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Nursing Home Abuse
Irrespective of the fact that the sphere of elder ill-treatment prevention has traditionally been concentrated on ill-treatment in the domestic environment, growing interest is seen against the ill-treatment of residents in nursing homes. (Abuse in Nursing Homes) The origin of modern nursing home industry is traced during the post World War-II period in form of modern nursing home industry involving the construction and operation of profit making, medical type facilities. (Uhlenberg, 41) As per the estimates, about 17,000 nursing homes in United States are operating presently extending care for about 1.7 million handicapped and elderly persons. (Benjamin, 27) The elderly persons residing in nursing homes are more often perceived to be weak and vulnerable. They are totally relying on the care providers for availing food, housing and health needs and therefore they warrant the best possible care. However, the care provided in many of the nursing homes…
About Nursing Home Abuse and Neglect. Retrieved from http://www.nursinghomeabuse.com/brgi1.html
Abuse in Nursing Homes. Special Research Review Section
National Center on Elder Abuse Newsletter. May 2002. Lisa Nerenberg, Retrieved from http://www.elderabusecenter.org/default.cfm?p=abuseinnursinghomes.cfm
Adverse Effects of Drug Changes When Patients Are Transferred Between Nursing Homes and Hospitals. March 19, 2004. Retrieved from http://www.elder-abuse-information.com/news/news_031904_drug_changes.htm
eport on Conditions at Brighton and Sussex University Hospitals NHS Trust
The following report is based on extensive observation of the conditions for patients living at the Brighton and Sussex University Hospitals NHS Trust. While some patients received moderate care, overall, the quality of care in this facility was appalling. All patients -- all people -- deserve to be treated with dignity, and this was far from the case. The conditions were especially distressing given that in general they could be fixed or at least ameliorated relatively easily. Not all of the ills of old age or disability can be remedied, of course. Pain and fear will be present even with the best possible care. Given that this is true, all possible efforts must be made to reduce fear, anxiety, and pain to the greatest degree possible.
The facts that this report is based on were documented by…
Grant, P. (2010). Ethical lessons from the 'undercover nurse': implications for practice and leadership. Medical Ethics 36: 469-472.
Margaret Haywood's diary. Retrieved from http://news.bbc.co.uk/2/hi/programmes/panorama/4701651.stm .
Online bulletin. Retrieved from http://www.southerneditorial.co.uk/bulletin/july05/breaknews.htm.
Reasons for the substantive hearing of the Conduct and Competence. Retrieved from http://www.nursingtimes.net/Journals/1/Files/2009/4/17/haywood_NMCruling.pdf
egistered nurses are both qualified, educated, and certified to provide a high quality of various care services that an individual may need in a home setting or elsewhere. Hence, providing these practitioners with the power to certify and provide home care is a solution to an overwhelming problem that has plagued the health care environment in recent years. Nursing practitioners, as a result of the nature of their work, are closely connected to the needs of individual patients. This means that they, more than many other health care providers and institutions, are able to assess the needs of individuals, their households, and the level of care they require. This places them in a position to accurately determine the need and/or of such individuals to obtain long-term home care and when such home care becomes unviable. As such, registered nurses who serve individuals in the home setting are able to maintain…
AARP Public Policy Institute. (2013). FAQs. Retrieved from: http://assets.aarp.org/rgcenter/ppi/ltc/ltss_faq.pdf
Brassard, A. (2011). Removing Barriers to Advanced Practice Registered Nurse Care: Home Health and Hospice Services. AARP Public Policy Institute. Retrieved from: http://www.aarp.org/content/dam/aarp/research/public_policy_institute/health/removing-barriers-advanced-practice-registered-nurse-home-health-hospice-insight-july-2012-AARP-ppi-health.pdf
Doty, P. (2000, June). Cost-Effectiveness of Home and Community-Based Long-Term Care Services. U.S. Department of health and Human Services. Retrieved from: http://aspe.hhs.gov /daltcp/reports/2000/costeff.htm' target='_blank' REL='NOFOLLOW'>
Getting old is not very fun when considering the opinions of the elderly. This is true because many hard and difficult decisions must be made in terms of health and health care. Two options immediately arise when one is not able to take care of themselves and seek the assistance of others. The first option is home health care and the other is nursing home health care. The purpose of this essay is to examine, weigh and discuss these two options. This essay will then conclude on when it is best to choose nursing home care and when it is not wise or advisable to do such a thing.
Home Health Care
What exactly is home health care and what does it entail? Home health care helps seniors live independently for as long as possible, given the limits of their medical condition. It covers a wide range of…
Berger, Joseph, (2012). A Shift From Nursing Homes to Managed Care at Home. The New York Times, 23 Feb 2012. Web. http://www.nytimes.com/2012/02/24/nyregion/managed-care - keeps-the-frail-out-of-nursing-homes.html?pagewanted=all&_r=0
Bojorquez, Manuel, (2013). Eleven states get failing grades for nursing home care. CBS News, 9 Aug 2013. Web . http://www.cbsnews.com/8301-18563_162-57597944/eleven-states - get-failing-grades-for-nursing-home-care/
Friedland, R. (2009). Home Care vs. Nursing Home Care. Care, 25 Nov 2009. Retrieved from http://www.care.com/senior-care-home-care-versus-nursing-home-care-p1017- q14698.html
Klauber, M. (2001). The 1987 Nursing Home Reform Act. Public Policy Institute, Feb 2001. Retrieved from http://www.aarp.org/home-garden/livable-communities/info - 2001/the_1987_nursing_home_reform_act.html
The majority of communities in Alaska are separated by vast distances and the distance from many communities to the nearest medical facility is equivalent to the distance from New York to Chicago (Indian Health Service Alaska Area Services, 2011).
A study funded by AOA examined issues affecting access to home- and community-based long-term-care services among AI/ANS. Study results indicated that home healthcare was one of the most frequently needed services among AI/ANS. Further, 88% of the services sometimes, rarely, or never met the need, and 36% of services were rarely to never available (Jervis, Jackson & Manson, 2002). Only twelve tribally operated nursing homes exist in the U.S., and these rely predominantly on funding from Medicaid and tribal subsidies. Many tribes would like to have nursing homes but are blocked by state certificate-of-need requirements, Medicaid licensing requirements, and lack of commercial financing. The lack of alternate medical resources, whether private…
Alaska Area Indian Health Service. (2011). Indian Health Service. Retrieved from http://www.
Goins, R.T. & Spencer, S.M. (2005). Public health issues among older American Indians and Alaska natives. Generations, 29(2), 30-33.
Indian Health Service Alaska area services. (2011). Indian Health Service. Retrieved from http://www.ihs.gov/FacilitiesServices/areaOffices/alaska/dpehs/documents/area.pdf .
This is dangerous for both clients and workers. When this becomes an issue in the human service field is when an organization is charged with a client that cannot be left alone. At this point in time, certain managers may desire to force employees to stay on the clock or to work while off the clock, but making such workplace violations can lead to an unsafe environment in which both client and worker are at risk. In addition, safety and OSHA workplace violation are an ethical problem that put many at risk, especially when one is working in a dangerous or medical field. Thus, workplace violations on the part of both workers and managers can be dangerous for all involved.
In conclusion, the field of human services is reserved for those who wish to provide care to others. Although this field is the perfect fit for those who genuinely have…
Department of Transportation. (2001). Preventing Sexual Harassment: A Fact Sheet For
Employees. Retrieved July 12, 2009, from http://www.dotcr.ost.dot.gov/Documents/complaint/Preventing_Sexual_Harassment.htm
National Organization for Human Services (1996). Ethical Standards of Human Services
Professionals. Retrieved July 12, 2009, from http://www.nationalhumanservices.org/%5Btitle%5D-22
"From an historical standpoint, her concept of nursing enhanced nursing science this has been particularly important in the area of nursing education." ("Virginia Henderson's Need...," 2008) Principles of Henderson's theory, published in numerous primary nursing textbooks utilized from the 1930s through the 1960s, along with principles embodied by the 14 activities continue to prove vital in evaluating nursing care in thee21st century, not only in cases such as Keri's, but in a myriad of others benefiting from nursing.
Kearney, Kathleen M., the Nurse's Duty to eport Child Abuse vs. The Attorney's Duty of Confidentiality: The Nurse Attorney's Dilemma Journal of Nursing Law. Social Science Electronic Publishing, Inc.; January 25, 2007. etrieved September 25, 2007, at http://ssrn.com/abstract=1256366.
esuggan, ay N;PN;MN. (Last Modified: August 17, 2008). "Virginia Avernal Henderson." Nurses.info. etrieved September 25, 2007, from: http://www.nurses.info/nursing_theory_person_henderson_virginia_.htm.
Singleton, Joanne K. "Nurses' perspectives of encouraging clients' care-of-self in a short-term rehabilitation unit within…
Kearney, Kathleen M., the Nurse's Duty to Report Child Abuse vs. The Attorney's Duty of Confidentiality: The Nurse Attorney's Dilemma Journal of Nursing Law. Social Science Electronic Publishing, Inc.; January 25, 2007. Retrieved September 25, 2007, at http://ssrn.com/abstract=1256366 .
Resuggan, Ray RN;RPN;MRN. (Last Modified: August 17, 2008). "Virginia Avernal Henderson." Nurses.info. Retrieved September 25, 2007, from: http://www.nurses.info/nursing_theory_person_henderson_virginia_.htm.
