Compare ways in which the concepts of “God,” “Person,” “Environment,” “Health,” and “Nursing” would be defined according to Colossians

/in /by

Compare ways in which the concepts of “God,” “Person,” “Environment,” “Health,” and “Nursing” would be defined according to Colossians

Compare ways in which the concepts of “God,” “Person,” “Environment,” “Health,” and “Nursing” would be defined according to Colossians 1.

College essay writing service
Question

Read Colossians 1 in the Bible. Compare ways in which the concepts of “God,” “Person,” “Environment,” “Health,” and “Nursing” would be defined according to Colossians 1.
Social Science homework help

 

smilesmile. .

get-your-custom-paper




The post Compare ways in which the concepts of “God,” “Person,” “Environment,” “Health,” and “Nursing” would be defined according to Colossians appeared first on nursing term paper.

 
Do you need a similar assignment done for you from scratch? We have qualified writers to help you. We assure you an A+ quality paper that is free from plagiarism. Order now for an Amazing Discount!
Use Discount Code "Newclient" for a 15% Discount!

NB: We do not resell papers. Upon ordering, we do an original paper exclusively for you.

Psychotherapy With Personality Disorders

/in /by

Psychotherapy With Personality Disorders

Week 11: Psychotherapy With Personality Disorders

Since personality represents who someone is at the deepest level, it is understandable that many people with personality disorders resist the idea that they have a fundamental dysfunction with their personality. Even when clients acknowledge that their personality problems are at the heart of their interpersonal problems, they often find it difficult to change. As the mental health professional, how do you overcome this challenge and effectively counsel these clients?

ORDER A PLAGIARISM-FREE PAPER HERE

This week, as you explore psychotherapy with personality disorders, you examine therapeutic approaches to treating clients with personality and interpersonal problems. You also develop a client termination summary for a client who may be ready to complete therapy. Psychotherapy With Personality Disorders

Psychotherapy With Personality Disorders Learning Resources

Required Readings

Wheeler, K. (Ed.). (2014). Psychotherapy for the advanced practice psychiatric nurse: A how-to guide for evidence-based practice (2nd ed.). New York, NY: Springer Publishing Company.

  • Chapter 20, “Termination and Outcome Evaluation” (Review pp. 693–712)

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

Note: You will access this text from the Walden Library databases.

Dixon-Gordon, K. L., Turner, B. J., & Chapman, A. L. (2011). Psychotherapy for personality disorders. International Review of Psychiatry, 23(3), 282–302. doi:10.3109/09540261.2011.586992

Note: You will access this text from the Walden Library databases. Psychotherapy With Personality Disorders

Lorentzen, S., Ruud, T., Fjeldstad, A., & Høglend, P. A. (2015). Personality disorder moderates outcome in short- and long-term group analytic psychotherapy: A randomized clinical trial. British Journal of Clinical Psychology, 54(2), 129–146. doi:10.1111/bjc.12065

 

Note: You will access this text from the Walden Library databases.

Paris, J. (2004). Personality disorders over time: Implications for psychotherapy. American Journal of Psychotherapy, 58(4), 420–429. PMID: 15807086

 

Note: You will access this text from the Walden Library databases.

Swift, J. K., & Greenberg, R. P. (2015). What is premature termination, and why does it occur? In Premature termination in psychotherapy: Strategies for engaging clients and improving outcomes (pp. 11–31). Washington, DC: American Psychological Association. doi:10.1037/14469-002

 

Note: You will access this text from the Walden Library databases.

Optional Resources

Dorr, D. (1999). Approaching psychotherapy of the personality disorders from the Millon perspective. Journal of Personality Assessment, 72(3), 407–425. PMID: 10491846

Bach, B., Lee, C., Mortensen, E. L., & Simonsen, E. (2016). How do DSM-5 personality traits align with schema therapy constructs? Journal of Personality Disorders, 30(4), 502–529. doi:10.1521/pedi_2015_29_212

Walden University. (2016). ASC success strategies: Studying for and taking a test . Retrieved from http://academicguides.waldenu.edu/ASCsuccess/ASCtesting. Psychotherapy With Personality Disorders

Clients with personality disorders often find it difficult to overcome their problems and function in daily life. Even when these clients are aware that they have a dysfunction with their personality and are open to counseling, treatment can be challenging for both the client and the therapist. For this Discussion, as you examine personality disorders, consider therapeutic approaches you might use with clients. Psychotherapy With Personality Disorders.

