Infant, childhood, and adolescent development are a continual interplay between nature (genetic or biologic predisposition) and nurture (environmental experiences). The nature/nurture continuum and debate will always be a part of your career as a PMHNP.  Knowing common developmental milestone is important in the role as a child provider. Not only is it essential to the diagnostic process, but it is also important to the interdisciplinary interactions with other mental health professionals. The study of normal developmental processes, however, is only one tool that allows the mental health professional to understand the child being evaluated. There are many different assessment instruments and interviewing techniques that PMHNPs can have in their toolkit when working with children and adolescents.

In this Discussion, you examine the differences in assessing and treating children and adolescents versus adults. You take into consideration your own clinical experiences, as well as your experiences in your clinical rotation, and the information from the readings thus far.

Learning Objectives

Students will:

• Analyze the importance of developmental assessments
• Analyze assessment instruments used for evaluating children and adolescents
• Analyze treatment options used for children and adolescents
• Analyze roles parents play in assessment and treatment

To Prepare for the Discussion

• Review the Learning Resources concerning psychiatric assessments and assessment tools.

Post your answers to the following:

• Explain why a developmental assessment of children and adolescents is important.
• Describe two assessment instruments and explain why they are used for children and adolescents but not adults. 
• Describe two treatment options for children and adolescents that may not be used when treating adults.
• Explain the role parents play in assessment and treatment.

 Infant, childhood, and adolescent development are a continual interplay between nature (genetic or biologic predisposition) and nurture (environmental experiences). The nature/nurture continuum and debate will always be a part of your career as a PMHNP.  Knowing common developmental milestone is important in the role as a child provider. Not only is it essential to the diagnostic process, but it is also important to the interdisciplinary interactions with other mental health professionals. The study of normal developmental processes, however, is only one tool that allows the mental health professional to understand the child being evaluated. There are many different assessment instruments and interviewing techniques that PMHNPs can have in their toolkit when working with children and adolescents.

In this Discussion, you examine the differences in assessing and treating children and adolescents versus adults. You take into consideration your own clinical experiences, as well as your experiences in your clinical rotation, and the information from the readings thus far.

Learning Objectives

Students will:

• Analyze the importance of developmental assessments
• Analyze assessment instruments used for evaluating children and adolescents
• Analyze treatment options used for children and adolescents
• Analyze roles parents play in assessment and treatment

To Prepare for the Discussion

• Review the Learning Resources concerning psychiatric assessments and assessment tools.

Post your answers to the following:

• Explain why a developmental assessment of children and adolescents is important.
• Describe two assessment instruments and explain why they are used for children and adolescents but not adults. 
• Describe two treatment options for children and adolescents that may not be used when treating adults.
• Explain the role parents play in assessment and treatment.

Medication errors can lead to adverse drug events, which are associated with increased total hospitalization cost and length of stay (McCarthy, Tuiskula, Driscoll, & Davis, 2017), with an estimate of 44,000 Americans from medical errors (Hanifin, & Zielenski, 2020). Slight, Seger, Franz, Wong, & Bates (2018) estimated a national cost projection of $871 million to $1.8 billion to treat avoidable adverse drug events. Hanifin and Zielenski (2020) found that addressing the medication error problem with initiatives supported by an interdisciplinary team has resulted in a successful decrease in medication error rates.

At the clinic where I work, I would have the therapist, nurses, clinic manager, pharmacist, physician/advanced practice provider, and information technologists on my team. The nurses are responsible for making sure the medications are sent properly and the client understands  and  must be sure that the correct medication is dispense to the patient as ordered by the provider. The provider’s role is to order the correct medication as appropriate for each patient’s clinical condition. The pharmacist is available to consult if a provider is unsure of what to order, or if a nurse has questions about dose safety or how it is to be administered. The information technologist’s role is to provide medication entry/charting in the patient’s electronic medical record and relay the findings to the clinic manager. The nurse’s role is to review the IT-generated report for accuracy and report results to the practice.

Teamwork is best achieved through communication and understanding, as well as respecting each team member’s roles, responsibilities, and concerns (White, 2016). Each member of the team should come together initially to delineate his/her unique responsibilities. With the clarity of each other’s roles and responsibilities, members should hold one another accountable and collectively answer to the leader of the collaboration, which typically would be the nurse and the provider who holds responsibility for the safety initiative and tasking clinical staff to find evidence-based solutions to the problem.  My workplace has 5-minute, daily huddles that take place at 8 in the morning before our workday begins. Each huddle session summarizes issues from the previous workday and highlights essential events/patients for the same day and the day after. This huddle session would be a great way to follow-up on divided tasks outlined in the paragraph above.

White & Dang (2018) highlighted a critical barrier – time. Each member of the team will need uninterrupted time to think about and discuss the problem. Biweekly or weekly staff meetings, spanning 30-60 minutes, are ideal for each team member to have the opportunity to voice their concerns.  Also, the team leader should encourage everyone to voice their concerns publicly and privately for effective communication and collaboration. Above all, the team leader must encourage each team member to value one another’s professions, interests, concerns, and responsibilities (White & Dang, 2018).

I need a comment for this discussion board at least 2 paragraphs and use 2 sources no later than 5 years. 

It IS A REPLY TO ONE STUDENT-ONE PAGE -THREE REFERENCES-PLEASE))

COLLAPSE

Top of Form

Healthcare Organization Website Review

               Evidence-based practice is the integration of research and clinical expertise, which will allow the patient to have more information and evidence to make their preference on their healthcare decisions (Bartol, 2019). The American Psychiatric Nurses Association (APNA) is a professional membership organization that provides education, resources, collaboration, and much more to the psychiatric nursing field. The APNA advocates for mental health through collaboration with consumer groups to promote evidence-based advances in recovery-focused assessment, diagnosis, treatment, and evaluation of persons with mental illness and substance use disorders (APNA, 2020). Under the continuing education tap, the association encourages evidence-based programs and has multiple links for these programs in psychiatric-mental health nursing and provides different topics for individuals to learn about.

Evidence-Based Practice Utilization

               The APNA nursing organization website clearly shows how important evidence-based practice is within this community. The website shows evidence-based practices through education modules in the APNA eLearning center, conferences, publications, and academic journal. Continuing education on the website is focused on evidenced-based practice and research along with two annual conferences. The publications and academic journal focus is on providing resources for practice-related topics to mental health nursing (APNA, 2020).

Ground of EBP

               While going through the APNA website, you can easily tell the organization is grounded in evidence-based practice and wants individuals to be led to EBP research and education. The APNA is an accredited as a provider of nursing continuing professional development by the American Nurses Credentialing Center’s Commission (ANCC, 2020).

Perception of Healthcare Organization

The information I received during this discussion proves the APNA relies on evidence-based practices. The organization has created an educational platform for mental health nursing professionals to find up to date evidence-based practices. This organization will be asset for many students, nurses, and providers throughout their career and I highly recommend it.

In this assignment, you will develop two separate infographics (informative posters) to discuss two separate health issues relevant to the LGBT communities. In each infographic you will discuss:

• What is the health problem?
• Which group(s) are most likely to be at risk?
• What social/behavioral/health system determinants affect this?
• Identify at least two potential interventions/activities the community, community health agency, community health nurse could offer to prevent and or support this health issue
• What resistance might be met in implementing the intervention/activity?