How are transgender individuals viewed in society in general and African American society in particular?

Read the provided case(Wanda J) and answer the following 10 questions in the form of Term Paper with your ideas and support your ideas, possible barriers and solutions with references. The paper should be 3 pages, 8-12 font size, 1-1.5 spacing. You have full creative license in describing the family, interventions, resources and solutions.

this is a timely matter paper!

The Case of Wanda J.

Wanda J. is a 14-year-old African American girl, born to an intact middle class African American family. She is an only child. Her father is a manager of a trucking company and her mother is a court stenographer. As of late, Wanda’s grades have started dropping in school. When questioned by her parents, she states that she is very unhappy because she has realized in the past few years that she was born into the wrong body and is really a male. In fact she states that in the future, she would like to change her name to William, undergo hormonal treatments and eventually have her breasts surgically removed and have a penis surgically constructed. Her parents are “incredulous” to the situation and think their daughter is “insane.” They have taken her to a psychologist who happens to be white/European, and who has diagnosed Wanda with “gender dysphoria.” The psychologist has also deemed her to be “competent” with no signs of psychosis. Her parents who are also conservative Catholics, are enraged with the doctor’s diagnosis stating that “because the psychologist is white and liberal, she is excusing behavior incompatible to God’s will.” The parent’s believe that their daughter is misguided or even “mentally ill” concerning her preferred gender identity. Out of frustration, they yell at and berate Wanda every time she discusses her desire to become a boy. As of late they have even put together a religious support group to “pray away” her desire to be a boy.

Wanda, who can no longer stand her parent’s hostile and conservative religious attitudes, takes an overdose of her mom’s sleeping pills and is brought to the emergency room where she is medically stabilized. Wanda states to the ER physician, that unless her parents support her gender identity transition, she will continue to hurt herself. She is therefore hospitalized for depression and continued suicidal ideations.

Her parents are angry with her continued insistence on sexually transitioning as well as her threat to hurt herself, but because they do love her, also feel guilty that their actions may have resulted in their daughter’s suicide attempt and hospitalization.

The parents insist that Wanda not be released from the hospital until the medical team (which you lead) “cures” her gender identity issue/obsession.

Formulate a culturally responsive treatment plan for Wanda and her parents, incorporating the following points:

  1. Address the stages that transgender youth experience when supported or not supported by family.
  2. How are transgender individuals viewed in society in general and African American society in particular?
  3. How can you help Wanda’s parents work through their rigid social, racial and religious belief system so they can constructively address her gender dysphoria?
  4. What might happen to Wanda, physically and or emotionally if she is denied the wish to transition?
  5. How can you address Wanda’s depression and gender dysphoria using established medical and psychiatric treatments?
  6. In what ways would you educate the parents about transgender issues?
  7. How can you help her parents deal with their guilt, anger, and frustration with this situation?
  8. If you gain the parent’s permission, what services and or recommendations would you offer Wanda regarding her transition?
  9. What would her parents need to know regarding supportive and constructive behavior towards Wanda if she goes through the transition?
  10. Discuss other Cultural Sensitivity and Competence issues that may impact and even ameliorate this case?

What is the future for the District general hospital?

Below is the essay with the instruction and some useful resources given by my lecturer.

Health Policy”

This assignment is intended to assess the following learning outcomes:

4. Critically evaluate the changes to the NHS at the local level.
5. Work with health policy leaders and innovators
6. Review alternatives to traditional care delivery services.
7. Appreciate the role of health commissioners.
9. Use the web for information gathering and communication

Show how the recent policy changes in the NHS will improved health care delivered to local communities. Evaluate the usefulness and success of these changes to health and care delivery.

Main aim(s) of the module:
To examine health policy as it has evolved with the creation of the NHS.
To review current health policies and related these to need at the local level.
To evaluate the 2013 NHS reforms and their implementation.
To investigate health care outside the NHS

Main topics of study:
Recent reforms to the National Health Service
Examples of health care changes in East London.
Coordination and integration of health care.
The commissioning of Health services
The role of the patient as a consumer of health care.
The role of the local council in providing health care and policy coordination

Learning Outcomes for the module
Please use the appropriate headings to group the Learning Outcomes. While it is expected that a module will have LOs covering a range of knowledge and skills, it is not necessary that all four headings are covered in every module. Please delete any headings that are not relevant. You should number the LOs sequentially to enable mapping of assessment tasks.

At the end of this module, students will be able to:

Knowledge
1. Identify the main features of the National Health Service.
2. Understand how health reforms have change local delivery of health care.

Thinking skills
3. Demonstrate a critical understanding of the NHS reforms
4. Critically evaluate the changes to the NHS at the local level.

