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July 3, 2024

Theoretical Framework Supporting Evidence-Based Practice

PowerPoint Presentation: Theoretical Framework Supporting Evidence-Based Practice

Goal:

The purpose of this assignment is to identify a theory or model which can be used as a framework for a future evidence-based project

Content Requirements:

Review literature regarding issues or concerns within your selected area of advanced practice nursing. Select a theory or model which is relevant to your selected area of advanced practice nursing. Offer a meaningful context for evidence-based practice surrounding the issue or concern which you identified.,
Address Theoretical Framework to Support Evidence-based Practice Assignment,
Identify and describe a theory or model, and explain its relevance to the selected area of advanced practice,
Describe an issue or concern regarding the selected area of advanced practice and explain its impact on health care outcomes.,
Explain how the theory or model can be used as a framework to guide evidence-based practice to address the issue or concern, and discuss the unique insight or perspective offered through the application of this theory or model.

Submission Instructions:

The PowerPoint presentation is original work and logically organized. It should consist of 10-15 slides excluding the title and reference.
The PowerPoint presentation should be clear and easy to read. Speaker notes expanded upon and clarified content on the slides.
The PowerPoint presentation should be formatted per APA and references should be current (published within last five years) scholarly journal articles or primary legal sources (statutes, court opinions)
Incorporate a minimum of 4 current (published within last five years) scholarly journal articles or primary legal sources (statutes, court opinions) within your work. Journal articles and books should be referenced according to APA style (the library has a copy of the APA Manual).PowerPoint Presentation: Theoretical Framework Supporting Evidence-Based Practice

Goal:

The purpose of this assignment is to identify a theory or model which can be used as a framework for a future evidence-based project

Content Requirements:
1. Review literature regarding issues or concerns within your selected area of advanced practice nursing. Select a theory or model which is relevant to your selected area of advanced practice nursing. Offer a meaningful context for evidence-based practice surrounding the issue or concern which you identified.
2. Address Theoretical Framework to Support Evidence-based Practice Assignment
3. Identify and describe a theory or model, and explain its relevance to the selected area of advanced practice
4. Describe an issue or concern regarding the selected area of advanced practice and explain its impact on health care outcomes.
5. Explain how the theory or model can be used as a framework to guide evidence-based practice to address the issue or concern, and discuss the unique insight or perspective offered through the application of this theory or model.
Submission Instructions:
- The PowerPoint presentation is original work and logically organized. It should consist of 10-15 slides excluding the title and reference.
- The PowerPoint presentation should be clear and easy to read. Speaker notes expanded upon and clarified content on the slides.
- The PowerPoint presentation should be formatted per APA and references should be current (published within last five years) scholarly journal articles or primary legal sources (statutes, court opinions)
- Incorporate a minimum of 4 current (published within last five years) scholarly journal articles or primary legal sources (statutes, court opinions) within your work. Journal articles and books should be referenced according to APA style (the library has a copy of the APA Manual).

July 3, 2024

XYZ Health Clinic Case

By AssignmentHelp Samples

XYZ Health Clinic Case

Root Cause Analysis

XYZ Health Clinic faces several intertwined challenges rooted in the economic decline exacerbated by the state’s decision not to expand Medicaid. The clinic’s payer mix reveals a stark imbalance: 33% of residents rely on public insurance, 12% are uninsured, and only 5% have private insurance coverage. This composition not only strains financial resources due to lower reimbursement rates from public insurance but also presents significant uncompensated care costs with a sizable uninsured population. Moreover, the broader economic downturn in the local area has compounded these issues by reducing patient volumes and discretionary healthcare spending, further undermining the clinic’s revenue stability.

Assessment of Telehealth Implementation Strategy

Objective

Implementing a robust telehealth program represents a strategic opportunity for XYZ Health Clinic to mitigate current challenges. Firstly, telehealth offers a means to expand access to care, particularly among uninsured and underinsured populations facing transportation or logistical barriers to in-person visits. By leveraging virtual consultations, XYZ can extend its reach and accommodate a wider demographic base. Secondly, telehealth promises efficiency gains by optimizing provider schedules, reducing wait times, and potentially lowering overhead costs associated with facility maintenance and administration. Thirdly, by attracting privately insured patients seeking convenient healthcare options, telehealth has the potential to improve the clinic’s payer mix, thereby diversifying revenue streams and bolstering financial sustainability.

XYZ Health Clinic Case

Staffing Models

Implementing telehealth necessitates careful consideration of staffing models. XYZ Health Clinic will need to train existing providers in telehealth technology and protocols or hire new providers with specific expertise in virtual care delivery. Additionally, dedicated telehealth coordinators or assistants will play a crucial role in managing scheduling, patient communications, and technical support, ensuring smooth operations and optimal patient experience.

