...Personal Impact Paper: Lyme Disease Eric Bickhart University of Phoenix student NUR/427 August 4, 2014 Amy Highland Personal Impact Paper: Lyme Disease “Since its identification nearly 30 years ago, Lyme disease has continued to spread, and there have been increasing numbers of cases in the northeastern and north central US. The Lyme disease agent, Borrelia burgdorferi, causes infection by migration through tissues, adhesion to host cells and evasion of immune clearance” (Steere, 2004). This disease is transmitted to humans from the bite of the Blacklegged (deer) tick. It usually produces a bulls-eye rash, but not in all cases. According to National Library of Medicine (2013), "Stage 3 or late disseminated Lyme disease can cause long-term joint inflammation (Lyme arthritis and heart problems. Brain and nervous system problems are also possible" (Outlook (Prognosis)). Lyme disease has afflicted a high school basketball coach and gym teacher of a small school in Liberty, Pa at age 36. He is the father of two children and a member of a local sportsman's club. He has been dealing with the ongoing symptoms related to chronic Lyme disease for about seven years. It has been a life altering disease for a previously active young man. He reports symptoms as severe pain and swelling in all of his joints that inhibit full rotation similar to rheumatoid arthritis. Also, he has persistent severe back pain which keeps him on the sidelines during most of his career and...
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...Discuss the impact of chronic medical conditions on adolescents (12-18yo) and identify ways of promoting resilience or positive development. Adolescence is a difficult time for individuals, according to Stage 5 of Erikson’s Psychosocial Development, this is a phase where individuals undergo identity difficulties. It is a period where the individual is undergoing transition and development, the individual also comes to terms with their new found sense of identity. In this stage the chronically ill adolescent attempts to differentiate between personal identity and the illness they have, and separate whether their condition is part of their identiy. (Vogel-Scibilia, McNulty, Baxter Et al, 2009). This essay will explore the adversity adolescents with chronic medical conditions must endure and overcome a series of obstacles in everyday mundane situations. This chronic medical condition becomes even more hindrance in the everyday functioning of the individual and for his or her family. However there are strategies that can be utilised to promote resilience and positive development for the individual. Adolescents with chronic medical conditions may have been affected cognitively, such as their perception on the world or their self-concept. Individuals with a chronic medical condition may have an altered perception of themself and hence result in them manifesting a low self-esteem. Chronically ill adolescents may have subsequently increasing the degree of separation between one’s...
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...phenomenological data analysis method. Seven thematic clusters were identified and an exhaustive description is presented to summarize the essence of their lived experience. The study indicates a strong sense of essential positivism from the participants’ stories, and overall, it seems PD has brought some degree of biological, psychological, socially, and/or spiritual meaning to their lives that they may not have otherwise noticed or experienced. Key Words: Parkinson’s Disease, Phenomenology, Biopsychosocial-spiritual, Adult, Children and Illness Introduction “The bond between mother and child is so deeply rooted in our emotions that we fear to discuss openly anything that threatens the bond” – Glenna Atwood (1991) Establishing links between chronic illnesses and family impact are not novel (e.g., Cooke, McNally, Mulligan, Harrison, & Newman, 2001; Kielcolt-Glaser & Newton, 2001, Martire, Lustig, Schultz, Miller, & Helgeson, 2004). However, much of the attention to study inclusion of a family caregiver into the care experience has focused on the spouse (Keefe, Buffington, Studts, & Rumble, 2002) or children under the age of 25 (e.g., Olsen & Clarke, 2003; Pakenham, Bursnall, Chiu, Cannon, &...
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...Discuss the physical, emotional, cognitive and behavioral responses an individual is likely to experience in response to a newly diagnosed condition with a poor prognosis. Definitions: Physical: of body: relating to the body, rather than to the mind, the soul, or the feelings Cognitive: 1.concerned with acquisition (gaining) of knowledge: relating to the process of acquiring knowledge by the use of reasoning, intuition, or perception. Relating to thought processes. The interpretation of stimuli and the organization of thoughts and ideas. Emotional: a state of feeling. -a conscious mental reaction (as anger or fear) subjectively experienced as strong feeling usually directed toward a specific object and typically accompanied by physiological and behavioral changes in the body (merriam webster) Behavioral: 1.way somebody behaves: the way in which somebody behaves Research: -Psychological responses of terminally ill patients who are experiencing suffering: A qualitative study According to leading theories, suffering is dependent on the threats that the patient perceives and the resources the patient uses to respond to such threats. Previously published reports have identified the occurrence of a terminal disease as a period of multiple threats that can generate intense suffering. Examples of such suffering include pain and other symptoms (Heath et al., 2010, Jurado-Martín et al., 2010, Abraham et al., 2006 and Lorenz et al., 2006), the progressive dependence...
