Personal Knowing

In research from Thorne (2020), Barbara Carper defined personal knowing as a fundamental way of knowing in our nursing discipline. Through reflection, perceptions, and connecting with knowledge, the discovery of self-and-other is attained. Personal knowing sets the context for the nurse to become open to and engaged with processes of practice. Our text from Chinn and Kramer (2017, pp. 117-123) describes personal knowing as the base for expressing an authentic and genuine self. It requires the nurse to be in touch with who they are and understand that fact affects behaviors, attitudes, and values. 

Personal knowing affects personal and professional development in every capacity, as personal knowing is Self. How a person reacts to and interprets situations, what a person sees as valuable, the conscious and unconscious perceptions of experiences; these all encompass Self and, therefore, personal knowing (Chinn & Kramer, 2017, p. 123). 

Strengths and Weaknesses

As I try to discover my personal knowing, empathy and patience are strengths that I see in myself. I know that I am a compassionate person and feel empathetic towards the patients in my care. I have always been told patience is a virtue, and that sentiment is especially true in the nursing profession. When reflecting on weaknesses in my career, the very same strengths can be considered weaknesses. Too much empathy leads to emotional attachments, which can be devastating over time. Another weakness is not considering myself confident in my skills, which leads to self-doubting in high-pressure situations.

Application of Theory

To further develop my strengths in my current role as a nurse at a medical spa, the Comfort Theory comes into play. As clients come in for procedures and treatments, addressing their needs, designing interventions to address those needs, and assessing the interventions’ efficiency would fully display empathy and patience to have the clients feel understood (Kolcaba, 2019). Jean Watson’s Human Caring Science theory is beneficial for myself as well as patients in my practice. The theory encourages nurses to cultivate sensitivity to Self and others and to use problem-solving for decision-making. This attribute would allow my self-doubt to decrease as I recall my teachings and use them in a systematic approach. Creating healing environments at all levels, within Self included, is prominent teaching of the theory that would enable me to have empathy without attachment (Chinn & Kramer, 2017, p. 179). 

References

Chinn, P., & Kramer, M. (2017). Knowledge Development in Nursing: Theory and Process (10th ed.). Mosby.

Kolcaba, K. (2019). Comfort Line | Comfort Targets and Interventions. Comfort Line. https://www.thecomfortline.com/comfort-targets-and-interventions

Thorne, S. (2020). Rethinking Carper’s personal knowing for 21st century nursing. Nursing Philosophy, 21(4), 1–7. https://doi.org/10.1111/nup.12307

Assignment:
Complete ALL of the bullet points below:
Given the increasing longevity of Americans and the costs of providing long-term care, anticipation of the costs should be a major element of every family’s financial planning. Current information suggests however, that very few families or individuals give this consideration. What factors might impede this advance planning? What measures might be effective in raising awareness among Americans about this important matter?
Identify the major factors that have resulted in the shift in utilization from inpatient hospitalization to ambulatory care services. What are the implications of this shift for hospitals, consumers, and the health care delivery system as a whole?
The recipients of mental health services in the US represent only a small percentage of those in need of services. Discuss the factors that impede access to mental illness treatment.
Include a screenshot of your note taking from your reading this week.Please submit one APA formatted paper between 1000 – 1500 words, not including the title and reference page. The assignment should have a minimum of two (2) scholarly sources, in addition to the textbook.
Assignment Expectations
Length: 1000-1500 words
Structure: Include a title page and reference page in APA style. These do not count towards the minimal word amount for this assignment.
References: Use the appropriate APA style in-text citations and references for all resources utilized to answer the questions. Include at least two (2) scholarly sources to support your claims.
Format: Save your assignment as a Microsoft Word document (.doc or .docx).
File name: Name your saved file according to your first initial, last name, and the module number (for example, “RHall Module 1.docx”)
M3 Assignment UMBO – 2
M3 Assignment PLG – 4, 8
M3 Assignment CLO – 5, 7

Assignment Prompt

Infographics are visual representations of information. They can include numbers, text, images, or any combination of the three. Just as in traditional writing assignments, an infographic can take on any of the various rhetorical modes — informative, instructive, descriptive, persuasive, etc. Infographics provide quick way to convey a lot of information. For example, this infographic on Integrating Virtual Clinics conveys interesting data much more concisely than another paragraph inserted here could have:

Students will create an Infographic on the topic of Telehealth. Students should create an infographic that is easily understood by the lay public or general population. The infographic should provide information useful to communicating the “What, Why, When and How” of Telehealth. Students may choose to focus on one or more the following suggested topic areas, however, students may choose their own relevant telehealth topic areas of:

• Telehealth Versus Telemedicine
• Environments or Systems
• Population Health
• Health Promotion and Illness Prevention
• Integrative Health
• Technologies and Innovation
• Provider Access
• Patient Access
• Policy Implications
• Legal Implications
• Clinical Practice Issues
• Education/Training Needs
• Research Implications
• Quality of Care
• Outcome Management

Directions:

1. Students will select a platform (tool) for building their infographic. There are a number of great infographic platforms available online. Many are free, but most require that you do set up an account. Check out Infogr.am, Easelly, Piktochart, and Visme.
2. Create the Infographic using one of the above platforms.
3. Post completed infographic in PDF format to the D2L week four assignment link.

Expectations

• Due: Saturday, 11:59 pm PT

 Review the video, Case Study: Petunia Park. You will use this case as the basis of this Assignment. In this video, a Walden faculty member is assessing a mock patient. The patient will be represented onscreen as an avatar. Consider what history would be necessary to collect from this patient. Consider what interview questions you would need to ask this patient.

 Develop a Focused SOAP Note, including your differential diagnosis and critical-thinking process to formulate a primary diagnosis. Incorporate the following into your responses in the template:

• Subjective: What details did the patient provide regarding their chief complaint and symptomatology 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 the patient’s mental status examination results. What were your differential diagnoses? Provide a minimum of three possible diagnoses with supporting evidence, listed in order from highest to lowest priority. Compare the DSM-5 diagnostic criteria for each differential diagnosis and explain what DSM-5 criteria rules out the differential diagnosis to find an accurate diagnosis. Explain the critical-thinking process that led you to the primary diagnosis you selected. Include pertinent positives and pertinent negatives for the specific patient case.
• Plan: What is your plan for psychotherapy? What is 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 incorporate one health promotion activity and one patient education strategy.
• Reflection notes: What would you do differently with this client if you could conduct the session again? Discuss what your next intervention would be if you were able to follow up with this patient. Also include in your reflection a discussion related to legal/ethical considerations (demonstrate critical thinking beyond confidentiality and consent for treatment!), health promotion, and disease prevention that takes into consideration patient factors (such as age, ethnic group, etc.), PMH, and other risk factors (e.g., socioeconomic, cultural background, etc.).

Write a one page summary on the  Pheochromocytoma . You should state the following;

i.) It is condition affecting which system of the body?

ii.) Symptoms

iii.) Risk Factors

iv.) Causes

v.) Diagnostic guidelines

List four(4) classes of anti-hypertensive medications used for the control of hypertension

and mention two examples of drugs for each class.