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Running head: 1 BIO-PYSCHO-SOCIAL ASSESSMENT 1
2 BIO-PSCHO-SOCIAL ASSESSMENT 9
Bio-Psycho-Social Assessment
Karidja Gohoure
Walden University
2 Bio-Psycho-Social Assessment
Bio-psycho-social assessment is a vital social tool in social
work practice. A bio-psycho-social assessment helps social
work professionals to understand clients’ problems. Usually, the
assessment entails three dimensions of the problem; biological,
psychological, and social (Melchert, 2015). The bio-psycho-
social assessment facilitates the sharing of client’s information
between the social workers and other professionals in the
mental health environment. The tool helps in outlining various
issues about the client, including their current health situation,
potential issues that may affect the client in the future. This
project focuses on the assessment of adolescent pregnancy.
Part A: 2 Bio-Psycho-Social Assessment
Presenting Issue
The case study presents adolescent pregnancy as a social
problem. 3Eboni Logan is a 16-year-old biracial student in the
11th grade. 4Eboni is an honors student and hopes to major in
nursing once she joins college. 5 Eboni met Darian, a 17-year-
old student four months ago and started dating. They become
sexually active and but didn’t use protective methods. 6 Eboni
and Darian used withdrawal for birth control. She discovered
that she is 2-months pregnant after taking a pregnancy test
recently. Now, she is a dilemma of whether to abort or keep the
baby.
Demographic Information Eboni, who is the client, in this case,
is a biracial female student. 7 Her father, Anthony, is a
Caucasian while her mother, Darlene, is a biracial African
American/Caucasian. Eboni is 16 years old adolescent while
both her parents are 34 years old. She an excellent 11th-grade
student, and her dream is to become a nurse. 8 Eboni is a
member of the student council, National Honors Society and an
active choir member. 4 She has taken her driving test and works
at the fast-food restaurant ten hours a week.
3 Current Living Situation Currently, Eboni lives with her
mother Darlene and her grandmother May. 9 May is 55 years
old and works as a paraprofessional in one of the elementary
schools while her mother is an administrative assistant at the
manufacturing company.1 Eboni lives in the same apartment
where her grandmother raised her mother. 10 Although Eboni
lives with her mother, she visits her father, who lives with
every weekend. 9 Eboni’s father pays child support to Darlene.
11 Birth and Developmental History Eboni was born when her
mother was 17 years old. 12 Darlene dated with Anthony for a
month and discovered that she was pregnant after they had
broken up. She decided to keep the pregnancy and May helped
her to raise Eboni. Eboni spends most of the time with her
mother and grandmother. She started dating Darian at age 16,
and they became sexually active. 13She found out that she is
pregnant four months later.
2 School and Social Relationships
Eboni Logan an eleventh grade and a honors student. 14 She has
been taking advanced placement courses and plans to major
nursing when she joins college. 15 Eboni also runs track and is
an active choir member. 8 Besides being an active choir
member, Eboni also a member of the student council and the
National Honors Society.
2 Family Members and Relationships
Eboni is a daughter to Darlene and Anthony who are both 34
years old. 16 Her parents were never married. Her immediate
family members include mother and grandmother. 17 Her
grandmother, May is 55 years old African American women
while her mother is biracial African American/Caucasian. May
sympathize with Eboni’s situation; when she learns that Eboni
is pregnant, she cried and held her in her arms for a long
time. 18 Eboni father has married twice and divorced once.He
has four children with Eboni’s stepmother. 3 Eboni visits them
every weekend.
19 Health and Medical Issues Eboni has no history of major
health and medical issues. 20 She does not smoke and denies
indulging in any drug abuse or regular drinking. 18 She says
that she only drinks with her friends during parties, but she has
never been drunk. Eboni also does not have any psychiatric or
psychological functioning problems. Her boyfriend, on the other
hand, does not have any medical or health problems but has
been drunk a few times though he denies drinking regularly or
smoking.
Spiritual Development
12 Eboni and her mother do belong to any organized
religion. She, however, believes in God and often accompanies
her father to church on weekends. 15 Her father attends a
Catholic Church. 7 When Eboni told her father about the
pregnancy, she advised her to keep the child because he
believes it is a sin to abort.
