WK 6 Practicum Journal

  Assignment 2: Week 6 Practicum Journal: Reimbursement Rates

Reimbursement rates and medical coding can be almost as complicated as treating some mental illnesses. As a PMHNP, you will be faced with varying rates that may be different than other health care providers you may work with.

In this Practicum Journal Assignment, you will analyze reimbursement rates for mental health treatments you will likely use in your practice and compare those rates to other provider rates. Learning Objectives Students will: Analyze reimbursement rates for mental health treatments

To prepare for this Practicum Journal: Research reimbursement rates for various treatment modalities. Compare NP rates to other provider rates.

For this Practicum Journal:

Complete the Reimbursement Rate Template in your Learning Resources using the five types of services you are likely to use in your practice.

NUR-621-D4Q1R1

Minimum of 300 words with  at least 2 peer review reference in 6th edition APA style.

 How has the EHR impacted your health care organization? What were the positives, and are there any negative issues with any aspects of EHR? 

Developmental Assessment and the school aged

Developmental Assessment and the School-Aged Child 

            

The needs of the pediatric patient differ depending on age, as do the stages of development and the expected assessment findings for each stage. In a 500-750-word paper, examine the needs of a school-aged child between the ages of 5 and 12 years old and discuss the following: Compare the physical assessments among school-aged children. Describe how you would modify assessment techniques to match the age and developmental stage of the child. Choose a child between the ages of 5 and 12 years old. Identify the age of the child and describe the typical developmental stages of children that age. Applying developmental theory based on Erickson, Piaget, or Kohlberg, explain how you would developmentally assess the child. Include how you would offer explanations during the assessment, strategies you would use to gain cooperation, and potential findings from the assessment.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. 

You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

Health Book Report Fix

  

Choose one of the following books and write 2-3 page report on any aspect of the connection to global health (title and reference page not included in page count). Be sure to include at least one reference to support your work (beyond the book itself). The reference can be one that was discussed during the course. Submit under the Course Materials tab in Blackboard.

Katz, J. M. (2013). The big truck that went by. How the world came to save Haiti and left behind a disaster. New York: St. Martin’s Griffin. ISBN 978-1-137-27897-5 (paperback) or ISBN 978-1-137-32395-8 (e-book)

Timmerman, K. (2009). Where am I wearing?  A global tour to the countries, factories, and people that make our clothes.  New Jersey: Wiley. ISBN 978-0-470-37654-6

The books are on reserve in the Howe Library and available for 3 days at a time. There are also e-versions (kindle) available.

Criteria for a ‘pass’:

1. Introduction gives reader direction and is addressed throughout the paper. 

2. Summary/conclusion is clear and concise.

3. An aspect of the connection to global health was clearly discussed.

4. At least 1 literature source was used.

5. Writing style is fluent with evidence of individuality and clarity.

6. Overall presentation of paper is neat and well organized with few minor errors in syntax, spelling, etc. (i.e. Proper English language usage), follows a chosen referencing style, and includes a title page, reference pages, is double spaced, 11-12 CPI, and 1 inch, non-justified margins.

Selecting a Population Health Problem

  

Selecting a Population Health Problem

As you know, promoting positive social change is a part of the Walden mission. To be an effective agent for social change, nurses must be able to logically and critically analyze population health issues using epidemiologic concepts, and then communicate insights in a succinct and professional manner. This exercise will afford you such an experience.

This week, you will complete Assignment 1 in preparation for Major Assessment 7, in which you will apply epidemiologic principles and develop an intervention for a health problem.

For this Assignment, you will examine a health problem of interest to you, and you will develop a brief paper (2 pages) outlining the significance of the health problem and describing it in terms of person, place, and time. This outline will help your Instructor determine if the topic you selected is appropriate for the Major Assessment paper.

Prepare for Assignment 1 as follows: Review      the Major      Assessment Overview (see attached). Determine      a population health problem that is viable for completing this paper. You      may use the problem you identified in the Week 1, 2,      or Week 3 Discussion, or you may select a new one. Determine      the characteristics of the health problem in terms of person, place, and      time. Using      the Walden Library and credible websites, conduct additional research on      your selected population health problem. Consider the significance of this      health problem. Examine      how Healthy People 2020, listed in the Learning Resources, supports the      importance of addressing your selected health problem. Develop      a preliminary research question or hypothesis appropriate for your topic.

