Psychiatric mental health nursing practice is one of the newest disciplines to be licensed to provide psychotherapy As such, the majority of psychotherapy research is centered on other disciplines such as psychology, social work, marriage/family therapy, art therapy, psychiatry, and mental health counseling. This makes it essential for you to be able to translate current literature from other disciplines into your own clinical practice. For this Assignment, you practice this skill by examining literature on group work and group therapy and considering its applicability to your own clients.

• Review this week’s Learning Resources and reflect on the insights they provide on group work and group therapy.
• Select one of the articles from the Learning Resources to evaluate for this Assignment.

Note: In nursing practice, it is not uncommon to review current literature and share findings with your colleagues. Approach this Assignment as though you were presenting the information to your colleagues.

The Assignment

In a 5- to 10-slide PowerPoint presentation, address the following:

• Provide an overview of the article you selected, including answers to the following questions:
  • What type of group was discussed?
  • Who were the participants in the group? Why were they selected?
  • What was the setting of the group?
  • How often did the group meet?
  • What was the duration of the group therapy?
  • What curative factors might be important for this group and why?
  • What “exclusion criteria” did the authors mention?
• Explain the findings/outcomes of the study in the article. Include whether this will translate into practice with your own client groups. If so, how? If not, why?
• Explain whether the limitations of the study might impact your ability to use the findings/outcomes presented in the article.

Note: The presentation should be 5–10 slides, not including the title and reference slides. Include presenter notes (no more than a half page per slide) and use tables and/or diagrams where appropriate. Be sure to support your work with specific citations from the article you selected. Support your presentation with evidence-based literature.

 

Case Study: Healing and Autonomy

Mike and Joanne are the parents of James and Samuel, identical twins born 8 years ago. James is currently suffering from acute glomerulonephritis, kidney failure. James was originally brought into the hospital for complications associated with a strep throat infection. The spread of the A streptococcus infection led to the subsequent kidney failure. James’s condition was acute enough to warrant immediate treatment. Usually cases of acute glomerulonephritis caused by strep infection tend to improve on their own or with an antibiotic. However, James also had elevated blood pressure and enough fluid buildup that required temporary dialysis to relieve. The attending physician suggested immediate dialysis. After some time of discussion with 

Joanne, Mike informs the physician that they are going to forego the dialysis and place their faith in God. Mike and Joanne had been moved by a sermon their pastor had given a week ago, and also had witnessed a close friend regain

mobility when she was prayed over at a healing service after a serious stroke. They thought it more prudent to take James immediately to a faith healing service instead of putting James through multiple rounds of dialysis. Yet, Mike

and Joanne agreed to return to the hospital after the faith healing services later in the week,and in hopes that James would be healed by then.

Two days later the family returned and was forced to place James on dialysis, as his condition had deteriorated. Mike felt perplexed and tormented by his decision to not treat James earlier. 

Had he not enough faith? Was God punishing him or James? To make matters

worse, James’s kidneys had deteriorated such that his dialysis was now not a

temporary matter and was in need of a kidney transplant. Crushed and desperate, Mike and Joanne immediately offered to donate one of their own kidneys to James, but they were not compatible donors.

Over the next few weeks, amidst daily rounds of dialysis, some of their close friends and church members also offered to donate a kidney to James.

However, none of them were tissue matches. 

James’s nephrologist called to schedule a private appointment with Mike

and Joanne.

James was stable, given the regular dialysis, but would require a kidney transplant within the year. Given the desperate situation, the nephrologist informed Mike and Joanne of a donor that was an ideal tissue match, but as of yet had not been considered—James’s brother Samuel. Mike vacillates and

struggles to decide whether he should have his other son Samuel lose a

kidney or perhaps wait for God to do a miracle this time around. Perhaps this is where the real testing of his faith will come in? Mike reasons, “This time around it is a matter of life and death. 

What could require greater faith than that?” 

Case Study on Biomedical Ethics in the Christian Narrative

This assignment will incorporate a common practical tool in helping clinicians begin to ethically analyze a case. Organizing the data in this way will help you apply the four principles of principlism.

Based on the “Case Study: Healing and Autonomy” and other required topic study materials, you will complete the “Applying the Four Principles: Case Study” document that includes the following:

Part 1: Chart

This chart will formalize principlism and the four-boxes approach by organizing the data from the case study according to the relevant principles of biomedical ethics: autonomy, beneficence, nonmaleficence, and justice.

Part 2: Evaluation

This part includes questions, to be answered in a total of 500 words, that describe how principalism would be applied according to the Christian worldview.

