How does trauma affect children and adolescents?

How does trauma affect children and adolescents?

How does trauma affect children and adolescents? Research indicates that trauma can have a lasting impact on children and adolescents as well as an immediate impact. As counselors, it is important to have a good understanding of the long- and short-term impact of trauma as well as common risk factors.

Write a 1,000-1,500-word analysis about the long-term effect of trauma on children and adolescents. Include the following in your paper:

Identify common risk factors for experiencing childhood trauma and then developing trauma- or stressor-related disorders. Include biological and environmental factors such as home, family, school, and community environments.

 

How does trauma affect children and adolescents?

Analyze the long-term impact of childhood PTSD and how the trauma can affect the individual later in life.

Analyze trauma’s role as a precipitating factor contributing to other life challenges during childhood and adulthood. For example, but not limited to issues related to self-esteem, future relationships, scholastic achievement, substance use, self-harm/suicide, and psychopathology.

Locate a minimum of seven peer-reviewed resources to support your content.

What is the most important cause of maternal mortality worldwide?

What is the most important cause of maternal mortality worldwide?

What is the most important cause of maternal mortality worldwide? The nations collaborating on the Sustainable Development Goals revisit them to ensure progress is being made. For the next meeting, you are tasked with presenting background information on the specific health target related to SDG 3.
First, discuss how the target selected is relevant to global health. Has any progress or improvement in achieving this target for SDG 3?

What are some interventions that nurses could implement to address maternal mortality

Nurses are aware that disease affects the health of people globally. You will also notice that many SDG health targets are preventative, in other words, they fit within the ANA Code of Ethics element regarding social justice. Discuss what nurses can do within the scheme of a global public health effort to address the health target you were assigned. As you respond, consider the healthcare setting where potential patients will present. Think about the target-related concern & the impact on specific countries & ethnic groups.

 

What is the most important cause of maternal mortality worldwide?

Reproductive, maternal, and child health

Target
3.1
By 2030, reduce the global maternal mortality ratio to less than 70 per 100,000 live births

According to data from 2014–2020, 83 percent of births worldwide were assisted by skilled health professionals, including medical doctors, nurses, and midwives, an increase from 71 percent from 2007 to 2013. The COVID-19 pandemic may reverse gains in skilled childbirth care coverage and disrupt maternity health services.

 

The world has made substantial progress towards ending preventable child deaths, with the global under-5 mortality rate decreasing from 76 to 38 deaths per 1,000 live births between 2000 and 2019. The global neonatal mortality rate fell from 30 deaths to 17 per 1,000 live births in the same period. Despite such progress, 5.2 million children died in 2019 before reaching their fifth birthday, with almost half of those deaths, 2.4 million, occurring in the first month of life. While the full impact of the pandemic on child survival is not yet known, significant disruption to the continued provision of life-saving interventions could stall or even reverse the progress made.

 

The proportion of women of reproductive age (15 to 49 years) who have their family planning needs to be met by modern contraceptive methods has remained steady at around 77 percent between 2015 and 2021, reaching only 56 percent in sub -Saharan Africa and 52 percent in Oceania, excluding Australia and New Zealand. The ongoing pandemic may lead to reductions in these figures due to supply-chain disruptions and decreased access to family planning services, while the fertility intentions and family planning needs among women of reproductive age may also change.

The global adolescent birth rate has fallen from 56 births per 1,000 adolescent women 15 to 19 years of age in 2000 to 45 births per 1,000 adolescents in 2015 and 41 per 1,000 in 2020. The declines varied considerably across regions, with the largest decrease in Central and Southern Asia from 70 births per 1,000 adolescents in 2000 to 24 births per 1,000 in 2020.

What is the purpose of an ecological model?

What is the purpose of an ecological model?

What is the purpose of an ecological model?

Identify how the social worker might have used the ecological model to understand Brandon’s situation based on a person-in-environment perspective. Explain the use of the ecological model in this case on micro, mezzo, and macro levels.
Describe strengths that the social worker may have missed in assessing Brandon and his mother.
Explain how the social worker applied social work ethics and values in the case.
Review the challenges that the social worker identifies and explain the impact the abuse could have had on Brandon had his strengths not been identified and addressed.

