Psychosocial History and Mental Status

 

Psychosocial History

Interview a volunteer subject and write up the Psychosocial History and MSE. You may use a friend or a family member. Please disguise all identifying information to protect the privacy of the person being interviewed.

For this assignment, download the following materials (also located under Resources): Interview Guide Download Interview Guideand MSE Download MSE. The Interview Guide can be used to help guide your interview questions. The MSE form can be used to conduct the Mental Status Exam. The information you obtain from these forms will be integrated into writing the Psychosocial History.
Your subject should meet the criteria for at least one of the following disorders (you may need to fabricate some information):

1. Mood Disorder
2. Anxiety Disorder
3. Somatoform Disorder
4. Schizophrenic or Other Psychotic Disorders
5. Personality Disorder
6. Substance Related Disorder
7. Adjustment Disorder

 

Integrate psychological test information, behavioral observations, and psychosocial history

Families’ experience chronic food insecurity

Scenario:
Wagner Elementary School is a public K-5 institution, located in Miller County in the Southeastern U.S. The county is largely rural, with Wagner serving children in the only urban area of Miller County- the county seat. Miller County has high rates of crime, poverty, homelessness, lower socioeconomic status, lower education, and poorer health outcomes of residents as opposed to nearby counties. Wagner Elementary is located in an area of the county where many of these social and economic burdens are highly concentrated. The school is situated in one of the “roughest” neighborhoods, adjacent to a large cluster of sub-standard housing projects. Residents of the housing projects face deplorable living conditions; gang and gun violence and other crimes are common occurrences. Wagner serves approximately 400 students, 25 percent of whom all live in the adjacent housing projects. Many of Wagner’s students face untreated mental health and behavioral issues, learning complications, and physical health challenges such as severe asthma and allergies due to the living conditions in the housing projects. Many students face hunger daily as their families’ experience chronic food insecurity, as well as unsafe environments, including a dangerous walk to and from school. These complications greatly impede students’ ability to learn. Also, violence in the housing project has become so severe it is an additional learning impediment. For example, most of the 125 students who attend Wagner and live in the complex were exposed to a recent gang-related shooting at the complex which resulted in several deaths and multiple injuries. Consequently, many students missed school or were unable to concentrate at school for many weeks after the event.

Assemble an interdisciplinary therapeutic team to deliver services
Develop a PowerPoint presentation to present to the therapeutic team you have assembled.
Determine who the team members are, why you have selected that profession for inclusion as part of the team, the evidence-based interventions you will use, and the individual roles of each team member as well as how the team will work together
Select three primary goals for the team to address with the client system.
Be sure you clearly operationalize the role and responsibility of each team member, as well as explain the intervention or strategy each might use to accomplish the goals.
Finally, describe how you will evaluate the team’s effectiveness in accomplishing the goals you set forth.

“Just doesn’t want to be around people anymore.”

Scenario:
Mrs. Jones is an 84-year-old, African American woman who lives by herself in subsidized housing in a large, inner-city neighborhood. Her husband of 58 years recently passed away. While Mrs. Jones is in fairly good physical health, she does require medication management for diabetes and some assistance with daily living activities. The nurse’s aide who visits her twice per week recently reported she is at increased risk for falls, particularly when bathing herself and other personal care activities. She has Medicare coverage but has a lot of out-of-pocket expenses Medicaid doesn’t cover for her care, and medical debt remaining from the care for her deceased husband. While some of the residents in her apartment complex stop by to check in on her from time to time, Mrs. Jones has no family in the area, is becoming more isolated, and demonstrating symptoms of depression. She barely makes ends meet on her social security check each month, and the nurse’s aide has also reported she may be at risk for food insecurity. She has limited resources, and it is increasingly difficult for her to use the public transportation system to get to a grocery store. Mrs. Jones used to attend church functions twice per week but finds it difficult for her to attend services, and she has stated she “just doesn’t want to be around people anymore.” She has stated she would like to live independently for as long as possible and does not wish to move into assisted living. The manager of the apartment complex has reported she left the stove burner on in her kitchen at least twice during the past month. Fortunately, a neighbor smelled the pan burning and helped her. The manager states these accidents are a danger to the health and safety of all residents, and he may recommend a non-renewal of her lease, which expires in 3 months.
Assemble an interdisciplinary therapeutic team to deliver services
Develop a PowerPoint presentation to present to the therapeutic team you have assembled.
Determine who the team members are, why you have selected that profession for inclusion as part of the team, the evidence-based interventions you will use, and the individual roles of each team member as well as how the team will work together
Select three primary goals for the team to address with the client system.
Be sure you clearly operationalize the role and responsibility of each team member, as well as explain the intervention or strategy each might use to accomplish the goals.
Finally, describe how you will evaluate the team’s effectiveness in accomplishing the goals you set forth.

