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Family Assessment and Nursing
Professional nursing practice supports the need to conduct family assessment endeavors for pediatrics to geriatrics. Family assessments, regardless of the specificity of an individual's development, is a viable clinical tool to guide the nurse in the process of identifying the strengths and needs of the individual to whom care is extended. The remainder of this written assignment will focus on two separate situations wherein family assessment is invaluable. The first article (Bower, et al., 2002) speaks of Alzheimer's disease and the second article (Cuenco, et al. 2004) relates to the importance of cultural diversity and family assessment
ith Alzheimer's disease the family is an extremely pivotal link to all levels of diagnosis, treatment, and prognosis as well as in determining a care approach. The authors clearly point out the necessity interviewing family members with respect to the patient's past and current personality. The importance to this…… [Read More]
Description of Family / Genogram
Profile of Family
The 'T' family has been chosen for the completion of this assignment. Mr. T is the 95-year-old patriarch. His wife and mother of their two children is Mrs. T, 92 years of age. Their children are Wilma and Leon; ages 60 and 62 respectively. Theirs is a nuclear family. Both husband and wife are quick to affirm their lives are full of joy and fulfillment at having a family and raising two healthy kids.
Diagnosis of the Family
Developmental Stages and Tasks
I made the acquaintance of Mrs. T approximately four years ago when we worked side-by-side as customer service representatives; and remained work colleagues for the ensuing three years. Today we are fast friends although I have returned to school to pursue a degree in nursing. I enlisted her aid in a nursing theory project recently; her response was…… [Read More]
Interviewing the selected family was able to illuminate their specific views on health in general along with their particular views on all the specific factors and tenets of health. Just as every family is different, this certain level of differentness can manifest through distinct perspectives on health and various manifestation of health behavior. I interviewed the Gomez family; the parents of the family both came to America when they were under the age of ten. Their three children were born here. Thus, there is a certain amount of push and pull in the family with traditional Mexican values and more modern and Western American values, when it comes to health (Peterson, 2013).
When it comes to their values and their perception of health these aspects tend to be more over-simplified. The entire family just views health as the absence of disease: this is problematic because the entire family…… [Read More]
Oral Case Presentation/Family Assessment
Identifying Information and Presenting Issues
The family presents as a mother, her 4-year-old daughter and the mother's partner. The mother is Liz ochaleau who was recently divorced and moved into a new situation with her daughter Jackie. Liz's partners name is Katie. The couple has only been living together for a short period of time, and during that interval Katie has been having issues at daycare. She seems tired, withdrawn and sometimes he clothing is unkempt.
ead the entire case file, look into research on similar cases, find out all of the people who could possibly shed some light on the case, and make sure and understand all of the regulations and ethical entanglements that could be involved.
The family needs to be approached carefully for two reasons. First Liz is a recently divorced mother who may not react well to…… [Read More]
They provide the funds to pay for the extras Noah and Allie enjoy while at the home and they write them letters and send them cards weekly. Noah reports that his adult children do an "excellent" job of watching out for "old mom and dad" and he jokes that he did it right by raising them to know it would be their job to do so.
The nursing home director also reported that Noah's adult children regularly come and get him to take a day out of the home. Sometimes they go to a park, often they go out to eat and sometimes he stays overnight with his adult children and is returned in the morning. At one point they report, Allie was also accompanying them on the day outings but in the past few months as her disease progressed it became unsafe for her to go out without professional…… [Read More]
Patient's Diagnosis & Interventions Using CFAM / CFIM Approach
Patient's Diagnosis & Interventions USING CFAM/CFIM Approach
Patient's Diagnosis & Interventions
CFAM / CFIM Approach
The Calgary Family Assessment Model (CFAM)
Strengths of the Family
Weaknesses of the Family
Calgary Family Interventions Model (CFIM)
Diagnosis, Goals & Interventions
With the advent of new research in nursing, nursing practices are becoming more sophisticated and extensive. From mere patient care, nursing practice has moved onto complete patient care which involves eliminating elements other than illness, causing distress to the patient. Where prior nursing practices emphasized on treating the medical reasons causing the illness, the new model focuses on providing a living environment to the patient who is conducive for him / her. The given research paper is based on the evaluation of a patient by using CFAM /…… [Read More]
Family chosen for this particular assessment was a large family that seemed likely to provide plenty of interesting anomalies and peculiarities. The structural assessment of the family includes three aspects; 1) internal, 2) external, and 3) context. The internal aspect is composed of who is in the family and how they are connected. This family has two parents; a man and a woman (although the father recently passed away). The family is composed of 12 children, eight boys and four girls. The mother is 70 years of age, and the children range in age from 30 -- 54 years old. The children are all married (or have been) and all have produced offspring as well. Additionally, a number of the offspring have attained an age(s) that allows them the capability of reproducing, subsequently there are a number great-grandchildren as well (with additional buns in the oven as the term so…… [Read More]
In today's high tech digital virtual world understanding the family matrix has never been more difficult. On a daily basis family units are continually bombarded by stimuli that can and do affect their educational, moral, and cultural development goals. Gone are the days when children simply learned the three "s," did chores at home, obeyed their parents unquestioningly, and did a few minutes of homework. Gone are the days when only the father worked and the mother stayed home to look after the children. Gone are the days when drug usage was not rampant, divorce prevalent, and saving for a rainy day a myth.
