All posts by : chebby

 My Social Issue is Childhood Cancer

Social Issues Proposal

In this assignment, you will work closely with your field instructor or supervisor and agency staff to identify a social issue, agency need, and client or community problem related to public health to research. To best understand the issue or problem, the background, and its impact on the agency, client, client system and community, be sure to meet with your field instructor or supervisor and agency staff. You will also conduct your own research.

Instructions 

Meet with the field instructor or supervisor to discuss this assignment. Obtain permission to conduct an agency review to research your chosen social issue, agency need, and the client or community problem. You will also gather data from various databases and data sets along with a literature review.

For this assignment:

1. Analyze a social issue or community problem as well as community assets and capacities.
   • Identify a social issue or community problem.
   • Describe the populations affected by the social issue or community problem.
   • Briefly describe the background of the social issue or community problem.
   • Describe community assets and capacities that relate to the social issue or community problem.
2. Explain how structural bias, social inequities, and racism can undermine health and create challenges when developing sustainable programs and interventions for the selected issue or community problem.
   • Define the roles of gender, race, poverty, migration, and culture in a social issue or community problem.
   • Determine factors that make public health programs and interventions inclusive of gender, race, poverty, migration, and culture.
3. Analyze the agency regulatory systems, structure of health care, and public health compared to other national and international agencies.
   • Evaluate the agency’s role in addressing the need, problem, or social issue.
   • Describe the main similarities of the agency to other national and international agencies.
   • Describe the main differences of the agency from other national and international agencies.
4. Discuss the systems-thinking tools the practicum site uses to address a public health issue or community problem.
   • Describe the systems-thinking tools used at the practicum site.
   • Discuss how the systems-thinking tools are used to address a community public health issue or problem.
5. Identify at least one public health or behavioral change theory applicable to address the social issue or community problem.
   • Identify public health theories or behavioral change theories.
   • Define linguistic competence, cultural competency, and health literacy.
   • Explain how the practicum site addresses linguistic competence, cultural competency, and health literacy when addressing the public health disparities or concerns.
6. Adhere to current edition APA style, including in-text citations and references.
   • Determine the proper application of APA formatting requirements and scholarly writing standards.
   • Apply the principles of effective composition.
7. Write clearly and logically with correct use of spelling and grammar.
   • Determine the proper application of the rules of grammar and mechanics.
   • Assess the relevance and credibility of information sources.

Remember that your instructor will be providing feedback on your assignments.

Additional Requirements

The assignment you submit is expected to meet the following requirements:

• Written communication: Written communication is free of errors that detract from the overall message.
• APA formatting: Resources and citations are formatted according to current APA style and formatting standards.
• Cited resources: Minimum of five scholarly sources. All literature cited should be current, with publication dates within the past five years.
• Length of paper: 5–7 double-spaced pages.
• Font and font size: Times New Roman, 12 points.
• ePortfolio: You are required to save your final paper in your ePortfolio.

In this assignment, you will be writing a 1,000-1,250 word paper describing the differing approaches of nursing leaders and managers to issues in practice. To complete this assignment, do the following:

1. Select an issue from the following list: bullying, unit closers and restructuring, floating, nurse turnover, nurse staffing ratios, use of contract employees (i.e., registry and travel nurses), or magnet designation.
2. Describe the selected issue. Discuss how it impacts quality of care and patient safety in the setting in which it occurs.
3. Discuss how professional standards of practice should be demonstrated in this situation to help rectify the issue or maintain professional conduct.
4. Explain the differing roles of nursing leaders and nursing managers in this instance and discuss the different approaches they take to address the selected issue and promote patient safety and quality care. Support your rationale by using the theories, principles, skills, and roles of the leader versus manager described in your readings.
5. Discuss what additional aspects mangers and leaders would need to initiate in order to ensure professionalism throughout diverse health care settings while addressing the selected issue.
6. Describe a leadership style that would best address the chosen issue. Explain why this style could be successful in this setting.

