Psychotherapy With Trauma and Stressor-Related Disorders

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Psychotherapy With Trauma and Stressor-Related Disorders. Disorders resulting from trauma are significantly different from other psychiatric-mental health issues. Unlike disorders such as schizophrenia or major depressive disorder, trauma-related disorders do not occur randomly in the population.

Instead, trauma is something that occurs as a result of the lived experience of a traumatic event. According to the National Institute of Mental Health (2017), more than half of the population will experience a traumatic event during their lifetime. Although most people will recover from the trauma on their own, some require therapeutic interventions.

While there are medications that can help individuals with trauma and posttraumatic stress disorder (PTSD), the foundation of treatment continues to be psychotherapy.

This week, you explore psychotherapy for trauma by assessing a case presentation for clients presenting with posttraumatic stress disorder. You also examine therapies for treating these clients and consider potential outcomes.

Reference: National Institute of Mental Health. (2017). Post-traumatic stress disorder (PTSD). https://www.nimh.nih.gov/health/statistics/post-traumatic-stress-disorder-ptsd.shtml

Learning Objectives

Students will:

  • Explain the neurobiological      basis for PTSD
  • Apply assessment and      diagnostic reasoning skills to clients presenting with posttraumatic      stress disorder
  • Recommend therapeutic      approaches for treating clients presenting with posttraumatic stress      disorder
  • Analyze the importance of      using evidence-based psychotherapy treatments for clients with      posttraumatic stress disorder

 

Learning Resources

Required Readings (click to expand/reduce)

https://go.openathens.net/redirector/waldenu.edu?url=https://dsm.psychiatryonline.org/doi/book/10.1176/appi.books.9780890425787

https://www.apa.org/ptsd-guideline

https://content.waldenu.edu/content/dam/laureate/laureate-academics/wal/ms-nurs/nrnp-6645/week-09/SAMHSA_Trauma.pdf

https://content.waldenu.edu/content/dam/laureate/laureate-academics/wal/ms-nurs/nrnp-6645/week-09/Tye%20Preclinical%20Perspectives.pdf

Wheeler, K. (Ed.). (2020). Psychotherapy for the advanced practice psychiatric nurse: A how-to guide for evidence-based practice (3rd ed.). Springer Publishing.

  • Chapter      3, “Assessment and Diagnosis” (Previously read in Week 2)
  • Chapter      7, “Eye Movement Desensitization and Reprocessing Therapy”
  • Chapter      11, “Trauma Resiliency Model Therapy”
  • Chapter      15, “Trauma-Informed Medication Management”
  • Chapter      17, “Stabilization for Trauma and Dissociation”
  • Chapter      18, “Dialectical Behavior Therapy for Complex Trauma”

Required Media (click to expand/reduce)

https://www.youtube.com/watch?v=RkSv_zPH-M4

https://go.openathens.net/redirector/waldenu.edu?url=https://video.alexanderstreet.com/watch/ptsd-and-veterans-a-conversation-with-dr-frank-ochberg

 

Assignment: Posttraumatic Stress Disorder

Photo Credit: Getty Images/iStockphoto

It is estimated that more almost 7% of the U.S. population will experience posttraumatic stress disorder (PTSD) in their lifetime (National Institute of Mental Health, 2017). This debilitating disorder often interferes with an individual’s ability to function in daily life. Common symptoms of anxiousness and depression frequently lead to behavioral issues, adolescent substance abuse issues, and even physical ailments. For this Assignment, you examine a PTSD video case study and consider how you might assess and treat clients presenting with PTSD.

To prepare:

  • Review this week’s Learning      Resources and reflect on the insights they provide about diagnosing and      treating PTSD.
  • View the media Presentation      Example: Posttraumatic Stress Disorder (PTSD) and assess the      client in the case study.
  • For guidance on assessing      the client, refer to Chapter 3 of the Wheeler text.

Note: To complete this Assignment, you must assess the client, but you are not required to submit a formal comprehensive client assessment.

