Category: Health & Medical

Submission: Each person in the group must submit the full report including your

Submission: Each person in the group must submit the full report including your report merged with your group members into one cohesive document in this submission folder. Ensure that it is clear which part of the full report each group member wrote. Note that your Professor may also require your individual section submitted separately from the merged group document. Please follow the instructions for submission provided in class and see due dates in the Instructional Plan.
File Name Format: Ensure your file is saved using your group number and all your group members names. For example, Group1_Member1_Member2_Member3_Member4
Instructions:
The group will continue to develop the project from Report 1 by developing elements of an implementation plan. Each group member will be responsible to write one section of Report 2. The sections of the report are:
Human Resources plan,
Risk Management plan,
Change Management Plan, and
Quality Management Plan.
In groups with 5 members, a Communication Plan will be added.
Each group member will submit the full report including all sections noted above merged into a professionally formatted report which clearly identifies which group member wrote each element. The report must include appropriate APA formatted citations and references.
All group members will work together to ensure that all the deliverables are related to the same idea or proposed solution. The coordination of information will be completed in meetings which will involve your Professor as well as additional group meetings and communications amongst group members outside of these formal meetings.
Format:
Ensure that all of your group members full names are on the first page of the report and it is clear which group member wrote each section of the report.
The report should be submitted using a professional format rather than an academic format. Word templates can be utilized. APA format for referencing and citations is required.
Each section will will be roughly 4 pages in length plus references. The length will vary by section and depends on the professional formatting choices. Please ensure contents of the section are thorough and follow the directions provided (see videos related to each section).
Each section must have its own citations and references. Each section must have at least one reference. Some sections will have more references than others due to the required elements of each. Please consult the section videos and your Professor for further guidance.
The combined report must include a Title Page, Table of Contents and Executive Summary for the full report.

In a paper of 8 pages, plus cover page and references page, include the followin

In a paper of 8 pages, plus cover page and references page, include the following:
Describe the three health care settings that you explored as proposed sites for an EBP QI project. For each health care setting, identify the following defining features: patient population, mission, public or private entity, single institution or member of a corporation, and others you identify as significant.
Compare the settings for strengths and weaknesses as sites for an EBP QI project. Be specific and provide examples.
Explain the practice problems that you explored based on your interests and identified needs of the health care settings you investigated.
Explain why each problem is a potential focus for an EBP QI project. Be specific and provide examples.
For each health care setting, describe the stakeholders whose approval would be required to initiate an EBP QI project and implement the results.
Compare similarities and differences in stakeholder requirements across the settings.
Identify the one proposed health care setting/practice site and one proposed practice problem you have selected as the focus of a hypothetical presentation to stakeholders, and explain your choices.
Part 2: Implementation Science Presentation
Develop a PowerPoint presentation of 3–5 slides, plus cover and reference slides, to inform a set of potential stakeholders at the practice site you have identified for a proposed EBP QI project. Although you will not make your presentation, it should be authentic to the purpose and include the following:
Introduce the framework or model you have selected for the EBP QI project and your reasoning. (1–2 slides)
Present a draft of the proposed practice problem. Include notes for each slide describing points you would make to the assembled stakeholders to obtain their approval or buy-in for the EBP QI project. (2–3 slides). NOTE: The final decision of your practice issue is made in the project mentoring course, NURS 8702, with your project committee and organization.

This week, students will create a Policy Memo PPT outline advocating for ACA pre

This week, students will create a Policy Memo PPT outline advocating for ACA preventive health services and screenings.
There are three main ways to advocate for or against a law or policy: 1) a policy analysis paper, 2) a policy brief, and 3) a policy memo. As healthcare leaders, it is not likely that you will have the time to develop a policy analysis paper or a policy brief. However, as a community leader with ties to the political environment, you could be called upon to advocate for or against a proposed law or policy that impacts your healthcare organization. A well written policy memo should effectively address:
Introduction: a compelling, high level summary of what the policy will or will not do
Statement of the Problem: a summary of the problem that the policy will or will not solve
Financial Implications and Solutions for Stakeholders: identify stakeholder groups and delineate how the policy will or will not impact their personal or organizational finances and a statement of why the policy is or is not a viable solution for the stakeholders
Supporters and Opponents of the Proposed Policy: Identify political and organizational supporters and opponents and tell why your position (advocating for or against) is important to them
Conclusion: a brief recap of your most salient points (for or against) followed by a compelling, persuasive statement of why your position is the right position
For your reference a sample policy memo is attached so that you have a reference document

