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When a client presents for alcohol addiction, one of the most fundamental facts a therapist should understand is that the substance and its physical effects on the body is seldom the fundamental reason for continued struggle. During the first step of creating a treatment plan, the therapist should therefore consider the underlying psychological and mental conditions that might have led to the first appearance of the abuse or dependence problem, while reasons for relapse should also be closely investigated. In other words, a whole-person approach should be used when assessing the client and creating a treatment plan. This is also the case with James, whose long-term alcohol abuse condition seems closely related to his initial family relationships and later to internalized psychological conditions created by these formative years. As such, the treatment plan should include four basic steps; the assessment, detoxification, active treatment, and relapse prevention.
Markowitz, R. (2010, Jun 30). Alcohol Recovery Plan and Individual Treatment Goals. Retrieved from: http://www.livestrong.com/article/157377-alcohol-recovery-plan-and-individual-treatment-goals/
Sellman, D. (2009, March 30). The 10 most important things known about addiction. Addiction for Debate. Retrieved from: http://www.phn-bradford.nhs.uk/NR/rdonlyres/33338B96-B287-472D-868B-8D1D2B6F40F8/0/10mostimportantthingsknowaboutaddiction.pdf
A counselor like any other physician, or medical practitioner must help. That is their first and only objective.
The relationship between a counselor and their client must first and foremost be a beneficial and safe one. If at any point either party begins to feel as though the relationship is no longer helpful, or either party feels threatened in any way then the relationship must be terminated. Treatment should never be denied based on race, creed, religious belief, sexual orientation, or previous criminal history. The letter and spirit of the laws regarding confidentiality and the use of patient's records should also be adhered to. A client must be able to trust that the information disclosed in therapy sessions will not ever be leveraged against them unless they have specific knowledge of a criminal act which results in duly appointed authorities being awarded a subpoena for the records, or they express…
Intensity of the patient's illness, long-term prognosis, balance between medical and somatic symptoms, and realistic goal-setting will influence the patient's ability to function and his or her treatment (Groth-Marnat, 2009, p.604).
Duration of the treatment course is another factor to consider: Long vs. short-range treatment duration is determined by the intensity of the disorder; its specificity; the age and level of social support of the patient; and the patient's level of 'premorbid' functioning. A phobic anxiety disorder requiring short-term treatment vs. A chronic bipolar disorder provides a contrast in the two different approaches: one is ideal for symptom-focused cognitive behavioral therapy while the other requires more generalized physical and medical treatment. or some disorders, such as borderline personality disorder, no treatment at the time may be indicated, until the patient is willing to use the therapy correctly, and not merely as a way to further his or her disorder (Groth-Marnat,…
Finally, the therapist must consider the need to address the patient in a socially specific manner -- a concern called 'high problem complexity.' Patients may benefit from family or couples therapy, when their problem is related to a web of non-functioning social relationships. Some patients with low social support, high rates of introversion, and deeper psychoanalytic issues that resist conventional diagnostic characterization might be helped by non-directive dream therapy or free associative therapy -- these patients might be called 'high internalizers' that require more personalized types of therapy (Groth-Marnat, 2009, p.609). High or low levels of resistance to treatment should also be taken into consideration when creating a program -- particularly given the need to select a therapist whose approach can deal with a highly-resistant client. The patient must be ready to change, and some patients require higher levels of subjective distress before they are willing to do so. Finally, the personality of the therapist should also be taken into consideration, as every theory and design affected by the therapist, as well as the recipient of therapy.
Groth-Marnat, Gary. (2009). Handbook of psychological assessment. Wiley, pp.595-620
Treatment Plan: The Case of Felix
Latino male approximately 30-year-old.
Felix is bilingual in Spanish and English and his heritage is very important to him.
He has a divorced mother who might not support his gay relationship
His mother is diagnosed with a problem of bipolar
His mother does not comply with therapy and medication's recommendations
His father had been remarried, Felix did not accept the relationship
His father will have difficulty accepting his gay relationship.
His mother has been remarried
The stepfather is an alcoholic, and usually abuse his mother.
The family lived in a perceived dangerous inner city environment
Felix was encouraged not to move out of the house
elationship with his gay partner
Felix has a long-term committed gay relationship with another man
He met the man in college and they own a home together iii. They have not yet legalized their relationship under the state law…
Glassgold, J.M. (2009). The Case of Felix: An Example of Gay-Affirmative, Cognitive-Behavioral Therapy. Pragmatic Case Studies in Psychotherapy. 5(1):1-21
Diagnosis and Treatment Plan for Michael's Condition:
Michael is a 7-year-old child, who was referred by the Pediatrician for an analysis following his 2-year-old exam. In the beginning of Michael's development, his mother stated that she has seen similar delays to the doctor's observations and has similar concerns. One of the major concerns is that Michael will not respond to his name when called even if he is only a foot or less away and does not even turn his head towards the voice. Secondly, he has difficulties in following simple instructions, especially one step directions like come here, sit down, or pick up. In addition to failing to use words to say or request what he wants, Michael only repeats a word that is modeled every once in a while. Third, when playing around other children in the two groups, he does not even notice the other children, plays…
"Autism - Symptoms." (2010, April 12). Autism Spectrum Disorders Health Center. Retrieved December 11, 2013, from http://www.webmd.com/brain/autism/autism-symptoms
"Autism - Symptoms." (n.d.). Mayo Clinic. Retrieved December 11, 2013, from http://www.mayoclinic.com/health/autism/DS00348/DSECTION=symptoms
Schrader, L. (n.d.). Real-World Strategies for Behavior Intervention Plans for Children with Autism. Retrieved December 11, 2013, from http://www.centerforautism.com/News_and_Events/Presentations/Real%20World%20Strategies%20for%20Behavior%20Intervention%20Plans%20for%20Children%20with%20ASD.pdf
Smith, M., Segal, J. & Hutman, T. (2013, November). Autism Symptoms & Early Signs.
Although Jeff does not see his drug use as his primary problem, it is in fact at the root of his other issues. The social worker will create a treatment plan that will help Jeff meet three goals: break dependency on oxycontin, get a job, and develop an physical exercise routine.
According to the treatment plan, Jeff will start working on his goals by beginning with individual counseling sessions. The social worker can use motivational interviewing (MI), a technique that can help Jeff understand that he has a drug problem. Once Jeff admits he has a drug problem and that it is causing his other issues, he can make the decision to undergo intervention by entering a detox center or undertake a treatment program. Jeff's goal of getting free of oxycontin is part of his long-term objective, which is to attain and maintain full and sustained recovery. Jeff…
conceptualizing a case from a systems-Based perspective?
A systems-based perspective takes into account multiple variables and relationships, including those that may be peripheral to the individual. While conceptualizing the case, the therapist takes into account the client's symptoms, the client's goals, and the client's perspective or worldview. The therapist also considers the various relationship dynamics that are impacting the current set of issues or symptoms. A systems approach also implies that the therapist needs to recognize the importance of family and personal history, even when focusing on a solution-oriented approach to therapy. Using a systems perspective allows the therapist to conceptualize a case thoroughly and with maximum clarity.
Culture, language, religion, ethnicity, age, gender, socioeconomic status, and other aspects of personal identity formation and social belongingness are also integral to a systems-based perspective. Each of these factors will have influenced cognitive variables and also identity formation. When conceptualizing a case,…
Gehart, D.R. (2010). Mastering Competencies in Family Therapy. Belmont: Cengage, 2010.
Gehart, D.R. (2010). Chapter 13. [PowerPoint Presentation].
Gehart, D.R. (2010). Chapter 15. [PowerPoint Presentation].
Turnover among nurses is a result of dissatisfaction with the workplace. This dissatisfaction could be because of low pay, poor working conditions, and lack of motivation to work as well as a general feeling of disregard for their interests. The management plays a key role in influencing the way in which employees feel and take their work. Therefore, nurses here have to be taken care of concerning their interest. The way the management does work dictates how the nurses will respond the work and the kind of dedication that they will give to the organization (Green & South, 2011).
In the event of occurrence of this kind of dissatisfaction on the part of the nurses, recovery plans will be required. This could include fulfilling the missing offers that the management has failed to give the nurses and making them appreciate their work more. A revision of the modes of…
Faramarz, I. (2012). Glycemic Management of Type 2 Diabetes Mellitus. The New England Journal of Medicine. 366(14): 1319-27.
Ganong, J., & Ganong, W. (2013). Nursing Management (2d ed.). Rockville, Md.: Aspen Systems.
Green, J., & South, J. (2011). Evaluation. Maidenhead, Berkshire: Open University Press.
Levin, J., Glass, T.A., and Lawrence, K.H. (1997). Quantitative Methods in Research on Complementary and Alternative Medicine: A Methodology Manifesto. Journal of Medical Care. 35.11: 1079-1094.
