...Hi Krisherm, Thank you for well-explained post on genetic counseling. With the question you have raised for us on genetic counseling, it has given me the chance to research and learn about genetic education and the implications to our physical therapy profession. Krisherm, I apologized in advance for my different take on genetic counseling, which discusses not so much on prenatal screens but more so on human genetics. I realized that I was researching more on generalized screening per se. To answer your question: [What are your thoughts on genetic counseling? Should we impart our professional beliefs and personal values when our patients ask us regarding this subject?] The advances of human genetics can pose affirmation of therapeutic benefits in the fields of medicine. Goldberg (2005) contended The Human Genome Project [HGP] flourished in 1995 was initiated with goals of sequencing and mapping of human genome by year 2005. It proceeded to let patients (suffering from genetic condition like cancer), set hope of being able to identify the genes that predisposes to tumor formation. One such example is the BRCA1 influencing susceptibility to breast and ovarian...
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...GENETIC COUNSELING IN NURSING AND ETHICS Hyang Ko Azusa Pacific University Abstract The current development of genetic information and technique leaves us assignments. It is included ethical issues, roles of nurses, and the responsibilities in healthcare professionals. In order to understand nurses’ role and responsibilities and to provide genetic counseling, two research article with text books were reviewed. There were conflicts within ethical principles and nurses’ obligation. Each principle is important but one principle is superior to others when healthcare professionals make a decision in a certain context. It is necessary that genetic counseling is provided to patients and their family when healthcare professionals deal with genetic information. The two research articles empathized that experienced nurses are excellent candidates in genetic counseling within healthcare professionals by being educated, trained about genetic information. Genetic Counseling in Nursing and Ethics Definitions of Genetics and Genetic Counseling Officially, the terms of Genetics and genetic counseling is defined by Wekipidia as below: Genetics, a discipline of biology, is the science of genes, heredity, and variation in living organisms (http://en.wikipedia.org/wiki/Genetics). Genetic counseling is the process by which patients or relatives, at risk of an inherited disorder, are advised of the consequences and nature of the disorder, the probability of developing or transmitting...
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...GNT1, Contemporary Nursing Issues, Task 1 Mrs. Elli Baker is a 73-year-old female who is transferred to the emergency room after collapsing in her backyard. Just prior to this, while talking to her friend on the phone, she seemed confused and beside herself. Upon arrival to the ER, she complains of some dyspnea with an increase in her respiratory rate and pulse. Her previous history includes diabetes and hypertension. She has recently started a new blood pressure medication: lisinopril. Her other medications include metformin and hydrochlorothiazide. The nurse is able to ask Mrs. Baker a few questions, but she then becomes unresponsive and has more difficult time breathing. As Mrs. Baker’s nurse, I would initiate a code immediately by dialing the operator using the phone in the patient’s room. The operator, in turn, calls a code over the hospital intercom system; thus, obtaining the assistance of several other staff members such as a respiratory therapist, the nursing supervisor, and an ICU (Intensive Care Unit) nurse. The respiratory therapist is expert in the field of lung function and responds to any codes or traumas within the hospital. The respiratory therapist participates in intubation of a patient, manages the bag/valve mask system for managing respirations in an intubated patient, performs tests such as ABG, and manages ventilation equipment when necessary. The Nursing Supervisor makes herself available to all nursing staff for support, acts as a script...
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...Imagine you are a genetic counselor. You counsel couples both before and after pregnancy on fertility, genetic disorders, and pregnancy issues. Several couples you counseled are discussed below. What may they learn by going to you, a genetic counselor? 1. The Millers have one brown-eyed female child and one male blue-eyed child. They are twins. How is this possible? Explain how that is possible by reviewing the phenotype and genotype of each child. There are two different types of twins: monozygotic twins (identical) and dizygotic twins (not identical). In this case, the twins are dizygotic because they do not share the same characteristics or gender, so each twin has his/her own set of genes from the parents. It is likely that one of the...
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...1. In class we spoke about how much counseling has changed over the years. We spoke about how individuals previously perceived seeking help from a counselor as a huge black mark that you needed to hide at all cost. Today, however, it is more talked about and nothing to be ashamed of. We spoke about high school “guidance counselors” and how majority dictated and limited student’s future career options, opportunities and self confidence; as per “old” days of school counseling. The class also noted that todays modern school counselor no longer limits students ambitions but instead encourages and them to reach of their dreams while teaching them tools to help them succeed. Looking back on the class discussion I would determine that though all of...
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...Existential counselling is a philosophical form of counselling which addresses the situation of a person's life and situates the person firmly within the predictable challenges of the human condition. Existential counselling considers human living to take place within four dimensions: physical, social, psychological and spiritual. It shows each of these dimensions to be constituted like a force field, within which predictable paradoxes, tensions and dilemmas play out. Human beings can learn to deal with these tensions and conflicts more effectively by facing up to the negatives as well as the positives of their lives, including the tensions of life and death, love and hate, strength and weakness and meaning and absurdity. Best known authors on existential counselling are Irvin Yalom in the USA through his book Existential Psychotherapy (1981) New York: Basic Books and Emmy van Deurzen, who created the British School and who published her bookExistential Counselling and Psychotherapy in 1988 (London: Sage Publications; second edition 2002, third edition 2011). Existential therapy essentially helps deal with the problems of everyday living, such as relationship difficulties (both with Individuals & in Couple Therapy), anxiety/fear, food/body-image issues, addictions, mood disorders, social anxiety, panic, trauma, low self-esteem, unresolved childhood issues, sexual issues and others. It is a clear, direct and honest approach helping clients work on their particular, unique...
