Introduction and Alignment

Understanding legal and ethical issues in mental health as well as the stigma related to this field is extremely important. You must be able to assess your own bias and develop a style of practice. Another important aspect of patient care is developing resources that can be used by you and the client to provide education and community-based resources.

Upon completion of this assignment, you should be able to:

1. Apply legal and ethical principles to the practice PMHNP practice
2. Apply reflection to your practice

Resources

• Website: Legal and Ethical Issues for Mental Health Professionals 
• Website: TED Talk Elyn Saks: A Talk of Mental Illness: https://www.ted.com/talks/elyn_saks_seeing_mental_illness

Instructions

1. Navigate to the discussion topic and respond to the following:
   1. View both of the above videos and script a 2-3 paragraph overview of key concepts that you took away from the videos. Reflect on your own biases and how they were addressed.
   2. Find 3 reputable online sites for the following populations: child/adolescent, adult, and older adult to use as patient education resources on mental illness for each population.
   3. Post a summary that includes the website URL, name, and a brief paragraph on how and why you would use this resource. This means you will write on a minimum of 9 on-line resources (3 for each population discussed).
2. Your initial post is due by the end of the workshop.
3. Read and respond to at least three of your classmates’ postings, as well as all follow-up instructor questions directed to you, by day 1 of workshop 2.
4. Your postings should also:
   1. Be well developed by providing clear answers with evidence of critical thinking.
   2. Add greater depth to the discussion by introducing new ideas.
   3. Provide clarification to classmates’ questions and provide insight into the discussion.

Click here to access the discussion topic.

Assessment Criteria

Assessed Item

Points

Reflections on both videos fully developed and includes personal reflection (at least 3 paragraphs in length)20Minimum of 9 on-line resources discussed (1 paragraph supporting each resource)25

Writing style/punctuation/grammar/APA

5

Total Points

50

The Neuman System Model uses a systems approach that is focused on the human needs of protection or relief from stress (Neuman & Fawcett, 2009). Neuman believed that the causes of stress can be identified and remedied through nursing interventions. She emphasized the need of humans for dynamic balance that the nurse can provide through identification of problems, mutually agreeing on goals, and using the concept of prevention as intervention. Neuman’s model is one of only a few considered prescriptive in nature. The model is universal, abstract, and applicable for individuals from many cultures (Neuman, 1995; Neuman & Fawcett, 2009).  Neuman used concepts and theories from a number of disciplines in the development of her theory. In her works, she referred to Chardin and Cornu on wholeness in systems, von Bertalanfy and Lazlo on general systems theory, Selye on stress theory, and Lazarus on stress and coping (Neuman, 1995; Neuman & Fawcett, 2009).

In her work, she defined human beings as a “client/client system, as a composite of variables … physiological, psychological, sociocultural, developmental, and spiritual (Neuman & Fawcett, 2009, p. 16). Environment in the model represents the three environments, internal, external, and created environments, which influences the client’s adaptation to stressors. Neuman’s System Model in the nursing realm, is to maintain client system stability through accurately assessing environmental and other stressors and assisting in client adjustments to maintain optimal wellness. Neuman model consisted of  a three-step nursing process model in which nursing diagnosis (the first step), nursing goals as determined with the client and family (the second step), and lastly, nursing outcomes that confirm and evaluate the client’s healthcare goals. I have always look at the total picture when encountering individuals from a personal standpoint, professionally in the clinical setting, and in the community to address issues that constitutes the total person outside of the health/illness continuum.

Neuman’s System Care Model can be used in a practical setting where I work on the stepdown unit.While caring for a 67 yr old AA male who was post-op day1 prostatectomy with a hx of hypertension, diabetes, colon cancer, TIA, anxiety, and depression became symptomatic during shift change. The patient’s family called to the nurse’s station because he became weak and unable to ambulate back to his bed. Upon arriving to the patient’s room I found him sitting on the commode with c/o nausea and vomiting which is common after this type of surgery. With further assessment, I noted the client became diaphoretic and dizzy while attempting to stand. Vitals were stable at this time but I my intuition told me that something just wasn’t right.First thing that came to mind was that the pt vasovagal while trying to have a bowel movement. The Scip protocol was in place at this time, IV fluids infusing, foley in place with adequate urinary output noted, telemetry on with no ectopy noted. I told the family to call the nurse’s station to bring a wheelchair to the room to assist with transferring the pt back to bed. The patient had expressed to me that he was under a lot of stress due to  the lost of his mother, his second bout with cancer, and the financial strain he was under for being out of work for his health conditions. While attempting to place the patient in the bed he had another diaphoretic episode with generalized weakness. My intuition lead me to believe this patient was having an MI. I took an additional set of vitals, revisited the lab work, placed the pt on oxygen at 2 liter, and ordered a stat EKG. I viewed the EKG and noted an elevated ST segment and paged the cardiologist on call; while simultaneously informing the house supervisor of my findings. Within 10 minutes or less the client was in route to the cath lab for stent placement.