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...Personal Statement My parents never had the opportunity to make it past elementary school. Thus, they were extremely proud when I got accepted to the University of Maryland. No one else in my family has ever gone to a University before, so I have had to pave my own path. Once I graduate, I will be the first person in my family with a bachelor's degree. I hope to inspire my younger brother to do the same. The opportunity to apply to grad school is one of the biggest privileges I have ever had. Continuing my education is important to me because it represents all the opportunities I have been given thanks to my parent’s sacrifices. I am hard working, driven, and will be a good fit in the Master's program in Clinical Psychology. I have always been interested in what makes people act in certain ways. The reasons as to why some deal with chronic depression while others bounce back quickly. I took introduction to psychology in high school and found it especially intriguing. However, it had never occurred to me to pursue it as a career until one of my best friends started going through a manic episode. She was always an upbeat person so her being extremely energetic and excitable, was not of much concern to me. What did cause my alarm was when she would get immensely down. One evening she called me...
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...Chapter 1 INTRODUCTION Background of the Study Addiction is a “primary, chronic disease, of brain reward, motivation, memory, and related circuitry”. Addiction is the uncontrollable seeking and overuse of an object. Addiction is not limited to objects; it could apply to certain activities and behaviors as well. Addiction can be classified into two types: “chemical and non-chemical”. The chemical type of addiction includes: drugs, alcohol, cigarette smoking, and the like. On the other hand, the non-chemical type of addiction includes: sex, shopping, computer, etc. We can encounter the different types of addiction if we study it. But if we talk about “addiction”, computer addiction is really similar to all other types of addiction because in computer addiction they have a common goal. This goal is to let their victims escape from their problems in real life. And the most common victims of computer addiction are the minor age. Technology has developed so much that it is almost crucial to have electronic devices particularly the personal computers at home, school, internet café, etc. Teenagers have gotten so used to have technology around them. However, while having these computers that make life easier, comfortable, and handy at most of the times, it could also have negative effects on their lives particularly in their studies when used too much. When these computers are used too much by these teenagers, they will develop a kind of addiction which is now commonly called...
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...weight stigma and bullying can have detrimental effects on a person’s psychological well-being. Depression, self-esteem, loneliness, and perceived stress were measured as a result of personal experiences with bullying, specifically concerning weight stigma and weight based bullying, in comparison to other forms of bullying (e.g., being shy, having freckles). University students self-reported about times when they experienced bullying using an online survey and also completed measures of current depression, self-esteem, loneliness, and perceived stress. Consistent differences in current psychological well-being were observed when comparing responses from students who had been bullied to those from students who had never been bullied. However, no significant differences were found when comparing students who reported being bullied for different reasons. These findings suggest that bullying for any reason can be detrimental to several aspects of young adults’ mental health, including depression, self-esteem, loneliness, and perceived stress. Keywords: body weight, bullying, depression, self-esteem, loneliness, perceived stress Levels of obesity have been on the rise in adults, adolescents, and in young children, tripling over the past 30 years (National Center for Chronic Disease Prevention and Health Promotion, 2010). According to the National Center for Chronic Disease Prevention and Health Promotion, in 2005-2006, 67% of adults were overweight, and 34%...
