Comprehensive Integrated Psychiatric Assessment

The comprehensive integrated psychiatric assessment of a child or adolescent consists of gathering information from not only the child but from several sources, most notably the family members, caregivers, and the child’s teacher or school counselor. Because of this, the diagnostic assessment becomes more complicated. Issues of confidentiality, privacy, and consent must be addressed. Also, the PMHNP must take into consideration the impact of culture on the child.

In this Discussion, you review and critique the techniques and methods of a mental health professional as he or she completes a comprehensive integrated psychiatric assessment of an adolescent.

Learning Objectives

Students will:

· Evaluate comprehensive integrated psychiatric assessment techniques

· Recommend assessment questions

To Prepare for the Discussion:

· Review the Learning Resources concerning the comprehensive integrated psychiatric assessment.

· Watch the Mental Status Examination video. (See attached video below).

· Watch the two YMH Boston videos. (See attached video below).

Based on the YMH Boston Vignette 4 video, post answers to the following questions:

· What did the practitioner do well?

· In what areas can the practitioner improve?

· At this point in the clinical interview, do you have any compelling concerns? If so, what are they?

· What would be your next question, and why?

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Required Media

Gajbhare, P. (2014, March 8). Mental status examination [Video file]. Retrieved from https://www.youtube.com/watch?v=VjWVYgf2UcU

Note: The approximate length of this media piece is 36 minutes.

YMH Boston. (2013a, May 22). Vignette 1 – Introduction to a preventive services visit [Video file]. Retrieved from https://www.youtube.com/watch?v=pQy-jwiu7gM

Note: The approximate length of this media piece is 3 minutes.

YMH Boston. (2013c, May 22). Vignette 4 – Introduction to a mental health assessment [Video file]. Retrieved from https://www.youtube.com/watch?v=JCJOXQa9wcE

Note: The approximate length of this media piece is 4 minutes.

 DIS 3

Topic 1  Because of the pain medication, Gladys Gwynn may not be able to speak for herself. Since she has no relatives to help, is it appropriate for Dr. Johnstone to make the decision about surgery for her? Under the circumstances, is it possible that when Gladys moved into Sunny Meadows they had her sign a Health Care Power of Attorney to someone at the facility?

Topic 2  Because the accident happened when Sheri Smith was helping Mrs. Gwynn, do you think Sheri should be held responsible for the accident? Given that Sheri is an employee of Sunny Meadows, should that facility be held responsible?

Topic 3  The recovery time for internal fixation surgery is shorter than that following a total hip replacement. The surgery is also less expensive and has a less strenuous recovery period; however, Mrs. Gwynn probably will not be able to walk again. Given the patient’s condition, and the limited dollars available for health care, which procedure should be performed?

Topic 4  Would you have answered Question 3 differently if Mrs. Gwynn were your mother?

ESSAY

After visiting the Media Links for this chapter, complete this assignment by writing a 2 to 3 paragraph essay about something you learned from one or more of the web sites. Enter the essay in the submission box and submit it.

http://orthopedics.about.com/mlibrary.htm 

 http://www.nof.org/ 

http://www.arthritis.org/

DIS 4

Topic 1  On what basis do you think Aifreight determined that this was a safety violation?

Topic 2  Use lay terms to explain Sandor’s injury and the treatment that was required.

Topic 3  Sandor knows how to handle heavy loads safety; however, the crate may have slipped because he was busy thinking about his daughter’s birthday party and not about his work. Could the responsibility for this accident be considered negligence on Sandor’s part? Do you think Sandor should be held responsible or is blameless in this situation?

Topic 4  It was determined that Airfreight was not responsible for the accident. Therefore, do you think the company should take away Sandor’s job if he does not return in 30 calendar days?

ESSAY

SAME AS ABOVE DIS 3

Benchmark – Drafting a Literature Review

In this assignment, you will draft the body of a literature review. You will continue to add and revise this draft literature review (Chapter 2 of your DPI Project) as you progress through the program. You may be able to use the feedback and suggestions from your instructor (on the Introduction to the Literature Review assignment in Topic 4) to expand the literature review for this assignment.

