TO DO A REPLY COMMENT TO EACH POST. TWO REFERENCE PER COMMENT.
Post 1
Mental health processes and disorders originate from mechanisms within the brain. There has been the question within the psychiatric field as to whether plastic changes in the brain that can occur with the use of pharmacological interventions for mental health disorders could also occur with the use of psychotherapy. Psychotherapy is extremely beneficial in treating several mental health issues (Laureate Education, 2016).There is compounding evidence that psychotherapy does have a biological basis and can have a positive impact in brain recovery from the stress response. According to Wheeler (2014), psychotherapy mediates the reintegration and connection of neural networks that have become maladaptively linked due to adverse life events facilitating healing of the brain. Psychotherapy has been found to be an effective treatment method for a variety of mental health disorders such as anxiety, major depression, and post-traumatic stress disorder. According to Fournier (2014), activity in regions associated with negative emotion, emotion regulation, fear, and reward are associated with respones to psychotherapy, and psychotherapy appears to alter the functioning of these regions.
While proven to be an effective treatment modality for mental health disorders, there are factors such as culture, religion, and socioeconomic background that can affect the client and their perspective on the use of psychotherapy. Psychotherapy within itself can bring conflicting emotions for the client and the clinician must be aware of how religion, culture, and socioeconomics can alter how the client perceives psychotherapy and its efficacy in their treatment. According to Wheeler (2014), the powerful influence of culture permeates all dimensions of out life in a way that is often unconscious. For example, if a client comes from a culture where emotions are not to be discusssed or if one discusses there past traumas or fears then the client could be resistant to the role of psychotherapy in their treatment plan. The clinician must be aware of the importance of culture in medical or psychological treatments. Religion also plays an instrumental role in how psychotherapy will be perceived by a client. Many clients may come from a religious background where one only speaks of negative emotions with someone from their clergy or a religious figure. According to Kim, Chen & Brachfeld (2018), religion and spirituality are important issues to consider and address in psychotherapy. Communication could become stagnant if the clinician is not aware of the role religion plays in the psychotherapy framework. Socioeconomic background can also be a variable in one‘s perspective of the value of psychotherapy. Certain traumatic events that a person can suffer throughout their lifetime can be directly correlated to socioeconomic standing. For example, poverty can be associated with depression, anxiety, substance abuse, and mood disorders. Patients from this type of background can experience barriers in both seeking and receiving mental health services. According to Bernal et al. (2017), vulnerable populations such as those low in social status face additional barriers to mental health treatment and experience unique barriers to receiving optimal care.
References
Bernal, D.R., Herbst, R.B., Lewis, B.L., & Feibelman, J. (2017). Ethical care for vulnerable populations receiving psychotropic treatment. Ethics & Behavior, 27(7), 582-598. doi:10.1080/10508422.2016.1224187
Fournier, J.C., & Price, R.B. (2014). Psychotherapy and neuroimaging. Psychotherapy: New Evidence and New Approaches, 12(3), 290-298. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4207360
Kim, E.E., Chen, E.C., & Brachfeld, C. (2018). Patients’ experience of spirituality and change in individual psychotherapy at a Christian counseling clinic: A grounded theory analysis. Spirituality in Clinical Practice, doi:10.1037/scp0000176
Laureate Education (Producer). (2016). Introduction to psychotherapy with individuals [Video file]. Baltimore, MD: Author.
Wheeler, K. (Eds.). (2014). Psychotherapy for the advanced practice psychiatric nurse: A how-to guide for evidence-based practice (2nd ed.). New York, NY: Springer Publishing Company.
POST 2
Psychotherapy is just as controversial as mental health as a whole is. Some believe it is helpful, others believe it is a waste of time. One question still remains unanswered for many, can talking about feelings help change behavior and therefore sure whatever condition a person is suffering from? I believe psychotherapy has a biological basis. Lyrakos, Spinaris, and Spyropoulos (2017) clearly stated as results of a research that “the use of psychotherapy plays a significant role in achieving optimal health outcomes of psychiatric patients” (p. s753). Pairing psychopharmacology with psychotherapy can make a positive impact towards recovery compared to treatment with just psychopharmacology.