Brandon is a 12-year-old, Caucasian male who currently resides with his mother and her boyfriend.
Brandon
Brandon is a 12-year-old, Caucasian male who currently resides with his mother and
her boyfriend. Six years ago, Brandon disclosed that his father had repeatedly sexually
abused him between the ages of 4 and 6. Brandon’s mother called law enforcement
immediately after the disclosure, and his father has been incarcerated since. Brandon
has previously participated in therapy to address challenging behaviors, including
physical aggression, difficulty following rules at home and school, and using
inappropriate language with sexual overtones toward female peers. Brandon and his
mother report that they ceased participating in therapy in the past after there was no
change in Brandon’s behavior. Brandon’s teachers have suggested that his behaviors
are similar to those of peers with attention deficit hyperactivity disorder (ADHD), but his
mother has declined educational or psychological testing because she does not want
her son to be labeled and is unsure if she agrees with the use of psychotropic
medication with children.

 

 

What is the purpose of an ecological model?

Brandon began attending trauma-focused treatment after demonstrating an increase in
argumentative behavior and minor property destruction at home. His mother reported
that the majority of undesired behaviors were initiated during interactions with her
boyfriend during lockdown due to the COVID-19 pandemic, when all three people were
confined to home. Brandon’s use of physical aggression has not increased since
returning to in-person school; however, a female peer recently reported him for using
sexually explicit language toward her. Brandon admitted to using inappropriate
language toward the female peer but appeared to have a limited understanding of what
the phrases used meant.

 

Ecological approach in social work

 

 

Brandon’s mother noted during intake that she is concerned
that her son will become a violent sexual offender or a pedophile and noted that his use
of sexual language was likely the start of sexual behavior problems.
At the beginning of treatment, Brandon reported that he frequently feared for his
physical safety but often could not pinpoint what made him feel unsafe. He had
searched the Internet to find registered sexual offenders in his neighborhood, and he
had begun sleeping with a loaded BB gun under his pillow in case someone entered the
home to assault him again. Brandon had flashbacks when trying to fall asleep and
described feeling like he was floating outside of his body when he thought of his abuse.
He had seen a television show where victims spoke at the parole hearings of their
perpetrators, and he spent many hours thinking about what he would say if he went to
his father’s parole hearing in 3 years. Brandon felt like he loved his father very much
and that his father was a great father except for when he hurt him. Brandon identified
wanting to feel less worried, sleep better, and fight less with his mother as primary
treatment goals.
Individual and Family Sessions
Brandon’s Sessions

SCENARIO – Deadly Force in Defense of Others

SCENARIO – Deadly Force in Defense of Others

SCENARIO – Deadly Force in Defense of Others

Tim is walking down the street late at night when he hears a woman screaming. He sees the woman running down the street, chased by a man dressed in blue jeans, a sweatshirt, and tennis shoes. Tim sees the man tackle the woman and begin to struggle with her on the ground. The woman continues to scream as the struggle continues. Tim picks up a rock from the ground, runs to the altercation, and hits the man on the back of the head with the rock. The blow kills the man. The woman jumps up, thanks Tim, and runs off into the night.

 

Using deadly force to defend others 

Just then, uniformed police officers arrive on the scene, and it is revealed that the deceased man was a plainclothes detective who was conducting surveillance on the woman and her accomplice, who were involved in a large-scale drug distribution ring. On the night of the incident, the woman was to deliver a kilo of cocaine to a local dealer. The detective was part of the surveillance team who was to arrest the suspects as soon as the delivery was made. However, the woman ran from the detective, resulting in the chase witnessed by Tim.

 

What is the most common type of criminal defense?

Tim is charged with murder. His raises the Defense of Others as his defense. Do you believe this defense will succeed? Why or why not? Be sure to explain your understanding of what the defense consists of, and what facts support your answer.

2)****An undercover officer sets up a cocaine buy from Doper Donna. The UC shows up at Donna’s house with the money. Donna tells the UC, “I need to show the money to Dealer Dave before he will give you the stuff.” The UC takes $500 out of his pocket and gives it to Donna. The UC watches Donna walk down the hall to a backroom, where she hands the money to a white male. The UC sees the white male count the money and then hand Donna a paper sack.