Use at least three peer-reviewed journal articles other than those presented in your text or provided in the course.

Prepare this assignment according to the guidelines found in the APA Style Guide

Individuals and a Family as a Client 

Mila Jefferies is a recently widowed 36-year-old mother of two children and the daughter of two aging parents in the southeastern United States. She and her children have recently relocated from an urban neighborhood to a rural town to care for her parents, Robert and Susan. The move involved a job change for Elizabeth, a change in schools for the children, and an increased distance from the family of the children’s deceased father. Mila’s older child is a 5-year-old daughter, recently diagnosed with autism spectrum disorder and dyslexia. The younger of the two children is a 3-year-old boy with asthma that has been difficult to control since the move. Robert is a 72-year-old Methodist minister who recently suffered a stroke, leaving him with diminished motor function on his left side and difficulty swallowing. Susan is 68 years old and suffers from fibromyalgia, limiting her ability to assist with the daily care of her husband. She has experienced an increase in generalized pain, difficulty sleeping, and worsening fatigue since her husband’s stroke. 

Use the Neuman systems model as a conceptual framework to respond to the following: 

• Describe the Jefferies family as a client I system using each of the five variables. 

• What actual and potential stressors threaten the family? Which stressors are positive, and which are negative? Separate the actual and potential stressors that threaten the individual members of the family. Which of the stressors are positive, and which are negative? 

• What additional nursing assessment data are needed considering Robert’s medical diagnoses? What additional data would be helpful for Susan’s medical diagnoses? What about each of the children? 

• What levels of prevention intervention(s) are appropriate for the Jefferies family? Propose potential prevention intervention(s) for each member of the family. 

• Identify your nursing priorities if you were providing care to this family. 

 Conflict in Ethical Principles  

Three to four ideas with a speaker note, a power point ( one slide) about  conflict in ethical principle regarding gender reassignment hormone treatment

You are a school nurse. A student comes into your office and is hesitant to share his thoughts with you. What could you say or do to develop a therapeutic alliance?

As you consider the discussion question you need to first do research and understand what a therapeutic alliance is. It relates to a relationship between the healthcare professional and the patient. It is how you connect, behave and engage with one another. What else is it known as and what is the primary role? 

https://www.mentalhelp.net/blogs/understanding-the-therapeutic-alliance/

Substance abuse in health care professionals

In a 2- to 4-page paper, create an interview transcript of your responses to the following interview questions:

• Tell us about a healthcare program, within your practice. What are the costs and projected outcomes of this program?
• Who is your target population?
• What is the role of the nurse in providing input for the design of this healthcare program? Can you provide examples?
• What is your role as an advocate for your target population for this healthcare program? Do you have input into design decisions? How else do you impact design?
• What is the role of the nurse in healthcare program implementation? How does this role vary between design and implementation of healthcare programs? Can you provide examples?
• Who are the members of a healthcare team that you believe are most needed to implement a program? Can you explain why?

Read Chapter 11: Informatics in Professional Nursing Practice and answer:

Discuss issues of the digital divide. Explore resources in your city and county for the general public to have free Internet access and assistance. What other technologic resources are available for underserved populations?

APA style (intext citations and references)

Minimum of two references, not older than 2015.

Plagiarism FREE

(3×3)

In the Asian culture, there is often a belief that terminally ill patients should not be informed about their prognosis. Would you respect the cultural practice and not inform a patient about the prognosis? Is there a way for health care providers to balance the patient’s right to know with respect for the cultural practices and beliefs of the family? Is not fully disclosing information to the patient an ethical breach?

Submission Instructions:

• Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources.

Part I: Write your Philosophy of Health

This week’s discussion board assignment requires you to write and share your personal philosophy of health. Your philosophy needs to be at least 250words long. Since this is a personal statement, it is appropriate to write in first person tense (I, you, me etc.). If you use any sources, such as an inspiriting quotation, be sure to use APA format to document the quotation and cite it in a reference list at the end of your statement. Quotes do not count in the 250-word minimum.  Be creative, succinct, and clear. I would like to read your unique thoughts. 