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...Cognitive behavioral therapy (CBT) is a psychotherapeutic approach that addresses dysfunctional emotions, maladaptive behaviors and cognitive processes and contents through a number of goal-oriented, explicit systematic procedures. The name refers to behavior therapy, cognitive therapy, and to therapy based upon a combination of basic behavioral and cognitive principles and research. CBT is thought to be effective for the treatment of a variety of conditions, including mood, anxiety, personality, eating, substance abuse, tic, and psychotic disorders. Many CBT treatment programs for specific disorders have been evaluated for efficacy; the health-care trend of evidence-based treatment, where specific treatments for symptom-based diagnoses are recommended, has favored CBT over other approaches such as psychodynamic treatments.[1] CBT was primarily developed through an integration of behavior therapy (the term "behavior modification" appears to have been first used by Edward Thorndike) with cognitive psychology research, first by Donald Meichenbaum and several other authors with the label of cognitive-behavior modification in the late 1970s. This tradition thereafter merged with earlier work of a few clinicians, labeled as Cognitive Therapy (CT), developed by Aaron Beck, and Rational Emotive Therapy (RET) developed by Albert Ellis. While rooted in rather different theories, these two traditions have been characterized by a constant reference to experimental research to test hypotheses...
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...A journey A “Mammy, how do people die?”. This very first sentence in the story is rather essential of the theme and interpretation of the novel. Not only does the question itself referee to depression and disillusionment but it also tells us about David and his way of thinking about life in general. The story starts in media res with a flashback followed by the actual situation with Mary driving her son home from the hospital after it seems as if he has had a minor depression. “The doctors called it depression”. David doesn’t want to talk with his mom in defiance to his Childhood, which we get to know as a time where David was chat-fully inclined. However, the relationship between Mary and David seems very tight and the fact that he sits in the backseat of the car instead of beside her just supports this statement. This could be due to the lack of presence from the parents side. In one of the many flashbacks we get to know of Davids childhood, which beard the stamp of the babysitter mrs. Redmond. David got a very special relationship with this woman and reckoned her as a second mother. It seems as if David reluctantly accepts the changing environments. The fact that David is constantly following his mother around and asking her questions points to a much more serious problem here. When David asks a lot of questions it's clearly an attempt to associate with his parents. Mary doesn't seem to understand this, as she just answers the questions randomly without thinking...
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...that my body is getting worn out. I realize that stress is part of everyone’s life with work, personal obligations so for me at this time I felt that doing some research on this topic could help me learn new ways to deal with the everyday stress in my life. With the reading assignment this week I learned that stress can cause your body’s to become sick more easily which in some cases could even cause death. At this time I feel that I have way too many people depending on me to become sick due to the stress in my life so it is something that I need to try and get a grip on it now. II. Website Summary I found a good website that tells about of stress is part of everyone’s life and that stress can be positive but it also can cause us chronic health problems. Some of the health problems are depression, heart disease, headaches, problems sleeping, and even sexual difficulties. The article also tells about if stress continues without any relief it can lead to a condition known as distress this condition can cause your body so many different types of problems. The article also gives helpful information on how to try and relief some of the stress that you are having. Like keeping a positive attitude, be assertive not aggressive, also by eating healthy, and exercise on regular basis. Tips for Managing Stress http://www.webmd.com/balance/guide/tips-to-control-stress III. Value Statement From the assigned reading and with the article that I found on stress management I feel that...
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...Running head: HAT Task 2 1 HAT Task 2 Anita Worley Community Health Practice March 27, 2013 Western Governor’s University A. Personal Perceptions As a Registered Nurse for thirteen years in an acute care hospital setting, I have tended to many dying patients. It is my personal belief that quality of life and health promotion are imperative to the care of the terminally ill patient. Personally, I am a big fan of palliative care nursing. The World Health Organization (WHO) defines palliative care as “an approach that improves the quality of life of patients and their families facing the problem associated with life-threatening illness, through the prevention and relief of suffering by means of early identification and impeccable assessment and treatment of pain and other problems, physical, psychosocial, and spiritual.” B. Strategies Improving Mrs. Thomas’ quality of life would comprise of assisting her with her increased level of pain, limited amount of emotional support, and financial concerns. Firstly, Mrs. Thomas’ physical comfort needs addressed immediately. As evidenced by the patient spending large amounts of her day crying in bed, her pain is not under control. As her nurse, I would listen to her fears about addiction, but discuss quality of life versus drug addiction. I would explain how once her pain is tolerable, she will be able to assume a more productive, engaged role in her own life. Secondly, addressing Mr. and Mrs. Thomas’ financial...