Respond to at least two of your colleagues on 2 different days by comparing your

Respond to at least two of your colleagues on 2 different days by comparing your assessment tool to their:
Alexis Renee Johnson
The Psychiatric Evaluation and Evidence-Based Rating Scales
Psychiatric Interview
There are multiple components to the psychiatric interview. While each one of the components is important, I am going to focus on the assessment, DSM-5 Diagnosis, and treatment plan. “The assessment should be a brief recapitulation of the overall clinical picture and a discussion of differential diagnosis.” (Carlat, D. J., 2017). Carlat also notes this is often the area other clinicians will focus on therefore it is important to capture all pertinent information here. In the assessment should include identifying data, current clinical picture, family, and medical history that may be associated with the current diagnosis. “The Diagnostic and Statistical Manual of Mental Disorders (DSM) provides the standard language by which clinicians, researchers, and public health officials in the United States communicate about mental disorders.” (Regier, D. A., Kuhl, E. A., & Kupfer, D. J., 2013). In the psychiatric interview, the DSM-5 is where the clinician will list all the diagnosis for the patient being interviewed. The treatment plan is where the clinician will document the plan of care for the patient. The treatment plan should include: any diagnostic testing planned (i.e., neuropsychological testing, laboratory tests), plans for medication, if you can prescribe, plans for therapy, if needed, referrals to other health care practitioners, if applicable, when you plan to see your patient again. (Carlat, D.J., 2017).
Psychometric Properties
There are multiple screening tools to diagnosis and determine the severity of depressive disorders. I chose to discuss the Beck Depression Inventory (BDI) scale. “The BDI was developed in the early 1960s to rate depression severity, with a focus on behavioral and cognitive dimensions of depression.” (Boland, R. & Verduin, M. L. & Ruiz, P., 2022). This screening tool consists of 21 questions the patient will answer based off their symptoms over the last 2 weeks. The scale is then scored and determines the severity of symptoms. The tool can be readministered to evaluate changes in symptoms over treatment. The screening tool can be administered anytime but would be most helpful and the beginning of the interview to help identify the severity of symptoms.
References:
Carlat, D. J. (2017). The psychiatric interview (4th ed.). Wolters Kluwer.
Boland, R. & Verduin, M. L. & Ruiz, P. (2022). Kaplan & Sadock’s synopsis of psychiatry (12th
ed.). Wolters Kluwer
Regier, D. A., Kuhl, E. A., & Kupfer, D. J. (2013). The DSM-5: Classification and criteria
changes. World psychiatry: official journal of the World Psychiatric Association
(WPA), 12(2), 92–98. https://doi.org/10.1002/wps.20050
Mathew Ajemba
Hello professor and class,
The three important elements of the psychiatric interview are chief complaint and history of presenting illness (HPI), mental status examination (MSE), and family and social history. The CC offers direction on what kind of HPI (including onset, duration, symptom progression, alleviating, and triggering factors) to gather to understand the patient’s current mental health status (Sadock et al., 2017). By understanding the patient’s CC and HPI, the provider can gain valuable insight into their mental state and help formulate differential diagnoses and an appropriate treatment plan. The MSE helps gain insight into the patient’s mental status by assessing their appearance, behaviors, speech, thought content and process, mood and affect, cognition, perception, insight, and judgments, information fundamental to developing differential diagnoses by identifying specific abnormalities and patterns that indicate certain psychiatric illnesses and informing the development of a treatment plan (Newson et al., 2020). Family and social history is important considering it influence psychopathology. Information about the family’s mental illnesses, social practices (e.g. drinking, drug use, and smoking), and significant life events (e.g. divorce) can help understand the patient’s life and aid in identifying potential stressors and differential diagnoses (Sadock et al., 2017).