Intervention of Bonnie
The client for this proposed plan for evaluation and intervention is Bonnie who is a 15-year-old European-American girl in 9th grade. Bonnie was referred to the clinical psychologists by her parents after complaining of fear and anxiety. Based on the information provided to the clinical psychologists, Bonnie is suffering from severe social anxiety disorder, which can also be referred to as social phobia. Social anxiety disorder is usually characterized by an extreme fear of engaging in social situations largely because of the probability of embarrassing one's self in front of others. Bonnie's social anxiety disorder is evident in the fact that she fears doing anything in front of people including eating, meeting new people, using public restrooms, and being surrounded by many people. Her persistent fear of social situations is based on the fact that she fears embarrassing herself in front of others by not knowing what…
In particular, cognitive-behavioral therapy has received substantial research to support its effectiveness as an intervention strategy. Yet those interventions that combined psychotherapy and medications have been proven to be the most effective in the military culture. However, the recommendation to consider medication management may be met with resistant by the individual and should be explored in a manner that allows the individual to feel empowered (Silver, Brooks, & Obenchain, 1995). Interventions that occur early on in the symptomatic process can also result in fewer individuals developing PTSD.
In order to successfully treat the post-combat individual, a clinician utilizing CBT needs to be able to assist the individual in identifying the role that their coping strategies played in keeping them safe and stable during deployment and in combat situations (Owens et al., 2009). Despite the positive role that these strategies played in survival, these maladaptive coping strategies often make community reintegration…
American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders (Revised 4th ed.). Washington, DC: Author.
Owens, G.P., Dashevsky, B., Chard, K.M., Mohamed, S., Haji, U., Heppner, P.S., & Baker, D.G., (2009). The relationship between childhood trauma, combat exposure, and posttraumatic stress disorder in male veterans. Military Psychology, 21(1), 114-125.
Seal, K.H., Metzler, T.J., Gima, K.S., Bertenthal, D., Maguen, S., & Marma, C.R. (2009). Trends and risk factors for mental health diagnoses among Iraq and Afghanistan veterans using Department of Veterans Affairs health care, 2002-2008. American Journal of Public Health, 99(9), 1651-1658. doi: 10.2105/AJPH.2008.150284
Silver, S., Brooks, A., & Obenchain, J. (1995). Treatment of Vietnam War Veterans with PTSD: A Comparison of Eye Movement Desensitization and Reprocessing, Biofeedback, and Relaxation Training. Journal of Traumatic Stress, 8(2), 337-342.
Diagnosis and Treatment
Treatment of Susanna Kaysen from the film "Girl, Interrupted."
The central people focused on in the movie to bring out the disorders here are Susanna and Lisa. Susanna brings out the Borderline Personality Disorder (BPD) in this movie and this is evidenced by the behavioral displays that she shows while in the facility for the mentally challenged.
According to the Medicine Net, (2012) the manifestations of BPD is seen when the patient displays the following symptoms;
The patient has emotional swings such that at one point the person may be confident and happy on one day and suddenly gets into a feeling of despair on the next day. They also display feelings of emptiness and anger during such times. This was evident in Susanna as she would interact very well with the Nurse Valerie on one day and relapse on the next day such that the…
Medicine Net, (2012a). Borderline Personality Disorder (BPD). Retrieved February 12, 2014 from http://www.medicinenet.com/borderline_personality_disorder/article.htm
Alternative Treatment Planning
Many health care providers consumers alternative treatments. You asked research alternative treatments offered health care organizations. Acupuncture, herbal remedies, yoga suggested possibilities. Make a plan explore products.
Practice and interest in alternative treatment in the past decade has increased. The growth in alternative treatment has followed changes in physician and patient attitudes Mathur, 2003.
The reference of this treatment as an alternative is falling owing to the wide spread use and acceptance. Treatments such as acupuncture, herbal remedies and yoga have been touted to be successful in healing chronic and terminal illness that, modern medicine has had a hard a time dealing with Mathur, 2003.
With these developments, considering alternative medicine as a peripheral to modern health care is being mistaken. Health care organizations need to plan how to incorporate this alternative medicine in the modern practice.
Planning for alternative healthcare
It needs to be understood by…
DeCoster, C., Peterson, S., Carriere, K.C., & Kasian, P. (1999). Assessing the Extent to Which Hospitals Are Used for Acute Care Purposes. Medical Care, 37(6), JS151-JS166.
Mathur, A. (2003). Who Owns Traditional Knowledge? Economic and Political Weekly, 38(42), 4471-4481.
Mechanic, D. (2005). Policy challenges in modern health care. New Jersey: Rutgers University Press.
Simmers, L. (1997). Diversified Health Occupations Essentials. New York: Delmar Publishers.
Treatment Plan Diagnoses, Goals, and Objective for Eliza: A Review
Examine the case and propose why the changes occurred
It is important that the systematic progress of maintaining Eliza's recovery process is not affected in any way. The case from the school is genuine enough. In case a new strategy is instituted, the initial plan and its progress together with the results so far will be of no importance. The changes were necessary on three main grounds: protection of the integrity of the medical process, protection of Eliza, and ultimate protection of the need for her to recover as intended and through the recommended process. She needs to undergo a completion of a procedure that will result in the complete transformation into a better state of health. The integrity of the treatment facility has to be protected since it has its systematic mechanisms of addressing individual patient issues, and hence…
Alcohol and drug abuse is not limited to any socioeconomic category, race, religion, or gender. Finding the right drug, the right type of support group, and the right type of intervention can be a long and difficult process. For example, the National Institute on Alcohol Abuse and Alcoholism (NIAAA) offers special resources for recently-deployed combat officers, teens, and even obese individuals, all of which are tailored to meet the different challenges that life circumstances, age of life, or biology can pose that predispose an individual to addictive behaviors or affect an addict's treatment plan.
However, improving opportunities for jobs and treating communities as well as individuals seems essential to aiding those who are disproportionately affected by addiction. All addicts feel the effects of tolerance and physiological and psychological dependency to some degree, depending on the nature of the drug and their biology (Oakley & Ksir, 2003, pp45-46). But while social…
Adrian, Manuella. (2001). Do treatments and other interventions work? Some critical issues.
Substance Use & Misuse, 36 (13): 1759-1780
NIAAA. Alcoholism. Getting the Facts. Retrieved October 8. 2010 at http://www.niaaa.nih.gov/
Oakley S. Ray & Charles Ksir. (2003). Drugs, society, and human behavior. New York:
S. Census Bureau) It is clear after having reviewed this information that this area is quite needy in provision of alcoholism treatment and intervention.
VI. Treatment Program Community Marketing Process
In the initiative of reaching the community both through media and public relations as tools to raise awareness the organization will be enabled to alert members of the community about the services available. Promotions, marketing, public relations and media advocacy are all critical specifically as these are all integrated with the business sector and as well adapted by nonprofit organizations. In the attempt to market or advertise to the community the available services all venues of the media should be sought and the mass media in the form of newspaper and magazines and other printed material as well as media through television and radio broadcast communications and finally through the Internet's provision of electronic media. Communication with the media should…
Ervin, N.E. (2002). Advanced community health nursing practice: Population-focused care. Upper Saddle River, N.J.: Prentice Hall. ISBN# 0-8053-7364-0.
Bensley, R.J., & Brookins-Fisher, J. (EDs). (2003). Community health education method: a practitioners guide. (2nd ed.). Boston, MA: Jones and Bartlett. ISBN# 0-7637-1801-7
Andreasen, A.R. (1995). Marketing social change: Changing behavior to promote health, social development, and the environment. San Francisco CA: Jossey-Bass. ISBN# 0-7879-0137-7
Medicaid EPSDT and AOD Treatment Services Policy Brief entitled Resources for Recovery: State Practices that Expand Treatment Opportunities" Medicaid EPSDT and AOD Treatment Services" (O'Brien, et al., 2005) National Program Office, Technical Assistance Collaborative, Inc. Online located at: www.resourcesforrecovery.org
Offered under the same roof are "consultative, diagnostic, and treatment services" which are stated to be provided "by board-certified practitioners in the fields of pulmonary medicine, otolarngology, family medicine and more." (2006)
Smith reports that the laboratories experiencing the most dramatic growth are two which are located the "farthest from the Hillsboro flagship" as they are located in two areas that were "formerly underserved." (2006) Smith additionally reports that the demand is stronger in the areas where the two fastest growing centers are located which supplies "plenty of fuel for expansion."