 

 

Health Care Legislature

 

Select a recent Health Care Legislature (within 5 years)
Include:

Perform a Literature review regarding the issue
Statistical data related to issue: population impacted, and health outcome of issue and legislature
Nursing role in passing the legislature

Health Promotion throughout the Life Span

 

 

Edelman, Kudzama. (2018). Health Promotion throughout the Life Span. (10th Ed.): Chapter 10: pages 245 – 260 (1.5 hours) Chapter 11: pages 261- 291

CASE STUDY:
Albert Mitchell is a 36-year-old man who will be traveling to Dubai to give a business presentation in 3 months. Although he has traveled widely in the United States as a consultant, this is his first trip to the Middle East.
He requests information regarding immunizations needed before his trip. Albert states that as he will be in Dubai for only a few days, he is unlikely to contract a disease in such a short time and therefore believes that it is illogical to obtain immunizations.
Albert states that he has heard that the side effects of the immunizations might be worse than the diseases they prevent. He is also concerned about leaving his wife at home alone because she is 6 months pregnant.

Reflective Questions

How would you address Albert’s beliefs?
What learning would be needed in each domain?
What learning theories would you consider?
How might his family concerns be addressed?

How policy affects every aspect of what an employee does at work.

 

Think about how policy affects every aspect of what an employee does at work.

Policy is often difficult to change. The reason is that policy refers to the laws that healthcare professionals live by in the healthcare world. Consider the role that policy plays in the day-to-day activities of a healthcare employee. In addition, consider that they often rely on data collected to ensure that the correction that they make to policy follows the evidence. Explore the following articles for a deep perspective on the topics of policy and politics and how they are interwoven:

Understanding How to Impact Health Policy
Health Policy 2021: How a Democratic Win Could Change the Playing Field
For this assignment, respond to the following:

Discuss why this process must be difficult to be equitable in the form of representative government in the United States.
Explain the role of research and how it affects the policy analysis process.
Provide a specific example of how research helped develop or change a health-related policy.

 

How Childhood Trauma Affects Health Across a Lifetime

Watch the TED Talk, “Nadine Burke Harris—How Childhood Trauma Affects Health Across a Lifetime,” Link to Ted Talk Adverse Childhood Experiences tool for future reference: ACE Questionnaire (see attached)

https://www.bing.com/videos/search?q=dr+nadine+burke+harris+ted+talk&qpvt=dr+nadine+burke+harris+ted+talk&view=detail&mid=8EEB605155EB93EE993A8EEB605155EB93EE993A&&FORM=VRDGAR&ru=%2Fvideos%2Fsearch%3Fq%3Ddr%2Bnadine%2Bburke%2Bharris%2Bted%2Btalk%26qpvt%3Ddr%2Bnadine%2Bburke%2Bharris%2Bted%2Btalk%26FORM%3DVDRE

Respond to the following in a minimum of 175 words

Do you think the prevalence of high ACE scores indicative of a public health crisis?
Provide examples from your own experience or from an organization with which you are familiar of effective trauma-informed care or the lack of it and its negative results.
Review What Is Trauma-Informed Care? from the Trauma-Informed Care Implementation Resource Center.

Provide examples from your own experience or from an organization with which you are familiar of effective trauma-informed care or the lack of it and its negative results.