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Collaboration to Improve Outcomes
Competency
Collaborate in healthcare delivery systems settings for improved patient outcomes.
Transferable Skill
Diversity, Equity, & Inclusion.
Scenario
You have a final interview for your first registered nurse position.
All candidates must come prepared to discuss a time when they collaborated with others to solve a problem in a healthcare delivery setting. The collaborative solution must have improved patient outcomes and incorporate diversity, equity, and inclusion.
To prepare for the interview, you will create notes.
Directions
Select an example that demonstrates collaboration with others to solve a problem in a healthcare delivery setting to improve patient outcomes. The collaborative solution must incorporate diversity, equity, and inclusion.
Describe the problem, including the healthcare delivery setting and impact on patient outcomes.
Explain the collaborative solution, including the people involved and the improvement in patient outcomes.
Describe how diversity, equity, and inclusion were incorporated into the collaborative solution.
Resources
RasGuide: Transferable Skills: Diversity, Equity, and Inclusion
Submit your completed assignment by following the directions linked below. Please check the Course Calendar for specific due dates.
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:
please I want a unique answer not a duplicated one

Watch this video and answer the following questions
https://www-psychotherapy-net.regiscollege.idm.oclc.org/stream/regis-college/video?vid=092
What is the definition of an adverse childhood event (ACE)? Are there different types of abuse? How many types of abuse did Dr. Harris encounter?
Discuss mental instability, substance use, and generational transmission. How is Dr. Harris coping with patients in these situations, and what skills will you incorporate into your practice? Explain your reasoning.
What physical, psychiatric, and substance use disorders are associated with adverse childhood events? Give three examples from Dr. Harris’s patients.
How is DNA modified by traumatic experiences, and what are the sequelae?
APA FORMAT

Urinary Function: Mr. J.R. is a 73-year-old man, who was admitted to the hospital with clinical manifestations of gastroenteritis and possible renal injury. The patient’s chief complaints are fever, nausea with vomiting and diarrhea for 48 hours, weakness, dizziness, and a bothersome metallic taste in the mouth. The patient is pale and sweaty. He had been well until two days ago, when he began to experience severe nausea several hours after eating two burritos for supper. The burritos had been ordered from a local fast-food restaurant. The nausea persisted and he vomited twice with some relief. As the evening progressed, he continued to feel “very bad” and took some Pepto-Bismol to help settle his stomach. Soon thereafter, he began to feel achy and warm. His temperature at the time was 100. 5°F. He has continued to experience nausea, vomiting, and a fever. He has not been able to tolerate any solid foods or liquids. Since yesterday, he has had 5–6 watery bowel movements. He has not noticed any blood in the stools. His wife brought him to the ER because he was becoming weak and dizzy when he tried to stand up. His wife denies any recent travel, use of antibiotics, laxatives, or excessive caffeine, or that her husband has an eating disorder. Case Study Questions
1 The attending physician is thinking that Mr. J.R. has developed an Acute Kidney Injury (AKI). Analyzing the case presented name the possible types of Acute Kidney Injury. Link the clinical manifestations described to the different types of Acute Kidney injury.
2 Create a list of risk factors the patient might have and explain why.
3 Unfortunately, the damage on J.R. kidney became irreversible and he is now diagnosed with Chronic kidney disease. Please describe the complications that the patient might have on his Hematologic system (Coagulopathy and Anemia) and the pathophysiologic mechanisms involved.
Reproductive Function: Ms. P.C. is a 19-year-old white female who reports a 2-day history of lower abdominal pain, nausea, emesis and a heavy, malodorous vaginal discharge. She states that she is single, heterosexual, and that she has been sexually active with only one partner for the past eight months. She has no previous history of genitourinary infections or sexually transmitted diseases. She denies IV drug use. Her LMP ended three days ago. Her last intercourse (vaginal) was eight days ago and she states that they did not use a condom. She admits to unprotected sex “every once in a while.” She noted an abnormal vaginal discharge yesterday and she describes it as “thick, greenish-yellow in color, and very smelly.” She denies both oral and rectal intercourse. She does not know if her partner has had a recent genitourinary tract infection, “because he has been away on business for five days. Microscopic Examination of Vaginal Discharge (-) yeast or hyphae (-) flagellated microbes (+) white blood cells (+) gram-negative intracellular diplococci Case Study Questions
1 According to the case presented, including the clinical manifestations and microscopic examination of the vaginal discharge, what is the most probably diagnosis for Ms. P.C.? Support your answer and explain why you get to that diagnosis.
2 Based on the vaginal discharged described and the microscopic examination of the sample could you suggest which would be the microorganism involved?
3 Name the criteria you would use to recommend hospitalization for this patient

Submission Instructions:
• Include both case studies in your post.
• Your initial post should be at least 250 words per case study, a total of 500 words for both, formatted and cited in current APA style with support from at least 2 academic sources per case study. Your initial post is worth 8 points.
• You should respond to at least two of your peers, by extending, refuting/correcting, or adding additional nuance to their posts. Your reply posts are worth 2 points (1 point per response.)
• All replies must be constructive and use literature where possible.
• Please post your initial response before 11:59 PM ET Thursday, and comment on the posts of two classmates before 11:59 PM ET Sunday. NB: Responses to peers can be done on the same day, but not on the day the initial post is made.

