Choose one health-promoting behavior in which you personally could but don’t engage. Identify factors, as defined in the health promotion model, which contribute to your decision not to participate. Include immediate competing alternatives.

2. Analyze factors that contribute to your participation in a health-promoting activity and place each factor under the appropriate label from the health promotion model.

3. Consider your own philosophy of health and prepare your description of wellness. Is absence of disease more prominent than positive, active statements of health?

4. Anticipate the health-promoting behaviors important at various stages of development across the life span. What health promotion topics do you include in your practice?

SCHOLARLY PAPER Guidelines 1. Go to the following web site: HHS Hospital Compare website: https://www.medicare.gov/hospitalcompare/search.html Find data for three (3) area hospitals (one can be the hospital where you work or 3 local hospitals), and national and your state (Florida or where you are located) data through the Hospital Compare site. You will need to explore this site to locate the comparison tables. You will need to click through several screens to get the required data. Select either the Survey of Patient’s Experiences OR the Timely and Effective Care tab to prepare your paper. Your paper will focus on only the information within ONE TAB (Patient Care Experiences OR Timely & Effective Care). See the Hospital Compare Help Sheet document in Canvas Your paper will address the following information:  NUR 3870 INFORMATICS FOR THE HEALTH PROFESSIONAL VPAA: Revised 9/11, 1/12, 2/16, 11/16 Page 23 a. The purposes of the data collection by the U.S. government. Include information on the impact these scores have on hospital operations, finances, quality, safety. b. Select one specific question (HCAHPS) or care issue from the collated results. Discuss results for your institution for the selected criteria from the nursing unit level perspective compared to the two (2) other local hospitals and state and national data. Include the data you found for this one question. Do not use all the hospitals in your system (LMHS/CHS-HMA/ Bayfront/ HCA). Did you identify a gap in practice that needs improvement and could improve the score? c. Develop a concrete plan to improve the score you selected for change. Remember the information you learned in the IHI courses. The specific steps in the plan you develop must include: • The proposed interventions and timeline for implementation of the interventions • How you will measure the effectiveness or success of your plan (metric) • Timeframe for measurement of results, be specific. Must be related to the metrics you would use to measure success of your plan • a brief description of any tools or projects to be used in the proposed plan and implementation • How you will “promote” the plan to your manager and co-workers to gain support for the project Your paper should reflect your synthesis of the literature you find with appropriate references to support your plan. This will involve investigating patient hospital experience literature and process improvement content and methods. NOTE: You joined the IHI (Institute for Healthcare Improvement) at no charge to access performance improvement tools. This is an excellent resource for your professional practice and in many courses in this and future programs. Starting the CE courses by week 2 will enable you to have the tools and content on process improvement for this paper. 2. The paper should be 6-8 pages in length, excluding title and reference pages with required content (above #1). Be clear, concise and answer the presented questions. Learning gained from the IHI Open School QI courses is important to assist you in completing this paper. One point per day are deducted for late submissions. 3. All papers and reference citations will follow APA format. Refer to the Publication Manual of the American Psychological Association (7th edition). This will include title page, reference page, headings for each topic, in-text citations for all references You will need at least 3 current (within the last 3-5 years) peer reviewed references. Information and a sample student paper for APA formatting can be found in the APA Manual 7th edition, Chapter 2. Chapters 8, 9, and 10 in the APA Manual 7th ed. Will assist you with in text citations and reference formatting. 4. Assignments are submitted to the PAPER area in Canvas by DAY 7 of the assigned week. Turn-it-in© will be used. All papers will be evaluated by Turn-It-In© software for evidence of potential plagiarism.

 PLEASE FOLLOW THE INSTRUCTIONS BELOW

5 REFERENCES

ZERO PLAGIARISM

Students will:

• Develop effective documentation skills to examine group therapy sessions with children and adolescents *
• Develop diagnoses for child and adolescent clients receiving group psychotherapy *
• Analyze legal and ethical implications of counseling child and adolescent clients with psychiatric disorders *

Select two clients you observed or counseled this week during a group therapy session for children and adolescents. Note: The two clients you select must have attended the same group session. If you select the same group you selected for the Week 8 or Week 9 Journal Entries, you must select different clients.

Then, address in your Practicum Journal the following:

• Using the Group Therapy Progress Note in this week’s Learning Resources, document the group session.
• Describe each client (without violating HIPAA regulations), and identify any pertinent history or medical information, including prescribed medications.
• Using the DSM-5, explain and justify your diagnosis for each client.
• Explain any legal and/or ethical implications related to counseling each client.
• Support your approach with evidence-based literature.