Singleton, Joanne K. "Nurses' perspectives of encouraging clients' care-of-self in a short-term rehabilitation unit within a long-term care facility," Rehabilitation Nursing, January 1, 2000. Retrieved September 25, 2007, from: http://www.highbeam.com/doc/1P348282208.html .
Trail Ross, Mary Ellen. (1993). "Linking Ethical Principles With Community Practice." Journal of Community Health Nursing, Vol. 10. Retrieved September 25, 2007, at http://www.questia.com /read/95780716?title=Linking%20Ethical%20Principles%20W%20Community%20Practice' target='_blank' REL='NOFOLLOW'>
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…
Alarcon, R.D. (2009). Culture, cultural factors and psychiatric diagnosis: Review and projections. World Psychiatry, 8, 131 -- 139.
Bickley, L.S. & Szilagyi, P.G. (2007). Bates' Guide to Physical Examination and History
Taking. 9th ed. Hagerstown, MD: Lippincott, Williams & Wilkins.
Craig, L.H. (2007). A guide to taking a patient's history. Nursing Standard, 22 (13), 42-48.
Besides facing stress, and having easy access to medications, critical care and emergency nurses may use recreational drugs more often because they are more likely to have a sensation-seeking personality trait (www.nurseweek.com/news/98-5/25e.html)."
Getting treatment for chemical dependency will help the nurse get back to his or her daily life, however the nurse will have to address concerns and/or consequences related to the addiction. He or she faces a "multitude of traumatic experiences both potential and real, such as arrest, license suspension/revocation; negative publicity; reactions of family, friends and co-workers; fines; board and legal hearings; inability to secure work other than nursing; physical illness; and possible lack of health insurance. In the treatment setting, issues such as these add complexity to the nurse's recovery (Anderson)."
There are other complications which must be addressed during treatment of the impaired nurses. These issues include being considered a role model by everyone,…
Anderson, Jenny Lynn. "Treatment considerations for the addicted nurse." Behavioral Health
Management. (1994): 01 September.
(Substance abuse in nurses varies by specialty. (accessed 15 November, 2004).
Specifically, deficient cae may esult in a child's being vulneable as a consequence of a low intinsic level of self-esteem and self-woth (Pake, Baett, and Hickie, 1992). It is clea that a numbe of factos ae likely to affect the teenaged individual esulting in depession and it is citically noted that this depession must necessaily be addessed, teated and esolved. The client in this instance has bodeline low blood pessue which should be monitoed seveal times each week and futhemoe the body mass index (BMI) of this individual is excessively low indicating that this patient needs to be counseled in egads to thei diet both in tems of quality and quantity of foods consumed.
Logsdon, Cynthia J.(nd) Depession in Adolescent Gils: Sceening and Teatment Stategies fo Pimay Cae Povides Jounal of the Ameican Medical Women's Association Volume 59, No 2.
Lemay, Edwad P. And Ashmoe, Richad D. (2005) the…
reference: Studies of occupational and recreational choice. Social Psychology Quarterly, 49, 11-18.
The fact that a novel in the sentimental and seduction genre attained such heights of popularity is, in the first instance, evidence its impact and effect on the psyche and minds of the female readers of the novel. As one critic cogently notes:
hy a book which barely climbs above the lower limits of literacy, and which handles, without psychological acuteness or dramatic power, a handful of stereotyped characters in a situation already hopelessly banal by 1790, should have had more than two hundred editions and have survived among certain readers for a hundred and fifty years is a question that cannot be ignored.
The initial question that obviously arises therefore is what made this book so popular and in what way does this novel speak to the feelings and aspirations of the readers to make it such a perennial favorite. As Fudge ( 1996) notes,
Barton, Paul. "Narrative Intrusion in Charlotte Temple: A Closet Feminist's Strategy in an American Novel." Women and Language 23.1 (2000): 26. Questia. Web. 10 Dec. 2011.
Fiedler, Leslie A. Love and Death in the American Novel. Rev. ed. New York: Stein and Day, 1966. Questia. Web. 10 Dec. 2011.
Fudge, Keith. "Sisterhood Born from Seduction: Susanna Rowson's Charlotte Temple, and Stephen Crane's Maggie Johnson." Journal of American Culture 19.1 (1996): 43+. Questia. Web. 10 Dec. 2011.
Greeson, Jennifer Rae. "'Ruse It Well": Reading, Power, and the Seduction Plot in the Curse of Caste." African-American Review 40.4 (2006): 769+. Questia. Web. 10 Dec. 2011.
ecent research shows that mental health problems can manifest in early childhood. As many as one in ten Australian children under five exhibit symptoms of social, emotional, and mental disorders including temper tantrums, difficulty adapting to new surroundings, problems relating to peers, and hyperactivity (Edwards & Martin, 2012). Although psychological diagnoses like clinical anxiety or depression are not typically made on populations under five, researchers do identify early childhood behaviors as risk factors for developing mental health disorders later in life. Thus, being withdrawn or inhibited has been identified as "one of the best identified risk factors for later anxiety disorders," (apee, Kennedy, Ingram, Edwards & Sweeney, 2005, p. 488). Early childhood behaviors can reveal to parents and counselors the warning signs of childhood and adolescent psychiatric problems such as Depressive Disorder, Conduct Disorder and Attention Deficit Hyperactivity Disorder (Sawyer, Arney, Baghurst, et al., 2008). It is important to…
Bakermans-Kranenburg, M.J.; van IJzendoorn, M.H. & Juffer, F. (2003). Less is more: Meta-analyses of sensitivity and attachment interventions in early childhood. Psychological Bulletin, Vol 129(2), Mar 2003, 195-215.
Duncan, G.J., Brooks-Gunn, J. & Kato Klebanov, P. (2008). Economic deprivation and early childhood development. Child Development 65(2): 296-318.
Edwards, V. & Martin, S. (2012). Preschool mental health toll at 10pc. The Australian. 24 Dec, 2012.
Felner, R.D.; Stolberg, A. & Cowen, E.L. (1975). Crisis events and school mental health referral patterns of young children. Journal of Consulting and Clinical Psychology, Vol 43(3), Jun 1975, 305-310.
hare a meaningful nursing encounter (2 to 3 pages) that takes your reader into the complexities of your nursing practice. Using the first-person (I), write a narrative (a story) about a recent or memorable nursing experience you have had. The term nursing practice experience is used broadly here to include practice related to direct patient care, educational and managerial practice with colleagues.
Write your story with yourself as the main character telling the story; tell your reader how the situation was experienced by you. Take us into your world -- the context of your surroundings, the nursing concerns you attended to (aspects of the patient/colleague experiences), your nursing responses/actions (or non-actions) and your emotions. ome ideas for the types of stories are identified below, but if you have any questions or are uncertain about how to proceed, please seek guidance from your instructor.
In her landmark book, "From Novice to…
Bass, BM (2008) The Bass Handbook of Leadership: Theory, Research, and Managerial Applications Simon and Schuster
Benner, P. (2001). Novice to expert: Excellence and power in clinical nursing practice. Upper Saddle River, NJ: Prentice Hall.
Robinson, M. (2012) Pictured: The 11 workers who admitted a campaign of cruelty, neglect and abuse against vulnerable patients in a care home from hell. Mail online. http://www.dailymail.co.uk/news/article-2184499/11-workers-admit-campaign-cruelty-neglect-abuse-aimed-vulnerable-patients-care-home-hell.html
Robert Wood Johnson Nurse Fellows Program. Available at: http://www.futurehealth.ucsf.edu/rwj/
(Feldman & Geenbeg, 2005, p. 67) Staffing coodinatos, often nuse leades must seek to give pioity to educational needs as a eason fo adjusting and/o making schedules fo staff, including offeing incentives to staff not cuently seeking educational goals fo assisting in this pioity egadless of the implementation of a tuition eimbusement pogam. (Feldman & Geenbeg, 2005, p. 233)
Nuse Leades as Academic Theoists
The fact that many nuse leades seve as the fundamental souces fo new and emeging nusing paadigms and theoies cannot be ignoed in this eview. The theoies associated with nusing ae as divese as nuses themselves and seve seveal puposes. With egad to nuse ecuitment and the ole that nusing theoy and paadigm plays in it, nuse leades seve to espouse theoy though mentoship and taining that helps individuals see thei futue intinsic ole in nusing. To explain this ole a bief discussion of nusing theoy…
references and Affirmative Action in Making Admissions Decisions at a Predominantly White University. Journal of Instructional Psychology, 31(4), 269.
Burgener, S.C., & Moore S.J. (May-June, 2002) The role of advanced practice nurses in community settings. Nursing Economics 20 (3) 102-108.
Cimini, M.H., & Muhl, C.J. (1995). Twin Cities Nurses Reach Accord. Monthly Labor Review, 118(8), 74.
Cleary, B. & Rice, R. (Eds.). (2005). Nursing Workforce Development: Strategic State Initiatives. New York: Springer.
Daly, J., Speedy, S., Jackson, D., Lambert., V.A., & Lambert, C.E. (Eds.). (2005). Professional Nursing: Concepts, Issues, and Challenges. New York: Springer.