Smith states that the Sleep Health & Wellness NW is attempting to "fill a gap so that patients who previously were overlooked or not being reached or who fell through the cracks no longer are," she says. "We have no plans to open centers in areas where there are already quality sleep services programs. We only want to go…
Inspiration! Sleep Study Results & Analysis (2006) Q&a with Ron Richard, senior vice president of strategic marketing initiatives at ResMed HME Business April 2006. Online at http://www.hme-business.com/articles/55305/
Johnson, Duane, PhD (2008) Are you Really Managing Your Sleep Lab? The Business of Sleep. Focus Journal May/June 2008. Online at http://www.foocus.com/pdfs/Articles/MayJune08/Duane.pdf
Kay DC, Pickworth WB, Neider GL. Morphine-like insomnia from heroin in nondependent human addicts. Br J. Clin Pharmacol. 1981;11(2):159-169
MacFarlene, James (2009) the Painful Pursuit of Sleep. Sleep Review Journal Jan/Feb 2009. Online available at http://www.sleepreviewmag.com/issues/articles/2009-01_07.asp
Diagnosis and Treatment Planning
Contemporary Approaches Used for Assessment and Diagnosis
The Center for Quality Assessment and Improvement in Mental Health relates screening tools used for screening for bipolar disorder to include the 'Mood Disorder Questionnaire' (MDQ); the 'Composite International Diagnostic Interview (CIDI) ipolar Disorder Screening Scale'; Differential Diagnosis of ipolar Disorder I & II vs. Major Depressive Disorders; and Obtaining a Family History Through the Use of a Genogram. The MDQ is designed for use as a tool to aid in screening for present and past incidences of mania and hypomania and includes 13 questions related to the symptoms of bipolar disorder in addition to items that assess the clustering of symptoms as well as any functional impairment. (CQAIMH, 2014, paraphrased) The Composite International Diagnostic Interview (CIDI) ipolar Disorder Screening Scale' can be used to make accurate identification of "both threshold and sub-threshold bipolar disorder." (CQAIMH, 2014, p. 1)…
Bipolar Disorder (2014) Mayo clinic. Diseases. Retrieved from: http://www.mayoclinic.org/diseases-conditions/bipolar-disorder/basics/tests-diagnosis/con-20027544
Bipolar Disorder (2014) University of Maryland Medical Center. Retrieved from: http://umm.edu/health/medical/reports/articles/bipolar-disorder
Bipolar Disorder Screening (2014) Center for Quality Assessment and Improvement in Mental Health (CQAIHM). Retrieved from: http://www.cqaimh.org/tool_bipolar.html
Bipolar Disorder Treatment (2014) NHS. Retrieved from: http://www.nhs.uk/Conditions/Bipolar-disorder/Pages/Treatment.aspx
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
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.
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.
Assessment of the Situation
As a case manager for patient in this case scenario there are at least four easily identifiable healthcare issues associated with the discharge of patient; 1. Patient safety related to second floor placement of apartment and navigation of two flights of stairs with walker while using pain medication and recovery time needed for hip replacement 2. Patient safety with regard to size and condition of apartment with limited room to navigate with walker, cluttered space and rug placement all of which are barriers to proper use of walker and ambulation an essential aspect of recovery, 3. The potential for patient non-compliance with new medication regimen for diabetes and dietary plan for weight and glucose control 4. Patient well being with regard to isolation and the inability to follow normal routines such as helping in bakery (two flights down) eating in bakery and interacting with…
Borg, C., Hallberg, I., & Blomqvist, K. (2006). Life satisfaction among older people (65+) with reduced self-care capacity: the relationship to social, health and financial aspects. Journal Of Clinical Nursing, 15(5), 607-618.
Byers-Lang, R.E., & McCall, R.A. (1993). Peer support groups: Rehabilitation in action. RE:View, 25(1), 32-36.
French, D.D., Bass, E., Bradham, D.D., Campbell, R.R., & Rubenstein, a. Z. (2008). Rehospitalization After Hip Fracture: Predictors and Prognosis from a National Veterans Study. Journal Of The American Geriatrics Society, 56(4), 705-710. doi:10.1111/j.1532-5415.2007.01479.x
Lin, P., Hung, S., Liao, M., Sheen, S., & Jong, S. (2006). Care needs and level of care difficulty related to hip fractures in geriatric populations during the post-discharge transition period. The Journal Of Nursing Research: JNR, 14(4), 251-260.
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…
Care, Treatment, and Education Plan for a Patient with Cardiac Problems
P. Presenting with Cardiomyopathy and Congestive Heart Failure
Mr. P is a 76-year-old male with cardiomyopathy and congestive heart failure who has been hospitalized frequently to treat CHF symptoms. He has difficulty maintaining diet restrictions and managing his polypharmacy. He has 4+ pitting edema, moist crackles throughout lung fields, and labored breathing. He has no family other than his wife, who verbalizes sadness over his declining health and over her inability to get out of the house. She is overwhelmed with the stack of medical bills, as Mr. P always took care of the financial issues. Mr. P is despondent and asks why God has not taken him.
Considering Mr. P's condition and circumstance, write an essay of 500-750 words that includes the following: Describe your approach to care. ecommend a treatment plan. Describe a method for providing…
Inglis, S.C., Clark, R.A., McAlister, F.A., Ball, J., Lewinter, C., Cullington, D., Stewart, S., and Cleland, J.G.F. (2010). Structured telephone support or telemonitoring programmes for patients with chronic heart failure. Chronic Review, 8. The Cochrane Library. Retrieved from http://eprints.qut.edu.au/43722/1/CD007228_-_Structured_telephone_support_or_telemonitoring_programmes_(2).pdf
____. (2015). Heart failure (HF) and your treatment plan. John Muir Health. Retrieved from https://www.johnmuirhealth.com/content/dam/jmh/Documents/Cardiovascular/Heart_Failure_and_Your_Treatment_Plan.pdf
____. (2015). MedicineNet. Retrieved from http://www.medicinenet.com/congestive_heart_failure_chf_overview/page6.htm#what_is_the_treatment_for_congestive_heart_failure
The following multimodal evaluation procedure is recommended for Carlos:
Semi-Structured Clinical Interview
The foremost component of an informal evaluation of traumatized individuals entails semi-structured interviewing, in which the following details of the patient ought to be garnered:
• Demographic facts
• Employment history
• Medical history
• Educational history
• Social history and • Several specific facts.
Such an interview must be closely founded on minor and major trauma disorder facets (James, 2008). Particular questions to be posed to Carlos are linked to:
• Trauma nature and level of exposure
• Definite trauma integral to PTS (post-traumatic stress) symptoms
• Intrusive thoughts, recollections, emotions, imagery, responsiveness/awareness freezing, avoidance response and other similar symptoms
• Related elements of anxiety, depression, drug/alcohol abuse, anger or violent behavior
• Pre-morbid family and social life, and adjustment
• Familial history of psychological ailments. Essentially, therapists must seek comprehensive information on individual PTS symptomatology elements,…
Human esources Pay Package
Employee Compensation Plan
Target Job: egistered Nurse (N) in a Hospital
Hillcrest Hospital is a 496 bed hospital located in Mayfield Heights, a Cleveland Ohio Suburb. Hillcrest is ranked in the nation's top 100 in cardiac care. It is part of the Cleveland Clinic system. The mission of the hospital is to provide nationally ranked healthcare to the surrounding community. It holds clinical excellence, safety, ethics, integrity, individual responsibility, respect for diversity and caring for others as key tenets (Hillcrest Hospital, 2012a). Its vision is to service as an example of state-of-the-art medical facility in every department that delivers consistent high quality service to Northeast Ohio (Hillcrest Hospital, 2012b). The Cleveland Clinic system is one of the best renowned systems in the nations in a number of specialties in which they operate.
Hillcrest Hospital strives to put their patients first and looks for enthusiasm in employees.…
Bureau of Labor Statistics. Occupational Outlook Handbook, 2010-2011Edition. Registered Nurses. Retrieved from http://www.bls.gov/oco/ocos083.htm
Hillcrest Hospital (2012a). Mission. Retrieved from http://www.hillcresthospital.org/AboutHillcrestHospital/Mission/tabid/574/Default.aspx
Hillcrest Hospital (2012b). Vision. Retrieved from http://www.hillcresthospital.org/AboutHillcrestHospital/Vision/tabid/575/Default.aspx
Hillcrest Hospital (2012c). Hillcrest-Hospital-Jobs. Retrieved from http://www.clevelandclinic-jobs.com/go/Hillcrest-Hospital-Jobs/28206/
Patient Perceptions of Participation in Treatment
Several studies have revealed that patients generally prefer to learn everything they can about their illness and the proposed treatment plan, and even have some control during the planning stage (reviewed in Lund, Tamm, and Branholm, 2001). On the other hand, studies have found that occupational therapists typically underestimate this desire and tend to perceive patients as passive and uncooperative. The gap between the patient's wishes to actively participate and the therapists' perceptions of that willingness can result in a number of problems, including patient compliance with treatment plans and goals. Strategies to minimize the size of this gap could therefore lead to more effective rehabilitation of the patient's disability.
