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Intake and Referral Term Paper

… ¶ … Referral

Never mind if you fall far short of the thing you want to do, -- encourage your effort.

If no one else will say it to you, say it to yourself.

Not so bad."

It will make the next effort easier and better." (Robinson, 1926, 1996)

What I Do

Stop! my mind screamed, as several gunshots rang out. In the distance I saw a young woman running for safety. And then, from the corner of my eye, I saw Ben (name changed), one of my few friends, also running. The difference between where Ben and the young woman were running, however, changed my life... forever.

What the young woman ran away from, Ben ran straight to. Without regard for what would happen…. [read more]

People Feel More Comfortable Essay

… This means that any effort made by a particular individual and is not supported by other individuals is a wasted effort. On an organizational level there can be resistance to create a new department. They might term this move as wasteful and claim that there are no available and adequate resources to facilitate this change. This resistance means that it will be quite challenging to create the new department. On the other hand the organization might also refuse to collaborate with insurance companies therefore there can be problems when it comes to insurance payments and hence slow the process of patients being admitted into the facility. The insurance may also drag their feet in clearing the accrued medical bills and allowing the implementation of the…. [read more]

Business Ethics Our Patient Referral Company Fields Term Paper

… Business Ethics

Our patient referral company fields calls from clients with physical or mental disabilities and refers them to appropriate social workers, therapists, or doctors. The basis of the organization is highly ethical, as we do our best to match client and therapist and do not offer special treatment to any doctors. For the most part, our small office operates without any significant moral or ethical issues. Because we act as a tightly-knit community, we generally treat each other with respect and have created a healthy and diverse corporate culture.

However, I have also noticed some minor flaws in the moral practices of some company employees as well as of the company in general. First, the owners of the company remain distant from the employees.…. [read more]

Kidney Failure Term Paper

… Kidney Failure

The kidneys work to filter wastes from the human being's blood and works as well in regulation of the body. The kidneys additionally work to make hormones that keep the bones of the individual strong. When the kidneys fail treatment is needed to replace the work normally performed by the kidneys. Kidney failure results in a build up of harmful wastes in the body and generally the individual will experience a rise in blood pressure. As well the body will retain excess fluid and fails to produce enough red blood cells.

Clinical Assessment of Kidney Failure

Clinical assessment of Kidney Failure includes urine testing, blood testing, imaging testing including ultrasound and computerized tomography (CT), removal of a sample of kidney for testing or…. [read more]

Gerontology and Gerontic Nursing Practice Term Paper

… 1. As she suffers from osteoporosis, several mechanisms are at play in
Mrs. Wood's condition. The basic elements result from poor bone mass
accumulation during childhood combined with an acceleration of bone loss
adulthood, when peak bone mass has been achieved. One half of bone mass is
made during pre-puberty, with only minimal accumulation of minerals in the
teens and peak bone mass in the 20s. Mrs. Wood's rate of bone loss is
based more upon her lifestyle than her genes. Dietary calcium, vitamin D,
protein and calories impact on her development of osteoporosis. If she had
poor calcium intake in her childhood, this directly impacts her likelihood
of fracture in adulthood (Heaney, 1998). Mrs. Wood's calcium intake is
directly associated with bone mineral mass…. [read more]

Susan Marx Essay

… She reported that her drinking has not interfered with her ability to work. She has not experienced withdrawal symptoms other than an occasional headache or fatigue in the morning after drinking. CAGE assessment was 1/4 as she reported trying to cut back on drinking. Ms. Marx denied currently using illicit drugs but has smoked marijuana in the past the last time being three years ago.

Family Psychiatric/Medical History

Family medical history is remarkable for breast cancer (mother) and alcoholism (maternal uncle). She is unable to comment on the family history of her father. She knows of no formal psychiatric treatment or history in her family other than her own.