Learning Objectives

Students will:
  • Analyze therapeutic approaches to treating clients with personality disorders

To prepare:

  • Review this week’s Learning Resources and reflect on the insights they provide.
  • Select one of the personality disorders from the DSM-5.

Note: For this Discussion, you are required to complete your initial post before you will be able to view and respond to your colleagues’ postings. Begin by clicking on the “Post to Discussion Question” link and then select “Create Thread” to complete your initial post. Remember, once you click Submit, you cannot delete or edit your own posts, and cannot post anonymously. Please check your post carefully before clicking Submit! Psychotherapy With Personality Disorders

By Day 3

Post a description of the personality disorder you selected. Explain a therapeutic approach (including psychotropic medications if appropriate) you might use to treat a client presenting with this disorder, including how you would share your diagnosis of this disorder to the client in order to avoid damaging the therapeutic relationship. Support your approach with evidence-based literature. Psychotherapy With Personality Disorders.

Read a selection of your colleagues’ responses.

By Day 6

Respond to at least two of your colleagues by providing one alternative therapeutic approach. Explain why you suggest this alternative and support your suggestion with evidence-based literature and/or your own experiences with clients. Psychotherapy With Personality Disorders.

Submission and Grading Information

Grading Criteria

To access your rubric:

Week 11 Discussion Rubric

Post by Day 3 and Respond by Day 6

To participate in this Discussion:

Week 11 Discussion

Assignment: Board Vitals

This week you will be responding to twenty Board Vitals questions that cover a broad review of your Nurse Practitioner program courses up to this point.

These review questions will provide practice that is critical in your preparation for the national certification exam that’s required to certify you to practice as a nurse practitioner. These customized test questions are designed to help you prepare for your Nurse Practitioner certification exam. It is in your best interest to take your time, do your best, and answer each question to the best of your ability. Psychotherapy With Personality Disorders.

You can access Board Vitals through the link sent to you in email or by following the link below:

https://www.boardvitals.com/

By Day 7

Complete the Board Vitals questions.

Exam: Final Exam

Learning Objectives

Students will:
  • Assess knowledge of concepts, principles, and theories related to the psychotherapy of individuals

This exam is a test of your knowledge in preparation for your certification exam. No outside resources including books, notes, websites, or any other type of resource are to be used to complete this exam. You are expected tocomply with Walden University’s Code of Conduct.

This exam will cover the following topics from the Wheeler textbook, which relate to psychotherapy of individuals:

  • Supportive and Psychodynamic Psychotherapy
  • Interpersonal Psychotherapy
  • Humanistic-Existential and Solution-Focused Approaches to Psychotherapy
  • Psychotherapy With Children
  • Psychotherapy With Older Adults
  • Termination and Outcome Evaluation
  • Psychotherapy With Personality Disorders

By Day 7

Complete the Final Exam. Prior to starting the exam, you should review all of your materials. There is a 2-hour time limit to complete this 76-question exam. You may only attempt this exam once. Psychotherapy With Personality Disorders

 
Do you need a similar assignment done for you from scratch? We have qualified writers to help you. We assure you an A+ quality paper that is free from plagiarism. Order now for an Amazing Discount!
Use Discount Code "Newclient" for a 15% Discount!

NB: We do not resell papers. Upon ordering, we do an original paper exclusively for you.

The impact of multiplepatient simulation experiences on the development of nursing students’ patient safety competencies

/in /by

The impact of multiplepatient simulation experiences on the development of nursing students’ patient safety competencies

article (Ironside et al., 2009) about safety. Analyze and critique the article and study that it reported.

– Did the authors describe a theoretical or empirical background to support their research questions? If so, what?
– Describe the participants and research design/procedures.
– What measures/tools were used in this study? Were these adequate for the purpose of the study? Why or why not?
– What type of statistical test(s) were used in this study? Were different tests used for different research questions? Explain.
– Were these tests appropriate to the research question? Why or why not?
– Did the authors discuss assumptions of the statistical tests used? Were they correct to use this test(s)?
– What were the results of the statistical tests? Please include the actual values of all statistics used.
– Did the authors report and interpret the results correctly? What if anything, would you add to their interpretation?
– Did you find any limitations to this study? Did the authors describe them accurately?
– How might you improve the study, if you were to replicate it?

