Assignment: Practicum – Journal Entry Essay.

Assignment: Practicum – Journal Entry Essay.

Assignment: Practicum – Journal Entry Essay.

 

The client in this practicum was a 23-year-old male who was in his sophomore year in University. The patient presented himself for a checkup due to persistent headaches, insomnia and hallucinations. He had lately experienced difficulties understanding class concepts and it was getting harder for him to concentrate.Assignment: Practicum – Journal Entry Essay.

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The patient had lost his only sibling in a tragic road accident a few months back. The patient has a history of mental illness that led him to try and commit suicide two years back. During this time, the patient had broken up with his girlfriend for 6 years and he felt that he could not cope with the loneliness. The patient had tried to commit suicide by slitting his wrists but his sister found him just in time before he bled out to death. The patient denies anyone in his immediate family suffering from any psychiatric conditions. He however feels that he was brought up on a shaky family unit foundation as his mother separated from his father soon after he was born. The patient occasionally uses cocaine and marijuana when he needs to “relax” after a stressful day.Assignment: Practicum – Journal Entry Essay.

Diagnosis

The patient presents symptoms of a post-traumatic stress disorder based on the classifications of the Diagnostic and Statistical Manual of Mental Heal Disorders 5th Ed. (DSM-5) The patient presents self-destructive behavior angry outbursts, sleep disturbance and problems with his concentration. (American Psychiatric Association, 2013). The patient has lately kept to himself in school and he has not been in a relationship since breaking up with his former girlfriend. He results to using illicit drugs in order to handle the pressures of life. The patient also has a substance abuse disorder. The trauma of losing his girlfriend was seemingly re-created in the loss of his sister who had been his strength during his tough time. He is still dealing with the bereavement and the wounds of loss have been re-opened. The patient is afraid of getting close to people emotionally for the fear of losing them. He keeps to himself as a way to ensure he does not suffer the pain of loss.Assignment: Practicum – Journal Entry Essay.

Legal and Ethical Implications

Given the patient’s history of inflicting self-harm it was in his best interest that the hospital admitted him for observation. The client however felt that they only needed medication for the headaches which would in turn help him to get enough sleep. The patient was attaching all the symptoms to the insufficient sleep and the headache.Assignment: Practicum – Journal Entry Essay. However, the problem was much deeper and it was ethically right for the hospital to safeguard the patient’s wellbeing. The patients was admitted for four days and he was later discharged under the condition that he would go and live in with a friend or a member of his family while attending counseling sessions from a certified therapist of his choice. Special concerns with this patient were voiced as he was keeping to himself and he had a history of inflicting harm upon himself when faced by stressful situations. The patient had not gotten over the loss of his girlfriend and the death of his sister. He was still in a denial or bereavement state that worsened his social skills and tenacity to handle issues of life (Tramontin, 2010). The patient was likely to snap and do something drastic at the slightest disappointment or provocation.Assignment: Practicum – Journal Entry Essay.

Assignment: Practicum Experience – Journal Entry

As a future advanced practice nurse, it is important that you are able to connect your classroom experience to your Practicum Experience. By applying the concepts that you study in the classroom to clinical settings, you enhance your professional competency. Each week, you complete an Assignment such as Journal Entries and SOAP Notes that prompts you to reflect on your Practicum Experiences and relate them to the material presented in the classroom. This week, you begin documenting your Practicum Experiences in your Practicum Journal.Assignment: Practicum – Journal Entry Essay.

To prepare for this course’s Practicum Experience, address the following in your Practicum Journal:

Select and describe a nursing theory to guide your practice.

Develop goals and objectives for your Practicum Experience in this course. When developing your goals and objectives, be sure to keep the seven domains of practice in mind.

Create a timeline of practicum activities based on your practicum requirements.

Assignment: Practicum Experience – Journal Entry

As a future advanced practice nurse, it is important that you are able to connect your classroom experience to your Practicum Experience. By applying the concepts that you study in the classroom to clinical settings, you enhance your professional competency. Each week, you complete an Assignment such as Journal Entries and SOAP Notes that prompts you to reflect on your Practicum Experiences and relate them to the material presented in the classroom. This week, you begin documenting your Practicum Experiences in your Practicum Journal.

To prepare for this course’s Practicum Experience, address the following in your Practicum Journal:Assignment: Practicum – Journal Entry Essay.

Select and describe a nursing theory to guide your practice.

Develop goals and objectives for your Practicum Experience in this course. When developing your goals and objectives, be sure to keep the seven domains of practice in mind.

Create a timeline of practicum activities based on your practicum requirements.

