...Disabilities The U.S. Census Bureau has found that nearly 1 in 5 individuals in the U.S. live with a disability. That translates into over 54 million people in the United States alone. Disability has often been associated with poor health. Adults with disabilities should have the same opportunity for good health as those living without. People living with disabilities are more likely to smoke, have greater issues with obesity and have more difficulty accessing preventive health services (CDC, 2014). This paper will look at some of the disparities among adults living with disabilities, why this may be occurring and what can be done to help decrease the disparities and increase positive outcomes for this group. Review of Health Status, Disparities and Barriers to Good Health Disability has been defined in many different ways and pinpointing one definition that everyone agrees on can be difficult. In the Surgeon General’s Call to Action report (2005) it is generally defined as “a feature of the mind, body or senses that can affect a person’s daily life”. Until very recently people with disabilities have gone mostly unrecognized as a group facing health disparities but when surveys are taken from both groups, adults with disabilities versus those without, the gap between how each group views their personal health status is vast. Those living with disabilities are describing themselves to be in fair or poor health four times (40.3% vs 9.9%) more often than adults without any noted disability...
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... . . . . . . . . . . Figure 1. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Figure 2. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . DISCUSSION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . AUTHORS’ CONCLUSIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ACKNOWLEDGEMENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . REFERENCES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . CHARACTERISTICS OF STUDIES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . DATA AND ANALYSES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Analysis 1.1. Comparison 1 ANY FORM OF PSYCHOEDUCATION vs STANDARD CARE, Outcome 1 Compliance: 1a. With medication - non-compliance. . . . . . . . ....
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...Family Nursing Diagnoses Community Nursing The community health nurse has a primary role to assess the relationship of variables in the community with how they relate to patients and health. Cultural, religious, ethnic, and personal upbringings are variables that are considered to gain a basic understanding of the community framework. The purpose of this paper is to discuss three nursing diagnoses related to AL and his family living in a suburban community in Staten Island, New York. Interventions and outcomes will be expected for each diagnosis and will be integrated into the care plan and educational program specially designed for the chosen family. Family Assessment AL is a 65 year old man with an Italian ethnic background. He is a smoker who has been recently diagnosed with Type II Diabetes Mellitus, mild obesity, and a history of coronary artery disease with one stent last year. His physician stated he is borderline diabetic that could be managed through diet and lifestyle modifications, and could not advance if he is compliant with suggested regimens. He lives in a two-family residence with his wife, and his father who lives in the side apartment downstairs. He has two adult children who live within close range and visit several times a week. Jean Watson’s Theory of Human Caring When caring for a special population group within a community, the nurse must integrate clinical thought to assimilate specifically designed interventions for patients. Nurses must...
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...Traback at the River Community Garden Offsite #2: Almaz at Step Up Silicon Valley * Is Rawls veil of ignorance the equivalent of Ellacuria’s preferential option for the poor? * Recford and Daniel: * Both Protestant ministers (biblical texts as source or vehicle for framing and thinking through issues) * Both deliberate and conscious of challenges of relating Biblical faith to Social issues * Housing and immigration are public policy issues * Daniel devotes a chapter to this question, using “Caesar vs. God” image from New Testament * Micah Shows up in both books (see below) * Differences? * Is immigration more of a “hot button” issue than housing? * If so, do we find different kinds of rhetoric? * Phil comment in class: Does Reckford focus more on system or structures or root causes (next slide) and Daniel more on individuals? * If so, do we have different kinds of solidarity in these two approaches? * Root Causes (“cycle”) of Poverty (structural analysis) (52-53) * Rhetorical device? * Cites 5 of them * “social capital” (56-58) is a rich illustration * Solidarity involves “learning” and “sensitivity” and “collaboration” (60) * Corresponding interventions/Solutions * E.g. “not charity but capital” (Clarence Jordan, cited 54) * 62-63: justice = level playing field (Sen. M. Fenwick, grandmother) * Housing is one of several interventions, but foundational...
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...Running Head: Community Assessment and Analysis Community Assessment and Analysis: The State of Arizona Team Purple Grand Canyon University: NRS 427V September 9, 2012 Community Assessment and Analysis Arizona is a state located in the southwestern region of the United States. It is also part of the western United States and the mountain west with the state’s capitol and largest city being, Phoenix. The second largest Arizona city is Tucson, which is then followed in size by eight Phoenix metropolitan area cities: Mesa, Glendale, Chandler, Scottsdale, Gilbert, Tempe, Peoria and Yuma. Arizona is the 48th state and last of the contiguous states admitted to the Union, achieving statehood on February 14, 1912. It is one of the four corner states, which borders Utah, Nevada, and California. It also has a 389-mile (626 km) international border with the states of Sonora and Baja California in Mexico. Arizona is noted for its desert climate; exceptionally hot summers, and mild winters, and it also features pine forests and mountain ranges in the northern high country with much cooler weather than in the lower deserts. The state is covered with beautiful desert landscape. There is also the less known pine-covered high country of the Colorado Plateau in the north-central portion of the state which contrasts with the desert Basin and Range region in the southern portions of the state. It is known for being home to one of the natural wonders of the...