Donna then walks back to the UC and hands him the bag. The UC looks in the bag and sees a plastic bag with a white substance that looks like cocaine. Donna then tells the UC, “Dave says you can get larger quantities in the future if you want.” The UC asks if he can buy a half kilo next time. Donna walks back down the hall to talk to Dave and returns a short time later. Donna tells the UC, “Dave says you can have a half ‘key’ for $10 Grand.” The UC agrees and says he has to get the money but will return soon. The UC then leaves.

Why hearsay evidence is not admissible

Based on the transaction, a search warrant is executed on the house. A large quantity of cocaine is found in the house. Donna and Dave are arrested and charged with Possession with Intent to Deliver Cocaine and Conspiracy to Deliver Cocaine. Both Donna and Dave are Mirandized and questioned about the incident. Dave refuses to answer any questions. Donna agrees to talk and tells police that she and Dave have been selling dope for over a year. Dave supplies the cocaine but makes her do all the transactions with the customers to insulate himself from being identified by buyers and other witnesses in case they got caught.

 

What are three exceptions to the hearsay rule?

At trial, the prosecution questions the UC about the drug transaction. When the UC begins to testify to what Donna said during the deal, Dave’s attorney objects to hearsay and asks the Court to prevent the jury from hearing Donna’s statements against Dave’s guilt or innocence. The prosecution says her statements are not hearsay. Later in the trial, the prosecution tries to introduce Donna’s confession against Donna and Dave. Again, Dave’s attorney objects to hearsay.

Assessing and Treating Patients With Bipolar Disorder

Assessing and Treating Patients With Bipolar Disorder

Assessing and Treating Patients With Bipolar Disorder. Bipolar disorder is a unique disorder that causes mood and energy shifts, resulting in depression and mania for patients. Proper diagnosis of this disorder is often challenging for two reasons: 1) patients often present as depressive or manic but may have both, and 2) many symptoms of bipolar disorder are similar to other disorders. Misdiagnosis is common, making it essential for you to understand the disorder’s pathophysiology deeply. For this Assignment, as you examine the patient case study in this week’s Learning Resources, consider how you might assess and treat patients presenting with bipolar disorder.

 

How do you assess a patient with bipolar disorder?

Assessing and Treating Patients With Bipolar Disorder
To prepare for this Assignment:
Review this week’s Learning Resources, including the Medication Resources indicated for this week.
Reflect on the psychopharmacologic treatments you might recommend for assessing and treating patients requiring bipolar therapy.

In your paper, you will choose one of the following diagnoses: Bipolar I, Bipolar II, Cyclothymic Disorder, Substance/Medication-Induced Bipolar and Related Disorder, or Bipolar and Related Disorder Due to Another Medical Condition. Your paper will include a discussion of your chosen diagnosis of bipolar and related disorders on the following:
Prevalence and Neurobiology of your chosen disorder
Discuss the differences between your chosen disorder and one other bipolar and related disorder concerning the diagnostic criteria, including presentation of symptoms according to DSM 5 TR criteria

 

Assessing and Treating Patients With Bipolar Disorder: What is the treatment of choice for bipolar disorder?

Assessing and Treating Patients With Bipolar Disorder
Discuss special populations and considerations (children, adolescents, pregnancy/post-partum, older adults, emergency care) for your chosen bipolar and related disorder; demonstrate critical thinking beyond the basics of HIPPA and informed consent with a discussion of at least one for EACH category: legal considerations, ethical considerations, cultural considerations, social determinants of health
Discuss FDA and/or clinical practice guidelines approved pharmacological treatment options for acute and mixed episodes vs. maintenance pharmacological treatment for your chosen bipolar and related disorder
Of the medication treatment options for your chosen disorder, discuss side effects, FDA approvals, and warnings. What is important to monitor in terms of labs and comorbid medical issues? Why is it important to monitor
Provide three examples of writing a proper prescription that you would provide to the patient or transmit to the pharmacy.

Evidence Based Practice

§  Provide a definition of Evidence-based practice? What is it?

§  Evaluate EBP overall – how useful is it?

§  Then identify the 2 specific EBP approaches you are going to evaluate as below:

 

§  Identify 2 people practice issues, within your organisation – explain how each EBP approach can support sound decision making and judgements for these issues.

