discuss how you see application of this model to the task of cross cultural ministry and mission. 

Engagement paper instructions

The Sunrise Enabler 

Read Dr. Cecily Strang’s description of the Sunrise Enabler while looking at the graphic. (PDFs)

Be sure to look at both files, the image and the pdf which is what the follow instruction above is referencing

**In a not more that 2-page paper, discuss how you see application of this model to the task of cross cultural ministry and mission. 

Evaluate how this project has the potential to improve quality and safety for patients.

IMPROVEMENT AND RESEARCH PROJECT IN PATIENT SAFETY AND QUALITY

When General Ghebreyesus of the World Health Organization suggested making 2020 the Year of the Nurse and the Midwife, he described nurses as the “bridge to healthcare,” linking families, communities, and complex healthcare systems. In the mid-1800s, Florence Nightingale constructed such a bridge as she cared for British soldiers during the Crimean War. She inquired about environments that contributed to patient betterment, collected data to encourage innovation, spurred education, and kept the patient in the center all that nurses do for patients. Today, the role of nurses in improving patient quality and safety is ongoing.

For this Assignment, find a current article published within the last five years on how a nurse-led improvement or research project has enhanced patient safety and quality in a health care setting.

Nurse-led projects may be related to infections and complications; patient-centered care and engagement; teamwork, communication, and care transitions; health information technology; health care value; safety and quality measures; systems engineering; and healthcare worker performance; and etcetera. Health care setting examples include acute care hospitals; rehabilitation centers; schools; correctional institutions; nursing homes; specialized outpatient services.

Assignment: 2–3-page paper

• Begin by describing the nurse-led improvement or research project found in the article. Include a short description of the purpose, method, and outcomes.
• Evaluate how this project has the potential to improve quality and safety for patients.
• What are at least two insights you gained from this project that enhance your personal professional goals?
• Reference your selected articles in APA format.

