Nursing Healthcare Wk4/Project/

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Reaching out a Solution

This assignment is designed to assist you in developing a thoughtful process for advocating about an issue as a nurse, from identifying a problem that needs to be solved through articulating a process for doing so.

This assignment consists of answering each of the questions listed below from the “Political Analysis and Strategies” (see attached chapter/document)chapter of your course textbook. Write each question as a new topic area; then follow with a paragraph or two to answer the question. Be sure to use APA guidelines for writing style, spelling and grammar, and citation of sources, if any used. This project should be no longer than 4 pages.

Let us assume that you are a school nurse in a high school. At a recent school athletic event, a spectator suffered a cardiac arrest in the stands. A coach of the home team went into the high school to fetch the automatic emergency defibrillator (AED) only to find out that it was not readily available. In the meantime, an emergency squad arrived and resuscitated the spectator. On Monday morning, you learn of the absence of the AED only to find out that it had been locked in the custodian’s closet. Reflect on the following questions outlined in the “Political Analysis and Strategies” chapter:

· What is the issue?

· Is it my issue, and can I solve it?

· Is this the real issue or merely a symptom of a larger one?

· Does it need an immediate solution, or can it wait?

· Is it likely to go away by itself?

· Can I risk ignoring it?

· What are the possible solutions? Are there risks to these solutions?

· What steps would you need to take in order to solve the issue?

· Does anyone else at the school need to be involved in the solution?

· Where is the power leverage in the school to reach the preferred solution?

Reaching a solution requires the use of power vested in the nurse. Review Box 9-1 (Sources of Power) and determine which type(s) of power the school nurse has in this situation. State your reasons for your answer.

Submission Details:

· Submit your response in a 4-page Microsoft Word document.

· Cite sources in the APA format on a separate page.

 

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chapter 7 and 9 discussion

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chapter 7

Analyze and describe how social media could influence
each stage of the Customer Decision Journey for a customer deciding where to go on vacation. Please be specific and cover each stage. Use the modified customer decision journey not the traditional journey.

chapter 9

Pick out three brands from a particular industry. Be sure to list them. How are they positioned? Which is the best in your view? Why is that particular brand the best in your view? Assess each (of the three) brand’s awareness level and consumer loyalty level. What is each brand’s personality? Looking into the future, do you believe any of the 3 will be faced with specific relevance issues? Elaborate

 

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Case study analysis 3 pages double spaced

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One of the important attributes of theory is the ability to help explain and predict outcomes. Within development, this couldn’t be truer. Developmental theories have helped researchers and professionals alike be able to understand how influential factors impact development and lead to positive and negative outcomes later on in life.

For this assignment, you are to select one of the provided case studies and analyze it using Bronfenbrenner’s ecological theory (revisit chapter 1). When analyzing the case study, you will address each level of the theory and indicate how factors from within the system impacted the development and outcome of the individual within the case study.

  • Microsystem: examples include but are not limited to family members, teachers, friends, and neighbors; how do these factors interact with the individual and how does the individual impact these factors?
  • Mesosystem: this level emphasizes relationships among members of the microsystem, such as the dynamic between parents and the child’s teacher; are there dynamics that play a role in how the individual developed?
  • Exosystem: here the environment can directly influence the individual, but the individual does not have a reciprocal role; an example would be a parent’s place of employment; what factors within this system impacted the individual?
  • Macrosystem: this level reflects the cultural influences of the individual, such as their socioeconomic status (SES) or race; again, the individual may not impact this level, but this can influence them; how and why did aspects of the macrosystem impact the individual’s development?
  • Chronosystem: here the historical context and change over the individual’s lifespan can exact influence, including policy and social norms; for example, the legalization of same-sex marriage may influence an individual’s willingness to be open about their sexual orientation and seek out a family. Utilizing the individual’s age, what historical contexts may help explain the how and why of the individual’s development?

These are just some sample questions you can ask as you evaluate the individual’s development from each level of the ecological theory.

Now, the case studies are not fully complete and there are always additional factors that influence our choices and behaviors. You can speculate additional factors that are not listed, but be sure they are backed up with research and tie into ecological theory. While you can address the other family members that are listed within the vignette, the name in bold is the person of interest and whom you should center your analysis on.

Guidelines

Research will be crucial to help create your argument for why you think the case study person ended up the way that they did. You will need at least three (3) scholarly sources from peer-reviewed publications, such as academic journals, books, and textbooks. In-text citations and the reference page need to be presented in APA format.

Case Study #1

AA Teen Girl.jpg

Christina (age 13, African-American) has lived with her grandmother, aunt, and younger siblings since she was 8. She currently has no contact with either her mother or father and last interaction was prior to placement with her grandmother. Christina and her siblings were removed from the parents due to reports of neglect, physical abuse, and parental drug use. Christina struggles at school and often receives referrals for aggressive and disobedient behavior toward teachers and students. She was arrested recently for physically assaulting another youth at the park near her house; this appears to be an escalating pattern. When questioned about her future, Christina reports her desire to move out of her hometown and become a fashion designer. Grandmother, Gladys (age 55, African-American) reports that Christina is very defiant at home and often sneaks out of the house. She is afraid that her granddaughter is using drugs and alcohol and is unaware of her sexual status. Gladys reports that while she attempts to provide supportive structure and rules, she also wants to be a grandma rather than a mother. Aside from raising Christina, Gladys is also raising Christina’s brothers, Stephen (age 9) and Jamaal (age 6); parenting again appears to be taking a toll on Gladys’ health.

