PRAC_6665 Week11 Assignment CONTROVERSY ASSOCIATED WITH DISSOCIATIVE DISORDERS
Walden University PRAC_6665 Week11 Assignment CONTROVERSY ASSOCIATED WITH DISSOCIATIVE DISORDERS-Step-By-Step Guide
This guide will demonstrate how to complete the Walden University PRAC_6665 Week11 Assignment CONTROVERSY ASSOCIATED WITH DISSOCIATIVE DISORDERS assignment based on general principles of academic writing. Here, we will show you the A, B, Cs of completing an academic paper, irrespective of the instructions. After guiding you through what to do, the guide will leave one or two sample essays at the end to highlight the various sections discussed below.
How to Research and Prepare for PRAC_6665 Week11 Assignment CONTROVERSY ASSOCIATED WITH DISSOCIATIVE DISORDERS
Whether one passes or fails an academic assignment such as the Walden University PRAC_6665 Week11 Assignment CONTROVERSY ASSOCIATED WITH DISSOCIATIVE DISORDERS depends on the preparation done beforehand. The first thing to do once you receive an assignment is to quickly skim through the requirements. Once that is done, start going through the instructions one by one to clearly understand what the instructor wants. The most important thing here is to understand the required format—whether it is APA, MLA, Chicago, etc.
After understanding the requirements of the paper, the next phase is to gather relevant materials. The first place to start the research process is the weekly resources. Go through the resources provided in the instructions to determine which ones fit the assignment. After reviewing the provided resources, use the university library to search for additional resources. After gathering sufficient and necessary resources, you are now ready to start drafting your paper.
How to Write the Introduction for PRAC_6665 Week11 Assignment CONTROVERSY ASSOCIATED WITH DISSOCIATIVE DISORDERS
The introduction for the Walden University PRAC_6665 Week11 Assignment CONTROVERSY ASSOCIATED WITH DISSOCIATIVE DISORDERS is where you tell the instructor what your paper will encompass. In three to four statements, highlight the important points that will form the basis of your paper. Here, you can include statistics to show the importance of the topic you will be discussing. At the end of the introduction, write a clear purpose statement outlining what exactly will be contained in the paper. This statement will start with “The purpose of this paper…” and then proceed to outline the various sections of the instructions.
How to Write the Body for PRAC_6665 Week11 Assignment CONTROVERSY ASSOCIATED WITH DISSOCIATIVE DISORDERS
After the introduction, move into the main part of the PRAC_6665 Week11 Assignment CONTROVERSY ASSOCIATED WITH DISSOCIATIVE DISORDERS assignment, which is the body. Given that the paper you will be writing is not experimental, the way you organize the headings and subheadings of your paper is critically important. In some cases, you might have to use more subheadings to properly organize the assignment. The organization will depend on the rubric provided. Carefully examine the rubric, as it will contain all the detailed requirements of the assignment. Sometimes, the rubric will have information that the normal instructions lack.
Another important factor to consider at this point is how to do citations. In-text citations are fundamental as they support the arguments and points you make in the paper. At this point, the resources gathered at the beginning will come in handy. Integrating the ideas of the authors with your own will ensure that you produce a comprehensive paper. Also, follow the given citation format. In most cases, APA 7 is the preferred format for nursing assignments.
How to Write the Conclusion for PRAC_6665 Week11 Assignment CONTROVERSY ASSOCIATED WITH DISSOCIATIVE DISORDERS
After completing the main sections, write the conclusion of your paper. The conclusion is a summary of the main points you made in your paper. However, you need to rewrite the points and not simply copy and paste them. By restating the points from each subheading, you will provide a nuanced overview of the assignment to the reader.
How to Format the References List for PRAC_6665 Week11 Assignment CONTROVERSY ASSOCIATED WITH DISSOCIATIVE DISORDERS
The very last part of your paper involves listing the sources used in your paper. These sources should be listed in alphabetical order and double-spaced. Additionally, use a hanging indent for each source that appears in this list. Lastly, only the sources cited within the body of the paper should appear here.
