Evaluate the limitations for an alcohol and drug counselor when treating diagnoses other than those related to substance abuse

LASA 1—Gregory’s Treatment

People that abuse substances have individual reasons for what first drove them to begin using these substances in the first place. Some clients started using them through experimentation, peer pressure, or curiosity. However, many users began using substances as a way of dealing with other issues in their lives, such as depression, anxiety, weight loss, or other physical or mental disorders. In still other cases, mental and physical disorders may result in response to chronic substance abuse. In these cases, it is important to determine what the co-occurring disorder is, as well as the substance abuse problem, in order to determine the best course of treatment.
Read the following scenario and then respond to the questions that follow:
You are a substance abuse counselor. Gregory, your new client, has come to you for help with his alcohol use problem. Gregory is married with three children and works as a sales representative for a large corporation in the city. In your first meeting with Gregory, you discover that his drinking began as a way to alleviate the anxiety he felt in social situations. Over time, Gregory began using alcohol more often. He found that every time he used alcohol, his anxiety lifted and he was able to be more at ease during work, out with colleagues, and at other such public events. Over time, Gregory realized he needed more alcohol than before to get the same anxiety relieving effects.
Two weeks ago, one of Gregory’s coworkers became suspicious that Gregory was drinking at work. That same day, while Gregory was driving home from work, he was pulled over by the police. He passed the field sobriety test and the officer let him off with a warning. These two events served as a wake-up call for Gregory as he realized his alcohol use may be beyond his control.
Gregory has made an appointment with you because he sincerely wants to curtail his alcohol use.
To help Gregory achieve his goals, write a paper that analyzes the components of his scenario. In your paper, ensure that you include the following information:

  • Summarize the history and usefulness of the four major contemporary treatment modalities (crisis intervention, individual counseling, group counseling, and family counseling).
  • Evaluate Gregory’s dual diagnosis (also referred to as “co-occurring disorders”) and the implications for counseling. Keep the following questions in mind:
    • Describe the meaning of dual diagnosis and how it impacts counseling.
    • Classify Gregory’s primary and secondary diagnoses.
    • Analyze the implications in treating a secondary diagnosis.
  • Evaluate the limitations for an alcohol and drug counselor when treating diagnoses other than those related to substance abuse. Describe the circumstances where the four treatment modalities might be useful in a dual diagnosis.
  • Recommend at least one treatment modality for Gregory and explain your recommendation using at least two scholarly references.

Write a 4–5-page paper in Word format. Use scholarly resources, including your textbook, to support your ideas. Your paper must be in Word format and include a title page and reference page in addition to the 4-5-pages of content. Apply APA 6th edition standards to the format of the paper, and the citation of sources. PLEASE BE DETAILED ORIENTED.

 
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Evolving Practice of Nursing and Patient Care Delivery Models

Evolving Practice of Nursing and Patient Care Delivery Models
As the country focuses on the restructuring of the U.S. health care delivery system, nurses will continue to play an important role. It is expected that more and more nursing jobs will become available out in the community, and fewer will be available in acute care hospitals.
1.Write an informal presentation (500-700 words) to educate nurses about how the practice of nursing is expected to grow and change. Include the concepts of continuity or continuum of care, accountable care organizations (ACO), medical homes, and nurse-managed health clinics.
2.Share your presentation with nurse colleagues on your unit or department and ask them to offer their impressions of the anticipated changes to health care delivery and the new role of nurses in hospital settings, communities, clinics, and medical homes.
3.In 800-1,000 words summarize the feedback shared by three nurse colleagues and discuss whether their impressions are consistent with what you have researched about health reform.
4.A minimum of three scholarly references are required for this assignment.
1)Main concept is easily identified, and sub concepts branch appropriately from the main idea. Addresses all of the issues related to the evolving practice of nursing and patient care delivery.
2)Evidence of feedback and forecasting of the nursing role from colleagues is described in detail, with relevant personal insight, reflection, or analysis.
3)All of the recommended terms have been iContent shows significant evidence of originality and inventiveness. The majority of the content and many of the ideas are fresh, original, inventive, and based upon logical conclusions and sound research included in the correct context.
5)Content shows significant evidence of originality and inventiveness. The majority of the content and many of the ideas are fresh, original, inventive, and based upon logical conclusions and sound research


 

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identify solutions implemented at five other hospitals in the U.S. that were dealing as Ashford hosp

identify solutions implemented at five other hospitals in the U.S. that were dealing as Ashford hosp

Question descriptionAs part of your Final Paper, you are asked to research and identify solutions implemented at five other hospitals in the U.S. that were dealing with the same issues in the senarial below. Create an outline illustrating five solutions implemented at five other hospitals, including key details. Use the “Guide to Creating an Outline” for assistance.

