Discuss the relevant medical issues and the advantages and disadvantages of hospital versus home

/in /by

Final Paper

To complete this assignment, read through the scenario below and address the specific questions and issues indicated. Review the “Introduction to the Miller Family” document for specific information on each member of the family.

Grandmother Ella has been dealing with cancer for years now and has tried alternative remedies and juicing.  She went into remission for some time, but now the cancer has returned and she is in the hospital.  Her husband, of American Indian descent, has his ideas about what needs to be done as Ella comes to the end of her life.  Ella has her preferences, though she is now so weak that she has given up in many ways.  The family members are each experiencing their own fears and are grieving as they face the loss that will occur as Ella’s life comes to a close.  Ella prefers to die at home and has felt stressed by the discord and discomfort of family members since being hospitalized.

You are the social worker for this case.  You meet this family in the hospital setting as they are considering whether the patient will remain there for her final days or whether hospice and palliative care will be provided for her in her home.

For this assignment, you will:

  1. Synthesize the current research that is relevant to this scenario.
  2. Discuss the cultural or traditional issues that could arise at this time.  Consider how the integration of alternative and complementary medicine and beliefs, mainstream medical practices, and cultural/traditional rituals and practices might create issues and what they might include.
    • Describe how the family might react to the following possible scenarios:
      • Ella wishes to stick with alternative and complementary practices.
      • Ella is coerced into following mainstream medical advice.
      • Ella’s husband insists that, as father and husband, his family traditions should be adhered to.
    • Examine the biological basis for care and describe how the choices for care might affect the other family members with respect to their individual problems, if at all.
      • Son Sam, the alcoholic
      • Daughter Lila, with diabetes
      • Grandson Josh, starting to have drug problems
      • Granddaughter Lucy, bipolar with more entrenched drug problems
      • Daughter-in-law, Sarah’s stress related to her family’s medical issues (nephew with leukemia, brother with HIV, and her father’s perspective that they are all “crazy!”)
  3. Discuss the micro, mezzo, and macro influences affecting both the patient and the diverse family members in this scenario as impacted by Ella’s medical condition and prognosis.
    • What are the pertinent and likely family (micro) conflicts and differences, and concerns that could be encountered?
    • How is the neighborhood and extended family (mezzo) reacting to the situation?
    • If she returns home, what considerations need to be taken into account as part of her discharge plan? Using your local area, research and present the needed or preferred community resources (macro) that would be available to them.  Critique the ability of these community resources to adequately meet the needs of this diverse family’s circumstances.
  4. Discuss the relevant medical issues and the advantages and disadvantages of hospital versus home.  When discussing medical issues in this case, use appropriate medical terminology.
  5. Discuss the psychological and social issues that are present and will possibly be more pronounced at this stressful time.  How has the fact that this illness has been ongoing (chronic) impacted the family?
  6. Analyze the current scenario as it pertains to diversity, as well as to cultural, psychological, and social perspectives and influences, taking into account the stories that you have been discussing throughout the course.
  7. Discuss the impact of lifespan development on the perspectives of the various members of the family (i.e., their intellect, cognitive abilities, insight, and judgment) as well as their sociocultural perspectives, preferences, understandings, and positions on the situation.

Discuss the relevant medical issues and the advantages and disadvantages of hospital versus home.  When discussing medical issues in this case, use appropriate medical terminology.

/in /by

To complete this assignment, read through the scenario below and address the specific questions and issues indicated. Review the “Introduction to the Miller Family” document for specific information on each member of the family.

Grandmother Ella has been dealing with cancer for years now and has tried alternative remedies and juicing.  She went into remission for some time, but now the cancer has returned and she is in the hospital.  Her husband, of American Indian descent, has his ideas about what needs to be done as Ella comes to the end of her life.  Ella has her preferences, though she is now so weak that she has given up in many ways.  The family members are each experiencing their own fears and are grieving as they face the loss that will occur as Ella’s life comes to a close.  Ella prefers to die at home and has felt stressed by the discord and discomfort of family members since being hospitalized.