To complete:

Write a  2-page paper that addresses the following:

  

1) Introduction (must end with a purpose statement, e.g. “the purpose of this paper is …)

2) Describe the population health problem in terms of person, place, and time.

3) From the primary research literature and Healthy People 2020, briefly explain the significance of this health problem.

4) Include your preliminary research question or hypothesis. (PICOT format for the research question).

5) A conclusion

By Day 7 (tomorrow Sunday 03/18/2018 at 4 pm latest Submit your a 2-page paper in order to receive feedback on your topic

Required Readings

Friis, R. H., & Sellers, T. A. (2014). Epidemiology for public health practice (5th ed.). Sudbury, MA: Jones & Bartlett.

Chapter 6, “Study Designs: Ecologic, Cross-Sectional, Case Control”

Chapter 7, “Study Designs: Cohort Studies”

Chapter 6 presents an overview of analytic study designs used in epidemiology, differentiating between experimental studies (which will be addressed next week) and observational studies (the focus of this week). In the chapter, the authors address three varieties of observational studies—ecological, cross-sectional, and case control. Chapter 7 addresses cohort studies, another form of observational design.

Doll, R., & Hill, A. B. (1999). Smoking and carcinoma of the lung. Bulletin of the World Health Organization, 77(1), 84–93.

This landmark case-control study established the relationship between smoking and lung cancer.

Framingham Heart Study. (1998). Epidemiological background and design: The Framingham study. Retrieved from https://biolincc.nhlbi.nih.gov/static/studies/framcohort/Epidemiological_Background_and_Design.pdf

The Framingham Heart Study is one of the first and largest cohort studies that measured the distribution of suspected risk factors in a large population and then tracked the development of heart disease in that cohort.

Papathanasiou, A. A., & Zintzaras, E. (2010). Assessing the quality of reporting of observational studies in cancer. Annals of Epidemiology, 20(1), 67–73. 

In this article, the authors assess the quality of reporting of observational cancer studies, noting opportunities for improvement.

Von Elm, E., Altman, D. G., Egger, M., Pocock, S. J., Gøtzsche, P. C., & Vandenbroucke, J. P. (2007). Strengthening the reporting of observational studies in epidemiology (STROBE) statement: Guidelines for reporting observational studies. Annals of Internal Medicine, 147(8), 573–577.

A consortium of scientists and medical researchers created a checklist of 22 recommended items that should be included in reports about three common observational study designs: case-control, cohort, and cross-sectional studies. This collaborative effort is an important step toward the goal of improving the quality, credibility, and generalizability of analytical research.

Healthy People 2020. (2011). Topics & objectives index. Retrieved from http://healthypeople.gov/2020/topicsobjectives2020/default.aspx

Healthy People 2020 focuses on improving population health locally and nationally. Review the topics and objectives of Healthy People 2020 as you prepare for Assignment 2.

Required Media

Laureate Education, Inc. (Executive Producer). (2012). Epidemiology and population health: Observational studies [Video file]. Baltimore, MD: Author.

Note: The approximate length of this media piece is 9 minutes.

In this week’s program, the presenters discuss observational studies as a means of establishing an association between an exposure or risk factor and a disease outcome. Two types of observational designs are featured: cohort and case control studies.

Optional Resources

The following ERIC notebook guides present information in a reader-friendly study guide format.

Ibrahim, M., Alexander, L., Shy, C., & Farr, S. (1999). Cohort studies. ERIC Notebook, 3, 1–4. Retrieved from http://cphp.sph.unc.edu/trainingpackages/ERIC/eric_notebook_3.pdf

Ibrahim, M., Alexander, L., Shy, C., & Farr, S. (1999). Incidence measures in cohort studies. ERIC Notebook, 4, 1–4. Retrieved from http://cphp.sph.unc.edu/trainingpackages/ERIC/eric_notebook_4.pdf

Ibrahim, M., Alexander, L., Shy, C., & Farr, S. (1999). Case-control studies. ERIC Notebook, 5, 1–4. Retrieved from http://cphp.sph.unc.edu/trainingpackages/ERIC/eric_notebook_5.pdf

Ibrahim, M., Alexander, L., Shy, C., & Farr, S. (1999). Cross-sectional studies. ERIC Notebook, 7, 1–4. Retrieved from http://cphp.sph.unc.edu/trainingpackages/ERIC/eric_notebook_7.pdf

Ibrahim, M., Alexander, L., Shy, C., & Farr, S. (2000). Ecologic studies. ERIC Notebook, 12, 1–4. Retrieved from http://cphp.sph.unc.edu/trainingpackages/ERIC/eric_notebook_12.pdf

Assignment WK 9

The Assignment

Examine Case Study: A Young Caucasian Girl With ADHD You will be asked to make three decisions concerning the medication to prescribe to this client. Be sure to consider factors that might impact the client’s pharmacokinetic and pharmacodynamic processes.