Technology Requirements

Central to the success of the telehealth initiative is the selection and implementation of a suitable telehealth platform. The chosen platform must comply with HIPAA regulations to safeguard patient confidentiality during virtual consultations. It should support secure video conferencing capabilities, seamless integration with the clinic’s existing electronic health record (EHR) system, and robust patient scheduling functionalities. Ensuring reliable internet connectivity for both providers and patients is paramount to facilitate uninterrupted telehealth sessions and maintain service continuity.

XYZ Health Clinic Case

Legal Requirements

Compliance with state and federal telehealth regulations is critical. XYZ Health Clinic must navigate licensure requirements for providers delivering care across state lines, if applicable, and adhere to strict privacy and security standards outlined in HIPAA regulations. Clear policies and procedures must be established to govern telehealth practices, ensuring adherence to legal requirements and mitigating potential liabilities.

Proposed Solution

To address its challenges comprehensively, XYZ Health Clinic should adopt a phased approach to telehealth implementation:

Phase 1 – Planning and Preparation

Conduct a thorough needs assessment to identify target patient populations, healthcare needs, and existing infrastructure readiness for telehealth integration. Select and deploy a telehealth platform that aligns with XYZ’s operational goals and regulatory requirements. Develop comprehensive training programs for providers and support staff on telehealth technology, virtual care protocols, and patient engagement strategies.

Phase 2 – Implementation and Integration

Gradually launch telehealth services, beginning with low-complexity visits such as follow-ups and chronic disease management. Monitor patient and provider feedback to refine workflows, optimize telehealth processes, and enhance user experience. Evaluate and adjust telehealth reimbursement strategies to ensure financial viability and sustainability.

XYZ Health Clinic Case

Phase 3 – Expansion and Optimization

Expand telehealth offerings to encompass additional specialties and more complex care scenarios, addressing diverse patient needs comprehensively. Integrate telehealth data seamlessly with XYZ’s EHR system to maintain continuity of care and streamline documentation and billing processes. Forge strategic partnerships with local community organizations and healthcare providers to promote telehealth services and extend outreach to underserved populations effectively.

Marketing and Outreach

Develop targeted marketing campaigns to educate the community about the benefits of telehealth, enhance accessibility, and foster patient engagement. Collaborate with community leaders, advocacy groups, and local media to raise awareness and build trust in XYZ’s telehealth services.

Advocacy and Policy Engagement

Advocate for policy reforms at the state level to support initiatives like Medicaid expansion, which could enhance healthcare coverage and financial stability for XYZ Health Clinic and its patient population.

Conclusion

By meticulously implementing a telehealth program aligned with its strategic goals, XYZ Health Clinic can navigate the challenges posed by its unfavorable payer mix and economic constraints exacerbated by state policy decisions. Addressing staffing, technology, and legal requirements ensures compliance and effective delivery of telehealth services. This proactive approach not only expands access to care but also diversifies revenue streams, optimizes operational efficiency, and positions XYZ Health Clinic for sustained growth and resilience in the face of ongoing economic and regulatory challenges. APA.

July 3, 2024

History Essay Assignment

By AssignmentHelp Samples

History Essay Assignment

The Revolution Within

In what ways did political and religious liberties expand after the Revolution?

Democratizing Freedom: The American Revolution laid the foundation for expanding political liberties by challenging the authority of monarchy and aristocracy. After independence, several states moved to expand voting rights and increase democratic participation:

State Constitutions: Many states drafted new constitutions that emphasized popular sovereignty, separated powers, and guaranteed individual rights. For example, the Virginia Declaration of Rights (1776) influenced the Bill of Rights in the U.S. Constitution and emphasized natural rights such as freedom of religion and trial by jury.

Expansion of Voting Rights: While not universal, there was a trend towards broader suffrage, allowing more white males who did not own significant property to vote.

Toward Religious Toleration: The Revolution also influenced religious freedoms by breaking away from state-sponsored churches and promoting tolerance:

History Essay Assignment

Disestablishment: States began to disestablish official state churches, removing legal requirements to support particular religious institutions.

Religious Freedom: The Virginia Statute for Religious Freedom (1786), drafted by Thomas Jefferson and enacted by James Madison, became a model for ensuring religious freedom and prohibiting religious tests for officeholding.

How did the Revolution affect the status of women?

Daughters of Liberty: The American Revolution challenged traditional gender roles and created new opportunities for women:

Political Involvement: Women participated in boycotts, signed petitions, and engaged in political discussions, albeit often in informal or indirect ways.

