Jerome is a 35-year-old welder who lives with his partner and two children aged 3 and 5 years. Jerome has come to see you at your primary care clinic as he is feeling tired all the time. Medical history Jerome has a history of anxiety and depression. He joined your clinic as a patient 5 years ago, at which time he was taking sertraline for moderately severe depression and associated panic attacks. This was prescribed by his previous provider. The sertraline was effective and Jerome stopped taking the medication after 6 months of treatment. He has not returned to the clinic since that time. Jerome is otherwise physically fit and well and is not prescribed any medication. On examination, Jerome describes a lack of drive and energy for the past six weeks. He feels stressed at having to face his job, but is still going to work. Jerome admits trying to cope with disrupted sleep patterns by drinking more alcohol than usual. He is now drinking 3 bottles of beer every night instead of only twice per week as he used to. His physical examination is normal but he appears to be sad and apathetic.
What will be your approach to addressing Jerome’s anxiety and depression?
What assessment and screening tools will you use to support your diagnosis?
What might be the physiological causes of Jerome’s anxiety and depression?
Does Jerome fit into a DSM-5 category/classification?
What is your plan of care for Jerome? Please support with up-to-date evidence-based standard of care guidelines.
APA 7th Edition
individual projecct and postPART 1
Racial and ethnic diversity is increasing in the United States, and healthcare organizations have been working to decrease inequities in access and quality of healthcare. Delivery of healthcare services must be responsive to an individual’s communication needs, preferred language, health-literacy level, and cultural beliefs and practices. To help healthcare organizations establish guidelines for meeting the needs of a diverse patient population, the Office of Minority Health of the U.S. Department of Health and Human Services (HHS) developed the Culturally and Linguistically Appropriate Services (CLAS) standards. The CLAS standards are designed to improve health outcomes and reduce health inequities by showing respect for the culture and language preferences of patients.
Review the standards on this Web site.
Consider the CLAS standards as you watch the following case study videos:
Cultural and Religious Beliefs
Using Language Access Services
Culturally Tailored Healthcare in Orthopedics
Culturally Tailored Healthcare in Obstetrics
Choose 1 video case study as the basis for your paper, and answer the following questions:
Briefly describe what type of healthcare inequity was depicted in the video.
Which CLAS standards are or are not demonstrated in the video? How would meeting the standards reduce health inequity in the example that you chose?
What could the healthcare organization do better to provide patients with the best care and eliminate the health inequities illustrated in the video?
If you were faced with similar types of situations in the future, explain how you would be better prepared to handle them appropriately after viewing the standards. APA STYLE
PART 2 SUBJECT WRITTEN COMMUNICATION FOR NURSE
Review and reflect on the knowledge you have gained from this course. As discussed throughout this course, writing and research skills are important in a variety of different settings beyond this English course; writing and research skills are necessary throughout your entire academic journey, your profession, and your personal life.Write an email to a future nursing student explaining the importance of writing and research. Your email should be 4 paragraphs and include specific examples and details about the following:How can developing and using effective writing skills further your academic goals?
How can developing and using effective research skills further your academic goals?
How can developing and using effective writing skills advance your professional and career goals?
How can developing and using effective research skills advance your professional and career goals?
You should follow standard email conventions (i.e. CC/BCC, subject line, attachment, signature, etc.). For the purposes of this assignment, please use fictitious information for your address and signature block.
TEMPLATE DISPLAY FOR THIS ASSIGMENT
Family nursingNursing Assignment Help This discussion asks you to look at the role of the family health nurse in a genetic counseling scenario. Imagine that you are a family health nurse, and today in your office you will be seeing a married couple who are both carriers for a genetic disorder This couple would like to have children, but since they are both carriers for a genetic disorder, they are seeking your advice on what they should do before they attempt to start a family. The attached file is the rubric and instructions
nur2459 mental health. interpersonal process recording.PurposeThis assignment will help prepare you for conversations with clients with a mental health condition.Course CompetencyDescribe the foundations of mental health nursing.Transferable SkillCommunication: Displaying capability in writing, reading, and oral communication; understanding of non-verbal language.InstructionsIt will be carried out with two students working together. This is a “role play exercise,” in which one student is the student nurse, and the other will role play as a client. In this assignment, the nursing student will be demonstrating the therapeutic nurse-client relationship and analyzing the therapeutic and nontherapeutic techniques used. You will take turns in the roles.This is not about always having therapeutic responses. It is about learning from practice and review. It is expected that you will think of other ways to respond or interact with the client that may be more therapeutic after the interaction is terminated. After the conversation is over, you will complete in IPR form.The client roles are:Mr. Jones is a 69-year-old retired engineer. He was admitted to the in-patient psychiatric unit the previous day. His daughter had called the police when he locked himself in his bathroom and refused to come out. She thought he was suicidal. He was brought to the hospital by the police and was admitted on involuntary status. He has been reticent since admission but told his daughter he had no reason to live since his wife died.
Diagnosis: Major Depressive Disorder
Nursing Diagnosis: Risk for suicide.
Mrs. Alvarez is a 34-year-old female who has lived in this country for the past 10 yrs. She is a stay at home mom with three small children. Her husband works two jobs to support the family. Lately, she has been extremely anxious and fears that her children will become ill or injured. This seems to be an unrealistic concern, but she has been unable to sleep well and has lost 15 lbs. in the past month. She is a voluntary admission and states she knows she needs help.
Diagnosis: Generalized Anxiety Disorder
Nursing Diagnosis: Ineffective coping
You will select the role you wish as a client and take turns switching roles. After the conversation, you will document the interactions using the form provided and following the guidelines instructions for each column.IPR Form ExplanationThe IPR is completed with the form to guide you, and the rubric to explain the grading process for content.IPR Form
The first column is for you, the nursing student’s, comments/ questions, and responses. You may want to include the introduction process. It is understandable if the initial conversation is more superficial to establish rapport. You may not want to include all of this but move on to the more focused interaction. Your nonverbal communication is included here.
Then, the conversation will move to a focus on the client’s feelings, concerns, issues as he/she has identified them. After the introduction, it may be beneficial to establish with the client a short- term goal for the interaction.
The second column is for the client’s comments, questions, responses. Also, the nonverbal reactions of the client are included in this column.
The middle column is for you to write what you are thinking or feeling.
The last two columns are for you to document the technique that you used in that portion of the conversation. If it is a non – therapeutic response, you are to write the response and think of how you could revise to more therapeutic response. You can change any response if you think of how you could have responded differently but, identify and change all non – therapeutic responses.
Remember, this is an assignment that will assist you in all communication with others.Save your assignment as a Microsoft Word document. (Mac users, please remember to append the “.docx” extension to the filename.) The name of the file should be your first initial and last name, followed by an underscore and the name of the assignment, and an underscore and the date. An example is shown below:Jstudent_exampleproblem_101504.
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