NR 305 Week 4 Discussion Community Access to Mental Health Services

NR 305 Week 4 Discussion Community Access to Mental Health Services

NR 305 Week 4 Discussion Community Access to Mental Health Services

Depression can affect anyone at any time in their lives and everyone must be screened for depression.  Some subjective findings that would indicate the need for further assessment would be despair, anhedonia, a decrease in appetite, insomnia, overwhelming sadness, fatigue, and inability to concentrate.  Some objective findings would be anxiety, muscle tension, inability to sit still, unkempt appearance.  I would use a personal history assessment, Depression Questionnaire, and SAD PERSONS Suicide Risk Assessment (Weber, 2018, p 82).  It is important to check for substance abuse problems as people often self-medicate, I would ask about alcohol and drug abuse using the AUDIT (Weber, 2018 p 76).

I live in a smaller rural community but there are resources in the area for help with depression.  Helping Hand Behavioral Health is located in the neighboring town.  They have a variety of programs and both in and outpatient services to help with mental illness and depression.  They have evaluation and counseling services, group therapy, living skills, nutrition, and also provide transportation.  They also have pet therapy and exercise programs.  I am happy to see that they have a very well-rounded program that not only offers mental health services but promotes whole-body wellness.

References:

Weber, J.R. & Kelley, J.H. (2018). Health assessment in nursing (6th ed.). Wolters Kluwer.

Helping Hands Behavioural Health (2020, July 27) www.helpinghandsbehavioralhealth.com

NR 305 Week 4 Discussion Community Access to Mental Health Services

I had it in my head that yesterday was Sunday, and suddenly realized that it was today! Therefore, I will be explaining the Ketogenic Diet as well. I had to research this one a bit, as it wasn’t covered in our textbook. I’m familiar with the Atkin’s diet and South Beach diet for weight loss, but they have been controversial. Generally speaking, a Ketogenic diet is low in carbohydrates and high in fat. More specifically, carbohydrates lower than 50 grams and fat greater than 70%. I was interested to learn that it has also been used to reduce the frequency of seizures in children with  “…refractory epilepsy, patients in whom resective epilepsy surgery is not feasible.” (Lambrechts et al., 2016, Introduction section) This diet is also being studied in use for patients with insulin resistance, cancer, and a number of other health issues.  Part of the controversy to the diet focuses on the amount of saturated fat that can be consumed while still following the diet. However, some supporters of the diet have noted a decrease in LDL cholesterol. Also, it is generally assumed that it requires one to eat a high amount of animal products, but it can be adapted to a vegetarian or vegan diet as well. (Ludwig, 2019)

Questions I would ask my cousin:

*What do you hope to achieve with this diet? Weight loss? Blood sugar control?

*Have you consulted your doctor? Will you follow up?

*What kind of diet do you currently follow?

*Will this be temporary, or a life change?

*Are you planning to do this on your own, or will household family members also be following?

*Are you aware that it is an expensive diet?

*Do you plan to include exercise if your aim is to lose weight?

*Do you have any pre-existing health conditions? Diabetes? CVD?

Advice I would offer would be to consult his/her primary care doctor for guidance. I would also suggest that they read up on potential side effects of a drastic change in diet. Some have noted gi upset with a change of fat intake. (Lambrechts et al., 2016) I would recommend that my cousin stay hydrated and make sure that the carbohydrates they are ingesting are complex vs simple to maximize the amount of energy stored. (Janet R. Weber Rn Edd & Kelley, 2018) I would encourage him/her to do their research, and make sure that it is a diet they can follow. I would advise them that it is not a diet that one can have “cheat days”.

References

Janet R. Weber Rn Edd & Kelley, J. H. (2018). Health assessment in nursing (6th ed.). Lww.

Lambrechts, D. E., de Kinderen, R. A., Vles, J. H., de Louw, A. A., Aldenkamp, A. P., & Majoie, H. M. (2016). A randomized controlled trial of the ketogenic diet in refractory childhood epilepsy. Acta Neurologica Scandinavica, 135(2), 231–239. https://doi.org/10.1111/ane.12592Links to an external site.

Ludwig, D. S. (2019). The ketogenic diet: Evidence for optimism but high-quality research needed. The Journal of Nutrition, 150(6), 1354–1359. https://doi.org/10.1093/jn/nxz308

This week’s graded topics relate to the following Course Outcomes (COs).

CO 1 – Utilize prior knowledge of theories and principles of nursing and related disciplines to explain expected client behaviors, while differentiating between normal findings, variations, and abnormalities. (PO 1)

CO 4 – Identify teaching/learning needs from the health history of an individual. (PO 2)

Discussion

Access to mental health services is a hot topic in U.S. Healthcare. Do you know what resources are available for clients seeking care in your own community? Select one mental health related condition from the list below. Conduct a web search to identify health care services within your community aimed specifically at addressing this condition.

Choose one:

Depression

Suicidal ideation

Opioid addiction

Answer the following questions in your post:

When reviewing a client’s health history and physical examination record, what are some findings (subjective and objective) that may indicate a need for further in-depth assessment for the condition you selected above?

Describe a focused specialty assessment tool you could use to screen the client for this condition.

What resources did you find in your community that address this issue? What type of services do they provide? Were there specific resources or services you were hoping to locate, and could not? Please explain.

Discussion Questions (DQ)

• Initial responses to the DQ should address all components of the questions asked, include a minimum of one scholarly source, and be at least 250 words.
• Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source.
• One or two sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words.
• I encourage you to incorporate the readings from the week (as applicable) into your responses.

Weekly Participation

• Your initial responses to the mandatory DQ do not count toward participation and are graded separately.
• In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies.
• Participation posts do not require a scholarly source/citation (unless you cite someone else’s work).
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• I discourage overutilization of direct quotes in DQs and assignments at the Masters’ level and deduct points accordingly.
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• Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for tips on improving your paper and SI score.

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• The university’s policy on late assignments is 10% penalty PER DAY LATE. This also applies to late DQ replies.
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Communication

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o Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class.
o Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours.

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