Economic Participation: With many men away at war, women took on new roles in managing farms, businesses, and households, demonstrating their capabilities beyond domestic spheres.

Intellectual and Social Change: Ideas of liberty and equality sparked discussions about women’s rights among some intellectuals and activists, although formal legal and political rights for women remained limited in the immediate aftermath of the Revolution.

History Essay Assignment

Founding a Nation (1783-1789)

What events and ideas led to the belief in 1786 and 1787 that the Articles of Confederation were not working well?

America Under the Confederation: The weaknesses of the Articles of Confederation became increasingly apparent due to several factors:

Financial Instability: The federal government lacked the power to tax, relying on requisitions from states which often went unpaid, leading to financial chaos and inability to pay debts.

Weak Central Government: The Confederation Congress had no power to regulate commerce between states or enforce laws, resulting in economic disputes and trade barriers between states.

Shays’ Rebellion (1786): An armed uprising in Massachusetts by farmers protesting foreclosures and high taxes highlighted the inability of the central government to maintain order and protect property rights.

History Essay Assignment

What were the major arguments in support of the Constitution given by the Federalists? What were the major arguments against the Constitution put forth by the Anti-Federalists?

The Ratification Debate and the Origin of the Bill of Rights

Federalist Arguments

Strong Central Government: Federalists argued for a stronger central government with powers to tax, regulate commerce, and maintain national defense to address the weaknesses of the Articles.

Protection of Individual Rights: Federalists promised that a bill of rights could be added later (which eventually happened with the first ten amendments) to protect individual liberties.

Necessity for Unity: They believed a strong union was essential for national security and economic stability.

Anti-Federalist Arguments

Fear of Tyranny: Anti-Federalists feared the concentration of power in a central government would lead to tyranny, akin to British rule.

State Sovereignty: They argued that states should retain significant powers to protect local interests and preserve liberties.

Absence of Bill of Rights: Many Anti-Federalists opposed the Constitution’s lack of explicit protections for individual rights, fearing the federal government could infringe upon them.

History Essay Assignment

A New Birth of Freedom: The Civil War (1861-1865)

Describe how the North’s war aims evolved between 1861 and 1863, changing from simply preserving the Union to also ending slavery. What role did blacks play in winning the Civil War?

The Coming of Emancipation

Initial War Aims: Initially, the North’s primary goal was to preserve the Union, with President Lincoln and many Northern leaders avoiding direct confrontation over slavery to maintain border state support.

Emancipation Proclamation (1863): Lincoln issued the Emancipation Proclamation, declaring slaves in Confederate-held territories free, shifting the war aim towards ending slavery as a moral imperative and strategic move to weaken the Confederacy.

Role of Blacks: African Americans played crucial roles as soldiers, laborers, spies, and scouts for the Union, significantly contributing to the war effort and undermining the South’s economy and morale.

History Essay Assignment

How did the war effort and leadership problems affect the society and economy of the Confederacy?

The Confederate Nation

Economic Strain: The Confederate economy suffered from inflation, food shortages, and disruptions in trade due to Union blockades and military campaigns.

Social Impact: The war strained Confederate society, causing social unrest, desertions, and protests against Confederate government policies such as conscription and impressment.

Leadership Challenges: The Confederacy struggled with leadership issues, including disagreements between states’ rights advocates and those favoring a stronger central authority, as well as conflicts between civil and military leaders. APA.

July 3, 2024

Discussion on MCOs vs ACOs

By AssignmentHelp Samples

Discussion on MCOs vs ACOs

Managed Care Organizations (MCOs) and Accountable Care Organizations (ACOs) are both models designed to improve healthcare delivery and control costs, but they operate with distinct structures and goals. Here’s a detailed comparison followed by speculation on their future transformations:

Managed Care Organizations (MCOs)

Definition and Characteristics:

MCOs are entities that manage the financing and delivery of healthcare services for enrolled members. They typically achieve this through a network of healthcare providers who agree to provide services to members at pre-negotiated rates. Key features include:

Provider Networks: MCOs contract with a network of healthcare providers (hospitals, physicians, specialists) who agree to accept reduced fees in exchange for access to a larger patient base.

Utilization Management: MCOs employ strategies such as prior authorization and case management to control costs and ensure appropriate use of healthcare resources.

Financial Incentives: Providers often receive financial incentives (or penalties) based on cost-effectiveness, quality metrics, and patient outcomes.

Risk Sharing: MCOs may assume financial risk for the cost and quality of care provided to their members, depending on the type of managed care model (e.g., HMOs, PPOs).