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PRAC_6665 Week11 Assignment CONTROVERSY ASSOCIATED WITH DISSOCIATIVE DISORDERS
Running head: CONTROVERSY ASSOCIATED WITH DISSOCIATIVE DISORDERS 1
CONTROVERSY ASSOCIATED WITH DISSOCIATIVE DISORDERS 2
This article reviews patients’ actions reflected by carrying out medication lists to diminish information loss from health care settings and identifying support for patient safety. The study reveals priorities for improving medication safety in primary care by addressing incomplete medication reconciliation. The strength of the study is reflected by the empowerment and confidentiality inspired to patients by involvement in medication management, increasing their dignity and self-esteem level, evidencing a form of resilience in nursing practice. Patient-held medication lists may be helpful for information transfer in emergency situations when communication is altered. Patient-held medication lists assist with taking medications, reordering, monitoring health care conditions, or tracking the efficiency of medications. The weakness of the study is reflected by possible disconnections between the information needs by health care professionals and the information being kept by patients who carried medication lists. Another limitation of the study is interviewing more females than males who carried a medication list, and the procedure suggests that more females carry a medication list than males and may reflect an inaccurate practice (Garfield et al., 2020).
WK 11 PRAC 6665
Assignment: Journal Entry
Photo Credit: Image by Free-Photos from Pixabay
Critical reflection of your growth and development during your practicum experience in a clinical setting has the benefit of helping you to identify opportunities for improvement in your clinical skills, while also recognizing your strengths and successes.
Use this Journal to reflect on your clinical strengths and opportunities for improvement, the progress you made, and what insights you will carry forward into your next practicum.
To Prepare
· Refer to the “Population-Focused Nurse Practitioner Competencies” found in the Week 1 Learning Resources, and consider the quality measures or indicators advanced nursing practice nurses must possess in your specialty of interest.
· Refer to your Clinical Skills Self-Assessment Form you submitted in Week 1, and consider your strengths and opportunities for improvement.
· Refer to your Patient Log in Meditrek, and consider the patient activities you have experienced in your practicum experience and reflect on your observations and experiences.
Journal Entry (450–500 words)
Learning From Experiences
· Revisit the goals and objectives from your Practicum Experience Plan. Explain the degree to which you achieved each during the practicum experience.
· Reflect on the three (3) most challenging patients you encountered during the practicum experience. What was most challenging about each?
· What did you learn from this experience?
· What resources were available?
· What evidence-based practice did you use for the patients?
· What would you do differently?
· How are you managing patient flow and volume?
· How can you apply your growing skillset to be a social change agent within your community?
Communicating and Feedback
· Reflect on how you might improve your skills and knowledge, and communicate those efforts to your Preceptor.
· Answer the questions: How am I doing? What is missing?
· Reflect on the formal and informal feedback you received from your Preceptor.
Sample Answer for PRAC_6665 Week11 Assignment CONTROVERSY ASSOCIATED WITH DISSOCIATIVE DISORDERS
Recent advances in the field of mental health and illness have led to the improvement of diagnostics and treatment strategies to enhance patient outcomes. Formulated guidelines and treatment strategies for most mental illnesses are agreeable and, therefore, applied in the treatment and management of various mental illnesses. For example, the DSM-5-TR has been used as a diagnostic tool for years. However, it has evolved to include legal cases, access to services, and billing (First et al.,2023). However, it is worth noting that not all practitioners usually agree with its structure and content. One disorder that some don’t agree with is the dissociative disorder. These disorders are usually complicated to diagnose and distinguish. Controversy exists over the legitimacy of particular disorders, such as dissociative identity disorder. As such, the purpose of this assignment is to explore the controversy surrounding dissociative disorder and discuss the legal, ethical, and clinical considerations pertinent to working with patients with such disorders.
Controversy Surrounding Dissociative Disorders
Dissociative disorders are characterized by an individual disconnecting from their sense of identity, memories, feelings, or thoughts. However, over the years, controversy has surrounded dissociative disorders, especially since the start of modern psychology and psychiatry. It is worth noting that in some cases, the professionals’ beliefs about dissociative disorders are not based on any scientific research, findings, or literature (Dodier et al.,2022). A substantial amount of recent data and evidence has supported a relationship between dissociative disorders and psychological trauma, particularly early life and or cumulative trauma. However, there are also individuals who have countered such evidence by clinging to statements such as dissociative disorders are artefactual conditions that are brought about by socio-cultural factors.
