Clinical Practice Essays (Examples)
Study Document
Case Conceptualization Group Therapy CBT And Psychodynamics
… fifteen members, ages 25-50. All group members have been formally diagnosed with Generalized Anxiety Disorder and/or Depression, and some with more than one clinical disorder. Additionally, all members have attended this group for at least six months, most of whom attend regularly on a weekly basis. The … least six months, most of whom attend regularly on a weekly basis. The case conceptualization includes background information on the clients, behavioral observations, clinical interpretations, and diagnostic impressions based on the DSM-5. A treatment plan and interventions for the clients are grounded in two primary theoretical orientations … accordance with the American Counseling Association (ACA) Code of Ethics. Finally, limitations and supervision needs are discussed in light of scope of counseling practice.
Background: Presenting Problem
Clients’ Biopsychosocial History
Of the fifteen group attendees, seven are female and eight are male. All have been in treatment … seven are female and eight……
References
References
American Counseling Association (2014). ACA Code of Ethics. Retrieved from: https://www.counseling.org/resources/aca-code-of-ethics.pdf
American Group Psychotherapy Association (2007). Practice guidelines for group psychotherapy. Retrieved from: https://www.agpa.org/docs/default-source/practice-resources/download-full-guidelines-(pdf-format)-group-works!-evidence-on-the-effectiveness-of-group-therapy.pdf?sfvrsn=ce6385a9_2
“Clinical Thinking Skills,” (n.d.). Retrieved from: https://in.sagepub.com/sites/default/files/upm-binaries/44297_3.pdf
Glasofer, D.R. (2019). Generalized anxiety disorder. Retrieved from: https://www.verywellmind.com/dsm-5-criteria-for-generalized-anxiety-disorder-1393147
MacNamara, A., Kotov, R. & Hajcak, G. (2016). Diagnosis and symptom-based predictors of emotional processing in generalized anxiety disorder and Major Depressive Disorder: An Event-Related Potential Study. Cognitive Therapy and Research 40(2016): 275-289.
Plummer, F., Manea, L., Trepel, D., et al. (2016). Screening for anxiety disorders with the GAD-7 and GAD-2: a systematic review and diagnostic metaanalysis. General Hospital Psychiatry 39(2016): 24-31.
Suszek, H., Holas, P., Wyrzykowski, T., et al. (2015). Short-term intensive psychodynamic group therapy versus cognitive-behavioral group therapy in day treatment of anxiety disorders and comorbid depressive or personality disorders: study protocol for a randomized controlled trial. Trials 16(2015): https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4517633/
Thimm, J.C. & Antonsen, L. (2014). Effectiveness of cognitive behavioral group therapy for depression in routine practice. BMC Psychiatry 14(292): https://bmcpsychiatry.biomedcentral.com/articles/10.1186/s12888-014-0292-x
Study Document
Application Of Quality And Safety Concepts
… couple of important research works reveal that between 44,000 and 98,000 individuals lose their lives per annum within healthcare settings owing to preventable clinical errors. Even if one uses the lower figure, preventable clinical mistakes within healthcare facilities surpass mortality attributed to feared risks like motor accidents, AIDS and breast cancer. The term ‘clinical error’ may be described as non-completion of an action according to plan or employing the wrong plan for accomplishing an objective. The issues … of health care services delivered. But there are some who feel that these very same advancements can give rise to adverse events and clinical errors. Considering the fact that several million healthcare practitioners worldwide utilize almost 5,000 kinds of clinical tools and equipment, such device-linked issues are unavoidable. Even with the above challenges, mistakes and inefficiencies persist within the healthcare domain owing to … the influence of diverse HITs on patient……
References
Bibliography
Alotaibi, Y. K., & Federico, F. (2017). The impact of health information technology on patient safety. Saudi Med J, 38(12), 1173–1180.
Amit, M. (2019, January 28). 5 Problems Which Healthcare Technology Can Solve for a Healthier World. Retrieved from Net Solutions: https://www.netsolutions.com/insights/5-healthcare-problems-which-digital-technologies-can-solve-for-a-fit-and-healthy-world/
DeSanctis, G., & Poole, M. S. (1994). Capturing the Complexity in Advanced Technology Use: Adaptive Structuration Theory. Organization Science, 5(2), 121-147.
Feldman, S. S., Buchalter, S., & Hayes, L. W. (2018). Health Information Technology in Healthcare Quality and Patient Safety: Literature Review. JMIR Med Inform, 6(2).
