SoCW-6060 & 6443-WK6-Responses

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RESPONSE 1
·       Respond to at least two colleagues by expanding on their posts with an explanation of the bicultural conflict and tension, experienced by both the social work intern and Helen, as a result of their ethnic and racial identities.
·      Then, explain how you, as a social worker, might address Helen and her family’s bicultural socialization needs, given what your colleague described.
Colleague 1: Lea
Introduction
In order to provide competent and effective care, the social worker must be able to adapt and personalize treatment to the individual. When working with individuals from different ethnocultural backgrounds, a balance between cultural sensitivity and empirically proven methodology must be found and utilized (Bernal, Jiminez-Chafey, and Rodriguez, 2009). In the case of The Petrakis Family (Plummer, Makris, and Brocksen, 2014), the social worker is faced with providing services to Helen Petrakis taking into account her Greek heritage, culture and belief systems.
Helen’s Cultural Influences:
For Helen, family is “everything.” She reports the social work intern a number of identifiers of her ethnic identity. She states that she is Greek and practices the Greek Orthodox religion. From there she expresses her cultural practices by explaining that she, as the mother, is the primary caregiver to her husband, her children, and her mother-in-law.  In addition to caring for the family, she also holds down a full-time job and cooks and cleans.  She also relates to the intern that she and her husband support their adult children because they do not believe in taking money from them. Helen does not seem to think this is anything other than “how things are done.”
Intern’s Perception of Helen
The Intern appears to be surprised by the many roles that Helen plays in her family. She states that she understands why Helen would be showing symptoms of being overwhelmed. Though we are not informed of the cultural background of the social work intern, it is made clear that she is surprised by the cultural practices related by Helen. She is most likely a “modern” woman subscribing to the Anglo-based norms, values, and customs of the ethnic minority. It might be assumed that the intern was raised in a society where children are not supported by their parents indefinitely, working women share family responsibilities with their partners, and aging parents are cared for in retirement homes, or by in-home care. Those values held by Helen and her family are devalued by the dominant culture (the intern), therefore a “deficiency formulation” between the intern and Helen that may affect the efficacy of services provided to Helen (Robbins, Chatterjee, and Canda, 2012).
Dual Perspective Model
The social work intern will have to address Helen’s issues in a way that is in line with her cultural and ethnic identity while alleviating the stress and anxiety she is experiencing. In this case, the social work intern can utilize the Dual Perspective model to assist Helen in overcoming the obstacles she faces. Applying assessment skills in order to gain an understanding of the norms, values, and behaviors, as understood by Helen, will inform both the intern and Helen of the expectations she has placed on her by herself, her family, and her ethnic community. Another skill of importance will be assisting Helen to identify her nurturing (family, immediate community) and sustaining (society, educational, service) support systems so that she and Helen can advocate for and work toward additional services to assist in filling in the gaps. Furthermore, the intern can help identify skill building opportunities such as educational programs and cultural studies to help Helen “develop the flexibility necessary” to manage her cultural beliefs while caring for herself as well (Robbins, et. al., 2012).
References:
Bernal, G., Jiminez-Chafey, M. I., & Domenech Rodriguez, M. M. (2009). Cultural adaptation of treatments: A resource for considering culture in evidence-based practice. Professional Psychology: Research And Practice, 40(4), 361–368.
Plummer, S.-B., Makris, S., Brocksen S. (Eds.). (2014). Sessions: Case histories. Baltimore, MD: Laureate International Universities Publishing.
Robbins, S. P., Chatterjee, P., & Canda, E. R. (2012). Contemporary human behavior theory: A critical perspective for social work (3rd ed.). Upper Saddle River, NJ: Allyn & Bacon.
Collegue 2: Dalicia