First, nursing schools must be able to compete with clinical employers because there is little incentive to pursue a teaching career when first-year nurses can earn as much as their professors. Second, it will likely be impossible to eliminate the nursing shortage as long as American nursing schools are unable to accommodate thousands of qualified students annually. Finally, because FENs are likely to continue playing such a large role in American nursing, the accreditation system of their institutions or their degrees must be adjusted to ensure that FENs who intend to practice in the U.S. are fully prepared for their careers and not just trained in the technical aspects of nursing. Ultimately, the U.S. nursing shortage is probably capable of reversal, but not without a concerted effort in at least those specific areas.
Albaugh JA. "Resolving the nursing shortage: legislative issues." Urologic Nursing
(June 1, 2004). Accessed January 27,…
Albaugh JA. "Resolving the nursing shortage: legislative issues." Urologic Nursing
(June 1, 2004). Accessed January 27, 2010 from:
Gordon S., Buchanan J., and Bretherton, T. (2008). Safety in Numbers: Nurse-to-Patient
Troubling Issue of Elder Abuse & Neglect
Recent research by the U.S. Department of Health & Human Services (HHS) reveals that one in ten Americans over the age of 60 have experienced physical abuse or neglect. Thesis: Family members and others should be alert to incidents of abuse against older people and should report those incidents to the proper authorities so that justice can be served and elderly people can be protected from harm.
Official attempts to solve the problem of elder abuse date back a few years
Evidence that this is not a new problem, or just now recognized, can be found in the Report from the Secretary's Task Force on Elder Abuse, prepared in 1992. The document is loaded with bureaucratic language that encourages the Department of Health & Human Services to develop and fund a "data collection strategy"; develop a "training program"; target public education activities; conduct…
Band-Winterstein, T., Goldblatt, H., and Alon, S. "Giving Voice to 'Age at the Edge'
A Challenge for Social Workers Intervening with Elder Abuse and Neglect."
Journal of Family Violence, Vol. 29 (797-807): 2014.
Penhale, B. "Responding and Intervening in Elder Abuse and Neglect." Ageing International.
The ole legal nurse consultant may provide service in a number of roles, including but not limited to:
Trainer and in-service presenter
Quality improvement, risk management, claims management
Liability insurance marketer and clinical resource" (Chizek, 2003)
As standards of care constantly change, medical and nursing staff must keep informed of current standard to develop and/or modify policies and procedures, which must be maintained and secured indefinitely. In the event the facility is sued, these will be used to establish the current standard during the time of the questionable occurrence. Policies and procedures also provide the legal nurse consultant with the foundation for facility documentation to be judged for compliance. (Chizek, 2003)
The minimum length of time the modified policies and procedures should be kept is the time frame of the statute of limitations in the individual jurisdiction. In most jurisdictions,…
http://www.questia.com /PM.qst?a=o&d=5001243047' target='_blank' REL='NOFOLLOW'>
A list of all of the residents was obtained from the two facilities as well as their admission dates. All of the necessary charts of eligibility were reviewed ads well as the data obtained from the Minimum Data Set (MDS) which were recorded by means of the Chart eview Form as well as the Minimum Data Set Cognitive Performance Scale (MDS-CPS).
The Minimum Data Set Cognitive Performance Scale (MDS-CPS) is a scale which is generated from the 5 MDS elements (comatose status, ability to make decisions, short-term memory, ability to make oneself be understood as well as eating).The scores from the scale ranged from 0 (for, no impairment) to 6 ( for, very severe impairment) as pointed out by Hartmaier et al. (1995).
The residents who scored two or less on the MDS-CPS were then asked in a kind way to willingly be part of the interview.
The interview involved…
Finally if possible I will identify at least one at risk family and attempt to determine how future events of abuse and/or neglect could be avoided through support.
a. Analysis of new research conducted for this study, to determine present state and recommend further research.
b. valuation of new research conducted for this study, to determine present state and recommend future research.
5. thical review of developing standards for training and intervention.
a. Review intent of individuals to remain independent and still receive adequate daily care.
b. Involve options training including meal support, home care support and even options for residential care for both elders and care providers. To attempt to demonstrate changes in policy that will better protect elders from abuse and neglect by providing stakeholder support for independence either in home or in facilty.
c. Support health care workers in offering such council through informed development of tools…
Elder abuse and neglect is an unaddressed problem all over the world, as the population ages certain members of it become dependent upon family and other caregivers to meet their daily needs. When those needs are not being met or even worse when the dependence becomes a burden to another the risk of abuse and neglect can become a serious issue or problem. (Jones, Holstege & Holstege, 1997) in rural America this issue is compounded by relative isolation as well as often limited access to healthcare, a point of contact that can serve as a recognition point for problems and concerns regarding unmet needs (neglect) or overt abuse or exploitation.
Research questions will include: A clear and concise definition of intervention level maltreatment of elders. Etiology of elder maltreatment, i.e. how often and to who is it happening? What existing systems are in place to recognize and respond to reports or need for investigation in the rural community? How can those systems be supported and bolstered to respond more effectively to recognize, reports and respond to the needs of elder persons at risk or in situations of maltreatment?
The Science Direct Database offers a significant set of research based and review works that address the issues regarding elder maltreatment, including those associated with
The relationship between childhood abuse and complaints from expectant mothers during pregnancy was the focus of Lukasse et al. (2009), which determined that certain common pregnancy complaints showed a higher rate of prevalence in women who had suffered abuse as children. These complaints affected maternal attitude both during the pregnancy and after giving birth, and although they did not generally indicate a likelihood of intergenerational abuse, these complaints were still predictors of other negative parenting patterns.
Though the relationship of religiosity in parents and their children and the children's expression of abusive symptomology was the focus of Kim et al. (2009), the results of their study had rather surprising implications for the research questions at hand. eligiosity in parents and expressiveness as well as religiosity in children who were not maltreated showed a definite set of relationships dependent on other factors of the parent-child relationship, but no such set of…
Cross, W. (2001). "A Personal History of Childhood Sexual Abuse: Parenting Patterns and Problems." Clinical child psychology and psychiatry 6(4), pp. 563-74.
Dong, X.; Simon, M.; de Leon, C.; Fulmer, T.; Beck, T.; Hbert, L.; Dyer, C.; Paveza, G. & Evans, D. (2009). "Elder Self-neglect and Abuse and Mortality Risk in a Community-Dwelling Population." Journal of the American medical association 302(5), pp. 517-26.
Hildreth, C.; Burke, a. & Glass, R. (2009). "Elder abuse." Journal of the American medical association 302(5), pp. 588.
Huefner, J.; Ringle, J.; Chmelka, M. & Ingram, S. (2007). "Breaking the cycle of intergenerational abuse: The long-term impact of a residential care program." Child abuse & neglect 31(2), pp. 187-99.
Verbal intervention is the first thing to try, and can often be effective for many standard situations if it is approached with patience and true compassion and understanding (Mohr 2008). At the same time, keeping space between the person intervening and the aggressive client/patient is important in order to ensure everyone's safety as the situation progresses (Nursing Planet 2010). Verbal intervention is not always effective, however, and drug and physical interventions might be necessary for everyone's safety (Mohr 2008; Nursing Planet 2010).
Attitudes Towards Abusers and Victims
It is very tempting to have feelings of nothing but anger, resentment, and disgust towards people who abuse others regardless of the situation, and in fact it can be very difficult to develop any other feelings towards such persons. I have attempted to cultivate some measure of compassion for these people, as it is almost certain that their lives and specific experiences have…
Mohr, W. (2008). Psychiatric-Mental Health Nursing. New York: Lippincott Williams & Wilkins.
Nursing Planet. (2010). "Nursing Management of Aggression." Psychiatric nursing.
Accessed 15 November 2010.
Nurse-Care Analysis of Sheepshead Bay
The area is 4,074 square miles. Its population is 123,178. The people density of people who live in Sheepshead Bay compared to general inhabitants of Brooklyn of people per square mile is 30,233 to 34,917 (City-data.com; web).
On my visits there, I was astounded by the mass of people rubbing shoulders one with the other. The streets seemed dense and crowded with a great number of apartment buildings, more than those in the more laid back areas such as Flatbush and Queens, and also more than those in the vicinity of Coney Island. There were also a lot of immigrant offices and lawyers specializing in immigration services that was telling of the area.
In fact, involvement with immigrants who had been seeking service with bureaucracy involved with obtaining a Green card revealed that many of them, although living in other parts of Brooklyn (sometimes far…
Berke, N. (2009). Crime Prevention and Safety Workshop. Sheepshead Bites. Retrieved on 3/6/2011 from: http://www.sheepsheadbites.com/2009/06/crime-prevention-and-safety-workshop/#
Chan, S. (2006). Fatal Construction Accidents in the City Rise Sharply Over 12 Months New York Times. p. C13.
Chiswick, Barry R., (1991). Speaking, Reading and Earnings among Low-Skilled Immigrants, Journal of Labor Economics, 9, 149-170.