Halamka, J., Mandl, K., & Tang, P. (2008). Early Experiences with Personal Health Records. Journal of the American Medical Informatics Association, 15(1), 1-7.
IOM. (1999). To Err is Human: Building a Safer Health System. National Academy of Sciences.
Singh, H., & Sittig, D. (2016). Measuring and improving patient safety through health information technology: The Health IT Safety Framework. BMJ Quality & Safety, 25, 226-232.
Weigel, F., Hall, D. J., & Landrum, W. H. (2009). Human/Technology Adaptation Fit Theory for Healthcare. SAIS 2009 Proceedings.
Study Document
DNP Essentials Outline For A Capstone Project
Section Seven: Implications and LimitationsImplications to practice/Policy Changes· The project seeks to promote changes in nursing practice with regards to pain management and improving communication of pain medication schedule in the postpartum setting.Essential I: Scientific Underpinnings· Kristen Swanson’s Theory of … care.· Application of the five processes of care described in Swanson’s Theory of Caring in the postpartum setting.· Promoting effective pain management nursing practice through the five process of care to help enhance patient outcomes.Essential II: Organizational and Systems Leadership· Development of clinical practice guidelines with regards to pain management in the postpartum setting.· Promoting the use of evidence-based interventions in pain management in the postpartum setting.· … pain management in the postpartum setting.· Promoting the use of evidence-based interventions in pain management in the postpartum setting.· Through this project, evidence-based practice will become the basis of nursing practice in the postpartum setting and enhancing patient satisfaction.Essential III: clinical……
Study Document
Veterans Back Pain Exercise And Therapy
… pain for three months.
Background and literature review
The management or treatment of low back pain, whether acute, sub-acute, or chronic, has from practice, shown to have less than desired outcomes. As a result, most veterans with low back pain have resulted in one or several unconventional … effectiveness of individual intervention for low back pain is wide and intensive, there is limited research on a combination of these interventions. In practice, persons suffering from low back pain will use several of these strategies to alleviate the pain. This study, therefore, compares how a combination ……
References
References
Bagg, M. K., Hübscher, M., Rabey, M., Wand, B. M., O’Hagan, E., Moseley, G. L., ... & O’Connell, N. E. (2017). The RESOLVE Trial for people with chronic low back pain: protocol for a randomized clinical trial. Journal of physiotherapy, 63(1), 47-48.
Chou, R., Deyo, R., Friedly, J., Skelly, A., Hashimoto, R., Weimer, M., ... & Grusing, S. (2017). Nonpharmacologic therapies for low back pain: a systematic review for an American College of Physicians clinical practice guideline. Annals of internal medicine, 166(7), 493-505.
Dehghan, M., & FarahbOD, F. (2014). The efficacy of thermotherapy and cryotherapy on pain relief in patients with acute low back pain, a clinical trial study. Journal of clinical and diagnostic research: JCDR, 8(9), LC01.
Denneson, L. M., Corson, K., & Dobscha, S. K. (2011). Complementary and alternative medicine use among veterans with chronic noncancer pain—Journal of Rehabilitation Research & Development, 48(9).
Guzmán, J., Esmail, R., Karjalainen, K., Malmivaara, A., Irvin, E., & Bombardier, C. (2001). Multidisciplinary rehabilitation for chronic low back pain: systematic review. BMJ, 322(7301), 1511-1516.
Hayden, J. A., Van Tulder, M. W., & Tomlinson, G. (2005). Systematic review: strategies for using exercise therapy to improve outcomes in chronic low back pain. Annals of internal medicine, 142(9), 776-785.
Kim, E. J., Choi, Y. D., Lim, C. Y., Kim, K. H., & Lee, S. D. (2015). Effect of heating and cooling combination therapy on patients with chronic low back pain: study protocol for a randomized controlled trial. Trials, 16(1), 285.
Nitsure, P. V., Pathania, T. S., & Bilgi, T. A. (2014). Comparison of elastic resistance band exercises and yoga in physiotherapy students with chronic non-specific low back pain: a randomized clinical trial. Journal of Yoga & Physical Therapy, 5, 180.
Study Document
Intake Information For Mental Health
… get a depression diagnosis, the above symptoms should cause the patient medically considerable impairment or distress in occupational, social, or…[break]…patient-centered. The definition of clinical reasoning is that it is a cognitive process utilized to assess and manage medical problems. The process is based on dual process theory, … (Kahneman, 2011).