NURS_3100_Week_4_Assignment_Rubric

NURS_3100_Week_4_Assignment_Rubric
Criteria	Ratings	Pts
This criterion is linked to a Learning OutcomeRequired Content Begin by describing the nurse-led improvement or research project found in the article. Include a short description of the purpose, method, and outcomes.	39 to >34.0 pts Excellent Student provided a fully developed description of the nurse-led improvement or research project found in the article including the purpose, method, and outcomes. 34 to >30.0 pts Proficient Student provided a developed description of the nurse-led improvement or research project found in the article including the purpose, method, and outcomes. 30 to >26.0 pts Basic Student provided a minimally developed description of the nurse-led improvement or research project found in the article including the purpose, method, and outcomes. 26 to >0 pts Needs Improvement Student provided an under-developed description of the nurse-led improvement or research project found in the article including the purpose, method, and outcomes.	39 pts
This criterion is linked to a Learning OutcomeEvaluate how this project has the potential to improve quality and safety for patients.	40 to >35.0 pts Excellent Student provided a fully developed evaluation of how this project has the potential to improve quality and safety for patients. 35 to >31.0 pts Proficient Student provided a developed evaluation of how this project has the potential to improve quality and safety for patients. 31 to >27.0 pts Basic Student provided a minimally developed evaluation of how this project has the potential to improve quality and safety for patients. 27 to >0 pts Needs Improvement Student provided an under-developed evaluation of how this project has the potential to improve quality and safety for patients.	40 pts
This criterion is linked to a Learning OutcomeWhat are at least two insights you gained from this project that enhance your personal professional goals?	40 to >35.0 pts Excellent Student provided a fully developed description of at least two insights you gained from this project that enhanced your personal professional goals. 35 to >31.0 pts Proficient Student provided a developed description of at least two insights you gained from this project that enhanced your personal professional goals. 31 to >27.0 pts Basic Student provided a minimally developed description of at least two insights you gained from this project that enhanced your personal professional goals. 27 to >0 pts Needs Improvement Student provided an under-developed description of at least two insights you gained from this project that enhanced your personal professional goals.	40 pts
This criterion is linked to a Learning OutcomeProfessional Writing: Clarity, Flow, and Organization	17 to >15.0 pts Excellent Content is free from spelling, punctuation, and grammar/syntax errors. Writing demonstrates very well-formed sentence and paragraph structure. Content presented is completely clear, logical, and well-organized. 15 to >13.0 pts Proficient Content contains minor spelling, punctuation, and/or grammar/syntax errors. Writing demonstrates appropriate sentence and paragraph structure. Content presented is mostly clear, logical, and well-organized. 13 to >11.0 pts Basic Content contains moderate spelling, punctuation, and/or grammar/syntax errors. Writing demonstrates adequate sentence and paragraph structure and may require some editing. Content presented is adequately clear, logical, and/or organized, but could benefit from additional editing/revision. 11 to >0 pts Needs Improvement Content contains significant spelling, punctuation, and/or grammar/syntax errors. Writing does not demonstrate adequate sentence and paragraph structure and requires additional editing/proofreading. Key sections of presented content lack clarity, logical flow, and/or organization.	17 pts
This criterion is linked to a Learning OutcomeProfessional Writing: Context, Audience, Purpose, and Tone	17 to >15.0 pts Excellent Content clearly demonstrates awareness of context, audience, and purpose. Tone is highly professional, scholarly, and free from bias, and style is appropriate for the professional setting/workplace context. 15 to >13.0 pts Proficient Content demonstrates satisfactory awareness of context, audience, and purpose. Tone is adequately professional, scholarly, and/or free from bias, and style is consistent with the professional setting/workplace context. 13 to >11.0 pts Basic Content demonstrates basic awareness of context, audience, and purpose. Tone is somewhat professional, scholarly, and/or free from bias, and style is mostly consistent with the professional setting/workplace context. 11 to >0 pts Needs Improvement Content minimally or does not demonstrate awareness of context, audience, and/or purpose. Writing is not reflective of professional/scholarly tone and/or is not free of bias. Style is inconsistent with the professional setting/workplace context and reflects the need for additional editing.	17 pts
This criterion is linked to a Learning OutcomeProfessional Writing: Originality, Source Credibility, and Attribution of Ideas	17 to >15.0 pts Excellent Content reflects original thought and writing and proper paraphrasing. Writing demonstrates full adherence to reference requirements, including the use of credible evidence to support a claim, with appropriate source attribution (when applicable) and references. 15 to >13.0 pts Proficient Content adequately reflects original writing and paraphrasing. Writing demonstrates adequate adherence to reference requirements, including the use of credible evidence to support a claim, with appropriate source attribution (when applicable) and references. There are one or two minor errors. 13 to >11.0 pts Basic Content somewhat reflects original writing and paraphrasing. Writing somewhat demonstrates adherence to reference requirements, including the use of credible evidence to support a claim, with appropriate source attribution (when applicable) and references. There are two or three minor errors. 11 to >0 pts Needs Improvement Content does not adequately reflect original writing and/or paraphrasing. Writing demonstrates inconsistent adherence to reference requirements, including the use of credible evidence to support a claim, with appropriate source attribution (when applicable) and reference. There are numerous and/or significant errors.	17 pts
Total Points: 170

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Based on your responses to the Survey of Attitudes and Values, what did you learn about yourself as an aspiring counselor?

INSTRUCTIONS- Follow the directions and complete the assignment on forum pdf file. Use the information on pdf to answer to respective Forum questions.

FORUM #2 (1-2 paragraphs total) 

Question 1: Based on your responses to the Survey of Attitudes and Values, what did you learn about yourself as an aspiring counselor?  Select three questions/responses you made that best reflect your beliefs about the field of counseling. 

Question 2: Which statements in the Psychoanalytic Therapy Self-Inventory did you mark as “Strongly Disagree” and why? How many statements did you mark “Strongly Agree”? What does this tell you about incorporating Psychoanalytic Theory into your counseling theory of choice?

FORUM #3 -(1-2 paragraphs total) 

Question 1: Which statements in the Adlerian Self-Inventory did you mark as “Strongly Disagree” and why? How many statements did you mark “Strongly Agree”? What does this tell you about making this your counseling theory of choice?  

Question 2: Reviewing your Adlerian Lifestyle Assessment, what did you find most beneficial for you in exploring your past childhood and family experiences? Be specific. 

Question 3: What insights did you gain about yourself and your early life? How can these insights help you to have a healthier more positive & productive life?