Accountable Care Organizations (ACOs)

Definition and Characteristics: ACOs are networks of healthcare providers that collaborate to provide coordinated, high-quality care to a defined patient population. They aim to improve care coordination, quality outcomes, and cost-efficiency. Key features include:

Accountability for Quality and Costs: ACOs are accountable for the quality and cost of care delivered to their attributed patient population.

Shared Savings Models: ACOs often participate in shared savings programs with payers, where they can earn bonuses by achieving cost savings while meeting quality benchmarks.

Care Coordination: ACOs emphasize care coordination across different healthcare settings (primary care, hospitals, post-acute care) to improve patient outcomes and reduce unnecessary utilization.

Population Health Management: ACOs focus on managing the health of a population rather than just treating individual patients, often leveraging data analytics and preventive care strategies.

Differences and Similarities

Differences

Structure: MCOs are typically insurance entities or health plans managing care delivery, while ACOs are provider-led collaborations focused on care coordination.

Financial Model: MCOs often involve capitation or discounted fee-for-service payments, whereas ACOs involve shared savings arrangements.

Focus: MCOs traditionally emphasize cost containment through utilization management, while ACOs emphasize care coordination and population health management.

Similarities:

– Both aim to improve healthcare quality and control costs.

– Both involve networks of healthcare providers working together towards common goals.

– Both require data analytics and performance measurement to assess outcomes and make improvements.

Discussion on MCOs vs ACOs

Future Transformations

In the current healthcare environment, MCOs and ACOs are likely to evolve to better meet the needs of consumers and adapt to changing regulatory and market conditions:

Integration of Services: Both MCOs and ACOs may increasingly integrate physical health, behavioral health, and social services to provide holistic care.

Advanced Data Analytics: There will be a greater emphasis on predictive analytics and real-time data to improve care coordination and population health management.

Value-Based Contracts: There may be a shift towards more sophisticated value-based payment models that reward outcomes rather than volume of services.

Telehealth and Digital Health Integration: The use of telehealth and digital health tools will likely expand, enabling more efficient care delivery and patient engagement.

Patient-Centered Approaches: Both models may increasingly focus on patient-centered care, involving patients in decision-making and tailoring care plans to individual needs.

Discussion on MCOs vs ACOs

Conclusion

Managed Care Organizations (MCOs) and Accountable Care Organizations (ACOs) represent distinct approaches to managing healthcare delivery and costs, each with its own strengths and challenges. As healthcare continues to evolve, these models are likely to converge in some aspects, particularly in emphasizing value-based care, care coordination, and patient outcomes. The future will likely see a greater integration of services and technologies to enhance the effectiveness and efficiency of both MCOs and ACOs in meeting the needs of consumers and improving overall healthcare outcomes. APA.

July 3, 2024

Oscar Treatment Case Study

By AssignmentHelp Samples

Oscar Treatment Case Study

Identifying Information

Oscar is a 19-year-old Hispanic male, currently a freshman at a college majoring in agriculture. He is the eldest of five children in a family that has been farming the same land for four generations. His family grows vegetables for a regional grocery chain and lives in a rural area of the county. The family is very close-knit and highly independent, with three generations living in two separate houses on their land. Despite their strong family bonds, they have minimal interaction with people outside their family, preferring to maintain their independence from the local town’s community.

Oscar has always been seen as a responsible and hardworking individual, traits instilled in him by his family’s farming background. His commitment to carrying on the family tradition of farming and his enrollment in college to study agriculture demonstrate his dedication to this goal. However, recent behavioral changes have raised significant concerns among his family members, leading to his current treatment at a residential facility.

Presenting Problem

Oscar’s parents observed drastic changes in his appearance and behavior when he returned home for spring break. He had lost a noticeable amount of weight, looked physically exhausted, and exhibited signs of sleep deprivation. His mood was markedly different; he was irritable, argumentative, and no longer engaged in regular family activities. Oscar expressed a strong reluctance to return to college, citing paranoia that his roommate had placed cameras in their room to record his actions and that his professors were prejudiced against him. These concerns were accompanied by a significant decline in his academic performance, which was a stark contrast to his high school achievements where he was among the top 10% of his class.

In addition to these changes, Oscar began exhibiting unusual behaviors. He stopped showering, started wearing multiple layers of clothing regardless of the weather, and became almost completely non-communicative. He isolated himself in his room, avoided family meals, and only left his room in the middle of the night to wander around the house and property. His family, deeply disturbed by his behavior, sought advice from their priest, who recommended professional counseling. This led to Oscar’s hospitalization and the beginning of his formal mental health assessment and treatment.