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...Items Name Institution Current Professional Issues, Relevant Etiological Models, and Key Actionable Items Introduction Thesis Statement: A healthy therapeutic alliance depends upon the resolution of professional issues facing the client-counselor relationship in addiction counseling practice. Counselors encounter regular professional challenges. These problems are exacerbated in substance abuse counseling due to the link between criminal activity and addiction. Counselors must weigh the risks and gains of various solutions to arrive at suitable decisions. This paper examines five current professional issues in addiction counseling, including the relevant etiological models and key actionable items for addressing these issues in a real world environment. Professional issues encompass topics of debate on practical or ethical conduct that underpins appropriate professional practice. In addiction counseling, five such issues are client rights (confidentiality, privileged communication, and privacy), physical and psychological self-care by the counselor, dual relationships, countertransference, and record keeping. Professional Issues In addiction counseling practice, it is common for interested parties (family members, medical doctors, probation officers, psychologists, or other counselors) to ask a counselor to share information concerning a client. Such a request could also come from an ancillary helping professional or the judicial system. Sharing...
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...in the job market. Counseling is a professional field of study that requires advanced education and training. Counseling graduates can meet the growing needs of society in many different areas of study. Counselors can work in different fields, depending on the population of expertise. Counseling in a school setting can be good for one who has interest in working with children in diverse areas of development by helping through social/personal, career development and the achievement of academic goals (American School Counselor Association, 2012). School counselors may work in post secondary schools, high schools, junior high, middle, and elementary schools. School counselors can collaborate with school professionals to make sure that the needs of these students are met. School counselors can also work in a college setting, which includes guidance and academic counselors. Counselors are there to offer guidance and academic assistance to college-aged students (O*NET, 2006). Rehabilitation counseling is an area of expertise for counselors who are interested in working with the disabled. Their area of concentration is to “counsel population with disabilities resulting from accidents, disease or illness, birth defects, or other causes” (Occupational Outlook Handbook, 2012). Rehabilitation counselors develop programs tailored to help meet the needs of this population and in process help them have self-sufficiency. Mental health counseling is a field of counseling that deals with populations...
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...Why I chose to become a mental health counselor Counseling others is a difficult job that requires people to listen, take notes, and respond in ways that are positive and helpful. It is important that trust be built between the counselor and the patient so that the patient will feel comfortable speaking about issues that are private or embarrassing. There are many different types of counselors including drug counselors; marriage counselors, grief counselors, job counselors, diet and exercise counselors, and others that can help people improve their lives in different ways. Counselors are trained to offer advice and listen to issues that may be bothering other people. They are not allowed to prescribe medication or expected to provide medical advice. Approximately 25 percent of North Americans suffer from diagnosable mental health issues each year. With the increasing awareness of the related social, political and economic impacts of these problems, there is a greater need for professional mental health counselors. Additionally, health care insurance providers, driving the demand for more qualified professionals, recognize most mental health counseling. After earning a master's degree in mental health counseling, most people choose to get licensed or certified in a specialty such as: • Rehabilitation counseling • Substance abuse counseling • Marriage and family counseling Mental health counselors work with individuals, groups and communities on a variety of mental health...
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...deals with a Marriage and family therapist who might need to seek appropriate processional help for personal problems and conflict that might occur or may impair work performance. (AAMFT) This has to deal with a therapist who might have an issues that is brought up during a session, if a Marriage and Family therapist is working with a client and an issue dealing with adultery comes up the counselor might have had a similar situation that causes a reaction. It is important for the counselor to understand that these emotions might come up and the appropriate way to address them. Seeking assistance in this profession is an important especially if they plan on continue counselor with the set clients. Often times even a therapist attends a counseling just to help sort out some emotions that might arise. 3.10 Gifts: This ethical code has to do with a therapist receive or giving gifts of substantial value, or a gift that might impair the integrity or efficacy of the therapeutic relationship (AAMFT). Often time’s clients want to show appreciation for the healings that they have experienced. Some of the time a simple thank you is not enough, in some cultures it is custom to give a gift. One suggestion that a therapist might try is to place the “no gift giving” in the informed consent. This way the client will have a hard copy of the understandings. Another options is to send out a kindly reminder during the holidays that gift are not needed, all though this practice might be presumptuous...
