...use of Applied Behavior Analysis (ABA) with students who have Autism. Aims The aim of my project was to gain knowledge of Applied Behaviour Analysis and its effectiveness in working with children with Autism. My focus questions ask • What are the key principles underlying Applied Behaviour Analysis and how and why it benefits children who are autistic? • What is involved in setting up an Applied Behaviour Analysis program in the classroom environment? Both focus questions have helped me to investigate ABA, implement strategies that ABA employ and reflect on the program as a whole. I became part of a withdrawal program established for the purpose of intensive early intervention based on the principles of ABA. Harris, (2002 p19) explains “Applied Behavior Analysis takes basic principles in behaviour science and emphasizes the intensity that is needed for particular children”. As I progressed through my journey I discovered that ABA was indeed an extremely effective intervention program for autistic children. I felt that the whole process was a huge learning curve which in turn has had positive affects on my future practice. PARTS OF THE REPORT Rationale Explains why I embarked on this particular topic, process I used in decided topic, list of research strategies to achieve aims, Kemmis & McTaggarts (1988) Action Research Planner model Process -What were the key principles underlying Applied Behaviour Analysis and how and why this benefits...
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...and a safe environment with access to a variety of resources that can help people deal with personal issues. Behavior therapy is focused on helping an individual understand how changing their behavior can lead to changes in how they are feeling. (Herkov, 2013) Basically the goal in this type of therapy is to get the individual to participate in bettering themselves in a positive way, whether it be for themselves or socially. Many of these techniques include Role playing, scheduling of weekly activities, self-monitoring and behavior modification. This field is my top choice as I have grown interest in this field since my son was diagnosed with being on the Autism Spectrum. Many schools designed for Autism use ABA (applied behavioral analysis) which is a program of behavior therapy that helps the individual reach success in their individual goals. Behavior modification which includes rewarding the individual for doing something towards positive behavior. Behavioral Therapy is like any other therapist career and requires a Master’s Degree. You will find that many Behavioral Therapist hold doctoral degrees as well, since this type of therapy is so broad and can withstand specialty studies (e.g. ABA). Behavioral...
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...Caregivers of Dementia patients Vascular dementia is the second most common form of dementia after Alzheimer’s disease. Caused by problematic supply of blood to the brain, symptoms include challenging communication, depression and anxiety, strokes, physical weakness or paralysis, confusion, changes in behaviour and difficulties in walking and unsteadiness. This paper discusses the problems faced by caregivers of patients suffering from vascular dementia who are above the age of 65 and possible recommendations to improve their plight through the review of the movie, Amour (a movie about an octogenarian couple, Georges and Anne, where Anne develops vascular dementia) and current literature pertaining to the topic. Georges “Put yourself in my place. Didn’t you ever think it could happen to me, too? Anne: “Of course I did. But imagination and reality have little in common.” Anne’s sudden speech arrest and frozen stare at the breakfast table with no recollection afterward are the first signs of a partial seizure. Caregivers, like Georges, who are not prepared for looking after patients are under pressure because of their increasing needs. Georges does not seem to mind this responsibility of taking care of her initially, but Anne’s condition deteriorates fast. She experiences profound right sided weakness and is bound to the wheelchair. Georges struggles to lift her from the wheelchair and make her sit on a chair or go the bathroom. Increased stress in his behaviour is...
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...Additionally, he or she should assess the ability of the patient to perform daily tasks and report these to the healthcare professionals. The caregiver should provide assistance when required and should evaluate the body of the patient for swelling or bleeding. On the other hand, the healthcare professionals are responsible for monitoring laboratory results, stool, and provision of fresh plasma when necessary. The collaboration of the caregiver and the hospital will assist in the efficient care of the woman. Risk for Impairment in Skin Turgor The caregiver should inspect the skin regularly to check the turgor, vascularity, and color. There should also be an evaluation for edema, and hydration of the skin and mucous membranes. Additionally, there should be an application of soothing skin care products daily. The patient should also sleep on an orthopedic mattress, and frequently change positions. These activities will also reduce adverse outcomes on the skin. Evaluation of Patient Outcomes The evaluation will involve analysis of the above-mentioned criteria after the interventions. These will be periodically monitored and compared to check the progress of the...