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...EITHICAL DELIMAS IN NURSING Green Group Shannon Blake, Sherri Dunn, Susan Brown, Tammie Hicks, Miriam Cook Grand Canyon University Nrs-437 November 7, 2015 Nurses have been playing very important roles in the caring of patients throughout the continuum of life and at the end of life for years. It is the position of the ANA that participation of nurses in euthanasia is prohibited as those acts are in contradiction of the code of ethics for nurses. Nurses have a duty to provide humane, comprehensive and compassionate care in respect to the rights of patients, but maintain the standard of the profession in the presence of chronic, debilitating illness and at the end of life. Voluntary euthanasia is the act of taking a life painlessly especially to relief suffering from an incurable illness, with the consent of a dying patient. Denying people such wishes can lead to unnecessary suffering. There are two types of euthanasia; involuntary, where patients refuse to consent and non-voluntary, patients unable to consent. Euthanasia can have great impact on the society. It affects everyone one way or another. Although a person has autonomy to make decisions about his end of life care doesn’t take away from the fact that their family and friends will be affected with guilt, anger and bitterness. Voluntary euthanasia can hamper efforts to advance medical research in finding cures for diseases (Saunders, 2011). As the nurse taking care of a terminally ill patient...
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....................................................3 3.0 Problem Statement..................................................................................................4 4.0 Data Collection........................................................................................................4 5.0 Data Management and Analysis..............................................................................5 6.0 The Protection of Human Rights.............................................................................6 7.0 Interpretation of Findings........................................................................................7 8.0 Conclusion...............................................................................................................7 References.....................................................................................................................8 Hemodialysis and Its Impact to end Stage Renal Disease Patients 1.0 Background to the Study The final stage of chronic kidney diseases is when the kidneys can longer support their functions; this is the end stage where organs are pronounced to have failed completely (Esra, 2013). The role of kidneys is to remove toxic excess water and toxic metabolic waste from the body. This stage is (ESRD), end-stage renal disease (Ronco, 2002). Hypertension and diabetes commonly cause ESRD; the end scene follows chronic kidney disease (Esra, 2013). Kidneys may continue to function for...
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...Pennsylvania John D. Teasdale Oxford University, England The learned helplessness hypothesis is criticized and reformulated. The old hypothesis, when applied to learned helplessness in humans, has two major problems: (a) It does not distinguish between cases in which outcomes are uncontrollable for all people and cases in which they are uncontrollable only for some people (univervsal vs. personal helplessness), and (b) it does not explain when helplessness is general and when specific, or when chronic and when acute. A reformulation based on a revision of attribution theory is proposed to resolve these inadequacies. According to the reformulation, once people perceive noncontingency, they attribute their helplessness to a cause. This cause can be stable or unstable, global or specific, and internal or external. The attribution chosen influences whether expectation of future helplessness will be chronic or acute, broad or narrow, and whether helplessness will lower self-esteem or not. The implications of this reformulation of human helplessness for the learned helplessness model of depression are outlined. Over the past 10 years a large number of experiments have shown that a variety of organisms exposed to uncontrollable events often exhibit subsequent disruption of behavior (see Maier & Seligman, 1976, for a review of the infrahuman literature). For example, whereas naive dogs efficiently learn to escape shock by jumping over a barrier in a shuttle box, dogs that first received...
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...Dependent Personality Disorder in Women Kimberly L. Johnson Abstract This paper will examine the DSM disorder of Dependent Personality Disorder in Women. The focus of this paper will be to highlight the differentiation, diagnosis and treatment of this specific pathological personality disorder. According to the DSM, Dependent Personality Disorder (DPD) is characterized by a pervasive and excessive need to be cared for by others that usually lead to clingy and fears of separation. In professional counseling it is critical that clinicians understand the root causes of DPD and how this disorder can manifest in women. This disorder can be found in both men and women, but research seems to suggest that women are more likely to suffer from this disorder. Therefore, understanding the pathology of DPD and its diagnosis and treatment will be critical to professionals working with women. This paper will also discuss how clinicians should be cautious when making diagnosis in women who present with DPD and knowing what gender and culture factors that exists. Dependent Personality Disorder in Women Clinical Definition of Dependent Personality Disorder According to the DSM-IV-TR (2000), Dependent Personality Disorder (DPD) is characterized by a pervasive and excessive need to be cared for by another person that usually lead to clingy and fears of separation. DPD as outlined in the DSM-IV-TR is considered the formal diagnosis of DPD needed for insurance, research, and communication...
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