Oscar Treatment Case Study

Previous Treatments

Oscar’s initial treatment involved a diagnosis of major depressive disorder, single episode, severe with psychotic features. He was prescribed antidepressants and hospitalized for three weeks. During this period, he showed some signs of improvement but relapsed shortly after being discharged. Upon his second hospitalization, it became evident that the initial diagnosis did not fully capture the severity and nature of his symptoms.

During his second stay, his condition was reassessed. He exhibited continued non-communicative behavior, persistent delusions, and paranoia. The discovery of a cache of knives and delusional notes about harming his siblings further indicated the presence of severe psychotic symptoms. This prompted a revised treatment plan that included antipsychotic medication. The re-assessment revealed that Oscar’s symptoms were more consistent with a diagnosis of schizophrenia rather than major depressive disorder with psychotic features.

Oscar Treatment Case Study

Strengths, Weaknesses, and Social Support Systems

Strengths

Family Support: Oscar’s family is deeply committed to his well-being, providing emotional support and actively participating in his treatment decisions. Their close-knit nature means that Oscar has a strong, reliable support system.

Motivation for Improvement: Despite his severe symptoms, Oscar has shown moments of clarity and willingness to communicate with his treatment team, indicating a desire to improve his condition.

Insurance Coverage: The family’s medical insurance through the farmer’s co-op covers residential treatment for up to a year, ensuring that Oscar has access to the necessary long-term care without financial strain.

Weaknesses

Social Isolation: Oscar has minimal social interactions outside his immediate family, which can hinder his social development and limit his support network. His lack of friends and social activities outside the family contribute to his isolation.

Severity of Psychotic Symptoms: Oscar’s hallucinations and delusional thoughts present significant challenges to his treatment and daily functioning. These symptoms have led to behaviors that are disruptive and potentially harmful.

Communication Barriers: Oscar’s tendency to withdraw and provide minimal responses makes it difficult for healthcare providers to fully understand his experiences and needs, potentially slowing his treatment progress.

Social Support Systems

Family: Oscar’s parents and grandparents are actively involved in his care, providing a consistent and supportive presence. Their commitment to his recovery is evident in their willingness to seek professional help and participate in his treatment.

Religious Community: The family’s priest has been a source of guidance and support, offering spiritual and emotional comfort during this challenging time.

Residential Treatment Facility: Oscar has access to a multidisciplinary team of professionals, including counselors, a psychologist, and a psychiatrist. This team approach ensures that he receives comprehensive care addressing his diverse needs.

Oscar Treatment Case Study

Assessment

Oscar’s assessment began with a comprehensive evaluation by his treatment team during his initial hospitalization. This included detailed interviews with Oscar and his family, a review of his medical and psychiatric history, and observations of his behavior. The initial diagnosis of major depressive disorder with psychotic features was based on his reported symptoms of paranoia, hallucinations, and severe depression.

However, his re-admission and subsequent behaviors led to a re-assessment. The discovery of knives, delusional notes, and Oscar’s detailed accounts of auditory hallucinations provided new insights into the nature and severity of his condition. These additional findings indicated that Oscar was experiencing persistent and severe psychotic symptoms, warranting a diagnosis of schizophrenia. The re-assessment involved further interviews, psychological testing, and consultations with the treatment team to develop a more accurate and effective treatment plan.

Diagnosis

Oscar’s revised diagnosis is Schizophrenia, characterized by the presence of persistent auditory hallucinations, delusional thoughts, social withdrawal, and significant impairment in daily functioning. This diagnosis is supported by his symptoms, including the belief that he needs to protect his family from perceived threats, hearing voices giving him instructions, and his severe behavioral changes since the onset of his condition.

The diagnosis of schizophrenia also aligns with the family history of similar symptoms, as indicated by the grandfather’s brother who experienced religious visions and later died under mysterious circumstances. This genetic link further supports the diagnosis and underscores the importance of a comprehensive treatment plan that addresses both the psychotic symptoms and the underlying genetic predisposition. APA.

References

American Psychiatric Association. (2013). *Diagnostic and statistical manual of mental disorders* (5th ed.). Arlington, VA: American Psychiatric Publishing.

Kaplan, G., & Sadock, B. (2015). *Synopsis of psychiatry: Behavioral sciences/clinical psychiatry*. Wolters Kluwer.