A study was conducted in Sweden that examined patients' experiences as a rehabilitation patient and the professional's view of the interaction (Lund, Tamm, and Branholm, 2001). Patients were enrolled from acute care in surgery,…
Lund, Maria Larsson, Tamm, Maare, and Branholm, Inga-Britt. (2001). Patients' perception of their participation in the rehabilitation planning and professionals' view of their strategies to encourage it. Occupational Therapy International, 8(3), 151-167.
Skidmore, Elizabeth R., Whyte, Ellen M., Holm, Margo B., Becker, James T., Butters, Meryl A., Dew, Mary Amanda et al. (2010). Cognitive and affective predictors of rehabilitation participation after stroke. Archives of Physical Medicine and Rehabilitation, 91(2), 203-207. Retrieved May 3, 2011 from http://www.ncbi.nlm.nih.gov.ezproxy1.lib.asu.edu/pmc/articles/PMC2824912/pdf/nihms153354.pdf
ole of Spirituality in the Treatment of Depression
Over the last thirty years, one of the most interesting paradoxes in the study and treatment of depression has been that increased knowledge about the biomedical and genetic causes of the disease has been coupled with a renewed interest in the effect of religion and spirituality on human mental health and well-being. No matter how religion and spirituality are defined -- and many scholars and laypersons see no great distinctions between the two -- there are now hundreds of studies that demonstrate the beneficial effects of religion on both mental and physical health. Indeed, the more firmly held and intrinsic a person's religious convictions are, the more salutary the effect. eligious people are more optimistic, hopeful and trusting, and have more purpose and meaning in life than those with weak or no religious views. All of these qualities are of course lacking…
Ai, A..L. et al. (2005). "Prayer Coping, Positive Attitudes, and Cardiac Surgery" in Lee, A.V. Coping with Disease. Nova Science Publishers, Inc., pp. 23-64.
Auer, B. And J.A. Ang (2007). Torment of the Soul: Suicidal Depression and Spirituality. AuthorHouse.
Beck, A.T. And B.A. Alford (2009). Depression: Causes and Treatment. University of Pennsylvania Press.
Biebel, D.B. And H.G. Koenig (2010). New Light on Depression: Help, Hope and Answers for the Depressed and Those Who Love Them. Zondervan Publishing House.
I plan to retain Cole as a client. Cole exhibits substance abuse behaviors that threaten to worsen is he does not receive effective treatment in a timely manner. Further, Cole denies that his substance abuse is detrimental and downplays it as just having fun with friends. His substance abuse includes drinking to the point of drunkenness, smoking marijuana, and taking various prescription drugs. Cole's substance abuse issues have been recognized for about a year and they reached a crux this school year when Cole was expelled from school for smoking marijuana on the campus grounds.
Cole and his sister are being raised by his grandmother as both of parents died when they were very young. Cole may have issues of abandonment, such that termination of a counseling relationship that has barely gotten underway may exacerbate those feelings in Cole. The therapeutic goals developed for Cole have not been…
Treatment of Psychological Disorder
The bipolar disorder is a mental disorder and alternatively known as manic depression elevates the mood and cause depression to the affected individuals. The symptom of bipolar depression is the elevated mood, and it is the significant symptom of the affected person. During mania process, the affected individuals behaves irritably, display abnormally energetic and happy. The affected individuals often make poorly decision with little or no regard to the consequences. During the depression period, the affected individuals may have a negative outlook on life, and having poor eye contact with others. The risk of suicide is another symptom of bipolar disorder where between 30% and 40% of the victims attempt to inflict self -harm. Other mental issues include substance use disorder, and anxiety disorders. While it is difficult to establish the cause, however, the genetic and environmental factors have been responsible for the cause of bipolar…
Reference. Causes of Bipolar Disorder. Retrieved June 5, 2017 from http://www.webmd.com/bipolar-disorder/guide/bipolar-disorder-causes#1
Jenkins, M. M., Youngstrom, E. A., Youngstrom, J. K., Feeny, N. C., & Findling, R. L. (2012). Generalizability of Evidence-Based Assessment Recommendations for Pediatric Bipolar Disorder. Psychological Assessment, 24(2), 269 -- 281. http://doi.org/10.1037/a0025775
Kerner, B.(2014).Genetics of bipolar disorder. Appl Clin Genet. 7: 33 -- 42.
Volume 2 Case Number 21
Attention Deficit Hyperactivity Disorder (ADHD) affects clients across the lifespan, although it is more common in children. Data from the Center for Diseases Prevention and Control (CDC) indicates that approximately 6.1 million children in the US had ADHD in 2016 (CDC, 2019). In some cases, however, ADHD is not detected early and progresses into adulthood, where it affects an individual’s ability to run a household, maintain employment, and care for children. The presenting client is a 30-year old female diagnosed with post-traumatic stress disorder (PTSD), poly-substance abuse, and long-standing schizoaffective bipolar-type disorder. The client reports involvement in criminal activity, impulsiveness, hallucinations, difficulty managing anger, persecutory ideation, poor academic performance, and self-mutilatory behavior. This text seeks to develop an individualized treatment plan for the client with co-occurring ADHD and PTSD.
Questions to Ask the Client
Clinical interviews are crucial for effective treatment. A fundamental question to…
APA (2013). Diagnostic and Statistical Manual of Mental Disorders (DSM-5) (5th ed.). Washington, DC: American Psychiatry Association.
ADDA (2015). Adult ADHD Self-Report Scale: Symptom Checklist Instructions. Attention Deficit Disorder Association. Retrieved from https://add.org/wp-content/uploads/2015/03/adhd-questionnaire-ASRS111.pdf
CDC (2019). Data and Statistics about ADHD. Center for Diseases Prevention and Control (CDC). Retrieved from https://www.cdc.gov/ncbddd/adhd/data.html
CMS (2016). Stimulant and Related Medications: US Food and Drug Administration – Approved Indications and Dosages for Use in Adults. Center for Medicare and Medicaid Services. Retrieved from https://www.cms.gov/Medicare-Medicaid-Coordination/Fraud-Prevention/Medicaid-Integrity-Education/Pharmacy-Education-Materials/Downloads/stim-adult-dosingchart11-14.pdf
Dalgaard, S., Kvist, A., Leckman, F. J., Nielsen, H., & Simonsen, M. (2014). Cardiovascular Safety of Stimulants in Children with Attention –Deficit/Hyperactivity Disorder: a Nationwide Perspective Cohort Study. Journal of Child and Adolescent Psychopharmacology, 24(6), 302-10.
Kolar, D., Keller, A., Golfinopoulos, M., Cumyn, L., Syer, C., & Hechtman, L. (2008). Treatment of Adults with Attention-Deficit/ Hyperactivity Disorder. Neuropsychiatric Disease and Treatment, 4(2), 389-403.
Smucker, W., & Hedayat, M. (2001). Evaluation and Treatment of ADHD. American Family Physician, 64(5), 817-30.
care in the situation of Mr. and Mrs. P would be holistic in nature, grounded in a philosophy of caring. There are serious existential issues at stake, as Mr. P has wondered why God has not "taken him" already, while Mrs. P may be suffering from depression given her inability to leave the house or handle the life affairs like paying the bills. Therefore, a recommended treatment plan would focus more attention on the mental and spiritual health of the couple without taking attention away from Mr. P's physical needs. It would also look after the physical health of Mrs. P as well as her psychological needs. As holistic nursing takes a "whole person" approach, it is the ideal philosophical framework for working with this small family unit.