Many different reasons can influence the belief that psychotherapy might or might not work. For example, Adams et al. (2017) concluded in an article that “findings suggest that patients’ attachment characteristics play a role in their views and choices regarding treatments” (p. 194). Other factors that can impact the belief that therapy is a waste of time are culture, religion, and socioeconomic status. A person’s upbringing can be one to avoid talking about feelings with a stranger, or even with a loved one. Religion can also play a role in not receiving this type of treatment as faith in a spiritual belief might be the perceived as the cure to an ailment. Economical status and education level can also negatively impact the decision to avoid this type of treatment as the importance of it might not be completely comprehended or there are no means to afford the treatment. In another study that correlates the importance of psychotherapy, data showed “that children/adolescents with not only behavioral and emotional disorders, but also affective (mood) disorders had a higher chance for nondrug psychiatric/psychotherapeutic treatment compared to children with other psychiatric disorders” (Abbas et al., 2017, p. 442).
References
Lyrakos, G., Spinaris, V., & Spyropoulos, I. (2017). The introduction of psychotherapy in
psychiatric outpatients as part of the treatment in the last four years in a Greek
hospital. European Neuropsychopharmacology, 27(4).
Adams, G. C., McWilliams, L. A., Wrath, A. J., Adams, S., & Souza, D. D. (2017).
Relationships between patients’ attachment characteristics and views and use of
psychiatric treatment. Psychiatry Research, 256:194-201.
Abbas, S., Ihle, P., Adler, J., Engel, S., Günster, C., Holtmann, M., & …Schubert, I. (2017).
Predictors of non-drug psychiatric/psychotherapeutic treatment in children and
adolescents with mental or behavioral disorders. European Child & Adolescent
Psychiatry, 26(4).
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Cases Study
/in /by JosephCASE STUDIES
I- Case Study: Care of the Child in Inpatient and Outpatient Settings
Jordan is 9-year-old male who is a direct admit for observation. He has a history of vomiting and diarrhea for 48 hours.
Subjective Data
Objective Data
1. Question 1
When should the discharge teaching begin for Jordan and his family?
2. Question 2
What is the best way to approach Jordan regarding the IV that has been ordered.
3. Question 3
What would be good distractions for a child of Jordan’s age?
II- Case Study: Pediatric Cancer
Mario is a 7-year-old male who presents with a 1-week history of body aches and pallor. He has a 2-day history of fever to 103° F and a 1-day history of bruising and lethargy.
Subjective Data
Objective Data
4. Question 1
Which of Mario’s presenting symptoms must be treated and stabilized before chemotherapy induction?
5. Question 2
What testing is required for a definitive diagnosis of meningitis?
6. Question 3
What should the nurse do in this clinical situation? Prioritize actions.
III- Case Study: Pediatric Respiratory System
Will is a 4-month-old infant born at 34 weeks of gestation. Will’s mother states that he has not been able to go to day care because he has been coughing with a fever for the past 3 days. She states today he is unable to feed well from the bottle because of nasal secretions.
Subjective Data
Objective Data
7. Question 1
What risk factors does Will have for contracting bronchiolitis?
8. Question 2
What is the first priority for Will’s treatment?
9. Question 3
What should the nurse do in this clinical situation? Prioritize actions.
IV- Case Study: Pediatric Gastrointestinal System
Lucy is a 44-day-old formula-fed infant who presents with a 4-day history of vomiting.
Subjective Data
Objective Data
10. Question 1
What test will be used to diagnose pyloric stenosis?
11. Question 2
What should the nurse do in this clinical situation? Using the case study above, the first prioritization step the nurse would take is ____.
12. Question 3
The second prioritization step the nurse would take is ____.
13. Question 4
The third prioritization step the nurse would take is ____.
14. Question 5
The fourth prioritization step the nurse would take is ____.
15. Question 6
The fifth prioritization step the nurse would take is ____.
16. Question 7
The sixth prioritization step the nurse would take is ____.
17. Question 8
The seventh prioritization step the nurse would take is ____.
18. Question 9
The eighth prioritization step the nurse would take is ____.
V- Case Study: Pediatric Cardiovascular System
Michael is a 7-week-old breastfed infant who presents with a 2-day history of irritability and poor feeding.
Subjective Data
Objective Data
19. Question 1
What is the treatment for an unstable patient with SVT?
20. Question 2
Decreased cardiac output from prolonged SVT will produce what complication?
21. Question 3
In this clinical situation what should the nurse do? Prioritize actions.