Individuality is today's mark of the family unit. Diversity within the family is expressed by those traits that cannot be changed (original gender, race, age) as well as those traits that are acquired and learned through an environmental setting (Tatum, 1997). Although powerful, the…… [Read More]
Clinical Family Assessment
The family at focus in this clinical family assessment is known as T..H. who is the center of assessment. T..H. has been recently diagnosed with breast cancer. Both T..H. And her family are worried about the situation. The mother is undergoing chemotherapy and the teenaged children are fearful and in need of educational information about the situation. The husband is supportive of his wife and family and is holding everything together well. The family addressed in this study is comprised of a mother, father and two children. The Healthy People 2020 has four primary goals including the attainment of lives that are of high-quality and characterized by being free of disease, disability, injury and premature death that is preventable; achievement of health equity, elimination of disparities and improvement of the health of all groups; creation of social and physical environments that promote good health for everyone; and…… [Read More]
Barnett family, being assessed, consists of three members who are currently living at 272 Cloverbotton Drive, a three-bedroom house, located in a rural upper middle class neighborhood in Kingsport Tennessee. Faye Barnett is a 66-year-old Caucasian female who has retired from her work as a secretary for Sprint. Bud Barnett is a 70-year-old Caucasian male retired from Tennessee Eastmen where he worked as a machine operator. Mark Cody is the 19-year-old Grandson who is hydrocephalic. Mentally, physically, and visually handicapped he is the mental age of approximately 18 months and requires constant care.
Bud and Faye follow an 1800-calorie diabetic diet, as Bud is a Type II diabetic while Faye suffers from hypoglycemia. They both follow a strict diet although Bud does occasionally treat himself to some sweets. The fats and simple carbohydrates in their diets are restricted and they enjoy fresh vegetables in season and preserve them for winter…… [Read More]
The assessment of my family is presented here for the academic purposes. The family comprises of six members that are working at different positions and live in personal home. Each member of family is educated. Based on questionnaire filled by all the family members, the summary is composed that will give an insight about the health of family.
Summary of each functional health pattern for family
The health perception-health function of the family suggests that it has an average health status. The health is not poor and the members are less vulnerable to severe health issues like diabetes and allergies yet there is a mild risk of getting cold and fever since there is low temperature at night and cool breezes during the morning. The family is suggested to have regular checkups and to take vitamins. Nutritional Metabolic Pattern of family shows that it has a healthy diet…… [Read More]
The author of this report has been charged with doing a family assessment project. The largest part of this report shall be the genogram and ecogram. The personal version of these two diagrams as authored and put together by the author of this report are shown in the appendix. There will be some additional supporting and complementary information as well. This will include the Calgary Family Assessment Model (CFAM) and the Calgary Family Intervention Model. Both of those models will be discussed and reviewed in this report. Also worthy of mention will be the stages of the family life cycle. The rest of the report will be important information about the family members identified in the genogram. This information will include three generations of information, each family member being identified, the family relationship involved, the current age of the person (or age at death), the martial/relationship status of…… [Read More]
Expressive functioning is related to communication such as emotional, verbal, and nonverbal communication, problem solving and roles within the family. Beliefs within the family are also a part of expressive functioning.
For the purpose of the Calgary Family Assessment Model, a family is defined as who they say they are. It is very important that the clinician performing the assessment not assign their own beliefs upon what he or she believes a family is, and take into account what the patient feels about family as to the patient is may mean not only the people who actually live within the household but can also address past, present and future emotional attachments.
Calgary Family Intervention Model:
The immediate family is composed of Mr. Herbert Schelley (the patient), Mrs. Annette Schelley (his wife), and their son Thomas Schelley. The extended family consists of the Schelley's two married daughters, their husbands and their…… [Read More]
family by applying theories, concepts and knowledge. Through the study of the theories and concepts, the study will look at how families communicate, behave, operate and will also highlight common problems facing the family and especially tackling the health issue and how social systems affect provision of health care, and will illuminate this through an in-depth study of how it applies or affect the family unit. The study will discuss diversity issues in relation to the social system.
Family life is being scrutinized, and a new definition of a family is emerging every day, but in simple terms a family is a group consisting of parents and children living together in a household, caring and supporting each other. According to Merriam-ebster Dictionary; a family is a fundamental social group in society typically consisting of one or two parents and their children.
The family is the natural and fundamental group unit…… [Read More]
Family Wellness Diagnosis, Nursing
I opted to interview a family of two parents (married heterosexuals) who have two children. Both children are in their late teens. Both parents work. She is a freelance writer and he is a sales clerk at a retail home goods store. Both are in their late forties. He is about 5'11; she is 5'6." Their heights and weights appear appropriate though he claims that at 180 he feels a little overweight. She is about 140. She is originally from Guatemala and he is from the mid-west of the U.S. The children are both boys. Bruce, age 19, is away at college. The other, Erick, graduated from high school last year and has been working at a local golf course while waiting to decide what he wants to study at a community college. I spoke with Bruce over the telephone for about 15 minutes. He confirmed…… [Read More]
Families, Delinquency & Crime
The fundamental changes occurring to families in the 2st century can be classified into two different categories, depending on the internal or the external perspective that is used in the analysis. The external perspective proposes an analysis of the sociodemographic changes that have occurred to families under the impact of the external factors of the 2st century. The sociodemographic changes are characterized both by the numbers, by a quantitative reflection of families, and by the relationships that are formed within each family.
