Components of the Psychiatric Interview and Importance of the Elements.

Components of the Psychiatric Interview and Importance of the Elements.

Sonya Weaver Sonya Weaver Wk 2-Initial PostCOLLAPSE

Components of the Psychiatric Interview and Importance of the Elements

The psychiatric interview is crucial in building a rapport with the patient to collect data about current and past mental health and medical

conditions and relevant developmental, interpersonal, and social history. The three important components of the psychiatric interview that I consider

important are the Standard for Clinician’s Interview in Psychiatric (SCIP), which provides diagnosis consistent with DSM criteria (Aboraya et al., 2016).

It helps collect dimensional scores, diagnostic classification of psychiatric disorders, and numeric data; the etiological components help psychiatrists and

psychologists determine the cause of clients’ mental health conditions. The etiology of mental health condition can be attributed to genetic components,

substance abuse, or an early loss of a parent, which can result in the patient suffering severe psychological trauma; and the disorder classification

component enables the psychiatrist and psychologist during collection and examination of patients to classify the disorder the patient present and treat

appropriately (Aboraya et al., 2016).

Psychometric Properties of Positive and Negative Symptoms Scale (PANSS)

The psychometric properties of the PANSS measure the severity of the positive symptoms, negative symptoms, and general psychopathology

symptoms once a patient has been diagnosed with schizophrenia and also in schizophrenia drug trials, a widely used measure of symptom severity, and

to track treatment response (Gopalakrishnan et al., 2020). The PANSS can be helpful in that it is used to identify the presence and severity of

psychopathology symptoms in schizophrenic patients. It has high internal reliability and validity in both positive and negative symptoms, and in short-

and long-term trials, an excellent sensitivity to change (Gopalakrishnan et al., 2020). According to Sadock et al. (2014), in assessing clinical outcomes in

treatment studies of schizophrenia and other psychotic disorders, the PANSS has become the standard tool and is easy to administer reliably and

sensitive to change with treatment.

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References

Aboraya, A., Nasrallah, H., Muvvala, S., El-Missiry, A., Mansour, H., Hill, C., Elswick, D., &

Price, E. (2016). The standard for clinicians’ interview in psychiatry (skip): A clinician-

administered tool with categorical, dimensional, and numeric output—conceptual

development, design, and description of the scip. Innovations in clinical neuroscience,

            13(5-6), 31–77. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5077257/

Gopalakrishnan, M., Farchione, T., Mathis, M., Zhu, H., Mehta, M., Uppoor, R., & Younis, I.

(2020). Shortened positive and negative symptom scale as an alternate clinical endpoint

for acute schizophrenia trials: Analysis from the us food & drug administration.

            Psychiatric Research and Clinical Practice, 3(1), 38–45.

https://doi.org/10.1176/appi.prcp.20200003

Sadock, B. J., Sadock, V. A., & Pedro, R. M. (2014). Kaplan and sadock’s synopsis of

            psychiatry: Behavioral sciences/clinical psychiatry (Eleventh ed.). LWW.

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HCA 450 – Term Paper Guidelines and Rubric

This Term Paper applies the Harman, L.B., & Cornelius, F.H. (2017). Ethical Health

Informatics: Challenges and Opportunities (3rd ed.) textbook to lead students through a process

of health leadership competency, affective domain of learning, self-reflection, personal

assessment, and professional development planning. HCA 450 – Term Paper Guidelines and Rubric

The Term Paper is designed to facilitate the student to comprehend, apply, analyze, evaluate, and

create a better understanding of the research topic, as well as how to apply emerging health care

information technologies to articulate professional interests, strengths, and areas for further

learning and development in preparation for managing and leading health care organizations in

the future.

The Term Paper is structured into seventh sections, with comprehensive guidelines provided in

each section. APA formatting is required. Please follow this formatting style sections and make

sure your paper is clear and well-structured following this writing style format. Your book is an

excellent resource, please read all the chapters required in your course and be familiar with their

contents. All other resources should be currently published within the last five years.