VI- Case Study: Hematologic System
Liam is an 8-year-old male with a history of hemophilia. Liam presents today with a 1-day history of right elbow pain.
Subjective Data
Objective Data
22. Question 1
How should the nurse respond when Liam’s father explains that they watched and waited to see if Liam needed treatment after his injury?
23. Question 2
Why are neuro checks an important part of Liam’s physical exam?
24. Question 3
What should the nurse do in this clinical situation? Prioritize actions.
VII- Case Study: Common Disorders of the Red Blood Cells
Susan is a 26-year-old G1P0 at 6 weeks of gestation with type 2 diabetes. Her BMI is 32. Her hemoglobin A1C is 9. She uses glyburide 10 mg PO daily. The physician has switched her to insulin at this time.
1. Question 1
What is the nursing priority at this time?
2. Question 2
What should Susan be taught about insulin needs during pregnancy?
3. Question 3
What additional risk factor does Susan have?
4. Question 4
How should Susan be counseled regarding weight gain in pregnancy?
5. Question 5
What advice can be given to Susan regarding exercise?
VIII- Case Study: Pediatric Genitourinary System
Lilly is a 3-year-old female who presents with complaints of abdominal pain and fever since yesterday.
Subjective Data
Objective Data
6. Question 1
What risk factors does Lilly have for UTI?
7. Question 2
What might prevent Lilly from a recurring UTI?
8. Question 3
What should the nurse do in this situation? Prioritize actions.
IX- Case Study: Pediatric Neurologic System
Abby is a 1-year-old female who presents after a reported seizure at day care.
Subjective Data
Objective Data
9. Question 1
How should the nurse respond to Abby’s mother when she asks if Abby has epilepsy?
10. Question 2
How should the nurse respond to Abby’s mothers question about brain damage?
11. Question 3
In this clinical situation what should the nurse do?
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Application of Theory Paper
/in /by JosephQuestion description
Application of Theory Paper
Purpose:
The purpose of this assignment is to synthesize one strategy for the application of a specific nursing theory to resolving a problem or issue of nursing practice in nursing leadership, nursing education, nursing informatics, or health policy.
Course Outcomes
Through this assignment, a student will demonstrate the ability to:
(CO#1) Analyze theories from nursing and relevant fields with respect to their components, relationships among the components, logic of the propositions, comprehensiveness, and utility to advanced nursing. (PO1)
(CO#3) Communicate the analysis of and proposed strategies for the use of a theory in nursing practice. (PO3, 7, 10)
(CO#4) Demonstrate logical and creative thinking in the analysis and application of a theory to nursing practice. (PO4, 7)
Requirements:
Description of the Assignment:
Content
Format and Special Instructions
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NSG 6002
/in /by JosephI need to answer to this post. APA format, reference and citation are very important
The landscape of healthcare continues to change as the needs of those who need the services live longer and face multiple illnesses due to genetics, lifestyle, or just by luck. The Affordable Care Act (ACA) aims to provide better care, better health, and be cost-effective (Nash, Fabius, Skoufalos, Clarke, & Horowitz, 2016). The ACA enables millions to become insured and contained several tools to maintain cost (Emanuwl, Sharfstain, Spiro, & O’Toole, 2016). Even with these goals, the ACA must continue to strive to better serve the changing healthcare arena. Many initiatives have been created, and much more are still in the process.
The CDC website list several initiatives, strategies and action plan aimed to improve health care (CDC, 2017). Listed is a few of them.
References
CDC. (2017). National Health Initiatives, Strategies, and Action Plans. Retrieved fromhttps://www.cdc.gov/stltpublichealth/strategy/index.html
Emanual, Z., Sharfstein, J., Spiro, T., & O’Toole, M. (2016). State options to control healthcare cost and improve quality. Health Affairs. Retrieved from https://www.healthaffairs.org/do/10.1377/hblog20160428.054672/full/
Nash, D. B., Fabius, R. J., Skoufalos, A., Clarke, J., & Horowitz, M. R. (2016). Population health: creating a culture of wellness. Burlington, MA: Jones & Bartlett Learning.
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PLEASE GO STRAIGHT TO THE POINT!!!Please POST ONE PARAGRAPH of max 8 sentences each for each minor question and TWO for any major question.
/in /by JosephPLEASE GO STRAIGHT TO THE POINT!!!
Please POST ONE PARAGRAPH of max 8 sentences each for each minor question and TWO for any major question.
