews, P. (2020). The SHARED project: A novel approach to engaging African American men to address lung cancer disparities. American Journal of Men’s Health, 14(5), 155798832095893. https://doi.org/10.1177/1557988320958934

Orlando and the 1950s and 60s

Paper details

Write a 600 word APA paper addressing each of the following points. Be sure to completely answer all the questions for each bullet point

Use clear headings that allow your professor to know which bullet you are addressing on the slides in your presentation. Support your content with at least three (4) outside sources and the textbook Smith, M. C., & Parker, M. E. (2020). Nursing theories and nursing practice (5th ed.). F.A. Davis. ISBN 978-08036-79917. Read Chapters 5, 6, & 8

using APA citations throughout. Make sure to cite the sources using the APA writing style.

 

Ann, a community nurse, made an afternoon home visit with Susan and her father. After the death of her mother, Susan had growing concerns about her father living alone. \”I worry about my father all the time. He is becoming more forgetful and he has trouble seeing. Mom used to take care of him. I am not sleeping and I am irritable around him. Yesterday I shouted at him because he wouldn\’t let me help him with his laundry. I felt terrible! I am at my wits\’ end! My brothers and sisters do not want to put dad in a nursing home but they are not willing to help out. As usual, they have left me with all the responsibility. I work part time and have two small children to care for.” Susan\’s father, Sam, sat quietly with tears filling his eyes. He was well nourished and well-groomed but would not make eye contact. Nurse Ann noticed that the house was clean and orderly. A tray in front of the TV had the remains of a ham sandwich and glass of ice tea. Mail was piled up, unopened on a small table near the front door. There was only one car in the driveway and the yard was in need of attention.

  • What questions does Orlando’s theory guide the nurse to consider in caring for Susan and Sam?
  • Develop a family plan of care from the perspective of Orlando.

Explore the 1950 and 60’s in the United States:

  • Explore was happening in the United States during this time (culture, social, economics, struggles)
  • What did nursing look like during this time (what were their jobs like, responsibilities, dress, autonomy, respect)
  • What is the most influential accomplishment in nursing theory from the 1950’s and 1960’s?

NURS 4455: Development Inventory

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NURS 4455: Development Inventory

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NURS 4455: Development Inventory

Do you view yourself as a leader?

You have, no doubt, served as a leader in some situations, but you may not yet envision yourself as a leader in the nursing environment. This course is designed to help you recognize the leadership and management qualities you bring to the profession, sharpen and enhance those skills, and to encourage you to seek out leadership and management opportunities.

Use the Professional Development Inventory to assess your leadership qualities and skills. Save your results and/or make notes of the conclusions.

Objective

• Identify characteristics of leadership and management.

Conclusions and Reflections

Describe your overall leadership characteristics, strengths, and weaknesses. Comment on any characteristics that the tool did not address that you believe to be important.

 

Professional Development Inventory NURS4455

What is Professional Development Practices?

This Professional Development Practices Inventory was developed to assist funded partners in identifying the strengths and gaps in the
professional development (PD) components of their cooperative agreement work plans. The inventory is meant to be a tool for individual or team
reflection and to assist in the prioritization of PD practices. The following six professional development practices are used as the framework for the
inventory:
 Sustain a Professional Development Infrastructure  Deliver Professional Development
 Design Professional Development Offerings  Provide Follow‐Up Support
 Market Professional Development Services  Evaluate Professional Development Processes
These practices refer to the delivery of professional development in a group setting (trainings, presentations, meetings) or one‐on‐one (general
technical assistance, coaching/mentoring).
HelpfulDefinitions:
 Professional development (PD) is a systematic process used to strengthen how professionals obtain and retain knowledge, skills, and
attitudes. PD is designed to actively engage learners. It includes the planning, design, marketing, delivery, follow‐up support, and
evaluation of PD offerings such as events, information sessions, and technical assistance
 A PD event includes to a set of skill‐building processes and activities designed to help targeted groups of participants master specific
learning objectives. Such events are delivered in an adequate time span (at least 3 hours) and may include trainings, workshops, coaching,
and online or distance learning courses.
 Technical assistance refers to tailored guidance to meet the specific needs of a site or sites through collaborative communication
between a specialist and the site(s). Assistance takes into account site‐specific circumstances and culture and can be provided through
phone, mail, e‐mail, Internet, or in‐person meetings.
Directions:
In the table starting on page 2, Read each item listed in the Processes column (left column) and determine whether or not your site has the
process in place. There is a box to indicate “yes,” “no,” or “don’t know.” As you consider each process think about the level of importance of each.
There is a space in the right‐hand column for you to jot down impressions or comments. After you (and your team, if applicable) have had a
chance to analyze the processes, indicate in the lower right corner of the page whether this PD practice is a high, medium, or low priority for your
site.

