1 postsRe: Topic 3 DQ 2

A theory, as classically understood, is made up of interrelated concepts. Together these concepts aim to explain why actions or events take place. Nursing theories, also composed of concepts, models, and propositions, seek to explain and guide our thinking and understanding about nursing. In nursing, the four most common and influential concepts are the person, the environment, health, and nursing (2020). Nurses will often choose theories that best align with their way of thinking and their values, ultimately leading to meaningful nursing practice (Smith et al., 2020)

On the other hand, the nursing conceptual model looks at how various concepts relate to each other. Using theories allows us to see alternative effects when variables are changed (2020). As it applies to nursing, the conceptual model can help with research to find solutions to problems in the practice that will lead to improved patient outcomes.

The first know theorist was Florence Nightingale. She formulated the Environmental Theory. As defined in the nursing practice, this theory uses a patient’s environment to aid in healing. Nurses need to arrange factors such as cleanliness, noise, ventilation, light, and nutrition to help re-establish a patient’s health (Gonzalo, 2021). From my experience, nursing units nationwide are designed with the Environmental Theory in mind. For example, to reduce noise levels, my unit installed carpets and designated quiet times. The nursing staff makes sure every patient has a supply of fresh water and appropriate meals. We ensure rooms are clean and free of clutter. Sadly, we see patients being admitted to hospitals because such factors are not in place in their current care settings. Currently, the Corona Virus is a prime example of the application of the Environmental Theory to nursing. With the knowledge that the virus was easily transmissible, it was crucial for staff to maintain patient rooms clean. With this outcome in mind, practices changed, and the staff meticulously cleaned all equipment in between patients, properly donned and doffed personal protective equipment in between patients.

References

Gonzalo, A. (2021, March 5). Florence Nightingale’s Biography and Environmental Theory: Study Guide. Nurseslabs. https://nurseslabs.com/florence-nightingales-environmental-theory/#environmental_theory.

Nursing theories. (2020, November 29). Retrieved March 09, 2021, from https://currentnursing.com/nursing_theory/

Please just respond to this discussion above using 200-250 words with at least two references. 

Depression in later life is usually diagnosed on the basis of two clusters of symptoms: feelings and physical changes. In a 3-page paper, written in APA format using proper spelling/grammar, research the topic of depression in the elderly and address the following:

1. How would one know if an elderly relative had clinical depression or was sad because of specific life changes and losses?
2. What are the consequences of depression in the elderly?
3. Which behaviors would indicate a person going through depression needs therapy?
4. What kind of therapy would a professional recommend and why?

Be sure to include APA citations for any resources you used as references.

Assignment 2: Focused SOAP Note and Patient Case Presentation

Photo Credit: Pexels

Psychiatric notes are a way to reflect on your practicum experiences and connect them to the didactic learning you gain from your NRNP courses. Focused SOAP notes, such as the ones required in this practicum course, are often used in clinical settings to document patient care.

For this Assignment, you will document information about a patient that you examined during the last three weeks, using the Focused SOAP Note Template provided. You will then use this note to develop and record a case presentation for this patient. 

To Prepare

• Review this week’s Learning Resources and consider the insights they provide. Also review the Kaltura Media Uploader resource in the left-hand navigation of the classroom for help creating your self-recorded Kaltura video.
• Select a patient of any age (either a child or an adult) that you examined during the last 3 weeks.
• Create a Focused SOAP Note on this patient using the template provided in the Learning Resources. There is also a completed Focused SOAP Note Exemplar provided to serve as a guide to assignment expectations.
  Please Note:
  • All SOAP notes must be signed, and each page must be initialed by your Preceptor. Note: Electronic signatures are not accepted.
  • When you submit your note, you should include the complete focused SOAP note as a Word document and PDF/images of each page that is initialed and signed by your Preceptor.
  • You must submit your SOAP note using SafeAssign. Note: If both files are not received by the due date, faculty will deduct points per the Walden Grading Policy.
• Then, based on your SOAP note of this patient, develop a video case study presentation. Take time to practice your presentation before you record.
• Include at least five scholarly resources to support your assessment, diagnosis, and treatment planning.
• Ensure that you have the appropriate lighting and equipment to record the presentation.

The Assignment

Record yourself presenting the complex case study for your clinical patient. In your presentation:

• Dress professionally with a lab coat and present yourself in a professional manner.
• Display your photo ID at the start of the video when you introduce yourself.
• Ensure that you do not include any information that violates the principles of HIPAA (i.e., don’t use the patient’s name or any other identifying information).
• Present the full complex case study. Include chief complaint; history of present illness; any pertinent past psychiatric, substance use, medical, social, family history; most recent mental status exam; current psychiatric diagnosis including differentials that were ruled out; and plan for treatment and management.
• Report normal diagnostic results as the name of the test and “normal” (rather than specific value). Abnormal results should be reported as a specific value.
• Be succinct in your presentation, and do not exceed 8 minutes. Specifically address the following for the patient, using your SOAP note as a guide:
  • Subjective: What details did the patient provide regarding their chief complaint and symptomology to derive your differential diagnosis? What is the duration and severity of their symptoms? How are their symptoms impacting their functioning in life?
  • Objective: What observations did you make during the psychiatric assessment? 
  • Assessment: Discuss their mental status examination results. What were your differential diagnoses? Provide a minimum of three possible diagnoses and why you chose them. List them from highest priority to lowest priority. What was your primary diagnosis and why? Describe how your primary diagnosis aligns with DSM-5 diagnostic criteria and supported by the patient’s symptoms.
  • Plan: What was your plan for psychotherapy? What was your plan for treatment and management, including alternative therapies? Include pharmacologic and nonpharmacologic treatments, alternative therapies, and follow-up parameters, as well as a rationale for this treatment and management plan. Also be sure to include at least one health promotion activity and one patient education strategy.
  • Reflection notes: What would you do differently with this patient if you could conduct the session again? If you are able to follow up with your patient, explain whether these interventions were successful and why or why not. If you were not able to conduct a follow up, discuss what your next intervention would be.

By Day 7 of Week 3

Submit your Video and Focused SOAP Note Assignment. You must submit two files for the note, including a Word document and scanned pdf/images of each page that is initialed and signed by your Preceptor.

 1) Discuss the importance the role of culture and cultural characteristics of communities play in effectively planning, implementing, and evaluating health education and promotion programs. What must a health educator do first?  

150 words minimum****

 Please include in addition to your textbook one (1) outside source that supports your position. References should come from a credible source; such as scholarly journals, etc 

2) Watch the video on Germany’s healthcare system: https://www.youtube.com/watch?v=1d3QLPdHysc

How is it different from the US? What are some things that are better than the US? Worse than the US? How does Germany compare to other Western countries?

minimum 350 words******

need both discussions seperately