 

People Practice examples:

Resourcing

Reward

L&D

Performance

A different area of the Employee Lifecycle

 

§  Identify 2 organisational issues within your organisation – explain how each EBP approach can support sound decision making and judgements for these issues

 

Organisational issues examples:

Raising level of employee engagement

Increasing productivity

Raising levels of customer satisfaction

Themes associated with change

 

Evaluate how useful these approaches could be. Are they helpful? What are the drawbacks?

§  https://www.cebma.org/wp-content/uploads/Evidence-Based-Practice-The-Basic-Principles.pdf

§  https://www.aihr.com/blog/hr-metrics-and-analytics-how-both-can-add-value/

Provide an evaluation of one appropriate analysis tool and one method that might be applied by organisations to recognise and diagnose current and future issues, challenges and opportunities. (Approximately

KEY FOCUS AREA.  Every organisation is affected by a wide range and number of factors. In other words, an organisation never exists and operates “in a vacuum”. It is a part of a larger business environment.  In broad terms, this business environment can be divided into two categories.

1. The micro-environment is basically the environment that has a direct impact on your organisation – includes customers, suppliers, resellers, competitors, and the public.

2. The macro-environment is more general – it is the environment in the economy itself.  It includes economic factors, demographic forces, technological factors, natural and physical forces, political and legal forces, and social and cultural forces.

§  Briefly explain Macro and Microenvironments

§  Identify 1 macro analysis tool that can be used in people practice

§  Identify 1 micro analysis method that can be used in people practice

 

§  Evaluate each one – what is good about it? What is not so good? What are the weaknesses/strengths?

 

You must discuss

How can these be applied to future issues, challenges, and opportunities?

This is hypothetical so focus on how they MIGHT be applied

Macro tools – (the bigger picture) – such as:

§  PESTLE

§  SWOT and TOWS

§  Porter’s 5 Forces

 

Micro analysis methods – such as:

§  Observation

§  Interviewing

§  Exit interviews (one-to-one)

§  Investigations of incidents

§  http://www.slideshare.net/Timothy212/strategic-analysis-tools

§  https://keydifferences.com/difference-between-micro-internal-and-macro-external-environment.html

§  https://corporatefinanceinstitute.com/resources/knowledge/strategy/ansoff-matrix/

§  https://www.youtube.com/watch?v=bYn4CyL3r5w (PESTLE Analysis Video)

What are examples of health promotion interventions?

What are examples of health promotion interventions?

 

What are examples of health promotion interventions?

Summarize the patient, family, or population problem.
Explain why you selected this problem as the focus of your project.
Explain why the problem is relevant to your professional practice and to the patient, family, or group.
In addition, address the requirements outlined below. These requirements correspond to the scoring guide criteria for this assessment, so be sure to address each main point. Read the performance-level descriptions for each criterion to see how your work will be assessed. In addition, note the requirements for document format and length and supporting evidence.

 

How do you create a health intervention?

What are examples of health promotion interventions?

Define the role of leadership and change management in addressing the problem.
Explain how leadership and change management strategies influenced the development of your proposed intervention.
Explain how nursing ethics informed the development of your proposed intervention.
Include a copy of the intervention/solution/professional product.
Propose strategies for communicating and collaborating with the patient, family, or group to improve outcomes associated with the problem.
Identify the patient, family, or group.
Discuss the benefits of gathering their input to improve care associated with the problem.
Identify best-practice strategies from the literature for effective communication and collaboration to improve outcomes.

State board nursing practice standards on Health Interventions

 

Explain how state board nursing practice standards and/or organizational or governmental policies guided the development of your proposed intervention.
Cite the standards and/or policies that guided your work.
Describe research that has tested the effectiveness of these standards and/or policies in improving outcomes for this problem.
Explain how your proposed intervention will improve the quality of care, enhance patient safety, and reduce costs to the system and individual.
Cite evidence from the literature that supports your conclusions.
Identify relevant and available sources of benchmark data on care quality, patient safety, and costs to the system and individual.
Explain how technology, care coordination, and the utilization of community resources can be applied in addressing the problem.
Cite evidence from the literature that supports your conclusions.

A case scenario for a patient who experiences transitions across three points of healthcare delivery

A case scenario for a patient who experiences transitions across three points of healthcare delivery

A case scenario for a patient who experiences transitions across three points of healthcare delivery. For example, a patient who is admitted through the Emergency Department rushed to surgery and transferred to the surgical intensive care unit; or a patient who transitions from an assisted living facility to the hospital and then to a long-term acute care facility. These are just two examples. However, you can be creative as you create the case scenario.