Remember to support your responses with the topic study materials.

APA style is not required, but solid academic writing is expected.

You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

                          

Applying the Four Principles: Case Study

Part 1: Chart (60 points)

Based on the “Healing and Autonomy” case study, fill out all the relevant boxes below. Provide the information by means of bullet points or a well-structured paragraph in the box. Gather as much data as possible.

Medical Indications

Beneficence and Nonmaleficence Patient Preferences

Autonomy

Quality of Life

Beneficence, Nonmaleficence, Autonomy Contextual Features

Justice and Fairness

Part 2: Evaluation

Answer each of the following questions about how principlism would be applied:

In 200-250 words answer the following: According to the Christian worldview, which of the four principles is most pressing in this case? Explain why. (45 points)

In 200-250 words answer the following: According to the Christian worldview, how might a Christian rank the priority of the four principles? Explain why. (45 points)

References:

APA format 1 page long with 3 references 2 from walden university library

due 4/21/28 at 1200 noon EST

 

Cirrhosis of the Liver

Initial Discussion

Week 8

Pathophysiology:

Cirrhosis is a late stage of scarring (fibrosis) of the liver caused by many forms of liver diseases and conditions, such as hepatitis and chronic alcoholism. The liver carries out several necessary functions, including detoxifying harmful substances in your body, cleaning your blood and making vital nutrients. Cirrhosis occurs in response to damage to your liver. Each time your liver is injured, it tries to repair itself. In the process, scar tissue forms. As cirrhosis progresses, more and more scar tissue forms, making it difficult for the liver to function, (Huether, 2012).

Complications:

High blood pressure in the veins that supply the liver. Cirrhosis slows the normal flow of blood through the liver, thus increasing pressure in the vein that brings blood from the intestines and spleen to the liver.  Swelling in the legs and abdomen.  Portal hypertension can cause fluid to accumulate in the legs and in the abdomen. Edema and ascites also may result from the inability of the liver to make enough of certain blood proteins, such as albumin, (Mayo Clinic, 2018). 

Medication therapy:

If the cirrhosis is from drinking the doctor may subscribe medications like naltrexone and acamprosate.  If the cirrhosis is from hepatitis the doctor may prescribe interferon alpha 2b, pegylated interferon, and various Antiviral drugs. These medications are designed to attack the hepatitis virus. The drug the doctor prescribes depends on the type of hepatitis the patient may have. The most common side effects from these medicines are weakness, headache, nausea, and sleep problems, (Huether, 2012).

Patient Education:

 Patients should avoid the consumption of alcohol.  The dietary choices should be plant-based with fruits and vegetables.  Whole grains and lean sources of protein are recommended. Patients should reduce their intake of fatty and fried foods.  Improper dieting can lead to excess body fat and excess body fat can damage the liver.  If the patient is obese, they should work with their doctor to build a weight loss plan.  If the patient has a diagnosis of hepatitis, patients should be educated on protecting others from the virus to prevent spreading it, (Iannelli & Schiavo, 2018).  

References

American Liver Foundation. (2017). Cirrhosis of the Liver – Definition, Symptoms, Causes, and Treatment. Retrieved from https://www.liverfoundation.org/for-patients/about-the-liver/diseases-of-the-liver/cirrhosis/

Huether, S. E. (2012). Understanding pathophysiology. St. Louis: Elsevier.

Iannelli, A., & Schiavo, L. (2018). Very Low-Calorie Diet, the Morbidly Obese With Liver Cirrhosis and Bariatric Surgery. Transplantation, 102(4), e188-e189. doi:10.1097/tp.0000000000002065

Mayo Clinic. (2018, January 10). Cirrhosis – Symptoms and causes. Retrieved from https://www.mayoclinic.org/diseases-conditions/cirrhosis/symptoms-causes/syc-20351487

 

Signature Assignment Title: Theory Overview

Signature Assignment Description/Directions:

This week, you will develop a PowerPoint presentation reviewing the theories from each module. Please select one theory from each module (1-8) and answer the following questions. You should have two slides per theory:

• Describe the theory
• Provide 3 examples of how the theory applies to current practice
• Provide 3 positive patient outcomes resulting from utilizing the theory
• Explain 3 benefits to nursing satisfaction when utilizing the theory
• Describe two barriers to using the theory in practice and at least one method for overcoming each barrier (support methods with sources)
• Support from literature clearly noted throughout

The PowerPoint presentation should include at least two outside references and the textbook. The presentation should contain 2 to 4 slides per theory, for a total of 16 to 32 slides.