NURS 6640 PMHNP Caring for Adult

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NURS 6640 PMHNP Caring for Adult

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NURS 6640 PMHNP Caring for Adult

Question 7

The PMHNP is caring for an adult male patient whose wife left him several months ago. He recently learned that his ex-wife is dating someone much younger. The man feels belittled, sad, and lonely. He talks about trying to meet other women, but says, “I can’t compete with the younger guys these days, with the cool clothes and the vegan diets. I’m bald and overweight, and what woman is going to want to be with me?” How does the PMHNP help raise the man’s self-esteem?
Selected Answer:
A. Correcting cognitive distortions

NURS 6640 PMHNP Caring for Adult

What is Assessing Client Progress?
Part 1: Progress Note

Using the client from your Week 3 Assignment, address the following in a progress note (without violating HIPAA regulations):

Treatment modality used and efficacy of approach
Progress and/or lack of progress toward the mutually agreed-upon client goals (reference the Treatment plan—progress toward goals)
Modification(s) of the treatment plan that were made based on progress/lack of progress
Clinical impressions regarding diagnosis and/or symptoms
Relevant psychosocial information or changes from original assessment (i.e., marriage, separation/divorce, new relationships, move to a new house/apartment, change of job, etc.)
Safety issues
Clinical emergencies/actions taken
Medications used by the patient (even if the nurse psychotherapist was not the one prescribing them)
Treatment compliance/lack of compliance
Clinical consultations
Collaboration with other professionals (i.e., phone consultations with physicians, psychiatrists, marriage/family therapists, etc.)
Therapist’s recommendations, including whether the client agreed to the recommendations
Referrals made/reasons for making referrals
Termination/issues that are relevant to the termination process (i.e., client informed of loss of insurance or refusal of insurance company to pay for continued sessions)
Issues related to consent and/or informed consent for treatment
Information concerning child abuse, and/or elder or dependent adult abuse, including documentation as to where the abuse was reported
Information reflecting the therapist’s exercise of clinical judgment
Note: Be sure to exclude any information that should not be found in a discoverable progress note.
Part 2: Privileged Note

Based on this week’s readings, prepare a privileged psychotherapy note that you would use to document your impressions of therapeutic progress/therapy sessions for your client from the Week 3 Practicum Assignment.

The privileged note should include items that you would not typically include in a note as part of the clinical record.
Explain why the items you included in the privileged note would not be included in the client’s progress note.
Explain whether your preceptor uses privileged notes, and if so, describe the type of information he or she might include. If not, explain why.

NURS 6640 PMHNP Caring

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NURS 6640 PMHNP Caring

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NURS 6640 PMHNP Caring

Question 4
1 out of 1 points

The PMHNP is caring for an older patient with major depressive disorder, seasonal pattern. The patient has been resolute about not taking medication to manage the depression brought on by his illness, stating that it is against his yogic lifestyle. In addition to psychotherapy, what can the PMHNP suggest to this patient?

Selected Answer:
A.
“You may want to look into therapeutic oils and aromatherapy as an alternative to medication.”