As the AHNA (2016) puts it, holistic nursing aims "to integrate self-care, self-responsibility, spirituality, and reflection." From the holistic nursing framework, the…
AHNA (2016). What is holistic nursing? Retrieved online: http://www.ahna.org/About-Us/What-is-Holistic-Nursing
Cameron, R. (2016). Look again at psychedelic drugs. Nursing Standard. Retrieved online: http://journals.rcni.com/doi/abs/10.7748/ns.30.44.29.s28
Shumate, T. (2013). The Benefits of Psychedelic Drug Application for Clinical Treatment of Mental Illness. Journal of Undergraduate Nursing Writing 6(1). Retrieved online: http://archie.kumc.edu/bitstream/handle/2271/1175/STTJUNW-2013-Shumate.pdf?sequence=1
Cance Cae and Teatment
Diagnosis and staging of cance
In almost all cases, the disease, cance, is diagnosed by a specialist following a micoscopic examination of tissue o cell samples of a paticula individual. In a few instances, physicians may know of the pesence of a cance with the aid of tests pefomed on DNA (deoxyibo-nucleic acid), RNA (ibo-nucleic acid) and cell poteins. Such tests' outcomes pove highly citical when it comes to selecting the optimal theapeutic altenative. Tissue and cell examinations may also aid in the diagnoses of a numbe of othe foms of ailments. Fo example, if a physician is unsue of whethe a paticula lump o gowth in a patient's body is cance, he/she might extact a little bit of it fo testing to diagnose any one of many poblems, including cance, infections and othe issues which may lead to the development of cance-like lumps. This…
MFMER. (2017). Cancer Complications. Retrieved from Mayo Foundation for Medical Education and Research: http://www.mayoclinic.org/diseases-conditions/cancer/basics/complications/con-20032378
The American Cancer Society medical and editorial content team. (2015, July 30). How is cancer diagnosed? Retrieved from The American Cancer Society medical and editorial content team: https://www.cancer.org/treatment/understanding-your-diagnosis/tests/testing-biopsy-and-cytology-specimens-for-cancer/how-is-cancer-diagnosed.html
Treatment Approach to Adolescent Substance Disorders
All over the world, the issue of substance abuse among adolescents is worrying many parents and governments. Substance abuse not only has long-term negative effects on an adolescent's brain but it may also interfere with the individual's school performance, and the relationships they have with their families and friends. The good news is no matter what one is addicted to, he or she can be helped through a substance abuse intervention. Each intervention is tweaked to the specific needs of each adolescent. Prior to the commencement of treatment, there is need for a thorough evaluation to identify an individual's strengths and weaknesses and what needs to be done. A proper intervention will look into an adolescent's: behavioural issues; physical issues; ethnic and cultural factors; their relationships with parents, friends, loved ones and community members; their gender; and degree of psychological development (National Institute on…
Barnett, E., Sussman, S., Smith, C., Rohrbach, L. A., & Spruijt-Metz, D. (2012). Motivational
Interviewing for adolescent substance use: a review of the literature. Addictive behaviors, 37(12), 1325-1334.
Dennis, M., Godley, S. H., Diamond, G., Tims, F. M., Babor, T., Donaldson, J., ... & Hamilton,
N. (2004). The Cannabis Youth Treatment (CYT) Study: main findings from two randomized trials. Journal of substance abuse treatment, 27(3), 197-213.
In recent years, mental illnesses have been the focus of considerable attention from medical professionals. These are conditions that can cause disruptions in individual's moods, feelings, thinking, daily functioning, and the ability to relate with other people and things. Mental illness is a condition of the brain which results in different symptoms, as well as affecting the day-to-day life of that person and the people around him or her in different ways. The mental illnesses include borderline personality disorder, post-traumatic stress, obsessive compulsive disorder, bipolar disorder, schizophrenia, depression, and anxiety to name a few. More than sixty million people in America, i.e. one out of four adults, are going through mental illnesses in a given year. One out of seventeen people experiences disorders such as bipolar disorder, depression, and schizophrenia while one out of ten million children are going through emotional disorders and mental illnesses. Every person who…
Miles, J., Espiritu, R., Horen, N., Sebian, J., & Waetzig, E. (2007). A public health approach to children's mental health. Georgetown: Center for Child and Human Development.
(n.d.). Models of Human Service Delivery.
NAMI. (2013). Mental Illness: What you need to know. Virginia: National Alliance on Mental Illness.
NIMH. (n.d.). NIMH Plan of Research. Retrieved from www.nimh.nih.org: https://www.nimh.nih.gov/about/strategic-planning-reports/introduction.shtml
Various Theories on Depression, and Respective Treatments
Depression is a complex mood disorder that is characterized by various emotions, including sadness, self-blame, absence of pleasure and an overall sense of worthlessness, and by physical responses relating to sleep, appetite and motor symptoms. According to statistics, one in four adults will suffer from a depressive episode at some point in life. With a quarter of the population affected by depression, it is no wonder that one sees so many advertisements both on television and on billboards relating to the disorder. It is also understandable that many intellectual fields of study would give an opinion on what depression truly means and how it can be treated. This paper will thus examine psychological, sociological, cultural and biological theories on depression and will describe various treatments that take into account expertise from these various areas of study to better understand this complex…
Lastly, with respect to biological theory-based treatments, scientific research is vital. A study conducted in 2010 states that the finding of "various structural and chemical abnormalities in the brain through neuroimaging" has been the foundation in depression research in the last year. This study further states that the research combines various brain areas to arise specific symptoms, and that the new data could contribute to further understanding and treating depression. Specific treatments are not given as part of this study, but "biological" treatments will usually include medication, such as anti-depressants. [20: Papageorgiou, G. (2010). Biological theory of depression in the light of new evidence. Retrieved April 11, 2011, from http://www.annals-general-psychiatry.com/content/9/S1/S47 . ]
This paper has discussed various theories of depression and has expanded upon treatments that take into account these theories. Some treatments have been proven effective, and others have been illustrated simply as examples or as evidence of much needed field research. Depression has been shown to be a complex illness explained by various intelligent minds in different ways, yet in order to treat this disorder, one must take into account all this knowledge, and hope that advances in scientific research, such as that illustrated above, will provide for better treatments and, finally, more effective relief from depressive symptoms.
Anxiety and depression are the most commonly witnessed psychiatric disorders in adolescence. The prevalence of both anxiety disorder and depression increase in the adolescence period and progresses to young adulthood. The final result of these developments is low self-esteem. General prevalence measures for depression stand between 2 to 4%. Recurrence rates are placed at 70% in a span of five years. Point prevalence rates for anxiety disorders stand at 20% and show stability across one's life. Furthermore, anxiety and depression highly co-occur. They also occur along with other psychiatric complications (Lee & Hankin, 2009).
Self-Esteem, Depression and Anxiety
The CBT (2006) center describes self-image as a circus mirror which remolds the shape and size of a person into one that departs from the way one really looks like. These are perceptions of how we see and think of ourselves, how we think others see us, the beliefs about ourselves, our…
Treatment to Patients
The main objective of providing treatment to patients is to relieve symptoms along with decreasing the progression of the disease as well as the mortality or morbidity. However, in some cases, this objective is not fully achieved, especially in the case of the patients who are admitted to the ICU with some serious and almost always a terminal stage of the disease. For example, when old patients are admitted in the ICU, their immunity is extremely low and this is the perfect time for the opportunistic infections to make matters worse for these patients. There are many infections that are specifically associated with patients admitted in the hospitals. Pseudomonas Aurigeonosa is a micro-organism that is well documented to cause bacterial pneumonia and bacteremia in the patients who are terminally ill and are receiving treatment in the hospital setting. Since most of the patients in the ICU are…
Beekmann, SE;Diekema, DJ; Chapin, KC;Doern, GV (2003) Effects of rapid detection of bloodstream infections on length of hospitalization and hospital charges.J ClinMicrobiol, 41:3119-3125.
Boussekey, N, Leroy, O, Georges, H, Devos, P, d'Escrivan, T, Guery, B (2005).Diagnostic and prognostic values of admission procalcitonin levels in community-acquired pneumonia in an intensive care unit.Infection, 33:257-263.
Charles, PE, Dalle, F, Aho, S, Quenot, JP, Doise, JM, Aube, H, Olsson, NO, Blettery, B: Serum procalcitonin measurement contribution to the early diagnosis of candidemia in critically ill patients. Intensive Care Med, 32:1577-1583.
Digiovine, B; Chenoweth, C; Watts, C; Higgins, M (1999)The attributable mortality and costs of primary nosocomial bloodstream infections in the intensive care unit. Am J. RespirCrit Care Med, 160:976-981.
treatment modalities for conduct disordered adolescent males has primarily been focused on comorbidity. Adolescent males with conduct disorder typically receive individual and family therapy, but when overt behaviors are extreme, pharmacotherapy may supplant insight-based therapy. Cognitive Behavioral Therapy and social skills training are complementary approaches to intervention. Using an experimental approach, this study examines the impact of combined intervention approaches on perceived and observed improvement in the expression of problem behavior and life change strategies of adolescent males with conduct disorder.
Adolescents, across the board, experience a range of emotions. Negative impacts of these emotions include struggling with acceptance, self-esteem, isolation, confusion, anxiety, and depression, which can also be a result of instability at home (earight, et al., 2001). In addition to these social effects, many adolescents experience a distorted perception of reality (earight, et al., 2001). On occasion, this distortion may cause them to make poor choices, which demonstrates…
Subjects were adolescent males previously diagnosed as having conduct disorder (CD) and new to the family therapy milieu. The subjects were randomly divided into two experimental groups and one control group. The treatment and control groups were as follows: (A) CBT in family therapy plus Social Skills Training (SST) plus a placebo (B) Administration of Fluoxetine; (C) CBT in family therapy plus Social Skills Training (SST) (Control Group). A total of 9 subjects were included in the study. All treatment took place in clinical settings and was configured to be individual or family therapy rather than peer-group treatment.