 

Leading Person-centered Care

Part 1: Case Scenario

Judy, a terminally ill patient, was suffering from the final stages of pulmonary fibrosis one nightlight; Judy experienced difficulties in breathing and was rushed to the hospital emergency room. The doctor discovered that Judy had pneumonia and gave her oxygen, steroids, and antibiotics, but his condition did not improve. Judy was transferred to inpatient so that the doctor could observe her progress. After observing her situation for a few days, the doctor finally recommended that the best way to deal with Judy’s condition was to go through palliative care or use a mechanical ventilator.

 

Judy did not like the idea of her final days undergoing life support, so she chose home-based care to spend her last days with her family. The nurse assigned to Judy could advise her family on how best they would like to care for Judy’s needs through home-based care. Judy was sent home with prescriptions for different medications and oxygen. Judy’s family was referred to hospice personnel, who would help them coordinate home-based care and help with the filling of drugs. The nurse assigned to Judy and his family would also avail herself to assist Judy when she experienced any health challenges.

 

Introduction

One of the significant vulnerabilities of the healthcare system is the transition of care across different healthcare delivery points due to the increased occurrence of medical errors and clinical deterioration. The transition of care refers to the various points that patients move to contact health care professionals to receive medical services as their conditions and needs of care change (World Health Organization, 2016), for example, shifting from the emergency department to the patient.

 

Effective transition involves the coordination and collaboration of different healthcare professionals and the patient’s engagement to facilitate the safe and timely delivery of patients to the various transition points. Poor transition care leads to increased chances of readmission and a higher cost of care.

 

Transitions in point of care delivery

A case scenario for a patient who experiences transitions across three points of healthcare delivery

  • Explain the transitions in point of care delivery portrayed within the case scenario.
  • Discuss the variables that could impact safety, quality, and continuity of care for the transitions described.
  • Identify one specific patient outcome for each transition, and explain why that outcome is appropriate.
  • Identify one evidence-based strategy to support outcome achievement and person-centered care for each transition.

Transitions in point of care delivery

In the case scenario, the patient Judy experienced transitions across three points of healthcare delivery; first, the patient was admitted through the emergency department after she experienced difficulties in breathing as a result of pneumonia. She was then transferred to inpatient because her condition did not improve, and finally, the patient was transferred to home-based palliative care.

 

 

Some of the factors that could affect safety, quality, and continuity of care for the transitions include poor communication. The healthcare professionals in charge of taking care of a patient do not communicate effectively or share vital information (Delboccio et al., 2015).

For example, in the case of Judy, if the nurse in charge of coordinating home-based palliative care does not provide the family with appropriate information on how the family can take care of the patient, it could lead to the patient’s premature death (Josephson, 2016).

Judy was admitted to the emergency department after experiencing difficulty breathing; the physician dealing with her case was aware that she was at her end-stage pulmonary fibrosis; therefore, she had adequate information to deal with her issue appropriately.

After being admitted to the inpatient and diagnosed with pneumonia, Judy received two medical recommendations for her condition: palliative care or intubation and a mechanical ventilator.

The outcome of Judy’s transition from the emergency department to home-based palliative care was smooth because the health professionals in charge of her case were aware of her preexisting condition, and she was provided an appropriate medical recommendation for her condition.

 

 

A case scenario for a patient who experiences transitions across three points of healthcare delivery: The role of the nurse is to ensure high-quality, person-centered points of care delivery

 

A case scenario for a patient who experiences transitions across three points of healthcare delivery

Nurses are essential in facilitating the transition from the hospital setting to palliative care by providing emotional support to the patient and his family and managing all the tasks required to facilitate a smooth transition (Camicia & Lutz, 2016). Nurses also develop and evaluate the care transition plan to eliminate communication barriers. One of the care coordination principles includes collaborating and engaging the patient and their families to attain the desired outcome.

 

The second principle is applying professional communication to enhance patient-centered care. The transition of care is a vital process within the healthcare delivery system. It requires the coordination and collaboration of different health professionals and the patients’ engagement for the process to be a success. Ineffective management of the transition process could negatively impact a patient’s health.