 

NURS 6640 PMHNP Caring

What is Assessing Client Progress?
Part 1: Progress Note

Using the client from your Week 3 Assignment, address the following in a progress note (without violating HIPAA regulations):

Treatment modality used and efficacy of approach
Progress and/or lack of progress toward the mutually agreed-upon client goals (reference the Treatment plan—progress toward goals)
Modification(s) of the treatment plan that were made based on progress/lack of progress
Clinical impressions regarding diagnosis and/or symptoms
Relevant psychosocial information or changes from original assessment (i.e., marriage, separation/divorce, new relationships, move to a new house/apartment, change of job, etc.)
Safety issues
Clinical emergencies/actions taken
Medications used by the patient (even if the nurse psychotherapist was not the one prescribing them)
Treatment compliance/lack of compliance
Clinical consultations
Collaboration with other professionals (i.e., phone consultations with physicians, psychiatrists, marriage/family therapists, etc.)
Therapist’s recommendations, including whether the client agreed to the recommendations
Referrals made/reasons for making referrals
Termination/issues that are relevant to the termination process (i.e., client informed of loss of insurance or refusal of insurance company to pay for continued sessions)
Issues related to consent and/or informed consent for treatment
Information concerning child abuse, and/or elder or dependent adult abuse, including documentation as to where the abuse was reported
Information reflecting the therapist’s exercise of clinical judgment
Note: Be sure to exclude any information that should not be found in a discoverable progress note.
Part 2: Privileged Note

Based on this week’s readings, prepare a privileged psychotherapy note that you would use to document your impressions of therapeutic progress/therapy sessions for your client from the Week 3 Practicum Assignment.

The privileged note should include items that you would not typically include in a note as part of the clinical record.
Explain why the items you included in the privileged note would not be included in the client’s progress note.
Explain whether your preceptor uses privileged notes, and if so, describe the type of information he or she might include. If not, explain why.

NURS 6640: Psychodynamic Therapy

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NURS 6640: Psychodynamic Therapy

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NURS 6640 Psychodynamic Therapy

Question 8

The PMHNP meets with a 31-year-old woman who reports feeling as though she is “at her breaking point” with work. The PMHNP learns that the woman works 12-hour days, including one day on the weekend, because she is nervous about company layoffs. “I feel like I need to work myself to death in order to prove that I am valuable to the organization,” the woman says. Using the supportive psychodynamic therapy approach, how does the PMHNP respond?

Selected Answer:
D.
“That must be a very tiring work schedule. How do you feel about working so much?”

 

NURS 6640 Psychodynamic Therapy Discussion

What is Assessing Client Progress?
Part 1: Progress Note

Using the client from your Week 3 Assignment, address the following in a progress note (without violating HIPAA regulations):

Treatment modality used and efficacy of approach
Progress and/or lack of progress toward the mutually agreed-upon client goals (reference the Treatment plan—progress toward goals)
Modification(s) of the treatment plan that were made based on progress/lack of progress
Clinical impressions regarding diagnosis and/or symptoms
Relevant psychosocial information or changes from original assessment (i.e., marriage, separation/divorce, new relationships, move to a new house/apartment, change of job, etc.)
Safety issues
Clinical emergencies/actions taken
Medications used by the patient (even if the nurse psychotherapist was not the one prescribing them)
Treatment compliance/lack of compliance
Clinical consultations
Collaboration with other professionals (i.e., phone consultations with physicians, psychiatrists, marriage/family therapists, etc.)
Therapist’s recommendations, including whether the client agreed to the recommendations
Referrals made/reasons for making referrals
Termination/issues that are relevant to the termination process (i.e., client informed of loss of insurance or refusal of insurance company to pay for continued sessions)
Issues related to consent and/or informed consent for treatment
Information concerning child abuse, and/or elder or dependent adult abuse, including documentation as to where the abuse was reported
Information reflecting the therapist’s exercise of clinical judgment
Note: Be sure to exclude any information that should not be found in a discoverable progress note.
Part 2: Privileged Note

Based on this week’s readings, prepare a privileged psychotherapy note that you would use to document your impressions of therapeutic progress/therapy sessions for your client from the Week 3 Practicum Assignment.