At each decision point stop to complete the following: Decision #1 Which decision did you select? Why did you select this decision? Support your response with evidence and references to the Learning Resources. What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources.  Explain any difference between what you expected to achieve with Decision #1 and the results of the decision. Why were they different? Decision #2 Why did you select this decision? Support your response with evidence and references to the Learning Resources. What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources.  Explain any difference between what you expected to achieve with Decision #2 and the results of the decision. Why were they different? Decision #3 Why did you select this decision? Support your response with evidence and references to the Learning Resources. What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources.  Explain any difference between what you expected to achieve with Decision #3 and the results of the decision. Why were they different?

Also include how ethical considerations might impact your treatment plan and communication with clients. Note: Support your rationale with a minimum of three academic resources. While you may use the course text to support your rationale, it will not count toward the resource requirement.

Literary Analysis Research Paper

I need someone to write a 5 page Literary Analysis research paper. Also need a works citied page included too, so technically 6 pages. It is due tomorrow December 5th at 11:59 pm! I already did the first step which is the topic proposal and picked what two stories you will be writing about. I will include the directions, the rubric, and my topic proposal. 

Discussion: Anemia

 

In clinical settings, advanced practice nurses often encounter patients with blood disorders such as anemia. Consider the case of a 17-year-old girl who is rushed to the emergency room after suddenly fainting. The girl’s mother reports that her daughter has had difficulty concentrating for the past week, frequently becomes dizzy, and has not been eating normally due to digestion problems. The mother also informs the nurse that their family has a history of anemia. With the family history of anemia, it appears that this is the likely diagnosis. However, in order to properly diagnose and treat the patient, not only must her symptoms and family history be considered, but also factors such as gender, ethnicity, age, and behavior. This poses the question: How do patient factors impact the incidence and prevalence of different types of anemia?

To Prepare Review Chapter 21 in the Huether and McCance text. Reflect on the pathophysiological mechanisms of iron deficiency anemia. Select one of the following types of anemia: pernicious anemia, folate deficiency anemia, sideroblastic anemia, chronic inflammation anemia, or post-hemorrhagic anemia. Identify the pathophysiological mechanisms of the anemia you selected. Consider the similarities and differences between iron deficiency anemia and the type of anemia you selected. Reflect on how patient factors such as genetics, gender, ethnicity, age, and behavior might impact these anemic disorders. Post an explanation of the pathophysiological mechanisms of iron deficiency anemia and the anemia you selected. Compare these two types of anemia, as well as their potential causes. Finally, explain how genetics, gender, ethnicity, age, and behavior might impact the anemic disorders you selected.

4 references

Psychiatric Mental Health Nursing: Scope and Standards of Practice

I need it completed in 4 hours

There has been much recent discussion among nurse practitioners and other health professionals over the limitations in providing mental health care (diagnosis, therapy and medication) if you are not credentialed as a PMHNP. Please go to the Texas Board of Nursing and review implications for primary care NP’s who see patients experiencing mental health problems (many patients to be sure). This is available – https://www.bon.texas.gov/practice_bon_position_statements.asp

A.      

What are the needs for mental health services on a national and local level? How do believe your new role as a PMHNP may influence this? Do you feel the Board is too restrictive or appropriate in their position statement. Please post an initial posting with at least two references. If you are not located in Texas, you may apply this discussion topic to your state. After you have posted your initial posting by the third day of the module, respond substantively to at least two peers by the end of the module.

B. 

Do some research about the different rules for PMHNP practice in different states. What are the pros and cons of having Full, Limited, and Restricted practice? What is the situation in your state? Please post an initial posting with at least two current references. After you have posted your initial posting by the third day of the module, respond substantively to at least two peers by the end of the module.

RESOURCES Freud’s psychosexual development | Individuals and Society | MCAT | Khan Academy Erikson’s psychosocial development | Individuals and Society | MCAT | Khan Academy Piaget’s stages of cognitive development | Processing the Environment | MCAT | Khan Academyrs