​Non financial Barriers to Accessing Healthcare

One of the primary reasons for underutilization of healthcare services is cost. However, Kullgren, McLaughlin, Mitra, and Armstrong (2012) comment that over 20 percent of Americans do not seek out healthcare service in a timely fashion due to nonfinancial reasons. These barriers have to do less with affordability and more with accessibility and acceptability.

Nonfinancial barriers to healthcare include lack of transportation, long wait times, and work or family responsibilities. Consider, also, issues such as health needs, language, and cultural norms. Review the article in depth and discuss some healthcare policies that could be adopted to overcome these nonfinancial barriers to accessing healthcare.

Navigate to Google Scholar and review the following article:

Kullgren, J. T., McLaughlin, C. G., Mitra, N., & Armstrong, K. (2012).

Nonfinancial barriers and access to care for US adults. Health services

research, 47(1pt2), 462–485.

Support your work, textbook readings from other sources. Cite your sources in your work and provide references for the citations in APA format

Traditional Male Circumcision in Eastern and Southern Africa:

Assignment: NO PLAGERISM OR COPYING FROM PAST ASSIGNMENTS.

The icebreaker for this Discussion is as follows:

I would like you to share a quote with the class that reflects something about you, your life, and your experiences. ( I am an Army Deepsea Diver of 9 years, I have 3 girls, married and live in VA. Make something up and I can tweak it).

Please read Traditional Male Circumcision in Eastern and Southern Africa: A Systematic Review of Prevalence and Complications, located at http://www.who.int/bulletin/volumes/88/12/09-072975/en/, and, after doing so, address the following question:

Is there a line between protecting cultural traditional healing and protecting people’s lives/health? If so, what is the line? Who determines it?

Please remember that every student is entitled to express his or her opinion and that differences of opinion must be communicated in a respectful manner.

Expectations: 1 page, 3 cited references.

Florida State University Case Vignette Paper

Case vignette. Please read the case vignette and answer the following questions:

How might you in a subtle way to promote dependency? What personal needs might be met by encouraging members to need you?

What do you think is meant by the phrase “promote termina­tion of members from the group in the most efficient period”?

  • Case Vignette
  • In this case, the group leader conducts an ongoing group with no termination in sight. Whenever a member wants to quit, he or she is reminded of each person’s responsibility to the group, and there is a discussion of how the person has not worked through all his or her struggles fully and is therefore not ready to terminate. The leader maintains that dependence on the leader is an expected part of the therapy process. Personality change is not necessarily accomplished in 12 months of therapy, the leader contends. This leader sees nothing wrong in having people come to the group for a long time. She gives the analogy of the person with diabetes that needs to take insulin for the rest of his or her life. She assumes that there are always issues to work through and eventually the members will be able to work through their dependency if they stay with the group for a long time and if they are willing to work through their feelings of transference toward the group leader and perhaps other members.

FILLER TEXT

Required

Corey, M., Corey, G., & Cory, C. (2014). Groups: Process and practice (9th ed.). Belmont, CA: Brooks/Cole.

Messer, S. & Gurman, A., (2011). Essential psychotherapies: Theory and practice (3rd ed.). New York: The Guilford Press. ISBN-13: 978-1462513543, ISBN-10: 1462513549

Yalom, I. & Lescez, M. (2006). The theory and practice of group psychotherapy (5th ed.). New York: Basic Books.

Each student must incorporate evidence-based references using APA format with one reference being a recent research article into each module discussion (articles within the last five years). Please select articles that relate to group therapy or a concept discussed in this class.

2 pages. 

Research the health-illness continuum and its relevance to patient care. In a 750-1,000 word paper, discuss the relevance of the continuum to patient care and present a perspective of your current state of health in relation to the wellness spectrum.

The benchmark assesses the following competency:

Benchmark: 5.1. Understand the human experience across the health-illness continuum.

Research the health-illness continuum and its relevance to patient care. In a 750-1,000 word paper, discuss the relevance of the continuum to patient care and present a perspective of your current state of health in relation to the wellness spectrum. Include the following:

  1. Examine the health-illness continuum and discuss why this perspective is important to consider in relation to health and the human experience when caring for patients.
  2. Reflect on your overall state of health. Discuss what behaviors support or detract from your health and well-being. Explain where you currently fall on the health-illness continuum.
  3. Discuss the options and resources available to you to help you move toward wellness on the health-illness spectrum. Describe how these would assist in moving you toward wellness (managing a chronic disease, recovering from an illness, self-actualization, etc.).

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

7-9 Powerpoint Slide

Assignment 3: Presentation of Assignment 2

Due Week 10 and worth 100 points

In this assignment, you will condense information from Assignment 2 to create a PowerPoint presentation.

Faculty Note: If there is a hardship for any student in being able to secure a microphone to complete this assignment, allow the student to use the Notes section of PowerPoint to write a narrative of what he or she would say if actually presenting.

