Discovering Obstacles Hindering College Graduation
1. Discovering Obstacles Hindering College Graduation
Introduction: According to the National Center for Education Statistics, of the students seeking a
bachelor's degree at a four–year university, on average, only 59% of them graduate within six years.
It is unfortunate to note that even with the extra two years, students still struggle to persist through
graduation, due to numerous hindering factors. Hence, the issue of college success now lies within
the central realm of scholarly research, with numerous scholars applying previously known
psychological theories to education, including Kurt Lewin's force–field analysis model, Abraham
Maslow's need reduction theory for motivation, and the self–efficacy and attribution theories.
Together, these theories have provided a framework to discover ... Show more content on
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Hence, students must learn to properly nourish their bodies with a nutritional diet, enough sleep, and
limited intake of alcohol or dugs. Next, students must feel both safe in regards to financial and
personal security. Financially security is often what both dormers and commuters alike struggle
with, and often take on 20+ hours of work (a damaging effect on school work), or have no gaurantee
of being able to afford to come back to school the next year. Also, students learn in college and
enjoy their time there if they feel safe enough to explore the campus and walk at night, or use the
bus. Hence a low crime rate should be necessary. Thirdly, belonging means students feel they have
close friends and family to talk to and be accepted by both at home and on campus. In this sense, it
is easier for dormers to find friends on campus, but get more distances with those back at home,
while the opposite is true for commuters. However, if both make an effort to get involved in groups
of their interest on campus, and keep in touch with family and friends back home, they can
overcome these struggles, although it may be difficult at first due to the big campus size and busy
schedules. Once the basic needs are met so far, students must feel a sense of self–worth and
achievement. They need to
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2.
3. Occupational Therapy Vs Family Systems Model
The foundation of everything falls into the therapist– parent/caregiver relationship. The occupational
therapist has to build a strong relationship with the parent/ caregiver to get their trust and support for
the services they are going to provide to their child (Brown & Stoffel, 2011). The two have to work
together for the child to get the most benefits from the therapy. Although in some aspects the
occupational therapist may know what is best for the child, they have to be able to respect and take
into consideration the parents feelings and desires. The caregiver/parent also has to be observant of
the child's actions at home to be able to tell the therapist if they believe the interventions are helping
the child (Brown & Stoffel, 2011). ... Show more content on Helpwriting.net ...
The sense of balance and normalcy for an autistic child really helps the individual out (Brown &
Stoffel, 2011). Occupational therapists look at the family's activities during the day and creates for
them a routine that could bring normalcy for the child. With that routine creates balance in their
lives and the routine becomes a ritual for the family in which they all have a specific role in (Brown
& Stoffel, 2011). When a routine is set, it is best if the occupational therapist can complete the
therapy session within the daily routine. If the appointment is scheduled outside of the routine, this
can cause the balance to be offset for the child, which in the end is not beneficial (Ferran,
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4.
5. Evaluation Of Selected Patient And Theories Essay
Course Project Introduction: Selected Patient and Theories In the history of nursing many theories
have been developed and applied to nursing practice. After selecting a patient, I have assessed her
demographics, health status, and health needs. Also, I have selected two theories to address these
needs and have summarized their main concepts. Finally, I have discussed my patient and theories
choices. M.R. is a white fifty–two years old Spanish female who lives in Spain. She is five feet and
four inches tall and weighs 121 pounds. She thinks of herself as a member of Western and Spanish
cultures. M.R. is a married Catholic, has two adult children, owns a flat in a tranquil area, and works
as a clerk at a public high–school. In Spain health services are paid for using taxes and M.R. lives
near several medical facilities. Although M.R. has a cardiomyopathy, she is otherwise healthy. She
performs self–care, activities of daily living, employment tasks, and light exercise independently. In
Spanish culture family members usually live together or nearby and gather on Sundays. However,
M.R.'s husband is away on Sundays and her daughter lives in other country. These facts constitute
her cultural needs. Also, M.R. takes care of the household finances and housework and has no time
to socialize. This situation constitutes her main psychosocial need because it has an impact on her
support system. Finally, her spiritual needs include the uncertainty of her condition's process,
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6.
7. The Neuman System Model And Its Impact On Patients And...
Betty Neuman is a renowned nursing theorist who developed the Neuman System Model. This
model emphasizes stress and the impact it can have on patients and nursing care. Key concepts of
this theory include preventions, stressors, and lines of defense. Neuman also addresses the
metaparadigms of nursing, health, human being, and environment in relation to her model. The
Neuman System Model is recognized by nurses across the globe, and a Neuman System Practice
Center has been established to help develop her theory (Gigliotti, 2012, p. 298). This theory can be
utilized in any nursing care and is inspiration for other nursing theorists.
The Neuman System Model is an open system that responds to stressors in the internal, external, and
created environments (Masters, 2015). The model can be applied to physiological, psychological,
sociocultural, developmental, and spiritual nursing care making it very diverse in applicability. The
Neuman System Model discusses many concepts. One major concept is the idea of stressors and
their affects on the patient system. Neuman defines stressors as any phenomenon that might
penetrate both the flexible and normal lines of defense, resulting in a positive or negative outcome
(Masters, 2015). Types of stressors include intrapersonal, interpersonal, and extrapersonal.
Intrapersonal stressors are those that occur within the client system boundary and correlate with the
internal environment (Masters, 2015). Interpersonal stressors are those that
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8.
9. The Internal Family Systems Model Developed By Dr. Richard...
Introduction Family Therapy is a diverse field, so I have decided to highlight The Internal Family
Systems Model developed by Dr. Richard Schwartz, who began formulating his theory when he was
working as a family systems social worker. Former UW Whitewater professor, Don Norman is
certified IFS therapist. Professor Norman and Dr. Schwartz ran a series of certification courses over
the span of 18 months at UW Whitewater in the early 2000's. My rational for my interest in this type
of counseling is based on the success my family has had with this theory. IFS draws some of it's
techniques from Freud 's id, ego, and superego, and expands upon Jung's understanding of the
complexity of the psyche. What is shared is the general understanding that ... Show more content on
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41) Key Concepts & Applications Self: is described as an individuals internal system, and should be
the leader. The overall goal is to achieve harmony and balance inside our internal system. When
balance is achieved we feel competent, self–confident, harmonious and are able to respond and
listen to feedback. (www.selfleadership.org) Exiles: These are the parts that have been traumatized,
most often during childhood and will attempt to protect the self from feelings of fear, pain, etc.
Managers: They are responsible for the daily life of an individual and try to remain in control to
keep the self from feeling anything from the exiles. Firefighters: Their job is to react when exhales
are activated in an effort to control and extinguish their feelings. This is accomplished any numbers
of way through alcohol or drug use, gambling, shopping, binge eating. We believe the firefighters
are keeping us safe somehow however they are actuality obscuring our heart within us. Therapeutic
Process: Goals, Techniques and Procedures Internal balance is the overall goal of this therapy.