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...506 e. lancaster avenue, suite 102 downingtown, pa 19355 phone: 800-765-cbmt (2268) | 610-269-8900 fax: 610-269-8900 web: www.cbmt.org From Practice Analysis Study, 2008 | Effective April 1, 2010 I. Assessment and Treatment Planning: 40 items A. Assessment 1. Observe client in music or non-music settings. 2. Obtain client information from available resources (e.g., documentation, client, other professionals, family members). 3. Within the following domains (e.g., perceptual, sensory, physical, affective, cognitive, communicative, social, and spiritual), identify the client’s: a) functioning level. b) strengths. c) areas of need. 4. Identify client’s: a) active symptoms. b) behaviors. c) cultural and spiritual background, when indicated. d) issues related to family dynamics and interpersonal relationships. e) learning styles. f) manifestations of affective state. g) music background, skills. h) preferences. i) stressors related to present status. 5. Document intake and assessment information. 6. Evaluate the appropriateness of a referral. 7. Identify the effects of medical and psychotropic drugs. 8. Review and select music therapy assessment instruments and procedures. 9. Adapt existing music therapy assessment instruments and procedures. 10. Develop new music therapy assessment instruments and procedures. 11. Create an assessment environment or space conducive to the ...
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...good communicator needs to be aware of these styles. The ability to effectively manage differences continues to baffle many, as illustrated in numerous current events. The ability to identify different communication styles and to understand one’s own communication style could be a very beneficial tool. O’Neil and Hansten (2009) described three different styles of communicating; passive, aggressive and assertive and/or a combination of styles, such as, passive-aggressive. By using three separate scenarios, O’Neil and Hansten (2009), successfully illustrated the differences of each. This paper will analyze each of these scenarios; while identifying the style or styles of the communication utilized. The author will also apply the same analysis, with an experience of her own. She will identify the communication styles used, as well as the strategies utilized and how this affected the outcome of the scenario. Lastly, she will discuss the importance of effective communication in the health care profession. The first scenario discussed by O’Neil and Hansten (2009), took place at a team meeting, in a psychiatric group home. The involved parties were Rashad, an aide...
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...BRIEF REPORTS Greater Risk of Dementia When Spouse Has Dementia? The Cache County Study [See editorial comments by Dr. Peter P. Vitaliano, pp 976–978] Maria C. Norton, PhD,abc Ken R. Smith, PhD,de Truls Østbye, MD, PhD,fgh JoAnn T. Tschanz, PhD,bc Chris Corcoran, ScD,ci Sarah Schwartz, MS,ci Kathleen W. Piercy, PhD,ac Peter V. Rabins, MD, MPH,j David C. Steffens, MD,k Ingmar Skoog, MD, PhD,l John C. S. Breitner, MD, MPH,mn Kathleen A. Welsh-Bohmer, PhD,g for the Cache County Investigators OBJECTIVES: To examine the effects of caring for a spouse with dementia on the caregiver’s risk for incident dementia. DESIGN: Population-based study of incident dementia in spouses of persons with dementia. SETTING: Rural county in northern Utah. PARTICIPANTS: Two thousand four hundred forty-two subjects (1,221 married couples) aged 65 and older. MEASUREMENTS: Incident dementia was diagnosed in 255 subjects, with onset defined as age when subject met Diagnostic and Statistical Manual of Mental Disorders, Third Edition, Revised, criteria for dementia. Cox proportional hazards regression tested the effect of time-dependent exposure to dementia in one’s spouse, adjusted for potential confounders. RESULTS: A subject whose spouse experienced incident dementia onset had a six times greater risk for incident dementia as subjects whose spouses were dementia free (hazard rate ratio (HRR) 5 6.0, 95% confidence interval (CI) 5 2.2–16.2, Po.001). In sex-specific analyses, husbands had higher risks ...
