...The Holistic Assessment: Psychological, Physiological, Cultural, Spiritual and Psychosocial Wilfredo Mamaril Sternberg College The holistic assessment is an essential component of quality care that allows a psychiatric nurse to identify, diagnose and treat their patients based on every individual’s specific needs. A comprehensive assessment of a client’s health across multiple dimensions, such as their physiological, psychological, spiritual, cultural and psychosocial domains, are important “prerequisites for formulating an appropriate nursing diagnosis and plan of care” (Carniaux-Moran) particular to each patient. This assessment is achieved through interviews and assessments between the nurse and the client that “[varies] according to the state of the participants and the context in which the interview takes place” (Carniaux-Moran). It assists a nurse towards a more proficient and thorough diagnoses. For one, it is vital to consider a client’s past and present physical condition in order to determine if any of these medical disorders have an impact on their mental health. For example, patients who present symptoms for some common psychiatric illness such as nervousness, irritability and insomnia, can actually be suffering from underlying medical condition such as hypothyroidism or low lithium levels. In order to overcome the shortcomings of the visual observation of symptoms, nurses often perform a medical workup to rule out organic illnesses and ensure that the client...
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...Introduction The bio-psychosocial assessment is an important document that develops a plan of action for all the work that follow in the clinical setting. Curtis and Christian (2012) mentions when assessments are conducted effectively, clients gain a better understanding of how they can play a role in their treatment process. Debb and Blitz (2010) noted that to aid patients in positive outcomes, clinicians must formulate a clear conceptualization of how a protracted medical condition affects the life course of their patient. The clinician or behavioral health care providers form a structured framework to identify symptoms of a medical or mental health condition through their assessments. Further, in the bio-psychosocial assessments dimensions...
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...in mind, the management of chronic illnesses like diabetes and its associated complications is expected to become even more complex and difficult, with the realization that much is to be considered in preparation to care for this age group. In this analysis using the term management, as it relates to the older adult, implies direct guidance to treatment that is both accessible and practical. Review of Literature To better understand management of diabetes as a concept in adults age 65 and older, a review of disciplines is necessary to offer clarity in obtaining a greater sense of knowledge of the burden this disease places on the patient. In examining this concept a review of literature from the disciplines of nursing, medicine and social science were selected to define the concept. Nursing Discipline Chia, Schlenk, and Dunbar-Jacob (2006) examined the non-adherence to medication regimens in the older adult patient that was linked to personal and cultural belief systems. The management through healthcare provider interventions that would address the...
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...profit-non-sectarian, and private funded organization Client Population: mostly 65 and over Catchment area: Includes many residents of Bergen-Hudson-Passaic County. Also patients from Hackensack Medical Center Regent Care Mission Statement Regent Care Center’s mission is to provide the best possible quality of care and quality of life for our long-term residents and sub acute patients. We are also committed to improving quality of life for our staff and family members of our residents. All staff, through team work and the interdisciplinary process, will provide the highest quality service compassion and respect to residents and their family members. The staff of Regent Care Center fulfills its mission and produces a first-class facility by practicing the key concepts on a daily basis: C= Commitment to residents, families, self, and career L= Leadership – setting a good example A= Attitude – positive at all times S= Service – only the best S= Support through team work Regent Care Center is a team of health care professionals committed to quality. Types of Care Offered: Sub acute Care (On the Road to Recovery) Offers short-term rehabilitation and complex medical care…treating a wide range of patients recovering from accidents, injury, surgery or...
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...Chapter 04: Social, Cultural, and Religious Influences on Child Health Promotion MULTIPLE CHOICE 1. Which term best describes a group of people who share a set of values, beliefs, practices, social relationships, law, politics, economics, and norms of behavior? a.|Race| b.|Culture| c.|Ethnicity| d.|Social group| ANS: B Culture is a pattern of assumptions, beliefs, and practices that unconsciously frames or guides the outlook and decisions of a group of people. A culture is composed of individuals who share a set of values, beliefs, and practices that serve as a frame of reference for individual perceptions and judgments. Race is defined as a division of mankind possessing traits that are transmissible by descent and are sufficient to characterize it as a distinct human type. Ethnicity is an affiliation of a set of persons who share a unique cultural, social, and linguistic heritage. A social group consists of systems of roles carried out in groups. Examples of primary social groups include the family and peer groups. PTS: 1 DIF: Cognitive Level: Remember REF: 44 TOP: Integrated Process: Nursing Process: Assessment MSC: Area of Client Needs: Psychosocial Integrity 2. Which term best describes the emotional attitude that one’s own ethnic group is superior to others? a.|Culture| b.|Ethnicity| c.|Superiority| d.|Ethnocentrism| ANS: D Ethnocentrism is the belief that one’s way of living and behaving is the best way. This includes the emotional attitude...