FORUM #4— (1-2 paragraphs total)

Question 1: Which statements in the Existential and Person-Centered Therapy Self-Inventories did you mark as “Strongly Disagree” and why? How many statements did you mark “Strongly Agree”? What does this tell you about making either of these your counseling theory of choice? Question 

Question 2: After completing the exercise “Will We Really Change?” what did you write as your own epitaph? What does it mean to you? Question 3: From the Practical Experience: Reflecting Clients’ Feelings- choose one of the client statements in the exercise and share your answers. What insights did you get about how to respond to clients from this practice exercise?

What is the role of leadership towards ensuring success within the distribution network?

Interviews

This course utilizes two interviews to provide you an opportunity to interact with real-world professionals within the areas of business related to your course topics. These interviews should not be confused with your other unit Journals which are based on your experiences in the SAP software. These interviews require face-to-face interaction with your selected professional.

It is an exciting time, living in the 21st Century! While the intent of the interviews is that you attempt to interview a professional face-to-face in your local community, if this is difficult due to factors such as living in a rural area, you can find a professional online, coordinate via email, and meet using Google Hangouts to accomplish the interview assignments.

Keep in mind, in either method, your professionalism reflects upon yourself and our institution; make us proud.

A few other important notes. Due to technical limitations with our learning platform, you may see these items listed as Journal: Interview. These are not to be confused with your normal journals, as they are very different. Consider them as interviews, and ensure you review and read their specific instructions.

Also, as you review your gradebook during Unit 1, look at the timing of the interview and the related topics of the units towards the end of the term. Know the late policy, and your own work schedule. Schedule the interview to maximize your opportunity while mitigating risk of non-completion. Do not procrastinate. Your emergency is not your selected professional’s emergency. Plan accordingly to ensure you are not limited by schedule and ensure a buffer and contingency so that your selected professional is not pressured by your time constraints. It is advisable to have a backup time and date planned, in case you need it, to accomplish the interview. If you need to switch to a different professional, due to availability, that is also appropriate within the same area of business.

This is a realistic business opportunity. One of the positive elements of interviews as learning opportunities is that they also open you up to networking opportunities. The role of professional networking in a business career cannot be understated, it is key towards success. Additionally, if you research career sites, you will see much advice towards the concept of an informational interview. You may want to research informational interviews from this perspective prior to your two actual interviews.

In this interview, you will be assessed based on the following Outcome:

MT434-6: Recognize information flow and decision making in the distribution network.

The knowledge you have gained from your experiences in the SAP simulation thus far has aided you in preparing and practicing the components necessary to successfully complete this interview.

This journal is different than many journals you may have encountered during your time at this university. In fact, it is better to think of it as an interview than a journal.

Part of learning about business is networking. This interview is to get you motivated and networking with business professionals in your local area. If you want, you can also set-up an online interview using Google Hangouts, however you should make an effort in your local area if at all possible for this experiential learning opportunity to conduct a face-to-face interview.

You will conduct a 30-minute interview with a business professional who has experience with distribution network.

During the interview, ask permission to submit their first name, last name, and email address as elements of your interview summary, in case your professor wants to check in with them on their thoughts of the interview.

As the person conducting the interview, you should dress professionally for the interview, and be prepared with some initial research of the person you are interviewing (review their LinkedIn profile) as well as, their organization (online research, corporate website, etc.). The point is to show up as a business professional, and to be properly prepared and engaged for the interview. You will be asking the questions, and you should be prepared to be an active listener and to ask pertinent follow-on questions.

The three main question sets you are to ask, allowing about 10 minutes of discussion each, are:

Question Set 1: (Leadership)

What is the role of leadership towards ensuring success within the distribution network? Can you share a real-world example of leadership interaction with the supply chain distribution network for your organization?

Question Set 2: (Information Technology)

How is the role of information technology (IT) utilized as a technical network to support the distribution network? What improvements do you see with technology, in this area, in the next 10-years? Similarly, what challenges does the future hold in this area?

Question Set 3: (Control Room)

What is a control room? How does utilizing the control room concept leverage leadership abilities to ensure success within the distribution network? Can you describe the daily use of control room for your organization as it relates to organizational success?

To successfully complete this interview, review the rubric prior to the interview and ensure you complete all required elements. However, in general, you will be composing 2-pages of meeting minute format summary of the interview, highlighting who you selected to interview, their contact information, the three responses, any other follow-on questions or key points, and then close with a summary and your reflection on what you learned in relation to the course topics.