The Assignment

Succinctly, in 2 pages, address the following:

  • Briefly explain the      neurobiological basis for PTSD illness.
  • Discuss the DSM-5-TR diagnostic      criteria for PTSD and relate these criteria to the symptomology presented      in the case study. Does the video case presentation provide sufficient      information to derive a PTSD diagnosis? Justify your reasoning. Do you      agree with the other diagnoses in the case presentation? Why or why not?
  • Discuss one other      psychotherapy treatment option for the client in this case study. Explain      whether your treatment option is considered a “gold standard treatment”      from a clinical practice guideline perspective, and why using gold      standard, evidence-based treatments from clinical practice guidelines is      important for psychiatric-mental health nurse practitioners.

Support your Assignment with specific examples from this week’s media and at least three peer-reviewed, evidence-based sources. Explain why each of your supporting sources is considered scholarly. Attach the PDFs of your sources.

Submit your Assignment. Also attach and submit PDFs of the sources you used.

Controlling skyrocketing health care costs.

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Funding primary prevention has been cited as a potential cost containment measure towards controlling skyrocketing health care costs. Define primary prevention and provide examples of how this might be true. 5-7 pages

Court administrator for a medium-sized Court system

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You have just been appointed to assist the new court administrator for a medium-sized court system with approximately 75 employees and 5 full-time courts. This is a new position for the courts. In the past, each individual court has primarily managed itself, except for the employee-hiring process, which was completed through the County Human Resource Division.

Upon taking your post, you quickly find out that none of the courts seem to be willing to cooperate with each other—or, for that matter, any of the other various county offices, such as the County Clerk’s Office and the District Attorney’s Office.

Rumors and gossip about mismanagement abound, and the communications process between the five courts appears to be at a standstill.

The courts currently have a huge backlog of cases awaiting trial, and in addition, employee morale is low and the turnover rate is high.

The new administrator has asked that you form a team to brainstorm ideas on how to address these issues.

Special Considerations

In 4–6 pages, address each of the problems listed below, with proposed solutions. Be sure to support your viewpoints from your readings and other appropriate outside sources. Identify problems that should be addressed, and propose solutions to those particular problems. Discuss how you would respond to these organizational problems and the following points:

  • Which problem should be addressed first, and exactly how should it be addressed?
  • How would you respond to the employee morale problem?
  • How would you respond to the turnover problem?
  • What techniques could be employed to improve communications throughout the organization and to create a more harmonious work environment?
  • What method or tactic would you use to reduce the backlog of cases awaiting trial?

This assignment will also be assessed using additional criteria provided here.

Extending the Collation policy

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The Case for Change. Discuss Southwest airlines case for change: extending the collation policy 3-5 years and reimbursement due to COVID-19. Should demonstrate the needs for change (i.e., relevance, magnitude, effects on the business/organization performance) supporting the information with evidence from the literature. This section should conclude with the vision of the change project (i.e., visualize the transformation expected with the change project).

Preventing Human rights violations

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Do you think IGOs (International Governmental Organizations) like the UN should be responsible for preventing human rights violations, or should that be the role of individual countries?   Read/listen/watch the Canvas article, podcast, and videos in this week’s module to explain your answer.  Feel free to comment on other students’ replies.

due today please

Security organization websites

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Security organization websites provide a forward-facing image to the community. These websites also provide an external window into the structure and organization of each firm. To help you prepare for an emergency management situation, you will analyze 2 security organization websites—analyzing the strengths, weaknesses, opportunities, and threats (SWOT) of each in relation to its ability to prepare for such a threat.

You will also analyze the organizational structure of the security organization presented by the website.

Review 2 local security organization websites.