Ashford General Hospital Proposal

Ashford General Hospital is a 263-bed regional hospital located in California, serving its community for more than 50 years. The hospital maintains the only 24-hour emergency department in the area and an “extended hours” urgent care clinic. Similar to other hospitals in the United States, Ashford General Hospital is encountering a nursing shortage. Sixty-eight percent of the nursing staff is over the age of 45, facing retirement. The retention rate on nurses is 61%, compared to 65% nationwide. Many of the nursing staff find the work too physically demanding and have a feeling of emotional burn-out as well. In the past two years, the hospital has used both per diem nurses and traveling nurses who sign short-term contracts to fill individual shifts and accommodate short-term staffing needs arising from staff vacations or medical leaves. This has not only driven up personnel costs but also resulted in lower scores on patient satisfaction surveys. Ashford General Hospital faces significant challenges in nurse staffing ahead as it grapples with these issues, and the hospital board is very concerned. They know there must be some changes made in order to prevent a major financial and human resources crisis in the future. As the newly hired CEO, you are asked to present a proposal in the next board meeting.

Your outline must be formatted according to the guidelines as stated in the Ashford Writing Center (Links to an external site.)Links to an external site.. Your paper must be two to three double-spaced pages (excluding title and reference pages) and formatted according to APA style as outlined in the Ashford Writing Center (Links to an external site.)Links to an external site.. Including the textbook, utilize a minimum of five scholarly and/or peer-reviewed sources from the Ashford University Library published within the last five years. Document all references in APA style as outlined in the Ashford Writing Center APA Checklist (Links to an external site.)Links to an external site..

Carefully review the Grading Rubric (Links to an external site.)Links to an external site. for the criteria that will be used to evaluate your assignment.

 
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Healthcare Administration -Proposal project​

Healthcare Administration -Proposal project​


Question descriptionIn HCAD-515 you have developed a business proposal in which you have identified a healthcare-related problem or opportunity facing your organization.

Now in HCAD 590 Healthcare Administration Capstone Project, you will continue to expand on the identification of the Issue and incorporate solutions through research gathered from six of the courses in your Masters of Business in Healthcare Studies and outside research.Based upon this research you will identify a second potential solution.Both solutions will then be evaluated and a preferred solution determined and supported.You will conclude your project with lessons learned in a separate assignment – 6.2 Report (Capstone Project) and Personal Growth and Development.

Here you go. From the details below, you can fully the work.

Okay so, you need to add up more information to these.

Executive summary————2 pages (even 1 ½ page will do)

Problem Summary————- 3 pages (even 2 ½ page will do)

Literature Review————— 6 pages (we need about 15 sources within the literature review potion, the instruction says that)

Reference———————— (25 but you have only 14 for now)

 
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Humanist (existential, gestalt, or person centered theories

