Assignment:

Identify an older adult age 65 +, use a 1st and last initial. Execute a therapeutic assessment interview with them for at least two interview sessions assessing their self-identified:

• Demographics, life time education and career/employment
• Two most significant (positive) times in their lives
• What past hardship or loss has the client successfully negotiated in the past?
• Two personal strengths
• Engage them in identifying what is healthy versus non-healthy coping skills
  
  • Inquire of 2 healthy coping skills they have used in the past and/or now
• Three (3) pieces of advice they would give to their younger self if they could?
• Support the client in taking the Geriatric Depression Scale.pdf
• Support the client in taking the Fulmer SPICES Assessment.pdf
• Perform a Mini Mental State Exam.pdf and Patient_Stress_Questionnaire.pdf (attach here)
• Perform a Hall, Hall, and Chapman Article.pdf
• Report the findings from the Geriatric Depression Scale, Fulmer Spices, Patient stress questionnaire and the mini mental status exam
• Discuss your older adult’s level of ego integrity vs. despair as described by psychoanalyst Erik Erikson. If you had to rate them on a scale of 1-10, with 1 representing a full state of despair and 10 representing full ego integrity, what rating would you give your older adult?
• Describe at least two nursing diagnoses for this client.  
• Create a plan of care for the client to include at least three nursing goals with two nursing interventions each.

The assignment should be written in an APA-formatted essay. The essay should be at least 1500 words in length and include at least two scholarly sources other than provided materials.

• Assess clients presenting for psychotherapy
• Develop genograms for clients presenting for psychotherapy

To prepare:

• Select a client whom you have observed or counseled at your practicum site.
• Review pages 137–142 of the Wheeler text and the Hernandez Family Genogram video in this week’s Learning Resources. Reflect on elements of writing a Comprehensive Client Assessment and creating a genogram for the client you selected.

The Assignment

Part 1: Comprehensive Client Family Assessment

With this client in mind, address the following in a Comprehensive ClientAssessment (without violating HIPAA regulations):

• Demographic information
• Presenting problem
• History or present illness
• Past psychiatric history
• Medical history
• Substance use history
• Developmental history
• Family psychiatric history
• Psychosocial history
• History of abuse/trauma
• Review of systems
• Physical assessment
• Mental status exam
• Differential diagnosis
• Case formulation
• Treatment plan

Part 2: Family Genogram

Prepare a genogram for the client you selected. The genogram should extend back by at least three generations (great grandparents, grandparents, and parents).

Required Readings

Wheeler, K. (Ed.). (2014). Psychotherapy for the advanced practice psychiatric nurse: A how-to guide for evidence-based practice (2nd ed.). New York, NY: Springer Publishing Company.

Required Media

Laureate Education (Producer). (2013b). Hernandez family genogram [Video file]. Baltimore, MD: Author.

· Develop your vision of the ideal health care system. 

· List some of the characteristics that constitute such a system. What would be the goal or goals of your ideal system?

·Think about how you would go about implementing your ideal system. 

·Consider some of the problems you are likely to encounter. 

·Must address all of the topics.

·150-word minimum/250-word maximum without the references

·Minimum of two references (the course textbook can be one of the references, as well as the organizational website) in APA format. If additional articles chosen, they must have been published within last 3-5 years.

 Please react tho the following student post. Due tomorrow september 6 . 

Vivian Guillen

Professor Lisys Camacho, ANP-BC, PMHNP-BC, MSN, RN

NUR4636 Community Nursing

August 2, 2020

Discussion

Public health nursing started in the Country as well as North Carolina with the very first registered nurses that provided nursing services on the “poor sick” at home. These nursing staff provided care to people who needed it, no matter monetary compensation. They were frequently the sole health professionals readily available to people that are poor and the families of theirs (DeMarco, & Healey-Walsh, 2020). These first public health nursing staff have been bold and concerned females whose dedication to the individuals they went to was challenged on a regular basis by the vast issues they faced as well as the interpersonal barriers of a culture which had very little regard for females which operated outside of the established roles of their family and class.

In 1893, Lillian Wald started the Henry Street Nursing Settlement in New York.As Henry Street nurses, taught with clinic nursing, took his skills and knowledge from neighborhoods and homes in New York ‘s immigrant and poor communities. In the beginning, public health nursing staff had been mainly taking care of the poor in the homes of theirs. Lillian Wald and also the henry Street nurses determined that the condition found at home was usually associated with the problems of modern society as an entire. Nurses at Henry Street Settlement have started leading the efforts of theirs to enhance sanitation, education and nutrition (DeMarco, & Healey-Walsh, 2020). The concentrate on disease avoidance as well as wellness promotion has had with the nation in its entirety along with an innovative dimension of nursing exercise – public health nursing – has emerged.

Public health nursing started in North Carolina as benevolent societies, civic organizations, along with groups of public people hired to go to the sick poor in the communities of theirs. Based on Mary Lewis Wyche, in the book of her The History of Nursing in North Carolina, Amelia Lawrason was the initial public health nurse to perform in North Carolina. Born on January twenty, 1874 in Fayetteville, she graduated from a nursing college in Washington DC in 1902 (or maybe 1903) (Schoon, Porta, & Schaffer, 2018). She went to Wilmington to take care of the grandmother of her and was employed in the autumn of 1904 by the King’s Daughters Circle, a benevolent ecumenical Christian business, to offer home care to the bad ill of Wilmington. Following the marriage of her in 1906, WIlmington was left by her and died in Van Couver, British Columbia, Canada, on August nineteen, 1946 (Schoon, Porta, & Schaffer, 2018).