Therapists meet with clients and examine the parts that make them. Most people have five to fifteen
other "parts" they can clearly identify. There are no bad parts, with the goal being to accept and love
all the parts of us, and freeing ourselves of our limited beliefs. Once free, the client is no longer
triggered, or can at least identify the triggers before
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10.
11. How Does a Family Work as a System Essay
How does a family work as a system in promoting health
Families are a natural social structure. The widely accepted definition of family is "a group of two or
more people related by blood, marriage, or adoption" (Medalie & Cole–Kelly, 2002, p. 1277).
This definition is inclusive of the many different structures of families to allow for big, small, single
parent, dual parent, gay and lesbian, heterosexual, adoptive, and biological. The family plays an
integral part in the health of its members, which often leads to the stretching of the family unit
beyond this definition to include extended family. The family unit is more than a collection of units.
Culture and values play a large role in how families react and deal with issues ... Show more content
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Families must be involved in the care of the child throughout treatment. The family is the
fundamental source of support to the child and to promote health family involvement is essential. To
this end parents and grandparents are not considered visitors but part of the team treating the child
within our organization. Goals must be mutually supported by the team; with barriers such as hidden
expectations and unclear roles eliminated through open communication. The desired outcome from
this partnership is a strengthening of family heath and well being (Freidman, Bowden, & Jones,
2003). Hospitalization is a stressful event for the majority of individuals the nurse reacts in a manner
to mitigate the stressor to the entire family unit.
Nuemans systems model is based on the reaction to stress. The model has a central core surrounded
by lines of resistance. The lines of resistance represent how the individual or family react to the
stressor. The nurses role is to help stabilize the system through levels of prevention. Primary
prevention is meant to protect and strengthen the normal lines of defense. Secondary prevention the
nurse intervenes to assist in strengthening internal lines of resistance through reduction in the
reaction to the stressor. Tertiary prevention is after the stressor the nurses assists the individual or
family in returning to a state of wellness.
Theory conducive to use in practice
"The
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12.
13. Compare And Contrast Dorothy Johnson's Behavioral Model
Compare and contrast the scope of selected theories
Dorothy Johnson Behavoural Model is a "grand theorists". Her model was first developed to provide
both a guide to understanding and a guide to action. Her ideas was seen as a holistic, behavioral
system process facilitated by a complex framework and as an active process of encounter. Several
other theorist followed her and developed conceptual models for nursing practice (Parker,
2005.pg79). In 1968, Johnson proposed her model of nursing care as to provide effective behavioral
functioning in the patient to prevent illness (Johnson, 1968, pg. 2). Johnson behavioral Model is an
outcome theory. Based on Johnson's model the patient is seen as a behavioral system that have
several subsystem such aggressive, achievement, affillative, dependency, eliminative, ... Show more
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Achievement subsysytem due to lack of social involvement and depression
2. Eliminative subsystem due to polyuria
3. Ingesive subsystem due to drinking a lot of watery
Based on Johnson's behavioral Model assumption the nurse concludes that John might have
diabetes. After he was diagnosed the nurse help John to correct his system imbalance by modifying
is diet and life style in order to achieve balance. John now having fun, his wound begin to heal and
now sleeping well at nights.
Nursing Research
Johnson Behavioral system Model
According to Johnson nursing research is important explain and identify the behavioral system
disorders which arise in relation with illness, and develop good reasoning for the means of
management. The theory resulting from the Behavioral System Model influences to the researcher to
choose between two options (Octaviano and Balita, 2008). One researcher might examine the
functioning of the system and subsystem by focusing on the basic science and another researcher
might focous on investigating methods of gathering diagnostic data or problem solving activities as
these influences the behavioral system (Octaviano and Balita,
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14.
15. Conceptual Framework: The Nursing Profession
Conceptual Framework
The nursing profession is fundamentally based on the nursing models and theories which encompass
the specialised body of knowledge and pool of skills which are distinctive to the profession. The
theories in the nursing profession are fundamental for the knowledge development and an essential
tool for the nursing practice part of the discipline (Pamela, 2011). The theories in the nursing
profession are applicable and practical since they have to coordinate and smoothen the
communication among students, practitioners as well as other health–related persons (Marlaine,
2015).
The Roy Adaptation Model (RAM), among many nursing theories and models, is a key context in
various settings pertaining the practice of health service. ... Show more content on Helpwriting.net
...
RAM provides a holistic approach assessing and analysing the transition. NPs use RAM and provide
the patient with the support and guidance needed to cope with the processes of hypothyroidism.
Researchers have described RAM as a potentially helpful model for health educators and
investigators. It can also be applied to all fields of nursing including the primary practice of NPs. At
the same time, it supports increasing patient adaptation levels through nursing activities in health
and disease (Akyil, 2013).
Using RAM offers various methods and approaches to care, thus permitting NPs to be innovative
and creative in practice approaches (McEwen, 2011).
RAM has been described by the researchers as an essential model for health educators and
investigators. It may also be used in all fields of nursing including the primary practice of NPs. At
the same moment, it helps in improving patient adaptation levels via nursing activities in health and
disease (Akyil, 2013).
The use of RAM provides several caring tactics and methodologies. Therefore, the nursing
practitioners have the autonomy to be more creative and innovative in their practising methods
(McEwen,
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16.
17. Experiential Family Therapy : A Humanistic And Existential...
Introduction Experiential family therapy is a humanistic and existential based approach that was
founded by Carl Whitaker throughout the 1960's. Other leading figures who contributed to the
development of experiential therapy include: Thomas Malone, John Warkentin, Richard Felder, and
Virgina Satir. Two well–known therapeutic approaches have grown from Whitaker's concepts; these
include emotionally focused couples therapy by Leslie Greenberg and Susan Johnson, and internal
family systems therapy by Richard Swartz. In developing experiential therapy, Whitaker drew from
many concepts including: Gestalt therapy, psychodrama, and client–centered approaches. Carl
Whitaker ultimately believed in the emotional experience of all family members. What may have
been brought into therapy as the presenting problem, may not even be the focus of the therapist's
treatment plan. Although many consider early experiential therapy to be quite ambiguous, Whitakers
concepts have shown to be quite effective in working with families.
Experiential Family Therapy Carl Whitaker began his work in psychiatry, studying mental illness in
families. He realized that parents often try to overregulate their child's actions and emotions.
Children who are overregulated often suppress their feelings and emotions in order to avoid parental
criticism.Experiential therapy first addresses internal feelings, which helps each member lower their
defenses and become more connected within the family. Whitaker also
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18.