Advice to Avoid Plagiarism in Interview Assignments

• Do not list the questions in the interview document you submit
• Use headers such as Question Set 1: to separate out your interview narrative
• Ensure all writing is the direct words of the person you interviewed, using quotes on their responses, or your own original narrative as part of the interview process, or your own reflections
• Ensure your reflection is in your own words
• Check your TII Report!

Directions for Submitting Your Journal: Interview

In the future, do you see yourself applying your research expertise by collecting or using clinical data to improve patient outcomes at your place of work or in the larger community?

THE ESSENCE OF NURSING

According to Hundt (2020), there is renewed attention on Florence Nightingale in the Year of the Nurse. Nightingale’s 19th century observations that natural light and a view of nature improve hospitalized patients’ recovery has been validated in randomized-controlled trials. Currently, there are interdisciplinary teams that include nurses and architects, that design optimal healing environments with a focus on patient-centered care.  

Delivering the kind of care that Florence Nightingale practiced hinges on nurses fully utilizing their education and training and on their taking the lead to improve health care safety and quality and patient outcomes (National Academy of Medicine [NAM], 2020). Think about how you incorporate science into your everyday practice. Right now, for example, you may use your understanding of pharmacotherapy when safely administering medications. In the future, do you see yourself applying your research expertise by collecting or using clinical data to improve patient outcomes at your place of work or in the larger community?

Reference

Hundt, B. (2020). Reflections on Nightingale in the year of the nurse. American Nurse Journal. https://www.myamericannurse.com/reflections-on-nightingale-in-the-year-of-the-nurse/

Post a 3-paragraph response (of at least 350 words) to the following:

According to Ma, Shang, & Bott (2015), it is critical that contemporary nurses have strong leadership and collaboration skills to improve health care. Reflect on and describe the expertise that you expect to acquire with your education at Walden. Envision yourself taking the lead to improve patient quality and safety in your practice setting and describe what that might look like. Describe the knowledge and skills needed to achieve your professional goals.

Be sure to use evidence Links to an external site. from the readings and include in-text citations Links to an external site.. Utilize essay-level Links to an external site. writing practice and skills, including the use of transitional material Links to an external site. and organizational frames Links to an external site.. Use the writing resources and the Week 4 Discussion Rubric to develop your post.

Develop a communication plan using the six elements of an effective communication program.

The IMC Plan

A strong promotional and distribution strategy can elevate an organization to a higher level in revenue, market share, and profits. Therefore, it is important to have a strong communication and distribution strategy. 

The following Course Outcome is assessed in this assignment:

MT450-5: Decide on communications and distribution channels to improve customer product value.

Before beginning this assignment, review the learning activity/tutorial, which focuses on communication and distribution strategies. Be sure to refer to the readings in this unit to assist you in this area., which focuses on communication and distribution strategy. Be sure to refer to the readings in this unit to assist you in this area.

• Access the Learning Activity

Assignment

The complete Unit 9 Assignment should include a 4- to 5-page essay (and additional title and reference pages) using correct grammar, spelling, and the current APA format and citation style. 

Choose one of the following scenarios for this assignment. In each scenario, the company is struggling in the areas of developing a promotion and distribution strategy. 

 Pizza in a Cone*

In 2020, Toni of Toni’s Pizza* launched a new concept of eating pizza — pizza in a cone! Instead of eating pizza in its traditional form, the pizza dough is eaten like an ice cream cone. The cones are made through a patented device created by Toni. This technique allows consumers to eat pizza on the go with one hand. Therefore, the pizza does not drip with grease or sauce. The cones are personalized with whatever fixings the consumer desires. Toni is currently using a cost-based strategy for pricing.

Market research indicated this product would be a huge success. The organization even started franchising the concept in 2021. Nevertheless, the company has had lackluster sales. Gas prices have recently escalated, and people have stopped coming by his store in the mall where they are located. Toni wants you to help with the promotion and distribution problems.

Generic Goals:

• Sell several hundred thousand units.
• Create awareness of new product line to new, prospective clients.
• Incorporate digital marketing. 
• Hire more employees.
• Target B2B clients.
• Identify the best distribution model for selling to customers. 

*Disclaimer: The organization, any characters, and brands depicted in this exercise are fictional. Any resemblance to real organizations, individuals, or brands is purely coincidental. This exercise may include actual companies and brand names solely for instructional purposes; this exercise is not associated with any such existing company or brand name. All trademarks remain the property of their respective owners. 