Those who oppose the existence of dissociative disorders use three interconnected models to advance their positions. For example, they use the Iatrogenic model, which views the condition as produced in highly suggestible and hypnotizable patients, in most cases with Borderline Personality Disorder by clinicians who believe in multiple personalities and repressed memory (Lyn et al.,2022). Therefore, they use treatment approaches such as hypnosis to exhume the once-forgotten traumas and implant false memories. According to the sociocognitive model, psychotherapy is not required for severe dissociative disorder development.
The third model, which is the Fantasy Model, considers dissociation as a cognitive characteristic that causes fantasies. The proponents of these theories argue that there is insufficient data that supports the relationship between dissociation and trauma. They also argue that there are no psychological processes that can explain amnesia for trauma since the individuals remember the experiences well (Lyn et al.,2022). Therefore, treatment entails turning a blind eye to dissociative disorder and the symptoms of trauma, focusing on everyday problems, and treating the real existing mental disorders such as depression.
Professional Beliefs About Dissociative Disorders
Debates regarding dissociative disorders will always exist since there are still a large number of individuals who believe in their existence and others who don’t believe in their existence. As such, it is important to discuss the professional’s beliefs regarding such dissociative disorder. Among my professional beliefs about dissociative disorders is that it should be an obligation of a mental health practitioner to carry out a comprehensive patient assessment during the diagnosis of suspected dissociative disorders. Such an approach or strategy will help in differentiating this condition from other conditions that may present with similar symptoms, such as borderline personality disorder (Lyn et al.,2022). Accurate diagnosis can be important to initiate the right treatment strategies for better patient outcomes.
I also believe that dissociative disorders exist and that they are not just here-says or creations of other individuals. These conditions are mental health disorders that have existed for a long time, as indicated by Loewenstein et al.(2022). There are records of individuals who have presented with the condition’s symptoms in the past and have been treated using formal treatment approaches (Maldonado & Spiegel, 2024). As such, I also believe that patients presenting with these symptoms should seek professional help in the treatment and management of the symptoms. There is also evidence that dissociative disorders can be differentiated from other conditions using the current diagnostic strategies; as such, individuals are also treated and managed using different approaches. Indeed, a recent research by Kate et al. (2020) showed that prevalence of the dissociative disorder is about 12%.
Strategies For Maintaining Therapeutic Relationship With A Client That May Present With Dissociative Disorder
It is evident that there are controversies surrounding dissociative disorders. Besides, there still exist challenges in diagnosing these conditions and differentiating them from others. As such, patients diagnosed with this condition should taken care of. One aspect of ensuring better outcomes is striking and maintaining a therapeutic relationship with a client who may present with dissociative disorder. One of the strategies is using and encouraging open communication with such patients (Fung et al.,2022). Open and effective communication can play an important role in helping the patients share their feelings and experiences, which can be vital to the formulation of appropriate treatment and management plans agreeable to both parties. It is also important to keep the patient’s information private and confidential.
Ethical and Legal Considerations In Dissociative Disorder
It is important to explore ethical and legal considerations in dissociative disorder. One of them is determination if the patient is competent to make decisions concerning their treatment as they may have multiple identities, which can lead to conflicting preferences (Lynn et al.,2022). Therefore, patient autonomy is put at risk, which requires collaborative and multidisciplinary approaches to avoid any legal issues. There is also a need to offer patient treatment without coercion.
Conclusion
Controversies still exist regarding dissociative disorders. Therefore, it is important to have an idea of what such controversies are. This assignment has explored such controversies and professional beliefs regarding these disorders. In addition, strategies for maintaining therapeutic relationships with patients with such patients have been explored.