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...Final Project Psychosocial Assessment of a Film Character A psychosocial assessment is a tool used by helping professionals as a way to evaluate of a client’s mental, physical, and emotional health. Basically the assessment is a snap shot into the history of individual covering all aspects of his/her life. The questionnaire is then utilized to create an overall picture of the individual in order to help the client address the identified issues determine treatment goals. Watch one of the films listed below and choose one of the following characters as the basis for your psychosocial assessment, theory-based analysis, and treatment plan: The Color Purple -(this is also a book by Alice Walker). This film/book depicts intergenerational processes in an African American family. The psychosocial assessment should be on the character Celie. On Golden Pond – The story of a family in different developmental stages, learning the complexities of forging, maintaining and repairing relationships. The psychosocial assessment could be on either Norman or Chelsea. My Girl- An 11 year-old girl struggles with grief and friendship as she comes of age. The psychosocial assessment should be on the character Vada. Antwone Fisher- In order to move forward, a Navy man must confront his difficult past with the help of a psychiatrist. The psychosocial assessment should be on the character Antwone. Goodwill Hunting- This film portrays a gifted young man and his struggles to find...
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...Axis I Clinical Disorders Other Conditions That May Be a Focus of Clinical Attention Axis II Personality Disorders Mental Retardation Axis m General Medical Conditions Axis IV Psychosocial and Environmental Problems Axis V Global Assessment of Functioning Appendix 4.5 Page 1 of 3 Brief explanation of a 5 Axis Diagnosis from Mental-Health-Matters website. For further information on mental health disorders, refer to the DSM-IV or find many good resources available free from the National Institute of Mental Health website at http://www.nimh.nih.gov/. The diagnosis that is made is standardized according the Diagnostic and Statistical Manual of Mental Disorders, 4th edition (DSM-IV). With this manual, there is a 5 Axis system of diagnosis that is used. The five axes are as follows: Axis I: Clinical Disorders This includes: • Disorders usually diagnosed in infancy, childhood or adolescence (Autism, ADHD, Etc.) • Delerium, dementia and other cognitive disorders (Dementias, Alzheimer's Disease, etc.) • Mental disorders due to a general medical condition • Substance-related disorders (such as alcohol or drugs) • Schizophrenia and other psychotic disorders • Mood disorders (Depression, Bipolar) • Anxiety disorders • Somatoform disorders (Conversion Disorder, Hypochondriasis, etc.) • Factitious disorders • Dissociative disorders (Dissociative Identity Disorder, etc.) • Sexual and gender identity disorders • Eating disorders...
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...the life course. Practitioner are required to take into consideration ‘typical age-related physical, cognitive, social, emotional and behavioural development over time, accepting that normative developmental tasks are different for each individual depending on the interaction for: health, environmental and genetic factors. Assess the influence of cultural and social factors on child development, the effect of different parenting styles, and the effect of loss, change and uncertainty in the development of resilience’ (Department of Education, 2014 p4). The family observation has been an opportunity to identify the theories that I could like to each observation. Munro’s review of child protection also supported the notion that practitioners should understand child development (Department of Education, 2011). Observation skill allow social work practitioners to understand the non-verbal communication. Providing an opportunity to develop hypotheses what is happening, why, and to establish if our perception against what others believe (Trevithick, 2012). In accordance with the Key Skills and Knowledge this statement encourages practitioners to have multiple hypothesis and differentiating...
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...Chelsea McKoy Psychosocial Aspects of Aging PM 738 Long Island University Table of Contents Introduction 3 Background 4 Cultural Background 5 Health Status 6 Community Programs and Resources 7 Psychosocial Well Being 8 Conclusion 9 References 10 Introduction Since the beginning of the 20th century, life expectancy has increased in the developed world more than in all of recorded history prior to 1900. The elderly population in the United States is growing. Today, over 35 million persons are 65 years of age or older, accounting for about 13 percent of the population. According to the Administration on Aging (AOA) (2014) in the year 2030, their numbers will more than double resulting in one in every five Americans being over 65. As scientists and doctors find new ways to cure illnesses, more people are living longer lives. In fact, the fastest-growing age group in the U.S. is the 85 years and older group. This group now represents about 40 percent of the elderly population (AOA, 2014). The process of aging for elders 65 years and older often involves a number of progressive physiological changes. Within the context of these changes, and often related to them, prominent issues of psychological and social adjustment emerge. Such issues include coping with declines in physical and functional abilities, changing social relationships and roles, and dealing...