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... Imagine someone and or the media painting an image of you or your illness in the wrong way or light. How would that make you feel? Being judged unfairly or falsely because you have a mental illness is wrong, period. The bad stereo types proceed out in such representation; mentally ill people as incapable, threating, messy, dirty and unworthy. The media have gradually become aware of these detrimental portrayals. I started watching this show on A&E called Intervention. Is a Rehab reality show that showcase extraordinary causes of addiction and substance use; were their family and friends get together and confront their loved ones. There’s no quality metric for improvement, however one consider the excessive recidivism of drug delinquents heading back to prison, the persistent relapsing of individuals whom proceeded through community based rehabilitation programs and any person who’s fooled with a junkie in their personal life. The problem is that this is a reality show and it not really about intervention it’s about ratings. Reality shows often choose people for the show that will boost ratings, act a fool, fight argue etc. This tend to open up ethical standards when choosing people for the show. This documentary / reality show shows the day and life of addicts. It takes the addicts and their families testimonies and rely on those to help with sobriety and accountability. However, sobriety is hard. It’s a life change not just quitting drug or alcohol for a while...
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...in a relationship to control another (Domestic Violence, 2009). Domestic violence is not just an issue that women have to worry about, as it affects all types of relationships – married couples, unmarried couples, heterosexuals, gay, lesbian, and even those who are just casually dating. Name calling, keeping a partner from contacting their family, sexual assault, stalking, and intimidation are just a few of many forms of domestic violence. Although both men and women can become victims, not more often than, it is women who suffer from this type of violence (Domestic Violence, 2009). Discussed within this paper will be the effects of domestic violence on society, motivations on altruistic behavior and how intervention, and prevention will affect society and individuals. History of Domestic Violence Domestic violence became a more prominent issue during the women’s rights movement of the 1970’s (Moser, 2007). Shortly after the first women’s shelter opened in 1974, hundreds of others opened across the United States offering women a safe place to stay with their children, and often offering services that attended to the emotional, financial, and vocational needs of women and their children (Moser, 2007). In the 1970’s and 1980’s when officer assistance was needed a home because of domestic violence, often a warning was given to the parties,...
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...Associate-degree Level VS. Baccalaureate-degree Level in Nursing Lisa L. Ramirez Grand Canyon University: NRS 430-V November 22, 2013 There are many differences in the nursing field between an undergraduate nurse, holding an associate’s degree (ADN) and a graduate nurse, holding a baccalaureate’s degree (BSN). The main focus of this paper is to identify the differences of competency in the nursing practice of nurses holding an ADN vs. a BSN degree in the roles of assessing, critical thinking, communicating, providing care, teaching, and leading. Competency is the ability to do something efficiently and successfully. Grand Canyon University (GCU) offers the BSN program and is based on the curriculum set forth by the College of Nursing. This curriculum is outlined to prepare the student to respond creatively to the continuously changing health care systems throughout the world. “Within this program, professionalism, ethical decision making, accountability, effective communication, and critical thinking are emphasized and is achieved by the application of liberal arts, science, health and nursing theories” (GCU). The Associate Degree Nursing curriculum provides knowledge, skills, and strategies necessary to integrate safety and quality into nursing care, to practice in a dynamic environment, and to meet individual needs which impact health, quality of life and achievement of potential, according to the community college of Piedmont. According to an article from...
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...Analysis of a Case Study Community Health Nursing - NUR 311 November 01, 2015 Abstract This paper examines the role of a home care nurse in the case of a patient who is non-compliant with care and lacks knowledge about his medical condition. Nurses have numerous legal, professional and ethical duties. The three main duties are to respect all patients’ confidentiality and autonomy and to recognize duty of care owed to all patients. This paper will explore the ethical dilemma involved with a patient unwillingness to comply and the nurse’s duty to respect the patient’s wishes. Further discussion will give insight into the nurse’s legal responsibilities and elaborate on the principle of beneficence, health concepts, autonomy vs. paternalism, patient teaching, family as caregiver, Eco mapping, and therapeutic nursing interventions. Analysis of a Case Study Situation Overview The article, “The Patient Who Fell Through The Cracks,” described Mr. H as a 65 years old, morbidly obese man diagnosed with CHF, PVD, bilateral venous stasis ulcers, and HTN. He lived at home with his diabetic wife and mentally-challenged adult son. The environment in which they resided was unhealthy, possibly due to self-care deficit and lack of knowledge about health and wellness. Mr. H. lacked the support system that he needed to care for himself. Due to Mr. H’s inability to comprehend and self-care deficit immediate intervention had to be initiated by the nurse which involved providing wound...
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...other personal attributes to keep these youth off the street. According to the National Institute of Juvenile Justice Research in Action Newsletter (1999), traditional case management consists of a social or mental health worker who secures and coordinates continued social, mental health, medical, and other services for a client (Healey). With the deinstitutionalize of inmates in 1970 the mental health workers found new ways and initiative to coordinate efforts in an attempt to connect social services while monitoring recent released inmates where different agencies were able to derive distinct programs and agencies for within the criminal justice system. Alongside these programs the case managers begin to differentiate programs for youth vs. adults. Yet, each service consist of different treatment plans to assess the client in an effort to reduce alcohol and substance abuse , parole and probation monitoring, and other developed service plans (Healey, 1999). These plans are built on...