BABIES AND LANGUAGE DEVELOPMENT
STEP 1:
TED Talk and Reflection
Watch the following TED Talk on what babies think:
Answer the following 3 questions:
1. What does Alison Gopnik discuss about babies and how they learn?
2. Describe one experiment that Gopnik discusses in her TED Talk?
3. Gopnik argues that babies are the research and development department of the human race. What arguments does she use to support this premise?
STEP 2:
TED Talk and Reflection
Watch the following TED Talk on the linguistic genius of babies.
Answer the following 2 questions:
1. Explain the study that Kuhl discussed. This is the study she talks about where babies sit on laps.
2. Describe two of the charts that she uses in her presentation. What do they tell us? Be thorough.
SOCIAL DEVELOPMENT IN EARLY CHILDHOOD
STEP 1:
TED Talk and Reflection
Watch the following TED Talk on children and lying:
https://www.ted.com/talks/kang_lee_can_you_really_tell_if_a_kid_is_lying
Answer the following 3 questions:
1. Lee argues that we should celebrate a child’s first lie from a developmental perspective. Why?
2. Based on the TED Talk, are most of us able to identify the lies in children, even our own? Once you identify the answer, why do you think is the case?
3. Describe the technology that Kang introduced the audience to. What are some of the applications of this technology?
STEP 2:
TED Talk and Reflection
Watch the following TED Talk on childhood trauma and health outcomes.
https://www.ted.com/talks/nadine_burke_harris_how_childhood_trauma_affects_health_across_a_lifetime
Answer the following 2 questions:
1. How does childhood trauma impact the development of the brain?
2. What was interesting to you about Harris’ TED Talk?
STEP 3:
Review the Adverse Childhood Experience (ACE) Study discussed from the TED Talk in STEP 2.
https://www.cdc.gov/violenceprevention/acestudy/about.html
Click on the different areas (do not bother with the Data and Statistics section).
Answer the following 3 questions:
1. What is the ACE Pyramid?
2. Review the Family Health History Questionnaire and the Health Appraisal Questionnaire for your sex (male or female). What are/were some of your risk factors?
3. Review the Major Findings section of the site, What were some of the major findings?
#4: Should we Vaccinate Infants?
Watch the following clip from CNN:
http://www.cnn.com/videos/tv/2015/01/30/erin-panel-anti-vaccination-debate.cnn (Links to an external site.)Links to an external site.
(Links to an external site.)Links to an external site.
What side of debate do you take? Should infants be vaccinated? Explain your reasoning. Post 2 links to articles that support your stance.
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Elevator Pitch
/in /by JosephAn elevator speech is an excellent way to convey your skills while networking and seeking employment. Typically, an elevator speech is a one-minute summary of who you are, why you are qualified, and what you have to offer the organization or industry. Creating this brief sales-pitch will help better prepare you to discuss your career goals whenever the opportunity presents itself. This type of interaction might occur at a networking event, during a job interview, or within a social setting such as a party or a ride in an elevator.
Watch The Elevator Pitch video about creating an elevator speech, and design a one-minute sales pitch tailored toward your chosen career path. It is recommended that you also review the How to Craft an Effective Elevator Speech online resource. Consider the person in your field who you would most like the opportunity to speak with. Keep this person in mind throughout the process. It is important to specifically discuss your areas of expertise in learning and cognition and how they could be applied to benefit the organization or industry and your future success is this field. Briefly explain any theoretical perspectives that apply to these areas. Once you have determined what should be included in your pitch, you will record your 30-second to one-minute audio or video presentation using any recording software of your choice. (Quick-start guides for Screencast-O-Matic and YouTube are provided for your convenience should you decide to use these.) It is recommended that you create a script or, at minimum, a list of talking points prior to creating your recording. For an explanation of steps to follow when creating an elevator speech, read the PSY620: Preparing Your Elevator Speech document.
Once you have completed your recording, share your pitch with the class by copying and pasting the link for your recording into your discussion post. Include the name of the person you chose to give your speech to as well as a 50- to 150-word description of the individual’s background, industry, area of expertise, and your rationale for choosing this person.