However, when the “explicit diagnostic criteria” was introduced in mental health care research and was later adopted in the DSM-III for clinical practice, it turned things around. It helped therapists to avoid the subjectivity and vagueness of previous conventional diagnostic processes (Maj, 2013), that affected the … of previous conventional diagnostic processes (Maj, 2013), that affected the reliability of diagnoses. The utilization of set diagnostic criteria, of course, also affects clinical judgment. The right use of criteria is only possible when the therapist has sufficient clinical knowledge and experience especially in psychopathology (Maj, 2013). Nevertheless, the above would only……
References
References
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders. BMC Med, 17, 133-137.
Buntrock, C., Ebert, D. D., Lehr, D., Smit, F., Riper, H., Berking, M., & Cuijpers, P. (2016). Effect of a web-based guided self-help intervention for prevention of major depression in adults with subthreshold depression: a randomized clinical trial. Jama, 315(17), 1854-1863.
Davaasambuu, S., Aira, T., Hamid, P., Wainberg, M., & Witte, S. (2017). Risk and resilience factors for depression and suicidal ideation in Mongolian college students. Mental health & prevention, 5, 33.
Gilbert, P. (2016). Depression: The evolution of powerlessness. Routledge.
Hammen, C. (2018). Risk factors for depression: An autobiographical review. Annual review of clinical psychology, 14, 1-28.
Kahneman, D. (2011). Thinking, fast and slow. Macmillan.
Khoury, B., Langer, E. J., & Pagnini, F. (2014). The DSM: mindful science or mindless power? A critical review. Frontiers in psychology, 5, 602.
MacGill, M. (2017). What is depression and what can I do about it? Medical News Today. Retrieved from https://www.medicalnewstoday.com/kc/depression-causes-symptoms-treatments-8933.
Study Document
Healthcare Scientific Merit
… cumulative knowledge through developing, refining, and even sometimes replacing theories.
This study by Doekhie and colleagues (2018) will add significant value to healthcare practice as well as the relevant knowledge pool. It offers salient details on public health initiatives and measures, care patterns, and healthcare implementation from … practitioners, patients, and informal caregivers. Hence, this research work aids mutual understanding and offers vital details on the negative impacts and effectiveness of clinical initiatives through controlling variables having the potential to affect research outcomes. Furthermore, the research affords a chance for feedback thanks to the actual … initiatives through controlling variables having the potential to affect research outcomes. Furthermore, the research affords a chance for feedback thanks to the actual clinical experience of these entities, which proves critical to the comparison and improvement of medication, medical device, diagnostics, and vaccine usage. Lastly, it is … proves critical to the comparison……
References
References
Brook, R. H., & Vaiana, M. E. (2015). Using the knowledge base of health services research to redefine health care systems. Journal of general internal medicine, 30(10), 1547-1556.
Cutcliffe, J. R., & McKenna, H. P. (1999). Establishing the credibility of qualitative research findings: the plot thickens. Journal of advanced nursing, 30(2), 374-380.
Doekhie, K. D., Strating, M. M., Buljac?Samardzic, M., van de Bovenkamp, H. M., & Paauwe, J. (2018). The different perspectives of patients, informal caregivers, and professionals on patient involvement in primary care teams. A qualitative study. Health Expectations, 21(6), 1171-1182.
Eccles, M., Grimshaw, J., Walker, A., Johnston, M., & Pitts, N. (2005). Changing the behavior of healthcare professionals: the use of theory in promoting the uptake of research findings. Journal of clinical epidemiology, 58(2), 107-112.
Leedy, P.D. & Ormrod, J. E. (2019). Practical research: Planning and design, 12th edition. Pearson Education, Hudson Street, NY.
Sanjari, M., Bahramnezhad, F., Fomani, F. K., Shoghi, M., & Cheraghi, M. A. (2014). Ethical challenges of researchers in qualitative studies: The necessity to develop a specific guideline. Journal of medical ethics and history of medicine, 7.
Swan, J., Clarke, A., Nicolini, D., Powell, J., Scarbrough, H., Roginski, C., ... & Taylor-Phillips, S. (2012). Evidence in Management Decisions (EMD): advancing knowledge utilization in healthcare management.