As a future advanced practice nurse, it is important that you are able to connect your didactic experience to your Practicum experience. By applying the concepts you study in the classroom to clinical settings, you better prepare yourself for your future professional career. Each week, you complete an assignment that prompts you to reflect on your Practicum experiences and relate them to the material presented in the classroom.Assignment: Practicum – Journal Entry Essay.

To prepare for this course’s Practicum experience, address the following in your Practicum journal:

Explain what most excites and/or concerns you about pediatric clinical experiences. Include a description of your strengths and weaknesses in terms of working with children and how these strengths and weaknesses might impact your Practicum experience.
Select and explain a nursing theory to guide your practice with pediatric patients.
Based on your strengths, weaknesses, and theory of nursing practice, develop goals and objectives for the Practicum experience in this course. Be sure to consider the NAPNAP Position Statement on Age Parameters for Pediatric Nurse Practitioner Practice from this week’s Learning Resources.
Create a timeline of Practicum activities based on your Practicum requirements.

Develop diagnoses for clients receiving psychotherapy*
Evaluate efficacy of existential-humanistic therapy for clients*
Analyze legal and ethical implications of counseling clients with psychiatric disorders*
Analyze clinical supervision experiences*
* The Assignment related to this Learning Objective is introduced this week and submitted in Week 10.Assignment: Practicum – Journal Entry Essay.

For Part 1, select a client whom you observed or counseled this week (other than the client used for this week’s Discussion)Practicum – Week 8 Journal Entry Assignment. Then, address the following in your Practicum Journal:

Describe the client and identify any pertinent history or medical information, including prescribed medications.
Using the DSM-5, explain and justify your diagnosis for this client.
Explain whether existential-humanistic therapy would be beneficial with this client. Include expected outcomes based on this therapeutic approach.Assignment: Practicum – Journal Entry Essay.
Explain any legal and/or ethical implications related to counseling this client.
Support your approach with evidence-based literature.
For Part 2, reflect on your clinical supervision experiences. Then, address the following in your Practicum Journal:

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How often are you receiving clinical supervision from your preceptor?
What are the sessions like?
What is the preceptor bringing to your attention?
How are you translating these sessions to your clinical practice?
Learning Resources
Required Readings
Wheeler, K. (Ed.). (2014). Psychotherapy for the advanced practice psychiatric nurse: A how-to guide for evidence-based practice (2nd ed.). New York, NY: Springer Publishing Company.Assignment: Practicum – Journal Entry Essay.

Chapter 10, “Humanistic-Existential and Solution-Focused Approaches to Psychotherapy” (Review pp. 369–406)
American Psychiatric Association. (2013)Practicum – Week 8 Journal Entry Assignment. Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author.Assignment: Practicum – Journal Entry Essay.

Note: You will access this text from the Walden Library databases.

Nagy, T. F. (2011). Ethics in psychotherapy. In Essential ethics for psychologists: A primer for understanding and mastering core issues (pp. 185–198). Washington, DC: American Psychological Association. doi:10.1037/12345-010

Note: You will access this text from the Walden Library databases.

Required Media
Sommers-Flanagan, J., & Sommers-Flanagan, R. (2013). Counseling and psychotherapy theories in context and practice [Video file]. Mill Valley, CA: Psychotherapy.net.

Note: For this week, view Existential Therapy, Person-Centered Therapy, and Gestalt Therapy only. You will access this media from the Walden Library databases

Laureate Education (Producer). (2012b)Practicum – Week 8 Journal Entry Assignment. Clinical supervision follow-up [Video file]. Baltimore, MD: Author.Assignment: Practicum – Journal Entry Essay.

Note: This is a follow-up to the Thompson family media piece in Week 5. The approximate length of this media piece is 9 minutes.

Accessible player
Laureate Education (Producer). (2015d). On a hamster wheel [Video file]. Baltimore, MD: Author.

Note: The approximate length of this media piece is 2 minutes.

Accessible player
Bugental, J. (n.d.). Existential-humanistic psychotherapy [Video file]. Mill Valley, CA: Psychotherapy.net.

Note: You will access this media from the Walden Library databases. The approximate length of this media piece is 108 minutes.

Optional Resources
May, R. (n.d.). Rollo May on existential psychotherapy [Video file]. Mill Valley, CA: Psychotherapy.net.

Note: You will access this media from the Walden Library databases. The approximate length of this media piece is 61 minutes.Assignment: Practicum – Journal Entry Essay.

Steinert , T. (2016, October 3). Ethics of coercive treatment and misuse of psychiatry. Psychiatric Services. doi:10.1176/appi.ps.201600066. Retrieved from http://ps.psychiatryonline.org/doi/10.1176/appi.ps.201600066.Practicum – Week 8 Journal Entry Assignment

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