2 Social, Community, and Recreational Activities
17 Eboni is an active student and participates in various social,
community, and recreational activities. Some of the recreational
activities that Eboni engages in include singing in the choir and
runs track. She also attends parties with her friends. 14 Besides,
she is a member of the student council and the National Honors
Society. 21Furthermore, Eboni, for the last six months, has been
working at the fast-food restaurant ten hours a week.
2 Client Strengths, Capacities, and Resources
One of the major strengths of the client is that she is willing to
share her predicament with the people around her. When Eboni
learns that she is pregnant, she shares with her best friend,
Brandy, and her boyfriend. Despite Darian not being ready to
have children at the time, he promises to support her in every
way he could. Eboni also shares her situation with the social
worker who advises her to seek a response from her parents.
Another strength of the client is that her father is supportive of
her situation. He asks her to move in with him and her
stepmother. This is a good gesture at this time when her mother
and grandmother are upset after learning of her pregnancy.
Part B: 20 Analysis of Assessment
Challenges Faced by the Client The main challenge facing the
client in this case study is the issue of early
pregnancy. 13 Eboni Logan tested positive for pregnancy after a
few months dating her boyfriend, Darian. Eboni commits that
they have not been using any contraceptive despite being
sexually active. 12 She says that they used a withdrawal method
as birth control. Eboni is now in a dilemma of whether to keep
the child or abort. Her mother has asked her to abort because
she wants her to have a better life while her father believes
abortion is a sin and that Eboni should keep the child. Eboni
also faces a challenge of potential stress and psychological
trauma. Her mother shouted at her and called a slut on learning
that she was pregnant. She has a hard time coping up with the
new realities.
How the Social Environment Affects the Client The social
environment surrounding the client affects how she is coping
with the new reality. Even though Eboni has a right to make her
decisions on whether to abort or keep the child, several other
social factors influence her decision. First, she is afraid that her
mother might disown her for keeping the child and, on the other
hand, she is being pressured to keep the baby by her father.
Also, the issue of social and cultural affects the client.
According to Akella & Jordan (2014), the United States has the
highest rate of teenage pregnancy among the first world
countries. The study also shows that early childbirth is high
among African Americans and other minority populations with
low-income rates in the United States. Moreover, children born
to teenage parents have a high likelihood to emulate and engage
in sexual behaviors; hence, early pregnancies (Akella & Jordan,
2014). Eboni was born to teenage parents; both parents were 17
years old when she was born.
Social Theories Social cognitive theory can be used to assess
Eboni’s case. Social cognitive approach states that learning
occurs in a social context where personal factors,
environmental, and behavior interact. According to McLeod
(2016), people acquire their behavior from the environment
through the observation process. Children tend to interact and
pay attention to people around and encode their behavior. This
theory informs me as a social worker that Eboni might have
learned her behavior by observing people around her. Her
mother became pregnant in her adolescence, and this might have
influenced Eboni’s sexual behavior.
The assessment of the client will be used to address her
situation. First, the assessment will be used to help the client to
make her decisions. That is, the assessment evaluates all the
pros and cons of carrying the child to term or aborting. All the
assessment will help to analyze how the situation will affect her
life. Eboni should put into consideration how pregnancy will
affect her dream of becoming a nurse in the future. Therefore,
the assessment will play an important role in reaching mutually
agreed-upon goals and helping the client to face her challenges.
Use of Identified Strengths in a Treatment Plan Eboni’s
strengths in the issue play a vital role in her treatment. First,
she is a honors student, which implies that a potential of
achieving a lot in her dream. If Eboni decides to follow her
dream, then she would have to abort the child and continue with
her education. On the other hand, if she chooses the second
strength; that her father is supportive and willing to help her in
the situation, then she will have to keep a child. During the
treatment, one of these strengths should be used to address the
situation.
Evidence-Based Practices
Evidence-based practices will be used in addressing the client’s
situation. A report by the Centers for Disease Control and
Prevention (CDC) indicates that teenage pregnancy and birth are
major contributors of high school dropout and that only 50% of
teen mothers acquire their high school diploma at the age of 22-
years (CDC, 2019). Evidence-based programs indicate that
abstaining from sexual activities and using birth control
methods are the best ways of avoiding teenage pregnancies.
Ethical Issues The main ethical issue, in this case, is abortion is
right or wrong. While Eboni’s mother wants her daughter to
abort the child and pursue her dreams, her father believes that
abortion is a sin, and she should keep the child. I would advise
Eboni to make own decision regarding the situation because
whatever the case she is the one to bear most of the burden of
raising the child.