Complete the following checklist items:

• Develop a communication plan using the six elements of an effective communication program.
• Integrate the four distinct levels of integrated marketing communication (IMC). 
• Design an integrated marketing plan using a combination of traditional and online media.
• Create a proposal for implementing the six steps in the personal selling process to business accounts (Figure 14.1). 
• Recommend a multichannel distribution strategy. Defend your recommendation.
• Propose a mobile retailing strategy.

Briefly suggest possible strategies to effect potential positive change through adjustments of the global pipeline.

 Global Pipeline

The global pipeline is the holistic systematic network of global supply chain and logistics. As you can imagine, one aspect of leadership concern is enhancing visibility via this pipeline.

This assignment will assess your knowledge based on the following Outcomes:

MT434-4: Recognize the role of distribution within the global pipeline.

GEL-1.02: Demonstrate college-level communication through the composition of original materials in Standard English.

GEL-3.03: Examine the interdependence and potential for positive change between human systems and the environment. 

This assignment has you explore various elements of leadership visibility within the global pipeline. Ensure that your paper includes each of the following topics with an appropriate breadth and depth demonstrating knowledge of the outcomes.

• Static Visibility

What role does static visibility have towards leadership capabilities?

• Dynamic Visibility

What role does dynamic visibility have towards leadership capabilities?

• Supply Chain Event Management (SCEM)

What role does SCEM have towards leadership capabilities?

• Also, close your paper with the following observations from your research:

Discuss how organizational maturity, as a human systems concept, relates to interactions with the natural world, as an element of the global pipeline. Briefly suggest possible strategies to effect potential positive change through adjustments of the global pipeline.

SCM Standard Requirements

• This assignment should be a separate MS Word document, preferably in the most current .docx file format.
• In addition to the current APA style title page and reference page; ensure your paper covers the assigned topics, with a focus on quality. The following items provide additional guidance as to writing expectations.
• Respond to the questions in a thorough manner, providing specific examples of concepts, topics, definitions, and other elements asked for in the questions. Your paper should be highly organized, logical, and focused.
• It must be written in Standard English; demonstrating exceptional content, organization, style, grammar, and mechanics.
• Your paper should provide a clearly established sustained viewpoint and purpose.
• Your writing should be well ordered, logical, and unified; as well as original and insightful.
• Ensure your paper uses current APA format for content, with properly indented paragraphs, and a minimum of 3-full pages covering the assigned topics to appropriate depth.
• A separate page at the end of your research paper should contain a list of references, in current APA format. Use your textbook, the Library, and the internet for credible research.
• Ensure you have at a minimum three quality references supporting your work: defining words, or using dictionaries, wikis, or encyclopedias, does not count as a quality reference, or meet university standards for credible online research.
• Be sure to cite both in-text and reference list citations were appropriate and reference all sources. Your sources and content should follow proper APA citation style. Review the current APA formatting and citation style found at the Writing Resources accessed through the Academic Success Center within the Academic Tools area of the course. It should include a title page, paper is double-spaced, in Times New Roman 12-point font, correct citations, Standard English with no spelling or punctuation errors, and correct references at the bottom of the last page.

Describe the cellular alterations associated with shock

TOPIC “Describe the cellular alterations associated with shock.”

Week 7 Video Presentation

The purpose of this assignment is to demonstrate understanding through teaching and explanation. Begin by choosing one of the topics below, or propose a topic of your own interest from the assigned readings subject to instructor approval. Post your choice to the discussion board thread “Video Presentation Topics” as soon as you make your choice. You may not select a topic that has already been chosen by a classmate. The sooner you choose, the more options you will have.

For this assignment, you will produce a 4–7 minute audio-video presentation POWERPOINT on your chosen topic ABOVE

In your presentation, include the following:

• Include at least one type of visual aid in your presentation such as PowerPoint slides, diagrams, white board use, etc.
• You are expected to explain the processes or concepts in your own words using references to support your explanations. Include a reference list at the end and cite references verbally or with on screen citations.
• Use appropriate master’s level terminology.
• Include all necessary physiology and/or pathophysiology in your explanation.
• Use detailed explanations to teach or explain. Your audience is your classmates and professional colleagues.
• Reference a minimum of two sources; you may cite your etext as a source. Use APA format to style your visual aids and cite your sources. Include a reference page in your video.
• Your presentation must include both audio and visual components and be professional in nature.