The unit of analysis is the behavioral and cognitive processing performance changes in individual subjects (patients). Changes in the expression of problem behavior are noted by clinicians. Self-perception scores of the changes in cognitive processing were recorded on the surveys and two CBT instruments. The level of measurement is ordinal as dictated by the scales used in the formal CBT tools, and on the Likert scale used for the structured surveys. The Cognitive Therapy Awareness Scale (CTAS) and the Cognitive Behavior Therapy Supervision Checklist (CBTSC) will be used to measure the effectiveness of the treatment groups (Sudak, et al., 2001; Sudak,
HEALTH CAE Management (STATEGIC OPEATIONS PLAN
Developing an Overall Operations Plan
According to Organizations (2005), developing an overall development plan requires one to take into consideration the overall vision and objectives of the organization. The process takes into consideration the internal and external environment demands that influence the realization of the operational efficiency. Therefore, it entails taking into consideration aspects like determining the resources required for the success of the process, developing the most effective strategies, assessing the risk associated with the developed strategies, and coming up with methods of evaluating the success of the adopted strategies. The process also considers the resources required to facilitate the growth of the clinic.
Typical Patient Experience
Providing exemplary medical care does not engage or meet the needs of the clients. Patients consider exemplary medical care as a mandatory requirement for all hospitals. This necessitates the adoption of the patient experience to…
Buchbinder, S.B., & Shanks, N.H. (2012). Introduction to health care management. Burlington, Mass: Jones & Bartlett Learning.
Hall, R.W. (2006). Patient flow: Reducing delay in healthcare delivery. New York: Springer.
Foreman, M.D., Milisen, K., & Fulmer, T.T. (2010). Critical care nursing of older adults: Best practices. New York, NY: Springer Pub. Co.
Organizations. (2005). Environment of care: Essentials for health care. Oakbrook Terrace, IL: Joint Commission Resources.
Care of cancer can be a complex process and always needs the engagement of several specialists because treating cancer is multifaceted. The multifaceted and complex nature of approach to care of cancer is attributed to that fact that this process not only revolves around treating the condition itself but also focuses on dealing with non-cancer issues. Some of these non-cancer issues to address during treatment and care of cancer include the patient's coexistent illnesses, health behaviors, and preventive care initiatives. Moreover, the approach to care requires coordinated efforts from various healthcare providers such as oncologists, surgeons, and radiation oncologists. However, the identification a suitable approach to care of cancer requires examining diagnosis and staging of cancer, probable complications, side effects of treatment, and measures to reduce physical and psychological impacts.
Diagnosis and Staging of Cancer
The treatment of cancer begins with diagnosis, which involves a physical examination and medical history…
"Cancer Staging." (n.d.). Diagnosis and Staging. Retrieved from National Cancer Institute at the National Institutes of Health website: http://www.cancer.gov/cancertopics/diagnosis-staging/staging/staging-fact-sheet
"Complications." (2014, January 20). Mayo Clinic. Retrieved May 13, 2015, from http://www.mayoclinic.org/diseases-conditions/cancer/basics/complications/con-20032378
Davis, C.P. & Balentine, J.R. (2014, December 22). Cancer. Retrieved May 13, 2015, from http://www.medicinenet.com/cancer/page6.htm
"Physical Side Effects." (n.d.). American Cancer Society. Retrieved May 13, 2015, from http://www.cancer.org/treatment/treatmentsandsideeffects/physicalsideeffects/physical-side-effects-landing
psychiatrist, Viktor Frankl, while suffering numerous hardships in his life as a prisoner of war in a Nazi work camp that included being isolated from the rest of the world including his family along with the prospect of facing at the hands of his captors death every day began to question the meaning of his own existence and the meaning of life in general. Frankl eventually came to the conclusion that people derive meaning from their lives as either as result of their suffering, their ability to love another, and their work (Frankl, 1985). A person's work helps them to define a sense of themselves, contributes to their feeling that they are useful, and helps to keep them active (Frankl, 1985; Shacklock, 2006; Waddell & Burton, 2006). These benefits occur at any age; therefore, by continuing to remain in the workforce elderly people can both produce benefits to their community…
Australian Bureau of Statistics. (2006). Retirement and retirement intentions. Canberra: Author.
Beier, M.E., & Kanfer, R. (2013). Work performance and the older worker. Sage Handbook on Aging, Work, and Society, 16, 65-97.
Center for Disease Control. (2012). Older employees in the workplace. In National Center for chronic disease prevention and health promotion. Retrieved September 25, 2014, from http://www.cdc.gov/nationalhealthyworksite/docs/issue_brief_no_1_older_employees_in_the_workplace_7-12-2012_final508.pdf .
Cummings, T., & Worley, C. (2014). Organization development and change. Stanford, CT:
Homeless Mental Health
Mental health is an issue that is deemed to be very under-treated and very under-diagnosed within the United States. Beyond that, there are populations that are much more at risk than others. A good example would be the prison population where drug use and mental health issues are both rampant. However, there is another group that is highly stricken and very vexing and difficult to treat and that would be the homeless. Indeed, many people that are homeless are in that position due to mental health issues. Mental health is often not the only issue involved as comorbidity can exist with substance abuse. However, mental health will be the focus of this report. Facets of the homeless with mental health that will be focused upon within this report will include issues like diversity, ethics, values, social justice, diagnosing of patients, initiation/termination of care, aftercare, and the broader…
Belcher, J. R. (1988). Rights vs. Needs of Homeless Mentally Ill Persons. Social Work, 33(5), 398.
Chambers, C., Chiu, S., Scott, A., Tolomiczenko, G., Redelmeier, D., Levinson, W., & Hwang,
S. (2014). Factors Associated with Poor Mental Health Status Among Homeless Women
With and Without Dependent Children. Community Mental Health Journal, 50(5), 553-
Functional Assessment eport
Summarization of Case
Luther, 80 years of age, was admitted to a nursing hospital due to Alzheimer's disease complications. As a farmer, Luther spent most of his life moving freely unlike what he was experiencing in the nursing home. However, he had to adapt to the new life. Despite his impairment memory problem, Luther was psychically fit as he managed to walk around the nursing premises. Later, he started experienced a problem in that he walked alone. For safety reasons, he was not allowed to go outside alone. Despite the warnings, he managed to walk go outside alone, even during cold periods without a coat. Each time he went out, the nursing staff had to bring him back. The architecture of the nursing home depicts one main door at the station, another one near the business office, and three fire doors at the sides and back of…
Cooper, J. O., Heron, T. E., & Heward, W. L. (2007). Applied Behavior Analysis (second Ed.). Upper Saddle River, NJ: Merrill Prentice Hall. ISBN: 9780131421134.
Lu, L. & Bludau, J. (2011). Alzheimer's Disease. New York: ABC-CLIO
Miltenberger, R. G. (2015). Behavior Modification: Principles and Procedures (Sixth Ed.). Boston, MA: Cengage Learning. ISBN: 9781305109391.
Diabetes and Self-Care Initiative Among High School Students
The onset of modernization, coupled with the globalization process over the last 50 years has seen not just the spread of positive cultures and influences to different parts of the world but also the propagation of some negative health related conditions among them being diabetes. The importation of the western cultures to other regions including remote islands saw the carrying of the Western diets and ways of life some of which have had negative impacts. The fast foods, docile lifestyle perpetuated by the inactive entertainment from electronics have been a major cause of diabetes among the cultures that have adopted the Western cultures. The staggering number of new cases of diabetes among men and women who traditionally did not have such high numbers of diabetes is a cause of alarm. Worse still is the ever increasing number of children with type 1…
Ajala, O., English, P., Pinkney, J. (2013). Systemic review and meta-analysis of different dietary approaches to the management of type 2 diabetes. American Journal of Clinical Nutrition, 97(3): 505-516.
Barnard, N., Cohen, J., Jenkins, D. et al. (2009). A low-fat vegan diet and a conventional diabetes diet in the treatment of type 2 diabetes: a randomized, controlled, 74-wk clinical trial. The American Journal of Clinical Nutrition, 89(suppl): IS-9S.
Cunningham-Myrie, C., Theall, K., Yonger, N., et al. (2015). Associations between neighborhood effects and physical activity, obesity, and diabetes: The Jamaica Health and Lifestyle Survey, 2008. Journal of Clinical Epidemiology, 68(9): 970-978.
Reece, A. (2010). The fetal and maternal consequences of gestational diabetes mellitus.
The marketing plan strategies will use mass marketing for the marketing campaign. The mass marketing strategy is very advantageous because it will be tailored to reach the large number of potential buyers. Historically, most hospitals in the United States use mass marketing to reach potential buyers in their local areas. Despite the advantages of mass marketing, the strategy may make an organization to be susceptible to the competitors.
