Personal Philosophy of Nursing

This information is also found in the Student Handbook.

Develop a personal philosophy focusing on the central concerns of nursing. The fundamental elements are to be included; others may be chosen if desired. Use at least two references to support your point of view. One reference must be research based from a nursing journal.

A philosophy of nursing is by its very nature, a very individualized, personal statement based on subjective life experiences and adoption of particular world views. As such, the grading of this project will rest solely on the “depth and breadth” of the philosophical inquiry guided by the questions. Total points possible for this project are 15. This is not a simple exercise. Put thought into this. It is your personal philosophy of nursing. Please answer the questions below:

Personal Knowing 1. Examine your personal beliefs and baccalaureate nursing education.

(Write an overall introduction of your personal beliefs about being a baccalaureate prepared nurse).

Ontological Questioning 2. To develop a personal philosophy of nursing: one must focus on the central concerns of the discipline. This would include, for example, the nature of human beings and the life process. From the perspective of nursing, attempt to answer the following questions which reflect the fundamental elements of nursing and any others you may choose to incorporate:

3. What is society – of whom is it composed, and what is the nature of the relationships among its constituents including self in the role of the nurse? Where do you, as a professional nurse, fit into the picture and landscape of community?
   b. What are your central beliefs about the individual person, and that individual’s potential? The individual’s ability to learn, change, and heal? The family? The community? Your role as a professional nurse in these processes and relationships?
   c. What constitutes the environment? How do human beings and the environment interact? What contextual importance does it have for the focus of the discipline of nursing.
   d. What is your view(s) of health? Is it a continuum? A unidirectional phenomenon? A state? A process? Achieved/maintained alone or in unison with others?
   e. How do illness and wellness relate to health?
   f. What is the central reason for the existence of nursing and your calling to it?
   g. Who is the recipient of your nursing call?
   h. How does self-discovery and knowledge development occur in nurse-client relationships.Empirical Knowing 3. From the perspective of a philosopher’s concern with knowledge, Epistemological attempt to answer the following questions that reflect the Questioning essential elements of the scientific discipline of nursing:
   a. What do you believe is the nursing process?
   b. From what cognitive base does the professional nurse operate? Critical thinking? Problem-solving methodology?
   c. How do you implement the nursing process as you define it? What is necessary in the application of knowledge?
   d. How is the theory base for nursing derived?
   e. What is the theoretical framework for the profession? Is there room for diversity of thought, or is unity conceptual?

   Ethical and Esthetic 4. From the philosopher’s concern with ethics and esthetics, attempt Knowing to answer the following questions reflecting the valuation elements of nursing:

4. What are the essential rights and responsibilities of the professional nurse?
   b. What are the essential rights and responsibilities of the recipient of nursing care?
   c. How do your beliefs about nursing guide the research, education, administration and practice components of your role as a professional nurse?
   d. What are the governing ethical principles in the delivery of nursing care and the conduct of nursing research?
   e. What are your beliefs about the educational requirements and the focus of education for the practice of the profession?
   f. What are your beliefs about the teaching-learning process?
   g. What do you believe is needed for your continued development of esthetic knowing or responsiveness in nurse-client interactions?

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Conducting a Diagnostic Interview With a Mental Status Exam

Assignment: Conducting a Diagnostic Interview With a Mental Status Exam (MSE)

Before moving through diagnostic decision making, a social worker needs to conduct an interview that builds on a biopsychosocial assessment. New parts are added that clarify the timing, nature, and sequence of symptoms in the diagnostic interview. The Mental Status Exam (MSE) is a part of that process.

The MSE is designed to systematically help diagnosticians recognize patterns or syndromes of a person’s cognitive functioning. It includes very particular, direct observations about affect and other signs of which the client might not be directly aware.

When the diagnostic interview is complete, the diagnostician has far more detail about the fluctuations and history of symptoms the patient self-reports, along with the direct observations of the MSE. This combination greatly improves the chances of accurate diagnosis. Conducting the MSE and other special diagnostic elements in a structured but client-sensitive manner supports that goal. In this Assignment, you take on the role of a social worker conducting an MSE.

To prepare:

• Watch the video describing an MSE. Then watch the Sommers-Flanagan (2014) “Mental Status Exam” video clip. Make sure to take notes on the nine domains of the interview.
• Review the Morrison (2014) reading on the elements of a diagnostic interview.
• Review the 9 Areas to evaluate for a Mental Status Exam and example diagnostic summary write-up provided in this Week’s resources.
• Review the case example of a diagnostic summary write-up provided in this Week’s resources.
• Write up a Diagnostic Summary including the Mental Status Exam for Carl based upon his interview with Dr. Sommers-Flanagan.

Note

Submit a 2- to 3-page case presentation paper in which you complete both parts outlined below:

Part I: Diagnostic Summary and MSE

Provide a diagnostic summary of the client, Carl. Within this summary include:

• Identifying Data/Client demographics
• Chief complaint/Presenting Problem
• Present illness
• Past psychiatric illness
• Substance use history
• Past medical history
• Family history
• Mental Status Exam (Be professional and concise for all nine areas)
  • Appearance
  • Behavior or psychomotor activity
  • Attitudes toward the interviewer or examiner
  • Affect and mood
  • Speech and thought
  • Perceptual disturbances
  • Orientation and consciousness
  • Memory and intelligence
  • Reliability, judgment, and insight

Part II: Analysis of MSE

After completing Part I of the Assignment, provide an analysis and demonstrate critical thought (supported by references) in your response to the following:

• Identify any areas in your MSE that require follow-up data collection.
• Explain how using the cross-cutting measure would add to the information gathered.
• Do Carl’s answers add to your ability to diagnose him in any specific way? Why or why not?
• Would you discuss a possible diagnosis with Carl at this point in time? Why?

Note

Support Part II with citations/references. The DSM 5 and case study do not need to be cited.  Utilize the other course readings to support your response.

References:

Mental Status Examination

https://www.youtube.com/watch?v=RdmG739KFF8

Sommers-Flanagan, J., & Sommers-Flanagan, R. (Producers). (2014). Clinical interviewing: Intake, assessment and therapeutic alliance [Video file]. Clinical Interviewing: Intake, Assessment & Therapeutic Alliance | Kanopy https://waldenu.kanopy.com/video/clinical-interviewing-intake-assessment-ther

Morrison, J. (2014). Diagnosis made easier: Principles and techniques for mental health clinicians (2nd ed.). New York, NY: Guilford Press

American Psychiatric Association. (2013). Assessment measures. In Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA: Author. doi:10.1176/appi.books.9780890425596.AssessmentMeasures

Focus on the “Cross-Cutting Symptom Measures” section.

https://doi.org/10.1176/appi.books.9780890425596.AssessmentMeasures

Importance of having adapted recreation in the community

Adapted Recreation Programs

Watch the video and discuss the importance of having adapted recreation in the community.

Note

:200 word requirement

Liberty

1.What did the Founding Fathers (including Paine, Jefferson, Madison, and other authors of our founding documents) mean by the terms “Liberty” and “Freedom?”

2. How did they define these terms?  What measures to protect liberty did they put into the Constitution?

3.Which “liberties” did they seek to protect, and which liberties did they fail to protect? And finally, whose liberties were protected in the original Constitution, and whose were not?

Intermittent fasting

After reading through the material on intermittent fasting this week, what is your view on its safety and efficacy? Would you recommended intermittent fasting to family, friends or clients as a health education professional?

If so, which type of fasting do you recommend and why? If not, what type of eating pattern would you recommend and why?

Note

You should be using credible sources in these posts and citing them within the post as well as including the full citation at the end.