Military and Legal History

Ms. Marx has not been in the military service. She had a…. [read more]

Lack of Policy Protecting Children From Abuse Neglect Essay

… ¶ … Future Generation

Listen to any discussion of public policy and it won't take too long for you to hear somebody talk about how children are our most precious resource and how we have to do everything possible to protect them. And yet -- while these statements are unarguably true -- when it comes to funding and designing public policy, it is all too often children who find themselves ignored and mistreated -- not only by their caregivers, but by our social welfare system. This paper examines one possible way in which the harm that befalls children from neglectful and abusive caregivers might be mitigated. There are other possible ways, no doubt, to reduce harm to children. But this one has the advantages of…. [read more]

Caregivers of Those With Dementia Term Paper

… The weaknesses of the study reflects many of the strengths. The complexity of the data gathered and the depth to which it goes will make an analysis more difficult and additional time will therefore need to be spent on this issue. Those caregivers who are referred to the project will be those individuals that are already predisposed toward seeking out information on a particular condition. Consequently, the study will not be able to investigate those caregivers who for one reason or another do not readily seek out information.

Ethical Issues

There are always ethical issues to be considered when doing any study but there does not seem to be any actual potential for harm in this study. The participants of this research will be attending…. [read more]

Coffeetown Social Service Problem Essay

… However, these obstacles can be offset and battled by referring people to agencies when it is clear that they will or might need help from those agencies and things like pamphlets and taxi services (to address the second major issue, that being access to transportation) to help people get to and from would also help greatly since access to reliable transportation is obviously an issue for people that need social services. Metro transit, if available is also a good option and usually much cheaper than just about anything else available. Home visits by social service personnel are also an option of there are a lot of kids or older people involved as transporting either is a challenge, to be sure. The visiting person can let…. [read more]

Eating Disorder Is Characterized Research Paper

… The client comes into the counseling system either by voluntarily enrolling themselves in counseling, through a friend or family referral or expert advice at a health facility. For typical patients, there may be a history of visiting other systems of care since it is likely that the patient will seek other forms of medical treatment before visiting a counselor.

Role of social worker

As a social worker, the role played will be in the long-term care segment of continuum of care since treatment of the eating disorder falls under rehabilitative care. This is because CBT aims at reforming the individual's cognitive and behavioral issues in order to achieve the goals of treatment.

The social worker is quite different from other practitioners since the social worker…. [read more]

Hypertension Is Defined as Systolic Research Paper

… It also provides treatment guidelines for hypertension. The Dietary Guidelines for Americans, 2005, recommends an intake of no more than 1,500 mg/day. (Seventh Report of Join National Committee on Prevention, Detection, Evaluation and Treatment, 2003)

Despite various campaigns and an increase in awareness on the effects of hypertension, there still seems to be a deficit in the knowledge of, who is included in the high risk group. Effective legislatures need to be implemented to control the risk factors. Media and educational institutes can also help in building enough motivation amongst the public in avoiding these potentially harmful factors that prevent appropriate quality of life. Moreover, educational institutes can impart rules to prevent in campus smoking. They can also keep students focused on extracurricular activities, along…. [read more]

Prospective Research Is to Conduct a Single-Subject Case Study

… ¶ … prospective research is to conduct a single-subject study with a college-educated, professional, single, female client who suffers from post-traumatic stress disorder (PTSD) that is the result of sexual assault (date rape). The client's post-traumatic behaviors include engaging in alcohol abuse and sexual promiscuity as coping devices to address her symptoms of anxiety and depression. The client's sexual assault occurred when she was a college student, however, her PTSD has continued well into adulthood and she is now 40-years of age. The annual incidence rate of rape or attempted rape on college campuses is approximately 5% of women students ("American College Health Association," 2013; Kilpatrick, et al., 2007).

The association of post-traumatic stress disorder resulting from sexual trauma has been associated with alcohol abuse…. [read more]

Healthcare Integrity Essay

… But, despite the small scale overall it can add up to a lot of money. Healthcare agencies need to make sure that they are staying current with Medicare and Medicaid rules regarding admissions criteria.