As a future health professional, it’s important to explore your own views about health. There is no doubt that as you go along in your academic major, and have experiences in the field, that your philosophy will change. However, as you begin your journey into health education, you should summarize your views thus far as a starting point. You can use this written health philosophy for your professional portfolio and expand and change your health philosophy as you learn and experience more.

 I NEED A RESPONSE FOR THIS ASSIGNMENT

1 PAGE

2 REFERENCES

case study presents an adolescent client with a likely diagnosis of Major Depressive Disorder (MDD).   The comprehensive assessment provided by the case study thoroughly addresses all aspects of the client’s life that indicate abnormal symptoms that require treatment (Wheeler, 2014).  The client’s suicidal ideation, depressed mood, decline in focus with school, lack of self-worth, and sleep problems are symptoms consistent with MDD (American Psychiatric Association, 2013).  This client expresses fatigue and troubles with interpersonal conflict as well as uncontrollable feelings and actions of self-harm.  His depressed mood and constricted affect are evident, as well as the collateral information offered by the mother illustrates symptoms of depression (American Psychiatric Association, 2013).  His perceived lack of social support would make him a good candidate for group therapy to treat his depression.    

            An effective group therapeutic intervention for depressed adolescents is group cognitive behavioral therapy (CBT) (Keles & Idsoe, 2018).  CBT works by identifying and changing some of the automatic thoughts that are leading to maladaptive behaviors and coping.  Considering the prevalence of depression across all ages, particularly adolescents, group CBT is an appropriate and effective treatment (Keles & Idsoe, 2018).  One of the other factors that makes group CBT effective is the social support that is offered in the group setting (Nardi, et al., 2017).  This client has verbalized a lack of emotional support and understanding among peers, so the social support offered in the group would be appropriate and effective for this client.  Group CBT shows effect for adolescents with depression and anxiety that persists beyond the treatment duration (Rith-Najarian, et al., 2019).  The projected outcomes for this client are positive related to the effectiveness of group CBT.   

Counseling a group of adolescents has ethical and legal implications related to consent and adherence to treatment programs, as the adolescents are often forced into treatment by parents.  This can make it challenging for providers when the adolescent clients are not interested or invested in treatment.  However, this case study presents a client who appears interested in seeking help and treatment related to his symptoms.  It is important to consider the client’s consent ethically even when the legal consent is obtained by the parent or guardian. 

References

American Psychiatric Association.  (2013).  Diagnostic and statistical manual of mental

disorders (5th ed.).  Retrieved from https://dsm-psychiatryonline-

org.ezp.waldenulibrary.org/doi/book/10.1176/appi.books.9780890425596

Keles, S., & Idsoe, T.  (2018).  A meta-analysis of group Cognitive Behavioral Therapy

(CBT) interventions for adolescents with depression.  Journal of Adolescence, 67,

129-139.  doi:10.1016/j.adolescence.2018.05.011.

Nardi, B., Massei, M., Arimatea, E., & Moltedo-Perfetti, A.  (2017).  Effectiveness of

group CBT in treating adolescents with depression symptoms: A critical review. 

International Journal of Adolescent Medicine and Health, 29(3), 854-860. 

doi:10.1515/ijamh-2015-0080.

Rith-Najarian, L.R., Mesri, B., Park, A.L., Sun, M., Chavira, D.A., & Chorpita, B.F.

(2019).  Durability of cognitive behavioral therapy effects for youth and

adolescents with anxiety, depression, or traumatic stress: A meta-analysis on

long-term follow-ups.  Behavior Therapy, 50(1), 225-240. 

doi:10.1016/j.beth.2018.05.006.

Wheeler, K.  (Ed.).  (2014).  Psychotherapy for the advanced practice psychiatric nurse:

A how-to guide for evidence-based practice.  New York, NY: Springer.