Guided Response: Review and listen to several of your colleague’s posts/elevator speeches and respond to at least two of your peers by 11:59 p.m. on Day 7 of the week. You are encouraged to post your required replies earlier in the week to promote more meaningful interactive discourse in this discussion. Provide a critique of your colleague’s presentation of the following information:
Continue to monitor the discussion forum until 5:00 p.m. Mountain Standard Time (MST) on Day 7 of the week and respond to anyone who replies to your initial post.
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Discussions
/in /by JosephReread the book review of Peter Berger’s The Sacred Canopy. He calls religion a “social construct.” [Note – Some use the phrase “social construction.”] What is a social construct? Is it something true, or merely something useful? If religion really is a social construction, what implications might this have for how people practice religion? Would it make any difference at all?
Discussion #3: M2 Was Buber Correct?
Available before Friday, September 1, 2017 11:30 PM EDT.
The Jewish theologian Martin Buber built a philosophy of encounter. The goal of human beings is to have a full encounter with one another, and eventually with God. Buber differentiated between such moments of encounter with God and the ritual practices of religion. He felt that religion actually distracted from being in God’s presence. Many people today believe that Buber was right – that religion detracts from God. They say that religious people are more interested in keeping the rules than in encountering God.
Briefly explain what view of religion Buber is responding to. Do you think Buber’s criticism is valid? Why or why not?
Discussion #4: M3 Are Rituals Important?
Available before Friday, September 8, 2017 11:30 PM EDT.
Many religions are very ritual oriented. Such faiths as Orthodox Judaism, Roman Catholicism, Episcopalianism, and Islam are built around a life of ritual or sacraments. Other religions such as the Quakers and many Protestant denominations minimize ritual. What reasons do some religious traditions give for thinking ritual is important? Do you agree with these reasons? Why or why not?
Discussion #5: M4 What is the purpose of prayer?
Available before Friday, September 15, 2017 11:30 PM EDT.
Almost all religions have some kind of prayer or worship experience. What do you believe is the purpose of prayer? Is it to try to change God’s mind? Or is it to try to change us? Is it to build community? Or is there no purpose at all? While the answer is not obvious, do not be afraid to consider the pros and cons of a particular answer.
Discussion #6: M4 Afflict the Comfortable
Available before Friday, September 15, 2017 11:30 PM EDT.
There is a saying that “the purpose of religion is to comfort the afflicted and afflict the comfortable.” What do you believe this means? Do you think contemporary religions succeed at this task? Give an example.
Discussion #7: M5 Government and Religion
Available before Friday, September 22, 2017 11:30 PM EDT.
In some countries, like the United Arab Emirates, religion plays a strong role in laws governing how people live their daily lives. For example, during the celebration of Ramadan, it is illegal to eat, drink or smoke in public during daylight hours (even in your car!). In the United States, the Establishment Clause of the Constitution is supposed to prevent religion from playing this sort of political role (although it doesn’t always). What reasons might there be for favoring the Establishment Clause? What reasons might there be for opposing it?
Discussion #8: M6 Atheist or Humanist Chaplains
Available before Friday, September 29, 2017 11:30 PM EDT.
More and more Americans, when asked to state their religious affiliation, answer “no religion.” Many of these Americans serve in the military. Chaplains are recruited in the military of various faiths to serve the spiritual needs of military personnel. Today there is a call for Atheist or Humanist chaplains to serve the needs of people who do not believe in God and who are unaffiliated with any religion. What sort of obligations do the Armed Forces have to provide religious services for military personnel? Should this include atheists and humanists? Given that the military is a federal organization, what reasons might they have for addressing the spiritual and emotional needs of some soldiers but not others?
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Career Exploration Project
/in /by JosephA. Introduction
Your introduction should include your career plans and the reasons for your
interest. (What kind of skills, activities and interests have you had up to this point
in your life that lead you to believe you’ll enjoy and be good at the career you’ve
chosen?) Explain what people in this career field do including three specific tasks
a person in this field might perform. What type of college degree, if any, do you
need to gain employment in this field? How do you see yourself in this career 20
years from now? Also discuss what type of experience you’d like to have in your
college education and why you chose the college or technical institution that you
did.
B. Research Summary
Compile your responses in a paragraph format. This must be your work not copies from a view book, catalogue, etc. NO CUTTING & PASTING.
Career Research:
1. What they do: In your own words, write a general description
for what a person who has this career does.
2. What to learn: What high school courses should you take if
you are interested in this career? How much post-secondary
education is recommended for this career?