The plan would have to make sure that referrals of patients were legitimate and not subject to any doctor fraud for kickbacks (ASLHA, 2010). The issue with self-referral is that doctors were sending patients to their own clinics for aftercare such as physical therapy (Hanford, 2001). Kickback laws refer to anyone who "knowingly and willfully offers, pays, solicits, or receives remuneration in order to induce business reimbursed under the Medicare or Medicaid programs" (ASLHA, 2010). The admissions policy would have to include language that specifically guarded against such practices and set…. [read more]

Business Mentoring Is a Critical Essay

… It should be made sure that one person should not be using the business clients for personal gains or for developing his own side business. The business dealings should be written down and the business representatives should not be let hold a meeting in closed doors or without letting other employees know who is meeting whom.

Glass walls are a big help in reducing the chances of theft and fraud. When things are done behind closed doors, nobody knows what cash and information was involved in the dealing. The management team should also not completely rely on the security cameras. The management should ensure that every person is fairly dealing in the business.

The business should follow the rule that not everyone should be allowed…. [read more]

Home Health Report Term Paper

… Internship Report -- Home Health Agency

Background of the Organization

The organization is a privately owned and operated home healthcare agency. It maintains two facilities serving different parts of large metropolitan area. The organization provides home health services to patients discharged from acute care clinics and hospitals with continuing needs for medical care at home beyond the capabilities of patients and their families to maintain. Agency personnel consist of approximately 40 certified nurse assistants (CAN), twelve registered nurses (RN), two physicians (MD), four office managers, and various administrative assistants and support office staff. Eight of the RNs employed by the organization actually deliver patient services; the other four work exclusively as field supervisors.

One-third of the agency's clients require acute nursing care for long-term management…. [read more]

Differential Diagnosis the Patient Case Study

… C. Counseling: The goals of psychotherapy are to identify any underlying hopeless and fearful thoughts, assist the patient overcoming feelings of loss of control and goal planning, setting self-management goals and following through on them.

D. Therapeutic techniques would include but not be limited to:

1. Cognitive Restructuring: Challenging behaviour and dysfunctional thoughts from a number of different viewpoints. Areas of concentration include but are not limited to: cognitions/feelings about past trauma; cognitions/feelings about relationships, her husband, and how she views these; views of the world and others; self-worth, self-efficacy; others as need to be addressed in therapy. Use a combination of CBT and dynamic methods such as redirecting, using transference, and dream interpretation to assist here.

2. Gradual Exposure and Mental Imagery Program: During…. [read more]

Depression, Diabetes and Obesity Research Paper

… ECT is of particular benefit in patients who have significant functional impairment or have not responded to various trials of combination treatments. This mode of therapy may also be used for individuals who have major depressive disorder with associated psychotic or catatonic features or in those who require an urgent response, for example, in patients with suicidal tendencies. (Gelenburg et al., 2010) The mode of active of ECT is unknown. In this somatic therapy, seizures are electrically induced in anesthetized patients for a therapeutic effect.

Psychodynamic therapy and problem solving therapies are less common models of help in depressive disorder. Psychodynamic therapy focuses on a person's subconscious mind and its processes. These processes affect a person's behavior. The aim of this mode of therapy is…. [read more]

Gestational Diabetes and African-American Women Essay

… It is important for women to become educated about this disease, it will help them to control their blood glucose during pregnancy and protect them after delivery. Women with gestational diabetes have a high risk of developing type 2 diabetes in the years after delivery. There are many risk factors for gaining diabetes; however developing gestational diabetes is a major predictor for the individual becoming diabetic. Minority women, especially African-American women are at greater risk for this disease. A lack of health care access is a contributing factor for minority women getting gestational diabetes. Health education is extremely important; it helps these women understand the disease and how to protect themselves from the disease. Diet and exercise is the most important variables for controlling or…. [read more]

Diabetes Term Paper

… Diabetes Type 2

Type 2 diabetes can be described a one of the most common forms of diabetes that exists today. It need to be understood that what happens to an individual when he suffers from type 2 diabetes is that he would not be able to produce enough insulin, which is needed for the body in order to be able to use sugar effectively, or perhaps his cells would ignore the insulin that his body is producing. It would help to remember the important fact that it is sugar that provides energy for the body, and unless the sugar is absorbed and taken in to the body and to the blood and thereafter to the cells by the insulin, the individual would suffer from…. [read more]