 

smilesmilePLACE THIS ORDER OR A SIMILAR ORDER WITH NURSING TERM PAPER TODAY AND GET AN AMAZING DISCOUNT

get-your-custom-paper




The post The impact of multiplepatient simulation experiences on the development of nursing students’ patient safety competencies appeared first on nursing term paper.

 
Do you need a similar assignment done for you from scratch? We have qualified writers to help you. We assure you an A+ quality paper that is free from plagiarism. Order now for an Amazing Discount!
Use Discount Code "Newclient" for a 15% Discount!

NB: We do not resell papers. Upon ordering, we do an original paper exclusively for you.

Using the literature and your own insights into these issues, formulate an argument as to why the problem has reached its current scale.

/in /by

Using the literature and your own insights into these issues, formulate an argument as to why the problem has reached its current scale.
“Nevertheless, at least 5,000 years ago, humans discovered the psychoactive properties of the plant, and its ability to reduce fatigue, thirst, and hunger was appreciated for many centuries by the indigenous Indian population,” (Advokat, Comaty, & Julien, 2014, p. 201). People from all walks of life can experience problems with their drug use, regardless of age, race, or background. While some can use recreational or prescription drugs without experiencing negative effects, others find that substance use takes a serious toll on their health and well-being. Abusing drugs can leave you feeling helpless and ashamed. I think the reason the problem has reached its current scale is that of technology and the availability. At one time you practically had to have a prescription to take any form of prescription drug.
Now, you can easily make drugs yourselves or buy it off the streets such as methamphetamine. “It has been estimated that 35 percent of methamphetamine (MA) in the United States comes from clandestine laboratories. It is easily synthesized from readily obtainable chemicals, including pseudoephedrine. Methamphetamine was originally an approved drug, effective in the treatment of ADHD. Today, however, it is rarely used legitimately and has clearly demonstrated neurotoxicity,” (Advokat, Comaty, & Julien, 2014, p. 216).
In your discussion, evaluate the employment of psychoactive drugs from the aspects of a risk-benefits analysis and ethical considerations such as the risk of addiction versus the cost of punitive action.
Cocaine is a stimulant. “One disturbing symptom of cocaine-induced psychosis may be the sensation of bugs crawling around under the skin, a phenomenon called formication, from the Latin word formica, meaning “ant.” (Advokat, Comaty, & Julien, 2014, p. 209). Through the sharing of needles, heroin use by injection is the main vector for transmission of infectious agents such as HIV and hepatitis B and C virus in many countries. Second, there are the acute or short-term biological health effects of the substance. Notably, for drugs such as opioids and alcohol, these include overdose. “Because the psychostimulants activate the sympathetic nervous system, they produce the characteristic physiological effects of an increased heart rate, blood pressure, vasodilation, and bronchodilation,” (Advokat, Comaty, & Julien, 2014, p. 209).
Along with the use of heroin, cocaine has its many risk factors as well. Cocaine addiction is associated with the possibility of overdose, potential death, HIV, hepatitis B or C, mood disorders, heart disease, unhealthy weight, cognitive defects, and organ failure. “Methamphetamine users are at risk for various types of cardiac toxicity, such as strokes, heart attack, and tears of the aorta,” (Advokat, Comaty, & Julien, 2014, p. 218). Before a patient is offered a psychotropic medication, thorough diagnostic evaluation and careful review of the patient’s history (including past symptoms and response to treatment) are essential.
“The ethical practitioner needs to keep up-to-date with empirical findings on all somatic and psychosocial treatments, including their indications, adverse effects, and contraindications. Informed consent is the legal and ethical foundation of ethical health care. The therapeutic relationship is deeply respectful of the patient and places primacy on promoting health and alleviating suffering as the basis for any treatment recommendation. It is dedicated to beneficence and nonmaleficence (ie, seeking good and avoiding harm in the patient’s care),” (Hoop, Layde, & Roberts, 2009). It is very important to psychologists, and other doctors follow the ethical guidelines when treating patients to avoid potential punitive damages such as malpractice lawsuits.
Also explain purely pharmacological issues such as pharmacokinetics and routes of drug administration and dose.
“Cocaine is absorbed from all sites of application, including mucous membranes, the stomach, and the lungs. Cocaine hydrochloride crosses the mucosal membranes poorly because the drug is a potent vasoconstrictor (one of its defining pharmacological actions), constricting blood vessels and limiting its own absorption. Cocaine penetrates the brain rapidly; initial brain concentrations far exceed the concentrations in plasma. After it penetrates the brain, cocaine is rapidly redistributed to other tissues,” (Advokat, Comaty, & Julien, 2014, p. 205). The blood level then progressively declines. “The biological half-life of MA is more than 11 hours. After distribution to the brain, about 60 percent of the methamphetamine is slowly metabolized in the liver, and the end products are excreted through the kidneys, along with unmetabolized MA (about 40 percent is excreted unchanged) and small amounts of its pharmacologically active metabolite, amphetamine,” (Advokat, Comaty, & Julien, 2014, p. 217).
If needed, include factors such as supply, cultural attitudes to drug use, and the context of drug use.
I think culture plays a significant role in drug use. Culture is transmitted through the family. The way this worldview is taught in any particular family is unique because it is also influenced by the dynamics that shaped our parent’s in their childhood. Children usually imitate what they see, and if drug abuse is a norm in their family, most likely that child will become a drug abuser. Drug abuse not only can come from the home, but it can also come from social context and surroundings that includes the physical and social settings. Drug abuse can be imitated by friends and family.