The privileged note should include items that you would not typically include in a note as part of the clinical record.
Explain why the items you included in the privileged note would not be included in the client’s progress note.
Explain whether your preceptor uses privileged notes, and if so, describe the type of information he or she might include. If not, explain why.

NURS 6640: Gestalt Therapy

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NURS 6640: Gestalt Therapy

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NURS 6640: Gestalt Therapy

Question 3

A PMHNP is using Gestalt therapy to communicate with a 50-year-old patient who is going through a divorce. As he is calmly sharing the details of his divorce, the PMHNP notices that Dave is tapping his fingers on his legs. What is an appropriate response by the PMHNP using the technique of focusing?
A. “I noticed that your fingers were tapping. Can you give a voice to your fingers?”

NURS 6640 Gestalt Therapy Assignment

What is Assessing Client Progress?
Part 1: Progress Note

Using the client from your Week 3 Assignment, address the following in a progress note (without violating HIPAA regulations):

Treatment modality used and efficacy of approach
Progress and/or lack of progress toward the mutually agreed-upon client goals (reference the Treatment plan—progress toward goals)
Modification(s) of the treatment plan that were made based on progress/lack of progress
Clinical impressions regarding diagnosis and/or symptoms
Relevant psychosocial information or changes from original assessment (i.e., marriage, separation/divorce, new relationships, move to a new house/apartment, change of job, etc.)
Safety issues
Clinical emergencies/actions taken
Medications used by the patient (even if the nurse psychotherapist was not the one prescribing them)
Treatment compliance/lack of compliance
Clinical consultations
Collaboration with other professionals (i.e., phone consultations with physicians, psychiatrists, marriage/family therapists, etc.)
Therapist’s recommendations, including whether the client agreed to the recommendations
Referrals made/reasons for making referrals
Termination/issues that are relevant to the termination process (i.e., client informed of loss of insurance or refusal of insurance company to pay for continued sessions)
Issues related to consent and/or informed consent for treatment
Information concerning child abuse, and/or elder or dependent adult abuse, including documentation as to where the abuse was reported
Information reflecting the therapist’s exercise of clinical judgment
Note: Be sure to exclude any information that should not be found in a discoverable progress note.
Part 2: Privileged Note

Based on this week’s readings, prepare a privileged psychotherapy note that you would use to document your impressions of therapeutic progress/therapy sessions for your client from the Week 3 Practicum Assignment.

The privileged note should include items that you would not typically include in a note as part of the clinical record.
Explain why the items you included in the privileged note would not be included in the client’s progress note.
Explain whether your preceptor uses privileged notes, and if so, describe the type of information he or she might include. If not, explain why.

Reflection on the experience with the health history

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Reflection on the experience with the health history

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What I Did Right

By creating a comprehensive health history, I have demonstrated proficiency in all aspects of the endeavor. I established a firm rapport with the patient early on, which is essential for eliciting candid responses. By employing nonverbal indicators such as a friendly smile, prolonged eye contact, and attentive listening, I created a safe environment for the patient. The patient could communicate their medical concerns and provide vital medical information.

I added open-ended questions to my arsenal of techniques during the discussion of the patient’s medical history to elicit comprehensive responses from the patient. It has been determined that asking follow-up inquiries to elicit additional information and clear any misunderstandings is an effective strategy(Atsma et al., 2020). This method facilitated a thorough evaluation of the patient’s physical and mental health, providing a complete picture of their current state of health. I could address the patient’s current concerns and any potential underlying issues by employing this technique. Another way I demonstrated my cultural competence was by attempting to comprehend the patient’s cultural upbringing and values. I knew the importance of adapting my strategy to their country’s beliefs and preferences to facilitate straightforward communication and mutual understanding between all parties(Atsma et al., 2020).