Issues around Cultural Competence Cultural competence refers
to the ability to interact with people from other cultures
effectively. In this case, I will observe all the cultural aspects
of African Americans and Caucasians, given that Eboni is a mix
of both races. Some of the cultural competence issues that will
be addressed in the case include Eboni’s world point of view,
cultural differences, and the knowledge of cultural practices.
Addressing these issues will help in proving a practical solution
to the presenting issue.
References
8 Akella, D., & Jordan, M. (2014). 22 Impact of social and
cultural factors on teenage pregnancy. 8 Journal of Health
Disparities Research and Practice, 8(1), 3.
CDC. (2019). 23 About Teen Pregnancy. Retrieved from
https://www.cdc.gov/teenpregnancy/about/index.htm McLeod,
S.(2016). 24 Bandura - Social Learning Theory. 25 Retrieved
from https://www.simplypsychology.org/bandura.html Melchert,
T. P. (2015). Treatment. 19 In Biopsychosocial practice: 9 A
science-based framework for behavioral health (pp. 211-
233). 19 Washington, District of Columbia: 9 American
Psychological Association.
Yindra Isaac Amador
Nursing Research
Identifying where the source of infection and lack of
sterilization is the first step in minimizing and eradicating
hospital-transmitted diseases caused by lack of sterilization.
Once determined, certain guidelines and rules must be put into
practice in order to maintain a low-to-nonexistent rate of
transmission. Within the institution, an average rate of 6%-7%
of diseases transmitted within the hospital (such as urinary tract
infections) has been established, which mirrors the average
worldwide.
The population for my study are patients contracting hospital-
acquired diseases due to lack of successful sterilization. The
population are participants over the age of 18. Some of the
challenges in obtaining a sample of the population would
include permission from the committee and risk management
department in studying a sensitive group with the potential to
engage in litigation against the facility. To overcome this
challenge, participants will be recruited and a waiver would be
obtained.
References
Klevens, R. Monina, et al. “Estimating Health Care-Associated
Infections and Deaths in U.S. Hospitals.” Advances in
Pediatrics., U.S. National Library of Medicine, 2007.
Mercedes Yumar
Nursing Research
The population for my study are African Americans
adults ages 19 years. The participants voluntarily signed a
consent form once the project had been discussed with them.
The 12-week project consisted of a one hour session each week
which provided a 30-minute educational and a 30-minute
physical activity session. The challenges for obtaining a sample
from the population are consent and permission from the facility
to identify who will qualify to participate.
Another challenge is obtaining the tools needed for the
research proposal: DASH Diet recommendation tools, action
tool for implementation and training protocol for staff. Setting
area for meetings, follow up guidelines after implementation,
and software for data analysis. Other important tools include
blood pressure machine, scale, and self-management tools.
References
Al-Bayan, Maliyhah, Nadia Islam, Shawneaqua Edwards, and
Dustin T. Duncan. 2016. "Neighborhood perceptions and
hypertension among low-income black women: a qualitative
study." BMC Public Health 16, no. 1: 1-10. Health Policy
Reference Center, EBSCOhost
Muller Sanon
Nursing Research
The initial search will focus on CINAHL, PubMed,
Cochrane, and Medline. Key search terms including CHF,
congestive heart failure, chronic heart failure, post-discharge
phone
calls, discharge phone calls, hospital readmission, readmission,
and re-hospitalization. Inclusion criteria will be adult patients
with HF discharged from an acute care setting. Systematic
reviews randomized controlled trials (RCTs), and observational
studies will be the focus. Studies will be appraised to ensure
they meet inclusion criteria, referred to risk of bias in the
results, and include a well-defined sample. Studies will be
excluded if they addressed patients discharged from a setting
other than acute care.
Team members will broaden the scope of the search to
include interprofessional interventions as well as telephone
calls to reduce hospital readmissions greater than 30 days for
patients with HF. Interventions include telephone calls made to
patients after hospital discharge to home compared to usual
care. Usual care included follow up with physician or HF clinic,
visit by a HF nurse specialist, discharge instructions, and
patient education after hospital discharge.
Additional interventions compared to discharge telephone calls
included case management in
which multiple disciplines (social workers, pharmacists, nurse
specialists, trained volunteers, and physicians) followed up with
the patient after discharge.