 
Do you need a similar assignment done for you from scratch? We have qualified writers to help you. We assure you an A+ quality paper that is free from plagiarism. Order now for an Amazing Discount!
Use Discount Code "Newclient" for a 15% Discount!

NB: We do not resell papers. Upon ordering, we do an original paper exclusively for you.

Literature Evaulation Table

/in /by

Literature Evaulation Table

Question descriptionDue Date: Jul 15, 2018 23:59:59 Max Points: 75

Details:

In nursing practice, accurate identification and application of research is essential to achieving successful outcomes. Being able to articulate the information and successfully summarize relevant peer-reviewed articles in a scholarly fashion helps to support the student’s ability and confidence to further develop and synthesize the progressively more complex assignments that constitute the components of the course change proposal capstone project.

For this assignment, the student will provide a synopsis of eight peer-reviewed articles from nursing journals using an evaluation table that determines the level and strength of evidence for each of the eight articles. The articles should be current within the last 5 years and closely relate to the PICOT statement developed earlier in this course. The articles may include quantitative research, descriptive analyses, longitudinal studies, or meta-analysis articles. A systematic review may be used to provide background information for the purpose or problem identified in the proposed capstone project. Use the “Literature Evaluation Table” resource to complete this assignment.

While APA style is not required for the body of this assignment, solid academic writing is expected, and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

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

You are not required to submit this assignment to Turnitin.

*** LITERATURE EVALUATION TABLE: Please use the attached table for assignment. Please let me know if you can’t open the attachment

This is an extension of the previous assignments, you may use those references.

 
Do you need a similar assignment done for you from scratch? We have qualified writers to help you. We assure you an A+ quality paper that is free from plagiarism. Order now for an Amazing Discount!
Use Discount Code "Newclient" for a 15% Discount!

NB: We do not resell papers. Upon ordering, we do an original paper exclusively for you.

Identification, discussion, and documentation from the literature of your perspective on at least two other concepts specific to your own practice.

/in /by

Identification, discussion, and documentation from the literature of your perspective on at least two other concepts specific to your own practice.
Paper, Order, or Assignment Requirements

You are required to submit a “scholarly paper” in which you will identify, describe, research, and apply the concepts that underlie your personal philosophy for professional nursing practice.

This will help you identify your own values and beliefs about the established metaparadigms and metatheories of the discipline. It will also help you identify and articulate concepts relevant to your specific practice. This paper is intended to be an exercise in clarification and organization of your professional foundation. You are also required to provide a list of assumptions from personal nursing practice that illustrate the concepts and framework of your theory.

Your paper should follow a format that includes:

A: Nursing Autobiography: A brief (1 page) discussion of your background in nursing.

B: The Four Metaparadigms: Identification, discussion, and documentation from the literature of your perspective on the basic four metaparadigms/concepts of patient, nurse, health, and environment.

C: Two Practice-Specific Concepts: Identification, discussion, and documentation from the literature of your perspective on at least two other concepts specific to your own practice.

D: List of Propositions: A numbered list of at least five propositions or assumption statements that clearly connect the concepts described.

Each week, you will complete various segments of your Concept Synthesis Paper Your paper should integrate these discrete elements and reflect your personal nursing philosophy.

Your Concept Synthesis Paper on your Personal Nursing Philosophy is due in Week 3.