From the first perspective, the 2st century has imposed both changes in the number of families (some cultures, notably the Western ones, have encountered decreases in size because of an increased reluctance of individuals to get married) and in the formation of these family groups. As such, in many of these family groups, the norm has translated from a man-woman marriage as the basis…… [Read More]
To meet their needs in this regard, I'll provide them with a liaison during every part of their journey. I will for example ensure that a particular flight attendant on every flight will meet them and help the family find the correct connection for their continuing journey. In the case of their arrival, I will ensure that an airport official will meet them at the airport and ensure their safe arrival at their accommodation. I will do the same in the case of hotels and specific activities. During each leg of the journey, I will ensure a guide to help the family arrive safely, enjoy their activities, and return at the correct times for everything they planned. During the journey, it is also possible that my clients will be in need of child care facilities. I will therefore ensure that all the appointed assistants will be aware of how to…… [Read More]
-Mother can attend cancer support groups and receive advice and education through other channels regarding proper methods of providing care and improving quality of life for her husband
-Son can explore employment options as well as discuss various needs and responsibilities with his parents in order to determine his most effective utilization within the changed family dynamic
-Father can provide the levels of self-care that come easily, but should educate himself regarding his condition and ease care by allowing others to help when necessary
-Provide educational materials/answer questions for both mother and father
-Assist son with psychological transition of increased responsibility/familial dependence
-Instruction of proper care techniques for mother and father regarding father's condition
Levels of comfort and competence in new family roles should be easily assessed in regular visits through brief questioning. Monitoring father's health through standard vital sign and other appropriate tests will…… [Read More]
In fact, many studies show that deviant or antisocial children may experience a strengthening of the bonds between parents and society in the process of their development.
Therefore, while social control theory is one view, there are many alternative theories that take other findings and variables into account. In general, the view that a deviant child who does not change by a certain age is "condemned "to a life of crime if sharply criticized, as it often does not concur with empirical findings. Theories put forward by Gottfredson and Hirsch propose another view of the life-course towards crime that takes into account the fact that in many case early deviant behavior does not necessarily lead to a life-long pattern of criminal behavior.
Describe the labeling theory and the consequences that labeling can have on a child. Should we be concerned with labeling? Why or why not?
In essence,…… [Read More]
FAMILY DOLLA & MODELLS ANALYSIS
Family Dollar & Modell's Sporting Goods Analysis
Family Dollar & Modell's Sporting Goods Analysis
The award winning series Undercover Boss is a CBS reality show series that is about a senior management boss of a corporation who works as an undercover in a bid to discover, along with understanding the operation of the whole business. This likewise helps them to be able to recognize if there are any gaps in the corporation so that they can come up with the best way of speaking to them as a result. However, As CEO of Family Dollar, I am going to compare 2 positions from Undercover- Boss season 5 episodes 7. I would compare distribution center "warehouse" and Sales associate.
My name is Xavier Lewis, CEO of Family Dollar. Since 1959, when Family Dollar first swung its doors open to the public their doors (Leonard,…… [Read More]
Snell, L. (December 1, 2002). "Special Education Confidential" How Schools Use the "Learning Disability" Label to Cover Up Their Failures." Reason. Cited in:
Westwood, P. (2003). Commonsense Methods for Children With Special Needs.
Luis and Maria brought their family to the United States because of the chronic unemployment in Puerto Rico. They both graduated from Secondary School, although monetary and family responsibilities prohibited them from college or advanced trade school. Luis was a mechanic and bus driver in Puerto Rico, and was able to take his Class CU.S. Certification. He is a full-time driver for the city's Metro Bus Service, which is a medium income job, and because it is a City Government position, has decent benefits. Maria worked in a poor-quality "sewing" shop in Puerto Rico, but managed to find a position with a Dress Shop/Tailor catering to the Latino immigrant community. She specializes in…… [Read More]
Family Systems Theory: Vignette II
Discussion of what's going on in this family
Claudia and Margaret had suffered violence at a young age and therefore, are prone to commit acts of aggression, with the chances of developing more symptomatology like anxiety, aggression, depression and low levels of self-esteem, as compared to those who led a violence-free childhood. Being victims of, and exposed to, family violence during childhood years can make Claudia and Margaret victims or offenders. Margaret was a victim of violence when she was young and resorted to aggression as the means to resolving conflicts in her relationships; her personality structure incorporates shame, anger and guilt. Claudia, also being victimized in childhood, cannot regulate her emotions, particularly anger, and exhibits more tolerance to adult intimate abuse. As they were both victimized or exposed to abuse, they not only display aggressive behaviors, but also possess ineffective ways of coping and…… [Read More]
Nursing Case Study
Family nursing diagnosis is a holistic process that involves a thorough and complete family assessment to establish both curative and preventive concerns in a given family. The assessment from the participating family established a number of diagnostic issues. One of the family members suffers from obesity. D.K. who is ten years old and in second grade took two years to complete first grade. Obesity is a condition whereby the Body Mass Index (BM1) is over 30kg/m2. This is because of excess fat accumulation in a person's body. The Body Mass Index BM1, is the measure for obesity, and it is calculated by dividing a person's weight in kilograms by his/her height in square meters.
Obesity may be associated with the several of medical conditions like heart attack, type 2 diabetes, osteoarthritis and some types of cancer (Domino, 2007). Major causes of obesity are lack of physical exercises…… [Read More]
high-isk families? How can they be helpful?