City-data.com. Sheepshead Bay. Retrieved on 3/6/2011 from: http://www.city-data.com/neighborhood/Sheepshead-Bay-Brooklyn-NY.html )
abuse of women has grown to near epidemic levels. Some professionals think this may be because women are finally reporting the abuse that has always been. Abuse can start out as actions as seemingly harmless as name-calling or pushing, but over time may turn into something far more dangerous. There are many emotional dynamics at play in an abusive relationship. These emotions propel the abused toward staying in a relationship that she knows is unhealthy. In her heart, however, the abused feels it almost impossible to break free. Over time she forgets about her wants and needs, and learns only to react to the abuser's feelings and emotions. Her very survival may depend on how well she reacts to the demands of her abuser. Abused women often learn at a very early age how to feel normal and adjust to an abusive environment. They stay with their abuser because it…
Doyle, Roddy. The Women Who Walked into Doors. London: Viking, 1995.
Quindlen, Anna. Black and Blue. New York, New York: Dell Publishing Company, 1999.
Winston Churchill once remarked that, "There is no finer investment for any community than putting milk into babies." In a similar vein, Karen Howard, the Director of Policy and Government Affairs, is a strong supporter of Nurse-Family Partnership and its programs. The Nurse-Family Partnership is a preventive effort to target first time at risk young mothers and to provide them with home visits by qualified nurses. This effort begins at early pregnancy and helps guides them rough this difficult period until their infant is two years old. Karen Howard is a strong believer that this program not only benefits mother and child but society as a whole as it reduces cost to the healthcare system and allows nurses to take direct efforts to help patients.
The concept of the Nurse-Family Partnership (NFP) emerged from the work of Professor David Olds and in particular three large randomized trials he conducted starting…
Olds. 2006. The Nurse-Family Partnership: An Evidence-Based Preventive Intervention. Infant Mental Health Journal, 27(1).
Olds, Hill, O'Brien, Racine and Moritz. 2003. Taking Preventive Intervention to Scale: The Nurse-Family Partnership. Cognitive and Behavioral Practice.
O'Brien. 2005. Translating a Research Intervention into Community Practice: The Nurse Family Partnership. Journal of Primary Prevention, 26(3).
Karoly, L.A., Kilburn, M.R., Cannon, J.S. Early Childhood Interventions: Proven Results,
Globally, a nursing shortage is impeding the advancement of healthcare systems around the world. The nursing shortage refers to any situation in which the labor market cannot keep up with patient demands. Causes of the nursing shortage include poor working conditions leading to high turnover rates, insufficient nursing education programs, and lack of incentives for nurses to work in areas of critical concern. Effects of the nursing shortage include further staff shortages due to high stress environments and poor patient care—including higher rates of mortality and morbidity. Nursing shortages have affected almost every region of the world, and may become worse unless concerted efforts are made to remedy the problem.
Even the most advanced healthcare systems in the world are short on nursing staff. As a result, existing nurses are working longer hours under high duress, and are more prone to making errors or experiencing workplace violence and…
1). This is a problem that needs to be addressed by adding more training to the budget. The problem is, most hospitals' budgets are already spread too thin. Therefore, hospital administrators need to work harder to find sources to help fund their activities.
Nurses have more power and responsibility than ever before to ensure that they are making honest reports about their patients. They may be in a rush to get home and not feel like entering all of the proper data into the computer. Or, they may take shortcuts in the use of other technologies. It is a nurse's ethical responsibility, however, to ensure honesty in all that she does. This includes 'blowing the whistle' when she sees that other nurses are not being honest or are misusing technology.
This can be extremely difficult, however, considering that nurses often suffer negative repercussions for 'whistleblowing'. A study conducted…
Birdi, K., Clegg, C.W., Patterson, M.A., Robinson, A., Stride, C.B., Wall, T.D., & Wood, S.J. (2008). The impact of human resource and operational management practices on company productivity: A longitudinal study. Personnel Psychology, 61, 467-501.
Bodenheimer, T., MacGregor, K., and Stothart, N. (2005). Nurses as leaders in chronic care. British Medical Journal, 330(7492), 612-613.
Carver, L. & Candela, L. (2008) Attaining organizational commitment across different generations of nurses. Journal of Nursing Management, 16 (8), 984-991.
Charette, R. (2006, June) EHRs: Electronic Health Records or Exceptional Hidden Risks? Communications of the ACM, 49(6),120.
Psychoactive Substance Use and Abuse
A psychoactive substance refers to any chemical which both impacts the central nervous system and the way the brain functions. Psychoactive substances refer to stimulants (cocaine, methamphetamine, dextroamphetamine), sedatives and analgesics (alcohol, heroin), hallucinogens (PCP, psychoactive mushrooms). As stated in the DSM-III "psychoactive substance abuse is given the definition of being "a maladaptive pattern of use indicated by continued use despite knowledge of having a persistent or recurrent social, occupational, psychological or physical problem that is caused by the use [or by] recurrent use in situations in which it is physically hazardous" (Nordegren, 2002, p.11).
The social impact of psychoactive substance use and abuse on widespread scale is enormously detrimental to society. "In a 2005 report issued by the Department of Health and Human Services indicated that alcohol was associated with 100,000 preventable deaths each year and that it cost taxpayers nearly $185…
Aspen. (2011). The Impact of Trauma On Teenage Addiction. Retrieved from Crchealth.com: http://aspeneducation.crchealth.com/articles/article-trauma/
Becvar, D. (2013). Handbook of Family Resilience. New York: Springer Science Publishing.
Dennison, S. (2011). Handbook of the Dually Diagnosed Patient: Psychiatric and Substance Use. Philadelphia: Lippincott Williams and Wilkins.
Dick, D., & Agrawai, A. (2008). The Genetics of Alcohol and Other Drug Dependence. Alcohol Research and Health, 111-118.
Burning Bed Theories
Spousal Abuse Theories -- alker's Cycle Theory & Learned Helplessness Theory
'The reasons why Mickey Hughes pounded on Francine Hughes repeatedly in many instances and in many locations can be examined by looking at theories of spousal abuse. There is no one exact theory would appear to explain Mickey's violent outbursts, but there are several theories that offer reasonable explanations.
One theory found in the book Stopping Domestic Violence: How a Community Can Prevent Spousal Abuse is "alker's cycle theory of violence." This theory posits that violence against women (a spouse or an intimate partner) occurs in three stages: Stage one, is the building of tension; stage two, is the trigger that sets off the violent incident; and stage three, is the "honeymoon phase" (Jenkins, et al., 2001, p. 47).
In Francine's case the building of tension was near constant. There are myriad passages and sections of…
Jenkins, Pamela, and Davidson, Barbara Parmer. Stopping Domestic Violence: How a Community Can Prevent Spousal Abuse. New York: Springer, 2001.
Potegal, Michael. International Handbook of Anger: Constituent and Concomitant Biological,
Psychological, and Social Processes. New York: Springer, 2010.
University of Minnesota. "Stop Violence Against Women: Theories of Violence." Retrieved
nurse working as a psychiatric-Mental health facility and have been asked to complete a suicide assessment on a client.
What are the different areas you would need to assess? List at least two questions you would ask to assess each area.
Suicide assessment begins with understanding the behavior of the patient. A patient may be acting in a way that causes the nurse to question the possibility of risk. Questions to ask might be: Is the behavior unusual for this person? Has their behavior changed drastically after a tragic event? (Mohr,, 743). Next the nurse needs to establish a therapeutic relationship that is built on trust. This relationship should have begun prior to the behavior change. Nurses should ask about family, talk honestly about issues that the patient wants to hear about, and try to seek a common ground that will help build rapport. If the patient is in crisis…
Freedberg, S. (2007). Re-examining empathy: A relational-feminist point-of-view. Social Work,
Gaering, R.E., Saini, M., & McNeill, T. (2007). Experiences and implications of social workers practicing in a pediatric hospital environment affected by SARS. Health and Social Work,
Glass, J.E., Ilgen, M.A., Winters, J.J., Murray, R.L., Perron, B.E., & Chermack, S. (2010). Inpatient hospitalization in addiction treatment for patients with a history of suicide attempt: A case of support for treatment performance measures. Journal of Psychoactive Drugs,
Kintzle, S., & Bride, B.E. (2010). Intervention following a sudden death: The social work-medical examiner model. Health and Social Work,
By the 1970s most states had mandatory child abuse reporting laws. These laws aimed at identifying abused children and setting in motion legal procedures to investigate the child's situation and either to provide services for them in their own home or to remove them from their home and place them in a safer environment (Melli, 1998).
Historically, the laws and regulations of the present are the children and grandchildren of the laws that were pioneered in the 1960s and 1970s. Certainly, experience makes any process better and smoother, but essentially, the system of three to four decades ago would have been very similar to today. hat would not have percolated down to teachers, principals and other team personnel yet would have been the knowledge of the new legal system and how to function in it. This uncertainty would have undoubtedly have slowed the intervention as wary professionals move cautiously, balancing…
Crosson-Tower, Cynthia. (2010). Understanding child abuse and neglect. 8th ed. Upper
Saddle River, New Jersey: Pearson-Prentice Hall.
Educators' role in child abuse and neglect prevention. (2010). Retrieved 30 July 2010
Child abuse and neglect is a highly discussed issue in the present day. For a long time now, the detrimental impacts of child abuse and neglect have been acknowledged. There are significant implications from child abuse and neglect in the United States and it is imperative to come up with the necessary ways of dealing with it. The solution is to have a propagating state program that encompasses poor and underprivileged children. There is also need for family programs that educate and teach households on better child treatment and attaining the necessary skills. Such programs should also be expanded to schools to determine their vulnerabilities and needs.