3. Money and Outlook: Discuss the earning potential, entry
wage, average wage and experienced wage (if given) and the
employment outlook and growth rate.
4. Employment: What industries employ people in this career
field?
College Research (Graduate studies):
1. Vital information: Name and address of the school, phone
number and website.
2. Statistics: Include the population of the city where the school is
located.
3. Tuition Expenses: Include tuition costs for both state residents
versus non-residents.
4. Other Expenses: Cost for room and board; estimated costs for
textbooks, food not covered by the meal plan (pizza,
McDonalds, etc) and spending money (gas for car, movie
nights, football games, a date, that awesome sweatshirt, etc)
5. Admission Requirements: Include GPA, additional college
courses required or recommended, and minimum scores for
GRE, MAT, LSAT, MCAT, DAT etc. Required admission
procedures and costs like application fee, student essay, letters
of recommendation, deadline dates, etc.
D. Pro’s and Con’s
Share your pros and cons in paragraph format. (Three Pro’s and three
Con’s for each.
E. Conclusion of research.
I attached the entire project for a visual but you only have to do what is posted.
FORMAT FOR PAPER:
Type and submit your project in a three-prong pocket folder. (Size 12 font, Times New
Roman font, double space) Organize items in this order:
1. Cover Page
2. Written Introduction
3. Career Research
4. College Research
5. Pro’s and Con’s List
6. Conclusion
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Repsond to 4 classmates posts for CAPSTONE COURSE
/in /by JosephQuestion description
AT LEAST 150 WORDS EACH…WRITE AS IF YOU ARE TALKING TO THE STUDENT
POST 1:
In consideration of diversification planning, i would reccomend option i) Lease three cargo jets which you would operate exclusively for a large air-package service firm. The firm is willing to give a four-year contract with a clause that automatically adjusts the fees to reflect the current cost of fuel. The cost to establish the business (crew training, additional maintenance facilities and equipment) is $300,000. The ROI is 20% and the risk factor is 3 to 4. There is a large return on investment with a relatively low risk factor. For my company, and where they are currently at, this is a reasonable way to turn profit with minimal risk. I dont see much ethical concern, if any, with this decision either.
POST 2:
In an effort to diversify the operation I would I would recommend option a) Acquire a food service company that serves several airlines. It is located in the airline’s largest hub. The cost is $500,000 and the Return on Investment (ROI) is estimated to be in the 12-20% range with a risk factor of 5. Considering the fact that the food industry venture is located at the base. This venture would be convenient due to its location. Also, this would be a potential to opening this business to other vendors such as other airlines, providing them a wider variety of meals. A prime example is LSG Lufthansa Service Holding AG, LSG Sky Chefs. LSG (n.d.) showed where this company was originally a subsidiary of American Airlines, but now they are a subsidiary of Lufthansa. LSG is the world’s largest provider of airline catering. However, ethical implications could include areas of social responsibility, sustainability and integrity. Hui (2013) showed where companies can also have ethical implications in marketing. Regardless of the industry, a socially-responsible company should care about their customers, employees, suppliers, the local community, society, and the environment. In this case, the activities of this company has a wide impact on the society and development. The company and its ventures should actively manage the economic, social, environmental and human rights with the intent of avoiding conflicts.
References
Hui, W. (2013). Why Corporate Social Responsibility is the Greatest Ethical Challenge to U.S.-China Relations. Retrieved from http://www.globalethicsnetwork.org/profiles/blogs/…
POST 3:
In the start of this course, my knowledge and skills abilities were somewhat vague regarding this course and the Capstone requirements. This course demonstrated that upon completion we should have the capacity to apply whatever we learned from day one with the intent of delivering the required results. Preparation for the Capstone has been the most significant and relevant insight. This course has better prepared me to understand what to expect around the bend. My academic goal has experienced a total transformation from initially taking this course. My goals have changed from a more analytical stance to one more of leadership. This course was also beneficial in understanding the importance of team dynamics. I must attest that taking this course has also questioned the value of online higher educational institutions. The course has tested my patience on several occasions, and for that I am grateful. The course was an actual simulation of the real world and has prepared me for my new role at my organization. As for my professional goals, I am pleased with the current return on my investment. I have since received a promotion in November of 2017, and am on track for future growth.
POST 4:
How has your ability to perform these skills and apply this knowledge evolved for each competency?