The different techniques that can identify high risk families include: intake, investigation, case planning and continuing services. Intake is when there is a focus on gathering information and understanding the problems. Investigation occurs after there are possible signs that someone could be in a high risk environment (i.e. physical marks and the person becomes withdrawn in social situations). Case planning is when different resources are gathered, to intervene and limit the impact of these conditions on the individual / family members. Continuing services is the point that health care workers are consistently monitoring the situation (to determine if there are any kinds of changes with the patient). ("Family Assessment in Child Welfare Services," 2005)
These tools are helpful in determining if a high risk situation exists. At the same time, they are focusing on identifying possible abuses and quickly rectifying them (utilizing a…… [Read More]
Limits families to a heterosexual union with children
Does not account for other family types
Does not accept gay unions
Is highly positivist in data analysis and collection
The traditional family defintion focuses on the family with a heterosexual orientation. This defintion is functional in orientation and highly conservation in terms of its approaches to family. Consequently, other forms of family are not recognized or accepted as legitimate forms of family. This posture means that these families are not families. Single parents, extended families, and other non-traditional models are not entertained. Additionally, this approach is highly positivist in orientation and depends heavily on the creation of categories of families and the use of statistical data. The analysis attempts to understand trends based on the mean and departures from that mean. This is a major limitation since the nuanced nature of family requires that different types of data…… [Read More]
Psychology of Marriage and Family Systems
The literal meaning of the word "psychopathology" is a mind disorder or disease. Psychological diagnosticians, while assuming that the illness is located inside a person, always use the medical model in treating or studying patients with 'mental illnesses'. In comparison with the approach they take, I present two converging and related psychopathology perspectives. The two perspectives give an analysis based on context from the family's viewpoint. The first approach, the "family systems" approach, is a conception that came up in the 1950s as a substitute to the traditional focus of psychopathology on individuals (Goldenberg & Goldenberg, 1996).
The second approach, "family risk factors" has been in existence in psychopathology but not in the foreground. It tries to identify a couple family aspects of the functioning of the family that are significant in the treatment as well as etiology of patients that have tested positive…… [Read More]
Yellowbird Family Case Study
The case of Jason Yellowbird and his family is an all-too-common one: pregnant with him at the age of seventeen, Jason's mother Carol marries Jason's father, Stone Yellowbird, only to divorce him when Jason is four years old. Since remarrying, Jason has suffered from abuse and neglect at the hands of both his mother and his stepfather, and has been in and out of the foster care system and the juvenile justice system. Currently living with a treatment foster family that is a part of the community's foster care program, Jason is being prepared for returning to live with his mother and stepfather again, something that both of the guardians in this case have resisted before. Developing appropriate assessment techniques and preliminary interventions is vital to helping Jason find some real stability and direction in his life, or he is liable to end up like many…… [Read More]
therapy is usually applied in cases such as the one exhibited by Kong, following the loss of a loved one. The procedure is outlined below:
The Semi-Structured Clinical Interview
The informal assessment of individuals faced with the effects of the loss of a loved one such as Kong's case is the semi structured interview. This approach allows the therapist to classify victims according to the symptoms that they exhibit. The approach allows for the recording of changes in profile symptoms demonstrated over time. The information below should be collected from a client.
The mental illness history of the family
Ones medical history
Any past visits or interactions with a psychiatrist
One's social history
Varying aspects of one's specific information should be collected regarding the loss of a loved one
There is need to focus the interview details on the secondary and primary…… [Read More]
The National Housing Act indirectly promoted the idea of lenders offering much longer-term mortgages with the currently accepted concept of monthly payments with the dual interest and principal payment scale. Amortized real estate mortgages opened the door for an average person to purchase and own a single family home.
As a result of the National Housing Act, the United States government inadvertently committed itself along with private lenders to insure long-term mortgages that could be held for as long as twenty or more years at an interest rate that was affordable. Although the process at first was bogged down by paperwork and bureaucracy it eventually caught on.
Part of the reason the process took hold was because in addition to guaranteeing the loans, the National Housing Act through the formation of the Federal Housing Administration also investigated properties and neighborhoods which added an extra measure of security and guaranteed real-estate…… [Read More]
Assessing the Abdomen
Abdominal pain has proven to be a major issue facing emergency room doctors since the diagnosis process is relatively complex. Meisel (2011) contends that doctors in emergency rooms do not fancy diagnosing and treating abdominal pain because it entails dealing with bodily fluids, complex internal examinations, and a wide range of diagnostic tests and therapies. This comes at a time when abdominal pain is one of the major reasons American patients visit the emergency room (ER). Caring for abdominal pain is characterized by a high chance of misdiagnosis unlike other health issues. ER doctors are faced with challenging and time-consuming processes when trying to determine the actual cause of abdominal pain. This is a case study of a woman who visited an emergency room for severe abdominal pain and was diagnosed with diverticulitis. The case study entails an analysis of SOAP (Subjective, Objective, Assessment, and Plan) factors…… [Read More]
Poverty eduction Programs in Urban Communities
Needs Assessment For Poverty Programs In Urban Communities
Many countries around the world have made poverty reduction a policy priority by adopting the goals of the Millennium Declaration or similar objectives. The Small Area Income and Poverty Estimates (SAIPE) Program to enable it to analyze income and poverty trends in individual counties such as Wilson County. The application of the SAIPE Program in the State of North Carolina in 2012 revealed that despite some major poverty-reduction plans being implemented, the overall rates of poverty still remained relatively high. It has been estimated that Wilson County, N.C., has a population in which approximately 18.5% of the population (representing around 13,747 people) and 13% of families live below the federal poverty line; the second poorest county in the state.