Child abuse and neglect is a highly debated issue in the contemporary. For a lengthy period now, the detrimental impacts of child abuse and neglect have been acknowledged. Adverse childhood events (ACEs) have been experientially demonstrated to be linked to an assortment of…
Child abuse and neglect recurs with children at home after intervention. (2005, May 23). The Free Library. (2005). Retrieved February 03, 2017 from https://www.thefreelibrary.com/Child abuse and neglect recurs with children at home after...-a0133049592
A research study undertaken by McMaster University Medical Facility steered Professor Harriet Macmillan, Professor of Psychiatry & Behavioural Neurosciences and Pediatrics showed that children that continue being in their homes subsequent to being abused or neglected by their parents, or are taken back to those homes subsequent to intervention by social service institutions are at a high risk for more abuse or neglect in a period of within three years. The conclusion made from examining 163 families with a long-established history of child abuse or neglect is that there is no intervention confirmed or established to decrease the rise of abuse or neglect when the children who have experienced such harsh conditions remain in the home.
The magazine article is pertinent to my paper as it indicates the recurrence of child abuse and neglect.
Cost of child abuse and neglect takes large toll. (2001, May 10). Columbus Medical Association.
The training system would also include several reporting tools including but not limited to an abuse questionnaire offered to those who they perceive as being at risk, which would be included as part of the health interview and to be administered to those who present in care settings and a system of follow up responses, contacts and alternatives associated with the event. "Although physicians and nurses are best positioned to recognize and diagnose cases of elder abuse, the level of reporting these cases is much lower than its true incidence." (Almogue, Weiss, Marcus & Beloosesky, 2010, p. 86)
One of the major problems, as quantitative researchers is that the research is limited in scope as it is defining a time and space sequence and is dependent upon quantifiable data. Additionally the pretest post test method relies on the implementation of an untried educational tool that may or may not elicit…
Almogue, a. Weiss, a. Marcus, E.-L. & Beloosesky Y. (July-August 2010) Attitudes and knowledge of medical and nursing staff toward elder abuse. Archives of Gerontology and Geriatrics, 51 (1), 86-91.
Day, K. (November 2007) Elder abuse in context of poverty and deprivation and emergency department care. Australasian Emergency Nursing Journal, 10 (4), 169-177.
Poggenpoel, M., & Myburgh, C. (2005). Obstacles in Qualitative Research: Possible Solutions. Education, 126(2), 304.
Trochim, W.M.K. (2001) the Research Methods Knowledge Base Second Edition. Cincinnati, OH: Atomic Dog Publishing.
Substance use is frequently associated with child abuse and domestic violence. It also is a leading contributor to marital dissatisfaction, family breakups and rejection of family members. The importance of the family in understanding alcohol and drug use and abuse is underlined by these highly destructive consequences of alcohol and drug dependency on the abuser and the family. (Lala; Straussner; Fewell, 17)
Peer Group plays an important part in resolving the problem as they are able to take the drug or alcohol abuser more into confidence compared to others since most people associate themselves with their respective peer group in terms of habits, tastes and concerns. It has been demonstrated that a drug abuser will definitely abide by a member of the peer group to which he belongs and obey requests of abstinence more than anyone else. Educational system also plays an important role in tackling the prevalence of the…
Ammerman, Robert T; Ammerman, Peggy J. Ott; Tarter, Ralph E. (1999) "Prevention and Societal Impact of Drug and Alcohol Abuse" Routledge.
Lala, Shulamith; Straussner, Ashenberg; Fewell, Christine Huff. (2006) "Impact of Substance
Abuse on Children and Families: Research" Haworth Press.
Laufer, William S. The Legacy of Anomie Theory: Advances in Criminological Theory.
However, a different kind of problem may arise, when the counselor himself was a user and an addict, and has recovered fully from his addictions, to move on to become a legal counselor of others like him. (NIDA, Introduction and overview)
Take for example, the case of when a drug abuse and substance abuse counselor was among the fifteen people who were arrested recently in Harlem. The police charged this particular individual with being a part of a fifteen-member gang of cocaine and crack distributors on Long Island. Andrew J. Maloney, the United States Attorney for the Eastern District of New York, identified the counselor as Al ichardson, 40 years old, who was allegedly a distributor in a drug-selling ring, in which each 'runner' in the enterprise, or in other words, the individual who makes the actual sale of the drug, cocaine or crack, sold as much as $2,000 a…
ACA Code of Ethics: The ACA Governing Council." Retrieved at http://www.cacd.org/ACA_2005_Ethical_Code10405.pdf. Accessed 20 August, 2006
ACA Code of Ethics and Standards of practice" Retrieved at http://www.cacd.org/codeofethics.html. Accessed 20 August, 2006
Boren, John J; Onken, Lisa Simon; Carroll, Kathleen M. "NIDA, Introduction and overview"
Retrieved at http://www.nida.nih.gov/ADAC/ADAC2.html . Accessed 20 August, 2006
Child Abuse Elder Abuse)
Abuse in the contemporary society
There is much controversy regarding child and elderly abuse in the contemporary society. Even with the fact that the general public agrees with regard to the negative effect such actions have on victims and on the world as a whole, numerous cases are still being reported every year and it seems that in many communities there is a type of silent acceptance of the occurrence. In most cases, the perpetrators motivate their behavior by relating to the stress that their victims inflicted on them previous to the violent event and to how their actions were largely owed to the fact that they could no longer control themselves. The following two cases of abuse demonstrate the degree to which violence pervades the social order and makes it difficult and almost impossible for anyone to intervene.
The American football running back for the…
Haynes, V. "Stoughton police: Woman charged in 'worst case of elder abuse'." Retrieved February 25, 2015, from http://www.wcvb.com/news/stoughton-police-woman-charged-in-worst-case-of-elder-abuse/24713294
"Vikings star Adrian Peterson avoids jail time in child abuse case," Retrieved February 25, 2015, from http://www.foxnews.com/us/2014/11/04/adrian-peterson-to-return-to-court-in-felony-child-abuse-case / http://www.tmz.com/2014/09/12/adrian-peterson-indicted-for-child-abuse / http://www.forbes.com/sites/gregorymcneal/2014/09/16/adrian-petersons-indefensible-abuse-of-a-4-year-old-likely-violates-texas-law / http://www.nytimes.com/2014/09/18/sports/football/nfl.html
In a study of the prevalence of elder abuse in the United States, financial difficulties on the part of the abuser did appear to be an important risk factor (Krug, 2002, pp. 130-131).
elationship factors - in the early theoretical models, the level of stress of caregivers was seen as a risk factor that linked elder abuse with care of an elderly relative. While the accepted image of abuse depicts a dependent victim and an overstressed caregiver, there is growing evidence that neither of these factors properly accounts for cases of abuse. Although researchers do not deny the component of stress, they tend now to look at it in a wider context in which the quality of the overall relationship is a causal factor. Today, the belief is that stress may be a contributing factor in cases of abuse but does not by itself account for the entire phenomenon.
Brandl, Bonnie. (2000). Power and Control: Understanding Domestic Abuse in Later Life.
Generations. 24(2), p. 39-45.
Elder Abuse and Neglect. (2009). Retrieved February 11, 2010, from Helpguide.org Web site:
-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…
High-isk Population for Group Therapy-Substance Abuse/Addiction
One high-risk population that has been pinpointed when it comes to engaging in therapy with substance abuse are Hispanic and Latino women. "The pattern of illicit drug use among Hispanics/Latinas is influenced by level of acculturation and country of origin. In one study based on the Hispanic Health and Nutrition Examination Survey (HHANES) data, illicit drug use among Hispanics/Latinas generally increased with acculturation (Amaro et al. 1990)" (CSAT, 2009). This research found that overwhelmingly, women from this population were more at risk for opiate use. Another factor which made individuals from these groups more at risk was the socioeconomic status, age and period of time they had lived in the U.S. From this specific group, the most significant risk for substance abuse was the age of when the woman immigrated to the U.S.: this means that the earlier a woman immigrated to the U.S.,…
Boyd, M. (2008). Psychiatric Nursing: Contemporary Practice. Philadelphia: Lippincott, Williams and Wilkins.
Center for Substance Abuse Treatment (CSAT). Substance Abuse Treatment: Addressing the Specific
Needs of Women. Rockville (MD): Substance Abuse and Mental Health Services
Administration (U.S.); 2009. (Treatment Improvement Protocol (TIP) Series, No. 51.)
Clicking on the links reveals that some of the topics provide more information and information in different formats than others. For example, the Aging Driver topic lists the following clickable PDF files:
Tips for Safe Driving, How to Help the Older Driver, Getting by Without Driving, Am I a Safe Driver?, and Successful Aging Tips.
Other topics, such as Health Disparities, do not provide information directly but only link the user to external resources and other databases. This might discourage many users, especially those unfamiliar with online research hoping to find printable information with a minimum of further searching online. Meanwhile, another topic, Breastfeeding, does provide easily accessible information that includes illustrative diagrams along with the text-based information, as depicted below.
How should I hold my baby while breastfeeding?