 

 

References

Camicia, M. & Lutz, B. J. (2016). Nursing’s role in successful transitions across settings. Stroke, 47(11) e246-e249. https://doi.org/10.1161/STROKEAHA.116.012095 Clinical Practice. 6(2): 183-189.

Josephson, S. A. (2016). Focusing on transitions of care. Neurology

Delboccio, S., Smith, D. F., Hicks, M., Lowe, P., V., Graves-Rust, J. E., Volland, J. & Fryda, S. (2015). Success and challenges in patient care transition programming: One hospital’s journey. The Online Journal of Issues in Nursing, 20(3). https://ojin.nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/O

World Health Organization. (2016). The transition of care: Technical series on safer primary care. https://apps.who.int/iris/bitstream/handle/10665/252272/9789241511599-eng.pdf? sequence=1

Discuss the steps to evaluate new foreign markets

Discuss the steps to evaluate new foreign markets

Discuss the steps to evaluate new foreign markets
Explain international market entry methods
Describe the four international competitive strategies
Explain the importance of formal and informal institutions to succeed in a foreign market
Relate this week’s topics to a real-life scenario
Demonstrate critical thinking in terms of applying the concepts learned to situations found in the global marketplace
Alon, I., Kupetz, A. H. (2006, 2017). Ruth’s Chris: The high stakes of international expansion. Ivey Publishing.

 

Explain international market entry methods

Discuss the steps to evaluate new foreign markets

In addition to reading the case, listed below is additional information to help you analyze the Ruth’s Chris Case:

Based on the decision criteria (discussed in the case and criteria that you think is most relevant), discuss two potential international locations, including the city and the country for the next restaurant.
Compare the two locations using the CAGE analysis format.
Make a final recommendation of the best location (of the two discussed in # 1 and # 2 above). Provide persuasive explanations and supporting information to justify your recommendations. Convince Mr. Hannah (and me) why Ruth’s will be successful in this new international location.
Recommend a mode of entry (company-owned, franchise, license, joint venture, export, etc.) and explain why this is the best way for Ruth to enter. Discussing potential partners and licensees is highly encouraged (and will be rewarded).

 

Describe the four international competitive strategies

Discuss the steps to evaluate new foreign markets

Remember: do not waste any time or space repeating facts in the case. (I have read the case.) Be clear and concise. Use both qualitative and quantitative data to support your recommendations. Use charts, graphs, tables, etc., to support your analysis.

Discuss the challenges and/or important factors facing the company
Show evidence that you performed research on relevant topics (industry, company, product, country, market, competition, etc.) and understand the current situation
Discuss two possible alternatives to “solve” the problem
Recommend a specific course of action and provide a convincing explanation as to why your actions will lead to success for the company

What are some important events in African American history?

What are some important events in African American history?

What are some important events in African American history?

Creating Black Americans: African American history and its meanings, 1619 to present. “Ranging from life in Africa before slavery to today’s hip-hop culture, this magnificent account of African-American history examines a past rich in beauty and creativity but also in tragedy and trauma.

 

What are the major themes events of Black History?

 

What are some important events in African American history?

Writing for a new generation, eminent historian Nell Irvin Painter blends a vivid narrative based on the latest research with an array of artwork by African-American artists, adding a vital dimension to the story and a new depth to our understanding of black history. (Oxford University Press, 2005) We ask that you choose the book you read based on two primary criteria.

 

What is the importance of African American History?

What are some important events in African American history?

(a) Select a book that will support you in locating in history the origins of the hierarchical sorting of people that has led to oppression, domination, power, and privilege.

(b) Select a book that will teach you about the history of oppression in the United States. Lead in-class conversations on how the history they have read informs social work assessments at the individual, family, group, community, and organizational levels.

Each book group will lead a 20-minute conversation covering the following:

  • Provide an overview of one or two historical incidents from the book and explain why the author includes it. What is the author trying to show?
  • How can we see echoes of these events or this tendency in the modern U.S.? Silberman School of Social Work updated Spring 2020 5
  • How does social work either confront or perpetuate these tendencies?
  • How do your own biases, preconceptions, and history factor into your understanding of the historical content you have read and your perception of whether or not echoes of this content or this tendency are present in the modern U.S
  • Concluding remarks: how will you use this history to inform your social work practice?