The rates of poverty are worrying because there have been several attempts to attempt to alleviate poverty…… [Read More]
Measuring special abilities can be limited in its application due to unstructured settings like unstructured interviews eliciting thematic life narratives. These kinds of interviews although useful in examining and measuring abilities, can be confining due to the range of topics "considered and abiguities inherent when interpreting this information; (b) structured interviews and self-report instruments elicit details concerning patients' conscious understanding of themselves and overtly experienced sypmtomatology" (Shum, O'Gorman & Myors, 2006, p. 149). Interviews like these help the psychiatrist/psychologist hone in on any unique or special abilities, even vocational abilities. Personality inventories or self report inventories, along with work and personal values measures like, the importance of family, help determine what kind of interests/abilities the person may be good in or be passionate about. As it concerns possible issues in regards to vocational ability or interest testing, certain things may be lacking such as suitable range of options to explore…… [Read More]
The relevance of maintaining healthy communities cannot be overstated. In basic terms, communities should be designed and maintained in a way that promotes the well-being of their inhabitants. In so doing, such communities could end up realizing not only the economic but also the social benefits of a happier, healthier, and more productive society. There is therefore a need to assess and diagnose the key health problems specific to various communities. This way, lasting and innovative solutions can be sought and implemented to rein in the identified health problems.
For this particular assignment, I will concern myself with North Las Vegas which also happens to be one of the largest cities in Nevada. In terms of governance, the city falls under the administration of a mayor who is assisted in this role by four members of the council. When it comes to city life, it is important to…… [Read More]
Adolescents at isk of Suicide
Today, alarming numbers of young people are contemplating taking their own lives, and many follow through on their suicide ideations to actually kill themselves or to make an attempt. In sum, suicide represents the second-leading cause of death for people aged 15 to 34 years and is the third-leading cause of death among young people aged 10 to 14 years (Suicide facts at a glance, 2015). To gain some additional insights into these issues, this case study provides a description of hypothetical 14-year-old runaway Caucasian adolescent, "Jane," who as referred from a homeless shelter with suicide ideations to determine what screening and testing should be performed, a discussion concerning current recommended treatment protocol, drugs and non-pharmacological interventions, and a description of expected treatment outcomes including a corresponding time frame and follow-up plan. Finally, a summary of the research and important findings concerning adolescents such as…… [Read More]
Early identification of learning disabilities in children is critical to the development of a child's abilities. Identification allows for tailored interventions sooner, which optimizes outcomes (ilkinson, 2010). Unfortunately, a wide array of problems exists in attempting to identify a disability. Difficulties include the family's denial of problems and an incomplete evaluation. The authors discuss several approaches for identification of learning disabilities with a detailed discussion of each one (National Joint Committee on Learning Disabilities [NJCLD], 2007). After a discussion of risk indicators that may be linked with learning disabilities and protection factors linked with the lack of learning disabilities, the authors note that these indicators are not conclusive (NJCLD, 2007). The authors support systematic observation and comprehensive evaluation to assess learning disabilities (NJCLD, 2007). Finally, the authors conclude that tailored intervention for students and professional development for those involved in special education are critical for interventions (NJCLD, 2007).
The…… [Read More]
Treatment of Criminal Offenders
As a clinician, how can you apply the knowledge you gained from this course to more effectively serve your clients?
A connection has been established by researchers between brutal and violent susceptibility to impair a particular area of the brain. Till date, several evidence, have assisted to bring into limelight the shady aspect of human attitude and might pave the way for important interference. For instance, several types of spontaneous aggression might be a result of defective balancing of emotion within the prefrontal cortex of the brain, the centre of superior intellectual activities like judgment, analysis and substantial control of impulses. The degree of malfunctions in the core circuits of the brain related to aggressive behavior and if these circuits are capable of being repaired is of course debatable. esearchers have mentioned that individuals inclined to violence have structured blueprints in the brain that can be…… [Read More]
Chronic Fatigue Syndrome -- A Case Study
Case study 'Monique.'