Areas for improvement

Medical history compiling is an area where I can still improve despite my accomplishments. Time management ability stands out as one of the most essential characteristics. One aspect of the patient’s health history that I occasionally spent excessive time on was the patient’s medical history. As a result, I had less time to discuss psychosocial and lifestyle concerns with the patient. This may make it difficult to obtain a more accurate picture of the patient’s health (Kadhim et al., 2020).

One more area in which I need to improve is my ability to ask more specific and insightful questions. Even though I did an excellent job of employing open-ended questions, I could enhance my performance by creating more focused queries that extract specific information about the patient’s symptoms, previous medical history, and family history. If I were to do so, I would be able to collect more pertinent and comprehensive data, which would assist me with both the diagnosis and the treatment planning (Roodbari et al., 2021).

Last but not least, I need to work on improving my documentation skills. It is crucial to have precise and complete documentation to ensure that patients receive consistent care and that the healthcare team members can communicate effectively with one another. During the health history interview, I need to develop my note-taking techniques to ensure that all relevant information is captured accurately and thoroughly.

Strategies for Improving

I intend to put numerous plans into action to address the areas that need improvement:

  1. Time management: I will develop a methodical framework for asking people about their medical histories. Using this framework, I will set aside specific time slots for the various parts of history, ensuring that I have enough time to cover every important detail, from the medical background to the psychological components(Doty et al., 2021).
  2. Questioning Techniques: Using fictitious health history interviews as practice, I will work on developing more focused queries. In order to improve my asking strategies and ensure I ask appropriate questions that result in a thorough assessment, I will also consult experienced healthcare professionals for their comments (Doty et al., 2021).
  3. Documentation: I will spend some time honing my interview note-taking techniques for the health history. This involves writing down patient information clearly and succinctly while still being thorough enough for other healthcare professionals to grasp(Doty et al., 2021).

In conclusion, taking a health history is a crucial skill in the medical field, and my evaluation of the assignment has highlighted my strengths and my need for growth. I want to become a more capable healthcare professional who performs complete and efficient health histories, contributing to better patient treatment and outcomes. I will achieve this by emphasizing time management, honing my questioning techniques, and improving my documentation procedures.

References

Atsma, F., Elwyn, G., & Westert, G. (2020). Understanding unwarranted variation in clinical practice: A focus on network effects, reflective medicine and learning health systems. International Journal for Quality in Health Care, 32(4), 271-274. https://doi.org/10.1093/intqhc/mzaa023

Doty, M. M., Tikkanen, R. S., FitzGerald, M., Fields, K., & Williams, R. D. (2021). Income-related inequality in affordability and access to primary care in eleven high-income countries. Health Affairs, 40(1), 113-120. https://doi.org/10.1377/hlthaff.2020.01566

Kadhim, K. T., Alsahlany, A. M., Wadi, S. M., & Kadhum, H. T. (2020). An overview of patient’s health status monitoring system based on Internet of Things (IoT). Wireless Personal Communications, 114(3), 2235-2262. https://doi.org/10.1007/s11277-020-07474-0

Roodbari, H., Axtell, C., Nielsen, K., & Sorensen, G. (2021). Organizational interventions to improve employees’ health and wellbeing: A realist synthesis. Applied Psychology, 71(3), 1058-1081. https://doi.org/10.1111/apps.12346

Reflection on the experience with the health history

Value: 100 points

Due: Day

Grading Category: Assignments: Discussions/Journal

Reflect on your clinical skill practice by writing your responses to the following prompts:

  • Reflect on your experience with the health history you conducted for the assignment.
    • What do you feel you did well?
    • What are areas in which you can improve?
    • What are strategies you can use to make improvements?

Please refer to the Grading Rubric for details on how this activity will be graded.