Create a seven to nine (7-9) slide PowerPoint Presentation in which you:

  1. Provide a title slide (as indicated in the format requirements below), followed by a slide with an executive summary containing a brief statement of your proposal, as covered within Assignment 2.
  2. Summarize your response to each of the criteria in Assignment 2—one (1) slide per criterion, for a total of six (6) slides.
  3. Provide a summary slide which addresses your key points from Assignment 2.
  4. Narrate each slide, using a microphone, indicating what you would say if you were actually presenting in front of an audience.

Your assignment must follow these formatting requirements:

  • Format the PowerPoint presentation with headings on each slide and three to four (3-4) relevant graphics (photographs, graphs, clip art, etc.), ensuring that the presentation is visually appealing and readable from 18 feet away. Check with your professor for any additional instructions.
  • Include a title slide containing the title of the assignment, the student’s name, the professor’s name, the course title, and the date. The title slide is not included in the required slide length.

The specific course learning outcomes associated with this assignment are:

  • Examine the impact technologies have on health care information systems.
  • Describe the basic components of a strategic information system plan.
  • Describe the major types and classifications of health care information standards and the specific organizations that develop and regulate these standards.
  • Discuss the need for, and identify methods of, accomplishing the security of information systems.
  • Evaluate the impact of strategic information system plans on organizational competiveness and performance.
  • Use technology and information resources to research issues in health information systems.
  • Write clearly and concisely about health information systems using proper writing mechanics.

NURS6650 Walden WK2 Family Assessment and Phases of Family Therapy

Week 2: Family Assessment and Phases of Family Therapy

A family’s patterns of behavior influences [sic] the individual and therefore may need to be a part of the treatment plan. In marriage and family therapy, the unit of treatment isn’t just the person – even if only a single person is interviewed – it is the set of relationships in which the person is imbedded.

—American Association of Marriage and Family Therapy, “About Marriage and Family Therapists”

When issues arise within a family unit, the family often presents with one member identified as the “problem.” However, you will frequently find that the issue is not necessarily the “problem client,” but rather dysfunctional family patterns and relationships. To better understand such patterns and relationships and develop a family treatment plan, it is essential that the practitioner appropriately assess all family members. This requires you to have a strong foundation in family assessment and therapy.

This week, as you explore family assessment and therapy, you assess client families presenting for psychotherapy. You also develop diagnoses for clients receiving psychotherapy and consider the legal and ethical implications of counseling these clients.


Learning Resources

Note: To access this week’s required library resources, please click on the link to the Course Readings List, found in theCourse Materials section of your Syllabus.

Required Readings

Wheeler, K. (Ed.). (2014).
Psychotherapy for the advanced practice psychiatric nurse: A how-to guide for evidence-based practice. New York, NY: Springer.

  • Chapter 12, “Family Therapy” (pp. 429–468)

Nichols, M. (2014).
The essentials of family therapy (6th ed.). Boston, MA: Pearson.

  • Chapter 3, “Basic Techniques of Family Therapy” (pp. 29–48)
  • Chapter 4, “The Fundamental Concepts of Family Therapy” (pp. 49–68)

American Psychiatric Association. (2013).
Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author.

Note: It is highly recommended that you use this resource as a reference guide throughout the course. Retrieved from Walden Library databases.

L’Abate, L. (2015). Highlights from 60 years of practice, research, and teaching in family therapy.
American Journal of Family Therapy, 43(2), 180–196. doi:10.1080/01926187.2014.1002367

Note: Retrieved from Walden Library databases.

Mojta, C., Falconier, M. K., & Huebner, A. J. (2014). Fostering self-awareness in novice therapists using internal family systems therapy.
American Journal of Family Therapy, 42(1), 67–78. doi:10.1080/01926187.2013.772870

Note: Retrieved from Walden Library databases.

Nichols, M., & Tafuri, S. (2013). Techniques of structural family assessment: A qualitative analysis of how experts promote a systemic perspective.
Family Process, 52(2), 207–215. doi:10.1111/famp.12025

Note: Retrieved from Walden Library databases.

Papero, D. V. (2014). Assisting the two-person system: An approach based on the Bowen theory. Australian & New Zealand Journal of Family Therapy, 35(4), 386–397. doi:10.1002/anzf.1079

Note: Retrieved from Walden Library databases.

Document: Group Therapy Progress Note

Required Media

Laureate Education (Producer). (2013a).
Hernandez family> Sessions 1—6 [Video file]. Author: Baltimore, MD.


Psychotherapy.net (Producer). (2006).
Tools and techniques for family therapy. [Video file]. Mill Valley, CA: Author.

Note: You will access this media from the Walden Library databases. The approximate length of this media piece is 52 minutes.










Psychotherapy.net (Producer). (2006).
Tools and techniques for family therapy. [Video file]. Mill Valley, CA: Author.

Note: You will access this media from the Walden Library databases. The approximate length of this media piece is 52 minutes.


Assignment 1: Hernandez Family Assessment

Assessment is as essential to family therapy as it is to individual therapy. Although families often present with one person identified as the “problem,” the assessment process will help you better understand family roles and determine whether the identified problem client is in fact the root of the family’s issues. As you examine the Hernandez Family: Sessions 1-6 videos in this week’s Learning Resources, consider how you might assess and treat the client family.