Case Study #2

Asian Male.jpg

Tim (age 35, Asian) is single and currently works as a department manager for a successful architectural firm. Tim is considered an immigrant as he was brought over to the US with a missionary group when he was 4 after witnessing his parents being killed during a civil war in his country. He was quickly adopted by his parents, Kathy and Brian (ages 65 and 67, Caucasian). His parents report that he was initially withdrawn and isolated during the first few years, barely reaching out to his new family the first year. He was suspected of having a speech delay due to lack of any communication (including his native language) and struggled to learn English. However, he found similar interests, like drawing and sports, with his adoptive older brothers and started to ‘come out of his shell.’ He showed interest in tennis, playing for the varsity team in high school, and found a surprising talent as a piano player and joined a jazz band, which he still plays with as an adult. Tim excelled in high school and college, eventually receiving his master’s degree and was valedictorian of his graduating class. 

Case Study #3

Caucasian Male.jpg

Dylan (age 45, Caucasian) is a heroin addict who has been in and out of rehab facilities and prison since he was 17; he has a 1 year old daughter with a women he dated for a few months, but he is not allowed contact due to his unreliable behavior and constant drug use. He dropped out of high school when he was 17, after the first failed attempt at in-patient treatment. Dylan engages in other drug use – prescription pills, marijuana, and cocaine – but prefers heroin and other opioid-based drugs. Dylan has a twin brother, Daniel (age 45, Caucasian) who is a happily married father of three and owns his own graphic design firm. The parents, Harriet and William (ages 70 and 72, Caucasian) both report being invested and supportive of both of their sons’ interests (i.e. football, photography) during childhood and adolescence as Harriet was a stay-at-home mother and William emphasized family by working a lot from home during the boys’ childhood. They grew-up in a middle class suburb with the Neighborhood Watch and regular neighborhood gatherings. Harriet reports that Dylan struggled with change and seemed anxious with any new situation, whereas Daniel was very adaptable and rolled with any situation.

Initial Case Conceptualization – Nursing Experts Help

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In this assignment, you will discuss the theoretical approach you selected for working with a specific client during your fieldwork experience, and how you used this perspective as you collected information about the client and developed counseling goals.
As you begin your work on this assignment, refer to what you have learned about counseling theories from:
· The material that you covered in previous courses you’ve taken during your program.
· Experiences during the Master’s Residencies.
· The discussions you have had with your site supervisor and fieldwork course instructor during practicum and Internship 1.
Complete this assignment by addressing the following topics in four-part format.
Part 1: Client Information
Select a client with whom you have worked in individual counseling sessions over several weeks during your fieldwork experience. As you present information about the client in this assignment, be sure to use a pseudonym and omit or change all identifying material.
Present a brief description (no more than two pages) of the client, including the following:
· Demographic information (such as age, gender, race/ethnicity/country of origin, religion, sexual orientation, ability or disability, and social-economic status).
· Current situation (including living situation, support systems, work and employment, and health).
· The client’s presenting issues or concerns.
· Relevant history. Include a brief description of key events from the client’s past that have some impact on the presenting issues or that you believed were important to consider during your work with the client.
Part 2: Theoretical Approach
Describe the specific theoretical approach you used to conceptualize this client’s case. Identify a single theory as your main approach; if you integrated a second perspective into your work (such as integrating reality therapy into a cognitive therapy approach), you will need to identify how each theory contributed to your work with the client. Do not present more than two approaches or identify your work simply as being eclectic.
Discuss your rationale for selecting this theoretical perspective, and why you believed it was the most appropriate and effective approach to use. Support your statements with a minimum of 3 articles from current journals in the professional counseling literature that provide evidence for the use of this theory with the types of issues your client presented, and/or with clients similar to yours (in age, gender, ethnicity, background, or in other ways).
Describe how using this theoretical approach influenced the information you collected about the client during the first sessions. (For example, was it important for you to take a detailed history that included information about the client’s parents and early childhood experiences?) Again, support your ideas with references to the professional literature.
Part 3: Assessment and Diagnosis
Write out the diagnosis you developed for the client, using the definitions and format in the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) and identify the related ICD 10 code.
Discuss the process you used to formulate your assessment and diagnosis for this client.
· How did you incorporate information collected from the client during the first sessions to reach this diagnosis?
· Did you utilize any self-report instruments (such as symptom checklists, anxiety inventories, depression scales or other assessment processes)? If so how did this information help you to formulate a diagnosis?
· Did you consult with any other persons about the client (with his or her written permission) such as parents, teachers, physicians, and past therapists?
· What social-cultural factors did you need to consider when conceptualizing your client’s case and formulating your diagnosis?
Describe how the assessment and diagnosis process was integrated into your theoretical approach for working with the client. Did the information you gathered, and the diagnosis you formulated, assist you in working from this theoretical perspective more effectively? If so, provide examples; if not, discuss the reasons why.
Part 4: Counseling Goals
List three specific goals that you developed for working with this client. These should be goals that are related to the client’s presenting issues and the focus of therapy. Each goal should be measurable – meaning both you and the client have a clear way for assessing whether the goal has been reached.
· Describe how you incorporated assessment information and the client’s diagnosis into your choice of appropriate goals for counseling.
· Discuss how you considered your client’s social-cultural background and unique personal history when selecting these goals.
· How is each goal reflective of your theoretical approach, drawing from the key concepts and assumptions of that theory?
Assignment Specifications
Your Unit 5 assignment should be between 8–10 pages long and include a minimum of 4 references from current articles (no more than 10 years old) in professional journals. You can also include books and Web sites from professional organizations in your references. Please use direct quotations sparingly; you should paraphrase most of the information drawn from outside sources and present ideas in your own words. Remember to follow APA format for your citations.
Resources
 
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