Section 1: Module 5 The electronic medical records (EHRs)

 Provide at least three (3) motives why some health care organizations have been indisposed to implement electronic medical records (EHRs). Suggest one strategy

which helps to reassure the implementation of a new health information system.

Section 2: Module 2 The Health Insurance Portability and Accountability Act

(HIPAA)

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 Discuss the role of the Health Insurance Portability and Accountability Act (HIPAA) and its impacts on patients’ medical records.

Section 3: Chapter 17 The Health Information Technology for Economic and Clinical

Health (HITECH) Act

 Determine the main functions of The Health Information Technology for Economic and Clinical Health (HITECH) Act for health care professionals. Next, suggest one (1)

strategy that the medical staff members could use in order to increase the quality of

medical services.

Section 4: Module 7 The digital health technologies

 Discuss the key risks of digital health technologies for consumers, patients, and caregivers.

 Next, propose one (1) strategy to diminish the risks in question. Provide a rationale to support your response.

Section 5: Chapter 20 The laws and penalties

 List the laws and penalties concerning fraud and abuse in health care. Select one act and describe its impact on patient decision.

Section 6: Module 1 The ethical principles of the (HIM) professionals

 What are the four ethical principles the HIM professionals would use in developing and competing values?

Section 7: Saint Leo core values of integrity and excellence into section 6.

 The Term Paper is structured into seventh sections, with comprehensive guidelines provided in each section. APA formatting is required. An introduction and a conclusion

are necessary in your term paper.

 Use briefly these headers (questions or sections) and discuss each question precisely and concisely.

 Do not exceed the length criteria which requires 6-8 pages only, not including the cover page and references page.

 Use at least eight high-quality resources from AHIMA, CMS, HIMSS, AHRSQ, and medical journals only within the last past five years.

 Do not use resources that are not high-quality as an encyclopedia or a dictionary information. All your resources should be cited correctly and precisely in the text and

references page.

You need to reduce to plagiarism to 10-15% only. All papers that have a high percentage are not

graded and are directed to academic affairs for violating the honesty rules of plagiarism.

Final Term Paper Rating Rubric

Rating:

Exceptional corresponds to an A (90-100). Performance is outstanding; significantly above the

usual expectations.

Proficient corresponds to a grade of B- to B+ (80-89%). Skills are at the level of expectation.

Basic corresponds to a C to C+ (70-79%). Skills are acceptable but improvements are needed to

meet expectations well.

Novice corresponds to a D to C- (60-69%). Performance is weak; the skills are not sufficiently

demonstrated at this time.

0 This criterion is missing or not in evidence.

Elements Criteria Ratings

0 Novice Basic Proficient Exceptional

Introduction

and summary

(15%)

Introduction and thorough

description of the impact

of health information

technology management

in a healthcare facility

0-8 9 10-11 12-13 14-15

Analysis

(45%)

Research, understanding

and knowledge,

exploration of theories;

approaches, applying

learned course topics and

concepts

0-26 27-31 32-35 36-40 41-45

Summarizatio

n and/or

conclusions

(20%)

Thoughtful summarization

of topic; integration of the

Saint Leo core values of

integrity and excellence

0-11 12-13 14-15 16-17 18-20

Structure and

organization

(20%)

Logical development of

ideas, clear sequence,

focus, well-organized

paragraphs, correct

spelling, grammar,

punctuation, low

plagiarism 10-15%, and

accurate citations

following the APA format

0-11 12-13 14-15 16-17 18-20

Total points 100

Discussion: History Of Reimbursement Issues.

Discussion: History Of Reimbursement Issues.

Do reimbursements and VBID impact how we provide healthcare, Carlos?  Hasn’t it, for the most part, resulted in pressure on providers to decrease the time spent with patients during an office call (for example) in order to keep their numbers up?  Does this truly serve the patients, or does it serve primarily to impact income to the hospital?

I NEED ANSWER THIS QUESTION THAT THE PROFESSOR ASK ME.

You must proofread your paper. But do not strictly rely on your computer’s spell-checker and grammar-checker; failure to do so indicates a lack of effort on your part and you can expect your grade to suffer accordingly. Papers with numerous misspelled words and grammatical mistakes will be penalized. Read over your paper – in silence and then aloud – before handing it in and make corrections as necessary. Often it is advantageous to have a friend proofread your paper for obvious errors. Handwritten corrections are preferable to uncorrected mistakes.