Learning Objectives

Students will:
  • Assess client families presenting for psychotherapy

To prepare:

  • Review this week’s Learning Resources and reflect on the insights they provide on family assessment.
  • View the Hernandez Family: Sessions 1-6 videos, and consider how you might assess the family in the case study.

Note: For guidance on writing a comprehensive client assessment, refer to pages 137–142 of Wheeler (2014) in this week’s Learning Resources.

The Assignment

Address in a comprehensive client assessment of the Hernandez family the following:

  • Demographic information
  • Presenting problem
  • History or present illness
  • Past psychiatric history
  • Medical history
  • Substance use history
  • Developmental history
  • Family psychiatric history
  • Psychosocial history
  • History of abuse and/or trauma
  • Review of systems
  • Physical assessment
  • Mental status exam
  • Differential diagnosis
  • Case formulation
  • Treatment plan

Note: Any item you are unable to address from the video should be marked “needs to be added to” as you would in an actual comprehensive client assessment

Workforce Shortage and Its Implications on America’s Hospitals

Workforce Shortage

Click here to read the health care workforce shortage and its implications on America’s hospitals, at the American Hospitals Association’s (AHA) website.

Select a hospital, which is not more than two hours away from your place of residence. Based on your readings and understanding, create a 3- to 4-page report in a Microsoft Word document, that includes:

A plan for a rural, medium-sized hospital to deal with short- and long-term workforce shortages.

Your plan should include the following elements:

Introduction
Problem description of the healthcare workforce shortage and its implications

  • The aspects that need immediate attention and aspects that need long-term attention
  • Provide a rationale on why these aspects need attention
  • A description of the financial implications for these issues

Evaluation of alternatives with an explanation of the risks associated with these problems
Your recommendations to solve these problems
An explanation of the methods to measure the success of the plan
A description of the next steps, if the plan failed
Conclusion
Reference list

To support your work, use your course and textbook readings and also use the South University Online Library. As in all assignments, cite your sources in your work and provide references for the citations in APA format.

Submission Details:

  • Your assignment should be addressed in an 8- to 10-page document.
  • Submit your documents to the Submissions Area by the due date assigned.

Diet Analysis Project; Summary A record of seven days of food intake will be recorded, and analysis of three of the days will be performed, using the

Diet analysis project.

Instructions; Collect seven days of food intake, and record the approximate time, a description of the food or beverage you’ve consumed [chicken-fried, milk-1% low fat], and a measured amount. The amount is the tricky part but attempt to be as accurate as you can. The measurement must be in a unit that is a common weight or volume, such as a cup, or ounce, or ½ pound. Not in units that have not specific meaning such as a bowl or glass or spoon full, or a large amount.

You will need to select three days, one of which should be a weekend day, and prepare to analysis these days. You will need to provide information on the amount of food you consumed. At some point when you are providing a summary of your eating behaviors you will need to comment on the amount you eat as a serving as compared to what the serving size is for that food.

You will then provide the calories you consumed from each food and break down the food for carbohydrate, fat and protein intake. You will also need to provide the intake of certain vitamins and minerals. If you have purchased a book that came with an access code for a web based dietary analysis you may certainly use this program. If you did not get a code with your book, a dietary analysis program will be available to you, such as the one at Mypryamid.gov. You may also use a nutrient composition table accessed on the internet of your choosing. (http://www.choosemy0plate.gov/
http://www.choosemyplate.gov/supertracker-tools/supertracker.html)

Compare your three days. Is there a wide variation for daily calories, amount of food or for certain nutrients? Include a comment about this in your summary. You are also to write in your summary about how you think your eating behaviors and your nutrient intake are meeting your nutritional needs and what you might do to improve them. For this section you may use the U.S. Dietary Guidelines provided in the beginning of your text or anything else covered in your book or in class. This is not an assignment that you are to obsess over. There is no way to be 100% accurate so do the best you can at assessing how your diet/nutrition is, and provide some critical and creative thinking on how you might improve it. Have FUN with this!

Federally Qualified Health Centers

Federally Qualified Health Centers (FQHCs), often referred to as community clinics, are the first line of care for many patients.

  • Analyze their target population and explain how they offer patients a financial motivation to receive care at an FQHC.

Resources

Alba, A. D., Britigan, D. H., Lyden, E., & Johansson, P. (2016). Assessing health literacy levels of spanish-speaking hispanic patients in spanish at federally qualified health centers (FQHCs) in the midwest. Journal of Health Care for the Poor and Underserved, 27(4), 1726-1732. doi:10.1353/hpu.2016.0158

Wright, B. (2015). Do patients have a voice? the social stratification of health center governing boards. Health Expectations, 18(3), 430-437. doi:10.1111/hex.12059

To support your work, use other textbook readings. As in all assignments, cite your sources in your work and provide references for the citations in APA format.

Your initial posting should be addressed at 400 words