You can hold your baby in a number of ways. Your baby shouldn't have to turn his or her head or…
Victimology and the Problem of Elder Abuse
Just as criminology is the study of crime and the criminal’s role in crime, victimology is the study of victimization and how victims are impacted by crime and how they in turn also impact crime. There are five typologies of victimization, each one illustrating different ways in which the perpetrator and the victim (if there is one) interact in the crime. For the specific population of elderly people, one problem in victimology is the focus on elder abuse, which is defined as “a single or repeated act, or lack of appropriate action, occurring within any relationship where there is an expectation of trust which causes harm or distress to an older person” (Jackson, 2016, p. 265). According the World Health Organization (2002), elder abuse tends to be manifested in a variety of forms: (a) physical abuse, (b) psychological abuse, (c)…
Substance / Alcohol Abuse among the Elderly
Substance/alcohol abuse among the elderly 60 years and older
Alcohol and substance abuse among the elderly is a significant social problem, not only because people in this age group tend to have very permissive attitudes towards social drug and alcohol usage but also because the stressors that accompany aging may result in increases in drug or alcohol usage to problematic levels. While people may begin experiencing age-related problems in their 40s and 50s, it is not generally until their 60s that most people begin to experience significant physical or emotional challenges related to age. These challenges are often accompanied by major life changes, such as retirement, the death of a spouse or friends, relocation, and diminished physical and intellectual capabilities. These changes may mean a lack of access to the coping mechanisms that have traditionally served the individual, leading to a rise in…
Center for Substance Abuse Treatment. (2012). Substance abuse among older adults: Treatment improvement protocol (TIP) series, No. 26. HHS Publication No. (SMA) 12-3918. Rockville, MD: Substance Abuse and Mental Health Services Administration.
Finkelstein, E., Prabhu, M., & Chen, H. (2007). Increased prevalence of falls among elderly individuals with mental health and substance abuse conditions. The American Journal of Geriatric Psychiatry, 15(7), 611-619.
Folkman, S., Bernstein, L, & Lazarus, R.S. (1987). Stress processes and the misuse of drugs in older adults. Psychology and Aging, 2(4), 366-374.
Garland, E.L., Schwarz, N.R., Kelly, A., Whitt, A., & Howard, M.O. (2012). Mindfulness-oriented recovery enhancement for alcohol dependence: Therapeutic mechanisms and intervention acceptability work. Journal of Social Work Practice in the Addictions, 12, 242-263. doi:10.1080/1533256X.2012.702638
cultural diversity issues and its impact on nursing professionals' practice. It assesses a client hailing from a different culture, and employs information derived from the assessment determining and reflecting on health practices and beliefs of the client's culture. Lastly, nurses' role in the care of patients hailing from diverse backgrounds care is analyzed, and a conclusion is drawn.
Client Interview Data
Client's health beliefs in relation to cultural diversity
The client comes from a family-focused background, in which she plays the role of chief household organizer and attends to her family and their needs. She believes one ought to lead a life of a good and virtuous individual, and support one's family, particularly in times of need. In her opinion, sickness must be tended to, for preserving life. She believes in healthcare professionals and services they offer, for leading a healthy life. She is comfortable having healthcare professionals take care…
American Nurses Association. (1998). Discrimination and Racism in Health Care. Silver Spring, MD: American Nurses Association.
Anderson, L. (2012, October 10). Cultural Competence in the Nursing Practice. Retrieved from Nurse Together: http://www.nursetogether.com/cultural-competence-nursing-practice
Coe, S. (2013, January 15). Cultural Competency in the Nursing Profession. Retrieved from Nurse Together: http://www.nursetogether.com/cultural-competency-nursing-profession
Graue, M., Dunning, T., Hausken, M. F., & Rokne, B. (2013). Challenges in managing elderly people with diabetes in primary care settings in Norway. Scand J Prim Health Care, 31(4), 241-247.
Healthcare for Mentally Impaired Patients
Probing what information is available about the current status of placement or accommodation and level of personal healthcare available to mentally impaired and emotionally disturbed individuals, it is clear that the analysis is as diverse as there are different mental illnesses. While statistics on managed care treatment for people with severe and disabling mental illnesses are sparse, it is evident that the financial responsibility to care for and house these patients is enormous.
According to Dr. David Satcher, the Surgeon General (1999), approximately 20% of the U.S. adult population has a mental illness. He says, "These illnesses include anxiety disorders, mood disorders, anorexia nervosa, and severe cognitive impairment. More serious mental illnesses include ipolar disorder and schizophrenia. Mental illness accounts for 15% of overall burden of disease -- more than malignant cancer and respiratory diseases -- and as far back as 1996 the direct cost…
Boulard, G. (2000, April). Forgotten Patients the Mentally Ill. State Legislatures, 26, 12. Retrieved February 13, 2004, from Questia database, http://www.questia.com .
Callahan, D. (1993, October) Minds and hearts: priorities in mental health services.
The Hastings Center Report.
Fox, M. & Kim, K. (2004, January) Evaluating a Medicaid Home and Community-based Physical Disability Waiver. Family and Community Health. Vol 27: 37.
Step 3: Discuss the Precipitating Event
After relationship is recognized, the emphasis goes to the family insights of the condition, the sequence of proceedings leading up to the predicament, and the issue that started out the sequence of events (Graham-Bermann, S.A., 2002). Consultations inspect when and how the disaster happened, the causal conditions, and how the family endeavored to covenant with it.
Step 4: Assess Strengths and Needs
The Family valuation of strengths and needs start right after and the goes on throughout crisis intervention. The crisis worker will start to draws conclusions that will regard the family's needs and strengths that are related to the present disaster and, with the family, assesses the prospective for recovery (Edleson, J.L.,1999). Client strong suit are tapped in order to make self-esteem better, while also providing skills and energy that is for problem-solving.
Step 5: Formulate a Dynamic Explanation
This next step really…
Appel, a.E., & Holden, G.W. (1998). The co-occurrence of spouse and physical child abuse: A review and appraisal. Journal of Family Psychology, 12, 578-599.
Babcock, J.C., Green, C.E., & Robie, C. (2004). Does batterer's treatment work? A meta-analytic review of domestic violence treatment. Clinical Psychology Review, 23, 1023-1053.
Beeman, S.K., Hagemeister, a.K., & Edleson, J.L. (1999). Child protection and battered women's services: From conflict to collaboration. Child Maltreatment, 4, 116-126.
Bragg, H.L. (2003). Child protection in families experiencing domestic violence. Washington, DC: U.S. Department of Health and Human Services. Retrieved October 3, 2005, from http://nccanch.acf.hhs.gov/profess/tools/usermanual.cfm
Business Plan Assisted Living Facilities
Residential and Day Treatment Facility
Residay Home and Residential Care provides assisted living solutions for senior adults. Residay Home and Residential Care is dedicated to making the provision of the highest quality care to senior citizens requiring or desiring an assisted living facility. Residay Home and Residential Care is located in the Tennessee Valley Area of North Alabama and is an alternative to the generally larger and less personal senior assisted living facilities specializing in the ability to make provision of a very high level of care in a smaller and more personal environment. Residay Home and Residential Care makes provisions of assistance to seniors in their activities of daily living including assisting with medication, meals, reminders, personal grooming, physical therapy and other such assistance. Further provided by Residay Home and Residential Care are opportunities for companionship, entertainment, and activities, which seniors enjoy…
Administration on Aging, Department of Health and Human Services (2005). Fact Sheets: Eldercare Locator.
Administration on Aging. (2004). Report to Congress. Long-term Care Ombudsmen Report, Fiscal Year 2004. Washington, DC: U.S. Department of Health and Human Services, Administration on Aging.
Agency for Healthcare Research and Quality. (1996). Medical Expenditure Panel Survey: Nursing Home Component. Retrieved from: http://www.ahrq.gov/data/mepsweb.htm#Nursing .
Alabama State Board of Health, Alabama Department of Public Health, Division of Licensure and Certification Administrative Code. Chapter 420-5-4 Assisted Living Facilities. Retrieved from: http://www.alabamaadministrativecode.state.al.us/docs/hlth/420-5-4.pdf
If anything, such a person may have regrets over having wasted too much of life on impersonal achievements and selfish pursuits.
6. Do you agree that in later life men become more nurturing and women more assertive? What do you think are the findings that could support or challenge that observation?
The observation that men tend to become more nurturing, less competitive, less aggressive, and "gentler" in later life and that women tend to become less emotional and more confident or assertive would seem to be substantially true. That is largely attributable to hormonal changes; specifically, aging males tend to produce much less testosterone and post-menopausal females secrete less estrogen in their later years (Pinker, 2002). Naturally, those hormonal changes would be expected to result in various behavioral changes in areas where human behavior (and gender-specific behavior in particular) are products of the secondary sex hormones (Gerrig & Zimbardo, 2008;…
Bearon LB. "Successful Aging: What does the 'good life' look like?" Concepts in Gerontology Vol. 1, No. 3, (Summer 1996).
Birren JE. And Schaie KW. (2006). Handbook of the Psychology of Aging. Burlington,
MA: Elsevier Academic Press.
Gerrig R. And Zimbardo P. (2008). Psychology and Life. New York: Allyn & Bacon.