Subject-based practical skills
5. Work with health policy leaders and innovators.
6. Review alternatives to traditional care delivery services.
7. Appreciate the role of health commissioners

Skills for life and work (general skills)
8. Carry out literature searches using on-line facilities.
9. Use the web for information gathering and communication

Seminar on Voluntary services
Can the NHS learn from the voluntary sector?
https://www.kingsfund.org.uk/publications/supporting-people-manage-their-health
https://www.kingsfund.org.uk/press/press-releases/enable-more-nhs-organisations-become-mutuals-and-devolve-decision-making-says
https://www.kingsfund.org.uk/publications/making-our-health-and-care-systems-fit-ageing-population
28th January
How is the Better Care Fund aiming to improve health care?
How is “Care in the Community” and the work of voluntary organisations contributing to better health?
https://www.kingsfund.org.uk/publications/voluntary_sector.html
https://www.kingsfund.org.uk/publications/integrating_health.html
https://www.kingsfund.org.uk/blog/2014/05/wanted-even-better-care-fund

4th February
How is the new “Health watch” likely to contribute to local health care?
https://www.local.gov.uk/web/guest/health-wellbeing-and-adult-social-care/-/journal_content/56/10171/3492011/ARTICLE-TEMPLATE
https://bit.ly/1LgqasI
https://bit.ly/1FvBHlC
https://www.local.gov.uk/c/document_library/get_file?uuid=5cbe6e9e-2146-4daa-a074-499d360f3df7&groupId=10180
https://bit.ly/1iVNBLw
https://bit.ly/1MTPGUL
https://bit.ly/1Vlydnt

11th February
What is the future for the District general hospital?
https://www.kingsfund.org.uk/publications/articles/nhs_reconfiguration.html
Hospital finance
https://www.bbc.co.uk/programmes/b0367snq

25th February
Does Commissioning have a part in future health care policy?
https://www.nhsconfed.org/health-topics/commissioning https://www.health.org.uk/search/?searchType=word&keywords=Commissioning&searchSubmit=Go&siid=131
What are the concerns surrounding the involvement of “Alternative Qualified Providers” (AQP)
https://www.bbc.co.uk/programmes/b03h3fx6
https://news.bbc.co. uk/1/shared/bsp/hi/pdfs/12_11_13_fo4_healthymarket.pdf

3rd March
Critically review the new “Health and Wellbeing Boards”
https://www.nhsconfed.org/~/media/Confederation/Files/Publications/Documents/guide_to_governance_for_health_and_wellbeing_boards.pdf
https://www.kingsfund.org.uk/publications/health-and-wellbeing-boards-one-year-on
https://bit.ly/1RaYjJl
https://bit.ly/1LgrXhu
https://bit.ly/1KObpI0
Show how the work of the Newham Scrutiny Committee has contributed to better health care.
https://www.newham.gov.uk/YourCouncil/Scrutiny/Whatisscrutiny.htm.

10th March
Show how community health services are evolving in response to demands being made upon it and changes in health policy.
https://www.nhsconfed.org/resources/2015/07/what-are-community-health-services

17th March
Does Primary care have a future in its present form?
https://www.kingsfund.org.uk/publications/commissioning-and-funding-general-practice
https://www.kingsfund.org.uk/publications/articles/general-practice-london-supporting-improvements-quality

Summarize the historical trajectory that Roy Porter in, Madness, A Brief History creates and elaborates. What is the underlying trajectory and how does it inform your understanding of mental illness?

Read 3 books and answer following questions
1.) An Unquiet Mind: A memoir of Moods and Madness by Jamison
2.)Madness and Modernism by Sass
3.)Madness, A Brief History by Roy Porter

1) In Jamison’s memoir, The Unquiet Mind, she describes her experience of living with bipolar disorder. Please describe this experience, giving specific examples from the book. How does Jamison?s account inform your knowledge of bipolar disorder?

2) Describe the parallel between madness and modernism as Sass describes it in,Madness and Modernism. How are they similar? What are the specific criteria he uses as modes of comparison (hint, there are at least seven (7). Give specific examples for each that demonstrate your understanding of each aspect he uses to elaborate his perspective.

5) Summarize the historical trajectory that Roy Porter in, Madness, A Brief
History creates and elaborates. What is the underlying trajectory and how does
it inform your understanding of mental illness? Cite specific examples,
discuss, and elaborate. (Hint: How does Porter see the construction of mental
illness as a concept?)

The Economics of Organ Donation

The Economics of Organ Donation:

Almost 1,200 people received an organ nationally last year in Australia, but at any one time, about 1,600 people are waiting for organs like the lungs, liver, intestine and pancreas. Clearly the demand for organs is much higher than the supply of organs.

In Australia people are not allowed to donate organs in return for money. Should we consider using financial incentives to encourage more individuals to sign up as potential donors, or for family members to donate on behalf of a deceased relative where they did not express a preference?

What is the economic case for paying people to donate their organs? Compare the organ donation system in Australia with another country that takes a different approach. Would you agree with a system where donors were paid for their organs? If you don’t agree, suggest a policy that would increase the supply of organs.