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...students. Wilson article discuss many issues with the school to prison pipeline and solutions. Research suggest that community interventions are the best solution to the school to prison pipeline (Wilson, 2014). For example, training teachers on different cultures and back grounds,...
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...ownership by means of corporations or individuals. There are many types of capitalism. This essay discusses two types of capitalism that are currently being debated in the media, State capitalism and liberal capitalism. This essay also investigates whether the South Africa is really state capitalism or are they using Major Private Sectors to socially develop the South African economy, being Neoliberal capitalism? State Capitalism VS Liberal Capitalism State capitalism is when the government takes control over the commercial economic environment. The government may own shares in a public company listed in the stock exchange, acting as a large shareholder. Another type of economic system where State capitalism would be involved is when production is owned by private companies and the state controls the credit and investment allocation. Liberal capitalism is also known as free market capitalism; it gives companies and individuals the freedom to run their own market and set their own price systems. Individuals or companies would benefit with their gains and face detriment with their errors. The government may intervene to control free trade and open competition by eliminating private Monopoly. Neoliberal Capitalism is where private sectors seek to maximise the political and economic priorities of the state. South African Government Interventions Referring to the State of Nation Address by President Jacob Zuma, there are many interventions the Government desires to implement...
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...Running Head: Family-Focused Treatment vs. Individual Treatment for Bipolar Disorder Family-Focused Treatment vs. Individual Treatment for Bipolar Disorder Amber Reddy Ivy Tech Community College Abstract Over a nine month period, recently hospitalized bipolar, manic patients were assigned at random to participate in family-focused psycho-educational therapy or individually focused patient treatment. Along with mood-stabilizing medications, all patients received concurrent treatment. During the two year study, one year period of active treatment and one year period of post treatment, organized follow-up assessments were conducted at three month intervals. Patients in family treatment were found to be less likely to be re-hospitalized and experienced fewer mood disorder relapses than those in the individual based treatment. Although between the two groups, there was no difference in the likelihood of a first relapse. Family-Focused Treatment vs. Individual Treatment for Bipolar Disorder When it comes to bipolar disorder, is family-focused treatment better than individual treatment? According to the APA (American Psychological Association, it is. During a two year clinical trial using patients recruited from inpatient services from three large hospitals in the Los Angela’s area, fifty-three patients were chosen at random. Criteria for the study required patients to have been between the ages of 18- 45, diagnosed with the bipolar disorder, currently on mood-regulating...
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...BSN Nurse VS ADN Nurse XXX XXXX XXX XXX XXXX Oct. 4, 2013 BSN nurse VS ADN nurse In this following paper I will demonstrate the difference in competencies between nurses at the associate-degree level versus the baccalaureate-degree level. “There are three routes to becoming a register nurse: a 3-year diploma program typically administered in hospitals; a 3-year associate degree usually offered at community colleges; and the 4-year baccalaureate degree offered at senior colleges and universities.” ("Impact of education on nursing practice," 2012, p. 1) “Nursing is a dynamic profession and lifelong learning is essential for nurses to stay current with the increased complexity of the healthcare needs of today and into the future. In other words, the needs of our patients are changing, as we must change in order to better serve that need. BSN degree nurses are better prepared to meet patient needs. The main difference in study between an AND and BSN is the emphasis on additional education in leadership and management, wellness, and community nursing. BSN prepared nurses possess greater knowledge of health promotion, disease prevention, and risk reduction as well as illness and disease management and are prepared to assist individuals, groups, and communities to prevent disease and achieve optimum levels of wellness. As nurses expand their role and move further into providing more community based primary care delivery the need for BSN prepared nurses is apparent.”(Ellis...
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...Human Rights Essay Northern Territory Intervention The Northern Territory Intervention was a series of emergency measures put in place which are designed to stabilise and protect communities in the identified crisis areas. The measures were targeted at confronting the welfare of indigenous children namely in the area of child abuse and family violence (Community Services and Indigenous Affairs, 2007). The measures to be included in the NTI (Northern Territory Intervention) ascribed by the national Government are as follows: * Introducing widespread alcohol restricitons on Northern Territory Aboriginal land; * Introducing welfare reforms designed to reduce the flow of cash going toward substance abuse and to ensure funds meant to be for children's welfare remained for that purpose; * Enforcing mandatory school attendance bridging family assistance and income support payments with school attendance for persons living on the allocated lands and by providing meals for children while at school; * Introducing mandatory health checks for all indigenous children to identify abuse and treat health problems; * Acquiring townships allocated by the Australian Government through a scheme involving five year leases including payment of just terms compensation; * As part of the immediate emergency response, increasing policing levels in prescribed communities, including requesting secondments from other jurisdictions to supplement NT resources, funded by the Australian...
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