The Clinical High Risk ( Chr ) Essay

Terr, L. C. (1991). Childhood traumas: an outline and overview. Am J Psychiatry, 1, 48.

Standing (2011), defines clinical decision-making as a complex process that involves observation, gathering information, critical thinking, evaluating evidence, applying necessary knowledge, reflection and problem-solving skills. Every day nurses make important clinical decisions and these decisions have important implications for patient outcomes and deserve serious consideration. Therefore, it is important for nurses to have a better insight of the decision-making process, be able to deliver holistic care and meet essential and complex physical and mental health needs of the patient.

General: no history of weight change, fever or chills, weakness, fatigue, or change in appetite;

It is critical that clinicians be able to identify history of trauma in clients with psychotic disorders (Putts, 2014, p.83). Researchers reviewed the clients’ charts and found that in clients with at least one hospitalization related to psychiatric issues there was an 87.2% exposure to trauma identified by the researchers versus a 28% exposure to trauma identified by clinicians (Putts, 2014, p.83). The lack of recognition of exposure to trauma by clinicians has a significant impact in client’s experience during treatment because many of them lack the skills to bring up the topic for discussion during counseling, and many other clients are not even aware of the relationship between their traumatic experiences, and how those experiences have

The prevalence of schizophrenia is thought to be about 1% of the population around the world. The disorder is considered to be one of the top ten causes of long-term disability worldwide. Late adolescence and early adulthood are periods for the onset of schizophrenia. In 40% of men and 23% of women diagnosed with schizophrenia, the condition manifested before the age of 19 (Addington, Cadenhead, Cannon, 2007).These are critical years in a young adult’s social and vocational development.

Health care reform in the United States is a hot topic and the source of legislation meant to make health care obtainable to Americans. Recent presidential elections have been platforms used to promote health care reform yet no one can agree on what the resolution will be. This paper will discuss ways recent health care reform measures have expanded or inhibited access to health care. This paper will discuss how changes to access may lead to influences in utilization. Concepts of what universal health care may be and how current care reflects or contrasts

This paper explores the scenario of a client and looks at the presenting problem from an ecological and strengths perspective. It will also explore advanced clinical skills, intervention strategies and ethical dilemmas encountered. Methods for evaluating progress will be discussed within the social context of the case. Termination and follow-up approaches, and any ethical dilemmas will be included. Any problems with oppressed populations will also be discussed. Finally, the limits of the chosen model and limits of the practitioner, evolution of client and practitioner identities, any ethical or social justice issues for the agency, and an evaluation of the practitioner’s effectiveness will conclude the paper.

I am comparing two health care plans. Health insurance Plan A is Tokiomarine HCC Life Short Term Medical. Plan B is United Health One Short Term Medical Value.

Sixty percent of adults report experiencing abuse or other difficult family circumstances during childhood. (Mental Health Connection, N.D.). This shocking statistic exemplifies the high prevalence of childhood trauma. Furthermore, twenty-six percent of children in the United States will witness or experience a traumatic event before the age of four. (Mental Health Connection, N.D.) Trauma is an extremely common and complex phenomenon. But what is trauma? According to Merriam Webster, trauma is defined as, “a disordered psychic or behavioral state resulting from severe mental or emotional stress or physical injury.” (Merriam Webster, 2017). Dr. Lenore C. Terr from the Child and Adolescent Psychiatric Clinics of America further describes trauma as unique to each individual. It can be caused by a series of events or one severe incident. Unfortunately, childhood trauma is usually experienced repeatedly. For example, many children endure sexual abuse, bullying, and severe family problems over and over again. Children may experience a variety of traumas that have lasting consequences on their mental health. Those who experience childhood trauma are more likely to develop psychological disorders. This occurs because their brains lack neuroplasticity, which inhibits their ability to adapt to various stressful circumstances.

Fisher, H., Tobitt, S., Saleem, S. and Steele, S. (2004a) Siblings’ and mothers’ grief reactions to the diagnosis of psychosis in a young family member.

Understanding their relationship and impact the two disorders have on one another is important for a variety of reasons. Comorbidity is said to be the “rule rather than the exception”, meaning that the disorders co-occur more frequently than by chance so it is best to consider this co-occurrence as the norm rather than a coincidence (Hall et al., 2009). Taking into consideration that different disorders naturally occur together is important when studying individuals who present the symptoms of more than one disorder. Understanding this comorbidity can also provide useful information for treatment, since comorbid disorders are often not diagnosed because the presence of more than one disorder, especially concurrently, may be missed by clinicians. Additionally,

The pervasiveness of these correlations is high and suggesting childhood trauma could play a major role in the psychological health of a person later in adulthood, and there have many studies which have been conducted that could support these theories.

The key concept of this literature review is to better understand how childhood trauma is associated with mental health, such as post-traumatic stress disorder

In the study “Scholastic achievement at age 16 and risk of schizophrenia and other psychoses: a national cohort study”, school performance at the age of 16 was looked at to determine if it had an effect on adult schizophrenia or other psychoses. The study found that there was a link between school performance and being diagnosed with schizophrenia or another type of psychosis.

Clinical practice guidelines (CPG) are designed to improve the quality of healthcare services, decrease unwanted, ineffective and harmful interventions for patients. CPG are used to facilitate treatments for each individual patient’s by maximizing the benefits, minimizing the risk of harm and obtain treatment with an acceptable cost. Researchers had proven that CPG is a bridge for change and improving health outcomes. The effectiveness of CPG is perceived to be helpful in clinical decision making. CPG are developed to assist healthcare providers such as doctors and nurses in decision making for specific clinical outcomes (Vlayen, et. al. 2005)