Thomas, D. R. (2017). Feedback from research participants: are member checks useful in qualitative research?. Qualitative Research in Psychology, 14(1), 23-41.
Study Document
Urinary Tract Infection And Osteoporosis In Women
… treatment that exceed $2.46 billion each year (Eells et al., 2014). In addition, recurrent urinary tract infections have become a major problem in clinical practice. On the other hand, osteoporosis is a major contributor of common metabolic diseases and the major cause of mortality and morbidity in the … approaches differ in the sense that traditional treatment options use medication while nontraditional options promote management of the condition without using medication. Secondly, clinical and evidence-based practice exist to support the effectiveness of traditional options while there is no clinical significant evidence on the effectiveness of non-traditional treatment options for osteoporosis.
Collaboration with other Clinicians
Given the complexities associated with the two conditions, …
Collaboration with other Clinicians
Given the complexities associated with the two conditions, collaboration between members of the healthcare team is essential for best practice. Collaboration would entail identifying specific tasks and responsibilities to support patient care……
References
References
Baars et al. (2019, February 3). The Contribution of Complementary and Alternative Medicine to Reduce Antibiotic Use: A Narrative Review of Health Concepts, Prevention, and Treatment Strategies. Evidence-based Complementary and Alternative Medicine, 1-29. doi: 10.1155/2019/5365608
Carbone et al. (2015, November). Urinary Tract Stones and Osteoporosis: Findings From the Women’s Health Initiative. Journal of Bone and Mineral Research, 30(11), 2096-2102.
Eells, S.J., Bharadwa, K., McKinnell, J.A. & Miller, L.G. (2014, January 15). Recurrent Urinary Tract Infections Among Women: Comparative Effectiveness of 5 Prevention and Management Strategies Using a Markov Chain Monte Carlo Model. Clinical Infectious Diseases, 58(2), 147-160.
Harvard Health Publishing. (2017, May). Urinary Tract Infection in Women. Retrieved from Harvard Medical School website: https://www.health.harvard.edu/a_to_z/urinary-tract-infection-in-women-a-to-z
Khadilkar, A. & Mandlik, R.M. (2015). Epidemiology and Treatment of Osteoporosis in Women: An Indian Perspective. International Journal of Women’s Health, 7, 841-850.
Tian et al. (2017, October). Prevalence of Osteoporosis and Related Lifestyle and Metabolic Factors of Postmenopausal Women and Elderl Men. Medicine, 96(43), doi: 10.1097/MD.0000000000008294
U.S. Preventive Services Task Force. (2018, June 26). Screening for Osteoporosis to Prevent Fractures – U.S. Preventive Services Task Force Recommendation Statement. JAMA, 319(24), 2521-2531.
Study Document
COVID 19 In South Africa Nigeria And Swaziland
… on institutional norms, which are functional, political, and social. Functional pressures are observed when difficulty in performance is sensed with the institutionalization of practice within the organization. Political pressures are when the existing political arrangement within the institutional powers change, and the related interest dealings are altered … political arrangement within the institutional powers change, and the related interest dealings are altered accordingly. The social pressures are when different beliefs and practice within the organization are influenced by the social expectations that deter the continuance of customs. Due to these, institutional change can take place, ……
References
References
Coelho, A. (2019). The role of informal institutions in the enforcement of rules and how to improve corporate and public governance in Brazil: Studies based on a set of corporate governance cases involving state-owned companies (Working Paper). Retrieved from SSRN website https://papers.ssrn.com/sol3/papers.cfm?abstract_id=3434037
Dacin, M.T., Goodstein, J. & Scott, W.R. (2002). Institutional theory and institutional change: Introduction to the special research forum. Academy of Management Journal, 45(1), 45- 47. DOI: 10.2307/3069284
Escandon-Barbosa, D.M., Urbano, D., Hurtado-Ayala, A., Paramo, J.S. & Dominguez, A.Z. (2019). Formal institutions, informal institutions, and entrepreneurial activity: A comparative relationship between rural and urban areas in Colombia. Journal of Urban Management, 8(3), 458-471. https://doi.org/10.1016/j.jum.2019.06.002
Estrin, S. & Prevezer, M. (2010). The role of informal institutions in corporate governance: Brazil, Russia, India, and China compared. Asia Pacific Journal of Management, 28, 41- 67. https://doi.org/10.1007/s10490-010-9229-1
Kaufmann, W., Hooghiemstra, R. & Feeney, M.K. (2018). Formal institutions, informal institutions, and red tape: A comparative study. Public Administration, 96(2), 386-403. https://doi.org/10.1111/padm.12397
Meluch, A.L. (2016, August). Understanding the organizational and institutional origins of social support in a cancer support center. (Unpublished doctoral dissertation). Retrieved from https://etd.ohiolink.edu/!etd.send_file?accession=kent1466944822&disposition=inline
Torniainen, T.J. & Sasstamoinen, O.J. (2007). Formal and informal institutions and their hierarchy in the regulation of the forest lease in Russia. Forestry: An International Journal of Forest Research, 80(5), 489-501. https://doi.org/10.1093/forestry/cpm033
Study Document
Right Of Informed Refusal For Minors
… care decisions. In this regard, Katz and Webb (2016) emphasize that, “Informed consent should be seen as an essential part of health care practice; parental permission and childhood assent is an active process that engages patients, both adults and children, in their health care” (p. 30).