19. How Couples Can Improve Relationship Satisfaction For The...
Introduction Couples therapy has shown to significantly improve relationship satisfaction for the
aver couple (Doss & Others, 2014). What distinguishes a healthy well– functioning couple from a
dysfunctional couple? A healthy well–functioning couple consists of two people who not only love
each other, but also hold a high level of respect and acceptance for one another. Communication is
also a key component in well–functioning couples. The root of most problems within couples is a
lack of honest communication. In healthy relationships, there is always room for growth, both as a
couple and individually. Another big aspect in healthy relationships is that each person as a life
outside of the relationship. They aren't completely dependent on each other's happiness. It is
important for individuals to love and respect themselves and not commit to a relationship because of
the lack of these qualities. In contrast, a pathological dysfunctional couple as two people who lack
respect, open communication, and are disloyal to each other. In dysfunctional relationships, couples
are typically inconsistent in sharing their wants and needs. One reasoning for this may be that they
are not honest with themselves therefore lack knowledge of what they want or need from the
relationship. Dysfunctional relationships may consist of one or both individuals being too dependent
on each other, giving the other person control over their own happiness. Dysfunctional marriages
not only receive less
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20.
21. Roy Adaptation Model . An Overview Of The Roy Adaptation
Roy Adaptation Model An overview of the Roy Adaptation Model Roy's adaptation model is one of
the most commonly applied nursing frameworks in varied aspects of nursing practice. The
application of the Roy's Adaptation Model is guided by the anticipated goals as well as the nature of
patient's adaptation that is required for monitoring purposes (Andrews, & Roy, 1999). Roy's
Adaptation Model is favored by nurses in different fields because it is flexible and a very useful
model which can be applied in multifaceted cases in a manner that is consistent. Indeed, the Roy's
Adaptation model has been recognized as one of the most important conceptual frameworks that is
applied by nurses in practice, during the process of conducting research, ... Show more content on
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It is important to note that the model is applied after an assessment of behaviour and factors that
influence adaptive abilities has been done through an intervention so as to expand the individual's
abilities as well as enhanced environmental interactions. Key components of the Roy Adaptation
Model Adaptation Based on the theory, adaptation involves the process as well as outcomes that
involve individuals use their thinking and feeling so as to apply their conscious awareness and
choice so as to create integration of human and the environment. Adaptation is important for the
attainment of optimal health and sustaining well–being of a person, the quality of life, and their
death with dignity. At the adaptation level, then the condition of the processes that characterize life
are evaluated in–depth. Ro describes such levels as inclusive of; integrated, compromised, and
compensatory life processes (Roy & Andrews, 1999). Thus, a life process that is considered as
integrated may actually change to attain a compensatory process that is focused on reestablishing
adaptation. Further, inadequacy in the compensatory processes may result into the compromised
processes. According to the Roy's Adaptation Model, coping processes also include innate as well as
acquired mechanisms of coping. Mechanisms considered innate are determined genetically
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22.
23. Experiential Family Therapy : A Humanistic And Existential...
Experiential family therapy is a humanistic and existential based approach that was founded by Carl
Whitaker throughout the 1960's. Other leading figures who contributed to the development of
experiential therapy include: Thomas Malone, John Warkentin, Richard Felder, and Virginia Satir.
Two well–known therapeutic approaches have grown from Whitaker's concepts; these include
emotionally focused couples therapy by Leslie Greenberg and Susan Johnson, and internal family
systems therapy by Richard Swartz. In developing experiential therapy, Whitaker drew from many
concepts including: Gestalt therapy, psychodrama, and client–centered approaches. Carl Whitaker
ultimately believed in the emotional experience of all family members. What may have been
brought into therapy as the presenting problem, may not even be the focus of the therapist's
treatment plan. Although many consider early experiential therapy to be quite ambiguous, Whitakers
concepts have shown to be quite effective in working with families.
Experiential Family Therapy Carl Whitaker began his work in psychiatry, studying mental illness in
families. He realized that parents often try to overregulate their child's actions and emotions.
Children who are overregulated often suppress their feelings and emotions in order to avoid parental
criticism. Nichols (2013) explains "Existential family therapy is founded on the premise that the root
cause of family problems is emotional suppression." (pg. 145). Whitaker believed
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24.
25. Internal Colonial Model Essay
A community builds from a group of people sharing particular characteristics such as goals, interest,
attitudes. In barrios and colonias chicano/as often stay within their ethnicity, and sharing a common
culture, never stepping outside the box. Therefore, the internal colonial model mocks a structured
community implementing the basic roles the community shadows driven oppressive forces. The
oppressive forces that chicano/as perceived powerless in the American society are due to economic
barriers, cultural, social and psychological. As American society depend of free labor the chicano
communities start to develop an economic barrier the internal colonial model imposes. The forces
imposed are the lower wages and have the right to little or no ... Show more content on
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Culture is very important to the chicano communities, it is the foundation of forming a family and
etc. Yet being imposed to another culture integrates to a person living for a negative or positive
affect. The chicanos showing the zero of importance to employment and political power affect the
culture. Having the chicano/a communities to change and create a new culture, a culture where
chicanos do not feel less than the American Society. In the Mirande book, he mentions, "According
to this view other "immigrant" groups also brought different cultural values with them, but these
values were discarded as they assimilated into the great melting pot" (186). This is a visual example
of the internal colonial model, since the communities are not willing to step outside the box but
communities are willing to adapt and accept new cultures into their communities. Each factor
depends on one another the economic barriers impacts the culture barriers changing and forcing the
chicanos way of live, so living a typical American life in order to earn decent job that was once
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26.
27. Bowlby Attachment Theory Essay
According to Bowlby attachment theory is "a way of conceptualising the propensity of human
beings to make strong affectional bonds to particular others and of explaining the many forms of
emotional distress and personality disturbance, including anxiety, depression, and emotional
detachment, to which unwilling separation and loss give rise" (Bowlby, 1984 p.27). Bowlby states
that affectionate bonding between caregivers and infants is crucial for a health development (1973).
Based on the attachment patterns they had at early childhood with primary caregivers, children
develop internal working models about self and about others. These internal working models which
they form help them interpret and predict experiences in adult relationships. ... Show more content
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In the case of Shelley, her feeling of being trapped in the situation would have added to the sense of
powerlessness she has experienced. Burger (1984) state that when a person feels loss of control over
his or her life, her or she is more prone to depression and anxiety–the common symptoms associated
with post–traumatic effects of childhood sexual
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28.