Compose a written comprehensive psychiatric eval of an adult patient you have seen in the clinic . Please use the template attached. Do not use “within normal limits”. “admits or denies” Is accepted. FOLLOW THE RUBRIC BELOW.
PLEASE FOLLOW REQUIREMENTS:formatted and cited in current APA style 7 ed with support from at least 5 academic sources which need to be journal articles or books from 2019 up to now. NO WEBSITES allowed for reference entry. Include doi, page numbers, etc. Plagiarism must be less than 10%. RUBRIC : Chief Complaint : Reason for seeking health. Includes a direct quote from patient about presenting problem .Demographics : Begins with patient initials, age, race, ethnicity, and gender (5 demographics). History of the Present Illness (HPI) – Includes the presenting problem and the 8 dimensions of the problem (OLD CARTS – Onset, Location, Duration, Character, Aggravating factors, Relieving factors,Timing, and Severity). Allergies – Includes NKA (including = Drug, Environmental, Food, Herbal, and/or Latex or if allergies are present (reports for each severity of allergy AND description of allergy). Review of Systems (ROS) – Includes a minimum of 3 assessments for each body system, assesses at least 9 body systems directed to chief complaint, AND uses the words “admits” and “denies.” Vital Signs – Includes all 8 vital signs, (BP (with patient position), HR, RR, temperature (with Fahrenheit or Celsius and route of temperature collection), weight, height, BMI (or percentiles for pediatric population) and pain). Labs, Diagnostic, PERFORMED. During the visit: Includes a list of the labs, diagnostic or screening tools reviewed at the visit, values of lab results or screening tools, and highlights abnormal values, OR acknowledges no labs/diagnostic were reviewed. Medications- Includes a list of all of the patient reported psychiatric and medical medications and the diagnosis for the medication (including name, dose, route, frequency). Past Medical History- Includes (Major/Chronic, Trauma, Hospitalizations), for each medical diagnosis, year of diagnosis and whether the diagnosis is active orcurrent. Past Psychiatric History- Includes (Outpatient and Hospitalizations), for each psychiatric diagnosis (including ADDICTION treatment and date of the diagnosis) Family Psychiatric History- Includes an assessment of at least 6 family members regarding, at a minimum, genetic disorders, mood disorder, bipolar disorder, and history of suicidal attempts. Social History- Includes all 11 of the following: tobacco use, drug use, alcohol use, marital status, employment status, current and previous occupation, sexual orientation, sexually active, contraceptive use/pregnancy status, and living situation. Mental Status – Includes all 10 components of the mental status section (appearance, attitude/behavior, mood, affect, speech, thought process, thought content/perception, cognition, insight and judgement) with detailed descriptions for each area.
PSYCHOTHERAPY NOTE: IT NEEDS TO BE WELL DEVELOPED AND ACCURATE.

LABS (values included) performed to rule out any medical conditionPrimary Diagnoses- Includes a clear outline of the accurate principal diagnosis AND lists the remaining diagnoses addressed at the visit (in descending priority)using the DSM-5-TR. The correct ICD-10 billing code is used. DSM-5-TR. The correct ICD-10 billing code is used. Differential Diagnoses: Includes at least 2 differential diagnoses that can be supported by the subjective and objective data provided using the DSM-5-TR. The correct ICD-10 billing code is used. Outcome Labs/Screening Tools – After the visit: orders appropriate diagnostic/lab or screening tool 100% of the time OR acknowledges “no diagnostic or screening tool clinically required at this time.” Treatment Includes a detailed pharmacologic and non pharmacological treatment plan for each of the diagnoses listed under “assessment”. The plan includes ALL of the following: drug/vitamin/herbal name, dose, route, frequency, duration and cost as well as education related to pharmacologic agent. For non- pharmacological treatment, includes: treatment name, frequency, duration. If the diagnosis is a chronic problem, student includes instructions on currently prescribed medications as above. The plan is supported by the cufrent US guidelines. Patient/Family Education- Includes at least 3 strategies to promote and develop skills for managing their illness and at least 3 self-management methods on how to incorporate healthy behaviors into their lives. Referral : Provides a detailedlist of medical and interdisciplinary referrals or NO REFERRAL ADVISED AT THIS TIME. Includes a timeline for follow up appointments. APA Formatting : Effectively uses literature and other resource. Exceptional use of citations and extended referencing. High level of precision with APA 7th Edition writing style. References: The references contains at least 5 current scholarly academic reference and in-literature citations reference. Follows APA guidelines of components: double space, 12 pt. font, abstract, level headings, hanging indent.