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Group Therapy with Children and Adolescents

An adolescent group that shall form the focus of this paper is one that is currently in a program for adolescents living with eating disorders. This is a program that uses group therapy to help adolescents that are dealing with eating disorders and the negative effects associated with eating disorders. Eating disorders in adolescents are common and they normally present or cooccur with other psychiatric disorders and complications. For instance, anorexia is known to be associated with depression as well as suicidal ideation (Lian et al., 2017). It is also associated with organ compromise (Moore & Bokor, 2020). The risk of mortality cannot be ignored. In fact, scholars suggest that increasing in treatment coverage when it comes to eating disorders significantly reduces the mortality that is associated with such disorders (Ward et al., 2019). This is why programs like the current one is very important to adolescents.

In the program, cognitive behavioral group therapy is used with a view of addressing the maladaptive thoughts that the teenagers have about themselves and even about their eating habits. They are encouraged to see the connection between their poor health and their behaviors. They are also encouraged and empowered to overcome the urge to participate in their behaviors because of their negative beliefs. For instance, in those that are diagnosed with anorexia nervosa, the therapy is structured in a way that makes them have a different attituded and perception about their body size and shape. The expected outcomes of the program and after implementing the said approach is that the adolescents will have the ability to overcome their desire to take part in the disruptive eating behavior and they will start to have a positive attitude towards eating healthy and exercising to maintain a healthy body weight.

One of the participants in the group is a girl that was diagnosed with anorexia and she has been having this disorder for about 3 years. The parents did not consider taking her to a psychiatric and mental health practitioner until she was hospitalized because of the complications associated with the disorder. Using the said approach, the adolescent reported that she has not been avoiding the intake of energy as much as before and she reported that she was willing to develop and completely healthy habit. However, the parents reported that she starte

d binge-eating and forcing herself to vomit. Research shows that relapse is always common in those persons that had the disorder for a long time and partial remission normally results to the development of a different eating disorder (Moore & Bokor, 2020). In tis case, it is clear that this particular adolescent was experiencing a partial remission and she was starting to develop bulimia. That explains why she was eating a lot of food and forcing herself to vomit. 

This adolescent was also diagnosed with depression and she is also receiving individual therapy using psychotherapeutic interventions. She also attempted to commit suicide once but she has recently denied any suicidal ideation. The group has adolescents that suffer from the same condition, but she is the one who has bee having this condition for the longest time. There are others in the group who have also tried to commit suicide but they have been responding properly to the group therapy. There is need to consider separating those that had suicidal ideation and attempts from those who did not as this may help this patient and a few others in her category to benefit further from the curative factors of group therapy. This is because those with particularly similar characters/behaviors and presentations shall be grouped together as opposed to everyone in one group. Members with similar characters optimize on curative factors (Malhotra & Baker, 2019).

References

Malhotra, A., & Baker, J. (2019). Group Therapy. Retrieved from https://www.ncbi.nlm.nih.gov/books/NBK549812/

Moore, C. A., & Bokor, B. R. (2020). Anorexia Nervosa. Retrieved fromhttps://www.ncbi.nlm.nih.gov/books/NBK459148/#article-17626.s7

Lian, Q., Zuo, X., Mao, Y., Luo, S., Zhang, S., Tu, X., … & Zhou, W. (2017). Anorexia nervosa, depression and suicidal thoughts among Chinese adolescents: a national school-based cross-sectional study. Environmental health and preventive medicine, 22(1), 30

Ward, Z. J., Rodriguez, P., Wright, D. R., Austin, S. B., & Long, M. W. (2019). Estimation of Eating Disorders Prevalence by Age and Associations with Mortality in a Simulated Nationally Representative US Cohort. JAMA networ 

A survey of teenagers 12–17 indicated three circumstances in which they were more likely to use drugs:

the degree of stress they are under

       –  the frequency with which they were bored

       –  the amount of money they have to spend in a week

       Teens with $25 or more a week were more likely to smoke, drink, or use drugs than those with less money. Develop a teen drug prevention program and provide steps on how you would implement the program and what the important components of the program would be? 

