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WEEK 5 DISCUSSION Memory

CLINICAL PSYCHOLOGY 
WEEK 5 DISCUSSION Memory 
Memory Distortions
Consider eyewitness testimony, a facet of the judicial system that relies on the soundness of memory for its effectiveness. The following story demonstrates the grave consequences inherent in certain kinds of memory distortion.
In the days following Jennifer Thompson’s 1984 rape by an unknown assailant, law enforcement officials presented her with a “photographic lineup.” It was composed of local individuals who loosely fit Thompson’s description, including one man the police considered a likely suspect in the attack. Police and the prosecution relied on Thompson’s eyewitness testimony as a critical building block in the case against Ronald Cotton. Thompson’s memory-based selection of Cotton’s image eventually brought him to trial as a defendant.
Jennifer Thompson’s eyewitness testimony led to the conviction of Ronald Cotton for rape. Thompson described memorizing the details her attacker’s appearance that fateful night so that she might later help to catch him. Based on Thompson’s testimony, the prosecution won, and Cotton received a sentence of life plus 54 years in prison.
After serving nearly 11 years, Cotton was exonerated on the basis of DNA evidence. In the years since Cotton’s release from prison, he and Thompson have reconciled. They now travel together throughout the United States, speaking about the lack of reliability of eyewitness testimony in criminal cases. Unreliable eyewitness accounts of crimes serve as one example of memory distortion. Consider factors in the Cotton case that may have affected the accuracy of Thompson’s memory.
In this Discussion, you examine factors that might influence and create distortions of memory. You also explain potential consequences of memory distortion on eyewitness testimony.
With these thoughts in mind:
Post by Day 4 a brief description of factors that might influence and create distortions of memory. Then explain how one of those factors might create a memory distortion. Provide an example to support your response. Finally, explain three consequences of memory distortion in the context of eyewitness testimony. Justify your response using the Learning Resources and current literature.
Be sure to support your postings and responses with specific references to the Learning Resources.

Creating a Plan of Care

Preview the document

This discussion post begins with creating a plan of care, using the Plan of Care Template, for one of the two patients described below:

Client Madison is a 15-year-old who comes to the clinic to see the nurse. She is shy and embarrassed, but she confides that her new boyfriend asked her to come in to be tested. She is very much in love and he will not have physical contact with her until she is seen by someone. She is not sure why, but he mentioned chalmydia. 

Client Patricia is a 39-year-old who is employed as an administrator at the clinic. She is ready to start a family and has been trying to conceive for fourteen months. Her husband has a teenage son from a previous relationship, but he would like at least one child with her. She is becoming frustrated every month when she gets her menstrual period.  

Select from the following list of nursing diagnoses to use when developing your care plan:

  • Chronic sorrow
  • Ineffective health management
  • Powerlessness
  • Ineffective sexuality pattern
  • Readiness for enhanced knowledge
  • Impaired comfort
  • Social isolation

Your initial post is due by Thursday at 11:59 PM EST.  Your responses are due by Sunday at 11:59 PM EST.

Response to Others

After you have posted, read through the postings of your peers.  In response to at least two other students, select a patient different from your chosen patient. Suggest one additional intervention that would make the plan more patient-centered and provide a rationale for your suggestion.

Discussion Guidelines

Posts need to be written in a professional manner. The content should have a clear beginning, middle, and end. Professionals communicate using correct grammar and spelling. It is acceptable to use a grammar or spelling editor prior to submitting your post. Language that is disrespectful or discourteous is not acceptable. Your posts should be of sufficient length to answer the question, but information that is extraneous or irrelevant will not strengthen your post.

The purpose of the discussion is to explore topics and to share information. Your original thought about the question is important. It is acceptable to use personal experiences from a professional standpoint. Your information and opinions should have support from the textbooks, professional position statements, and journals. It is not acceptable to copy and paste information from outside sources without using direct quotes. It is preferable to paraphrase information. When you restate the information in your own words by paraphrasing, you demonstrate that you have read about the topic and that it has meaning to you. You are showing that you can apply the information.

Evaluation

Kidney and Urinary Disorders

You are a clinical coordinator of a medical unit specializing in the care of patients with kidney and urinary tract disorders. You are charged with making assignments for this unit for the day shift. Your discussion post should be focused on the appropriate assignments of staff members to client groups. Your unit has 12 beds. Currently, your census is 11, with one empty bed. Please include your assignments for the shift with your rationale for making those assignments. Include your personal role as the coordinator during this shift. You may wish to review course materials from Nursing 108 on delegation and supervision. 