Consider the following questions as you complete your various tasks related to this assignment.

1.

How do I define and employ the four basic metaparadigms of nursing theory in my professional practice?

 

smilesmile. .

get-your-custom-paper




The post Identification, discussion, and documentation from the literature of your perspective on at least two other concepts specific to your own practice. appeared first on nursing term paper.

 
Do you need a similar assignment done for you from scratch? We have qualified writers to help you. We assure you an A+ quality paper that is free from plagiarism. Order now for an Amazing Discount!
Use Discount Code "Newclient" for a 15% Discount!

NB: We do not resell papers. Upon ordering, we do an original paper exclusively for you.

In what ways have you integrated and applied nursing and science-based theories in your coursework and practice during your DNP course of study?

/in /by

Question description
Details:
The DNP comprehensive assessment provides learners the opportunity to demonstrate their achievement of core and specialty DNP competencies. It is also an appraisal of learners’ ability to integrate and synthesize knowledge within the context of their scholarly and practice interests and their readiness to complete the DPI project. The two-part comprehensive assessment includes evaluation of work completed throughout the program and a final synthesis and self-reflection demonstrating achievement of programmatic outcomes. In Part One of the assessment, learners were required to collect and review coursework deliverables and practice immersion hours completed in the program thus far. In Part Two, learners are required to synthesize and reflect on their learning and prioritize work for their DPI project.
General Requirements:
Use the following information to ensure successful completion of the assignment:
Doctoral learners are required to use APA style for their writing assignments. The APA Style Guide is located in the Student Success Center.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
You are required to submit this assignment to Turnitin. Please refer to the directions in the Student Success Center.
Directions:
To complete Part Two of the DNP comprehensive assessment:
Use the information collected in the competency matrix from Comprehensive Assessment Part One to address the following prompts as directed. Each response should be 500-750 words. Your responses should concisely demonstrate synthesis of knowledge gained in the program and the relevant application of knowledge into your practice. You are further required to cite relevant and specific evidence from your coursework to demonstrate your achievement of these programmatic outcomes and corresponding competencies. Review the rubric for this assignment prior to responding to the prompts. Your responses should specifically address the competencies included on the rubric.
Outcome 1:
A DNP must integrate and apply appropriate nursing and science-based theories to evaluate and analyze health and health care phenomena and develop and implement innovative practice approaches.
In what ways have you integrated and applied nursing and science-based theories in your coursework and practice during your DNP course of study? How will you apply what you have learned to your DPI project? Cite specific evidence from your coursework and practice immersion hours in your response.
Outcome 2:
A DNP must provide the leadership to develop and implement health care and organizational policy based on regulatory and other external and internal factors and drive effective change within organizations.
In what ways have you demonstrated leadership in the development and implementation of policy or policy change and contributed to quality improvement during your DNP studies? How will you apply what you have learned to your DPI project? Cite specific evidence from your coursework and practice immersion hours in your response.
Outcome 3:
A DNP must be able use information systems to mine, analyze, and apply data for the purpose of improving information systems as well as patient and organizational outcomes.
In what ways have you successfully applied data analysis to the improvement of information systems, patient care, and organizational outcomes during your course of study? How will you apply what you have learned to your DPI project? Cite specific evidence from your coursework and practice immersion hours in your response.
Outcome 4:
A DNP must be able to articulate and implement strategy and to advocate for the ethical and equitable deployment of care delivery models for improvement of individual, aggregate, and population health management.
In what ways have you articulated, deployed, or advocated for such strategies in your coursework and practice immersion hours? How will you apply what you have learned to your DPI project? Cite specific evidence from your coursework and practice immersion hours in your response.
Outcome 5:
A DNP must be able to evaluate practice outcomes and use research, national benchmarks, and other relevant findings from evidence-based practice to design, direct, utilize, and evaluate quality improvement methodologies that lead to improved patient-centered care.
In what ways have you evaluated practice outcomes and participated in quality improvement initiatives in your coursework and practice immersion hours? How will you apply what you have learned to your DPI project? Cite specific evidence from your coursework and practice immersion hours in your response.
Self-Reflection:
Based on an evaluation of your learning to date, assess your readiness for undertaking your DPI project. How has what you learned in your coursework and practice immersion hours and application of learning in your practice informed your approach to your project? What do you need to revise in your 10 Strategic Points document and/or your Draft Prospectus to successfully implement your project? Reflect on your progress to this point and outline the steps necessary to successfully complete your DPI Project Proposal for the Institutional Review Board (IRB) in DNP-955.

