...This practice based learning is a case study that involves discrimination towards a patient who is part of the traveling community. This practice based learning is a case study that involves discrimination towards a patient who is part of the traveling population within our society. My group colleagues and I decided to use the same methods of collecting information as in the previous case studies. I feel very frustrated because there is a lot of ignorance within our society, lack of information and understanding of people who disregard others because of were they come from. Firstly I make reference to the NMC’s guidance on anti-discrimination practice; As a qualified nurse I am personally accountable for my practice, and when caring for my patients I must; 1.1 Respect the patient as an individual 1.2 Protect and support the health needs of individuals 1.4 I have a duty of care to patients, who are entitled to receive safe and competent care. 2.3 As a registered nurse I am personally accountable for ensuring that I promote and protect the interests and dignity of patients and clients, irrespective of gender, age, race, ability, sexuality, economic status, lifestyle, culture and religious or political beliefs. 2.4 I must promote the interest of patients. This includes helping individuals and groups gain access to health and social care, information and support relevant to their needs. The NHS is accountable for all acts and omissions that relate to equality and human...
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...Co-Morbidity and Homelessness Co-Morbidity and Homelessness Tim Ervin Ivy Tech People who are dually diagnosed with mental illness and substance abuse disorders constitute 10%-20% of homeless persons. They are heterogeneous and extremely vulnerable subgroup with complex, poorly understood needs. (Breakey, 1987; Fischer, 1990) Addressing comorbidity in the homeless population makes us look head on at the clinical, service, legal, and housing issues. My goal is to improve our understanding of this problem and what might be done to help resolve this growing problem. To help explain this comorbidity, we need to know that drug addiction is a mental illness. It is a brain disease characterized by compulsive, at times uncontrollable drug craving, seeking and using despite the terrible consequences. Despite devastating consequences behaviors that stem from drug-induced changes in brain structure and function. These changes occur in some of the same brain areas that are disrupted in other mental disorders, such as depression, anxiety, or schizophrenia. It is not surprising that population surveys show a high rate of co-occurrence, or comorbidity, between drug addiction and other mental illnesses. As awareness of the problem of duel diagnosis has grown models for integrating mental health and substance abuse treatments have begun to emerge but have not been applied to the homeless population. (Argeriou & McCarty, 1990) Approximately one third of homeless persons suffer...
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...sets that form the clinical decisions made by these nurses and how their decisions affect patient care and outcome. Mildred Montage was a nurse educator in the 1950’s and was the leading advocate and creator of the ADN in reaction to the stark shortage of nurses in the years preceding World War II (Creasia & Friberg, 2011, p.14-15). This degree was designed to decrease the shortage of nurses and the adequate level of clinical nursing skills and successful pass rate of graduates on the National Council Licensure Examination (NCLEX) were all taken into accountability for measuring the success of the ADN programs. An associate degree nurse is defined as a nurse attending a community college, up to three years but no less than two years, with training in clinical skills. A nurse graduating from a community college nursing program gains an ADN and is then qualified to sit for the NCLEX to obtain licensure as a Registered Nurse (RN) (ANA, 2014) A baccalaureate degree nurse is defined as a nurse attending a university or state college for a up to five years but no less than four years, with the same courses and training as an ADN program, in addition the BSN program trains on the...
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...The Difference Between ADN versus BSN Prepared Nurses Grand Canyon University The Difference Between ADN versus BSN Prepared Nurses In the United States of America nurses are allowed to practice as Registered Nurses upon completion of an Associate degree program in nursing and a passing score on the NCLEX boards. From there they have many choices for job opportunities: some of which include hospitals, clinics, and nursing homes. They practice alongside physicians prepared at the doctorate level, pharmacists prepared at the bachelors, masters, or doctorate level, and speech pathologists prepared at the masters level (2008, Taylor). While these are requirements for their colleagues, nurses are given a great deal of responsibility with regards to patient care, but allowed the choice of an Associates versus a Bachelors of Nursing. While an ADN prepares a nurse for practicing in a care setting, a BSN furthers those skills and allows for improved critical thinking, improved work performance, and improved leadership skills (2003 Leonard). Improved Critical Thinking A Bachelors of Nursing allows for focus on critical thinking in a manner that an ADN cannot because the focus of an ADN is primarily pathophysiology and its application to everyday nursing (2009, Orsolini-Hain & Waters, V.). The ADN degree promotes more task-oriented nurses, focused on the smaller pieces of the puzzle, versus the whole of the picture and the whole of the patient. BSN nurses are able...