You are the social worker for this case.  You meet this family in the hospital setting as they are considering whether the patient will remain there for her final days or whether hospice and palliative care will be provided for her in her home.

For this assignment, you will:

    1. Synthesize the current research that is relevant to this scenario.
    2. Discuss the cultural or traditional issues that could arise at this time.  Consider how the integration of alternative and complementary medicine and beliefs, mainstream medical practices, and cultural/traditional rituals and practices might create issues and what they might include.
      • Describe how the family might react to the following possible scenarios:
        • Ella wishes to stick with alternative and complementary practices.
        • Ella is coerced into following mainstream medical advice.
        • Ella’s husband insists that, as father and husband, his family traditions should be adhered to.
      • Examine the biological basis for care and describe how the choices for care might affect the other family members with respect to their individual problems, if at all.
        • Son Sam, the alcoholic
        • Daughter Lila, with diabetes
        • Grandson Josh, starting to have drug problems
        • Granddaughter Lucy, bipolar with more entrenched drug problems
        • Daughter-in-law, Sarah’s stress related to her family’s medical issues (nephew with leukemia, brother with HIV, and her father’s perspective that they are all “crazy!”)
    3. Discuss the micro, mezzo, and macro influences affecting both the patient and the diverse family members in this scenario as impacted by Ella’s medical condition and prognosis.
      • What are the pertinent and likely family (micro) conflicts and differences, and concerns that could be encountered?
      • How is the neighborhood and extended family (mezzo) reacting to the situation?
      • If she returns home, what considerations need to be taken into account as part of her discharge plan? Using your local area, research and present the needed or preferred community resources (macro) that would be available to them.  Critique the ability of these community resources to adequately meet the needs of this diverse family’s circumstances.
    4. Discuss the relevant medical issues and the advantages and disadvantages of hospital versus home.  When discussing medical issues in this case, use appropriate medical terminology.
    5. Discuss the psychological and social issues that are present and will possibly be more pronounced at this stressful time.  How has the fact that this illness has been ongoing (chronic) impacted the family?
    6. Analyze the current scenario as it pertains to diversity, as well as to cultural, psychological, and social perspectives and influences, taking into account the stories that you have been discussing throughout the course.
    7. Discuss the impact of lifespan development on the perspectives of the various members of the family (i.e., their intellect, cognitive abilities, insight, and judgment) as well as their sociocultural perspectives, preferences, understandings, and positions on the situation.

Identify what the three most important characteristics of a successful counselor you consider to be. Describe how these characteristics can be developed or strengthened?

/in /by

Assignment 1: LASA 2: Integrating Theories

In this course, we have studied various approaches to therapy and explored the utility of each orientation with reference to the client.  For this assignment, take the perspective of a therapist working with clients. This will help you honestly assess your own development and more objectively evaluate the advantages and disadvantages of using an integrative approach to counseling. Answer each of the following questions thoroughly and provide examples where requested to substantiate your points.

  1. Do you think therapists should focus on becoming an expert in one particular counseling approach or should they try to become proficient in more than one approach? Provide an explanation for your answer and illustrate them with examples.
  2. Identify what the three most important characteristics of a successful counselor you consider to be. Describe how these characteristics can be developed or strengthened?
  3. Identify and describe some of the characteristics (from question 2) that are best developed in the counseling process with clients?  Support your points with examples? Identify and describe some areas of personal or professional development that would potentially be unethical for the counselor to develop in the counseling process with clients? Explain your rationale in detail and give examples.
  4. What are some of your own personal motivations and characteristics that may help or hinder you as a counselor (identify at least two)?
  5. What areas of your own personal and professional development need the most development before you will feel prepared to be an effective counselor (identify at least three)?
  6. What are two advantages and two disadvantages of practicing within the framework of one specific theory as opposed to developing a more integrative approach consisting of several therapies? Give a detailed description and rationale for both sides.
  7. What are the advantages and disadvantages of practicing within an integrated framework?
  8. Explain at least two techniques you would use in your treatment and describe how you would integrate these techniques in a therapy session.