Case presentation and history
Monique, a female aged 30, possesses a history of depression and chronic fatigue syndrome, starting at the age of 16 to 17, together with suicide attempts (entailing overdosing), in addition to a long record of anxiety. During baseline evaluation, she reported continuous constant fatigue as well as anhedonia. She also expressed dense retrograde amnesia following a 12-week program of bi-weekly electroconvulsive therapy early in 2006 (she asserts that has no memory of any occurrences preceding this). In late 2006, Monique was also diagnosed with ADHD, however, trusts that she has had continuous problems with distractibility and vagueness. At one point, dexamphetamine was experimented on her, which, even though enhanced her attention, also reduced her mood and hence it was discontinued. Monique also reported that when she was 2 years old, she cracked her skull consequent to…… [Read More]
Shift From First-order to Second-Order Cybernetics in the Family and Systemic Therapies
The strategic family therapy model came up in the 1950s and was inspired by two primary works: the works of Milton Erickson who came up with revolutionary paradoxical interventions which took advantage of people's resistance to change to help alter psychiatric symptoms first; and the works of Gregory Bateson and the Palo Alto Group that made use of cybernetics in communication patterns of the family. The style of a therapist changes as he or she gets better as a person and as they develop professionally, and also as per what is in fashion at the time. An older person has the chance to look at what happened in their past and see what worked and what failed. This gives them a better perspective of what works and what might not work for a given situation. The path is…… [Read More]
Change at Amazon
Background to Amazon
eason for Change
Diagnosis of Amazon
Amazon are known for providing employees with a harsh workplace environment, with a high level of attrition (Kantor & Streitfeld, 2015). Changes in the H policies and strategies to increase the employee centric practices, such as adopting a more flexible approach to employee personal issues, management by walking around, and increasing recognition for employee hard work and achievements may result in positive outcomes. esearch has clearly indicated that were employees feel that their employer cares, they will display a higher level of commitment and productivity compared to employees who do not feel their employer cares (Buchanan & Huczynski, 2011). This can enhance productivity even in harsh working conditions (McGregor & Doshi, 2015). To consider if this is available strategy the firm and its current issues may be considered along with an assessment for readiness for change.…… [Read More]
The Jacques family seems to have functioned very well until the husband began abusing drugs and alcohol. This was a problem before, but things have stabilized when the appropriate help was obtained. The relapse occurred directly after the wife and children left for a visit to the wife's family. Hence, it might reasonably be assumed that the presence of the family has a positive effect upon the maintenance of the treatment regime. Because Jean (the husband) functioned at a very high level before his relapse into the cycle of abuse and the abandonment of the treatment regime, it might be assumed that he will once again respond to intervention. Because there is as yet no physical danger to the family, the treatment and intervention program will be administered under strict official supervision, with regular monitoring sessions. However, while the aim is to keep the family together, a contingency…… [Read More]
Family Therapy Treatment of Mental Illness
There has been a growing movement towards the use of family therapy methods for the treatment of mental illness in recent years. To determine the facts about this trend, this paper provides a review of the relevant literature concerning family therapy treatment of mental illness in three sections. In Section 1, a discussion concerning the views of O'Hanlon and owan's (2003) and Zeig and Munion (1999) for working with clients with chronic or severe mental illness is followed by an analysis of the extent to which they succeed in making a strong case for "brief therapy" with intensive clients. An assessment concerning the contribution of Milton Erickson to the assessment and treatment of different mental health diagnoses is followed by an analysis of their respective approaches and the corresponding benefits and limitations of each of these models. Section II provides a discussion concerning the…… [Read More]
Nursing Heritage Assessment
The Heritage Assessment Tool is a useful way of examining how strongly a person identifies with his or her heritage. It asks questions that can give a healthcare provider information about how long the family has been in the United States, how many generations of the family have been in the United States, how close the family is with other family members, whether the person lives in an ethnically-identified community, and whether the person married someone from the same cultural background (Spector, 2000). Furthermore, the questions in the assessment tool also seem aimed at helping determine whether the person is from a minority ethnic community. While it is not always the case, people who belong to minority groups may be more likely to identify with ethnic sub-communities. This can have a tremendous impact on the healthcare choices made by the individual patient, so that understanding a patient's…… [Read More]
Click http://wps.prenhall./wps/media/objects/663/679611/box_6_1.pdf order access "Heritage Assessment Tool." Assess Heritage Assessment Tool answering questions. In 1,000-1,500 words discuss usefulness applying a heritage assessment evaluating person, summarize learned Heritage Assessment Tool.
Heritage assessment tool
The heritage assessment tool acknowledges the different degrees of impact an individual's ethnic heritage may have upon his or her worldview. For some individuals who are very emotionally connected to their family and extended family, their sense of self is defined by their religion, customs and beliefs as they relate to a larger tradition. For example, someone who is Hispanic-American may spend a great deal of time not only with his or her nuclear family, but also with an extended network of cousins, grandparents, and even friends of the family. Even if not particularly religious, the rituals of the Catholic Church might provide a source of joy during traditional holidays and a source of comfort during…… [Read More]
Heitage Assessment: Indian, Chinese and Ameican Cultues
In using the heitage assessment tool, thee (3) cultues wee consideed and compaed: Indian (autho's cultue), Chinese and Ameican.
The autho's cultue is highly influenced by ual Indian cultue, as s/he was aised in India until s/he was 25 yeas old. Because of this late influence of Ameican cultue, my Indian cultue has emained stonge within me. This is eflected in the autho's lifestyle, which stictly adheed to taditions and values held impotant by the Indians. Raised a Catholic, the autho is actively involved in the Chuch and paticipates in activities like Bible eading and celebating eligious holidays. The autho's stong Catholic Indian identity is also eflected in he social cicle, which pimaily consisted of Indians shaing the same cultual identity as he and pacticing Catholics.
Howeve, when talking about health maintenance, the autho mixes the influence of Indian cultue with the…… [Read More]
High-isk Family Health Promotion: Teen Pregnancy
Teen pregnancy is a problem in the United States which has enormous consequences for both the individuals who are immediately concerned with the pregnancy and the public at large. The role of family nursing in assisting young mothers cannot be understated, but prevention and education are the primary goals of family nursing. Nurses must realize the adverse consequences that can occur when a teen becomes pregnant, understand how to advocate for the teen and have the personal skills to positively affect the patient.