References
Dodier, O., Otgaar, H., & Lynn, S. J. (2022, November). A critical analysis of myths about dissociative identity disorder. In Annales Médico-psychologiques, revue psychiatrique (Vol. 180, No. 9, pp. 855-861). Elsevier Masson. https://doi.org/10.1016/j.amp.2021.10.007
First, M. B., Clarke, D. E., Yousif, L., Eng, A. M., Gogtay, N., & Appelbaum, P. S. (2023). DSM-5-TR: rationale, process, and overview of changes. Psychiatric Services, 74(8), 869-875. Doi: 10.1176/appi.ps.20220334
Fung, H. W., Ross, C. A., Lam, S. K. K., & Hung, S. L. (2022). Recent research on the interventions for people with dissociation. European Journal of Trauma & Dissociation, 6(4), 100299. https://doi.org/10.1016/j.ejtd.2022.100299
Kate, M. A., Hopwood, T., & Jamieson, G. (2020). The prevalence of dissociative disorders and dissociative experiences in college populations: A meta-analysis of 98 studies. Journal of Trauma & Dissociation, 21(1), 16-61. https://doi.org/10.1080/15299732.2019.1647915
Loewenstein, R. J. (2022). Dissociation debates: Everything you know is wrong. Dialogues In Clinical Neuroscience. https://doi.org/10.31887/DCNS.2018.20.3/rloewenstein
Lynn, S. J., Polizzi, C., Merckelbach, H., Chiu, C. D., Maxwell, R., van Heugten, D., & Lilienfeld, S. O. (2022). Dissociation and dissociative disorders reconsidered: Beyond sociocognitive and trauma models toward a transtheoretical framework. Annual Review of Clinical Psychology, 18, 259-289. https://doi.org/10.1146/annurev-clinpsy-081219-102424
Maldonado, J. R., & Spiegel, D. (2024). Dissociative disorders. In Tasman’s Psychiatry (pp. 1-46). Cham: Springer International Publishing. https://doi.org/10.1007/978-3-030-42825-9_80-1
Sample Answer 2 for PRAC_6665 Week11 Assignment CONTROVERSY ASSOCIATED WITH DISSOCIATIVE DISORDERS
Dissociative disorders affect the patient’s thought process and hinder a continuous and consistent way of thinking, memory, actions and personal identity. It is one of the rare psychiatric disorders that affects about 1.5 percent of the world population (Mitra & Jain, 2021). Initially, the condition was referred to as Multiple Personality Disorder. The patient exhibits behaviors that are self-injurious and more often substance abuse. The purpose of this paper is to discuss the controversies associated with the condition by addressing various aspects.
Controversies and Examples of Dissociative Disorders
Dissociative identity disorder is one of the dissociative disorders that has attracted a wide spread controversies from its diagnosis to the treatment procedures. Some of the areas of concern include; epidemiology and etiology of DID, the allegations of abuse by the patients, assessment of the disease and the treatment dilemma of whether to deal with alters and the trauma history or not. In terms of epidemiology of the disease, research findings reveal that the disease goes undiagnosed for and that the disease is not uncommon as it is thought to be. Additionally, it occurs in many different countries and at uniform rates even in psychiatric inpatient population (Loewenstein, 2018).
In terms of etiology of the disease, controversy arises about the nature of the symptoms exhibited by the DID patients. There is a point of contention whether the symptoms are natural or iatrogenic. In this context the patients could adopt to behave in certain manner as imposed by the therapists or the environment which could be the social, cultural or religious underpinning of the patient. Additionally, the issue of hypnotics and its relation to DID patients have been an area of debate for a long time while some psychiatrists argue that those who perpetuate this idea are just “enthusiast” of taking advantage of the condition (Loewenstein, 2018). There are three major types of dissociative disorders, they include; dissociative identity disorder (DID), dissociative amnesia and derealization or depersonalization disorder.
Professional Beliefs about Dissociative Disorders
In the efforts to promote mental health awareness, it is imperative for the healthcare organizations, institutions of medicine, clinical and nurse training to put special attention to the studies on diagnosis and treatment of dissociative disorders. It is just like other mental disorders and the patients require adequate medical attention. Psychiatrists and other mental associations have a responsibility of demystifying the myths behind the condition and be proactive in addressing the issue candidly. There could be a large population in the USA already battling with the cases of DD and if we do not act on the matter decisively and with certainty it could emerge to be a silent healthcare catastrophe that is unfolding right in front of our sight (Loewenstein, 2018).
Strategies to Maintain Therapeutic Relationship with a Client That May Present Dissociative Disorder
Since each patient is different in terms of the symptoms exhibited and the severity of the disease, it is imperative to have an individualized approach to psychotherapy. One of the strategies applied entails switching in and out of several treatment models to achieve therapeutic flexibility to the varying clinical realities. In order to come up with long-term intervention strategies, it is imperative to analyze the following steps; establishing the psychotherapy, preliminary interventions, gathering of the patient’s history and mapping, metabolism of the trauma, moving towards integration, integration-resolution, learning new coping skills, solidification of the gains and working through them and finally follow up (Gentile et al., 2019). Those steps will alleviate the impact of the issue.