Due Sunday 7/29/18 at 5 pm.  For Modules 3- 7, the papers can conceptualize a client of your choosing using the theoretical perspective outlined for that module. Use the same client for each paper. Each paper should include a brief description of the client/patient, case conceptualization from the perspectives in the theory as supported by your text and other sources and some possible strategies to address each perspective. For example: Using your texts and other sources, write a brief (2-3 pages) Humanist (existential, gestalt, or person centered theories) conceptualization of a client from your present or past work. Include considerations for development of a treatment plan.
Grading Criteria:
I. Conceptualization
o Appropriate conceptualization based on model
o Mindful application of strategies
II. Writing & APA
o Use correct grammar and spelling, etc.
o Proper formatting of title page, etc.
Scenario:
Consumer is a forty-three-year-old African American female who reports being diagnosed with bipolar disorder, manic depression, anxiety, schizophrenia, and PTSD. Documentation from the Virginia Department of Corrections medical discharge summary reports on 12/27/11 reports the consumer was diagnosed with bipolar disorder and PTSD. Consumer reports her first hospitalization was at Central State hospital at the age of 14 for suicidal ideations. Consumer reports no current suicidal or homicidal ideations. Previously the consumer received therapy and was seeing the psychiatrist at the Panic Anxiety and Depression Center. Consumer reports she stopped going due to the center closing. Consumer expressed interest in finding a new therapist and psychiatrist. She also reports receiving MHSS in the past. Consumer is currently prescribed Amitriptyline, Seroquel, Mirtazapine, and Lorazepam. Consumer’s medication is prescribed by her PCP Dr. Lerla Joseph, until she finds a new psychiatrist. Consumer reports suffering from depressive symptoms 3 to 4 times a week. Consumer states when she does not have medication she will become more sensitive and have crying spells. Consumer reports during bouts of depression she has a decreased appetite. She also reported isolating herself 3 to 4 times a week due to sadness. Consumer states she doesn’t like being around others. Consumer reports the primary trigger for her depression is when she reflects on the death of her oldest son. She reported her son died in 2011. Consumer reports she has a tough time releasing her stress and sadness. She identified herself as an introvert. Consumer reported being diagnosed with schizophrenia, but she does not believe has the disorder. Consumer admitted that she hears voices, especially of her deceased son and family members. Consumer reports having anxiety daily. She reports when having anxiety, she will hyperventilate and become irritable. Consumer identified being around a lot of people and confusion as her triggers for anxiety. She reported having to increase her anxiety medication. She reports being a single parent to 1 year old twins as a major stressor. She feels as if she has no support from the father, and that she often feels overwhelmed. Consumer reports having difficulty with managing appointments and balancing mother hood. Consumer reports having asthma, high cholesterol, high blood pressure, congestive heart failure, and hypothyroidism.  Consumer reports her depressive symptoms affect her ability to perform ADL’s. Consumer stated when she becomes depressed she needs motivation to clean and cook. Consumer stated she has history of poor money management. She reports using her money for nonessential items instead of saving it. Consumer expressed that she needs more income to cover her bills and to support her family. Consumer reported being molested by family between the ages of 9 to 11 years old. She identified this period as the start of her depressive symptoms.  Consumer reported no criminal charges were filed. She stated, “I just dealt with it”. Consumer reported becoming emancipated at the age of 17 years old. She reported being on probation at the age of 13-year-old due to fighting and being around negative influences. At the age of 17 years old she was sent to prison for robbery. She stayed in jail for 19 years. Consumer reports abusing heroin from the ages of 15 to 17 years old. MHSS is needed to help the consumer build skills to live successfully and independently in the community.

 
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American Journal of Nursing

American Journal of Nursing


Question description  

Individual Research Project: Research Question (Proposal Draft of Evidence-based Project)

https://lwwthepoint.blackboard.com/bbcswebdav/pid-471438-dt-content-rid-1643507_1/courses/NUR317_SS17/Fineout-Overholt%20Critical%20Appraisal%20of%20the%20Evidence-%20Part%20I.pdf

https://lwwthepoint.blackboard.com/bbcswebdav/pid-471438-dt-content-rid-1643508_1/courses/NUR317_SS17/Melnek%20The%20Seven%20Steps%20of%20Evidence-Based%20Practice_NURS%20307.pdf

This is a 2 page maximum paper (does not include title page or reference list) using APA 6th edition

guidelines. (These instructions are also provided in a word document for ease of printing)

I have provided the two following articles you may find helpful in writing your paper:

Melnyk, B. M., Fineout-Overholt, E., Stillwell, S. B., & Williamson, K. M. (2010).

Evidence-based practice: step by step: The seven steps of evidence-based practice.

American Journal of Nursing, 110(1), 51-53. doi:10.1097/01.NAJ.0000366056.06605.d2

Fineout-Overholt, E., Melnyk, B. M., Stillwell, S. B., & Williamson, K. M. (2010).

Evidence-based practice step by step: Critical appraisal of the evidence: part I. American Journal of Nursing, 110(7), 47-52.

doi:10.1097/01.NAJ.0000383935.22721.9c

Instructions

1. Develop a question on an issue you are interested in or one you have seen in the clinical setting using the PICOT format. In your introduction provide insight that led you to your question then state your question in the PICOT format.

2. Find at least three pieces of literature related to the issue. Try and have at least one qualitative article.

3. Use the “Table of Studies” word document to document your studies (table is provided below in a Word dcounent)

4. Discuss the issue and what is known and not known (the gap) of the issue based on the articles you have found.

5. Include your Table of Studies as an appendix to your paper

 
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Analyze the distinction between customer satisfaction and customer loyalty

WHY ARE CUSTOMER SATISFACTION SURVEYS IMPORTANT FOR HEALTH CARE ORGANIZATIONS?