The United States continues to have an epidemic of teen pregnancies. The United States leads the world in all categories of teen pregnancy. In 2006 more than 750,000 women below the age of 2o became pregnant (Gutmacher Instittute, 2010, 2). This is actually a low number as the birth rate per 1,000 representative women was only 71.5. However, this…… [Read More]
Heritage Assessment Tool
Upon completing the Heritage assessment tool there were several things that I realized. The primary realization was that in my family we do tend to cling to those things familiar, we seek things that are known and comforting. Some of the common health issues in my family consist of Cancer, Diabetes, and cardiovascular disease. In my family, these are issues that have not only been handed down within my bloodline, but they have been issues within my heritage for as long as you can trace back.
When looking at health maintenance there are certain things that have occurred in my family for generations to try to hinder the onset of certain illnesses and disorders, physical activity and a healthy diet have been important because if the increased risks of cardiovascular issues as well as the high chances of having high blood pressure and diabetes (Last-Name, 2011).…… [Read More]
Work First Family Assistance Program
Welfare states are recognized by their efforts to help the citizens in leading a better life. Such states also help citizens rise to the point where they are able to lead a stable financial life. There are many programs currently running in America at state or federal level that help the citizens in one way or the other to be able to maintain basic operations of live. One such program is Work First Family Assistance. The Work First Family Assistance Program is an initiative by North Carolina that helps needy families and gives them funds. The program offers funds to the custodians for the dependent family members. These payments are normally made on the monthly basis. The assistance program supports only those citizens that can fulfill the criteria of the program. While every one-out-of five citizen of the state of North Carolina is potentially affected…… [Read More]
He is still deeply in love with his wife, as though he just met her . He expresses his love on a daily bases with his wife, with hugs, kisses, and showers her with lavish gifts . They cuddle in the evenings in the family room for an evening of relaxation watching television or reading . Although the sexual physical part of their life as slowed down, they still do have a very high sexual relationship which is shown in different ways or expressions .
Fears / Concerns
Mr. P expressed his biggest concern related to aging is being without his wife one day . He also expressed that he doesn't want to die the same way this mother did with Alzheimer's disease, as it was a horrible experience for anyone to live with and watch a loved die . This has played on his mind as he has aged,…… [Read More]
ather than lamenting the loss of a family structure from an admittedly anomalous decade, Stacy (1993) argues that social reforms are necessary to ensure that children are cared for.
In Beck-Gernsheim's (2002:85) assessment, the focus should not be on "the black-and-white alternative 'end of the family' or 'family as the future'" but on "the many grey areas or better, the many different shades in the niches inside and outside the traditional family network." According to Beck-Gernsheim (2002) traditional definitions of family exclude many groups such as single people, the childless and single-parent families who have never married. They also ignore the potential conflict that occurs within traditional families. Beck-Gernsheim (2002) explains that changes in families, which have been occurring since industrialization, are the result of individualization.
In pre-industrial times, family structure was centered on work and economics, which each family member having a role to support the family farm or…… [Read More]
esearch Design. Both quantitative and qualitative research methods were employed in this study. Instruments include self-report measures and personal narratives of 91 native Hindu married couples (182 participants) from three types of living arrangements that I have mentioned earlier. The qualitative part on the other hand was utilized via personal narratives of the participants (ibid, p.82).
esearch Instruments. For the quantitative part, marital happiness was assessed using the Locke-Wallace Marital Adjustment Test. The questionnaire also includes a demographic survey portion which was based on the National Health and Social Life Survey. Quantitative questions on intimacy and conflict can also be found in the questionnaire. For the qualitative part, the instrument devised explored 12 dimensions of the participant's lives: their expectations about their partner, career, self, well-being, intimacy, marital relationship, family living arrangements, in-laws, parents, their conflict history, good times they had shared, and the cultural norms guiding marriage…… [Read More]
EFFT and Stepfamilies
Blended families or "step families" have one parent who is not the biological parent of the children in the family. These families will often face unique challenges due to their makeup. Furrow and Palmer (2007) discuss Emotionally Focused Family Therapy (EFFT) for stepfamilies. Furrow and Palmer identify four basic challenges that stepfamilies face:
(1).The past experiences of the different families join compete with the new family's ability to consolidate newer relational commitments.
Typical family boundaries are clouded in stepfamilies (e.g., who disciplines which child, who is the real parent of whom, etc.).
There is an "inheritance of loss" that occurs through remarriage that can affect the parents and the children of both original families. This can interfere with the development of the new stepfamily.
(4). There are different developmental needs in stepfamilies compared to other families.
These four specific challenges can make working with stepfamilies particularly difficult.…… [Read More]
They have grandparents who visit them during the holidays. However, for the most part family members deal with their problems as individuals, not as a family unit.
Information provided by the family is an important source of information about the family. However, one cannot ignore outside sources of information as well. For instance, the worker may contact the school, neighbors, or others who are involved with the family to examine factors that may influence the current situation. The assessment plan will involve contacting the school to find out about Conrad's performance in terms of grades, attendance and overall performance.
The case of the Jarretts is complex, with many individual goals that must be completed on the way to resolution of the systemic problems. In this case, the identified patient is Conrad, as he was the one who tried to commit suicide. The goal of family therapy is the…… [Read More]
Therefore, today's society in the United States is diverse, which is something a social worker needs to understand and know how to deal with each diverse group. Furthermore, through research, it has been discovered most ethnic groups that live in the United States consist of young people, which means by staying in this country, they grow accustom to their surroundings. Once they have grown accustom to living here, they feel like this is their home to start a life with their own families. This continues the growing number of ethnic groups in this country.