29. Structured Family Therapy : Emotionally Focused Therapy
Structured Family Therapy: Emotionally Focused Therapy
Valencia W. Wright
Marriage, Couple, and Family Therapy
HUMN – 6356 – 3
Dr. E. Roberts
Walden University
May 8, 2016
Abstract
This paper evaluates the Structural Family Therapy model and its impact on the Emotionally
Focused Therapy by Sue Johnson. This paper will discuss the concepts of therapy utilized within the
Structural Family Therapy model and how Sue Johnson utilized many of its methods when
constructing Emotionally Focused Therapy model. The history of family therapy will be evaluated
and the goals of family therapy. Research has proven that due to these clinical practices, families
and couples are allowed to evolved issues in which they face into healthy relationships by
evaluating patterns in behaviors and past events in their lives. Therapy focuses on the correction of
the dysfunctional family as a cohesive unit and does not place focus on the individual. Therefore we
find the psychotherapy as a family unit deems to be more effective than previous practices of an
isolated session with only the patient and therapist.
Structural Family Therapy
Introduction
Within the early practices of family therapy, it began during the 1950's and focused upon an
individual–therapist relationship (www.abacon.com). Early therapist such as Freud and Rodgers
focused upon the individual behavior which was internal, even though they understood that family
interactions shapes a person's
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30.
31. What Is Pp Global Institutional Model
PP Global is the international division of Planned Parenthood Federation of America (PPFA), one of
the world's leading sexual and reproductive health organizations. For over 40 years PP Global has
worked globally with local partners to extend access and reduce barriers to sexual and reproductive
health services. Through PP Global, this experience has been leveraged to improve the health and
rights of women and families around the world, with emphasis on those who are most vulnerable
and underserved. More than 400 organizations in 61 countries have been supported to provide
sexual and reproductive health care services and support local advocacy. Financial and technical
support is provided to partners, designed to create sustainable organizational ... Show more content
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The services of a consultant are being engaged to work with the teams at the different levels across
the organization to improve and develop the system with all components linked together. They
envisage that this system should have standard operating procedures (SOP) – expectations,
information requirements, methodology, data collection tools, data analysis procedures and
techniques, data quality assurance, reporting channels, dissemination processes and a central
repository. The system will have descriptions and documentation of how the various components are
supposed to
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32.
33. Essay on The History of the Roy Adaptation Model
The History of the Roy Adaptation Model
The Roy Adaptation Model for Nursing had it's beginning with Sister Callista Roy entered the
masters program in pediatric nursing at the University of California in Los Angeles in 1964.
Dorothy E. Johnson, Roy's advisor and seminar faculty, was speaking at the time on the need to
define the goal of nursing as a way of focusing the development of knowledge for practice. During
Roy's first seminar in pediatric nursing, she proposed that the goal of nursing was promoting patient
adaptation. Johnson encouraged her to develop her concept of adaptation as a framework for
nursing, throughout the course of her master's program. Von Vertalanffy's use of systems theory was
a key component in the early ... Show more content on Helpwriting.net ...
She related spirituality and science to present a new definition of adaptation and related scientific
and philosophical assumptions. Roy's stance on the philosophy emphasizes that nurses see persons
as co–extensive with their physical and social environments. Roy has used the term cosmic unity to
describe that persons and the earth have common patterns and mutuality of relations and meaning
and that persons through thinking and feeling capacities, rooted in consciousness and meaning, are
accountable for deriving , sustaining, and transforming the universe. These ideas were explained in a
1997 publication and included in the 1999 revision of the theorist's textbook on the model.
Other major developments of the model in the 1999 textbook include: expanding the adaptive modes
to include relational persons as well as individual persons and describing adaptation on three levels
of integrated life processes, compensatory processes, and compromised processes. Roy has also
outlined a structure for nursing knowledge development based on the Roy Adaptation Model and
provided examples of research within this structure. Roy remains committed to developing
knowledge for nursing practice and continually updating the Roy Model as a basis for this
knowledge development.
Person
Roy defines the person as an adaptive open system. The systems' input is: A) Three classes of
stimuli:
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34.
35. Neuman Systems Model
Neuman systems model. The NSM identifies that any system has boundaries meant to protect a
single client, family, or social issue within the system (Neuman & Fawcett, 2011). The model is
dynamic with a continuum of variables that influence the stability of the system. The influence, such
as stressors, can alter the system or restore the system. A principle of the NSM is optimal wellness
represented as the greatest degree of system stability (Neuman & Fawcett, 2011). The NSM theory
asserts nursing to care for a complex systsem, requiring an approach to assimilate and adapt into the
system. The NSM utilizes the internal and external cues of the environment to influence the system.
The nature of the system determines the complexity of the system. ... Show more content on
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NSM depicts stress and reaction to the stability of stress on the system. A patient and/or family
reaction to the transition from oncology care to hypervigilance in primary care can experience
stress, most often as psychological distress. The repeated cyclical nature of the response to the
stresses of changed home life, family functioning, body image, handling daily activities, or
connecting with a support group changes the client. The ideal of NSM is to attain optimal stability
and reach a new developmental level (Neuman & Fawcett, 2011). NSM fits the need of the PICO
project through the interpretation of concepts and the dynamic nature of stressors and reactions to
the basic structure (patient and/or family). A key component in utilization of the NSM for screening
psychological distress after oncology care, is self–report of the instability of transition to a new
lifestyle. Cancer–related psychological distress is widespread (Hoffman, 2012). The distress can
remain hidden as priorities in cancer rehabilitation and family adjustment take place. The initial
stressor of the cancer diagnosis creates a change in the patient and/or family (basic structure
functioning and energy resources), however after cancer treatment (variables), the client system
(patient and/or family) still is adjusting to change (lines of resistance). Patients and families may not
go back to their prior life (environment) but transition into a "new
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36.
37. Experiential Family Therapy Essay
Experiential Family Therapy
Christine Miller
Brandman University
Experiential Family Therapy
Experiential family therapy is a general theoretical model that has evolved since its beginnings in
the 1950's to include current models like Emotionally Focused Couples Therapy and internal family
systems model. Grounded in the belief that dysfunction in the family comes from suppressed
emotions, experiential therapy endeavors to create experiences in the here–and– now that will allow
families to examine their internal processes, and not get stuck at the intellectual level of problem–
solution or cognition. Experiential therapists encourage transformation through individuation and
self–actualization, believing that to bring a ... Show more content on Helpwriting.net ...
Satir taught that all people have an innate drive to grow, and that this drive is blocked by the impact
of the family system. She felt that it's not that people come into therapy not wanting to change, but
rather not believing that change is possible. However, transformation is the goal in experiential
therapy, which can be seen in shifts in how clients think and feel and how their drive for grow
manifests positively in their lives and relationships. Change is brought about by powerful here–and–
now experiences in therapy, and a deep, empathic and accepting relationship with the therapist
(Brubacher, 2006).