The screening tool assigned is the Overt Aggression Scale-Modified (OAS-M), a tool used to assess aggression in psychiatric patients, both inpatient and outpatient (Mistler & Friedman, 2022). According to Coccaro (2020), the OAS-M is a valid and reliable tool, with an alpha coefficient of 0.88 for OAS-M Global Anger and Aggression (GAA) and 0.78 for OAS-M aggression score (AGG), demonstrating internal consistency. The tool also has high inter-rate reliability with a Kappa coefficient of 0.84 and ICC value of 0.97; high temporal stability with an ICC of 0.55; and high face validity.
The OAS-M, as described by Coccaro (2020), is relevant for patients who present with aggressive behaviors such as a history of threats, violence, agitation, or irritability. It provides healthcare professionals with a structured and standardized approach to assessing the risk of overt aggression through the assessment of physical aggression, verbal aggression, hostility, and other aggressive behaviors. The tool also guides the development of appropriate intervention by informing on the severity and nature of the patient’s aggressive behaviors. For instance, helping identify specific triggers and developing targeted and individualized interventions for the management of aggressive behaviors (Mistler & Friedman, 2022). The OAS-M tool is also used to monitor the effectiveness of the intervention in which it is administered at regular interventions to track changes in severity and nature of aggregation, helping inform any change to treatment plans and making necessary adjustments to help attain therapeutic efficacy (Coccaro, 2020).
References
Coccaro, E. F. (2020). The Overt Aggression Scale Modified (OAS-M) for clinical trials targeting impulsive aggression and intermittent explosive disorder: Validity, reliability, and correlates. Journal of Psychiatric Research, 124, 50-57. https://doi.org/10.1016/j.jpsychires.2020.01.007Links to an external site.
Mistler, L. A., & Friedman, M. J. (2022). Instruments for measuring violence on acute inpatient psychiatric units: Review and recommendations. Psychiatric Services, 73(6), 650-657. https://doi.org/10.1176/appi.ps.202000297Links to an external site.
Newson, J. J., Hunter, D., & Thiagarajan, T. C. (2020). The heterogeneity of mental health assessment. Frontiers in Psychiatry, 11, 76. https://doi.org/10.3389/fpsyt.2020.00076
Sadock, B. J., Sadock, V. A., & Ruiz, P. (2017). Psychiatric interview, history, and mental status examination. In Kaplan and Sadock’s Concise Textbook of Clinical Psychiatry. (4th ed., pp. 39–52). Wolters Kluwer.
MY POST
Natalie Farquharson
Exploring Psychiatric Assessment and the Montgomery-Åsberg Depression Rating Scale (MADRS)
Components of the Psychiatric Interview
The key psychiatric interview components were rapport-building mental state analysis, and accurate diagnosing. Initial rapport-building fosters a therapeutic partnership that encourages patients to open up. This requires creating a sympathetic, nonjudgmental space for conversation. A comprehensive examination of cognitive, emotional, and perceptual functions reveals the patient’s mental health. Structured questions, observations, and open-ended inquiries help discover mental disorders in this complete examination (Carlat, 2017). Finally, a correct diagnosis is crucial. After the mental state exam, the diagnostic evaluation and formulation procedure synthesizes the data using DSM-5 criteria. This improves comprehension and helps create customized treatment programs.
Psychometric Properties of MADRS
The Montgomery-Åsberg Depression Rating Scale (MADRS) demonstrates robust psychometric properties, affirming its reliability and validity in assessing depressive symptoms. With good internal consistency, MADRS items exhibit high correlation, ensuring homogeneity in measuring depressive constructs. Inter-rater reliability is also notable, indicating consistent ratings across different assessors. Content validity is supported by the scale’s comprehensive coverage of various depressive aspects, and construct validity is evidenced by its effectiveness in measuring depressive symptoms (Borentain et al., 2022). MADRS exhibits sensitivity to change, crucial for tracking symptom severity changes over time in clinical trials. Its criterion-related validity is affirmed through significant correlations with other established depression measures. Furthermore, the one-factor structure of MADRS underscores its simplicity and efficiency in capturing the overall severity of depression.
Application of MADRS