Due to the educational accommodations that schools and college campuses make for students that have ethnic backgrounds, there is not enough prejudice of one group to let a Holocaust to occur in the United Stated. Furthermore, this country believes in freedom of speech to allow one ethnic to be isolated from the rest and condone any…… [Read More]
Families these days are "in crisis" because all of us have lost a lot of values that used to keep a family together (Kim, 2000).
In addition, Coontz very analytically eliminated all the myths about what families used to be, how & what they are in the current time, and what they should be (Kim, 2000). However, as a reader one might notice just little discrepancy in her dispute and statistics, which may remind that all of these socio-cultural examinations have been basically constructions that tell the story in a better way or worse than each other, but not flawless (Kim, 2000).
Thus, this is just too big an issue to get the whole thing completely balanced and organized. However, her logic has been well-developed and with given facts and statistics, it derived some very outstanding conclusions. For example, in the last two chapters, she tied up the analysis and…… [Read More]
Several assessment tools are available, often using data collection sheets that include items such as direct observation and interviews with adults who closely interact with the student. In Justin's case, this group could include Carrie, the paraprofessional who works directly with Justin, in addition to the special education teacher, the speech and language specialist, other teachers who regularly interact with Justin (e.g., art, physical education, music and media), and Justin's parents.
Justin's tantrums are a cause of concern for their negative effects not just on Justin but on the classroom as a whole. An FBA can be done on Justin; managing these outbursts is the main goal for the kindergarten year so that more learning can take place. It is important that the target behavior descriptions are as specific as possible. For example, "has outbursts" does not provide as much information as "screams, cries, kicks and throws items when upset."…… [Read More]
S. market for counterfeit goods and if Coach and other companies are taking advantage of law. It is foolish according to the attorney of Kim for Coach to threaten its customers with $2 million lawsuits and before antagonizing customers the company must do a minimal investigation and it is not known how many customers got scared and paid off Coach. Kim, had worked for the Coach in 2004, filed suit saying among other major charges that the company wanted to suppress online sale of used items to pay high prices to the company for a Coach handbag. There is a problem for all companies which grapple with counterfeiting and it is often seen on Craigslist and eBay. Along with Kim one more eBay seller, James Caffarella of Littleton, Mass was also sued when he tried to sell legitimate silver golf-ball Tiffany key chain using a stock photograph. He too received…… [Read More]
Taking the history of a patient is a crucial aspect of patient assessment and treatment. A good history can mean the difference between a successful patient outcome and unsatisfactory outcomes. However, taking a complete and useful history is a skill that is developed by means of training and practice; it is not some talent that is innate (Bickley & Szilagyi, 2007; McKenna et al., 2011). According to Craig (2007) nurses are increasingly being asked to take patient histories. Given these growing responsibilities nurses need training and guidelines to taking an adequate patient history. The following is a summary and critique of Craig, L. H, (2007), A "Guide to Taking a Patient's History" in Nursing Standard, volume 22, issue 13, pages 42-48.
Craig (2007) takes a comprehensive approach to explaining the interview and history taking process. This approach is applicable for most any patient population; however, Craig does not…… [Read More]
Spiritual Needs Assessment of a Patient
For the recovery of any patient, especially those with terminal illnesses, there is a need to have a wholesome recovery which does not only dwell on the medicinal administration but also of the soul through spiritual nourishment. This will ensure they get out of the hospital with renewed strength and faith and hope for a better life in the future. This can only be achieved through having a thorough spiritual assessment of the patient and knowing exactly what to prepare to touch on spiritually about the patient. The following questionnaire is instrumental in ensuring this.
Please answer the following questions with voluntary information, as comprehensively as possible.
What is the pillar of your faith that helps you have meaning in life?
How significant is your faith in the above to your life in general?
Do you belong to some religious or spiritual group? Which…… [Read More]
High isk Family Type: Healthy People 2010
Homelessness: Health isks and Prevention
For the purpose of national census statistics and for clarification of this discussion, a homeless person is defined as one living on the street, in deserted apartment buildings or one who spends nights at a homeless shelter. Due to the difficulty of counting the homeless, statistics in recent years have been variable. According to the U.S. Department of Housing and Urban Development, there were 643,067 sheltered and unsheltered homeless persons nationwide as of January 2008. (Preston, 2008). Another approximation stems from a study conducted by the National Law Center on Homelessness and Poverty, which estimates that 3.5 million people, 1.35 million of them children, are likely to experience homelessness in a given year. (2007). These numbers are likely underrepresentative because they rely heavily on data from homeless shelters, which do not account for people living in deserted apartments…… [Read More]
Poverty-eduction Programs in Urban Communities
In September, 2001, 149 heads of state and high-ranking officials attending the Millennium Summit in New York unanimously adopted the Millennium Declaration which contained a statement of eight millennium development goals, one of which was to halve global poverty rates by FY 2015. This declaration made poverty-reduction a global agenda and mandated administrators and policymakers at all levels of government to come up with innovative ways of integrating the objectives of poverty-reduction into their respective growth agendas. In its 2001 annual meeting, the IMF challenged policymakers to ensure that their poverty-reduction policies are nationally-owned and that they take input from all the relevant stakeholders. In line with this, the U.S. Census Bureau launched the Small Area Income and Poverty Estimates (SAIPE) Program to enable it to analyze income and poverty trends in individual counties with the aim of determining the effectiveness of statewide poverty-reduction policy.…… [Read More]