A summary of the cultural influences depicted in the video and explain how Helen and the intern’s ethnic and racial identities might be relevant to their interaction.  In the video Helen stated that she is from a Greek family that is very family orientated which means that Helen is the one that supposed to take care of everyone when they need help or is sick. Helen does seem overwhelm but is okay with being overwhelm because she is helping her family out. This may cause a concern with their interaction because the intern may not come from a culture where one individual has to take care of everyone and everything.  Having this concern can cause a disagreement between the intern and Helen because Helen may feel that what she is doing for her family that the intern should understand but due to the intern culture she may not be able to understand.
 Explain any video evidence of the intern’s perception of Helen’s culture and further explain how the intern’s cultural perception might reflect her level of intergroup competence.  From the video the intern really do not know anything about the Greek culture so her perception of Helens culture is not clear. Due to intern perception of not being clear in the video it was observed that the intern was trying to write down everything Helen was saying even the things that may not have been important and not really hearing what Helen is actually saying (Laureate Education, 2013). Also feel that since the intern do not know anything about the culture it would be hard for the intern to adapt to Helen issue and family base on the intern own values and beliefs.
 Explain what social work skills the intern might use to apply the dual perspective model in her approach to Helen.Robbins, Chatterjee, & Canda (2012) stated that “theterm culture change has traditionally referred to the modifications, revisions, and new manners of expression that result from the process of interaction between cultures.”One social work skill the intern need to use to apply the dual perspective model in her approach with Helen is to first get an understanding of the Greek culture their history and background. This would help the intern understand Helen more and have more understanding about Helen family. Also the intern should also reframe from being bias and have an open mind; every culture is not the same. Another social work skill the intern should use is to ask questions especially questions for the things she do not understand; just agreeing with the client will make it hard to help the client without having a clear understanding.
Reference
Robbins, S. P., Chatterjee, P., & Canda, E. R. (2012). Contemporary human behavior theory: A critical perspective for social work (3rd ed.). Upper Saddle River, NJ: Allyn & Bacon.
RESPONSE 2
Respond to at least two of your colleagues’ posts from the opposite group about their treatment choice by:
·       Discussing any additional important information that should be considered
·       Suggesting an alternative therapy and supporting your suggestion with evidence from the Learning Resources or other scholarly sources.
Colleague 1: Dawn
Treating Psychotic Disorders
In the case of Ralph who was diagnosed with Schizophrenia, he began to gain a lot of weight and what he thought was a tick (Tardive Dyskinesia, 2017). Taking antipsychotic medication for long periods of time can cause tardive dyskinesia (Tardive Dyskinesia, 2017). Tardive dyskinesia will cause random movements of muscles in different parts of the body (Tardive Dyskinesia, 2017). Some treated with antipsychotic medications will see the sign of Tardive Dyskinesia when taking Merrill for long periods of time (Tardive Dyskinesia, 2017). The current psychiatrist can test for this with “The Abnormal Involuntary Movement Scale” first they can decrease the medication they are currently taken (Tardive Dyskinesia, 2017). If that does not work then try and switch the medication to a milder medication such as Abilify (What Is Abilify ?, 2017).
Potential negative side effects with any of the antipsychotic medication are side effects and may not be right for the person. Most of the medication can cause side effects finding the right medication that will work for the person. Outweigh the person symptoms and the side effects to find the right treatment for them. Identify symptoms that may not be relieved by this treatment because Ralph continued to get the side effects and symptoms when off the medication. It seems as he should be on a medication if the symptoms are increasing worse but he needs to weigh the developing side effects of the Tardive Dyskinesia. Clinically with medication along with psychotherapy have shown to be more effective (Preston, O’Neal, Talaga, 2017).