Use a standard 10 to 12 point (10 to 12 characters per inch) typeface. Smaller or compressed type and papers with small margins or single-spacing are hard to read. It is better to let your essay run over the recommended number of pages than to try to compress it into fewer pages. Discussion: History Of Reimbursement Issues.

Likewise, large type, large margins, large indentations, triple-spacing, increased leading (space between lines), increased kerning (space between letters), and any other such attempts at “padding” to increase the length of a paper are unacceptable, wasteful of trees, and will not fool your professor.

The paper must be neatly formatted, double-spaced with a one-inch margin on the top, bottom, and sides of each page. When submitting hard copy, be sure to use white paper and print out using dark ink. If it is hard to read your essay, it will also be hard to follow your argument.

ADDITIONAL INSTRUCTIONS FOR THE CLASS

Discussion Questions (DQ)

Initial responses to the DQ should address all components of the questions asked, include a minimum of one scholarly source, and be at least 250 words.
Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source.
One or two sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words.
I encourage you to incorporate the readings from the week (as applicable) into your responses.

Weekly Participation

Your initial responses to the mandatory DQ do not count toward participation and are graded separately.
In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies.
Participation posts do not require a scholarly source/citation (unless you cite someone else’s work).
Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week.

APA Format and Writing Quality

Familiarize yourself with APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required).
Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation.
I highly recommend using the APA Publication Manual, 6th edition.

Use of Direct Quotes

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I discourage overutilization of direct quotes in DQs and assignments at the Masters’ level and deduct points accordingly.
As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content.
It is best to paraphrase content and cite your source.

LopesWrite Policy

For assignments that need to be submitted to LopesWrite, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me.
Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes.
Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own?
Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for tips on improving your paper and SI score.

Late Policy

The university’s policy on late assignments is 10% penalty PER DAY LATE. This also applies to late DQ replies.
Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances.
If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect.
I do not accept assignments that are two or more weeks late unless we have worked out an extension.
As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.

Communication

Communication is so very important. There are multiple ways to communicate with me:
Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class.
Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours.

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Safety Scenario: Safety A 77, year old woman is hospitalized for management of her diabetes.

Safety Scenario: Safety A 77, year old woman is hospitalized for management of her diabetes.

Family

Due on Sunday

Remember to cite source (reference too)

Answer each scenario on different pages

Scenario: Family An 83, year old woman is recovering from pneumonia. She has Alzheimer’s disease and has become increasingly hostile and unmanageable in the home setting. Her 65, year old daughter is distraught about the idea of placing her mother in a long-term care facility but feels she is not able to care for her.

Directions: Part 1: • The original post must be at least 250 – 300 words in length (Repeating the question in the answer does not count towards the 250 – 300 words) • What is your role in this situation? • How might you help the daughter with her decision? • What information would you give the daughter?

Influence

Scenario: Family A 78, year old man is a retired banker whose wife died several years ago. He is able to perform all ADLs but needs help with meal preparation and transportation. He lives in a deteriorating neighborhood and no longer feels safe. He does not want to live with family members or completely give up his independence.

Directions: • The original post must be at least 250 – 300 words in length (Repeating the question in the answer does not count towards the 250 – 300 words) • What housing options would be appropriate for him? Why? • What advantages would such housing options offer over living alone?

· Exercise

Scenario: Exercise You are checking blood pressures at a senior citizen health fair. After you check the blood pressure of an older woman, she asks you about starting an exercise program. She has not been exercising, but some of her friends have told her that she should start to exercise regularly.

Directions: • The original post must be at least 250 – 300 words in length (Repeating the question in the answer does not count towards the 250 – 300 words) • What recommendations do you give her? • What precautions do you include in your recommendations?

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Safety Scenario: Safety A 77, year old woman is hospitalized for management of her diabetes. She has a history of functional urinary incontinence and poor vision from the diabetes. The nursing staff observes her climbing over the side rails on numerous occasions at night en route to the bathroom. She is quite agitated during this time. The nursing assistant requests that you obtain an order for a body restraint at night to prevent her from falling out of bed.