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...* Skip to Navigation * Skip to Content The issue of child abuse and neglect is serious, controversial, and is escalating in today’s society. Many people are not aware, but child abuse is rampant in our society. Many child abuse and neglect cases go unreported because a person may not know the signs and symptoms of child abuse and neglect or perhaps the person or person may feel that this is an private issue and needs to be handle with in the home and no outsiders should be involved. Without the proper awareness of child abuse and neglect and the involvement of everyone this issue will continue to raise our eyebrows. In researching this topic, a title came up labeled "It shouldn't hurt to be a child". The title itself speaks volume when it comes to how our little children feel as it happens too often; it is little too late to for that young child who still have so much life ahead of them. Just goggling “child abuse cases” several came up whether it was a news article or a scholar article on child abuse prevention. This type of mistreatment towards our youth does have potential for youth to become juvenile delinquents. The problem is that the youth learns that behavior of child neglect and abuse is okay and acceptable because the one person they believe who loved them unconditional was this way toward them. It’s unfortunately that it may be too late before the youth realize this behavior should not be tolerate or acceptable and it set the child and family up for failure...
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...the development of disease (National Institute of Mental Health, n.d.). The patient is a 40 year old female who has experienced a schizophrenic episode including psychotic symptoms, (see psycho-social history) and was recently released from the psychiatric ward of a hospital in Detroit, Michigan. She is temporarily living with her mother. The patient has no history of mental health illness, and it is unclear how long she has been having psychotic symptoms. The patient’s mother reports that she was informed by the patient’s husband that the delusions have been going on for about six months. She is no longer delusional, and is refusing medication. She currently presents with a slight vitamin B12 deficiency and exhibits negative characteristics of schizophrenia, as well as exhibiting lethargy and anhedonia, which are symptoms of mental illness, and vitamin deficiency. I have used the data assessment tools of a comprehensive health history, a psychiatric nursing interview, and the brief psychiatric rating scale (BPRS), as well as a short psycho-social interview with information obtained mainly from the patient’s mother. The patient has recently been released from the hospital, and is staying with her mother until she is able to get a job and begin to support herself. She has no support system, other than her mother who works full time. She has three living children...
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...Case Study Analysis The Case of the Unhealthy Hospital Submitted by: Date: Contents Introduction 3 Reid to Demonstrate Strategic Leadership Qualities 3 Strategic Planning 4 Invest in Clinics 4 Better Working Relationship with Stakeholders 6 Create Separate Governing Council 6 No Staff Reduction 6 Industry Experts Advise 7 Dan Pellegrini 7 Ellen Schall 7 Keith F. Safian 8 Jane Delgado 8 Bernard Lachner 8 Conclusion 9 References 10 Introduction Bruce Reid has been recently appointed the CEO of Blake Memorial Hospital, which is facing a tough time. The hospital’s financial health was not good; it suffered from rising costs, static revenue, and declining quality of care. Bruce Reid found his assignment far more challenging than he anticipated while taking over the responsibility. Currently the challenges in front of him are to improve the quality of healthcare services and the financial health of the hospital. Reid has less than a week to finalize his $70 million budget for approval by the hospital’s board. One major issue he needs to address is the future of six off-site clinics, which are incurring losses. He needs to arrive at the conclusion to close them or continue operating them as he is stuck between Blake’s responsibility to serve the uninsured on one hand and to remain viable and self-sustaining on other hand. To arrive at the conclusion he has been advised by few industry experts. Reid to Demonstrate Strategic Leadership Qualities ...
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...02459, USA Department of Psychiatry, Harvard Medical School, USA Abstract: Outreach and engagement are regarded by many who work in homeless programs as essential services. Outreach on the streets and in shelters is often the first point of contact for people who are not served by traditional sitebased services and is often the first step in engaging homeless people in services. While outreach and engagement are critical components of the response to homelessness, consensus is lacking about the nature and effectiveness of these services. The purpose of this paper is to examine what is known about outreach and engagement for people experiencing homelessness. The authors review quantitative studies that examine outcomes and augment this understanding with information from qualitative studies and non-research literature. The latter provides information about the goals of outreach, assumptions and values, staffing issues, and consumer involvement. The paper concludes with implications for practice, policy, and research. Keywords: Homeless/homelessness, outreach, engagement, review. INTRODUCTION At a recent discussion among outreach workers in Washington, DC, one participant described the reasons for providing outreach to people experiencing homelessness: “Waiting for people to come to us didn’t work…so what we’re doing is going to where people are comfortable, to where they are right now, because that’s probably most effective.” This description...
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...COMMUNITY REPORT: HENDERSON BEHAVIORAL HEALTH HISTORY: 1. Why was this organization established? To provide affordable psychiatric and casework services to residents of Broward County. 2. How did Henderson become a community mental health center? “During the late 1950's, the innovation of psychotropic medications revolutionized the mental health field. The Clinic became a multi-purpose organization with broad programs meeting the federal requirements of a community mental health center.” 3. Why was the center named “Henderson”? “In 1960, the late Mr. Alexander D. Henderson and his wife Lucy gave the Clinic stocks in Avon Products as well as property which is the current site of our "Central" Program on SW 27th Avenue in Fort Lauderdale. The money from the sale of the stock enabled us to build the structure and purchase the furnishings. The Clinic was renamed Henderson Clinic of Broward County in 1961.” 4. What populations does the center serve today? Henderson serves “more than 20,000 people of all ages, including 5,000 youth under 18 years of age.” FIND SERVICES CRISIS 5. What is the goal of Crisis Services? “ To provide immediate intervention to people experiencing a psychiatric crisis. Early intervention in a time of need can prevent hospitalization and stabilize acute situations. Crisis Services include mobile community outreach or walk-in services, psychiatric evaluation, consultation and medication monitoring, brief therapy, and...
