Health Care

What behavioral health concerns in the primary care setting while providing ethical care and safeguarding?

What behavioral health concerns in the primary care setting while providing ethical care and safeguarding?

Choosing a topic in behavioral setting and elaborate on it. Explore the various influencers of treating behavioral health concerns in the primary care setting while providing ethical care and safeguarding themselves legally.

Requirements: 2 pages

Purpose

The purpose of this assignment is to promote prudent and safe care of behavioral health conditions in the primary care setting. This assignment allows students to explore the various influencers of treating behavioral health concerns in the primary care setting while providing ethical care and safeguarding themselves legally.

Preparing the Assignment

Follow these guidelines when completing each component of the assignment. Contact your course faculty if you have questions.

  1. General instructions
    1. Create a presentation of your choice. Use PowToon, Kaltura, Prezi, infographic, or another medium aside from a written paper.
    2. Scholarly APA citations and matching references should be included. (Citations within the text and a list of references at the end.)
    3. References should be professional sources and no more than 5 years old.
  2. Create a patient scenario for the behavioral health issue that corresponds with the first initial of your last name in the table below. This information was also provided in the Week 5 announcement made by faculty.
Behavioral Health DiagnosisFirst Initial of Last Name
DepressionAIQY
Bipolar DiseaseBJRZ
General Anxiety DisorderCKS
Social Anxiety DisorderDLT
Post-traumatic Stress DisorderEMU
Panic DisorderFNV
Obsessive Compulsive DisorderGOW
Attention-Deficit/Hyperactivity DisorderHPX
  1. Include the following sections:
    1. Patient chief complaint
    2. History of present illness
    3. Social history
    4. Family medical history
    5. Past medical history
    6. Medications
    7. Treatment plan

3. State and Federal Regulations

  1. Identify the state where you live.
  2. Identify what your state laws say about prescribing behavioral health drugs without being certified and/or credentialed as a psych-mental health NP.
  3. How does the Affordable Care Act affect behavioral health care?
  4. How do these factors impact the patient in the scenario you provided?

4. Community Resources

  1. Provide information on how you would know if the patient you create needs support beyond what you can provide as a primary care NP.
  2. Identify community resources available in your area to refer patients in need of assistance before they can establish care with a primary mental health provider.
  3. Identify the facilities in your area where you would send a patient in need of urgent assessment and intervention.
  4. Identify resources in your area that are available to patients who may not be able to afford behavioral health care.

5. Legal & Ethical Considerations

  1. Identify potential legal issues that could arise from how you do or do not choose to treat this patient.
  2. Identify potential ethical issues that could arise from how you do or do not choose to treat this patient.
  3. What follow-up is needed for your patient?
  4. What do you need to do as a primary care provider to mitigate potential risks in providing care for behavioral health concerns?

Rubric

NR566 Week 7 Psych Management in Primary Care

NR566 Week 7 Psych Management in Primary Care

CriteriaRatingsPts
This criterion is linked to a Learning OutcomeGeneral Format
20 ptsOutstanding

Includes no fewer than 4 requirements. 1. Create a presentation of your choice. Use PowToon, Kaltura, Prezi, infographic, or another medium aside from a written paper. NOTE: If your recorded voice is part of your presentation, a transcript is required. Videos should not exceed 10 minutes. 2. Scholarly APA citations and matching references should be included. (Citations with the text and a list of references at the end.) 3. References should be professional sources and no more than 5 years old. 4. Presentation is posted to both discussion board and assignment dropbox.

18 ptsVery Good

Includes no fewer than 3 requirements.

16 ptsAcceptable

Includes no less than 2 requirements.

10 ptsNeeds Improvement

Includes no less than 1 requirement.

0 ptsUnacceptable

No requirements for this section presented.

20 pts
This criterion is linked to a Learning OutcomeCriteria for Patient ScenarioCreate a patient scenario including one or more behavioral health issues covered in the module or readings from this week (depression, general anxiety, social anxiety disorder, post-traumatic stress disorder, panic disorder, obsessive compulsive disorder).
25 ptsOutstanding

Includes no fewer than 7 requirements. 1. Patient chief complaint 2. History of present illness 3. Social history 4. Family medical history 5. Past medical history 6. Medication 7. Treatment plan

22 ptsVery Good

Includes no fewer than 6 requirements.

20 ptsAcceptable

Includes no less than 5 requirements.