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...Marketing task As I stated on the phone, nominal marketing will be a peripheral aspect of the position. While I do not expect a formal marketing proposal, I am looking for someone that can think outside the box and help me to grow the practice through various marketing tools, as well as manage the day to day scheduling and office duties more typical of an administrative assistance. I recognize that I am asking the person that assumes this position to wear multiple hats, mostly because I have been wearing those multiple hats myself for the past 9 years of my independent practice. I have included some basic information about my practice, applications of my services, as well as typical fees for service. Think outside the box and be creative in developing a few potential marketing strategies that you think might work well for my practice. Please recognize that I am critiquing you more on work product (accuracy of information and thoughtfulness of proposals, along with your creativity) in addition to your writing and organizational skills on this exercise. I look forward to seeing what you develop and to meeting you during our interview time next week. My practice is typically composed of 10-12 sessions per week. Sessions are a mixture of individual, couples, and family sessions. I am looking to develop a greater basis for psychological evaluations and potential forensic involvement in custody evaluations for divorcing families. I have developed evaluations that focus on...
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...Tsunami – Natural Disaster – Effects on the Survivor Tsunami is a sea waves that is caused by an underwater earthquake. The water quickly move under water until it reaches land with waves reaching 50 feet or higher resulting in individuals losing their family members, home, money or business from the tsunami. People who encounter a Tsunami event struggle with psychological problems days and weeks after the traumatic event such as depression and different levels of post traumatic stress disorder (PTSD). Survivors constantly experience feelings of anxiousness and stress because of the fear of danger from another tsunami. Murdered Child – Personal Trauma causing Crisis - Effects on the Survivor The murder of a child can be devastating especially when it’s your own. The hurt and pain can be compound when the death is determined by a heartless human being. Parents and the family faces complicated issues such as trying to understand “why” someone would want to kill their child who they love and will miss. Coping with the “miss” is the challenging part. A parent of a murdered child handles grief differently. Some parents try to continue normalcy while others have extreme difficulty coping with the lost such as obsessive thinking, suicide, anger, fears and anxiety. The hard part is grieving; however; everyone grief’s differently must. Effects on First Responders First Responders are vulnerable to stress and trauma as they are exposed to events every day in their work lives...
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...Mental Health Counseling The reason I chose to obtain a MS in Mental Health Counseling is because I have already obtained a MS in Criminal Justice and learned why individuals commit crimes and the different theorist that have studied to criminal mind to try to find an answer to this age old questions, why do individuals commit crimes? Which many has come to conclusions but the end results is many have been incarcerated when they needed medical attention. I have obtain many reasons as to why individuals commit crime but I want to get to point of knowing what influenences are there are mental health issues one of the reasons why our prison system is being overflowed and are these individuals being overlooked. These factors motivates me as an individual which I believe will prepare me to become a competent counselor. I feel as though we are not in the individuals life to judge but to motivate, to achieve a common goal of seeking and resolving a issues/problem that he/she is conflicted with. I intend continue to grow within the counseling field by continuing to research issues that effect society today, such as mental health and seeking solutions for these individuals to be able to live normal lives without the ridicule or label. Being able to write about mental issues and ways to resolve it is a lifelong dream but I feel as though with any profession comes experience and the more experience one has the more knowledgeable one becomes and it is at this point that I feel as though...
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...Accomplished, achievement-driven and results oriented individual, seeking entry into Masters of Science in Mental Health Counseling with a Forensic Counseling specialization. Personal/Professional Goals I am interested in furthering my degree, so I can advance in my career and more effectively help people with mental health disorders within the judicial system. After I earn a Master’s of Science in Mental Health Counseling I want become a licensed clinician. My focus primarily will be on helping youth that are court adjudicated into residential therapeutic facilities, such as KidsPeace. At KidsPeace they accept adjudicated clients but there is not a specific program in place to effectively treat these individuals. It is my goal along with the program director of the organization for myself to develop and pioneer a conduct disorder program and establish it within the KidsPeace organization. The reasoning behind choosing this field is my work experience and some of the population I have been exposed to. Through my observation violence is a learned behavior, and unfortunately young victims of violence generally become perpetrators of crime and develop mental health disorders. Many times if juvenile offenders are not adjudicated to the correct residential therapeutic facility; that specializes in conduct disorder programming. When this happens these individuals are more likely to cycle through the judicial system and become career criminal, which leads to over populated correctional...
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...Multicultural Awareness Multiculturalism has a vital role in counseling. According to Hays (2010) this type of counseling pays attention to the cultural diversities of clients in order to offer better services. To achieve multicultural awareness, the counselor has to know his or her own cultural characteristics. This article will contain the results of the multicultural-assessments I completed, my reflection on being “other,” as well as my statement of counseling identity and the explanation why multicultural awareness is important in the mental health counseling profession. Results of Self-Assessment Completing Petrone’s (2004) multicultural self-assessment was interesting and eye opening. In this test, choice number 1 means seldom, if ever; number 5 means almost always. Most of my scores were either fours or fives; these results tell me that I am interested in other people, paying attention to listen, and I am comfortable with new situations. I scored three threes in the following subjects: 1) I ask questions until I am sure I understand what others are saying; 2) If I were at an event with people who differed from me, I would make every effort to talk with them; 3) I try not to assume anything. Reaction to Self-Assessment After I finished the self-assessment, I immediately started thinking about the results. I realized that my not asking questions until I understand what others are saying is connected to the lower score about not assuming anything. Levitt (2010) talked...
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