The main takeaway from this course has been “pulling it all together”. We have all gone through a lot of study and research with different aspects of analyzing and strategy options. This course, and the included simulation, really pulled some of those disparate concepts and ideas and pulled them together in a scenario based simulation that required implementation of those skills and abilities, beyond simple paper writing.
What concepts, skills, or insights were most relevant to you?
Seeing the results of choices over the course of the simulation, and understanding how the choices made created those results was the key for me in this class. Getting feedback of my analysis and expectations after each decision really gave me a greater understanding of how I can use different strategies and research directions to properly assess a situation.
How have you grown in your academic and professional goals? Have you made progress on any items in the action plan you developed during the first course?
The thing I gained most from this course was an improved confidence in myself, and my abilities. While you all understand how much work we have done over the previous classes to get to this point, it still just felt like classwork. I have used some of the new techniques and processes in my routine, but it didn’t really feel like I was becoming a “Master”. The simulation created a great example of finding the scope of a project, analyzing the situation, forming a strategy, and interpreting the results. By tying it all together, it solidified fro me how far I have come, and that I am quite capable of carrying this knowledge into real world situations. In short, it has made me confident in my skills that I hadn’t felt yet.
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MN552 Discussion Board Topic 1 And 2 : Cultural Competence & Healthy People 2020
/in /by JosephNo Plegarism please,
Will need minimum of 250 words, APA Style, double spaced, times new romans, font 12, and and (3 references – intext citations) per discussion topic.
There are 2 discussions: Topic 1 & Topic 2 (They both require references please)
Topic 1: Getting to Know You and Cultural Competence
First, provide a brief introduction of your professional background. (ME)
Next, review the Office of Minority Health, National CLAS Standards located in the Web Resources area. (see link:
· The Office of Minority Health. The National CLAS Standards. Retrieved from http://minorityhealth.hhs.gov/omh/browse.aspx?lvl=2&lvlid=53
Topic 2: Healthy People 2020
Healthy People 2020’s commitment to promote health and prevent disease encourages individuals to make healthy lifestyle choices for themselves and their families. Conceptual models and theories play a major role in health promotion and disease prevention. In addition, epidemiological data, such as morbidity and mortality statistics, helps identify health problems common to a particular population.
Select one of the Healthy People 2020 initiatives and discuss available preventative health services (immunizations, health screenings, etc.) relevant to the initiative, as well as health promotion strategies to be implemented by the advanced practice nurse for a selected population/age/ethnic group (neonates, children, adults, pregnant female, older adult). Please consider theoretical concepts and epidemiological data while discussing health promotion strategies.
No Plegarism please,
Will need minimum of 250 words, APA Style, double spaced, times new romans, font 12, and and (3 references – intext citations) per discussion topic.
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Discussion: Does Psychotherapy Have A Biological Basis?
/in /by JosephTO DO A REPLY COMMENT TO EACH POST. TWO REFERENCE PER COMMENT.
Post 1
Mental health processes and disorders originate from mechanisms within the brain. There has been the question within the psychiatric field as to whether plastic changes in the brain that can occur with the use of pharmacological interventions for mental health disorders could also occur with the use of psychotherapy. Psychotherapy is extremely beneficial in treating several mental health issues (Laureate Education, 2016).There is compounding evidence that psychotherapy does have a biological basis and can have a positive impact in brain recovery from the stress response. According to Wheeler (2014), psychotherapy mediates the reintegration and connection of neural networks that have become maladaptively linked due to adverse life events facilitating healing of the brain. Psychotherapy has been found to be an effective treatment method for a variety of mental health disorders such as anxiety, major depression, and post-traumatic stress disorder. According to Fournier (2014), activity in regions associated with negative emotion, emotion regulation, fear, and reward are associated with respones to psychotherapy, and psychotherapy appears to alter the functioning of these regions.