The staff for the next shift includes:

  • Raul; an experienced RN.
  • Tara; an RN orientee assigned with Raul for the shift. It is her third day on the unit.
  • Monique; a supplemental RN. The last assignment in this unit was three weeks ago.
  • Dorothy; an experienced LPN.
  • Timmy; an experienced nursing assistant.
  • Val; unit secretary, split between your unit and the one next door as your secretary called in sick.

Patients currently on unit:

#2201: PP, a 51-year-old female with T1DM (type one diabetes) who has ESKD (end-stage kidney disease). She was admitted for a revision of her A-V fistula. She has a temporary Hemodialysis catheter in place. She’s scheduled for hemodialysis this morning. 

#2202: RP, a 72-year-old male patient with a CBI (continuous bladder irrigation) who is post-op from a TURP yesterday. He has had many clots passed through the CBI and has needed the catheter manually irrigated three times during the past shift. 

#2203: empty bed.

#2204: MG, an 88-year-old female patient admitted two days ago with urosepsis. She’s currently getting IV antibiotics through a peripheral IV every eight hours. She has been incontinent of urine twice during the past shift. She is currently complaining about pain at the site of her IV. 

#2205: MW, a 44-year-old female patient who had a cystoscopy yesterday for a biopsy of her bladder. Cancer is suspected. She is currently waiting for the provider to write her discharge orders so she can go home today. 

#2206: JS, a 69-year-old male patient with uncontrolled hypertension and chronic kidney disease admitted last evening. He has a history of non-adherence to his medications at home and comes into the hospital every four to five months with chest pain, high BP readings, and weight gain. He’s been prescribed Lasix, Lisinopril, and metoprolol. His provider would like to send him home tomorrow. He has not been evaluated by the case-manager on your unit yet.

#2207: AM, a 21-year-old female patient with an acute kidney infection. She was admitted during the night. The patient currently has IV of NSS infusing at 100 ml/hr via peripheral IV and is complaining of 9 out of 10 back pain. Is febrile with a temp of 100.6 F 

#2208: MS, a 60-year-old male patient with a renal calculi diagnosed by CT scan. Being medicated with IV Fentanyl every three hours for 10 out of 10 pain reported by the patient. Receiving IV fluids and needs assistance to the bathroom. Urine must be strained each time the patient voids. 

#2209: SS a 72-year-old male admitted with hematuria. He is having diagnostic testing completed for renal carcinoma. The patient has a history of leukemia as a 40-year-old. This patient and his family are very upset by the diagnosis and the patient is intermittently tearful. 

#2210: CT, a 55-year-old female admitted with community-acquired pneumonia. She is currently on 4 L NC and has a 02 saturation of 92% at rest. She is short of breath and has been ringing for the nurse frequently as she is frightened of dying when she gets SOB. She is receiving Levaquin IV every 24 hours for her pneumonia. This patient also has an ileal conduit with a drainage bag attached. She had her bladder removed ten years ago due to cancer. 

#2211: RM, a 76-year-old male patient with cellulitis on his left shin. He’s on contact precautions for MRSA. He has been receiving continuous peritoneal dialysis at night, he’s assigned to your unit, as your staff has the training to use the PD equipment.

#2212: AF, a 40-year-old female patient with an intellectual disability from a group home setting. She was admitted with pyelonephritis during the night. She is scheduled for discharge today. She will need her IV discontinued and discharge instructions will need to be given to the patient and her caregiver. 

Please assign these patients to staff, being mindful of the scope of practice and ability levels of staff members. What nursing intervention is the top priority for each patient? Please indicate if the staff member is able to complete that priority independently, or if you (the charge nurse) need to assign it to another staff member. 

Include information about how you will assign yourself and your support staff during the shift. Keep in mind that an empty bed will mean somebody will get admission during the shift

Your initial post is due by Thursday at 11:59 PM EST. Your response to a peer is due by Sunday at 11:59 PM EST.

Discussion Guidelines

Posts need to be written in a professional manner. The content should have a clear beginning, middle, and end. Professionals communicate using correct grammar and spelling. It is acceptable to use a grammar or spelling editor prior to submitting your post. Any language that is disrespectful or discourteous is not acceptable. Your posts should be of sufficient length to answer the question, but information that is extraneous or irrelevant will not strengthen your post.

The purpose of the discussion is to explore topics and to share information. Your original thought about the question is important. It is acceptable to use personal experiences from a professional standpoint. Your information and opinions should have support from the textbooks, professional position statements, and journals. It is not acceptable to copy and paste information from outside sources without using direct quotes. It is preferable to paraphrase information. When you restate the information in your own words by paraphrasing, you demonstrate that you have read about the topic and that it has meaning to you. You are showing that you can apply the information.

Evaluation

Your work in the discussion will be assessed using the AD Discussion Rubric. All discussions combined are worth 25% of your grade; each individual discussion is worth 3.57%.

References

Outcomes