 
Do you need a similar assignment done for you from scratch? We have qualified writers to help you. We assure you an A+ quality paper that is free from plagiarism. Order now for an Amazing Discount!
Use Discount Code "Newclient" for a 15% Discount!

NB: We do not resell papers. Upon ordering, we do an original paper exclusively for you.

In a two to four page paper, explain how modern genetic technology may lead to personalized medicine

/in /by

BIOLOGY LABS AND PAPER

i have one paper 2-4 pages and 2 labs

Document Preview:

Week 5 Lab Dropbox
Submit your week 5 laboratory assignment using the following document.
https://blackboard.strayer.edu/bbcswebdav/xid-13058460_2PunnettSquare_FillableDoc.doc This experiment can be accessed by clicking on the link below.
http://www.mhhe.com/biosci/genbio/virtual_labs/BL_05/BL_05.htmlClick here to launch the experiment.
PLEASE Disable Pop-up blockers to view this content.
Complete the Virtual lab word document, save the file as a Word document (.doc or .docx) with your name in the file (i.e. FirstnameLastname_AssignName). Submit your Word document to this dropbox by the lab’s due date. Sending emails through the virtual lab to the instructor is not the accepted way to submit any virtual lab and neither is cutting and pasting the work from the Virtual lab into the dropbox. Submitting any virtual lab either of these ways will result in a grade of ‘0’ earned as neither will be graded nor scored.
Week 5 – Personalized Medicine Grading Rubric
Using newspaper and magazine articles from the Online Databases at the Strayer Learning Resources Center and/or credible sources from the Internet, research the concept of “personalized medicine”. In a two to four page paper, explain how modern genetic technology may lead to personalized medicine. Give two or more specific examples of the benefits of personalized medicine. Discuss the drawbacks and limitations of this approach to human medicine.
This paper should adhere to APA style standards including the following: Double space, 1” margins and in text citation of references. A title page and a reference page are required, but do not count towards the 2-4 page length. See the following Assignment Grading Rubric for information about how this assignment will be graded.
Criteria
Relative Weighting (%age)
Rating
Developing
(1)
Competent
(2)
Exemplary
(3)
Content: Paper length, logical progression and Submission Deadline
10
Did not completely follow directions on length and/or deadline.
Mostly…

 
Do you need a similar assignment done for you from scratch? We have qualified writers to help you. We assure you an A+ quality paper that is free from plagiarism. Order now for an Amazing Discount!
Use Discount Code "Newclient" for a 15% Discount!

NB: We do not resell papers. Upon ordering, we do an original paper exclusively for you.

Sexual History and assessment paper

/in /by

Sexual History and assessment paper

©Philip G. Monroe, PsyD, 2009 | Sex Therapy Assessment Questionnaire 1

Sex Therapy Assessment Questionnaire Directions: Sexual problems in marriage can be complex and multi-faceted. This survey will help us assess the nature of your problem and more quickly focus therapy to your needs. Your responses will be held in confidence and only shared with your spouse with your permission. Please answer questions by checking the box the most fits your current feelings and experiences.

Name

Age

Years married?

Previously married?

Typical frequency of sex?