Healthcare Case Study Schuylkill County, PA
County Overview - Schuylkill County, Pennsylvania is located in the heart of the anthracite Coal region of Pennsylvania where the Schuylkill iver originates. Pottsville is the county seat, and the county showed a population of just under 150,000 as of 2010 with a density of 190 persons per square mile. The total area of the county is 782 square miles, almost all land, less than 1/2 a per cent water. The county's history, likely due to large coal deposits, focused on the railroad and industrialization (Schuylkill Chamber of Commerce, 2011).
The county experienced the high point of its population during the 1920s and 1930s, and has been losing people ever since, most between 1950 and 1970, with about a 1-2% population loss since the turn of the century. This is likely due to the lack of appropriate jobs and opportunities within the county. Schuylkill…
County Health Statistics - Healthcare 2010. (2009, March). Retrieved from Pennsylvania Department of Health: http://www.portal.state.pa.us/portal/server.pt-in_hi_groupoperator_1=or&in_hi_req_objtype=18&in_hi_req_objtype=17&in_hi_req_objtype=512&in_hi_req_objtype=514&in_hi_req_objtype=43&in_hi_req_objtype=1&in_hi_req_apps=7&in_hi_req_page=10&in_ra_topoperator=or&
Comprehensive Plan. (2010, March). Retrieved from City of Pottsville, PA: http://www.city.pottsville.pa.us/html/cp1.htm
Election Statistics. (2010, June). Retrieved from Pennsylvania Department of State: http://www.dos.state.pa.us/portal/server.pt/community/running_for_office/12704
Schuylkill County. (2010, June). Retrieved from Sperling's Best Places USA: http://www.bestplaces.net/economy/county/pennsylvania/schuylkill
For one it is possible that the success rate may be limited by the number of participants willing to participate in a case study in the setting selected for purposes of this study. The results should suggest that multiple interventions including direct patient communication, early intervention to identify patients at risk for abuse and patient education to provide "community resources for abused victims" (Litwin & Zoabi, 2004: p. 133). The researcher predicts that sociodemographic as well as "dependency factors" may play a significant role in elder abuse (Litwin & Zoabi, 2004: p. 133). By using a case study approach the researcher hopes to limit non-participation and maximize response rate by as much as 90%. Observational analysis will also help facilitate better data collection and interpretation.
Adler, P. & P. (1987). Membership oles in Field esearch. Beverly Hills: Sage
Berg, B. (1989). Qualitative esearch Methods for the Social Sciences. Boston:…
Adler, P. & P. (1987). Membership Roles in Field Research. Beverly Hills: Sage
Berg, B. (1989). Qualitative Research Methods for the Social Sciences. Boston: Allyn & Bacon.
Britton, A. (1996). "Advice about empirical research." ABC Study Guide, Available:
For example, Massachusetts and California have made recent improvements by upgrading care quality and professionalizing care; by contrast, despite Florida's large population of seniors and the beginning of a coalition of patients, families, and workers on behalf of better care, the state administration remains inflexible in their funding approach (Fitzgerald 30).
Nursing homes and other long-term-care facilities are unique among low-wage labor markets in that government, in effect, sets wages and career paths by setting reimbursement rates. Government also regulates the conditions of care and subsidizes training programs for nursing assistants and other paraprofessionals. Unlike other low-wage sectors, a broad-based, middle-class constituency for better wages and benefits potentially exists in the form of family members of nursing home residents. Therefore, there is a potential solution that benefits all the stakeholders by providing higher reimbursements together with tighter regulation and deliberate professionalization of the direct-care workforce; unfortunately, while some states have…
About SeniorNet. (2005). SeniorNet. [Online]. Available: http://www.seniornet.org /php/default.php?PageID=5005' target='_blank' REL='NOFOLLOW'>
For most of U.S. history up to the time of the Community Mental Health Act of 1963, the mentally ill were generally warehoused in state and local mental institutions on a long-term basis. Most had been involuntarily committed by orders from courts or physicians, and the discharge rate was very low. Before the 1950s and 1960s, there were few effective treatments for mental illnesses like depression, anxiety disorders and schizophrenia, which were commonly considered incurable. Only with the psycho-pharmacological revolution in recent decades and new anti-depressant and anti-psychotic medications has it been possible for the severely mentally ill to be treated on an outpatient basis through community mental health centers. Of course, as the old state hospitals have emptied many of the mentally ill have ended up homeless, since they are unable to hold maintain regular employment or continue on a medication regimen without supervision. According to present-day…
Bacon. H. "Book Review: Jonathan Willows, Moving On after Childhood Sexual Abuse: Understanding the Effects and Preparing for Therapy in Clinical Child Psychology and Psychiatry. (15)1 January 2010, pp. 141-42.
Bartels, S.J., A.D. van Citters and T. Crenshaw (2010). "Older Adults" in Levin, B.L., J. Petrila and K. Hennessy Mental Health Services: A Public Health Perspective. Oxford University Presss: 261-82.
Behar, E.S. And T.D. Borkovec. (2003). "Psychotherapy Outcome Research" in I.B. Weiner et al., eds. Handbook of Psychology: Research Methods in Psychology. New York: John Wiley & Sons.
Carron, V.G. And K. Hull. (2009). "Treatment Manual for Trauma-Exposed Youth: Case Studies." Clinical Child Psychology and Psychiatry 15(1) 13 November 2009, pp. 27-38.
Establishing an NP Led Wellness and Recovery Center for Deinstitutionalized Individuals
Historically, nursing, and medicine professions have been loath to utilize tools commonly linked with mercenary aspects of business, such as market research and decision analysis. In the contemporary health care setting, however, consumers hold numerous options for care providers. The division of the market or market segmentation into different subgroups allows the determination of target markets and the buildup of marketing policies specific to the needs and interests of the selected subgroups. Market analysis allows the identification of policies for nurse practitioners to enhance their practice in a way that centers on the interests and needs of the selected market. While scores of the nurse practitioner's dream of operating their own businesses, those that have set up their own practice understand that it requires a compelling passion for owning a business, and for the profession.
A nurse practitioner is…
Mitigating isks from Dementia
Providing adequate care for an individual suffering from dementia presents many difficulties for nurses. Patients with dementia often have debilitating conditions such as Alzheimer's or similar neurologic diseases which are progressive, thereby making it challenging for them to remember, think lucidly, communicate effectively or complete activities of daily living. Furthermore, dementia can cause rapid variations in mood or even modify personality and behavior. With the tremendous number of elderly in society more and more nurses are required to care for patients with progressive dementias. It is imperative that a diagnosis be reached early in the course of the cognitive impairment and that the patient is closely monitored for coexisting morbidities. Nurses have a central role in assessment and management of individuals with progressive dementia. This essay provides some evidence-based practical strategies for managing the behavioral problems and communication difficulties often encountered in this population.…
Aud, M.A., Oliver, D., Bostick, J. And Schwarz, B. 2011. Effectiveness of Social Model Care Units for Dementia. International Nursing Research Congress 2005.
Care, N.D. 2010. Teaching and Learning. Pulse. Winter Edition.
Fletcher, S. And Zimmerman, S. 2010. Trainee and trainer reactions to a scripted dementia care training program in residential care/assisted living settings and nursing homes. Alzheimer's Care. 11(1): 61-70.
Goodman, C. 2011. The organizational culture of nursing staff providing long-term dementia care is related to quality of care. Evidence-Based Nursing. 47:1274-1282.
The emphasis is on normal, everyday activities provided for residents. According to the authors, however, little research has been conducted to investigate the actual effect of such activities and settings upon residents. The assumption is that such settings have a better effect that traditional institutions, but there is little empirical research to support this.
Hence, Verbeek et al. (2010) conducted a study to compare small-scale living with regular care in nursing homes in the Netherlands. Interestingly, they found no significant difference between the quality of life experienced by residents in traditional institutional settings and those in small-scale living facilities. Furthermore, there was also no significant difference in the job satisfaction levels of nursing staff between both types of institution was found. Another important aspect, namely neuropsychiatric symptoms and agitation were also significantly similar for both institution types. According to the authors, a difference was found in the satisfaction level of…
Gaugler, J.E. (2005, Mar.). Family Involvement in Residential Long-Term Care: A Synthesis and Critical Review. Aging and Mental health, Iss. 9, vol. 2. Retrieved from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2247412/
Lyness, J.M., Yu, Q., Tang, W., Tu, X., and Conwell, Y. (2009, Dec.). Risks for Depression Onset in Primary Care Elderly Patients: Potential Targets for Preventive Interventions. American Journal of Psychiatry. Retrieved from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2982671/
Simonazzi, a. (2009, Jun). Home care and cash transfers. Effects on the elderly care-female employment trade-off. Retrieved from: http://www.aiel.it/bacheca/SASSARI/papers/simonazzi.pdf
Verbeek, H., Zwakhalen, S.M.G., Van Rossum, E., Ambergen, T, Kempen, G.I.J.M., and Hamers, J.P.H. (2010, Nov.). Dementia Care Redesigned: Effects of Small-Scale Living Facilities on Residents, their Family Caregivers, and Staff. American Medical directors Association. Retrieved from: http://www.unimaas.nl/hcns/websiteVW/publications/Publication%20scans/Verbeek.%20Dementia%20care%20redesigned.pdf
This can lead to social isolation, disapproval and prejudice, and shame and feelings of immorality (2008).