Week 3 Journal Entry 1: Obtaining Health History Reflection

Value: 100 points

Due: Day 7

Grading Category: Assignments: Discussions/Journal

Reflect on your clinical skill practice by writing your responses to the following prompts:

  • Reflect on your experience with the health history you conducted for the assignment.
    • What do you feel you did well?
    • What are areas in which you can improve?
    • What are strategies you can use to make improvements?

Please refer to the Grading Rubric for details on how this activity will be graded.

Chronic Stress and Behavioral Response

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Chronic Stress and Behavioral Response

Chronic Stress and Behavioral Response

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Overview of the Assignment

Cortisol is a key hormone released during the stress response. In this module assignment, we will look more closely at this hormone to investigate:

Cortisol’s molecular composition the signaling pathway that causes cortisol production and release the cellular-, organ-, and organ system-level response that results from this cell signal Case Assignment

Check out the following articles:

Cortisol and the Hypothalamic-Pituitary-Adrenal Axis in Stress Physiology M. Randall. Dartmouth Undergraduate Journal of Science, 2011.

and

The Interaction of Traumatic Stress, PTSD, and Cortisol. Naval Center for Combat and Operational Stress Control, Delaney, E.

After reading these articles, create a 10-15 slide presentation in the format shown below.

Slides 1 and 2 depict the hormonal signal cascade described in Randall’s (2011) article’s section titled “Neurochemistry of Stress.” To represent the regions that release specific hormones in the hormone cascade that results in cortisol release, use simple ovals or circles. Textboxes can be used to label the hormones, regions, and organs involved (both options are available in the PowerPoint program’s “Insert” tab).

Label and diagram the kidney and adrenal gland on slides 3 and 4. Include the following items:

Cortex and medulla of the adrenal gland; regions associated with hormone production and release; hormones released in each region
Kidney cortex and medulla; water absorption and filtering region; urine collection region

Diagram and label the HPA axis on slide 5. Include the hormones produced by each component as well as their impact on the target organ (s).

Slide 6: Include the location of the hippocampus and the negative feedback loop that occurs when the hippocampus detects high cortisol levels in your diagram from Slide 5. Include a brief description of the effects of elevated cortisol exposure on the hippocampus in the notes section.

Slide 7: Using bulleted points, list factors that exacerbate the stress response via HPA axis activation.

Slides 8-10: Conduct additional PTSD research. Draw a diagram of the brain regions thought to be involved in PTSD symptoms. Explain the connection between PTSD and depression, and include relevant brain regions in your labeled regions.

Slides 11-13: Summarize the various findings in the studies described in the article “The Relationship between Traumatic Stress, PTSD, and Cortisol” in bulleted points. Include the correlations discovered between cortisol levels and PTSD patients. Some explanations from the article for the variability in cortisol levels in these individuals are included in the notes. Explain the limitations of the studies mentioned at the end of the article by the author.

Slides 14 and 15: citations and additional notes as needed

Expectations for the Assignment

You will create a PowerPoint presentation with approximately 15 slides that addresses the requirements outlined above for this Case Assignment. Insert the text that answers the questions above into the Notes section of your slide presentation. Cite all of your answers in your Notes sections, for example (Murray 2014). Your slides should include labeled images that illustrate the text in your Notes sections. To find diagrams of the required organs and systems, conduct a Google search that includes the term “image” (for example, “adrenal gland image”). Give the URL or reference for each labeled image. Make sure your final slide is a references slide with the complete references cited on your slides. There are numerous resources available to you. Include these in your bibliography. This assignment should not necessitate a lot of independent research.