How can Thuisbezorgd increase profitability on waiting times?

Increasing Profitability on Waiting Times: A Case of Thuisbezorgd

Introduction

The time an individual must wait between requesting a service or action and when the service or action takes place is referred to as the waiting time. Restaurant businesses can refer to waiting time, as the time required ordering drinks and food. -Time taken for the meals to arrive at the table once an order has been ordered. -Time required clearing the table after the food has been eaten. -Time required receiving support or ad hoc servicing (McIntyre & Chow, 2020). -Time needed to request a bill. One of the primary goals of a business is to reduce the amount of waiting times between different activities.     `

Problem statement

Waiting times are by far the second highest cost for a business; as such, they need to be lowered as much as possible because they pose a significant risk to any company.

Purpose/objective

This research decided to investigate how to increase profitability on waiting times as a solution to businesses on how they can best cut their waiting time costs while at the same time benefiting from an increase in profits.

Thuisbezorgd is a global leader in online food delivery services, connecting customers and restaurants through its platforms. Having over 634,000 associated partners means customers have access to a wide range of food options. The company is headquartered in Ams­ter­dam. Thuisbezorgd, as an online food delivery services, offers online ordering, payment, and, on occasion, order fulfilment. The organization aims to become the world’s best food delivery service.

Limitations and delimitations of the research

This study will focus on Thuisbezorgd, an online food delivery business. The sample will be confined to company employees, with the study sampling 12 employees. Further, the study limits itself to employees’ experience, hence the decision to pick management and employees with at least five years of experience working in the company. The study limitations include time constraints and the unwillingness of certain employees to be involved. Further, management is unwilling to divulge certain information regarding profitability as they feel it is exposing the company. 

Importance of study

Thuisbezorgd faces a waiting time problem, which affects profitability hence the need to increase profitability on waiting time. Analyzing this problem allows researchers and companies to gain sufficient knowledge on handling waiting times concerning profits. The lack of research on this topic will negatively affect Thuisbezorgd profitability. To solve this problem, there is a need to analyze the company’s waiting times in addition to other data. This study will then analyze the data and draw inferences, providing a solution to the problem. The study will offer insight into waiting times and their relationship to profitability.

Central research question

How can Thuisbezorgd increase profitability on waiting times?

Sub research questions

1. How will waiting time affect the profitability of Thuisbezorgd?
2. How long or short are Thuisbezorgd’s waiting times?
3. How do waiting times affect customer relationships with Thuisbezorgd?
4. In what other ways do waiting times affect Thuisbezorgd?
5. What are the benefits and impacts of waiting times on Thuisbezorgd?

The study will analyze the waiting time at Thuisbezorgd using the company as the sole sample. The researcher will analyze the waiting times in the company while also employing secondary data obtained from the company’s financial books between the financial years 2016-2021, which will provide insight into the relationship between the two variables.

What observations did you make during the psychiatric assessment?  

Assignment

In assessing patients with anxiety, obsessive-compulsive, and trauma and stressor-related disorders, you will continue the practice of looking to understand chief symptomology in order to develop a diagnosis. With a differential diagnosis in mind, you can then move to a treatment and follow-up plan that may involve both psychopharmacologic and psychotherapeutic approaches. 

In this Assignment, you use a case study to develop a focused SOAP note based on evidence-based approaches. 

• Review this week’s Learning Resources. Consider the insights they provide about assessing and diagnosing anxiety, obsessive compulsive, and trauma-related disorders.
• Review the Focused SOAP Note template, which you will use to complete this Assignment. There is also a Focused SOAP Note Exemplar provided as a guide for Assignment expectations.
• Review the video, Case Study: Dev Cordoba. You will use this case as the basis of this Assignment. In this video, a Walden faculty member is assessing a mock patient. The patient will be represented onscreen as an avatar.
• Consider what history would be necessary to collect from this patient.
• Consider what interview questions you would need to ask this patient.