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...that the psychiatric stability and flexibility in law enforcement are embedded within their role to ensure staff and inmates’ safety. Some correctional staff mock them, ignore their suffering or even use excessive force against them covering them in pepper spray when they will not stop yelling, hitting them and even, in a few cases, suffocating them to death through improper methods of...
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...volunteer at a hospital. The most important thing you must focus on is ongoing to college first, some options that there is are; University of Pennsylvania, Columbia U; and many other universities. The classes you must take are associates degree in nursing, nutrition in chemistry, microbiology and chemistry. There are several types of nurses you may not know, the registered nurse is the most common all people know, but there are more than that: ●Licensed practical nurse: Licensed practical nurses perform...
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...qualifications needed by entry-level practicing nurses” (Creasia, 2011, pp.11-25). Associates Degree The Associates Degree nurse is required to complete a minimum average of 70 credit hours. These credits can take up to 4 years to complete depending on the school and the educational aptitude of the student. The ADN program was designed to be only 2 years in length and was created to help quickly increase the quantity of nurses available to offset the nursing shortage. “Associate degree nursing programs are designed to be 2 years in length and consist of a balance between general education and clinical nursing courses, all of which carry academic credit. ADN programs prepare technical bedside nurses for secondary care settings, such as community hospitals and long-term health care facilities. Montag's intent was that nurses with associate degrees would work under the direction of registered professional nurses who were prepared at the...
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...Lifespan Development Name Institution Course Date Lifespan Development Lifespan development is a wide field in the field of psychology. It all began with Darwin, who, in his quest to understand evolution, began to study the topic. In simple terms, lifespan development refers to a process, usually beginning from conception and ending when an organism dies. The process occurs methodologically and is as a result of the change that occurs with increasing age. Although the lifespan development may look simple, it is quite complex and involves different developmental stages. According to Baltes, (1996), the entire life cycle has four eras. These eras, he says, take an approximate time of 20-25 years. Levinson goes further to identify the developmental periods as childhood and adolescence, early childhood, middle adulthood, and late adulthood. At this point in time, it is formal to simplify various terminologies that relation to human development. This is because they will feature constantly in the preceding sections. First and foremost is development. This is simply a change characterized by movement from one state to another. Usually, development leads to transitions. Development, as will be used in this paper, will refer to growth, and progression through certain stages, commonly termed as “maturity.” Another term of significance is stage. This refers to sections that differentiate the various phases of growth. The phases involve...
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...interaction in the external world. In his work, Freud studied the unconscious through his theories on dreams. He believed that dreams are the mind’s way of expressing repressed longing, urges and impulses, all of which are based on a sexual connotation. While Freud played an important role in the development of modern psychology, his theories have proved to be extremely controversial and have mostly been dismissed as inaccurate. From Freud’s psychoanalysis, several different types of therapies developed. One of those being a ‘behavioral’ approach, or ‘behaviorism’. Behaviorism is a therapeutic approach that focuses on what can be observed in the outside world and learning theory. A notable psychologist in the study of behaviorism is American psychologist B.F. Skinner. In his study of behaviorism, Skinner is now known for formulating the idea of radical behaviorism. The final therapeutic approach that developed from psychoanalysis that I would like to mention is Humanism. The humanistic approach to therapy does not adopt the untestable constructs of Freud’s psychoanalysis, nor does it ignore the ideas of behaviorism. Humanism is an approach to therapy that focuses on the human person. Client-centered therapy, which was the theory of one of the founders of humanistic psychology, American psychologist Carl Rogers, falls under this category. The primary focus of humanism is therapy designed around the client with the client directing the course of their treatment. While the relationship...
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...Demographic Marital Status 3. Income 4. Education 5. Psychographic Psychographic Life Stage/Occupation (Student, Employed or Retired) 6. Values 7. Usage Patterns Firstly, age is a valuable dimension due to the strong positive correlation to erectile dysfunction (ED) incidence. Secondly, as shown in the demographic data presented by Lilly ICOS, most men who suffer from ED are either married or living together with their partner. Being the influence of the spouse one of the strongest factors in seeking solutions for ED, this reveals as an essential dimension to include in our study. Thirdly, taking into account income and education allows us to explore different purchasing powers and also how different people perceive and sense the product. Concerning the usage patterns, I believe the best way to ungroup potential customers is to consider the 3 groups suggested by Lilly ICOS’ study: Viagra current users; Viagra dropouts; never used Viagra. By considering this, helpful advices may be provided about the best, most effective way to approach different types of customers. Thereby, there could emerge a lot of different segments, but only a few of them would be relevant to Cialis. This way, restraining our analysis to the male population with Erectile Dysfunction, due to the nature of the product, we can find 3 important segments: A. Young adults. People who belong in this group have ages between 20 and 30. We can describe them for having sexual relations without great...
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