Vignette
Sarah is a 15 year–old girl from a middle class family. She is one of three children. Her older
brother and younger sister spend half their time with their mother, and half their time with their
father. Parents have been divorced since Sarah was five. Sarah and her family came to the therapist's
office seeking help with Sarah's self–harming behaviors and violent, angry outbursts. Sarah's parents
called the police on several occasions because she seemed out of control and as though she might
hurt herself or others. Over the past three months, Sarah had been hospitalized, been through two
outpatient programs, and had just been released from 30 days at a residential treatment program.
While the self–harm had ceased and much
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38.
39. Nursing Career As A Licensed Practical Nurse
Nursing Autobiography I began my nursing career as a Licensed Practical Nurse (LPN) when I
graduated from high school. I entered the nursing field at a time that local hospitals were no longer
employing LPN's at the bedside. Therefore, I worked in a nursing home for two years. This was
where I learned how to perfect time management, wound care, and medication knowledge. In the
nursing home, I developed a fondness for the elderly. I worked with men and woman that entered
the nursing home completely oriented, ambulatory, and able to perform most of their activities of
daily living. Then, in a fairly short amount of time I watched them deteriorate until I held their hand
while they passed away. After two years, I was finally allowed to go to the bedside on a medical
surgical unit. As I worked on this unit, I took care of patients with various surgical issues; learning
how low blood pressures and low hemoglobin and hematocrits correlate; as well as, high
temperatures and high white blood cell counts precede the other. I slowly took classes at the local
community college until I received my associate's degree. Once I received my associate's degree, I
changed pace and began working on an intermediate cardiac unit. This unit allowed me to
eventually become a charge nurse, design teaching programs for new graduates and become
intrigued with the heart. I eventually began working in a medical ICU and then a trauma burn ICU.
This is where I developed the appreciation of the lungs
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40.
41. Family Nursing Theory Paper
All health care providers are familiar or have some idea of what family focused care entails. Family
focused care can be practiced in any settings in healthcare, and nurses are familiar with this concept
as this strong theory based teaching is emphasized throughout the nursing curriculum. With the
trend of health care delivery shifting towards home based or community setting, it is now more than
ever important for nurses and advance practice nurses (APN) to incorporate family nursing practice
for improved outcomes for the patient and their families. This paper will discuss one of the many
family nursing theory and its impact on the family nursing practice now and in the future.
Family Nursing Theory The Family Health Model (FHM), developed ... Show more content on
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When the validity and reliability of this tool is replicated and verified thru further wide scale studies,
then this scale can be used as an evaluation tool for the effectiveness of an intervention that aims on
improving routine health behaviors. In addition, Tyler and Horner (2008) used Denham's FHM as a
construct for their collaborative negotiation model. This model describes a process in promoting
health and reducing health risk factors in primary care setting by (1) identifying factors that affect
individual health and risk status, (2) using family–centered intervention to negotiate behavior
change and (3) measuring it using health indicators that reflect the outcomes of the provider–family
interaction. Applying the FHM in the nursing practice will not only make the nurse or APN a more
effective healthcare provider, it will provide a more holistic benefit for the individual and family
health. FHM in nursing practice encourages family in focusing on the well–being of the individuals
through health promotion and prevention rather than focus on illness and disease alleviated solely
thru treatment and medicines. Furthermore, nurses using the FHM will be able to assist family needs
by collaborating with family to develop useful interventions that is within the context of the existing
family
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42.
43. Christian Sociological Model Paper
The social landscape of the U.S. may naturally be an organic development. Society develops as
areas of influence rise and fall over time. Frequently these areas of influence are internal, but at
times they also are external. This is especially true as society becomes more aware of international
developments and an economy becomes increasingly global, or a society engages activities not
originally held as part of the original society. However, there are other parts of society that may hold
deeper influence, such as religion, political activities, and family structures. These areas also
influence each other, and in different ways depending on the society and time in history. In other
words, society can be defined by those that are part of it. ... Show more content on Helpwriting.net
...
Stuckenberg (1880) makes a significant distinction with the model, identifying it as "part of
theology" vs. "a natural science" (p. 27). The outcome of this distinction sets the premise for the
authority, or modus operandi of the model, as Christian. For the purpose of this research, the
definition of Christianity was held in light of God's people operating under Biblically held motives
and principles, or anticipating the ultimate reality that there will be a "new heaven and earth" where
humans will be "raised from the dead" as "the renewed world's rulers and priests" (Wright, 2010, p.
67). This is achieved "through kingdom–establishing work of Jesus and the Spirit, which we grasp
by faith, participate in by baptism, and live out in love"; "through the Spirit–led, habit–forming,
truly human practice of faith, hope, and love, sustaining Christians in their calling to worship God
and reflect his glory into the world. (Wright, 2010, p. 67). In other words, the Christian Sociological
framework at root is a Christian
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44.
45. Metaparadigm Essay
Nursing theories and models are the foundation of the profession and encompass the specialized
body of knowledge that is unique to nursing. Nursing theories lead efforts as a discipline to stay
focused on nursing phenomena, and hence provides the roadmap for the development of knowledge
and the practice of nursing itself (Pamela, 2011). Nursing theories are practical in nature and
facilitate communication with colleagues, students, and any others in health–related services
(Marlaine, 2015). Among many nursing theories and models, the Roy Adaptation Model (RAM) has
served framework for practice in a variety of settings. Sister Calista Roy is one of the highest
respected nursing theorists, researchers, lecturers and teachers, and she is currently ... Show more
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The adaptation level of integrated life processes is evident when human beings are functioning as
whole, compensatory life processes reflect a challenge to integration, and compromised life
processes indicate inadequate integration, which is considered problematic (DeSanto–Madeya &
Fawcett, 2016). Relationship to nursing metaparadigm The nursing metaparadigm is the central
concept in nursing. There are four concepts; persons, environment, health and nursing, and they
have provided direction for nursing theory development (Fawcett, 1984). Modifications and
alternative concepts for this metaparadigm have been explored throughout the disciplines (Marlaine,
2015). The relationship between the concepts describe, explain, or predict individuals' or groups'
behavioral patterns as they are influenced by environmental factors during periods of wellness and
illness (Fawcett, 1984). RAM has been developed for many decades, and contains many defined
concepts, including the four metaparadigm concepts. The major concepts are people (both
individuals and groups) as adaptive systems, the environment, health and the goal of nursing. RAM
is under the umbrella of the nursing metaparadigm, and predicts the effects of nursing actions
(Fawcett,
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46.