While proven to be an effective treatment modality for mental health disorders, there are factors such as culture, religion, and socioeconomic background that can affect the client and their perspective on the use of psychotherapy. Psychotherapy within itself can bring conflicting emotions for the client and the clinician must be aware of how religion, culture, and socioeconomics can alter how the client perceives psychotherapy and its efficacy in their treatment. According to Wheeler (2014), the powerful influence of culture permeates all dimensions of out life in a way that is often unconscious. For example, if a client comes from a culture where emotions are not to be discusssed or if one discusses there past traumas or fears then the client could be resistant to the role of psychotherapy in their treatment plan. The clinician must be aware of the importance of culture in medical or psychological treatments. Religion also plays an instrumental role in how psychotherapy will be perceived by a client. Many clients may come from a religious background where one only speaks of negative emotions with someone from their clergy or a religious figure. According to Kim, Chen & Brachfeld (2018), religion and spirituality are important issues to consider and address in psychotherapy. Communication could become stagnant if the clinician is not aware of the role religion plays in the psychotherapy framework. Socioeconomic background can also be a variable in one‘s perspective of the value of psychotherapy. Certain traumatic events that a person can suffer throughout their lifetime can be directly correlated to socioeconomic standing. For example, poverty can be associated with depression, anxiety, substance abuse, and mood disorders. Patients from this type of background can experience barriers in both seeking and receiving mental health services. According to Bernal et al. (2017), vulnerable populations such as those low in social status face additional barriers to mental health treatment and experience unique barriers to receiving optimal care.
References
Bernal, D.R., Herbst, R.B., Lewis, B.L., & Feibelman, J. (2017). Ethical care for vulnerable populations receiving psychotropic treatment. Ethics & Behavior, 27(7), 582-598. doi:10.1080/10508422.2016.1224187
Fournier, J.C., & Price, R.B. (2014). Psychotherapy and neuroimaging. Psychotherapy: New Evidence and New Approaches, 12(3), 290-298. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4207360
Kim, E.E., Chen, E.C., & Brachfeld, C. (2018). Patients’ experience of spirituality and change in individual psychotherapy at a Christian counseling clinic: A grounded theory analysis. Spirituality in Clinical Practice, doi:10.1037/scp0000176
Laureate Education (Producer). (2016). Introduction to psychotherapy with individuals [Video file]. Baltimore, MD: Author.
Wheeler, K. (Eds.). (2014). Psychotherapy for the advanced practice psychiatric nurse: A how-to guide for evidence-based practice (2nd ed.). New York, NY: Springer Publishing Company.
POST 2
Psychotherapy is just as controversial as mental health as a whole is. Some believe it is helpful, others believe it is a waste of time. One question still remains unanswered for many, can talking about feelings help change behavior and therefore sure whatever condition a person is suffering from? I believe psychotherapy has a biological basis. Lyrakos, Spinaris, and Spyropoulos (2017) clearly stated as results of a research that “the use of psychotherapy plays a significant role in achieving optimal health outcomes of psychiatric patients” (p. s753). Pairing psychopharmacology with psychotherapy can make a positive impact towards recovery compared to treatment with just psychopharmacology.
Many different reasons can influence the belief that psychotherapy might or might not work. For example, Adams et al. (2017) concluded in an article that “findings suggest that patients’ attachment characteristics play a role in their views and choices regarding treatments” (p. 194). Other factors that can impact the belief that therapy is a waste of time are culture, religion, and socioeconomic status. A person’s upbringing can be one to avoid talking about feelings with a stranger, or even with a loved one. Religion can also play a role in not receiving this type of treatment as faith in a spiritual belief might be the perceived as the cure to an ailment. Economical status and education level can also negatively impact the decision to avoid this type of treatment as the importance of it might not be completely comprehended or there are no means to afford the treatment. In another study that correlates the importance of psychotherapy, data showed “that children/adolescents with not only behavioral and emotional disorders, but also affective (mood) disorders had a higher chance for nondrug psychiatric/psychotherapeutic treatment compared to children with other psychiatric disorders” (Abbas et al., 2017, p. 442).
References
Lyrakos, G., Spinaris, V., & Spyropoulos, I. (2017). The introduction of psychotherapy in
psychiatric outpatients as part of the treatment in the last four years in a Greek
hospital. European Neuropsychopharmacology, 27(4).
Adams, G. C., McWilliams, L. A., Wrath, A. J., Adams, S., & Souza, D. D. (2017).
Relationships between patients’ attachment characteristics and views and use of
psychiatric treatment. Psychiatry Research, 256:194-201.
Abbas, S., Ihle, P., Adler, J., Engel, S., Günster, C., Holtmann, M., & …Schubert, I. (2017).
Predictors of non-drug psychiatric/psychotherapeutic treatment in children and
adolescents with mental or behavioral disorders. European Child & Adolescent
Psychiatry, 26(4).
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