Therapeutic Assessment Essay

Brief therapy helps people by focusing on solutions, instead of problems. The therapist asks questions thereby facilitates the client by helping formulates solutions. The client leads the meeting by actively formulating ideas in which he/she can serve to improve the client's negative circumstances. This is contrary to cognitive therapy, which focuses on a client's cognitive processes (how he or she thinks about people/places/things). The therapist collaborates with the client to help the client develop alternative solutions.

Most contemporary psychological treatment approaches are predecessors of the ancient and medieval philosophies and theories. Cognitive behavioural therapy as one of the modern treatment method in not an independently formed treatment, different theories have contributed to its present shape and application.

Describing a psychological or mental health response following exposure to a traumatic event has become an unachievable goal since there is no response to it. It is apparent that there are individual differences in resilience and risk factors that play a crucial role in response to potentially traumatic event and prevent a description of a response to an event that would affect people uniformly. During the course of a normal life span, most people at different times in their lives are confronted with the adverse events such as the death of a close friend or relative (Kessler, Sonnega, Bromet, Hughes, & Nelson, 1995).

A therapeutic relationship is a key component in the nursing profession. Without therapeutic relationships, the best possible care can never be provided. The foundation in which trust is built upon is created from the nurse’s ability to truly listen and respond appropriately. Listening creates the base in developing a strong, trusting relationship. Sometimes it is simply hearing what a patient says that makes all the difference, empowering them to open up and become more comfortable with the nurse (Hawkins-Walsh, 2000).

Psychologists in the prison system are very important when it comes down to diagnosis, treatment, therapy and counseling. Upon entering the prison system, each individual is required to take a quick mental health screening. The screening “is designed to evaluate for major mental health disorders such as Bipolar Disorder, Schizophrenia and Major Depressive Disorder” (Mauro, 2009). This will help to ensure that if they have a mental illness it can be treated while they are incarcerated.

You are working in the internal medicine clinic of a large teaching hospital. Today your first patient is 70-year-old J.M, a man who has been coming to the clinic for several years for management of CAD and HTN. A cardiac catheterization done a year ago showed 50% stenosis of the circumflex coronary artery. He has had episodes of dizziness for the past 6 months and orthostatic hypotension, shoulder discomfort, and decreased exercise tolerance for the past 2 months. On his last clinic visit 3 weeks ago, a CXR showed cardiomegaly and a 12-lead ECG showed sinus tachycardia with left bundle branch block. You review his morning blood work and initial assessment.

Diagnostic procedure: a procedure performed to obtain information needed to make a diagnosis and treatment plan.

Mr. P’s vital signs and diagnostic studies are as follows: Blood glucose level 700mg/dL, Blood Pressure 90/60mm Hg, Heart Rate 128 beats/min, Respiratory Rate 34 breaths/min, Temperature 100.8 F, Serum pH 7.26, Serum HCO3 10 mEq/L, BUN 40 and Creatinine 3.5.

After the ethical examination of both therapeutic and enhancement gene modification, it can be stated that therapeutic gene modification is a good thing and enhancement gene modification can be a bad thing. But the other issue is where do you draw the line between the two gene modifications. On paper it might seem like a clear cut distinction but take the example of children who use human growth hormone. Assume a child has a medical condition and their treatment stunts their growth, so they are prescribed human growth hormone. The human growth hormone is able to help the child grow to his normal hight thus returning him to the baseline. But now that there is a doctor prescribing human growth hormone, and different parent hear about this treatment

What applied clinical problem would you most like to focus on in your PsyD studies and in the PsyD Clinical Psychology dissertation/doctoral project? Tell us something about your knowledge of the relevant theory and concepts, research, and the application of that scholarship to clinical practice.

The purpose of this journal is to reflect on my experience and skills gained during my clinical placement at Ben Taub Hospital. On my first clinical day, I was excited and nervous at the same time. My first placement was in the PREOP/PACU area. I was assigned to help a patient who had been in the PACU area going on 2 days. Normally, once the patient comes from surgery they are only in the PACU area for a short period of time before they are discharged home or given a bed in another area of the hospital. This particular patient still had not received an assignment for a bed. The physicians would make their rounds to come check on him daily. The patient was a 28-year-old Hispanic male, non-English speaking, he had a hemicolectomy. He had a NG tube, urinary Foley catheter, and a wound vac. My preceptor had just clocked in and she needed to check on the patient’s vitals and notes from the previous nurse. Once she introduced me to the patient and explained while I was there, she then asked me to check his vitals. (Vital signs indicate the body’s ability to regulate body temperature, maintain blood flow, and oxygenate body tissues. Vital signs are important indicators of a client’s overall health status (Hogan, 2014). I froze for a quick second. I have practiced taking vitals numerous of times and I knew I could do it correctly. I started with the temperature first, when I was quickly corrected on a major mistake I had made by my preceptor. I HAD FORGOT TO WASH MY HANDS and PUT

Counselling session can facilitate the process of overcoming or working through personal issues from everyday hardship as well as potentially life threatening situations. This reflective essay will analyse a counselling session that I have attended with a professional counsellor. Her name was Hend. The session was to be recorded so I can refer to particular examples during the session. In this reflective essay I will give an overview of the counselling session as well as a discussion of my feelings before, during and after the session. Key skills used by the counsellor such as active listening, reflective skills and empathy will be explained, supported with verbatim examples from the session. Furthermore, the overall experiences and

People credited with this Unit will be able to: establish a Counselling relationship, using two Family Systems models or approaches (Choose two from Adlerian Family Therapy; Multigenerational Family Therapy; Human Validation Process Model of Family Therapy; Bowen Family Therapy; MRI Interactional Family Therapy; Milan Systemic Family Therapy; Experiential Family Therapy; Structural Family Therapy; Behavioral Cognitive Family Therapy; Strategic Family Therapy; or Social Constructionism & Family Therapy).

Today I had a great day at the clinic. For the morning section, I had Omar Lora as my patient. Last time when he came, I collected all my assessment data. Today I updated his medical history, dental history, vitals, and EIOE, then I completed filling out the gingival assessment, the treatment plan, and the SAOP. Finally, I was ready to have my assessment data checked. It went really well, and I learned ways to helped me be more efficient with my time management, for example, I did not know how to have my radiographs up in the other monitor while I was doing my assessments. It was a little time consuming having to open and minimized the window every time I needed to look at the radiographs. Also, I discovered that having a piece of paper out and taking

With the continuous changes in healthcare, evaluation of students’ clinical knowledge and skills relies on the need for continuous evaluation. Evaluation is the process of using data to make judgements about students’ individual performance. Evaluation of clinical performance provides data from which educators use to judge the extent to which students have acquired specific learning outcomes (Billings & Halstead, 2016). With the use of best practice evaluation methods, clinical performance can be evaluated to ensure quality patient care. Educators face a challenging task when providing evaluation that is fair and reasonable. Tasked with evaluating students in the clinical setting, educators can evaluate how students integrate theory and apply it to real-life situations. Observations of performance in the clinical setting should focus on the outcomes to be met and competencies to be developed (Oermann & Gaberson, 2014). Developing a clinical evaluation tool to determine whether students can think critically, prioritize problems, and complete patient care procedures correctly is essential. There are a variety of evaluation methods to use in nursing education. Depending on the learning outcomes to be measured will determine which tool best evaluates the students’ performance. Clinical practice is an essential and highly significant component of nursing education. Education programs are obligated to respond to government requests for well-educated healthcare professionals.