47. The Four Major Aspects Of The Mabling Values Framework
The competing values framework is a theory that was initially created from Quin's research that was
carried out on the major indicators of effective organisations. Stability, control, flexibility and
change (adaptation) was the theorist's preference when composing this structure within the
framework. Doing so added additional dimensions in this organisational cultures theory. The four
major models that comprise of the competing values framework are the Humans relations Model,
the Open Systems Model, Rational Goal Model and the Internal Process Model. It is through these
four fundamental models that this theory develops its main cultures which are the clan culture, the
adhocracy culture, the market culture and lastly the hierarchy culture. The fact that New York has
five mafia families working the streets in its self is the penicil of the clan culture. The boss or the
don is the leader of each "clan" or "mob" or "family" or "schmucks" (the last one was only if they
did a silly thing). Any of the given five families love to adapt to their environment using steel and
iron. They call them Uzi's. I call them guns. Through the use their tools, they can create a hierarchy
within their own families and others to ensure they stay on top. They are also able to compete in
their target market using those brass bullets I.e. if someone is on their turf that shouldn't be, they kill
them or tell them to go away. The adhocracy culture I believe is where they thrive however. Gone
are the days
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48.
49. Solution-Focused Therapy In Social Work
Solution–focused therapy is a type of therapy that social workers who works as a therapist helps
clients identify and amplify behaviors that are associated with exceptions to problems, rather than
focusing on problems themselves. It assumes that change in any element of a system will
reverberate throughout the system (Bentley, 2002, p. 78). Individual therapy includes seven practice
theories that are normally used by social workers in the role of therapist.
1. Ego psychology, as noted by Goldstein, focuses on the activities of the ego a mental structure of
personality that negotiates between one's internal needs and the demands of the environment.
Interventions may be ego–supportive or ego–modifying and deals with unconscious thought on
behavior (Bentley, 2002, p. 77).
2. Object relations theory, according to St. Clair, views the client's ability to form lasting
attachments with others, based on early experiences of separation and individuation ... Show more
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Family emotional system achieves a balance between needs for attachment and self–efficacy. The
goals of intervention are to promote the differentiation of self with each member to increase the
reflective capacity of all members (Bentley, 2002, p. 78–79).
3. Strategic theory occurs with the social worker helps devise new, creative ways to solve family
problems, and many of these strategies are designed to overcome anticipated family resistance to do
things differently (Bentley, 2002, p. 79).
Group therapy may be the intervention of choice for people with mental health problems who are
assessed as potentially benefiting from an interpersonal process". Therapy groups may focus on
support, education, growth, rehabilitation or social issues (Bentley, 2002, p. 79). One model
included in group therapy includes five stages which features a different set of process and
dynamics: pre–affiliation, power and control, intimacy, differentiation and separation (Bentley,
2002, p. 79).
The History and Emergence of Case
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50.
51. Nursing Theory Comparison : Margaret Neuman
Nursing Theory Comparison: Margaret Neuman and Katherine Kolcaba Alison Abid West Coast
University Dr Gloria Godvin Comparison of Neuman and Kolcaba Nursing Theories Theories have
been the method by which nurse leaders have defined nursing science. Through the diverse bodies
of information nurses have given the profession its own practice regulation(s) to institute nursing as
a profession. Theories are a set of interrelated concepts that are explanatory and predictive in nature.
The concepts are a way of seeing nursing and human events and how they influence each
individual's personal values (George, 2011). Theories are derived by deduction and inductive
reasoning. Evaluation of nursing theory has yielded four core conceptual metaparadigm; person,
health, environment, and nursing. The comparison of Margaret Newman's Systems Model is based
on the patient's relationship to stress and reaction to it. She was a nurse by nature and realized years
before that she was made for the profession when taking care of her ill mother. Katherine Kolcaba
was raised without a father and lists one of the most influential events of her life was his death when
she was eight years old and her Comfort Theory a middle– range theory and the Systemic Theory a
grand theory which will be the focus of this paper. According to the metaparadigms of nursing
science, person is the target of care and includes not only the patient but also caring for the family as
well. Environment is noted as either
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52.
53. The Neuman System Model Models
The Neuman System Model Nursing models and theories are a detrimental part of nursing as a
whole. They help to ensure that our knowledge and education allows us to treat the whole person to
the best of our abilities. The Neuman system model developed by Betty Neuman focuses on the
response of the patient to actual or potential environmental stressors (Johnson & Webber, 2015).
This allows for a systemic approach utilizing assessment, diagnosis, nursing process, planning,
implementation, and evaluation which are key elements of good nursing care. The environment,
patient history, and socioeconomic status can impact patient wellness and are therefore all
considered when providing patient care (Johnson & Webber, 2015). The patient to which I will
apply the Neuman system model will be referred to as John. John is a 80 year old male, who was
admitted on June 7, with swelling to the legs and abdomen, SOB and a productive cough with gray
sputum. John has extensive medical comorbidities predisposing him to additional health concerns
such as: congestive heart failure (CHF), coronary artery disease (CAD), chronic kidney disease
(CKD), hypertension (HTN), anemia, cerebrovascular accident (CVA), chronic obstructive lung
disease (COPD) and depression. He is married and has a daughter and son. In this case John and his
family will make up the client system. To apply the Neuman system model the nurse must consider
several aspects of the client system for the assessment: Interacting
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54.
55. Advantages And Disadvantages Of The Medical Model
1. The medical model approach describes mental illness as a function caused by genetics that is
passed down to each individual. The medical model defines mental illness as a biological disease
that is caused by malfunctioning neurophysiological process. The DSM–5 is used in the medical
model as a classification system of psychological disorders to help the clinician diagnosis and treat
mental illnesses. There are strengths and limitations of focusing on the medical model and the use of
the DSM when working with clients. The strengths when working with clients on a medical model
perspective is that the use of the DSM provides a common language to use in the medical
community. The DSM provides reliability and structural guideline to each mental disorder. The
structural guidelines in the DSM provide an organized list of criteria and specifiers to help
determine the severity of the mental disorder. When diagnosing a client, there are many similar signs
and symptoms to each mental disorder; thus, the DSM provides the clinician information about
differential diagnosis, prevalence, possible co–morbidity, age of onset, and progressive development
of symptoms. Hence, focusing on the medical model and using the DSM can be beneficial to both
the client and the clinician providing treatment. Nonetheless, there are limitations associated with
the medical model and the DSM. These limitations include focusing on the symptoms rather than
focusing on other factors in the
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56.
57. Experiential Therapy : The Humanistic Existentialist Movement
Experiential Therapy
Experiential therapy was developed through the humanistic–existentialist movement during the
1960's. During the development of experiential therapy it pulled from; Gestalt therapy,
psychodrama, client–centered, and encounter–group movement. Within experiential therapy it pulls
from the following approaches; satir growth model, symbolic–experiential therapy, emotionally
focused couples therapy, and internal family systems. The thought process in this therapy is that it is
indiviual and family focused, it is able to create warmth, empathy, and rapport with the therapist.