Legal and Ethical Considerations
The concept of ethical issues in the diagnosis, management and treatment of dissociative disorders is crucial to promoting the safety of the patient and better quality of life (Rasoal et al., 2017). Therefore, PMHNP and other associated personnel have a responsibility to maintain high standards of ethical issues when dealing with the patients. The nurses are called upon to practice high level of confidentiality with patient’s information, autonomy of the patient, nonmaleficence and beneficence (Liu & Kohlen, 2017). The patient or the caregivers have to be informed of any medical procedures being used on the patient and the consent of the patient is key and patient has the freedom of choice. Additionally, beneficence demands that the best practices that promote the best of outcome is offered to the patient.
Conclusion
Dissociative disorders impact a large percentage of the population. There are controversies associated with the conditions with each one manifesting varied issues. However, nurse practitioners may use effective strategies to attempt to manage the effects of the condition.
References
Gentile, J. P., Dillon, K. S., & Gillig, P. M. (2019). Psychotherapy and pharmacotherapy for patients with dissociative identity disorder. Innovations in Clinical Neuroscience, 10(2), 22–29. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3615506/
Liu, P.-Y., & Kohlen, H. (2017). Tensions in Diabetes Care Practice: Ethical Challenges with a Focus on Nurses in a Home-Based Care Team. Care in Healthcare, 211–235. https://doi.org/10.1007/978-3-319-61291-1_11
Loewenstein, R. J. (2018). Dissociation debates: everything you know is wrong. Dialogues in Clinical Neuroscience, 20(3), 229–242. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6296396/
Mitra, P., & Jain, A. (2021). Dissociative Identity Disorder. StatPearls. https://www.statpearls.com/ArticleLibrary/viewarticle/130663
Rasoal, D., Skovdahl, K., Gifford, M., & Kihlgren, A. (2017). Clinical Ethics Support for Healthcare Personnel: An Integrative Literature Review. HEC Forum, 29(4), 313–346. https://doi.org/10.1007/s10730-017-9325-4
Rubric Detail
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Name: PRAC_6665_Week11_Assignment_Rubric
Show Descriptions
Assimilation and Synthesis: Content Reflection–
Excellent 45 (45%) – 50 (50%)
Good 40 (40%) – 44 (44%)
Fair 35 (35%) – 39 (39%)
Poor 0 (0%) – 34 (34%)
Assimilation and Synthesis: Personal Growth–
Excellent 27 (27%) – 30 (30%)
Good 24 (24%) – 26 (26%)
Fair 21 (21%) – 23 (23%)
Poor 0 (0%) – 20 (20%)
Written Expression and Formatting–
Excellent 14 (14%) – 15 (15%)
Good 12 (12%) – 13 (13%)
Fair 11 (11%) – 11 (11%)
Poor 0 (0%) – 10 (10%)
APA–
Excellent 5 (5%) – 5 (5%)
Good 4 (4%) – 4 (4%)
Fair 3.5 (3.5%) – 3.5 (3.5%)
Poor 0 (0%) – 3 (3%)
Also Read: Assignment: Evidence-Based Project Proposal
| Total Points: 100 |
ADDITIONAL INSTRUCTIONS FOR THE CLASS
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).
Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week.
APA Format and Writing Quality
Familiarize yourself with APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required).
Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation.
I highly recommend using the APA Publication Manual, 6th edition.
Use of Direct Quotes
I discourage overutilization of direct quotes in DQs and assignments at the Masters’ level and deduct points accordingly.
As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content.
It is best to paraphrase content and cite your source.
LopesWrite Policy
For assignments that need to be submitted to LopesWrite, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me.
Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes.
Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own?
Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for tips on improving your paper and SI score.
Late Policy
The university’s policy on late assignments is 10% penalty PER DAY LATE. This also applies to late DQ replies.
Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances.
If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect.
I do not accept assignments that are two or more weeks late unless we have worked out an extension.
As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.
Communication
Communication is so very important. There are multiple ways to communicate with me:
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.
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.