Emergency Psych

In 2–3 pages, address the following:

• Explain your state laws (Texas) for involuntary psychiatric holds for child and adult psychiatric emergencies. Include who can hold a patient and for how long, who can release the emergency hold, and who can pick up the patient after a hold is released.
• Explain the differences among emergency hospitalization for evaluation/psychiatric hold, inpatient commitment, and outpatient commitment in your state.
• Explain the difference between capacity and competency in mental health contexts.
• Select one of the following topics, and explain one legal issue and one ethical issue related to this topic that may apply within the context of treating psychiatric emergencies: patient autonomy, EMTALA, confidentiality, HIPAA privacy rule, HIPAA security rule, protected information, legal gun ownership, career obstacles (security clearances/background checks), and payer source.
• Identify one evidence-based suicide risk assessment that you could use to screen patients.
• Identify one evidence-based violence risk assessment that you could use to screen patients.

  . Attach copies of or links to the suicide and violence risk assessments you selected.

Analyzing Rhetorical Techniques

Locate the central, main “thrust” or “claim” of one of the poems or stories from our course reader and then to proceed to analyze how this message is developed. This means underlining and emphasizing those key moments in the piece where it uses specific language to convey its point and convince its readership. Your own will similarly use its own language to convince us that you have paid close attention to those methods used in an act of linguistic persuasion

Nursing Case Study

1.  Case Study- Hypertension

–  Make a scenario about the person’s past, for example he is a  smoker. Explain his background.

2.  What is the Difficulty?

3.  Where is the setting? Scenario as he was in pain and went to hospital

4.  Diagnosis?

5.  Ethnicity

6.  Risk of which organ failure

7.  Medication mechanism of action

8.  At least 2 pages

Discussion 7

Mr. T is a 21-year-old man who is brought to the ER by his mother after he began talking about “aliens” who were trying to steal his soul. Mr. T reports that aliens left messages for him by arranging sticks outside his home and sometimes send thoughts into his mind.

 he is guarded and often stops talking while in the middle of expressing a thought. Mr. T appears anxious and frequently scans the room for aliens, which he thinks may have followed him to the hospital. He denies any plan to harm himself but admits that the aliens  sometimes want him to throw himself in front of a car, “as this will change the systems that belong under us.”

The patient’s mother reports that he began expressing these ideas a few months ago, but that they have become more severe in the last few weeks. She reports that during the past year, he has become isolated from his peers, frequently talks to himself, and has stopped going to community college. He has also spent most of his time reading science fiction books and creating devices that will prevent aliens from hurting him. She reports that she is concerned because the patient’s father, who left while the patient was a child, exhibited similar symptoms many years ago and has spent most of his life in a psychiatric hospital.

1. Summarize the clinical case including the significant subjective and objective data.
2. Generate a primary and two differential diagnoses. Use the DSM5 to support the assessment. Include the DSM5 and ICD 10 codes.
3. Discuss a pharmacological treatment would you prescribe? Use the clinical guidelines to support the rationale for this treatment.
4. Discuss non-pharmacological treatment would you prescribe?  Use the clinical guidelines to support the rationale for this treatment.
5. Describe a health promotion intervention that would be appropriate for this patient.

Quality Improvement Project

Goal:

• To assess a clinical issue that is the focus of the Quality Improvement Project.
• Create an outline of the action plan for the project.

Content Requirements:

1. Identify stakeholders that will be impacted by the quality improvement project.
2. Identify and discussed resources including budget needed to implement the quality improvement project.
3. Develop an action plan for change including a proposed implementation time line

Submission Instructions:

• The work is to be clear and concise, and students will lose points for improper grammar, punctuation and misspelling.
• The work is to be 2 – 3 pages in length, excluding the title, abstract and references page.
• Incorporate a minimum of 3 current (published within last five years) scholarly journal articles or primary legal sources (statutes, court opinions) within your work.
• Journal articles and books should be referenced according to current APA style (the library has a copy of the APA Manual).
• Your work should be formatted per current APA and references should be current (published within last five years) scholarly journal articles or primary legal sources (statutes, court opinions)
• Note: this is the Part 3 of your Quality Improvement Project. You should revise/improve your work based on your professor’s feedback. In module 7, you will be putting all the parts together to complete and submit your final Project.

Note:

Stakeholders are those whom you identify as affected by the proposed improvement plan. They may include the client population, nurses, organizational leaders etc. 

Your outline needs to be step-by-step, and have the characteristics of the SMART goals. There should be a way to evaluate the plan.