As part of the marketing strategy, Eastern Boston Health Center will use market niche strategy for marketing campaign. Market niche is a type of market positioning where an organization follows the market segments in a large market to promote the company specialized service. Market niche is a common approach for the marketing strategy in the healthcare delivery. Typically, the niche strategy is the best approach for the specialized healthcare delivery.
The four Ps will be used for the tactical plan.…
Fox News (2012). 30% of Latinas Suffer from Perinatal Depression. Fox News Network, LLC.
Jones & Bartlett (2010). Marketing Strategy. Jones & Bartlett Learning LLC
Market Watch (2012).Over 30% of Latinas in the U.S. And Mexico Suffer Perinatal Depression. Newswire Portland Oregon.
U.S Census Bureau (2012), Boston (city), Massachusetts. U.S. Census Bureau: State and County QuickFacts.
Despite these fluctuations in pricing levels, current projects indicate that demand for ginseng will continue to increase in the future due to greater demands from a burgeoning middle class Chinese market (How to grow ginseng, 2012). Although wild-grown ginseng commands higher prices, cultivated alternatives typically weigh more but the Chinese highly prefer the wild-grown version (How to grow ginseng, 2012).
As shown in Figure 1 below, West Virginia is located within the zones (3-8) that are regarded as being especially appropriate for cultivating wild-grown ginseng.
Figure 1. United States Zone Map for Planting Ginseng.
Source: Adapted from http://www.wildgrown.com/usazones.jpg
While West Virginia is located in a highly desirable geographic location for cultivating ginseng, the task is fraught with opportunities for failure, weather conditions can adversely affect the growing cycle, the plants are sparse and difficult to locate, and the actual growing process, as well as its clinical effects, remain better described…
Guo, Z. (2000). Ginseng and aspirin: Health care alternatives for aging Chinese in New York.
Ithaca, NY: Cornell University Press.
How to grow ginseng. (2012). WildGrown.com. Retrieved from http://www.wildgrown.com/ .
Mccabe, S. (2002). Complementary herbal and alternative drugs in clinical practice.
Organizational change plan
Introducing electronic medical records (EM)
Along with expanding health coverage to more Americans, one of the goals of recent federal policy has been the widespread adoption of electronic medical records (EM) by healthcare providers across the nation. "The federal government began providing billions of dollars in incentives to push hospitals and physicians to use electronic medical and billing records" (Abelson, Creswell, & Palmer 2012). Having EMs can be used by providers to gain swift access to comprehensive information about a patient's health history. Some patients forget their history of diagnoses or the medications they are on; sometimes patients must be treated when they are in a mental or physical state where they cannot be forthcoming with information and their friends and families are not nearby. Also, there is the problem of patients attempting to obtain more pharmaceuticals or drugs which they should not be taking. "Electronic…
Abelson, Reed, Julie Creswell, & Griff Palmer. (2012). Medicare bills rise as records turn electronic. The New York Times. Retrieved:
Change theory by Kurt Lewin. (2012). Current Nursing. Retrieved:
The age range will be between 25 and 64, and there are a lot of doctors and other professionals such as professors and lawyers in my area making this a good choice. Approximately, then between 3% and 5% of these individuals will take their dog to daycare if it is available. By adding boarding and grooming services, I can increase the number of clients available to me by 300%-600% as well as increasing my income by 200%-#400%.
There are no other dog day-care centres in the vicinity or even within neighboring localities to compete with the business
There seems to be a potential supply of clients
Training dogs: Dogyoga (innovation); cutting-hair facilities; gymnastics
Alternate products: day-care and nourishment.
Value-added products: Vet. pecial trainer. pecialist with dogs.
#40 per hour (simple day-care)
#100 per lesson -- dogyoga
#100 per lesson -- etiquette training
#100 per lesson --…
American Veterinary Medical Association, viewed January 22, 2011,
Dog.com. Viewed January 22, 2011,
Today, research shows that many people are today suffering from mental disorders as a result of alcohol and drugs addiction. This has caused parents, the elementary schools, communities as well as, mental health professionals to express their concern in regards to drug addiction in order to develop a prevention plan that will help teens/high school student before they become addicts. Drug addiction in families contributes to an extensive list of serious mental illness; as a result developing an invention plan is a good idea because it will minimize the chances of occurrence. The primary goals of the prevention plan include;
To reduce the use, the types of substances used as well as limiting the number of users
To ensure that the use of drugs and alcohols in teens/students are delayed. Delaying the use of drugs and alcohol reduces harm during a child's development as well as reducing the…
Alexander, B. (2010). The Meaning of Addiction 3.A Theories of Addiction. Overcome Addiction Life Process Program. Retrieved November 19, 2013, from http://lifeprocessprogram.com/the-meaning-of-addiction-3-theories-of-addiction / www.mentorfoundation.org
Givaudan, M., & Pick, S. (2001). 1 A Preventive Program for Substance Abuse in Mexico: Best Practices . 1 www.mentorfoundation.org 1 A Preventive Program for Substance Abuse in Mexico: Best Practices . Retrieved November 21, 2013, from http://www.mentorfoundation.org/pdfs/prevention_perspectives/3.pdf
Keegan, K., & Moss, H. (2008). Chasing the high: a firsthand account of one young person's experience with substance abuse. New York: Oxford University Press.
Outpatient clinic Facility planning
There is a great shift in the real estate and this affects even the healthcare facilities. Notably, the traditional stand alone acute care hospitals are now fast shifting into multiple building campuses and facilities that are multi-state operational. This has been greatly informed by the changing demands of the patients that are becoming increasingly complex hence the resultant emerging new models for the delivery of these complex needs of the clients. Notably, both the physicians and the patients are driving force behind this evolution which focuses on more comfortable facilities, increased efficiency in the facility designs, convenient locations of the facilities and of greatest consideration is that they need to be consumer focused. One characteristic of the new guidelines on buildings is that they provide for the elders as well as other people with long-term care needs, they take care of the diverse cultures,…
Ilovendia, (2011). Types of Discrimination in the Workplace. Retrieved July 22, 2013 from http://lifestyle.iloveindia.com/lounge/types-of-discrimination-in-the-workplace-8995.html
National Institute of Building Sciences, (2011). Outpatient Clinic. Robert F.C. Retrieved July
22, 2013 from http://www.wbdg.org/design/outpatient.php
Kudler's advertising and marketing in its present form is through the Easter and Thanksgiving holidays with the local newspaper flyers every month. Marketing is a key component of a successful business and KFF should consider different methods of involving the community. For example, television advertising, Internet, radio stations and more promotions are viable. Secondly, employees must be sufficient time for KFF to obtain benefits. Many organizations have begun to provide additional part-time employees package was found, but 30 hours per week. (Shim & Siegel 2010)
In addition, Kudler is to buy stock, catering, and any major issues such as responsible business, so if she fell ill, no one can proceed on the basis of business operations. Most organizations have managers that work with the president so that if necessary, they are available. Kudler is important to hire more administrative staff to assist some of the duties. Finally, the payment offered…
Gomez-Mejia, L.R. & Belkin D. (2002). Management: Management and Its Evolution. The McGraw-Hill Companies.
Kudler Fine Foods, retrieved on February 19, 2011 from http://kudlerfinefoods.info/
Shim, J.K. & Siegel, J.G. (2010). Financial Management (2nd ed.). Barron's Educational Series.
Turban, E., Rainer, R.K., & Potter, R.E. (2003). Introduction to Information Technology: Strategic Systems and Reorganization. John Wiley & Sons, Inc.
Sustainable Marketing Plan
he following pages focus on presenting a marketing plan for introducing organic coffee on the market. he paper starts with an analysis of the organic foods market situation, and also of the coffee segment. his section is intended to help readers identify important aspects that this marketing plan addresses. he plan continues with the discussion of the company's strengths and weaknesses, and of the opportunities and threats provided by the business environment. Furthermore, the plan focuses on establishing and discussing the marketing objectives that are addressed by this plan. hese objectives also refer to people and planet, providing a complex image of the company's intentions regarding corporate social responsibility.
he plan continues with the presentation of the Marketing Strategy. his section discusses the customer segments targeted by the company. In addition to this, the section also addresses the marketing mix that the company intends to use. he…
The marketing plan developed for introducing organic coffee on the market addresses different factors of importance to this activity. The marketing plan focuses on the characteristics of the customer segments targeted in the case of this product in order to establish the objectives and strategies that can determine the company's success on the market. The objectives that must be reached by the marketing activity of the company are addressed by the marketing mix and by the strategy.
1. Industry Statistics and Projected Growth (2011). Organic Trade Association. Retrieved September 2, 2011 from http://www.ota.com/organic/mt/business.html .