Sticking to the leadership of municipal as well as municipal governments, the NC State Government started taking part in public health nursing in 1919.In that season, 2 public health nursing funding plans have been released. The very first was on nutritious nursing of schools. 6 school nurses have been employed by the Nc State Department of Public Health to evaluate school age kids throughout the state for growth, dental condition, infections, especially adenoids and tonsils, and also to search for many other less popular issues (Schoon, Porta, & Schaffer, 2018). Nurses inspected every single kid in grades one to six at three year intervals. 

Reference

DeMarco, R. F. & Healey-Walsh, J. (2020). Community and Public Health Nursing (3th Edition). Wolters Kluwer. ISBN: 978-1-975111-69-4

Schoon, P. M., Porta, C. M., & Schaffer, M. A. (2018). Population-based public health clinical manual: The Henry Street model for nurses. Sigma.

The Following is another student post to wish i have to reply APA style. references and less than 10 % similarity. The due date is September 6. 

 

Dianelis Pons

Community Nursing

Professor. Lisys Camacho

Florida National University

September 2020

The development of Public Hygiene stopped during feudalism and began to resurface with the Industrial Revolution (xviii) with Raus, Ramazini and, above all, Johan Peter Frank. The latter is considered the “Father of Public Health” and established the medical police. At that time is when the State, in order to conserve the productive forces, takes greater part in controlling water and cleaning, also adding some aspects of the way of life, such as control of food and occupational diseases (Bush, 2018).

The 19th century was one of great advances in medicine due to the appearance of medical equipment and the discoveries of bacteriology made by Pasteur in 1870 and Koch in 1882 (Bush, 2018). Together with the above and the appearance of social medicine, in the second half of this century, the development of public health is encouraged, expanding health measures by the States and beginning the development of health services, as happened in Russia in 1865 and in Germany in 1883 (Coovadia et al., 2009). In the first half of the 20th century, due to an awakening of interest in health, advances were made in this field and the ministries of public health emerged. In relation to the latter there is a historical fact of great importance when the first in the world was created in Cuba, as the Ministry of Health and Welfare, and later they emerged in Germany, England, France and others (Bush, 2018).

At this time authors such as Sigerist, Rosen, Lee and Jones stand out and one of the first definitions of public health emerges, at least one of the best known, made by the North American Winslow in 1920, which due to its importance is reproduced below:

“Public Health is the art of preventing diseases, prolonging life, promoting health and efficiency through the organized effort of the community for: environmental sanitation; Control of Communicable Diseases; education in personal Hygiene; organization of medical services and nursing for the early diagnosis and preventive treatment of diseases and the development of the social mechanism that ensures each one an adequate standard of living for the preservation of health; organizing these benefits so that each citizen is in conditions of their right natural to health and longevity” (Coovadia et al., 2009).

Prevention marks the beginning of a new stage after the first epidemiological revolution, which increases with the second epidemiological revolution. Thus, public health continues to expand its field and its functions and integrates preventive care for people and that of the natural environment, the social environment, and also aspects of curative care (Coovadia et al., 2009).

There is currently a broad consensus that public health has become an integrative and multidisciplinary science (Craig & Smith, 1998). However, some differences still persist, such as in Canada and other Latin American countries. For most experts and specialists there is a consensus to consider Public Health, whose essence is the health of the population, as an integrating science of different related disciplines and others such as Economics, Administration, Social Sciences and the conduct (Sociology, Anthropology, Social Psychology) (Craig & Smith, 1998).

This broad, integrating conception of multiple public health sciences is one of its important aspects, which include: Epidemiology; Biostatistics; Biological Sciences; Public health engineering; Sociology; Economics and economics of public health; Social Sciences, including Behavioral Science, Political Science; Administration and others. In the category of public health, both the meaning of “health” and “public” must be analyzed (Craig & Smith, 1998). The word “public” is not related to the type of services (state, private, mixed or non-profit), but to the criterion that public health reaches the entire community and the individual without distinction, with equity. As for “health” it refers to both individual and collective health or disease (Craig & Smith, 1998). It also has the consideration that the definition of health and disease are not approached as 2 opposite categories or in a static way, but as a process: the health or disease process, which can be defined as “A process in relation to physical well-being , mental and social, that is individual, particular and global, dynamic and variable and consequence of multiple positive or negative factors” (Craig & Smith, 1998).

 References

Bush, M. (2018). Addressing the root cause: rising health care costs and social determinants of health. North Carolina medical journal, 79(1), 26-29.

Coovadia, H., Jewkes, R., Barron, P., Sanders, D., & McIntyre, D. (2009). The health and health system of South Africa: historical roots of current public health challenges. The Lancet, 374(9692), 817-834.

Craig, P. M., & Smith, L. N. (1998). Health visiting and public health: back to our roots or a new branch?. Health & Social Care in the Community, 6(3), 172-180.