Submit an evidence-based practice paper about cultural competency in mental health nursing. An evidence-based practice paper allows you to explore best practice and help improve client outcomes on a psychiatric unit. Your paper should describe how you, as a nurse, will include – or have included – cultural awareness in a client diagnosed with a mental illness. The person you describe could be someone in your clinical setting, someone you have worked with in the past, or a theoretical client.

Remember that culture can also include gender equality, sexual orientation, and other cultures besides race and religion – including cultures unique to one particular family. Your paper should be at least 3 pages (double-spaced, not including the title or reference pages) in APA Format and include:

• Assessment: Discuss what you would assess in regard to a client’s culture. For example, are there specific dietary requirements? Are schedule changes necessary to avoid conflicts with religious practices? Who is the spokesperson for the family? What would you assess?
• Diagnosis: List any mental health nursing diagnoses this person has or may be at risk for. Include at least one cultural diagnosis.
• Planning: What planning needs to be done to ensure the cultural and emotional safety of the client?
• Implementation: What are interventions that would ensure the safety of your client in regard to culture? Include at least two interventions. For example, if your client has religious beliefs that affect the ability to take medications, what interventions would you create to ensure the client’s safety? What can you do to make sure the client’s cultural needs are met?
• Evaluation: How will you evaluate whether your implementation was effective? Make sure the parameters are objective and measurable.
• In your summary, discuss whether any completed interventions were successful. What could be done differently in the future? If the interventions have not yet been carried out, you might discuss some institutional changes that could be made to ensure cultural safety for all clients in that setting.
• Your paper should utilize proper APA guidelines and include at least three scholarly sources to support your paper. A scholarly source is a source that has been peer reviewed and has appropriate authors that are credentialed.

 

Discussion Assignment:

Respond to the following Case study:

Explain how you might apply knowledge gained from the Response case studies to your own practice in clinical settings.

· Share additional interview and communication techniques that could be effective with your colleague’s selected patient.

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· Suggest additional health-related risks that might be considered.

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· Validate an idea with your own experience and additional research.

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· Explain your reasoning using at least TWO different references from current evidence-based literature in APA Format.

Case Study Response

Volume 1, Case #14: The scatter-brained mother whose daughter has ADHD, like mother, like daughter

This case is about a mother who comes to the office with difficulty with focusing and forgetfulness. This is affecting her everyday life and being a single mom of 2, she is having a hard time with caring for them. The stress of what this mother is going through can lead to sadness and feelings of despair or depression. It is becoming more common for adults to have Attention deficit hyperactivity disorder than just for children(Stahl, 2013). If the children are experiencing symptoms such as trouble  focusing or completing tasks then most likely the parents will have some trait as well. For this client, it is important to ask about family history. Did any of your family members have symptoms associated with ADHD or anxiety? Are you having any thoughts of harming yourself or others? She complains a lot about her kids and her life and seems to be frustrated at times. We want to get her the help she needs as soon as possible. What are your strengths and weaknesses and how can you overcome some of the weaknesses? 

The first step for this client is to have her take the Adult ADHD self report scale. This is a self assessment that the client can answer truthfully and assist in the diagnosis of ADHD(Clancy et al. 2011). Differential diagnosis for this client include Generalized anxiety disorder, Depressive disorder, and Bipolar disorder. Further research would need to be conducted to determine the correct diagnosis. Since the patient matches symptoms for generalized anxiety and ADHD, these would be the two diagnosis and treatment modalities can begin. Stress can contribute to increased symptoms of ADHD  and anxiety. Stress relieving measures should  be discussed and reviewed with clients. Since ADHD affects the prefrontal cortex causing irritability and inattention. A stimulant medication can be given and is often given for clients with adhd(Stahl, 2013). Often times adjunct medications would need to be good to help relieve symptoms this one cannot(Psych, 2016). . I will remember to always start with the lesser approach to treatment using therapy and relaxation techniques before using the medications if possible. 

Minimum of 300 words with at least 2 peer review reference in 6th edition APA style.

 

1. Anemia of chronic disease is a common occurrence in elderly patients. What is the pathophysiological mechanism behind this disease process?
2. Virchow’s triad refers to states that can produce hypercoagulability. What are the three categories? Give an example for each and explain the pathophysiological changes seen.

In 500‐750 words (not including the title page and reference page),   apply a change model to the implementation plan. Include the following:

1. Rogers’ diffusion of innovation theory is a particularly good     theoretical framework to apply to an EBP project. However, students     may also choose to use change models, such as Duck’s change curve     model or the transtheoretical model of behavioral change. Other     conceptual models presented such as a utilization model (Stetler’s     model) and EBP models (the Iowa model and ARCC model) can also be     used as a framework for applying your evidence‐based intervention in     clinical practice.
2. Apply one of the above models and carry     your implementation through each of the stages, phases, or steps     identified in the chosen model.
3. In addition, create a     conceptual model of the project. Although you will not be submitting     the conceptual model you design in Topic 5 with the narrative, the     conceptual model should be placed in the appendices for the final   paper.

 

1) **********minimum 4 full pages**************************** (cover, table appendix page or reference page not included) 

2)¨**********APA norms 

3)********** It will be verified by Turnitin and SafeAssign 

4) **********References from the last 5 years   

5) The points don’t be must copied in the work. It must be identified by numbers. 

For example

1. The Community is…………………………..

2.  Community health status is………………………..

______________________________________________________

Community Health Assessment / Windshield Survey

Community Assessment

A community health assessment (sometimes called a CHA), also known as community health needs assessment (sometimes called a CHNA), refers to a state, tribal, local, or territorial health assessment that identifies key health needs and issues through systematic, comprehensive data collection and analysis. 

GUIDELINES:

(Select 1 City of USA)

1.  Community description (City and population) 

2. Community health status (must obtain from the department of health).

3. The role of the community as a client.

4. Healthy people 2020, lading health indictors in your community.

5. Conclusion.

Also, you must present a table as an appendix page with the following topics and description;

Housing

Transportation

Race and ethnicity

Open space

Service centers

Religion and politics