Develop a Focused SOAP Note, including your differential diagnosis and critical-thinking process to formulate a primary diagnosis. Incorporate the following into your responses in the template:

• Subjective: What details did the patient provide regarding their chief complaint and symptomology to derive your differential diagnosis? What is the duration and severity of their symptoms? How are their symptoms impacting their functioning in life?
• Objective: What observations did you make during the psychiatric assessment?  
• Assessment: Discuss the patient’s mental status examination results. What were your differential diagnoses? Provide a minimum of three possible diagnoses with supporting evidence, listed in order from highest priority to lowest priority. Compare the DSM-5-TR diagnostic criteria for each differential diagnosis and explain what DSM-5-TR criteria rules out the differential diagnosis to find an accurate diagnosis. Explain the critical-thinking process that led you to the primary diagnosis you selected. Include pertinent positives and pertinent negatives for the specific patient case.
• Plan: What is your plan for psychotherapy? What is your plan for treatment and management, including alternative therapies? Include pharmacologic and nonpharmacologic treatments, alternative therapies, and follow-up parameters, as well as a rationale for this treatment and management plan. Also incorporate one health promotion activity and one patient education strategy.
• Reflection notes: What would you do differently with this patient if you could conduct the session again? Discuss what your next intervention would be if you could follow up with this patient. Also include in your reflection a discussion related to legal/ethical considerations (demonstrate critical thinking beyond confidentiality and consent for treatment!), health promotion, and disease prevention, taking into consideration patient factors (such as age, ethnic group, etc.), PMH, and other risk factors (e.g., socioeconomic, cultural background, etc.).
• Provide at least three evidence-based, peer-reviewed journal articles or evidenced-based guidelines that relate to this case to support your diagnostics and differential diagnoses. Be sure they are current (no more than 5 years old)

RUBRIC

The response throughly and accurately describes the patient’s subjective complaint, history of present illness, past psychiatric history, medication trials and current medications, psychotherapy or previous psychiatric diagnosis, pertinent histories, allergies, and review of all systems that would inform a differential diagnosis.

The response thoroughly and accurately documents the patient’s physical exam for pertinent systems. Diagnostic tests and their results are thoroughly and accurately documented.

The response thoroughly and accurately documents the results of the mental status exam…. Response lists at least three distinctly different and detailed possible disorders in order of priority for a differential diagnosis of the patient in the assigned case study, and it provides a thorough, accurate, and detailed justification for each of the disorders selected.

The response provides an evidence-based, detailed, and appropriate plan for psychotherapy for the patient…. The response provides an evidence-based, detailed, and appropriate plan for treatment and management, including pharmacologic and nonpharmacologic treatments, alternative therapies, and follow-up parameters. A strong rationale for the plan is provided that demonstrates critical thinking and content understanding…. The response includes at least one evidence-based health promotion activity and one evidence-based patient education strategy.

Discussion include what may be done differently with this patient if student conducted the session again. Discussed the next intervention if you could follow up with this patient. The discussion was related to legal/ethical considerations (demonstrated critical thinking beyond confidentiality and consent for treatment!), social determinates of health, health promotion, and disease prevention that take into consideration patient factors (such as age, ethnic group, etc.), PMH, and other risk factors (e.g., socioeconomic, cultural background, etc.).

Provide at least three evidence-based, peer-reviewed journal articles or evidenced-based guidelines that relate to this case to support your diagnostics and differential diagnoses. Be sure they are current (no more than 5 years old).

Written Expression and Formatting – The paper follows correct APA format for parenthetical/in-text citations and reference list.

THE VIDEO WEBSITE AND THE TRANSCRIPT below

Walden University. (2021). Case study: Dev Cordoba. Walden University Canvas. https://waldenu.instructure.com.

[MUSIC PLAYING] DR. JENNY: Hi there. My name is Dr. Jenny. Can you tell me your

name and how old you are?

DEV CORDOBA: My name is Dev,and I am seven years old.

DR. JENNY: Wonderful. Dev, can you tell me what the month and the date is? And where are we right now?

DEV CORDOBA: Today is St. Patrick’s Day. It’s March 17th.

DR. JENNY: Do you know where we are?

DEV CORDOBA: We’re at the school.

DR. JENNY: Good. Did your mom tell you why you’re here today to see me?

DEV CORDOBA: She thought you were going to help me be better.

DR. JENNY: Yes, I am here to help you. Have you ever come to see someone like me before, or talked to someone like me before to help you with your mood?

DEV CORDOBA: No, never.

DR. JENNY: OK. Well, I would like to start with getting to know you a little bit better, if that’s OK. What do you like to do for fun when you’re at home?

DEV CORDOBA: Oh, I have a dog. His name is Sparky. We play policeman in my room. And I have LEGOs, and I could build something if you want.