Complete a Strengths, Weaknesses, Opportunities, and Threats (SWOT) analysis for each security organization based on information on its website. Remember, the focus for this analysis is on how well equipped each organization is to successfully deal with an emergency management situation. Include the following for each SWOT analysis:

    • 3 internal strengths you can identify about the security firm from its website
    • 3 internal weaknesses you perceive about the organization from its website
    • 3 external threats facing the security organization that you identify or infer from its website
    • 3 external opportunities available to the security organization that you identify or infer from its website
  • Prepare a 750- to 1,050-word report summarizing your 2 SWOT analyses. Answer the following questions in your summary:
  • Which key strength found on each organization’s website best presents a positive image about its suitability for managing an emergency situation in its community?
  • Which key weakness found on each organization’s website must be addressed to enable them to better present a positive image about their ability to manage an emergency situation in its community?
  • Does its organizational structure appear to be a strength or weakness for the organization? Support your analysis with evidence from each website.
  • Which key opportunity might best help promote a positive image for each organization on its website, in terms of its ability to manage an emergency situation in its community?
  • Which external threat looms largest for each organization? How might each organization utilize internal strengths to address this threat in terms of how it might manage an emergency situation in its community?
  • What improvements to its website would you recommend to each organization to better promote a positive image of its ability to manage an emergency situation in its community?

Cite a minimum of 3 sources in addition to your textbook.

Security Organization websites

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Security organization websites provide a forward-facing image to the community. These websites also provide an external window into the structure and organization of each firm. To help you prepare for an emergency management situation, you will analyze 2 security organization websites—analyzing the strengths, weaknesses, opportunities, and threats (SWOT) of each in relation to its ability to prepare for such a threat.

You will also analyze the organizational structure of the security organization presented by the website.

Review 2 local security organization websites.

Complete a Strengths, Weaknesses, Opportunities, and Threats (SWOT) analysis for each security organization based on information on its website. Remember, the focus for this analysis is on how well equipped each organization is to successfully deal with an emergency management situation.

Include the following for each SWOT analysis:

  1. airline’s
    • 3 internal strengths you can identify about the security firm from its website
    • 3 internal weaknesses you perceive about the organization from its website
    • 3 external threats facing the security organization that you identify or infer from its website
    • 3 external opportunities available to the security organization that you identify or infer from its website
  • Prepare a 750- to 1,050-word report summarizing your 2 SWOT analyses. Answer the following questions in your summary:
  • Which key strength found on each organization’s website best presents a positive image about its suitability for managing an emergency situation in its community?
  • Which key weakness found on each organization’s website must be addressed to enable them to better present a positive image about their ability to manage an emergency situation in its community?
  • Does its organizational structure appear to be a strength or weakness for the organization? Support your analysis with evidence from each website.
  • Which key opportunity might best help promote a positive image for each organization on its website, in terms of its ability to manage an emergency situation in its community?
  • Which external threat looms largest for each organization? How might each organization utilize internal strengths to address this threat in terms of how it might manage an emergency situation in its community?
  • What improvements to its website would you recommend to each organization to better promote a positive image of its ability to manage an emergency situation in its community?

Cite a minimum of 3 sources in addition to your textbook.

Optimizing your website for Search engines

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It’s important that your website works well with web browsers and search engines, known as optimizing your website for search engines, or search engine optimization (SEO).

Respond to the following in a minimum of 175 words:

  • Explore how to design a website that is SEO friendly.
  • What are some tips or suggestions for browser and search engine optimization?
  • What can you include in your code to improve the odds of having your page found in a web search?
  • Include 1 example of the code you would add to a website for search engine optimization.

Design failure mode and effect analysis Report Requirement

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Design failure mode and effect analysis Report Requirement: Aspect A of the Report: Introduction, State Residence, and Physical Plant Summaries

· Identify the two types of secured units that you will research.

· Examples: Alzheimer’s Adult Day Center, Dementia Unit in a Skilled Nursing Facility, Memory Care Assisted Living Facility, Geriatric Psychiatric SNF, Memory Care Unit that is part of a Continuing Care Retirement Community (CCRC), Home-Based LTC Setting that is Locked, or any type of secured/locked facility that is of interest to you.

· Select a state residence to apply to your selected LTC settings .