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...trusting patient believes that an honest caregiver is very important, particularly where the client displayed some limited ability in determining the trustworthiness of others. Trust is developed when the medical team creates rapport, and encourage the patient to acknowledge that they need help. This means that trust increases when the relationship between the medical team and the patient. Trust is enhanced in a patient with constant communication who is in control of his/her care (Aaltonen & Piippo, 2008). Trust can also be built by attentive listening. (Hupcey & Miller, 2006). The heard word should initiate an action which is an acknowledgement that results to treating everyone with respect. Trust plays great role in daily nurse-patient encounters. However, a patient’s views and understanding of trustworthiness is yet to be comprehended. Caregivers should internalize and practice trustworthiness thereby enhancing the competency of their job (Hupcey & Miller, 2006). Creating an atmosphere of trust enhances a patient's response to treatment. The concept in professional practices is different when you think about this particular concept with regard to the normal day by day relationship with people such as understandings between (mother and baby, among co-workers, husband and wife or among friends). Trust, however plays a vital role in developing self-confidence in a patient in regards to the care he/she receives from health care professionals. (Hupcey & Miller, 2006). The theory...
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...Countering Compassion Fatigue: A Requisite Nursing Agenda Deborah A. Boyle, MSN, RN, AOCNS®, FAAN Abstract Nurses have a longstanding history of witnessing the tragedy experienced by patients and families; however, their own reactions to profound loss and premature death have not been systematically addressed. There is a paucity of research describing interventions to prevent or minimize the ramifications of repeated exposure to traumatic events in the clinical workplace. Compassion fatigue is a contemporary label affixed to the concept of personal vicarious exposure to trauma on a regular basis. Yet this phenomenon of compassion fatigue lacks clarity. In this article, the author begins by describing compassion fatigue and distinguishing compassion fatigue from burnout. Next she discusses risk factors for, and the assessment of compassion fatigue. The need to support nurses who witness tragedy and workplace interventions to confront compassion fatigue are described. Citation: Boyle, D., (Jan 31, 2011) "Countering Compassion Fatigue: A Requisite Nursing Agenda" OJIN: The Online Journal of Issues in Nursing Vol. 16, No. 1, Manuscript 2. DOI: 10.3912/OJIN.Vol16No01Man02 Key words: Compassion fatigue, nurse stress, work setting improvements, communication skills Nurses care for ill, wounded, traumatized, and vulnerable patients in their charge. This exposes them to considerable pain, trauma, and suffering on a routine basis (Coetzee & Klopper, 2010; Hooper, Craig, Janvrin, Wetzel...
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...Analysis and Synthesis of Chronic Heart Failure Research Studie Analysis and Synthesis of Chronic Heart Failure Research Studies Background Chronic heart failure (CHF) is a disease characterized by high mortality, readmission rates and a marked decrease in health-related quality of life. Psychological distress is common in patients with CHF and different psychological variables may have an impact on the prognosis in chronic heart failure patients. Chronic heart failure patients also need to be involved in their plan of health care in order to be able to manage their own disease at home. However, patients’ perspective on the role of their informal carers regarding information management process revealed how much they depend on their knowledge and support. The studies that I have chosen to compare and contrast in this paper will shed light onto both of these subjects in regard to chronic heart failure patients as well as inform about the various studies that pinpoint relevant data in regards to CHF. These studies are important because they help medical professionals in regard to providing the highest level of care to their CHF patients. Quantitative Research Study Introduction For the quantitative research study in this analysis, I examined the journal article entitled Predictors of readmission and health related quality of life in patients with chronic heart failure: a comparison of different psychosocial aspects. This research study’s purpose was to “investigate...
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...Multidisciplinary Concept Analysis Postoperative Pediatric Pain Management: A Multidisciplinary Concept Analysis Acute pain following a surgical procedure is one of the most common stimuli experiences by pediatric patients. Pediatric postoperative pain management has long been overlooked and treated differently than adult pain management. There tend to many misconceptions when it comes to pediatric pain management stemming from the belief that children do not experience pain the same way as adults. Since the pediatric population is not legally allowed to make medical decisions, guardians must make these decisions for them. Postoperative pain in the pediatric patient may be hard to assess and therefore healthcare professionals have begun to involve family members and caregivers in the pain management process. Pain can stem from many sources and thus must be holistic, involve multiple disciplines, provide education and apply to each individual patient. In practice, advocacy for these young children is important in helping them and their families understand about the situation and make education decisions on how to proceed with care. The concept of postoperative pediatric pain management must be analyzed to help resolve these misconceptions and not ignore the population who at times cannot speak for themselves. Review of Literature After a surgical procedure, the pediatric patient will come into contact with many healthcare professionals including nurses, doctors,...