 I NEED A RESPONSE FOR THIS ASSIGNMENT

1 PAGE

2 REFERENCES

case study presents an adolescent client with a likely diagnosis of Major Depressive Disorder (MDD).   The comprehensive assessment provided by the case study thoroughly addresses all aspects of the client’s life that indicate abnormal symptoms that require treatment (Wheeler, 2014).  The client’s suicidal ideation, depressed mood, decline in focus with school, lack of self-worth, and sleep problems are symptoms consistent with MDD (American Psychiatric Association, 2013).  This client expresses fatigue and troubles with interpersonal conflict as well as uncontrollable feelings and actions of self-harm.  His depressed mood and constricted affect are evident, as well as the collateral information offered by the mother illustrates symptoms of depression (American Psychiatric Association, 2013).  His perceived lack of social support would make him a good candidate for group therapy to treat his depression.    

            An effective group therapeutic intervention for depressed adolescents is group cognitive behavioral therapy (CBT) (Keles & Idsoe, 2018).  CBT works by identifying and changing some of the automatic thoughts that are leading to maladaptive behaviors and coping.  Considering the prevalence of depression across all ages, particularly adolescents, group CBT is an appropriate and effective treatment (Keles & Idsoe, 2018).  One of the other factors that makes group CBT effective is the social support that is offered in the group setting (Nardi, et al., 2017).  This client has verbalized a lack of emotional support and understanding among peers, so the social support offered in the group would be appropriate and effective for this client.  Group CBT shows effect for adolescents with depression and anxiety that persists beyond the treatment duration (Rith-Najarian, et al., 2019).  The projected outcomes for this client are positive related to the effectiveness of group CBT.   

Counseling a group of adolescents has ethical and legal implications related to consent and adherence to treatment programs, as the adolescents are often forced into treatment by parents.  This can make it challenging for providers when the adolescent clients are not interested or invested in treatment.  However, this case study presents a client who appears interested in seeking help and treatment related to his symptoms.  It is important to consider the client’s consent ethically even when the legal consent is obtained by the parent or guardian. 

References

American Psychiatric Association.  (2013).  Diagnostic and statistical manual of mental

disorders (5th ed.).  Retrieved from https://dsm-psychiatryonline-

org.ezp.waldenulibrary.org/doi/book/10.1176/appi.books.9780890425596

Keles, S., & Idsoe, T.  (2018).  A meta-analysis of group Cognitive Behavioral Therapy

(CBT) interventions for adolescents with depression.  Journal of Adolescence, 67,

129-139.  doi:10.1016/j.adolescence.2018.05.011.

Nardi, B., Massei, M., Arimatea, E., & Moltedo-Perfetti, A.  (2017).  Effectiveness of

group CBT in treating adolescents with depression symptoms: A critical review. 

International Journal of Adolescent Medicine and Health, 29(3), 854-860. 

doi:10.1515/ijamh-2015-0080.

Rith-Najarian, L.R., Mesri, B., Park, A.L., Sun, M., Chavira, D.A., & Chorpita, B.F.

(2019).  Durability of cognitive behavioral therapy effects for youth and

adolescents with anxiety, depression, or traumatic stress: A meta-analysis on

long-term follow-ups.  Behavior Therapy, 50(1), 225-240. 

doi:10.1016/j.beth.2018.05.006.

Wheeler, K.  (Ed.).  (2014).  Psychotherapy for the advanced practice psychiatric nurse:

A how-to guide for evidence-based practice.  New York, NY: Springer.

  

This week’s assignment is STEP 1 – Introduction and Problem Statement.

First, the student will select a clinical question from the Approved List of PICOt/Clinical Questions   and will customize the question to meet his or her interest. My PICOT Question

For elderly patients above 60 years with pressure ulcers (P) will the negative pressure wound therapy (I) as opposed to standard moist wound therapy (C) improve the healing of the pressure ulcer (O) during their two-week stay at the hospital (T).

Next, the student will use the outline below and submit via a Word doc to the assignment link.   

1. Provide a title that conveys or describes the assignment.

2. Introduction – Provide an introduction to your topic or project. The introduction gives the reader an accurate, concrete understanding what the project will cover and what can be gained from implementation of this project.

3. Overview of the Problem – Provide a synopsis of the problem and some indication of why the problem is worth exploring or what contribution the proposed project is apt to make to practice.

4. References – Cite references using APA 6th ed. Manual.

5. 4 pages.

Expectations

· Format: Completed Word doc with references in APA 6th ed. format

· File name: Save the file with Student First Name_Last Name_Part 1 

 look at this site: https://acimedical.wordpress.com/2012/07/26/complications-with-negative-pressure-wound-therapy-abstract-and-introduction/