 

ASSIGNMENT 1 GRADING CRITERIA MAXIMUMPOINTS
Explained whether it is preferable to have an expertise in one counseling approach vs. multiple approaches with supporting examples.
24
Described at least three important characteristics of a successful counselor with suggestions of how each could be developed?
32
Described at least one characteristic that could be developed in the counseling process with clients and at least one that would be potentially unethical to develop in therapy with clients with supporting examples for each.
40
Identifies at least two personal motivations and characteristics and explained benefit or hindrance for each.
24
Identified and explained at least three areas of personal or professional development for being an effective counselor.
24
Described advantages and disadvantages of practicing from one specific theory vs. developing a more integrative approach.
40
Described advantages/disadvantages of practicing from an integrative framework
24
Identified the therapeutic approaches student would use as a therapist and described the techniques that would be integrated as a treatment approach
28
Style (8 points):  Tone, Audience, Word ChoiceOrganization (16 points):  Introduction, Transitions, Conclusion

Usage and Mechanics (16 points): Grammar, Spelling, Sentence structure

APA Elements (24 points): Attribution, Paraphrasing, Quotations
64
Total:
300

Described the ASAM patient placement criteria for the treatment of substance-related disorders.

/in /by

Substance abuse assessments have very different purposes for different populations. For instance, an assessment for treatment of victims will look different from a court-mandated assessment relating to criminal behavior. For another example, an assessment for an adolescent would likely emphasize peer influence more so than it would for an adult. These demographic factors significantly influence the assessment as it relates to treatment planning or other recommendations.

Use the module readings and the Argosy University online library resources to research types of substance abuse assessments for different demographics.

Select three substance abuse assessments for use in this assignment. Your choices should represent three different age populations such as the elderly, adults, adolescents, or children.

Review the American Society of Addiction Medicine (ASAM) patient placement criteria for the treatment of substance-related disorders at the following:

  • Mee-Lee, D. (2005). Overview of the ASAM patient placement criteria, second edition revised (ASAM PPC-2R). Substance Abuse & Mental Health Services Administration (SAMHSA). Retrieved fromhttps://www1.maine.gov/dhhs/oms/provider/pnmi/documents/ASAM-presentation-Dr-Lee.pdf
  • Substance Abuse and Mental Health Services Administration, Center for Substance Abuse Treatment. (2001). KAP KEYS Based on TIP 13: The role and current status of patient placement criteria in the treatment of substance use disorders. Retrieved fromhttp://integratedrecovery.org/wp-content/uploads/2010/08/TIP13-KAP.Keys_.pdf

Complete the following:

  1. Describe the ASAM patient placement criteria for the treatment of substance-related disorders.
  2. Describe the three selected types of substance abuse assessments that you might use. Be sure that your choices represent three different age populations such as the elderly, adults, adolescents, or children.
  3. Compare and contrast the information being collected in each of the three assessments and describe the areas of concern. Ask, for example, does it include client presentation and functioning, current use and history, high-risk behavior, first exposure, consequences of addiction, culture, life skills, work, vocation, education, health, recreation, or spirituality? Present the comparison of the four types of substance abuse assessments in a table.
  4. Explain special considerations, including ethical issues, which would apply to the different populations selected.
  5. Evaluate the importance of having assessment tools for clients in each developmental life stage.

Create an 8–10 slide PowerPoint presentation to present your findings to other substance abuse counselors. Include the table comparing the three types of substance abuse assessments. Apply APA standards to citation of sources in your slides. Use the speaker notes in the slide show to further discuss the topics on each slide. In addition, make sure you have a title slide and a slide with references (in APA format).

Course Project Grading Criteria and Rubric 

 

Assignment 1 Grading Criteria
Maximum Points
Described the ASAM patient placement criteria for the treatment of substance-related disorders.
32
Described three assessments, each representing a different age population.
48
Compared and contrasted the information collected from each of the three assessments and identified the areas for concern.
68
Explained the special issues to be considered, which apply to the different populations selected.
52
Evaluated the importance of having assessment tools for clients in each developmental life stage.
36
Presentation Components:Organization (16)

Style (8)

Usage and Mechanics (16)

APA Elements (24)
64
Total:
300