July 3, 2024

ECD & Psychoanalytic Theory

By AssignmentHelp Samples

ECD & Psychoanalytic Theory

The Influence of Early Childhood Events on Current Problems: A Psychoanalytic Perspective

The psychoanalytic approach, pioneered by Sigmund Freud, emphasizes the importance of early childhood development and events in shaping an individual’s personality and behavior. This approach suggests that many adult problems are rooted in unresolved conflicts and experiences from early childhood. To explore this notion, it’s essential to consider various perspectives on the impact of early childhood events, the potential for resolving adult problems without delving into the past, and personal reflections on the connections between one’s past and present.

The Impact of Early Childhood Events on Current Problems

Psychoanalysis posits that early childhood experiences, particularly those involving primary caregivers, play a crucial role in the formation of personality and psychological patterns. Freud’s theory of psychosexual development, for instance, outlines stages such as the oral, anal, and phallic stages, where experiences and conflicts can leave lasting impressions. According to Freud, unresolved conflicts or fixations during these stages can lead to various psychological issues in adulthood. For example, an individual who experiences harsh toilet training may develop an anal-retentive personality, characterized by excessive orderliness and rigidity.

ECD & Psychoanalytic Theory

Contemporary psychoanalytic theorists, such as John Bowlby and Mary Ainsworth, expanded on Freud’s ideas through the development of attachment theory. This theory emphasizes the significance of early attachment relationships in shaping an individual’s emotional regulation, interpersonal relationships, and overall psychological well-being. Secure attachments formed in infancy and early childhood provide a foundation for healthy relationships and emotional stability, while insecure attachments can lead to difficulties in these areas.

Empirical research supports the idea that early childhood experiences significantly influence later development. Studies have shown that adverse childhood experiences (ACEs), such as abuse, neglect, and household dysfunction, are associated with an increased risk of mental health issues, substance abuse, and chronic diseases in adulthood. The ACEs study conducted by Felitti et al. (1998) found a strong correlation between the number of adverse experiences in childhood and the likelihood of various health and social problems in later life. These findings suggest that early childhood events can have a profound and lasting impact on an individual’s well-being.

Resolving Adult Problems Without Exploring Past Events

While the psychoanalytic approach emphasizes the importance of exploring past events to resolve current problems, other therapeutic approaches offer alternative perspectives. Cognitive-behavioral therapy (CBT), for instance, focuses on identifying and modifying maladaptive thought patterns and behaviors in the present, without necessarily delving into the past. CBT practitioners argue that by changing current thinking and behavior, individuals can alleviate their symptoms and improve their functioning.

Research has demonstrated the effectiveness of CBT in treating various psychological disorders, such as depression, anxiety, and post-traumatic stress disorder (PTSD). For example, a meta-analysis by Hofmann et al. (2012) found that CBT is highly effective in reducing symptoms of anxiety and depression. This suggests that it is possible to address and resolve adult problems without exploring past events.

ECD & Psychoanalytic Theory

Moreover, some individuals may naturally develop resilience and coping mechanisms that enable them to overcome early adverse experiences without formal therapeutic intervention. Factors such as social support, positive relationships, and personal strengths can contribute to an individual’s ability to adapt and thrive despite early challenges. Resilience research highlights the importance of protective factors that can buffer against the negative effects of early adversity.

However, it’s important to note that for some individuals, particularly those with complex trauma or deeply ingrained patterns, exploring past events may be necessary for meaningful healing and resolution. Psychodynamic therapy, which has its roots in psychoanalysis, combines exploration of the past with attention to current relationships and experiences. This approach can help individuals gain insight into the origins of their difficulties and develop healthier patterns of relating to themselves and others.

Personal Reflection: Connections Between Past and Present

Reflecting on the connections between my own past and present, I can identify several ways in which early experiences have shaped my current behavior and personality. For instance, my CliftonStrengths Top 5 strengths (Learner®, Achiever®, Responsibility®, Arranger®, and Activator®) reveal a pattern of striving for excellence, organization, and action. These strengths can be traced back to early experiences and influences.

As a child, I was encouraged to value education and continuous learning, which likely contributed to my Learner® strength. My parents emphasized the importance of academic achievement and provided a stimulating environment that nurtured my curiosity and desire to learn. This early encouragement has manifested in my ongoing pursuit of knowledge and personal growth.

The Achiever® strength, characterized by a strong work ethic and satisfaction in being productive, can be linked to early experiences of receiving praise and recognition for accomplishments. Positive reinforcement for hard work and dedication during childhood likely reinforced these behaviors, leading to a persistent drive for achievement in adulthood.

ECD & Psychoanalytic Theory

My Responsibility® strength, which involves taking ownership of commitments and valuing honesty and loyalty, may have been influenced by early experiences of being entrusted with responsibilities and being held accountable for my actions. These experiences likely instilled a sense of duty and reliability that continues to guide my behavior today.