One potential ethical concern related to Ralph’s treatment the Centers for Disease Control (2012) and Prevention research shows too often a client was inappropriate prescribed (Smith, 2012 ). Ralph could have given a test to see if the medication was given him negative effects related to the medication long before he started showing signs. Not to over prescribe or use lesss alternative medications for mental health (Smith, 2012).  The role of a mental health professional when the patient is stabilized on their medication is to monitor and give the “The Abnormal Involuntary Movement Scale” on a yearly basis. Also to ask questions and ensure the patient is taking the medication as prescribed. Also to monitor if there is anything else going on and they are not inappropriate prescribed medication.
 References
Laureate Education (Producer). (2012g). Psychotic disorder case study: Ralph [Video file]. Baltimore, MD: Author.
Lieberman, J. A., Stroup, T. S., McEvoy, J. P., Swartz, M. S., Rosenheck, R. A., Perkins, D. O., … Hsiao, J. K. (2005). Effectiveness of antipsychotic drugs in patients with chronic schizophrenia. New England Journal of Medicine, 353(12), 1209–1223.
          Retrieved from the Walden Library databases.
Preston, J. D., O’Neal, J. H., & Talaga, M. C. (2017). Handbook of clinical psychopharmacology     for therapists (8th ed.). Oakland, CA: New Harbinger.
Colleague 2: Amber
 Antipsychotic are potential dopamine blockers and were called neuroleptics and caused neurological issues these were the first generation of antipsychotics, the second generation of antipsychotics cause minimal neurological issues and have been known to reduce the extrapyramidal effects by incorporating a less potent antipsychotic (Preston, O’Neal, & Talaga, 2017). Perphenazine is an alternative that can be given to Ralph; it is a second generation antipsychotic that is used to treat schizophrenia. The benefit is perphenazine given in low dosage has the potential to be as effective as the first generation of antipsychotics but does not have as harsh of side effects (Preston, et. al, 2017).  This would be helpful to Ralph who still wants the tics to stop. Perphenazine helped diminish the frequency of extrapyramidal side effects (Lieberman, et al., 2005). 
There are as with any medication the possibilities of side effects. The side effects of perphenazine include arm or leg jitters, confusion, seizures, drowsiness, and weakness. There is always the potential that the antipsychotic medication will have a negative impact on the person and make the schizophrenia symptoms worsen( Lichtblau, 2011). There is also the possibility of unpleasant withdrawal symptoms for those individuals who may have taken perphenazines for a long period of time (Preston, et al, 2017). 
A mental health professional can use this information to help the client make an informed decision regarding the use of this medication. It is the responsibility of the mental health care professional to make sure the client has all the information needed to make the best decision based on accurate information (NASW, 2013). 
The mental health professional should communicate with other professionals but only when a written consent form has been signed by the client. Upholding the client’s right to privacy is very important and obtaining permission to release information to other health care providers is just as important. This communication can help ensure the client is getting the best treatment and that all the professionals are on the same page. This can help eliminate possible medication interactions and reduce side effects (Lieberman, et al, 2005). 
References
Lieberman, J. A., Stroup, T. S., McEvoy, J. P., Swartz, M. S., Rosenheck, R. A., Perkins, D. O., … Hsiao, J. K. (2005). Effectiveness of antipsychotic drugs in patients with chronic schizophrenia. New England Journal of Medicine, 353(12), 1209–1223. 
Lichtblau, L. (2011). Psychopharmacology demystified. Clifton Park, NY: Delmar, Cengage Learning.  Chapter 4, “Antipsychotic Pharmacotherapy” (pp. 51–62) 
Laureate Education (Producer). (2012g). Psychotic disorder case study: Ralph [Video file]. Baltimore, MD: Author.
National Association of Social Workers. (2013).  Code of ethics of the National Association of Social Workers  Washington, DC.  NASW Press.
Preston, J. D., O’Neal, J. H., & Talaga, M. C. (2017). Handbook of clinical psychopharmacology     for therapists (8th ed.). Oakland, CA: New Harbinger
Manag. A.J.(2005). Anxiety Disorders in the 21st Century: Status, Challenges, Opportunities, and Comorbidity With Depression
****EACH RESPONSE NEEDS TO BE 1/2 PAGE****The post SoCW-6060 & 6443-WK6-Responses first appeared on Nursing School Essays.