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...Journal Posting 3 When I was an intern with Communities In Schools, I remember few situations that became unintentionally comic, so, as a result, I had to excuse myself from the office in order not to burst into laughter. However, at Stone Oak Care Center, I experienced something totally different when a long-term resident told me how much she missed her family, especially her only daughter. I had learned from the nurses a week before that she has had no visitors, and they have never seen any family member asking for that resident. Her loneliness and sadness were so overwhelming and tangible that brought tears to my eyes and I had to excuse myself to another room. Observing Resident Council Meeting was a great learning experience for me...
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...Case Manager Job Description: To provide ongoing support and expertise through comprehensive assessment, planning, implementation and overall evaluation of individual patient needs. The overall goal of the position is to enhance the quality of patient management and satisfaction, to promote continuity of care and cost effectiveness through the integrating and functions of case management, utilization review and management and discharge planning. Has accountability for the care, coordination and discharge planning of all patients. This position is accountable to the Director of Case Management. QUALIFICATIONS Associate degree in healthcare related field preferred. Bachelor’s degree is preferred. Licensed professional nurse may be considered. Bachelors or Masters degree in related healthcare field (such as respiratory therapy or social work) may be considered. Minimum of two (2) years of utilization review/case management experience or social work experience. Minimum of one (1) year experience in discharge planning from a hospital is preferred. Maintain current professional licensure in nursing or professional field of certification. Appropriate certification in case management preferred (e.g., Commission for Case management Certification (CCMC); Association of Rehabilitation Nurses (ARN)). SUMMARY OF MAJOR AND ESSENTIAL FUNCTIONS Provides hospital case management/utilization review and discharge planning to assure that the patient progresses through the continuum of care and is...
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...accidents can cause severe physiological consequences, mainly when they result in injuries to the nervous system (Smith, 2018). In this essay, I will focus on a case study of a motorcycle accident victim who is experiencing a loss of sensation and control in the lower half of their body. My essay aims to provide insights into this debilitating condition through a detailed physiological analysis, assessment, and recommended corrective measures. Dissecting the Physiology of Motor Sensation Impairment & Assessment to Identify the Problem. According to Mayo Clinic (2021), In the unfortunate...
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...During my first year I had the opportunity to work with children, families, and elderly populations. My first internship started at California Children’s Academy where I provided families with services such as behavioral and speech therapy for children, legal aid, and housing. Through these referrals, I provided concrete information as to where to apply for these services. I also conducted psychosocial assessment on children with developmental, speech or behavior disabilities by providing individual play therapy for children age two to four. After working with this agency for the semester, I noticed that I wanted to work with a population that has a stake in their wellbeing rather than working with parents of the children. I wanted to work with clients that took responsibilities with their own lives. So, second semester I transitioned into interning at City of Pasadena Public Health Department. Within this organization, I assisted the program director in developing and strengthening the new healthy aging and wellness program for clients visiting the Jackie Robinson and Villa Parke Community Centers. As an intern, I conducted Department of Mental Health psychosocial assessments for older adults seeking individual counseling and organized and co-facilitated a support group in stress management and coping skills. Through this process, it was a challenge...
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...accidents can cause severe physiological consequences, mainly when they result in injuries to the nervous system (Smith, 2018). In this essay, I will focus on a case study of a motorcycle accident victim who is experiencing a loss of sensation and control in the lower half of their body. My essay aims to provide insights into this debilitating condition through a detailed physiological analysis, assessment, and recommended corrective measures. Dissecting the Physiology of Motor Sensation Impairment & Assessment to Identify the Problem. According to Mayo Clinic (2021), In the unfortunate...
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...In 2008, the Institute of Medicine (IOM) report, “Cancer Care for the Whole Patient: Meeting Psychosocial Health Needs highlighted a need for addressing psychosocial issues and distress in cancer patients. Furthermore, DiMatteo MR, Lepper HS, Croghan TW (2014) found that depression is a risk factor for noncompliance with medical treatment. Carson, Walson and Mitchel (2012) discuss the stressful nature of having a cancer diagnosis and how stress interferes with a patients ability to cope with cancer and subsequent treatments. Unresolved distress can lead to treatment nonadherence, increased medical costs and negatively impact survival ( Screening and management of distress web site) The authors define stress as complex with emotional and...
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