The Arranger® strength, reflecting an ability to organize and optimize resources, can be connected to early experiences of managing tasks and responsibilities. For example, being given opportunities to plan and coordinate activities during childhood may have honed my organizational skills and flexibility in handling complex situations.

Finally, the Activator® strength, characterized by a preference for action and a sense of urgency, may have roots in early experiences of being encouraged to take initiative and make things happen. This strength aligns with a proactive approach to problem-solving and a tendency to prioritize action over lengthy deliberation.

While I can identify these connections between my past and present, it’s also clear that my current strengths and behaviors have been shaped by a combination of early experiences, personal choices, and ongoing development. While early childhood events have undoubtedly played a significant role, they are not the sole determinants of my current functioning. Other factors, such as educational opportunities, relationships, and life experiences, have also contributed to my growth and development.

ECD & Psychoanalytic Theory

Conclusion

In conclusion, the psychoanalytic approach highlights the importance of early childhood development and events in shaping an individual’s personality and behavior. Research supports the notion that early experiences can have a lasting impact on psychological well-being, with adverse childhood events being linked to various adult problems. However, it is also possible for individuals to resolve adult problems without exploring past events, as demonstrated by the effectiveness of cognitive-behavioral therapy and the role of resilience. Personal reflections on the connections between past and present reveal the complex interplay of early experiences, personal strengths, and ongoing development. While early childhood events have influenced my strengths and behaviors, they are part of a broader tapestry of factors that contribute to who I am today. Ultimately, the extent to which individuals need to explore their past to resolve current problems may vary, depending on the nature of their difficulties and the therapeutic approach they choose. APA.

July 2, 2024

Patient case scenario debate

By Academic Wizard Blog

PATIENT CASE SCENARIO DEBATE

Malcolm is a 9-year-old male in the 4th grade at the public elementary school. Malcolm has recently been diagnosed with ADHD, combined presentation. Malcolm struggles with being fidgety and hyperactive; he often gets into trouble at school for blurting out answers, getting out of his desk when he should not be, and hitting other children when upset. Malcolm also has a hard time focusing on anything other than video games at home. His parents report homework takes “all night” though it should only take 30 minutes. Malcolm has assigned chores but often gets distracted. For example, Malcolm was to take out the trash but got distracted in the driveway while taking out the trash and left the full bag in the driveway. He often misplaces the combination code for the lock on the house door.

In Week 5, you were assigned by Faculty to argue either the pro (for) or con (against) for a particular medication., You were also provided information for a patient case study scenario. Week 5 was your opportunity to conduct research for this debate.,

This week, you will present and defend your assigned stance (pro or con) and specific medication for your patient case study scenario with your peers., Within the debate, you will also share your perspective on why the alternative medication class would not be appropriate for the patient case scenario.

Support your answers with evidence-based, peer-reviewed scholarly literature.

Note: APA style format with citations and references will apply.

As a reminder, these were the assigned medications:

July 2, 2024

microbial death

By Academic Wizard Blog

Precisely what is microbial death?,
Why does a population of microbes not die instantaneously when exposed to an antimicrobial agent?,
Explain what is wrong with this statement: “Prior to vaccination, the patient’s skin was sterilized with alcohol.” What would be a more correct wording?,
Conduct additional research on the use of triclosan and other chemical agents in antimicrobial products today. Develop an opinion on whether this process should continue, providing evidence and citations to support your stance.No super long answers are needed but I need at least 1-3 paragraphs that thoroughly explain each question. Sources need to be stated under each response to each individual question. Not on a separate reference page.
Precisely what is microbial death?
1. Why does a population of microbes not die instantaneously when exposed to an antimicrobial agent?
2. Explain what is wrong with this statement: “Prior to vaccination, the patient’s skin was sterilized with alcohol.” What would be a more correct wording?
3. Conduct additional research on the use of triclosan and other chemical agents in antimicrobial products today. Develop an opinion on whether this process should continue, providing evidence and citations to support your stance.No super long answers are needed but I need at least 1-3 paragraphs that thoroughly explain each question. Sources need to be stated under each response to each individual question. Not on a separate reference page.
  1. Precisely what is microbial death?
  2. Why does a population of microbes not die instantaneously when exposed to an antimicrobial agent?
  3. Explain what is wrong with this statement: “Prior to vaccination, the patient’s skin was sterilized with alcohol.” What would be a more correct wording?
  4. Conduct additional research on the use of triclosan and other chemical agents in antimicrobial products today. Develop an opinion on whether this process should continue, providing evidence and citations to support your stance.No super long answers are needed but I need at least 1-3 paragraphs that thoroughly explain each question. Sources need to be stated under each response to each individual question. Not on a separate reference page.
    1. Precisely what is microbial death?
    2. Why does a population of microbes not die instantaneously when exposed to an antimicrobial agent?
    3. Explain what is wrong with this statement: “Prior to vaccination, the patient’s skin was sterilized with alcohol.” What would be a more correct wording?
    4. Conduct additional research on the use of triclosan and other chemical agents in antimicrobial products today. Develop an opinion on whether this process should continue, providing evidence and citations to support your stance.No super long answers are needed but I need at least 1-3 paragraphs that thoroughly explain each question. Sources need to be stated under each response to each individual question. Not on a separate reference page.