· Your selection should be based on your current state’s residence, or prior state’s residence such as Maryland, Georgia, or any of the applicable 50 states. You will use your identified state residence to address the applicable aspects of your report.

· Describe the following elements for each of the physical plants’ descriptions: 

· Number of licensed beds or square footage of each LTC facility/setting.

· Note: If you research did not provide a specific number of beds or square footage, then offer a hypothetical number of licensed beds or square feet to apply in your report.

· Number of LTC residents served, or potential average daily census, of each LTC facility/setting.

· Note: If you research did not provide such information, then offer hypothetical information to apply in your report.

· Type of locking devices, secured devices, or means of egress used in each LTC facility/setting.

· Note: If you research did not offer this information, then decide on locking devices or means of egress to apply in your report.

· Other key physical plant description items for each LTC facility/setting.

· Note: Offer information on the key characteristics, providing a sufficient description of the settings.

· Examples: Stand alone facility, unit part of a facility/senior living community, number of floors, outdoor space, number of exits, age of facility/setting, or similar items to ensure a detailed description is provided.

Aspect B of the Report: Specific Design Failure Mode and Effects Analysis

· Select one of the settings that you researched in Aspect A : Conduct a DFMEA drill, include at least two failure points for one of your selected LTC facility/setting from Aspect A. Determine why the expected or intended function did not occur, include the following four areas in your analysis:

· Failure Mode and Failure Effect : Include (a.) at least two failure modes; (b.) the details for each point; (c.) the way the failure could be observed; (d.) immediate consequences of each failure on the operation, function, and/or functionality; and (e.) information on the potential impact of the residents, staff, and LTC setting.

·

· Failure Cause : Identify the underlying cause of each failure and explain why each failure may have occurred. Include at least two of the following items in your analysis: design, system, process, quality, or parts.

·

· Severity Rankings : Identify the severity ranking of each failure and include one of the following areas in your analysis: worst case scenario, degree of injury, degree of damage, property damage, stakeholders’ harm, or facility/setting harm.

·

· Facility-Level Responses & Assigned Responsibility : Include (a.) one design action; (b.) one design control method; and (c.) one recommendation to reduce the chance of failure modes in the future. Include information on the (d.) team or department that will be responsible for completing the action, control method, and recommendation, and share why they were selected.

Aspect C of the Report: Visual Aid of Your Findings

· Create at least one visual aid that is based Aspect B of the Report.

· The visual aid can be included in the report as an appendix, table, or figure, or may be presented in a separate document as a supplement.

· Examples: DFMEA Template, DFMEA Steps, DFMEA Map, Specific Failure Mode Tables, or any visual aid that you would like to create to support your findings and information.

Aspect D of the Report: Your Assessment on the Findings for Your Selected LTC Setting

· Provide an assessment of your findings that includes :

· Conclusions on the (a.) operational effectiveness; (b.) influence on potential evacuation plans/needs; and (c.) connections between the failures to quality of care outcomes for the residents of the secured setting based on your DFMEA research conducted.

· Licensure compliance for your selected state and any applicable federal requirements.

· Must provide at least two requirements, laws, or standards.

· Examples: Specific federal regulations, state-specific regulations, city ordinances, or similar regulatory considerations for state licensure compliance.

· If your selected state residence does not have any specific requirements for locked or secured units, then include how you validated this information and the type of source that was used to validate this information.

· Provide the greatest lesson learned from conducting this analysis and how you could apply it to your future career.

 

 

Writing a Sales Letter for a Bank

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Writing a Sales Letter for a Bank That Targets University Students (Bank Name can be Trustmark)

Write a sales message that targets university students and promotes joining a local bank.  Find information online about local credit unions and banks, select the financial institution that interests you the most, and then promote it with an effective sales message.

Business letters and emails are single spaced with double spacing between paragraphs.  Be sure to follow proper business letter formatting.  You may also create a letterhead to make your letter/email more professional in appearance.  Fit your letter/email to one page, and write three to four paragraphs. Your goal is to write an error-free message that could be mailed.