Strongly Agree Agree Neutral Disagree

Strongly Disagree

1. I find thoughts about sex with my spouse pleasant. 0 1 2 3 4

2. When my spouse asks to have sex I readily agree. 0 1 2 3 4

3. When I think about sex I have unpleasant memories. 4 3 2 1 0

4. Sex disgusts me. 4 3 2 1 0

5. Sex feels like a chore most of the time. 4 3 2 1 0

6. It is easy for me to become aroused. 0 1 2 3 4

7. I am usually able to stay aroused throughout sex. 0 1 2 3 4

8. I am often distracted by other thoughts during sex. 4 3 2 1 0

9. Our sexual activity is rarely rushed. 0 1 2 3 4

10 Planning time to have sex seems undesirable to me. 4 3 2 1 0

11. I regularly satisfy my spouse’s sexual desires. 0 1 2 3 4

12. My spouse regularly satisfies my sexual desires. 0 1 2 3 4

13. I wish my spouse would be more adventurous in bed. 4 3 2 1 0

14. I feel pressured to try new things during sex. 4 3 2 1 0

15. We both usually orgasm during sex. 0 1 2 3 4

16. My spouse takes a long time to orgasm. 4 3 2 1 0

17. I take too long to orgasm. 4 3 2 1 0

18. I am able to orgasm alone but not with my spouse. 4 3 2 1 0

Alexandra Slater

37

15 No

Once a week

X

X

X

X

X

X

X

X

X

X

X

X

X

X

X

X

X

X

©Philip G. Monroe, PsyD, 2009 | Sex Therapy Assessment Questionnaire 2

19. My spouse orgasms too quickly. 4 3 2 1 0

20. I orgasm too quickly. 4 3 2 1 0

21. It is a big problem if I or my spouse fails to orgasm. 4 3 2 1 0

22. Our sex activity usually includes vaginal penetration. 0 1 2 3 4

23. Vaginal penetration is difficult and/or painful. 4 3 2 1 0

24. We agree on what makes for good sexual activity 0 1 2 3 4

25. We cannot talk about sexual matters without fighting. 4 3 2 1 0

26. Overall, I am satisfied with our sex life. 0 1 2 3 4

27. Overall, our marriage relationship is very strong. 0 1 2 3 4

Additional comments, questions, or problems not yet noted (e.g., known physiological problems (e.g., diabetes, heart disease, menopause), medication side effects, current or past infidelity, history of child sexual abuse, addictions, domestic violence, etc.):

X

X

X

X

X

X

X

X

X

I have suffered in my past from domestic violence. I also have diabetes. I don’t believe either of those affect my sex life. My husband sometimes during sex gets a pain in his genital area. He believes it has something to do with an accident he had years ago on a motorcycle.

©Philip G. Monroe, PsyD, 2009 | Sex Therapy Assessment Questionnaire 3

Sex Therapy Assessment Questionnaire Administration and Scoring/interpretation Directions

This survey has not been statistically evaluated. Scores are calculated only to guide clinicians in treatment decisions by eliciting information in an efficient manner. At the start, provide copies of the survey questions to each spouse ask them to respond independent of each other. Respondents are to answer questions according to their current experiences and feelings. Encourage each to write any additional concerns, problems, and questions related to their struggles in the final comments box. Once completed, score the survey by noting:

1. Total Score: Sum the total score of the 27 items. Totals may range from a low of zero to a high of 108. High scores suggest significant sexual difficulties. Respondents choosing the neutral answer for every question would receive a score of 54 while admitting a problem for each item would receive a score of 81. Thus, clinical judgment suggests totals scores of 81-108 have very serious sexual dysfunction and may need other interventions prior to engaging in sex therapy proper. Total scores between 54 and 81 may suggest significant sexual dysfunction. Scores below 27 may suggest the respondent does not perceive any significant or repetitive sexual dysfunction.

2. Domain Scores: Examine the items in the five domains assessed in the survey: Desire (#1-5), Arousal (#6-10), Technique satisfaction (#11-14), Orgasm (#15-21), Pain (#22-23), and Relationship (#24-27). The following chart provides possible interpretation of domain scores

Domain Minimal Problem Likely Problem Significant Problem

Desire 0-5 6-14 15-20

Arousal 0-5 6-14 15-20

Technique satisfaction 0-4 5-12 13-16

Orgasm 0-6 7-18 19-24

Pain 0 1-3 4-8

Relationship 0-4 5-12 13-16

3. Critical Items: Examine the responses to items 4 (disgust), 14 (pressure), 25 (fighting about sex) and 27 (overall marriage satisfaction). Dialog with the respondent about their responses if their choice acknowledges problems in this area. Also, make note of any serious issues acknowledged in the comments section of the survey. If concerns about child sexual abuse, active addictions, domestic violence, imminent divorce, coercion, etc. are present, sex therapy may not be appropriate at this time since therapy is based on a trust relationship between the couple.

4. Couple Differences: Note significant differences between spouse responses. Review these discrepancies with the couple (with permission) if confident that exposing such differences will not risk harm to either spouse.

Possible exploratory questions regarding common sexual dysfunction

Desire 1. What are your feelings about sex? If experiencing negative emotions about sex, when did they first

begin? 2. Have you ever experienced positive sexual desire for your spouse? For a previous mate? 3. What, if anything, helps increase your desire for sex with your spouse? What hinders it? 4. What efforts have you made to try to cultivate appropriate sexual desire? What worries you about

trying to cultivate desire?