Caps Discussion W1

Proposal and Problem Statement

Present and discuss a topic that you are interested in researching for this course. 

Explain why this topic interests you. 

Provide a brief background of the topic and speculate on arguments you could pose or problems you could solve. 

Additionally, draft a potential problem statement. 

Pose ideas and solicit feedback from your peers on your ideas.

Module 2 Quiz

 see attachment

Interview Project

  

Interview Project Directions

Interview/Exercise Plan: 200 points. Conduct an interview of an older adult over the age of 65 and write an analysis of this interview. Write an Exercise Prescription for this individual which addresses the five categories of fitness. Include a PAR-Q and health stratification questionnaire. Incorporate fitness testing assessments and prescription practices discussed in class.  Be as thorough as possible when describing the recommended exercise prescription. Write a brief analysis of why the exercises were selected, special considerations and barriers this client may face.

Components of Project:

Section 1: Data Collection

Step 1: Choose someone you feel comfortable speaking to who is over the age of 65 and request an interview with them. They must agree to the interview. Make sure to have them sign the consent form (on the interview question sheet), a PAR-Q and a health risk screening form. If you are conducting the interview over the phone ask for their verbal consent (they don’t need the sign the physical document). You will turn in digital copies of these forms.

Using the questions provided find out about them and their physical activity habits. Ask any additional follow up questions your think may be necessary based on the answers they provided.

Step 2: Write a brief summary of your interview findings. This should be about one paragraph that reflects over what you learned about this client and what information you will need to consider when making their exercise prescription.

Section 2: Exercise Prescription 

Step 1: Based on the information gathered in the interview, information presented in class and your knowledge from previous kinesiology course work and come up with an assessment plan and exercise plan that you would recommend to this person if they were your client. You are not required to show the interviewee this program or implement it in any way it is purely hypothetical.

**Please note, as shown on the rubric make sure your assessment and exercise plan contains all necessary components

  1. Select      appropriate assessments for your client based on their current health      status. You must select at least 3 at the minimum. Make sure to describe      the assessments in depth including directions and how results are measured
  2. Select a      cardiovascular program appropriate for your client. Use the FITT acronym      in your recommendation. Include how you would progress this program.
  3. Select      resistance training program, make an educated guess on what weight/ reps/      sets you would place this client at. Include how you would progress this      program.
  4. Select at least      2 balance and 4 flexibility exercises. Include how you would progress this      program.
  5. Organize all of      this information into a chart or easy to follow table that includes all      necessary components including exercise descriptions and progressions.      Create a sample day and week workout plan including warm-up and cool down      exercises. 

Section 3: Analysis 

Write a brief summary that explains the decision-making process behind your exercise plan. This section should explain why the exercise and assessment choices were made based on your interviewee’s health status and physical activity level. Be sure to explain any special considerations or contraindications that applied to this specific individual. 

Make sure this section any barriers they may face, how you would motivate them and what goals you would set for them.

For this project you will turn in:

1. A copy of your interview transcript/Qs & As

2. Your interview summary

3. All forms (Par-Q and health risk stratification form)

4. A copy of your assessment plan and workout plan for your interviewee (all details included)

5. Your analysis summary about the exercise prescription that you wrote

Leadership Theories in Practice

 

Discussion 1: Leadership Theories in Practice

A walk through the Business section of any bookstore or a quick Internet search on the topic will reveal a seemingly endless supply of writings on leadership. Formal research literature is also teeming with volumes on the subject.

However, your own observation and experiences may suggest these theories are not always so easily found in practice. Not that the potential isn’t there; current evidence suggests that leadership factors such as emotional intelligence and transformational leadership behaviors, for example, can be highly effective for leading nurses and organizations.

Yet, how well are these theories put to practice? In this Discussion, you will examine formal leadership theories. You will compare these theories to behaviors you have observed firsthand and discuss their effectiveness in impacting your organization.