Experiential therapy is also thought to be individual and family focused. Experiential therapy
focused on 5 main communication stances which are the clients defense stances when under stress.
These stances are congruent, placator, blamer, super reasonable, and irrelevant. These stances can
help a client acknowledge or minimize three realities self, other and context. For a client or family
to have effective change with this model they must go through the six stage model of change. In
these stages a families homeostasis is knocked off balance due to event, life crisis or change. As the
family is navigating trough this crisis they are in a state off chaos as they don 't know what is ahead.
Once the chaos has calmed then the family can look at integrating change and new possibilities.
Between chaos and integration is where a therpist can be most affective in helping them too
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58.
59. Examples Of Betty Neuman Systems Model
Betty Neuman's Systems Model It is important to allow theory to guide nursing practice. Nursing
theory can be applied as an influence to help solve nursing practice issues by facilitating reflection,
reexamination and critical thinking about the effectiveness of the nursing process. The Neuman
Systems Model (NSM) is a distinct, systems–based perspective that provides a unifying focus for
approaching a wide range of nursing concerns (Neuman, 2005). The purpose of this paper is to
discuss the NSM and the relevance of the conceptual model in nursing practice for the role of the
family nurse practitioner (FNP) in diverse populations. Betty Neuman's Systems Model Overview
The Neuman Systems Model (NSM) was formulated to assist in the coordination of patient care
activities to be completely centered on the patient's wholeness and well–being (Neuman and Reed,
2007). The NSM is a simple in–depth approach to explain the concepts of stressors and how they
inspire well–being. Neuman (1972) states this model "extends beyond the illness model and
includes the concepts of problem–finding, prevention, and the newer behavior science concepts and
environmental approaches to wellness" (p. 265). The model is still used in current practice under the
same context. This model currently is being used to guide the curricula of baccalaureate and master's
nursing programs in numerous schools of nursing worldwide (Neuman, 1996). This model is also
being used as a guide for nursing homes and
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63. Product Cost Structure For Healthcare
Product Cost Structure: To form an accurate depiction of how much doc.com would cost to develop
and implement, Healthify modelled out the costs of the system over a 10 year period (Appendix C).
With respect to raw resources, the most significant expenditures are server space and computing
power. Costs were projected by finding comparable prices of cloud computing power, storage and
relational database management from Amazon Web Services and converting them into Canadian
dollars (Appendix D). The core expenses are related to human capital, as an appropriate cohort of
developers, managers and support staff are to be hired to develop doc.com. Additionally, cash
incentives will help speed up the system adoption and integration processes as doctors ... Show more
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Currently, each individual business unit is siloed. When a patient goes through the internal structures
within the healthcare system, they view each business unit they use as its own function. The patient
does not experience the interconnectivity of the processes; it only identifies the vertical integration
within the system.
doc.com proposes a change from a function–orientation to a process–orientation through facilitating
a streamlined customer journey. Instead of a patient considering what procedures they have at the
hospital, family doctor, and specialist seperately, doc.com creates connectivity between business
units. As a result, a patient would treat a broken bone at the hospital, have a family doctor examine
it, and then visit a specialist for any complications (Appendix F). It is that movement from a
functional–orientation to a process–orientation that would streamline and optimize wait times and
family physician
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64.
65. Family Systems Therapy And Structural Family Therapy
Historically, the field of social work and its practitioners have been concerned with the welfare of
families and their functioning. When dysfunction is present, families often seek guidance through
family therapy, which has become a strengths–based approach to intervention that emphasizes
families' resiliency and capacity to solve their problems. Within family practice, practitioners
implement diverse theoretical approaches and practice models, which function as a foundation for
family assessment and intervention methods. This paper seeks to explicate two family intervention
models, Bowen family systems therapy and structural family therapy, and utilize the most effective
approach to develop a treatment plan for a family seeking therapy.
Family Intervention Models
Bowen Family Systems Therapy Rooted in systems theory, Murray Bowen's Bowen family systems
therapy acknowledges the family as a multigenerational emotional system (Nichols, 2013). This
model perceives the family as an interconnected network of emotional reactivity that shapes family
dynamics and interaction patterns. Bowen proposed eight interlocking concepts to elucidate familial
patterns: differentiation of self, triangles, nuclear family emotional system, family projection
process, multigenerational transmission process, emotional cutoff, sibling position, and societal
emotional process (Nichols, 2013). It also views families through an individual and collective lens,
assessing how members' emotionally driven
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66.
67. Metaframeworks Perspective Analysis
The metaframeworks perspective extracts concepts from various modalities that complement its
unique way of dealing with systems, while unburdening itself from the constraints of previous
models. Metaframeworks places emphasis on six separate domains that is believed to assist a
therapist in understanding the client. Metaframeworks draws from family systems theory, when
observing an individual, but it expands family systems in order to include the individual's internal
processes (EFEF). Metaframeworks holds the position that family systems thinking has made the
therapist focus on either the entire family, the subsystems of the family system, or the family's
interactions with systems besides its own (EEEE). By pairing the external and internal ... Show
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The opinion of metaframeworks is that each individual has multiple subpersonalities or "parts" that
consist of the self. Each of these parts interact with one another on a daily basis, switching
continuously back and forth dependent upon the individuals context. When an individual finds
themselves in a situation that is uncomfortable or filled with tension, then the parts are capable of
becoming extreme (polarization). The belief is that these polarized parts have taken the reigns from
an individual's true self and in order to regain control an individual must depolarize. When clients
enter therapy they are in a situation in which a part of themselves has become polarized. The
individual's polarized part wants to return to homeostasis, but it is enmeshed within the roles it has
taken on. In order to fully revert the part must recognize the self as having the ability to maintain
effective leadership and it must change its interactions with the self and other parts (EEEE). In this
manner of changing, it is believed that internal change happens at a faster rate. This also enables the
therapist to trust the client to be able to make the changes necessary for themselves without the need
for reframes. Breunlin, Schwartz, and Kune–Karrer (1997) also emphasize their shift in focus from
Minuchin's structural family therapy in regards to how change occurs. Instead of introducing a
crisis, focusing on a family systems pattern
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68.
69. Critical Analysis Paper On Nursing
Critical Reflective Analysis Paper The purpose of this paper is to reflect upon my original definition
of nursing metaparadigm concepts critically, and to determine if any changes in my perception
towards practice have occurred. The focus of the paper is to critically analyze the transformations
that have occurred in my approach to practice. The critical analysis of nursing metaparadigm
concepts has resulted in the transformation of my thinking regarding a person, nursing, and
environment while my perception regarding the health remains same. Firstly, I discovered the
importance of the concept of development in the definition of a person. Secondly, I learned that
nursing care should be flexible and should move around the person and their ... Show more content
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Health I defined health as a physical, social, emotional, psychological and spiritual wellbeing of a
person which is vastly shaped by their environment. This definition falls under totality paradigm.