DR. JENNY: I would love to see what you build with your LEGOs. Maybe you can bring that in for me next appointment. Who lives in your home?

DEV CORDOBA: My mom and my baby brother and Sparky.

DR. JENNY: Do you help your mom with your brother?

DEV CORDOBA: No. His breath smells like bad milk all the time. [CHUCKLES] And he cries a lot, and my mom spends more time with him.

DR. JENNY: So how do you feel most of the time? Do you feel sad or worried or mad or happy?

DEV CORDOBA: Worried.

DR. JENNY: What types of things do you worry about? DEV CORDOBA: I don’t know, just everything. I don’t know.

DR. JENNY: OK. So your mom tells me you also have a lot of bad dreams. Can you tell me a little

more about your bad dreams, like maybe what they’re about, how many nights you might have them?

DEV CORDOBA: I dream a lot that I’m lost, that I can’t find my mom or my little brother. They seem like they happen almost every night, but maybe not some nights.

DR. JENNY: Now that must feel horrible. Have you ever been lost before when maybe you weren’t asleep?

DEV CORDOBA: Oh, no. No. And I don’t like the dark. My mom puts me in a night light with the door open, so I know she’s really there.

DR. JENNY: That seems like that probably would help. Do you like to go to school? Or would you rather not go?

DEV CORDOBA: I worry about by mom and brother when I’m at school. All I can think about is what they’re doing, and if they’re OK. And besides, nobody likes me there. They call me Mr. Smelly. DR.

JENNY: Well. That’s not nice at all. Why do you feel they call you names?

DEV CORDOBA: I don’t know. But my mom says it’s because I won’t take my baths. [SIGHS] She tells

me to, and it– and I have night accidents.

DR. JENNY: Oh, how does that make you feel?

DEV CORDOBA: Sad and really bad. They don’t know how it feels for their daddy to never come home. What if my mom doesn’t come home too?

DR. JENNY: Yes, you seem to worry about that a lot. Does this worry stop you from being able to learn in school?

DEV CORDOBA: Well, [SIGHS] my teacher is, all the time, telling me to sit down and focus. And I get in trouble for [SIGHS] looking out the window. And she moved my chair beside her desk, but I don’t mind because Billy leaves me alone now.

DR. JENNY: Billy. Have you ever hit Billy or anyone else? DEV CORDOBA: No, but I did throw my book at him.

DR. JENNY: Hmm.

DEV CORDOBA: [CHUCKLES] DR.

JENNY: What about yourself? Have you ever hit yourself or

thought about doing something to hurt yourself?

DEV CORDOBA: No. DR. JENNY: OK. Well, Dev, I would like to talk to your mom now. We’re going to work together, and we’re going to help you feel happier, less worried, and be able to enjoy school more. Is that OK?

DEV CORDOBA: Yes. Thank you.

MISS CORDOBA: Hi. DR. JENNY: Thank you, Miss Cordoba, for bringing in Dev. I feel we can help him. So tell me, what is your main concerns for Dev?

MISS CORDOBA: [SIGHS] Well, he just seems so anxious and worried all the time, silly things like I’m going to die, or I won’t pick him up from school. He says I love his brother more than him. He’ll throw things around the house,and gets in trouble at school for throwing things. He has a difficult time going to sleep. He wants his lights on, doors open, gets up frequently. And he’s all the time wanting to come home from school, claims stomach aches, and headaches almost daily. He won’t eat. He’s lost three pounds in the past three weeks. Our pediatrician sent us to you because he doesn’t believe anything is physically wrong. Oh, and I almost forgot. He still wets the bed at night. [SIGHS] We’ve tried everything. His pediatrician did give him DDVAP, but it doesn’t seem to help.

DR. JENNY: Hmm. OK. Can you tell me, any blood relatives have any mental health or substance use issues?

MISS CORDOBA: No, not really.

DR. JENNY: What about his father? He said that he never came home?

MISS CORDOBA: Oh, yes. His father was deployed with the military when Dev was five. I told Dev he was on vacation. I didn’t know what to tell him. I thought he was too young to know about war. And his father was killed, so Dev still doesn’t understand that his father didn’t just leave him. [SIGHS] I just feel so guilty that all of this is my fault. DR. JENNY: Miss Cordoba,

you did the right thing by bringing in Dev. We can help you with him. MISS CORDOBA: Oh, thank you. [MUSIC PLAYING]