Operational Plan and Correlating Budget
The 4 West is an organization that delivers health care for the community. ecently, the organization has decided to replace the existing medical-surgical unit into a new acute care oncology unit. The oncology is a specialty in medicine that deals with cancer. The CNO (Chief Nursing Officer) has informed the nurse director that 4 west is to become a specialized oncology unit. Since the hospital is planning the transition from the medical-surgical unit to the oncology unit, the hospital will need a new operational plan and correlating budget to assist the hospital to deliver high quality healthcare at lower costs.
Objective of this project is to develop an operational plan and correlating budget for the hospital to assist in effective transition from the medical-surgical unit to the oncology unit,
Project Details and Data
To start the budget plan, it is critical to use…
Bureau of Labor Statistics.(2014). Healthcare Occupations. Occupational Outlook Handbook. USA.
Clarke, S.P. & Donaldson, N.E. (2010). Chapter 25. Nurse Staffing and Patient Care Quality
Goodman, A.(2012). Oncology Nurse Staffing Is Variable and Multifactorial. Nursing News.
Direct mailers will first go to the 535 green businesses on a monthly basis and will be expanded from this number as needed to continue to provide the average 15 event total to meet the strategic goals.
Type: All types of businesses, with 10 or more employees will be targeted as potential customers to this service with the first emphasis being on businesses who have strategic planning around green/sustainable business practices.
Value Drivers: Intentions of practicing sustainable standards in business, seeking mid range catering for meetings and events, seeking alternative to cheaper/less healthy alternative catering offerings, seeking to try something new with a greater level of service and sustainable business practices, a desire to support other local businesses with a similar goal, a desire to improve business climate with only limited resources, a desire to offer vegetarian fare to those who choose it, a desire to offer healthier alternatives to…
Arthur, D. (2001). The Employee Recruitment and Retention Handbook. New York: AMACOM.
Furniss, C. (2006, October). How Green Is Your Business. Geographical, 78, 45+.
Halweil, B. (2003, May/June). The Argument for Local Food: At an Unimposing Diner in Vermont, a Revolution Is Taking Place. World Watch, 16, 20.
Henderson, E. (1998, July/August). Rebuilding Local Food Systems from the Grassroots Up. Monthly Review, 50, 112.
The office and administrative expenses would remain constant even to that point, as would the insurance expense.
Exhibit B: Cash Flow Statement, Year Two
At this point, the business is earning a healthy return and Mr. Ahn is receiving will be able to bring in a reasonable salary. The nature of the business may well change at this point. At the maximum revenue of $144,000 per year the pretax profit would be $63,600. As a result, it is likely that a clinic will be formed with other practitioners in order to minimize expenses and increase profitability.
e did not include taxes in our cash flow examples because the company is going to be set up as a sole proprietorship. This means that the income from the company will be rolled into the income for Mr. Ahn, as well as his liabilities. Mr. Ahn's personal expenses are therefore not included in…
No author (2007). Traditional Chinese Medicine. Alternative Medicine Foundation. Retrieved December 18, 2008 at http://www.amfoundation.org/tcm.htm
No author (2005). Regulation of TCM in the United States. Medscape Today. Retrieved December 18, 2008 at http://www.medscape.com/viewarticle/511877_7
No author (2008). HIV / AIDS, the U.S.-China Partnership for Public Health at Work, and Traditional Chinese Medicine in the U.S. Fact Sheet. U.S. Department of Health and Human Services. Retrieved December 18, 2008 at http://www.hhs.gov/news/facts/chinahiv.html
Census information from U.S. Census Bureau. Retrieved December 18, 2008 at http://factfinder.census.gov/home/saff/main.html?_lang=en
Business Plan: Good Samaritan Hospital, Suffern
The Good Samaritan Hospital, located at 255 Lafayette Avenue - Suffern, NY, offers a wide range of care services to inhabitants of Orange and ockland Counties in New York and Northern Berger County, NJ (Bon Secours Charity Health System, 2014). However, the facility lacks special language services, which has been a major problem, given the changing demographics of Suffern area, particularly the increasing population of LEP (limited English-proficient) individuals. This has proven to be a substantial barrier to care, and the facility now seeks funding for the construction of a language access services call center to complement the cultural and language competency training program currently underway.
The Good Samaritan Hospital was founded in 1902, after Ida Bay yan, a Good Samaritan, donated a building at the East Park Place to the St. Elizabeth Sisters of Charity to enable them build a health…
Bon Secours Charity Health System. (2014). Good Samaritan Regional Medical Center. Bon Secours Charity Health System. Retrieved 18 October 2014 from http://charity.bonsecours.com/find-a-facility-good-samaritan-regional-medical-center.html
Youdelman, M. & Perkins, J. (2005). Providing Language Services in Small Healthcare Provider Settings: Examples from the Field. Commonwealth Fund (Pub. No. 810). Retrieved 18 October 2014 from http://www.commonwealthfund.org/usr_doc/810_Youdelman_providing_language_services.pdf
The business that I am going to start is a small coffee microroastery and shop. The company will perform two basic functions. The first is a product function, the roasting of coffee beans. Green beans will be received by the company, roasted, and then both used in the shop and made available for a variety of retail channels. The second function will be a service function, based on the production and serving of beverages and light snacks. The staffing plan will be simple. The owner/manager/roaster will perform most of the management tasks associated with the shop. There will be an assistant manager who doubles with barista duties, as well as 4-6 part-time staff members, filling 3 FTEs in the barista/service function. This plan is based on experiences at other, similar operations, in addition to meeting a few other needs. One is the need to keep costs down, and…
Inc. (2000). Cash vs. accrual accounting. Inc. Magazine. Retrieved November 13, 2012 from http://www.inc.com/articles/2000/04/19194.html
IRS.gov (2012). Limited liability company (LLC). Internal Revenue Service. Retrieved November 13, 2012 from http://www.irs.gov/Businesses/Small-Businesses-&-Self-Employed/Limited-Liability-Company-%28LLC%29
KPMG. (1999). Internal control: A practical guide. KPMG. Retrieved November 13, 2012 from www.ecgi.org/codes/documents/kpmg_internal_control_practical_guide.pdf
Perez, W. (2012). Types of business organization. About.com. Retrieved November 13, 2012 from http://taxes.about.com/od/taxplanning/a/incorporating_2.htm
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…
Allen, Harry E; Simonsen, C.E. (1998) "Corrections in America" New York, NY: Macmillan Publishing Company.
Gendreau, P & Goggin, C. (1996) "Principles of Effective Programming with Offenders" Forum on Corrections Research, Volume: 8; No: 3, pp: 38-40.
Hoge, R.D. & Andrews, D.A. (1996) "Assessing the Youthful Offender: Issues and Techniques" New York: Plenum.
Jacobs, B. L; Azmitia, E.C. (1992) "Structure and function of the brain serotonin system" Physiological Reviews. Volume: 72; pp:165-229.
Strategic Information Technology Plan
Oesterlen Services for Youth is an organization that helps troubled youth in Ohio. It consists of a counseling center and a foster care placement program, as well as residential services for both male and female youth for intensive care cases. In order for Oesterlen to continue to help as many youth as possible, it has to be up-to-date on its technology. To that end, it has set some goals for its computers from both a software and hardware standpoint. The current M.T.I. goals for the organization are to consolidate the servers and applications as much as possible. By partnering with others, Oesterlen will be better able to fulfill its mission of helping youth. The alliance between Qbase, ADP online, and the merger of a sizeable competitor will enable Oesterlen the ability to serve the clients better while maintaining the delicate balance between the mission goals and…
Haviland, W.A. (2004). Cultural Anthropology: The Human Challenge. The Thomson Corporation.
Kelly, K. (2010). What Technology Wants. New York, NY: Viking Press.
Kleiman, L.S. (2010). Management and Executive Development. Reference for Business: Encyclopedia of Business.
Kotter, J.P. & Cohen, D.S. (2002). The Heart of Change. Boston, MA: Harvard Business School Publishing.
Mayo Clinic Quality Improvement (QI) Plan
The Quality Improvement Plan laid out here centers on the Mayo Clinic. The healthcare system has an international reputation for providing patient-focused and cooperative medical care for individuals suffering from the most severe illnesses. In addition to maintaining a highly collaborative atmosphere within which physicians, nurses and practitioners work together to resolve medical challenges, the Mayo Clinic is renowned for its innovations in the areas of service delivery and positive treatment outcomes. This is why the focus of a discussion on Quality Improvement has less to do with improving the Mayo Clinic itself than with demonstrating ways of replicating its successes in other healthcare systems.
The goal that drives the Mayo Clinic is drawn from a patient-centered treatment philosophy. The Mayo Clinic strives to incorporate its patients in the process of achieving desired treatment outcomes. The clinic uses feedback from patients…
Mayo Clinic. (2012). Helping Fix the Broken Health Care System. Mayo.edu.
Mueller, P.S. (2009). Incorporating professionalism into medical education: the Mayo Clinic experience. The Keio journal of medicine, 58(3), 133-143.