It’s appropriate to use the scale as nurse practitioners during psychiatric interviews. The Montgomery-Åsberg Depression Rating Scale (MADRS) proves particularly valuable within nurse practitioners’ responsibilities. Employing MADRS during the initial psychiatric assessment allows nurse practitioners to gauge the severity of depressive symptoms, establishing a crucial baseline for informed treatment planning. As care progresses, the scale becomes an effective tool for ongoing monitoring, enabling nurse practitioners to track symptom changes and assess the effectiveness of therapeutic interventions (Ntini et al., 2020). MADRS also supports collaborative care models, facilitating standardized communication with other healthcare professionals involved in a patient’s mental health management. In research settings, nurse practitioners can utilize MADRS for data collection, contributing to a more comprehensive understanding of depressive symptomatology.
MADRS use in Nurse Practitioner’s Psychiatric Assessment
The Montgomery-Åsberg Depression Rating Scale (MADRS) significantly enhances a nurse practitioner’s psychiatric assessment by providing a structured and standardized method for evaluating the severity of depressive symptoms. Utilizing MADRS during the initial evaluation establishes a quantifiable baseline, enabling tracking changes in symptomatology over time and facilitating ongoing monitoring of treatment effectiveness (Ntini et al., 2020). The scale’s comprehensive nature ensures a systematic exploration of various depressive symptoms, contributing to a more accurate and holistic understanding of the patient’s mental state. MADRS also promotes consistency and effective communication in multidisciplinary care settings, enhancing collaboration with other healthcare professionals. In research contexts, MADRS serves as a valuable tool for data collection, contributing to evidence-based practice.
References
Borentain, S., Gogate, J., Williamson, D., Carmody, T., Trivedi, M., Jamieson, C., Cabrera, P., Popova, V., Wajs, E., DiBernardo, A., & Daly, E. J. (2022). Montgomery‐Åsberg Depression Rating Scale factors in treatment‐resistant depression at the onset of treatment: Derivation, replication, and change over time during treatment with esketamine. International Journal of Methods in Psychiatric Research, 31(4). https://doi.org/10.1002/mpr.1927Links to an external site.
Carlat, D. J. (2017). The psychiatric interview (4th ed.). Philadelphia Wolters Kluwer.
Ntini, I., Vadlin, S., Olofsdotter, S., Ramklint, M., Nilsson, K. W., Engström, I., & Sonnby, K. (2020). The Montgomery and Åsberg Depression Rating Scale – self-assessment for use in adolescents: an evaluation of psychometric and diagnostic accuracy. Nordic Journal of Psychiatry, 74(6), 415–422. https://doi.org/10.1080/08039488.2020.1733077Links to an external site.
Please respond to Alexis and Mathew with 2 paragraphs with references
THE PSYCHIATRIC EVALUATION AND EVIDENCE-BASED RATING SCALES
EditEditAssessment tools have two primary purposes: 1) to measure illness and diagnose clients, and 2) to measure a client’s response to treatment. Often, you will find that multiple assessment tools are designed to measure the same condition or response. Not all tools, however, are appropriate for use in all clinical situations. You must consider the strengths and weaknesses of each tool to select the appropriate assessment tool for your client. For this Discussion, as you examine the assessment tool assigned to you by the Course Instructor, consider its use in psychotherapy.
RESOURCES
American Psychiatric Association. (2022). Section I: DSM-5 basics. In Diagnostic and statistical manual of mental disorders Links to an external site.(5th ed., text rev.). https://go.openathens.net/redirector/waldenu.edu?url=https://dsm.psychiatryonline.org/doi/full/10.5555/appi.books.9780890425787.Section_1Links to an external site.
American Psychiatric Association. (2022). Classification. In Diagnostic and statistical manual of mental disorders Links to an external site.(5th ed., text rev., pp. xiii-xl). https://go.openathens.net/redirector/waldenu.edu?url=https://dsm.psychiatryonline.org/doi/full/10.5555/appi.books.9780890425787.Section_1Links to an external site.Review
Carlat, D. J. (2017). The psychiatric interview (4th ed.). Wolters Kluwer.Chapter 34, Writing Up the Results of the Interview
Boland, R. & Verduin, M. L. & Ruiz, P. (2022). Kaplan & Sadock’s synopsis of psychiatry (12th ed.). Wolters Kluwer.Chapter 1, “Examination and Diagnosis of the Psychiatric Patient”
American Academy of Child and Adolescent Psychiatry (1995). Practice parameters for the assessment and treatment of children and adolescentsLinks to an external site.. https://www.aacap.org/App_Themes/AACAP/docs/practi…
Just respond to Alexis and Mathew, 2 paragraph, and references! I attached my post to the discussion question so you can compare my post to their post