Important information for writing discussion questions and participation

Welcome to class

Hello class and welcome to the class and I will be your instructor for this course. This is a -week course and requires a lot of time commitment, organization, and a high level of dedication. Please use the class syllabus to guide you through all the assignments required for the course. I have also attached the classroom policies to this announcement to know your expectations for this course. Please review this document carefully and ask me any questions if you do. You could email me at any time or send me a message via the “message” icon in halo if you need to contact me. I check my email regularly, so you should get a response within 24 hours. If you have not heard from me within 24 hours and need to contact me urgently, please send a follow up text to

I strongly encourage that you do not wait until the very last minute to complete your assignments. Your assignments in weeks 4 and 5 require early planning as you would need to present a teaching plan and interview a community health provider. I advise you look at the requirements for these assignments at the beginning of the course and plan accordingly. I have posted the YouTube link that explains all the class assignments in detail. It is required that you watch this 32-minute video as the assignments from week 3 through 5 require that you follow the instructions to the letter to succeed. Failure to complete these assignments according to instructions might lead to a zero. After watching the video, please schedule a one-on-one with me to discuss your topic for your project by the second week of class. Use this link to schedule a 15-minute session. Please, call me at the time of your appointment on my number. Please note that I will NOT call you.

Please, be advised I do NOT accept any assignments by email. If you are having technical issues with uploading an assignment, contact the technical department and inform me of the issue. If you have any issues that would prevent you from getting your assignments to me by the deadline, please inform me to request a possible extension. Note that working fulltime or overtime is no excuse for late assignments. There is a 5%-point deduction for every day your assignment is late. This only applies to approved extensions. Late assignments will not be accepted.

If you think you would be needing accommodations due to any reasons, please contact the appropriate department to request accommodations.

Plagiarism is highly prohibited. Please ensure you are citing your sources correctly using APA 7th edition. All assignments including discussion posts should be formatted in APA with the appropriate spacing, font, margin, and indents. Any papers not well formatted would be returned back to you, hence, I advise you review APA formatting style. I have attached a sample paper in APA format and will also post sample discussion responses in subsequent announcements.

Your initial discussion post should be a minimum of 200 words and response posts should be a minimum of 150 words. Be advised that I grade based on quality and not necessarily the number of words you post. A minimum of TWO references should be used for your initial post. For your response post, you do not need references as personal experiences would count as response posts. If you however cite anything from the literature for your response post, it is required that you cite your reference. You should include a minimum of THREE references for papers in this course. Please note that references should be no more than 5 years old except recommended as a resource for the class. Furthermore, for each discussion board question, you need ONE initial substantive response and TWO substantive responses to either your classmates or your instructor for a total of THREE responses. There are TWO discussion questions each week, hence, you need a total minimum of SIX discussion posts for each week. I usually post a discussion question each week. You could also respond to these as it would count towards your required SIX discussion posts for the week.

I understand this is a lot of information to cover in 5 weeks, however, the Bible says in Philippians 4:13 that we can do all things through Christ that strengthens us. Even in times like this, we are encouraged by God’s word that we have that ability in us to succeed with His strength. I pray that each and every one of you receives strength for this course and life generally as we navigate through this pandemic that is shaking our world today. Relax and enjoy the course!

Hi Class,

Please read through the following information on writing a Discussion question response and participation posts.

Contact me if you have any questions.

Important information on Writing a Discussion Question

  • Your response needs to be a minimum of 150 words (not including your list of references)
  • There needs to be at least TWO references with ONE being a peer reviewed professional journal article.
  • Include in-text citations in your response
  • Do not include quotes—instead summarize and paraphrase the information
  • Follow APA-7th edition
  • Points will be deducted if the above is not followed

Participation –replies to your classmates or instructor

  • A minimum of 6 responses per week, on at least 3 days of the week.
  • Each response needs at least ONE reference with citations—best if it is a peer reviewed journal article
  • Each response needs to be at least 75 words in length (does not include your list of references)
  • Responses need to be substantive by bringing information to the discussion or further enhance the discussion. Responses of “I agree” or “great post” does not count for the word count.
  • Follow APA 7th edition
  • Points will be deducted if the above is not followed
  • Remember to use and follow APA-7th edition for all weekly assignments, discussion questions, and participation points.
  • Here are some helpful links
  • The is a great resource