Prepare for this Application as follows:

For Section One: Marketing Research

Review the instructions for Chapter 6 Problem 6 on page 228 of Essentials of Health Care Marketing. In addition to considering how you will answer this problem, think about the marketing-research process. What elements of the marketing-research process described in Chapter 5 of the text would you recommend the organization apply in this scenario?

For Section Two: Customer Loyalty

Consider the following statement: “ Although it is obvious that dissatisfied customers will certainly switch, it has been found that even satisfied customers will switch providers or suppliers. Satisfaction in and of itself is not sufficient” (Berkowitz, 2011, p. 236). With this in mind, think about the following questions:

Why are customer satisfaction surveys important for health care organizations?

What is the difference between customer satisfaction and customer loyalty?

How would you assess customer loyalty?

Why would this distinction be important for a health care organization as it considers its financial investments in marketing strategies? What implications does this have in terms of attracting new customers versus retaining customers?

What is the purpose of organizational branding?

Then write a 2- to 3-page paper that addresses the following:

 

Section One: Marketing Research

Answer the questions for Chapter 6 Problem 6 on page 228 of Essentials of Health Care Marketing. In addition, explain the types of additional marketing research you would recommend the organization conduct given this scenario.

Section Two: Customer Loyalty

Analyze the distinction between customer satisfaction and customer loyalty. Also evaluate the significance of organizational branding and other aspects of marketing described in this week’s Learning Resources. Explain how they relate to customer loyalty.

 
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What are at least two cultural limitations associated with assessment and treatment?

PROVIDE AN EXAMPLE OF A SITUATION THAT COULD BE LEGAL BUT UNETHICAL.

Provide an example of a situation that could be legal but unethical. Explain your response.

Question 2 –What are at least two ethical issues associated with clinical psychology? Provide an example of a situation that could be ethical but illegal. Explain your response.

Question 3 –Define professional boundaries, boundary crossings, and boundary violations. What effects do boundaries have on the therapeutic relationship? Question 4 –What are at least two cultural limitations associated with assessment and treatment? In your response, discuss the use or misuse of assessment instruments, therapy techniques, research results, or any other facet of clinical practice that could have potentially harmful, culture-specific implications. Please use Plant as one of your references and one more reference for each question Plante, T. G., (2010). What is Contemporary clinical psychology? Contemporary clinical psychology, third edition. ISBN 9780470587393. John Wiley & Sons Inc. due not need this until december 26 ok.

 
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concepts of epidemiology and nursing research to a communicable disease

Concepts of epidemiology and nursing research to a communicable disease

In a written paper of 1,200-1,500 words, apply the concepts of epidemiology and nursing research to a communicable disease.

Communicable Disease Selection

Choose one communicable disease from the following list:

Chickenpox

Tuberculosis

Influenza

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Mononucleosis

Hepatitis B

HIV

Epidemiology Paper Requirements

Include the following in your assignment:

Description of the communicable disease (causes, symptoms, mode of transmission, complications, treatment) and the demographic of interest (mortality, morbidity, incidence, and prevalence).

Describe the determinants of health and explain how those factors contribute to the development of this disease.

Discuss the epidemiologic triangle as it relates to the communicable disease you have selected. Include the host factors, agent factors (presence or absence), and environmental factors. (The textbook describes each element of the epidemiologic triangle).

Explain the role of the community health nurse (case finding, reporting, data collecting, data analysis, and follow-up).

Identify at least one national agency or organization that addresses the communicable disease chosen and describe how the organization(s) contributes to resolving or reducing the impact of disease.

A minimum of three references is required.

Refer to “Communicable Disease Chain” and “Chain of Infection” for assistance completing this assignment.

Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center.

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

 
Details:
In a short essay (500-750 words), answer the Question at the end of Case Study 1. Cite references to support your positions.
Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.
This assignment uses a grading rubric. Instructors will be using the rubric to grade the assignment; therefore, students should review the rubric prior to beginning the assignment to become familiar with the assignment criteria and expectations for successful completion of the assignment.
You are required to submit this assignment to Turnitin.
n a short essay (500-750 words), answer the Question at the end of Case Study 1. Cite references to support your positions.
Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.
This assignment uses a grading rubric. Instructors will be using the rubric to grade the assignment; therefore, students should review the rubric prior to beginning the assignment to become familiar with the assignment criteria and expectations for successful completion of the assignment.
You are required to submit this assignment to Turnitin.

 
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