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define moral hazard, adverse selection, and cost-shifting

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LECTURE
Unit Objectives
After completing this unit, you should be able to
define moral hazard, adverse selection, and cost-shifting
identify the major public programs for the financing of health care
compare and contrast Medicare and Medicaid
list and describe the four sub-programs of Medicare
describe different reimbursement approaches for health services
Unit LectureWhen asked how health care services are paid for, many of us think immediately of health insurance. However, we typically don’t think about the dynamics behind health insurance or the various types of programs through which it is delivered. At its most basic level, health insurance is a tool for mitigating risk. An individual purchases health insurance to mitigate the risk of having to pay an enormous medical bill in the event of sickness or injury.
Those who provide health insurance—insurance companies—also work to mitigate risk, albeit from the other side. They attempt to create a risk pool containing a large number of healthy people to offset the expenses accrued by those who do get sick or injured. Premiums, the fees paid for ownership of health insurance, are used to subsidize the cost of the health care provided to those who use the insurance.
Factors that insurance companies need to be mindful of include moral hazard, whereby an insured individual is more prone to seek care than if he or she were paying the medical bill him- or herself; and adverse selection, whereby insurance is mainly purchased by those most in need of it. As with any financial enterprise, if the costs of providing the product or service exceed the revenue, the company goes out of business.
There are several types of insurance programs, both public and private. Together, these programs cover not only individual health services, but public health services, research, and the administration of the delivery and financing of health care in the United States. The majority of public and private expenditures—approximately 81 percent—are directed toward hospital care, provider and clinical services, long-term care, and prescription drug provision (Kovner & Knickman, 2011).
As mentioned in the week 4 lecture, health insurance is a relatively new mechanism for financing health services, and it has grown substantially since the mid-1900s, when only 9 percent of the US population had health insurance (Blumberg & Davidson, 2009). Health insurance can be broken down into private and public insurance.
Private health insurance is primarily employment-based, meaning that individuals receive coverage through commercial health insurance plans for which their employers either pay the premiums or subsidize them, with the employee paying the balance.
Some larger employers choose to self-insure, which means that they administer their own plans and accept the financial risk of doing so. In essence, they act as the insurer of their employees.
Some individuals, either through necessity or choice, opt to purchase their own private insurance coverage through a commercial insurance company or to remain uninsured and accept the risk.
Public health insurance is funded by the government and plays a significant role in the health care system. There are several public programs; two of the most prominent are the Medicare program, created through Title 18 of the Social Security Act of 1935 (SSA), and Medicaid, created through Title 19 of the SSA. Both programs are operated by the Centers for Medicare & Medicaid Services (CMS), a division of the U.S. Department of Health & Human Services (HHS).
Medicare is a federally funded program that finances services for people aged 65 and older, people under the age of 65 who have certain disabilities, and people with end-stage renal disease (CMS, 2014). Medicare has four sub-programs: Part A, which covers hospital inpatient services; Part B, which covers provider services and outpatient care; Part C, an optional managed care plan in which beneficiaries can participate; and Part D, which provides prescription drug coverage.
Medicaid is jointly funded by the federal government and each state government. Consequently, there is variation within the program from state to state in terms of eligibility and benefits. Although the states have a certain degree of control over the eligibility criteria, federal law mandates that coverage be available to individuals in families with an income below 133 percent of the federal poverty level. The federal government also sets nonfinancial criteria, such as that coverage apply to those enrolled in the Supplemental Security Income (SSI) program (CMS, 2014).
Some of the federally mandated services provided by Medicaid include inpatient and outpatient services; surgical dental services; nursing facility services for beneficiaries aged 21 and older; and preventive, diagnostic, and treatment services for children. Information on the impact of the ACA on Medicaid eligibility can be found on the Medicaid eligibility website.
Medicare and Medicaid are not the only publicly funded health programs. There is the Children’s Health Insurance Program (CHIP), which is instrumental in financing health services for uninsured children; the Military Health System (MHS), which provides health services to active-duty and retired members of the uniformed services as well as their dependents; the Veterans Health Administration (VA), which provides care to veterans; and the Indian Health Service (IHS), which provides health services to members of American Indian and Alaska Native tribes and their descendants.
Each private and public insurance program has a unique relationship with the health care providers who participate in that program. Each program also has its own methods of determining reimbursement rates for services provided. This week, we’ll discuss not only the basic dynamics of health insurance, but the various types of private and public insurance, the various reimbursement approaches, and some of the ways in which the ACA will impact the financing of health care in the United States.

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Where is the heart located in relation to the lungs?

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Anterior to and medial to the lungsThe post Where is the heart located in relation to the lungs? first appeared on Nursing School Essays.

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Distinguish the role as clinical or non-clinical and how it promotes patient safety according to the NPSGs.