To Prepare:

  • Review the Resources and examine the leadership theories and behaviors introduced.
  • Identify two to three scholarly resources, in addition to this Module’s readings, that evaluate the impact of leadership behaviors in creating healthy work environments.
  • Reflect on the leadership behaviors presented in the three resources that you selected for review.

By Day 3 of Week 4

Post two key insights you had from the scholarly resources you selected. Describe a leader whom you have seen use such behaviors and skills, or a situation where you have seen these behaviors and skills used in practice. Be specific and provide examples. Then, explain to what extent these skills were effective and how their practice impacted the workplace.

 

Learning Resources

Required Readings

Marshall, E., & Broome, M. (2017). Transformational leadership in nursing: From expert clinician to influential leader (2nd ed.). New York, NY: Springer.
Chapter 1, “Expert Clinician to Transformational Leader in a Complex Health Care Organization: Foundations” (pp. 7–20 ONLY)
Chapter 6, “Frameworks for Becoming a Transformational Leader” (pp. 145–170)
Chapter 7, “Becoming a Leader: It’s All About You” (pp. 171–194)

Duggan, K., Aisaka, K., Tabak, R. G., Smith, C., Erwin, P., & Brownson, R. C. (2015). Implementing administrative evidence-based practices: Lessons from the field in six local health departments across the United States. BMC Health Services Research, 15(1). doi:10.1186/s12913-015-0891-3. Retrieved from https://bmchealthservres.biomedcentral.com/articles/10.1186/s12913-015-0891-3

Health Care Model Infographic

 

The purpose of this assignment is to compare two models of health care. Choose a model, such as the holistic health or social model, to compare to the medical model. Refer to the study materials for information on available infographic tools.

Create an infographic to compare the two models, including the following criteria:

  1. A description of the medical model, including access of care and satisfaction with care.
  2. A description of the second model, including access of care, satisfaction with care, and the cost of care.
  3. A list of the similarities between the two models.
  4. A list of the differences between the two models.

In addition to your infographic, choose a patient population that would benefit from your selected model. Include a 300-500 word rationale for how this model would best serve that patient population. How would this be more beneficial than other models of care?

Submit your infographic and rationale as one deliverable into the assignment dropbox.

Support your writing with three to five scholarly peer-reviewed resources.

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

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

SCI 115 microarray lab quiz

Microarray quiz

2-3 pages summary

2-3 pages summary on  The Roles and Mechanisms of Alternative Splicing in Cancer Immunotherapy  using attached articles 

Assignment MOD 8 N490:

  

Nursing: Today and Beyond

Write a 1500-2000 word essay addressing each of the following points/questions. Be sure to completely answer all the questions for each bullet point. There should be three main sections, one for each bullet below. Separate each section in your paper with a clear heading that allows your professor to know which bullet you are addressing in that section of your paper. Support your ideas with at least five (5) sources using citations in your essay. Make sure to cite using the APA writing style for the essay. The cover page and reference page in correct APA do not count towards the minimum word amount. Review the Signature Assignment rubric criteria for this assignment.

  • Describe      at least three challenges nurses face today in care delivery. These can be      ethical, legal, financial, or social. Provide at least one way to      successfully overcome each challenge.
  • In the      Institute of Medicine’s 2010 Future of Nursing report, the committee      developed four key messages. Choose one message, explain the message in      detail, and why it is important to the nursing profession.
  • Explain      each of the Institute of Medicine’s five core competencies and describe      ways in which nursing practice can meet each of these. Identify at least      one obstacle for each and explain in detail how it can be overcome.

Assignment Expectations:

Length: 1500 to 2000 words in length; answers must thoroughly address the questions in a clear, concise manner.

Structure: Include a title page and reference page in APA format. These do not count towards the minimum word count for this assignment. Your essay must include an introduction and a conclusion.

References: Use appropriate APA style in-text citations and references for all resources utilized to answer the questions. A minimum of five (5) outside scholarly sources are required for this assignment.