Re examining Neuman’s System Model, I was able to utilize the three step nursing process to 1.) identifying a nursing diagnoses that includes but not limited to: risk for decreased cardiac output, anxiety, activity intolerance, ineffective coping, risk for falls, nausea, and imbalanced nutrition just to name a few. 2.) Establishing patient/family centered goals that constitutes their beliefs, values,and  customs such optimizing cardiac output with stent placement, ensuring the client is hemodynamically stable, addressing nutritional status with the interdisciplinary team to ensue dietary requirements are met, providing counseling to assist with helping the client cope with his loses that internally and externally precipitated stress. 3.) Evaluation and clarification of the client’s outcomes. The patient underwent angioplasty with stent placement and was transferred to the ICU without incident. Neuman’s model allowed me to assess the patient from a holistic point of view that lead to favorable outcomes. The physicians, house supervisor, and staff was so impressed with my knowledge and skills that I received the Daisy’s Award for exceptional nurses that year. 

To this present day, that patient stills comes to the facility I work at to thank me for saving his life. Often healthcare professional become overwhelmed with the everyday task of the discipline that little signs such as nausea/vomiting goes unnoticed. The patient did not complain of pain at anytime during the assessment. Neuman’s model can be used in any nursing setting because it directly ties the patient to the nurse and the environment that are in constant motion either propelling towards health, where energy is conserved or towards illness that depletes the storage of energy. The clinical and critical skills I’ve acquired and taking an holistic approach while caring for patients and families allowed me to be present with the patient and family thus addressing his healthcare needs while optimizing his overall quality of health.

References:

McEwen, M. (2014). Theoretical Basis for Nursing, 4th Edition. [VitalSource Bookshelf version]. Retrieved from http://online.vitalsource.com/books/9781469899992

Neuman B, Fawcett J. The Neuman Systems Model. 5th ed. Upper Saddle River, NJ: Prentice Hall; 2010.

Question 1: Manuscripts of the Early Middle Ages

Before the invention of the printing press, books were copied by hand one at a time by illuminators, and the vellum was often embellished with beautiful calligraphy and intricate patterns and designs.

Using your course textbook locate three examples of illuminated manuscripts from the early Middle Ages. Read about each one in your textbook, course lectures, and through reliable internet resources

First, completely identify each manuscript and/or manuscript page by title, date, and location where it was created.

In a minimum of 2 well-developed paragraphs address the following questions:

1. Who commissioned the creation of the manuscript? Why?
2. What was the purpose of the manuscript?
3. How do the visual characteristics of each manuscript contribute to or enhance its message or meaning?
4. How do the reasons these manuscripts were created compare with religious texts created today?

Be sure to explain your ideas clearly and support them by discussing specific details about each manuscript.

Question 2: Romanesque and Gothic Cathedrals

Both Romanesque and Gothic architecture displayed distinctive characteristics and features. For this assignment, select one example of Romanesque church architecture and one example of Gothic church architecture from your course textbook. Read about each one in your textbook, course lectures, and through reliable internet resources.

First, completely identify the two cathedrals you have selected by name, date, and location.

Then, in a minimum of 3 well-developed paragraphs, address the following questions:

1. What architectural details are evident in each cathedral that make it representative of either the Romanesque or Gothic style?
2. What sort of decoration (interior and exterior) was employed in each cathedral? What was the meaning of the sculptures, paintings, windows that adorned each cathedral?
3. What was the visitor or viewer experience in each cathedral?

Respond to both questions as thoroughly as possible, making sure to use information from the readings and the lectures. All responses should be in complete sentence form, using proper spelling and grammar.

Consider your experiences at work, school, and in your personal life. You have, at some point, been asked to work with a group to achieve a particular goal. It might have been a group research project, a new marketing plan, a learning plan, a schedule to roll out new technology, planning a wedding, or even planning and creating a large family meal. In many collaborative efforts like these, there are disagreements. Select one collaborative experience from your past that involved some disagreements or significant differences of opinion.

Write a short (2-page) paper in APA style discussing the following elements:

1. Describe the project that you were working on, including the people involved.
2. Explain the problem that you encountered with the group. How was that problem overcome? What was the end result of encountering and dealing with that problem?
3. What do you think was the cause of the problem? How much of the problem came from miscommunication, either from you or from other people involved? What did you do to help resolve the problem?
4. If you were able to relive that experience, how would you change the way that you approached the encountered problem? How would you communicate differently?
5. How, ultimately, was the conflict resolved?