Introduction (100 words)
Why did you select this particular opportunity for tra

Introduction (100 words)
Why did you select this particular opportunity for transformation? (i.e., why is it important)? (200 words)
What is the anticipated impact of a successful transformation of your selected transformation in the 0–6-month, 6–12-month, 1 year, 2 years+ time horizon? (200 words)
What might the new experience look like (what data, process and people would the new transformation engage)? (200 words)
What tools do you need to enable this transformation? (200 words)

Conclusion (100 words)

Covering nursing knowledge and practice regarding golden hour of premature and t

Covering nursing knowledge and practice regarding golden hour of premature and term neonate 100 questions multiple ch

The misuse of and addiction to opioids—including prescription pain relievers, he

The misuse of and addiction to opioids—including prescription pain relievers, heroin, and synthetic opioids such as fentanyl—is a serious national crisis that affects public health as well as social and economic welfare.
Discuss: Heroin is one of the most effective painkilling drugs available today, yet in the United States, it is not legal for physicians and hospitals to administer it. Do you think that physicians and hospitals should have the right to administer heroin under the right conditions? Why or why not?

Read and view Modern Medicine: The third-leading cause of death in US most docto

Read and view Modern Medicine: The third-leading cause of death in US most doctors don’t want you to know about
Links to an external site.
Write an 800- to 850-word essay addressing the following:
Describe common medical errors and how they lead to malpractice litigation.
Explain the major causes of medical errors.
Provide a recommendation for reducing medical errors.
Include both the text and the “Modern Medicine: The third-leading cause of death in US most doctors don’t want you to know about” article in your response.
Format your paper according to APA guidelines.

HLT-314 Week 3 Health Care Systems
Discussion 1: Review current types of health

HLT-314 Week 3 Health Care Systems
Discussion 1: Review current types of health care delivery systems in the United States and contrast the current status with the reform models or revisions proposed in the readings for this topic. Select one area in health care delivery where change or reform to the current system could improve the delivery of allied health care and present your findings.
Discussion 2: Identify 3 constituents of integrated health care delivery systems (IDS) and describe its development. What benefits directly apply to the provision of allied health care services? What limitations exist at present that could be improved, and how so?
Be sure each discussion question has its own individual answer. No plagiarism. And APA citation and references.

Research Paper InstructionsWrite a 5 page research paper in MLA format including

Research Paper InstructionsWrite a 5 page research paper in MLA format including at least 2 cited sources which incorporates at least 4 of the following prompts:
Why is awareness and care for provider mental health important particularly in EMS?
What are signs and symptoms of common mental health conditions experienced by providers (PTSD, depression, anxiety, paranoia, etc)? Describe each.
What are evidence-based treatment for these common mental health conditions?
What does the literature say about effectiveness of treatment? “talk therapy” vs medications, etc
Describe how a provider suffering from depression and anxiety may present at work.
What are some examples of “self-treatment” and why are some of these maladaptive coping mechanisms?
What are positive coping mechanisms for life and work stress?
MLA Resources:Purdue Online Writing Lab: MLA Format
MLA Style Center
Paste your completed research paper directly in the textbox or upload in Microsoft Word format. Name the file the current course year and term followed by your last name and first initial (e.g. 2020 Fall FTEC 144 Carey R.docx).
Be sure to review the entire assignment rubric below in order to earn all 15 points.