Rather … in their health care decisions when they reach a certain level of maturity. For instance, Katz and Webb (2016) also note that, “Pediatric practice is unique in that developmental maturation allows, over time, for increasing inclusion of the child’s and adolescent’s opinion in medical decision-making in clinical practice and research” (2016, p. 30). This observation suggests that the ability of minors to participate in their health care decisions exists along a … perspective and power of children in the collaboration between pediatricians, their patients, and parents” which “remain an essential guide for modern ethical pediatric practice” (Katz & Webb, 2016, p.……
References
References
Black’s law dictionary. (1990). St. Paul, MN: West Publishing Company.
Bryden, J. (2016, February 25). Medical help in dying should be widely available, with few restrictions: Report. The Canadian Press, 6.
Hursthouse, R. & Pettigrove, G. (2018, Winter). Virtue ethics. The Stanford Encyclopedia of Philosophy. Retrieved from https://plato.stanford.edu/archives/win2018/entries/ethics-virtue .
Katz, A. L. & Webb, S. A. (2016, August). Informed consent in decision-making in pediatric practice. Pediatrics, 138(2), 30-37.
Lemmens, C. (2009, September). End- of- life decisions and minors: do minors have the right to refuse life preserving medical treatment? A comparative study. Medical Law Review, 28(3), 479-497.
Physician-assisted suicide. (2019). CNN. Retrieved from https://www.cnn.com/2014/11/26/us/ physician-assisted-suicide-fast-facts/index.html.
Salsberry, P. J. (1999, January 1). Caring, virtue theory, and a foundation for nursing ethics. Scholarly Inquiry for Nursing Practice, 6(2), 155-160.
Williams, Z. (2012, October 25). Early puberty: why are kids growing up faster? The Guardian. Retrieved from https://www.theguardian.com/society/2012/oct/25/early-puberty-growing-up-faster .
Study Document
Mayo Clinic Governance And Structure
… Horace Mayo, Augustus Stinchfield, Christopher Graham, Henry Stanley Plummer, Melvin Millet, Star Judd, and Donald Balfour. Mayo Clinic is focused on offering integrated clinical practice, research, and education (Swensen, Gorringe, Caviness, & Peters, 2016). Currently, the organization employs 65,000 employees of these about 6,600 are physicians and scientists …
Mayo Clinic's mission is to inspire hope and contribute to health and well-being by providing the best care to every patient through integrated clinical practice, research, and education. The needs of the patient come first at Mayo Clinic. The majority of the patient who visits Mayo Clinic are ……
References
References
Helmers, R. A., Gabrielson, S. R., & Harper, M. M. (2016). Developing a new governance structure: the Mayo Clinic experience. Physician leadership journal, 3(3), 40-46.
Helmers, R. A., & Harper, C. M. (2019). The mayo clinic model of clinical integration. Paper presented at the Healthcare.
Jensen, M. C., & Heckling, W. H. (1995). Specific and general knowledge, and organizational structure. Journal of applied corporate finance, 8(2), 4-18.
Peterson, K. S., & Morris, B. C. (2019). Creating synergy between academia and practice: the Arizona State University and Mayo Clinic Arizona model. Journal of Professional Nursing, 35(4), 305-313.
Swensen, S., Gorringe, G., Caviness, J., & Peters, D. (2016). Leadership by design: intentional organization development of physician leaders. Journal of management development.
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