Health Literacy Essay

… Health Literacy

The nurse plays the most critical role in improving patient health literacy, because the nurse serves as a patient advocate. As Speros (2011) points out, "It is imperative that nursing responds to the call of creating a health literate society by taking an active role in health literacy research, education, and promotion (p. 321). The nurse is often the person to whim the patient goes when there are questions related to intake forms, insurance, or specific care issues like wound dressings or nutrition when the physician is unavailable. "Nurses have a professional and ethical obligation to communicate in a clear, purposeful way that addresses the unique information needs of each patient," (Speros, 2011, p. 321). Health literacy entails everything from being able to…. [read more]

Henderson a Cognitive Behavioral Study Essay

… Finally, Mr. Henderson appears to have developed a negative view of himself, the world, and the future -- the classic triad of negative beliefs according to cognitive psychologists (Beck, Rush, Shaw, & Emery, 1979). Counseling should address these negative beliefs and attitudes and have Mr. Henderson test these beliefs by means of discussions in the sessions and the use of homework assignments. Once Mr. Henderson use these beliefs as a rational the counselor can help Mr. Henderson concentrate on more rational and realistic beliefs about himself, other people, and his future.

Given the factors in this case it will be best to approach the case with the cognitive behavioral treatment plan. While the research has generally concluded that SSRIs and some other medications can be…. [read more]

Delegation Essay

… (Worster et al., 2005)

In order to have a positive outcome for the patient, the nurse supervisor should educate her staff regarding the role and responsibility of the members of interdisciplinary team. This can be achieved by arranging education programs, seminars and workshops for all the members of the team. This is helpful in making each member realizing and understanding the role and responsibility of other members and thus helps them to refer and recommend their patients freely to other health professionals within clinic. This will help in accomplishing a constant care for the clients within clinic.

Ms R. is thirty weeks pregnant young lady who have come in the clinic with the complaint of recurrent urinary tract infection. Now the family nurse practitioner is…. [read more]

Metatarsal Stress Fracture and Complications Thesis

… Metatarsal Stress Fracture and Complications

Because of the metatarsals' location, they are exposed to high stresses during many types of athletics, particularly those involving frequent jumping, pivoting, and repeated changes of direction. The metatarsals are susceptible to chronic stress-induced fractures from a combination of factors including foot anatomy, footwear, playing surface, specific maneuvers, previous injury to surrounding tissue, and more general variables such as frequency of sports activity.

Acute treatment involves the traditional use of rest, ice, compression, and elevation (RICE), the use of crutches, a gradual return to normal activities, and any necessary changes or augmentation to footwear. Generally, recovery is complete after nine weeks but complications from insufficient rest include increased trauma to the area and prolongation of total recovery time. With adequate…. [read more]

Consultant Pharmacists Impact Term Paper

… , 2001). This blood test also reveals the levels of LDL, HDL, and triglycerides; according to guidelines released by the National Cholesterol Education Program (NCEP), the optimal level for LDL cholesterol depends on whether you have heart disease or not and whether there are other risk factors present for heart disease (such as diabetes and high blood pressure) (Anderson et al., 2001). The optimal level for HDL for all people (healthy or otherwise) is a measurement higher than 60 mg/dL; low levels are 40 mg/dL and below (Anderson et al., 2001).

Adults with normal total and HDL cholesterol levels should have their cholesterol checked every 5 years (Anderson et al., 2001). Those being treated for hypercholesterolemia should have their cholesterol levels measured every 2 to…. [read more]

Description of the Core Functions of Addiction Counselors Case Study

… ¶ … clients and their presenting problems are unique in some way, the 12 core functions of an addiction counselor can help guide the intervention and case management process. This paper provides an overview of these 12 core functions of addiction specialists, followed by a personal interpretation of their meaning. In addition, a case summary of a young male adult, "David" who suffers from drug and alcohol addictions, is followed by an application of the first five of the 12 core functions of an addiction counselor to David's unique situation. Finally, a summary of the research and important findings concerning the 12 core functions of addiction counselors are provided in the conclusion.