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For this assignment, you will research an Nurse Practitioner role and summarize your findings in a 3- to 5-page paper (excluding the title page, references and appendices):
•Focusing on the specialty for which you were admitted to South University, select an advanced nursing role to research (Nurse Practitioner).
•According to the NPSGs (National Patient Safety Goals), distinguish the role as clinical or non-clinical and how it promotes patient safety.
•Find two research articles and one expert opinion article about this role, and summarize the articles in a 3- to 5-page paper.
•The articles must be current (not more than five years old).
•Format your paper, citations, and references using correct APA Style.
Note: For information on how to use the library, you can access a tutorial from the Academic Resources tab under Course Home.
Assignment 4 Grading Criteria
1. Described the advanced practice nursing role (Nurse Practitioner) from South University.
2. Distinguished the role as clinical or non-clinical and how it promotes patient safety according to the NPSGs.
3. Summarized two research articles.
4. Summarized one expert opinion article.
5. Wrote in a clear, concise, and organized manner; demonstrated ethical scholarship in appropriate and accurate representation and attribution of sources; and displayed accurate spelling, grammar, and punctuation. APA format was used.

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Why are there dietary restrictions for someone prescribed an MAOI?

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Dietary restrictions
Please answer the above question please you tech terminology and professional articles,etc I need 2 references from outside sources.
These are the books we are using
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders: DSM-5. (5th Ed.). American Psychiatric Association.
American Psychological Association (2020). Publication manual of the American Psychological Association (7th ed.). American Psychological Association. https://doi.org/10.1037/0000165-000.
Stahl, S. (2021). Stahl’s essential psychopharmacology: Neuroscientific basis and practical application. 5th Ed. Cambridge University Press.
Stahl, S. (2021). The prescriber’s guide: Stahl’s essential psychopharmacology. 7th Ed. Cambridge University Press.
Stern, et al., (2018). Handbook of general hospital psychiatry (7th Ed.). Saunders

 

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Environmental Factors and Health Promotion Presentation: Accident Prevention and Safety Promotion for Parents and Caregivers of Infants

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Pediatrics assessment
Class Introductions
Topic 1 DQ 2
Environmental Factors and Health Promotion Presentation: Accident Prevention and Safety Promotion for Parents and Caregivers of Infants
Shadow Health: Digital Clinical Experience Orientation
Topic 1 Participation
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Topic 2 DQ 1
Topic 2 DQ 2
Developmental Assessment and the School-Aged Child
Developmental Assessment and the School-Aged Child
Start Date & Time
Rubric
View Rubric
Assessment Traits
Requires Lopeswrite
Assessment Description
The needs of the pediatric patient differ depending on age, as do the stages of development and the expected assessment findings for each stage. In a 500-750-word paper, examine the needs of a school-aged child between the ages of 5 and 12 years old and discuss the following:
Describe the different physical characteristics/findings within the school-aged child. Explain how you would modify assessment techniques to match the age and developmental stage of this child.
Choose a child between the ages of 5 and 12 years old. Identify the age of the child and describe the typical developmental stages of children that age.
Applying developmental theory based on Erickson, Piaget, or Kohlberg, explain how you would developmentally assess the child. Include how you would offer explanations during the assessment, strategies you would use to gain cooperation, and potential findings from the assessment.
You are required to cite a minimum of three peer-reviewed sources to complete this assignment. Sources must be published within the last 5 years, appropriate for the assignment criteria, and relevant to nursing practice.
Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion
Calendar
Weeks
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This TMA requires you to do a brief literature review in order to get familiar with empirical research in finance. First, you have to choose a research topic.

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Learning Outcomes
The following learning outcomes will be assessed in TMA 01:

Select, access and evaluate relevant published research and information across a range of areas relevant to finance theory and its application, through the OU library and other web-based resources
Carry out a review of finance literature
Develop digital scholarship skills by finding, using, managing and sharing information and literature using digital resources
Identify and understand relationships within the data
Design an empirical research methodology to explore a finance research problem
Identify relevant theories in the finance literature
Distinguish and choose amongst the range of methods available for the collection of evidence (data) and understand the characteristics of this evidence.

 
Questions (100 marks)
Introduction
This TMA requires you to do a brief literature review in order to get familiar with empirical research in finance. First, you have to choose a research topic. There are no restrictions in your choice. This topic could be a

theme from finance you find interesting;
something that you encountered during your studies in the MSc in Finance and found intriguing, or
a research question related to your professional experience.