12 ptsNeeds Improvement

Includes no less than 4 requirements.

0 ptsUnacceptable

3 or less requirements for this section presented.

25 pts
This criterion is linked to a Learning OutcomeState and Federal Regulations
25 ptsOutstanding

Includes no fewer than 4 requirements. 1. Identify the state where you live 2. Identify what your state laws say about prescribing behavioral health drugs without being certified and/or credentialed as a mental health NP. 3. How does the Affordable Care Act affect behavioral health care? 4. How do these factors impact the patient in the scenario you provided?

22 ptsVery Good

Includes no fewer than 3 requirements.

20 ptsAcceptable

Includes no less than 2 requirements.

12 ptsNeeds Improvement

Includes no less than 1 requirements.

0 ptsUnacceptable

No requirements for this section presented.

25 pts
This criterion is linked to a Learning OutcomeCommunity Resources
25 ptsOutstanding

Includes no fewer than 4 requirements. 1. Provide information on how you would know if the patient you create needs support beyond what you can provide as a primary care NP. 2. Identify community resources available in your area to refer patients in need of assistance before they can establish care with a primary mental health provider. 3. Identify the facilities in your area where you would send a patient in need of urgent assessment and intervention. 4. Identify resources in your area that are available to patients who may not be able to afford behavioral health care.

22 ptsVery Good

Includes no fewer than 3 requirements.

20 ptsAcceptable

Includes no less than 2 requirements.

12 ptsNeeds Improvement

Includes no less than 1 requirements.

0 ptsUnacceptable

No requirements for this section presented.

25 pts
This criterion is linked to a Learning OutcomeLegal & Ethical Considerations
25 ptsOutstanding

Includes no fewer than 4 requirements. 1. Identify potential legal issues that could arise from how you do or do not choose to treat this patient. 2. Identify potential ethical issues that could arise from how you do or do not choose to treat this patient. 3. What follow up is needed for your patient? 4. What do you need to do as a primary care provider to mitigate potential risks in providing care for behavioral health concerns?

22 ptsVery Good

Includes no fewer than 3 requirements.

20 ptsAcceptable

Includes no less than 2 requirements.

12 ptsNeeds Improvement

Includes no less than 1 requirements.

0 ptsUnacceptable

No requirements for this section presented.

25 pts
This criterion is linked to a Learning OutcomeLate penalty deductionsStudents are expected to submit assignments by the time they are due. Assignments submitted after the due date and time will receive a deduction of 10% of the total points possible for that assignment for each day the assignment is late up to 3 days. Assignments will not be accepted after three days late, and a score of zero will be recorded for the assignment. Quizzes and discussions are not considered assignments and are not part of the late assignment policy.
0 ptsFull Marks0 ptsNo Marks
0 pts
Total Points: 120

 

 My assignment is on PANIC DISORDER AND I WILL DO THE PRESENTATION.

I lived in Maryland do not worry about the presentation part I will do it after the 2 page paper work is done. Thanks.

I will do the presentation part, please do the other part of written paper

 

For reference is the title of the book we are using. Rosenthal, L. & Burchum, J. (2021). Lehne’s pharmacotherapeutics for advanced practice nurses and physician assistants

What behavioral health concerns in the primary care setting while providing ethical care and safeguarding? Read More »

Vulnerable Populations in our Own Communities

Vulnerable Populations in our Own Communities

Vulnerable Populations in our Own Communities

Shi, Stevens, Faed, & Tsai (2008) maintain that an individual’s personal surroundings play a role in their access to material and social resources essential to wellbeing, which in turn play a role in their level of vulnerability and risk of negative outcomes. Their contention is that the lack of access to these resources may reduce the level of health-promoting behaviors while increasing the incidence of risk behaviors (2008), which in turn increase risk exposures and vulnerability to poor health outcomes.

Think about this in relationship to your own community.

In your post of 150 to 175 words:

First, identify a “vulnerable population” in your community and list several factors that might play a role in making them vulnerable or at risk. For example, you might identify what resources they lack access to and how this increases risk for certain negative outcomes. Explain how their surroundings serve as barriers to healthy behaviors/lifestyles or increase the incidence of risk behaviors. Then, reflect upon how vulnerable groups are viewed or treated in your community, and how community members’ own values play a role in how one views, treats or responds to members of vulnerable groups. Do you think this adds another challenge to a community’s willingness to prioritize services for vulnerable populations.