Twelve Core Functions of an Addictions Counselor

Addiction counselors are consulted by people…. [read more]

Competency Evaluation in Sexual Assault Nursing Term Paper

… Competency Evaluation in Sexual Assault Nursing

The report of the U.S. Department of Justice Office of Violence Against Women entitled: "A National Protocol for Sexual Assault Medical Forensic Examinations: Adults and Adolescents" relates that: "Sexual assault can result in physical trauma and significant mental anguish and suffering for victims. Victims may be reluctant, however, to report the assault to law enforcement and to seek medical attention for a variety of reasons." (2004) This is because victims fear their assailants and worry that they may not be believed and they also feel embarrassed and lack easily accessible services. The U.S. Department of Justice Office of Violence Against Women reports the development of a protocol based on national, local and tribal experts input throughout the United States,…. [read more]

High Blood Pressure Awareness Proposal Term Paper

… High Blood Pressure Awareness Proposal

High Blood Pressure

High Blood Pressure (BP) awareness:

Being crowned as the 2007 Miss Nigeria in America - MNIA, I plan to undertake a High Blood Pressure Awareness as being my platform. I have chosen this issue of creating high blood pressure awareness since I have seen the impacts of having high BP, which caused me to lose my grandmother and my aunt, and now mother is a victim to it. Being an issue very close to my heart, I feel that I should do something really worth to create awareness about high blood pressure and its risk factors. ("High Blood Pressure," n. d.) High blood pressure leads to incidence and mortality evolving from coronary heart disease, stroke, and all…. [read more]

Eating and Cholesterol Term Paper

… ¶ … Eating Habits and Developing High Cholesterol Levels

Coronary heart disease (CHD) remains the leading single cause of death in the United States today, and elevated serum cholesterol is widely recognized as being the risk factor responsible for myocardial infarction and CHD death; furthermore, a growing body of research supports the acceptance of hypercholesterolemia being as a causal and treatable agent in coronary artery arthersclerosis (Baum, Jennings, Manuck & Rabin, 2001).. According to statistics released by the National Institutes of Health (NIH), approximately half a million Americans die each year from coronary heart disease (Adams & Jennings, 1993). To date, researchers have determined that controllable risk factors such as the level of physical inactivity, smoking, overweight or obesity, high blood pressure, high blood cholesterol,…. [read more]

Tackling Provider-Associated Barriers Concerning End-Of-Life Dementia Care Dissertation

… End-Stage Dementia

Addressing the Unmet Care Needs of End-Stage Dementia Patients through Provider Education: The Advanced Dementia EOL Planning and Prognosis (ADEPP) Tool

Acknowledgements and Credits: [? ] (will need permission from anyone being acknowledged)

Geraldine Bodven, [Academic Degrees], University of South Alabama

Funding: [grant numbers or funding information]

Corresponding Author: [name, institutional affiliation, current address, phone, fax, email]

Addressing the Unmet Care Needs of End-Stage Dementia Patients through Provider Education: The Advanced Dementia EOL Planning and Prognosis (ADEPP) Tool

While significant improvements in hospice utilization by dementia patients have occurred at the national level, not all communities have benefited. To better understand provider-associated barriers to hospice utilization, a descriptive study was conducted to evaluate the perceived clinical utility of an advanced dementia end-of-life planning…. [read more]

Mental Disorder Cases and Treatment Strategies Case Study

…  (Refer to Case #2)

a. Beck Depression Inventory

b. Inventory of Complicated Grief

c. Triage Assessment Form

d. The Behavioral Assessment Rating Scales

Since the client is having nightmare this is the best tool for diagnosing the client's symptoms. The tool assesses indicators for pathological grief. The client is suffering from bereavement-related depression and the best way to assess this would be by using this tool.

2 points   


1. Based on the available information, what is the most appropriate provisional DSM-5 diagnosis? Select the ONE most appropriate primary diagnosis. (Refer to Case #2)

a. Major Depressive Disorder, Single episode, Mild…. [read more]

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