This is so because, according to totality paradigm, health is defined according to societal norms.
Society sets a benchmark for what health is. Hence, health can be measured as compared to the
societal norm. If the person deviates from the societal norm then the person is considered unhealthy.
Similarly, I mention in my definition that health is something that is maintained by the stability of
different aspects of the person. The benchmark of stability is usually set by society. My definition
does not fall into simultaneity paradigm because unlike my definition, simultaneity paradigm states
that health is not defined by the benchmark of society rather, health is defined only by a person, and
only the person knows what health means to them. Environment According to me, environment
denotes a person's surrounding including their family, community, culture, beliefs, and values.
Environment shapes the person's health and wellbeing as well as their own view towards the
definition of being healthy. My view on the concept of environment relates to Parse's (1987) totality
paradigm. Totality paradigm states that the environment is something within which the person
exists. It influences the way in which the person functions. Similarly, I believe that the environment
of the
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70.
71. Bulimia Nervosa Argument
Bolanle Soyombo
Cox
AP Lit A2
April 18, 2012
Bulimia Nervosa: Argument Although bulimia nervosa can be treated in multiple fashions, there is a
specific treatment that is proven to be the most effective in not only bulimia nervosa, but also other
anxiety related disorders. This effective treatment is an specific form of short term psychotherapy.
Cognitive Behavioral Therapy is productive in both reducing the amount of times one may purge in
a day and diminishing the entire disorder altogether; it is a diverse set of problem specific
interventions. According to Brian Sheldon, Cognitive Behavioral Therapy is a psychological
approach for the treatment of family, personal, and mental problems. This technique is intended to
help clients ... Show more content on Helpwriting.net ...
Unlike interpersonal psychotherapy, with the use of medication, CBT attains several forms of
intervention and models that can be used for certain situations. These forms are tailored not only to
the affected patient but also toward the patient 's family. There is therapy for the perfect,
overprotective, and chaotic family. These forms all have specifics that set their therapeutic sessions
apart, but are similar in that they all begin with a technique called joining. Joining is basically an
establishment of alliance between the therapist and the family (Killian). Therapists are advised to
discover how the family members feel toward the problem in this situation. A way of ensuring
family involvement would be to set specific guidelines about the affect patient 's behavior and the
family 's reactions toward the behavior. For example, a therapist may initiate a plan in which the
patient must be responsible for replacing the family food in which he/she binges on. This activity
will enhance the removal of the rest of the family to be in constant fear for the patient; it will also
allow the patient to begin to regain control of one aspect of his/her life. Common goals within this
type of family include regulation of emotional availability between the parent(s) and the bulimic
patient, facilitation of direct communication, and negotiation of conflict and its resolution (Killian).
Besides interventions, there are also models that can be used to deal
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72.
73. Description And Overview Of Trauma Specific Intervention
Description and Overview of Trauma–Specific Intervention Internal Family Systems (IFS) was
developed by Dr. Richard Schwartz PhD. from feedback he gathered from clients. Through his work
as a family therapist Schwartz had received training in systems thinking and family therapy theory.
Dr Schwartz believed he was truly able to listen to the individuals in his care once he set aside his
preconceived ideas of therapy and the human mind. Clients would describe various experiences
which Dr. Schwartz believed were seen as different parts of their inner–self. Dr. Schwartz noticed
how a person's parts which were identified as confidence, openness and compassion acted as a
center around which various parts constellate (or bring together in one ... Show more content on
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Major Treatment Components The use of IFS treatment is generally used when clients have been
determined through assessment to have experienced severe traumatic event. In the IFS system, the
centre of this diverse collection of parts is the Self, which we may experience as a 'core self' or 'true
self' (Johnston, 2001). In the IFS model, the parts fall into three categories: Managers, Exiles and
Firefighters. It should be noted some therapist call the firefighters, protectors. The self works within
the primary types of parts called the firefighters and the exiles. The Manager parts are found in
typical roles ones we view as our inner critic, pleaser, organizer, judge, our intellectual self. Our
Managers work hard anticipating what others want from us and they feel anxious when criticized,
rejected or abandoned. They like to keep us in line and in top form with their ambitions, goals, and
lists (Johnston, 2001). The firefighters are the parts you usually encounter first in exploring yourself.
Their job is to handle the world and protect against the pain of the exiles. (Earley, 2016). Exiles take
on pain and burdens from what they experienced as children (or occasionally at other times). Locked
away, hidden deep in the psyche, the younger parts are often barely detectable. Acting like Exiles,
they are locked away in an earlier time, still feeling the same hurt. We may view theses Exiles as in
some sort of time warp unable to understand other parts
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74.
75. Changeable Medical Center Case Study
Consider the following scenario: Relationships among workers in the ICU of Changeable Medical
Center are at best, strained. In the past six months, the unit has expanded from 8 to 12 beds, changed
to a different electronic health record vendor, and changed unit managers. Ten of thirty registered
nurses have resigned or left, two of the remaining twenty are out on sick leave, and absenteeism is at
a record high. As the new unit manager, you are looking for ways to improve morale and deal
constructively with the many problematic relationship issues. After reading Chapters 7–9, select a
theorist from the grand theories to apply to the scenario. Try to choose a different theorist than those
already covered by your colleagues. How might this theory
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76.
77. Family And Military Relationships In The Military Family
Military children face more obstacles than other similarly aged children. These children are often
relocated frequently, have disruptions to their family systems, have increased fear of family
member's safety, and higher levels of stress amongst family members also experiencing military life
(Riggs & Riggs, 2011). Protective factors that increase resilient adaptation include supportive family
or social networks and responsive parents (Riggs & Riggs, 2011). Riggs and Riggs (2011)
conceptualized an individual's resilience in relation to the bonds that exist within the family. The
underlying internal and external processes behind resilience are affected by attachment relationships
during an individual's life (Riggs & Riggs, 2011). In family systems theory, individuals and their
relationships develop within the family attachment network (Riggs & Riggs, 2011). Family
processes mediate how a family and the individuals within the family handle stressful events (Riggs
& Riggs, 2011). Family systems theory and attachment theory have some corresponding overlap
(Riggs & Riggs, 2011). Riggs and Riggs (2011) conceptualized how military families adapt and
adjust to stress using a family attachment network model. This model includes several relationships
that exist at several system levels, with every level having distinct characteristics that only exist for
that level but are also intertwined with levels throughout the bigger system (Riggs & Riggs, 2011).
Attachment relationships are
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