Assignment: NU671 Unit 4: Clinical Preparation Journal

Each week you will be given a prompt to write a reflective journal assignment that will allow you to investigate areas for clinical preparation in psychiatric mental health. The reflective journal should be substantive, containing a minimum of 250 words. Supporting evidence for your thoughts and ideas should come from a minimum of one scholarly source. Sources should have in-text citations where appropriate and be referenced on a reference page according to APA 7th Edition standards.

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Review video about Adverse Childhood Experience:

Estimated Time to Complete: 16 minutes

Review the article related to the ACEs study:

Hilgen Bryan, R., DNP, AGNP. (2019, February 01). Getting to why: Adverse childhood experiences’ impact on adult health (Links to an external site.). The Journal for Nurse Practitioners, 15(2). p153-157. https://www.npjournal.org/article/S1555-4155(18)30843-2/fulltext
Review Tool Kit:

Aces Aware. (2020). Provider toolkit (Links to an external site.). State of California Department of Health Care Services. https://www.acesaware.org/heal/provider-toolkit/
What are the main components of trauma-informed care why is the ACEs model of screening is so important in primary care and psychiatric mental health care for ALL patients?

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Rubric
NU671 Unit 4 Assignment – Clinical Preparation Journal Rubric
NU671 Unit 4 Assignment – Clinical Preparation Journal Rubric
Criteria Ratings Pts
This criterion is linked to a Learning OutcomeThe psychiatric/mental health area investigated is identifiable in the submission.
5 pts
Proficient
The submission is clear on the psychiatric/mental health area investigated.
3 pts
Approaching Proficiency
The submission is unclear on the psychiatric/mental health area investigated.
0 pts
Not Proficient
The submission does not contain an identified psychiatric/mental health area investigated.
5 pts
This criterion is linked to a Learning OutcomeThe reflection submitted is focused on the identified psychiatric/mental health area investigated.
10 pts
Proficient
An exemplary discussion of the identified psychiatric/mental health area is noted in the submission.
7 pts
Approaching Proficiency
A satisfactory discussion of the identified psychiatric/mental health area is noted in the submission.
3 pts
Not Proficient
The discussion of the identified psychiatric/mental health area is limited in detail.
10 pts
This criterion is linked to a Learning OutcomeThe reflective discussion is supported by scholarly resources.
10 pts
Proficient
The reflective discussion is supported well by scholarly psychiatric/mental health literature.
5 pts
Approaching Proficiency
The reflective discussion is supported by basic resources in the psychiatric/mental health literature.
2 pts
Not Proficient
The reflective discussion is not supported by psychiatric/mental health resources.
10 pts
This criterion is linked to a Learning OutcomeThe reflective discussion is a minimum of 250 words.
5 pts
Proficient
The submission is substantive and contains 250 or more words.
0 pts
Not Proficient
The reflective discussion is not substantive and contains less than the required 250 words.
5 pts
Total Points: 30

Clinical Preparation Journal

Screening of adverse childhood experiences (ACEs) is essential nationally. Bryan (2019) states that these ACEs include childhood trauma, incarceration, sexual abuse, substance dependencies, and physical and emotional abuse. However, according to Dr. Nadine Burke, most healthcare providers commonly mistake ACEs for attention deficit hyperactivity disorder (ADHD), a disorder inherited from family members. Dr. Burke elaborates further that regular early childhood adversities make the children move from being adaptive to the situation to becoming maladaptive, which is also perceived as health-damaging conditions. That is because children tend to adapt to this regular stress activation sensitivity since their bodies and brains at this stage of life continue developing (TED, 2015, 8.51 – 8.58). Hence, what people should acknowledge is that high adversity doses do not only affect the child’s brain function and structure since it also influences the child’s developing hormonal and immune system negatively, including DNA reading and transcription (TED, 2015, 9.00-9.30).

Therefore, understanding how diseases come along and which pathways make it easy to intervene in the best treatment and prevention. There is a need for healthcare providers to ensure that they engage in evidence-based research that helps in elaborating different mental health factors to prevent misdiagnosis (Bryan, 2019). That is because once misdiagnosis occurs, the patient is at a higher risk of experiencing more adverse effects like being depressed and having suicidal thoughts including cancer and heart diseases. Hence, there is a need to evaluate the occurrence of ACEs nationwide to reduce the future occurrence of a disease like heart disease, which is among the leading cause of death in the United States. Also, parents and guardians need proper patient education to prevent more adverse effects.

References

Bryan, H. (February 01, 2019). Getting to why: Adverse childhood experiences’ impact on adult health. The Journal for Nurse Practitioners, 15(2). p153-157. https://www.npjournal.org/article/S1555-4155(18)30843-2/fulltext

TED (February 17, 2015). How childhood trauma affects health across a lifetime: Nadine Burke Harris. Youtube. https://www.youtube.com/watch?v=95ovIJ3dsNk