Once you have decided on a research topic, use the OU Library Resources to identify three research papers relevant to it. These research papers could be quantitative research studies, qualitative research studies, or a mix of both. They could even be a purely theoretical analysis of your research question. Please make sure that you choose research studies that you can follow and understand. If there is some technical analysis in the papers, make sure that you are able to discuss the main points and empirical findings.
Using quotations and a proper referencing style (e.g. OU Harvard referencing system), which ought to be applied consistently throughout your answer, prepare an essay that answers the following questions:

Offer a brief outline of your chosen research topic and explain why its study is important (motivation).

(15 marks)

Based on the studies you have identified, explain which methodology could be considered the best for the investigation of the research topic.

(15 marks)

Summarise the main argument, the dataset (if any), and the main findings of the three papers you chose. Do they agree or disagree? Do they offer conflicting evidence? Explain your answer. .

(30 marks)

Critically assess your discussion in question (3). Which studies do you find inadequate and which arguments/evidence do you find more convincing? Explain your answer.

(20 marks)

If you decide to investigate this research topic, what would be your main research question? Would it be a qualitative or quantitative project? How would you design your data collection? Explain your answer.

(20 marks)
(Total 100 marks)
 

 

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Reflecting on your progress with drafting DNP Proposal Defense PowerPoint slides for Chapter One, what aspect of the process do you find most challenging?

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Module 5 Journal Quiz Question
Journal Quiz Question: Reflecting on your progress with drafting DNP Proposal Defense PowerPoint slides for Chapter One, what aspect of the process do you find most challenging?
Why? What strategies are you putting in place to address the challenges?

 

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Week 6 Assignment: Evidence-Based Practice Change Process

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Week 6 Assignment
Download the EBP Change Process form Links to an external site. during Week 1. The use of this specific form is REQUIRED
Use the instructor feedback from the Week 2 Check-In (clinical topic and PICOT) as the foundation for developing your change process.
Locate a systematic review on your topic from the Chamberlain Library. Be sure this involves nursing actions.
Work through each step of the ACE Star Model as outlined on the assignment form (Star Points 1-5: Discovery, Summary, Translation, Implementation, and Evaluation). Respond to the instructions provided on the form.
Follow the activities and thinking of Nurse Daniel in Weeks 1-6 in the ‘Illustration’ part of each lesson. He will be working through a clinical topic and nursing practice issue to demonstrate a change (ACE Star Model and systematic review).
Work on a portion of the process each week, as the illustration unfolds.
 
Best Practices
Please reach out to your instructor for feedback or assistance with your PICOT question as needed.
Required and Additional Background Reading in Weeks 1 and 2 under Readings is available for more information on the ACE Star Model and the use of systematic reviews.
P
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Scholarly Sources and Citations
Please cite any references (in APA format) of your systematic review or other scholarly document (optional) as needed.
Paraphrasing information, rather than quoting, is expected. No quotes for this assignment please!

 

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Complete exercise 1.7 in Chapter 1 on guilt in decision making. Complete exercise 1.7 in Chapter 1..

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Complete exercise 1.7 in Chapter 1 on guilt in decision making.
Complete exercise 1.7 in Chapter 1 on guilt in decision making.
Consider the concepts learned and how they apply to a scholarly research article that has measures of guilt and decision making and/or closely related factors.
Propose and justify a relevant follow up experimental design and research question to this article using a Biblical worldview.
For example, is there a correlation between perceived level of guilt and perceived level of ?
Explain the implications of this in the context of a Biblical worldview.
Be creative and help your peers consider varying perspectives on each dimension of this discussion.
Guilt in .The effect of guilt emotion on how a decision maker focuses on the problem was investigated in the Journal of Behavioral Decision Making (January 2007).A total of 171 volunteer students participated in the experiment, where each was randomly assigned to one of three emotional states (guilt, anger or neutral) through a reading/writing task.Immediately after the task, the students were presented with a decision problem (e.g. whether or not to spend money on repairing a very old car).The researchers found that a higher proportion of students in the guilty-state group chose to repair the car than those in the neutral-state and anger-state groups.
Identify the population, sample, and variables measured for this study.
What inference was made by the researcher?
BOOK: REGRESSION ANALYSIS 7TH EDITION WILLIAM MENDENHALL, TERRY SINCINCH
 
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