Directions: Part 1: • The original post must be at least 250 – 300 words in length (Repeating the question in the answer does not count towards the 250 – 300 words) • Should this patient be restrained to prevent injury? • Would you request the order for a body restraint? Why, or why not? • What other information is relevant to this case? • What nursing interventions could be tried before considering a restraint?

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• 

  FinalizedCopyoftheChangeProjectProposal.docx

1

Change Project

Amisadai Mederos

Denver College of Nursing

NUR445: Capstone

Sharon Bator

December 6, 2021

Change Project

Background

An interview with the nurse director, Aleycia, revealed vital information regarding the change project. Patients above 50 years of age are at a higher risk of falls compared to younger individuals. It is because they do not metabolize anesthesia faster like younger people. Medications take a longer time to leave the system. Generally, individuals under anesthesia within the first 24 hours are at a high risk of falls. The JHFRAT has been effective in reducing falls in the hospital. Aleycia suggests more education for nurses and the implementation of new alarms that are specific for every room to help nurses get to the rooms faster.

Research Question

Are geriatrics who have gone under anesthesia and are receiving pain medication compared with those without receiving anesthesia and pain medication at a higher risk for falls over the first 48 hours after surgery?

Literature Review

(Daoust et al., 2018) examines the risk of falls of older adults under opioid use. The article includes patients above 65 years. The results show that opioid use results in a greater risk of falls for older patients, which leads to injury or death among the patients (Daoust et al., 2018). The article by (Mazur et al., 2016) includes patients above 79 years. Patients’ advanced age and delirium history are associated with higher fall risk. Also, patients having a higher BMI are at a lower risk of geriatric falls. According to (Wu et al., 2021), polypharmacy is associated with delirium and geriatric falls. Patients hospitalized due to fall injuries currently use BZDs (Yu et al., 2017)). Therefore, anesthesia medication is associated with the risk of geriatric falls.

Stages of Project Implementation

The first step in Lewin’s change theory is unfreezing, where the problem is identified. Communication is required to ensure the problem is well known and the need for change is established. The second step would be to implement change in the system and implement a system where the alarms are identifiable for each room. Finally, the refreezing process involves the identification of any potential errors and ensuring nurses understand the system.

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References

Daoust, R., Paquet, J., Moore, L., Emond, M., Gosselin, S., Lavigne, G., Choiniere, M., Boulanger, A., Mac-Thiong, J. M., & Chauny, J.-M. (2018). Recent opioid use and fall- related injury among older patients with trauma. CMAJ: Canadian Medical Association Journal, 190(16), E500+. https://link.gale.com/apps/doc/A535816357/HRCA?u=lirn54469&sid=bookmark-HRCA&xid=fe728eb5

Mazur, K., Wilczyhski, K., & Szewieczek, J. (2016). Geriatric falls in the context of a hospital fall prevention program: delirium, low body mass index, and other risk factors. Clinical Interventions in Aging, 11, 1253+. https://link.gale.com/apps/doc/A503296118/HRCA?u=lirn54469&sid=bookmark-HRCA&xid=4876a981

Wu, H., O’Donnell, L. K., Fujita, K., Masnoon, N., & Hilmer, S. N. (2021). Deprescribing in the Older Patient: A Narrative Review of Challenges and Solutions. International Journal of General Medicine, 14, 3793+. https://link.gale.com/apps/doc/A673020801/HRCA?u=lirn54469&sid=bookmark-HRCA&xid=941ecb3a

Yu, N.-W., Chen, P.-J., Tsai, H.-J., Huang, C.-W., Chiu, Y.-W., Tsay, W.-I., Hsu, J., & Chang, C.-M. (2017). Association of benzodiazepine and Z-drug use with the risk of hospitalisation for fall-related injuries among older people: a nationwide nested case-control study in Taiwan. BMC Geriatrics, 17(1). https://link.gale.com/apps/doc/A511320776/HRCA?u=lirn54469&sid=bookmark-HRCA&xid=446b7aa2