It is troubling that other clinicians allowed her to continue to practice when her competency was questionable. The clinician is putting the clients at risk and not taking time to care for herself. My concern is that she is using client sessions to vent about her own personal problems. Currently, she has poor judgment and may refuse to refer clients out, which would be reported before things worsen. This situation can intensity her mental state if the board rules against her and considers her incompetent.
1. During the interview, the interviewer (Dr. Noonan) was able to control the session even when the client was challenging her. Dr. Noonan continued to repeat the question "How can I help you?" when the client avoided answering Dr. Noonan about why she was seeking services from her. The interviewer also maintained patient confidentiality when the client mentioned a previous coworker that had also seen Dr. Noonan. Dr. Noonan did not give any information to the client about this previous patient and she did not give any indication that she had been this coworker's doctor in the first place.
CM was out on vacation for the period of 5/2/2016 to 5/9/2016. On 5/19/2016, CM met with the client to update Assessment and to complete Other ILP Review. In the meeting client appears to be friendly and cooperative. She appears to have some cognitive impairment. Client reported WECARE/Wellness referred the client to see Dr. Larissa Lempert/Neurology. Next upcoming appointment is scheduled for 5/26/2016. During the meeting session, client was dressed appropriately for the weather and had good hygiene. She ambulates with a cane due to leg problem. Client affect was flat. Client denied suicidal or homicidal ideation.
After reviewing the list of NASPA and ACPA professional competencies, I am most competent in the areas of Leadership, and Student Learning and Development. Nevertheless, I feel as though I can improve on Values, Philosophy, and History, and Assessment, Evaluation, and Research.
A few of my foundational clinical skills strengths would encompass possessing a non judgmental demeanor, empathy, and genuineness. I have always had a nonjudgemental view going as far back as I could remember. Perhaps the reason stems from listening to extensive hours of gossip as a child during family events. I learned to despise conversations that focused on judging peoples reactions or behaviors. I believe this may be the leading reasons I can express empathy to others. In Fellers & R’s (2003) article, The importance of Empathy in the therapeutic alliance explains that empathy guides the therapist to evaluate the clients behavior and therefore be less judgmental. Empathy also leads to possessing a raw genuineness about one’s self
Many assessment tools and interviewing skills are available to the clinical social worker within a mental health setting. This paper will examine one such assessment tool, the competency based assessment, and its applicability in a mental health setting. A comparison will be made between this advanced assessment method and a generalist social work assessment. Interviewing people who have mental health concerns can offer challenges for clinical social workers. Several interviewing techniques that can help with some of these challenges will be outlined.
ARMSTRONG, M. (2011) How to be an even better manager. 8th ed. London: Kognan Page.
1. Describe the qualities, skills, talents, and experiences of a good health care practitioner. How do you exhibit them?
The therapist has to be ready for whatever the outcome of his decision may be. The biggest thing will be the breach of confidentiality, but he is protected by law. It is better for him to report the client to the 3rd party or official and nothing occurs, then to not report the client, and someone
I like the approach you gave this case. However, I do not completely agree with some of the points that you mentioned. Even though in our role as a case manager we directly interact with Shelley, our professional responsibilities goes beyond this professional relationship. As a case manager in a rehabilitation facility, our professional responsibilities are to protect both the patients Shelley will treat in the future and Shelley herself. In my previous reply to Matthew, I explained some of the dangers that a doctor suffering from addictive to narcotics could face if he or she is not removed from the practice in time. Which is why we as case manager have to use all available resources to ensure it is safe for Shelley to go back to practice
In my experience, we do a fair to poor job as physicians of self-regulating ourselves and immediate proxy peers’ work performance. Most organizations have existing procedures, policies, and committees in place to address physician performance. Medical staff by-laws, peer review process, and credentialing are a few such mechanisms. Several studies according to Choudry et al in the article Systematic Review: The Relationship between Clinical Experience and Quality of Health Care have found that physicians who have been in practice for more years are less likely to deliver high-quality care. There is also evidence to support the same finding for physicians who are in their first one to five years of post-residency career. To avoid being overly
The five core competencies identified by IOM and the sixth added by QSEN, safety, are believed to be necessary to improve both quality and safety of the healthcare system within which nurses work (Multimethod teaching). The six core competencies outlined are patient-centered care, teamwork and collaboration, evidence-based practice, quality improvement, informatics, and safety (Diffusing Qsen). While all competencies are significant to the healthcare system, patient centered care is vital to positive patient outcomes and focuses on the patient’s perspective within the healthcare system.
The credentialing process can be divided into two smaller components which entail initial credentialing and the credentialing of medical practitioners. al practitioners. To make sure that qualified practitioners are providing care at the institution in question, the process is slightly different for these two separate entities. Initial credentialing requires primary source verification of education and and board certification as well as looking at past employment records and competencies in various professional areas. “Primary source is defined as either the source of the information being verified, such as a license board, or as a secondary data repository that has been approved to act as a primary source by the relevant auditing organization”
Advanced practice nurses have core competencies that are similar or are specific to each specialization defined as an advanced practice. The profession of nursing presents favorable circumstances for nurses to specialize in roles with distinct responsibilities and opportunities to contribute to the function of a health care industry with growing demands and complexity. The profession of nursing continues to debate to whom the title advanced practice nurse applies to. Examination of the core concept frame works described by nurse leaders and professional organizations tend to either support or refute the argument related to the use of the term, advanced practice nurse for nursing administrators and educators. For the purpose of this paper the author will explore the core competency similarities and differences of a nurse practitioner and a nurse educator. Nurse educators and nurse practitioners are registered nurses that possess advanced education, skills, and experience. Each specialty nurse has defined scopes of practice with distinct sets of responsibilities, requirements, and skills. Each role represents distinct educational requirements and activities that contribute to the complex and diverse health care industry.
The Age of Regulated Prices for Government Programs was from 1983-1992. With rapid inflation in medical cost during this time period, the federal government started focusing on government set rates that were diagnostic-related instead of the fee-for-service payment method that previously existed. Rural health clinics increased, which assisted low-income pregnant women and children to receive the healthcare that they needed to stay healthy. In addition, large companies and corporations started taking charge of purchasing their own healthcare insurances. There was also an increased emphasis for nurses to assume the role as a cost-effective provider. They were expected to increase access to care throughout the community setting. Nursing programs
If psychologists learn of misuse or misrepresentation of their work, they take reasonable steps to correct or minimize the misuse or misrepresentation” in Carolyn’s case the psychologist continued on with the assessment without being aware of family background and allowing a mentally disabled woman to make her own decisions even if they did not benefit Carolyn’s medical or mental health. There was not even an attempt to contact the medical professional Carolyn may have seen from time to time. Apparently there was no written data within this psychologist reach