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...Attachment, in dictionary terms, means affection, fondness, or sympathy for someone or something. In psychotherapy, attachment theory refers to how those attachments impact human interpersonal relations. Attachment theory was first conceptualised by John Bowlby, a psychoanalyst who dedicated his time to studying the affectional bonds which form between a child and his primary caregiver. In Segal and Jaffe (2013), the affectional bond is simply but realistically defined as one's first love relationship. Bowlby referred to attachment as a lasting psychological connectedness between human beings. This bond is initially formed by the first attachment figure a person comes across in life. This is in most cases is the mother. In other situations, it may be a father, or where a child is orphaned or put in foster care, it could vary. It refers to anyone who remains in a central role in a child's life for at least the first three to five years. This period is crucial because it is when a child's brain rapidly develops. Bowlby (1984) says that attachment behaviour is most active and overt before the age of three but the need for attachment figures remains throughout life. Bretherton (1985) found that after three, it is less frequent and noticeable as the child gains increased abilities to protect itself and coping skills. Attachment behaviour is however more noticeable during times of exceptional stress. According to Segal and Jaffe (2013), an attachment bond shapes an infant's brain...
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...Geriatric Field Argumentative Essay Jazmine Capel Critical Thinking 2:00pm-3:20pm Formal Analysis 1) The impact that my grandparents have made in my life has influenced me to make working with the elderly a career. 2) The elderly are an ever so rapidly growing population and there is a need for professionals in the geriatric field. 3) The many issues that accompany the elderly are a growing concern of mine. 4) I believe that caring for the elderly is one of the most challenging and exciting areas of health care. Therefore, I have chosen Geriatric Social Work as a career objective. “You have not lived today until you have done something for someone who can never repay you.” ~John Bunyan I believe that we were given two hands, one to help ourselves and one to help others. As an aspiring social worker, I have learned that helping others who cannot sufficiently help themselves is one of the main objectives of the profession. My career objectives upon graduation include being a social worker in a hospital, care facility or an agency focused on helping families but specifically the elderly. The impact that my grandparents have made in my life has influenced me to make working with the elderly a career. The elderly are an ever so rapidly growing population and there is a need for professionals in the geriatric field. The many issues that accompany the elderly are a growing concern of mine. I believe that caring for the elderly is one of the most challenging...
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...financial resources of a business concern. As health care workers enter the twenty-first century, they must understand the relationships among market-driven forces, the health care workforce, and financial compensation. This understanding can be facilitated by a grasp of utilitarian ethical theory and by ethical tenets of justice such as distributive justice, material principles of justice, and justice as fairness. Health care workers also need to understand how unfair financial compensation can demoralize them and compromise their values. However, professional associations and health care managers can take a proactive stance to ensure that organizations are ethical in their approach to financial compensation. Accounting and financial professionals must abide by ethical standards that regulate what kind of business they conduct, who they serve and how they use their skills. Ethical standards are determined largely by professional accounting and finance organizations and the Financial Accounting Standards...
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... Name: Institution: A business plan describing evidence-based intervention to improve outcome in the late stage of Alzheimer disease Executive summary According to the “British Medical Journal (BMJ)” on the subject “Care plans for individuals with Alzheimer disease: Intuitively a good idea but hard to prove they are effective in practice.” It is seen that teaching based intervention for Alzheimer care are suggested by large professional organizations although it is not evident on who should undertake these models to the patients. Care plans replicas along with the guidelines usually do have the stated objectives of delaying an illness development and functional beg off (Schneider, 2016). Alzheimer is illustrated by momentous impairments in several cognitive areas, functioning as well as the behavioral burden. Premature revealing, as well as management, can avert overuse of expensive healthcare resources and permit the affected people and caregivers the time to prepare for the prospect financial, medical along with the emotional confronts. This planning proposal offers the right measures concerning the evidence-based intervention to improve outcome in the late stage of Alzheimer disease. Among the cited evidence-based intervention that the business proposes to employ in combating the new stage of the disease do include the use of physical along with intellectual activities and mingling in the running of cognitive decline of...
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