Arreola et al. (2009) state that LGBM are one of the groups that participate in some of the riskiest sexual behaviors among gay and bisexual men. This prevalence of risky behavior among gay and bisexual men is higher in instances where the men have been sexually abused as a child; it is even higher among LGBM (2009). Unprotected anal intercourse was significantly related to a history of childhood sexual abuse in a study conducted by Carballo-Dieguez and Dolezal (2005) (Morales 2009). In another study of adult men who sleep with men, there was a significantly higher portion of LGBM who reported sexual abuse before age 13 years (22%) than did non-Latino men who sleep with men (11%). Furthermore, studies have shown that childhood sexual abuse can significantly predict negative health outcomes including HIV /…
Arreola, S.G., Neilands, T.B., & Diaz, R. (2009). "Childhood sexual abuse and the sociocultural context of sexual risk among adult Latino gay and bisexual men." American journal of public health,2(99).
Brooks, R.A., Etzel, M.A., Hinojos, E., Henry, C.L., & Perez, M. (2005). "Preventing HIV
among Latino and African-American gay and bisexual men in a context of HIV-related stigma, discrimination, and homophobia: perspectives of providers. AIDS patient care
In the film The Savages (Jenkins, 2007) two siblings (Jon and Wendy Savage, the parallel to the Peter Pan characters by the same first name is not hidden) are brought together to care for their aging father who has dementia. Lenny Savage (the father) is the patriarch of the estranged Savage family. Lenny was living in Arizona with his girlfriend, whom we suspect also has dementia, but she abruptly passes away as the film begins. Lenny has had no connection with his children who both live far away on the east coast (Jon in Buffalo; Wendy in New York). Their mother is out of the picture having left their father years before and no one knows where she is. The children, left to their own devices, have grown into isolated, repressed, emotionally-stunted, self-absorbed adults (savages). The film is more about the struggles of the sister and brother to grow…
Alzheimer's Association (2012). http://www.alz.org/about_us_about_us_.asp .
American Psychiatric Association. (2000). Diagnostic and Statistical Manual of Mental Disorders-IV-Text Revision. Washington, DC: Author.
de Boer, M.E., Hertogh, C.M.P.M., Droes, R.M., Riphagen, I.I., Jonker, C., & Eefsting J.A. (2007). Suffering from dementia - the patient's perspective: A review of the literature. International Psychogeriatrics, 19(6), 1021-1039.
Jenkins, T. (2007). (Jenkins, T. Director & Payne, A. Producer) The savages [Film]. United States, This In That Studios.
Leading hange for Patient and Service Improvement Module
about service quality: Service quality concept in the current literature
The developed countries have given a significant importance to the service sector of the country. With every passing day the segment of employment is growing and increasing very rapidly. This ultimately gives the members of the society a life with high quality and setting high standards for the members to a live a good life. Service sector contributes as a major portion of the country and without it other sectors cannot also develop. It also faces competition with global world as the world has become global all the way. The main point of this competition is to bring free circulation of the services and products. Getting confidence of the consumers is an essential part and while facing competition they need to provide the best services in order to sustain in the market.…
Consultant dieticians are employed under an agreement with health related establishments or work privately. They execute dietary checks on their patients and propose diet related solutions to issues like being overweight and fat cutback. Some give their time to welfare organizations, sports groups, superstores, and such food related dealings. They may confer with food managers, supplying the skill necessary to carry out hygienic conditions, safety protocols, diet programs, and financial issues.
In the next few pages we will discuss the drivers aforementioned in detail and how they help in attaining viability, acceptability, feasibility and desirability of the change in home healthcare services.
In order to estimate the home healthcare working excellence, diet facilities must be looked on a continuous basis (Babakus & Mangold, 1992; Devebakan, 2005; Lee et al., 2000), including semblance of hospital and hygiene (Lee & Yom, 2007). Most important thing for the home healthcare and dietary staff is that they must be serviceable and comfortable. The overall environment must be organized in a way that provides freedom from anxiety to the patient. There must be proper supply of devices and dietary supplements in hospitals as
Adult Day Care Industry
ABC Adult Day Care will be a mid-sized company, which will provide adult day care services to the residents of Boston. This mid-sized adult care facility will serve adults aged fifty years and above. It will provide community-based day health services for the elderly and disabled. Services offered include living assistance, nursing, therapy, meals, and social activities. Their services will be secure and safe, presenting the elderly with an excellent place where their caring services will be met. ABC Adult Day Care will be a privately held organization headed by its founder, Ben Stevenson. Mr. Stevenson has extensive experience in strategic business planning. His advanced knowledge and interest in business are the driving force behind his business. A few employees who have extensive experience in adult care fields will support the daily operations of the facility. With the rising rate of inflation, many American families struggle…
Bryan, C.J., & Rudd, M.D. (2011). Managing suicide risk in primary care. New York: Springer Pub. Co.
Cooper, P.D. (2010). Health care marketing: A foundation for managed quality. Gaithersburg, Md: Aspen Publishers.
Davis, C. & Lynn, J. (2010). Start your own senior services business: Adult day-care, relocation service, home-care, transportation service, concierge, travel service and more. Irvine, Calif.: Entrepreneur Press.
Fitzpatrick, J.J., Glasgow, A., & Young, J.N. (2013). Managing your practice: A guide for advanced practice nurses. New York: Springer Pub. Co.
Baker. She is serving in the position of the egional Director. The agency is governed based on protocols that are established in Title IV of the Social Security Act and the CAPTA. To achieve its objectives, the agency is organized into a number of different positions to include: directors, counselor and managers. The way social workers fit into the organization, are they maintain these different titles when investigating and monitoring what is happening. This is accomplished by having the more experienced case workers serving in a supervisory role. They will teach less experienced social workers how to effectively interact with clients. This is when they will learn how to deal with a host of situations and address possible challenges in the future. The combination of these areas is designed to ensure the DFPS is able to achieve their larger organizational objectives. ("Child Placing Agency Administrators," 2012) (Burstain, 2012)
About the Texas Department of Family Protective Services. (2012). DFPS. Retrieved from: http://www.dfps.state.tx.us/About/About/
Child Placing Agency Administrators. (2012). DFPS. Retrieved from: http://www.dfps.state.tx.us/CHILD_CARE/Information_for_Providers/administrators.asp?r=3&admtype=LCPA
DFPS 2010 Data Book. (2010). DFPS. Retrieved from: http://www.dfps.state.tx.us/documents/about/Data_Books_and_Annual_Reports/2010/2010databook.pdf
Burstain, J. (2012). Child Protective Services in Texas. Centers for Public Policy Priorities.
According to a recent study, the elderly are hospitalized more often due to alcohol-related problems than for heart attacks (Doup). Another study found some 70% of elderly adults' hospitalizations are related to alcohol, medication, or a mixture of both (Doup).
Many seniors live alone either due to divorce or the death of a spouse, and many more still are retired and have children out of state, and so do not drive as much or as far as before (Doup). This isolation leads many seniors to develop alcohol and drug problems late in life, at a time when they are most vulnerable to medical conditions (Doup). The elderly make up some 11% of the U.S. population, yet they take more than 35% of the drugs prescribed, such as blood pressure medication, sleep medication, and tranquilizers, all of which created a toxic cocktail when mixed with alcohol, causing everything from dizziness to…
Bosworth, Michael F. "Alcohol abuse in the elderly." American Family Physician.
April 1, 1989. Retrieved October 07, 2006 from HighBeam Research Library.
Dooley, Pat. "For Best Nutrition, Elderly Should Socialize, Too."
The Virginian Pilot. July 5, 1996. Retrieved October 07, 2006 from HighBeam
Application Process Improvement Models Organizations Systems
A clinical practice improvement initiative
The strategy of treating patients with dementia must be dependent on a thorough neurological, psychiatric, and general therapeutic assessment of the nature and causes of the cognitive setbacks and related non-cognitive symptoms, in the setting of a strong collaboration with the patient and family. It is crucial to distinguish and treat general medical conditions, notably delirium, that may be answerable for or contribute to dementia symptoms (Ferrara, 2010).
Currently, the organization is embracing the Progressing evaluation strategy. This approach focuses on incorporating occasional monitoring of the advancement and development of cognitive and non-cognitive psychiatric and how they respond to intervention. With the end goal to provide prompt medication, improve patient safety, and provide convenient advice to the patient and family, it is ordinarily fundamental to see patients in routine follow-up at regular intervals. Frequent patient visits such as once…
Baur, C. (2011). Calling the nation to act: Implementing the national action plan to improve health literacy. Nursing Outlook, 59(2), 63-69.
Ferrara, L.R. (2010). Integrating evidence-based practice with educational theory in clinical practice for nurse practitioners: Bridging the theory practice gap. Research & Theory for Nursing Practice, 24(4), 213-216.
Grant, B., Colello, S., Riehle, M., & Dende, D. (2010). An evaluation of the nursing practice environment and successful change management using the new generation Magnet Model. Journal of Nursing Management, 18(3), 326-331. doi:10.1111/j.1365-2834.2010.01076.x
Lavoie-Tremblay, M., Bonin, J.-P., Lesage, A., Farand, L., Lavigne, G.L., & Trudel, J. (2011). Implementation of diagnosis-related mental health problems: Impact on health care providers. Health Care Manager, 30(1), 30(1): 4-14 (50 ref). doi:10.1097/HCM.0b013e3182078a95