July 2, 2024

what motivates Alexis Dixon

By Academic Wizard Blog

Design an explanation for what motivates Alexis Dixon to struggle to be “normal like everyone else.”
Compose a paragraph to explain how both Rebecca and Cheryl Hines are “both risk-takers.”
Create a list of reasons that LaSonya Moore did not allow the acceptance or rejection of her ethnic identity to influence her beliefs about learning and school.
Plan how you would explain to a high school class how Nicholas Formato (aka Nick Holes) is the personification of integrated task orientation. You will need to explain what that means as well.,
Combine Principle #36 – “Past performance guides future motivation” with the story of Nick Lowery found in our textbook.,
Formulate a theory of Jessi Colter’s possible egoistic or altruistic motives.,
Invent a description of how Alec Torelli is the type of person described by the “broken and build” view of motivation.,
Hypothesize how Darren Soto became a motivational leader.
Examine Robert Knowling, Jr.’s example of how core values, candid communication, and organizational alignment contributed to his work motivation.
Write a paragraph using Amanda Boxtel as an example of an evolution of someone’s behavior that occurred through belief change.

Design an explanation for what motivates Alexis Dixon to struggle to be “normal like everyone else.”
Compose a paragraph to explain how both Rebecca and Cheryl Hines are “both risk-takers.”
Create a list of reasons that LaSonya Moore did not allow the acceptance or rejection of her ethnic identity to influence her beliefs about learning and school.
Plan how you would explain to a high school class how Nicholas Formato (aka Nick Holes) is the personification of integrated task orientation. You will need to explain what that means as well.
Combine Principle #36 – “Past performance guides future motivation” with the story of Nick Lowery found in our textbook.
Formulate a theory of Jessi Colter’s possible egoistic or altruistic motives.
Invent a description of how Alec Torelli is the type of person described by the “broken and build” view of motivation.
Hypothesize how Darren Soto became a motivational leader.
Examine Robert Knowling, Jr.’s example of how core values, candid communication, and organizational alignment contributed to his work motivation.
Write a paragraph using Amanda Boxtel as an example of an evolution of someone’s behavior that occurred through belief change.

July 2, 2024

generic business strategies

By Academic Wizard Blog

Of the three generic business strategies that most organizations follow (cost-

cutter, customer-centric, prospector, innovator, or something else), which

strategy does your case study seem to fit and why? Review the following to help

you; the article titled The linkages between business strategies, culture,

and compensation using Miles & Snow’s and Hofstede culture framework in

conglomerate firms, Three Compensation Strategies, and Tailor the

Compensation System to the Strategy.

2) What compensation objectives can you conclude from your case study? List several unique compensation objectives for your case study and

explain why you have inferred your unique objectives.,

3) Review Formulating a Total Compensation Strategy and Contrasting,

Maps of Microsoft and SAS . Map a total compensation strategy for Competitiveness and Employee Contributions. Discuss your company’s profile in these two areas and explain why you have answered in this way.

4) In the case study you have selected, how might the company’s values be reflected in your compensation system design and why? 5) Review Hierarchical versus Egalitarian Structures and Layered versus Delayered Structures. What types of internal structures do you believe would fit best for your case study and why?

information about the company will be given once bid is accepted.

Of the three generic business strategies that most organizations follow (cost-

cutter, customer-centric, prospector, innovator, or something else), which

strategy does your case study seem to fit and why? Review the following to help

you; the article titled The linkages between business strategies, culture,

and compensation using Miles & Snow’s and Hofstede culture framework in

conglomerate firms, Three Compensation Strategies, and Tailor the

Compensation System to the Strategy.

2) What compensation objectives can you conclude from your case study? List several unique compensation objectives for your case study and

explain why you have inferred your unique objectives.

3) Review Formulating a Total Compensation Strategy and Contrasting

information about the company will be given once bid is accepted.

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