Requirements: 150 words

Note:
 
I live in Fort Myers Florida, sanitation here is okay

In my community the uninsured have been shown to be vulnerable to health care access and quality, specially in the dental field (I am a dental hygienist) Most people that do not have insurance and indeed have severe dental problems including infection, and severe bone loss can sometimes not afford the cost for treatment.

 

My community can also relate to how many people with mental illness due to the COVID pandemic, if we want to keep the same topic

 

I will like to add this

research on vulnerable populations focuses on a number of subpopulations, including, but not limited to the following:

Vulnerable Populations in our Own Communities Read More »

As a hospital administrator, you receive a call from a colleague

As a hospital administrator, you receive a call from a colleague

Discussion post

As a hospital administrator, you receive a call from a colleague at another hospital. Your colleague, who is a friend, informs you that he has received a demand for a stipend from the ophthalmologists who take ED calls at his hospital, and they want a sizable raise. He asks you what you pay for that type of call and suggests that you could both benefit by coming up with a standard rate of pay over which neither of you will go in response to physician demands. It could save your hospitals $300,000 to do this. What is your response, and what is the rationale for it? please use the following as a resource

Legal and Ethical Issues for Health Professionals

Pozgar, G. D. (2020). Legal and ethical issues for health professionals (5th ed.). Burlington, MA: Jones and Bartlett Learning. ISBN-13: 9781284144185

Requirements: 200 words

As a hospital administrator, you receive a call from a colleague Read More »

A mother brings her 6-month-old daughter, Vivi Mitchell

A mother brings her 6-month-old daughter, Vivi Mitchell

You are working in a large urban pediatric clinic after-hours.

A mother brings her 6-month-old daughter, Vivi Mitchell, to the clinic for rhinorrhea, congestion, fever, and cough. Upon assessment, you identify the child has wheezing upon auscultation and on inspection, you identify retractions.

  • The child is in less than 10thpercentile of weight and has a cardiac history of Patent Ductus Arteriosus (PDA).
  • Born at 36 weeks gestation.
  • Mother states this child doesn’t go to day care but her two other children ages 2 and 3 do attend daycare.
  • T- 102.1 HR 140 RR 40 BP 83/58 Pulse ox 96%
  • A swab for respiratory syncytial virus (RSV) is positive.

 

Doctor orders – Nasal bulb suction and saline drops PRN, Tylenol 15mg/kg Q4 PRN for fever, Albuterol nebulizer in office and push po fluids as tolerated.

After the albuterol neb treatment, respirations are 36 and oxygen saturation is 100%. Wheezing has diminished. Mom is an ER nurse and the doctor feels comfortable that she has a nebulizer at home and can return to pediatric afterhours or ER if needed.

Client is discharged with these orders:

  • methylprednisolone 0.4 mg/kg oral BID for 3
  • Albuterol Q4 hours for 24 hours, then Q 6 hours for 24 hours, and Q6 as needed.
  • Call if needed prior to the Q4 dose.
  • Manage fever with Tylenol and continue hydration and nasal bulb suction Q6 while awake.
  • Return for re-evaluation in 3 days

Instructions

In a two to three-page APA formatted paper, provide reponses for these questions and requests for information:

Criteria:

  1. Describe the pathophysiology of bronchiolitis and identify the most common organism causing this infection. What laboratory testing can confirm your suspicion?
  2. Describe the pathophysiology of PDA and why the history of PDA is significant in this scenario.
  3. What risk factors place Vivi Mitchell at a greater risk for the development of bronchiolitis?
  4. What are the characteristic signs/symptoms of bronchiolitis?
  5. Vivi Mitchell been prescribed the following medications; acetaminophen, albuterol nebulizer, corticosteroids. Provide the rationale for why each medication has been included as part of her medical management and explain any potential contraindications related to these medications.
  6. You are designing Vivi Mitchell’s plan of care. Identify two priority nursing diagnoses to include in your plan. For each nursing diagnosis, identify two SMART goals, and two interventions for each goal.
  7. What short and long-term possible complications should the nurse anticipate?
  8. What client education is appropriate for Vivi Mitchell as she is discharged from the after-care clinic?

* Include a minimum of 2 scholarly sources

 

A mother brings her 6-month-old daughter, Vivi Mitchell Read More »

Scroll to Top