Arousal

©Philip G. Monroe, PsyD, 2009 | Sex Therapy Assessment Questionnaire 4

1. Have you difficulty achieving and/or maintaining arousal through sexual activity? No. What happens when you lose your arousal? That has not happened with my husband.

2. What is necessary to achieve physical or emotional arousal for sex? With my husband I get aroused very easily. A simple kiss, touch, or even sometimes the way he looks at me gets me aroused.

3. Who initiates sex? How? Planned? Spontaneous? Frequency? We both initiate sex. We sometimes just give each other a sexy look. We have been married for 15 years we know how to read each other. Sometimes we just say “Want to?” The initiation is mostly spontaneous but we do have a deal that we keep our sex life alive so one of us initiates it at least once a week.

Techniques

1. What sexual activities provide you the greatest pleasure? I seem to get the most pleasure during the old fashion missionary position. I love to feel my husbands body on top of me and him looking down on me with his pleasure smile.

2. Does your spouse know this? Is he/she able and/or willing to provide this activity? He does know that is my favorite and is willing and able anytime.

3. Do you know what pleases your spouse most and are you able/willing to provide it? My husband loves for me to perform oral sex on him. I am willing to do it anytime even if our sexual encounter ends there.

4. What constitutes foreplay? How quickly do you move to the genitals? To penetration? We take our time. Foreplay is the best part sometimes. We have even made each other beg to move to the genital area. There are times when in the genital area we wait until right before orgasm to move to penetration but other times we just want each other so bad we go to penetration after the teasing foreplay.

5. Do you attempt to have simultaneous orgasms? We have attempted it at times but it is a difficult task sometimes.

6. Are any activities or body-parts off limits for one spouse that frustrates the other? No. I do not enjoy anal sex but my husband doesn’t mind either. He doesn’t really like it that much either.

Orgasm 1. Do both achieve satisfactory orgasm? If not, why not? I always thought satisfactory orgasm was

all orgasms. With each other every orgasm is a minimum of satisfactory. 2. Does orgasm take too long? Too premature? How much time? For me orgasm takes a long time.

It always had. My husband goes fast but not to fast and he can keep going after about a minute break. A long time to me is 20 minutes. If i do not orgasm within the first 10 then I think I am not going to. We have tried up to 20 minutes before. My husband can go in 3 – 5 minutes but he does wait for me most of the time unless I dont want him to wait.

Pain 1. Presence of pain and/or distracting sensations that hinder sexual activity or satisfaction?

Sometimes my husband has pain in his scrotum area and loses his erection. 2. Vaginal tightness hindering penetration? History of penetration? No 3. Lubrications used? Sometimes KY Jelly but mostly none used.

Relationship

1. Has your spouse ever violated your trust in regards to sexual matters? No 2. Do you feel coerced to try new things relating to sex? No 3. Do you feel you have the right to refuse sex because of interest, emotions, tiredness, etc.? Yes 4. What happens when you talk about your sexual feelings? When your spouse talks about sexual

feelings? My spouse and I have a great relationship and can talk about anything. We share everything. If there is a problem we do not have any problem communicating the problem. If we want to try something new there are no barriers and we feel comfortable and trust each other enough to ask.

 
Do you need a similar assignment done for you from scratch? We have qualified writers to help you. We assure you an A+ quality paper that is free from plagiarism. Order now for an Amazing Discount!
Use Discount Code "Newclient" for a 15% Discount!

NB: We do not resell papers. Upon ordering, we do an original paper exclusively for you.

What experience and interest do you have in quality and performance improvement in healthcare?

/in /by

Self introduction
Your first assignment is to get to know the team of learners with whom you will be working.
Please introduce yourself in this discussion forum. Focus your introduction on areas you feel are relevant to your work in the course but give your intro a personal touch as well. Share your major, your location, your career aspirations, and any personal experience or knowledge that may relate to the course.
What experience and interest do you have in quality and performance improvement in healthcare? What interests you most about this course? How might the knowledge and skills associated with this course support your career or life aspirations?
Personal information:
· Holding Bachelor degree in Clinical lab technologist
· Working as a laboratory demonstrator in a health science faculty .
· Enrolling in Health care administration master program .

 
Do you need a similar assignment done for you from scratch? We have qualified writers to help you. We assure you an A+ quality paper that is free from plagiarism. Order now for an Amazing Discount!
Use Discount Code "Newclient" for a 15% Discount!

NB: We do not resell papers. Upon ordering, we do an original paper exclusively for you.