General Requirements:

Use the following information to ensure successful completion of the assignment:

· Use the “Empirical Research Checklist” worksheet to ensure that each article you select meets all of the established criteria.

· Use the “Research Article Chart” to provide a summary review of each component of your assignment.

· Submit the completed Research Article Chart to your instructor.

· Refer to the most recent prospectus template found in the DC Network (dc.gcu.edu) for details and criteria for the Literature Review (Chapter 2).

· Doctoral learners are required to use APA style for their writing assignments. 

· This assignment uses a rubric. Please Review the rubric prior to the beginning to become familiar with the expectations for successful completion.

· You are required to submit this assignment to LopesWrite. Please refer to the directions in the Student Success Center.

Directions:

Part 1: Selection of 15 Articles  

PICOT QUESTION: What are the Impacts of Medication Administration Errors on 3-4-Year-old Leukemia Patients 

P-

I-

C-

O-

T- 

Please give your suggested PICOT with regards to the PICOT Question

Select 15 empirical articles related to your PICOT question. Use the “Empirical Research Checklist” worksheet to ensure that each article you select meets all of the established criteria. At least one article must demonstrate a quantitative methodology.

Part 2: Research Article Chart 

Using the articles acquired in Part 1, provide a summary review of each component using the “Research Article Chart” template.

Part 3: Literature Review 

Prepare a Literature Review (Chapter 2) of 2,000-3,000 words for your scholarly project.

Utilizing the major concepts identified in the Topic 4 assignment, further develop each major concept and subtheme by locating 15 more empirical articles related to your project topic (30 articles total: 15 from Topic 4 assignment and 15 from Topic 6 assignment).

Use the “Research Article Chart” as a guide to analyze and synthesize (summarize) the literature into the paper you began in the Topic 4 assignment.

Based upon your review of the 15 additional research articles, expand on your summary of each major concept and your synthesis of the three identified subthemes that support each concept. At the end of each major concept, include a summary statement.

You are required to complete your assignment using real-world application. Real-world application requires the use of evidence-based data, contemporary theories, and concepts presented in the course. The culmination of your assignment must present a viable application in a current practice setting. For more information on parameters for practice immersion hours, please refer to DNP resources in the DC Network.

  

RESOURCES

Chapter 2 in Evidence-Based Practice in Nursing and Healthcare: A Guide to Best Practice.

URL: http://gcumedia.com/digital-resources/wolters-kluwer/2014/evidence-based-practice-in-nursing-and-healthcare_a-guide-to-best-practice_ebook_3e.php

Wenstock, M. (2013). The art and science of evidence-based care. H&HN: Hospitals and Health Networks, 87(3), 60.

URL:https://lopes.idm.oclc.org/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ofs&AN=86194521&site=eds-live&scope=site

Brody, H., & Miller, F. G. (2013). The research-clinical practice distinction, learning health systems, and relationships. The Hastings Center Report, 43(5), 41-47.

URL:https://lopes.idm.oclc.org/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=edsjsr&AN=edsjsr.23597425&site=eds-live&scope=site

 

 

Nature offers many examples of specialization and collaboration. Ant colonies and bee hives are but two examples of nature’s sophisticated organizations. Each thrives because their members specialize by tasks, divide labor, and collaborate to ensure food, safety, and general well-being of the colony or hive.

Of course, humans don’t fare too badly in this regard either. And healthcare is a great example. As specialists in the collection, access, and application of data, nurse informaticists collaborate with specialists on a regular basis to ensure that appropriate data is available to make decisions and take actions to ensure the general well-being of patients.

In this Discussion, you will reflect on your own observations of and/or experiences with informaticist collaboration. You will also propose strategies for how these collaborative experiences might be improved.

To Prepare:

• Review the Resources and reflect on the evolution of nursing informatics from a science to a nursing specialty.
• Consider your experiences with nurse Informaticists or technology specialists within your healthcare organization.

By Day 3 of Week 3

Post a description of experiences or observations about how nurse informaticists and/or data or technology specialists interact with other professionals within your healthcare organization. Suggest at least one strategy on how these interactions might be improved. Be specific and provide examples. Then, explain the impact you believe the continued evolution of nursing informatics as a specialty and/or the continued emergence of new technologies might have on professional interactions.