References
Orta, R., Messmer, P. R., Valdes, G. R., Turkel, M., Fields, S.
D., & Cardenas Wei, C. (2016). Knowledge and Competency of
Nursing Faculty Regarding Evidence-Based Practice. Journal of
Continuing Education In Nursing, 47(9), 409.
doi:10.3928/00220124-20160817-08.
Alvarez Lizandra week 12
COLLAPSE
Top of Form
In order to understand and track down offspring obesity in
regard to maternal obesity, the most appropriate researchable
population would be women in maternal age. These women are
followed throughout the pregnancy and throughout the first
years of the child. This population can be difficult to access in
order to obtain samples for research due to the time that it
takes. Some challenges may be loss of contact throughout the
years. Not enough information provided by the participants can
also be a challenge of this population. In addition, the
researcher may encounter that women are less likely to continue
with the research once the baby is born or other complications.
However, just like any other research all of these circumstances
can be resolved in order to obtain appropriate data for
investigation. Some things that can help the researcher and keep
the participants engaged include following up with interviews
and data collection at a constant rate. Providing reason for the
research and possible outcomes to the participants to keep them
informed. Also, finding ways to keep participants motivated to
continue being part of the research. These interventions are
proven to work in research, however the reality is that
sometimes the populations being investigated will be lost with
time specially of it’s a longitudinal experiment. With the right
population the results of a research study can make a big
difference.
References:
Banerjee, A., & Chaudhury, S. (2010). Statistics without tears:
Populations and samples. Industrial psychiatry journal, 19(1),
60–65. doi:10.4103/0972-6748.77642
Korngiebel, D. M., Taualii, M., Forquera, R., Harris, R., &
Buchwald, D. (2015). Addressing the Challenges of Research
With Small Populations. American journal of public
health, 105(9), 1744–1747. doi:10.2105/AJPH.2015.302783
magdaleine week 12
COLLAPSE
Top of Form
Factors Affecting Transition of Care: Medication Errors
The transition of care in hospitals is where patients move from
the hospital to an outpatient setting or a different department in
the hospital. For example, a patient is moving from an Intensive
Care Unit to a medicine ward. The transition of care usually is a
vulnerable time for patients due to the challenges that it brings.
Due to ineffective communication between the nurse who is
handing over and the nurse who is receiving the patient, adverse
events such as medication errors always occur (Tully,
Hammond, Li, Jarrell & Kruer, 2019). This article is a part of
the research that is focusing on the researchable population for
the factors affecting the transition of care. It will also focus on
the challenges of obtaining a sample and how to overcome
them.
The population of study focuses on patients admitted in a given
hospital during a particular duration of time. Using patients and
their treatment sheets for this research provides the most valid
data because evidence of medication error can easily be noticed
from the patients verbally or from the documentation on the
treatment sheets. The most probable challenge when sampling
includes using a sample size that is too small to detect correct
information. The researcher should be able to balance between
too small sample size and a large enough sample size to give
high-quality information.
References:
Tully, A., Hammond, D., Li, C., Jarrell, A., & Kruer, R. (2019).
Evaluation of Medication Errors at the Transition of Care From
an ICU to Non-ICU Location. Critical Care Medicine, 47(4),
543-549. doi: 10.1097/ccm.0000000000003633
Discussion # 6: Evelyn Dominquez
COLLAPSE
Top of Form
Discussion 6
The topic selected for the research project is the burden of
transitional care on chronically-ill patients and their care givers
in the United States. The most appropriate research population
for this project would be the nurses who are actually tasked
with the responsibility of providing care for these patients. With
the shortage of nurses’ epidemic, current nurses in District
General Hospitals would be used in the study. Obtaining a
sample from this population would prove challenging because of
the amount of workload the few available nurses have on their
hands. Most of them already have enough work-related stresses
to take on a research project on their hands (Morgan & Somera,
2014). It would also be difficult to recruit nurses who will be
available throughout the research project as the inclusion
criteria dictates.
The essential that would address these challenges would be
organizational and systems leadership which recognizes the
critical role that organization and leadership plays in the
promotion of patient care that is of high quality and that is safe
(Thompson & Donaway, 2018). Assuming leadership roles
would help in the implementation of initiatives and policies
which would make the nurses’ working environment better and
less stressful for them. These initiative and policies would still
be within the context of the inter-professional team as it will
use effective communication.
References
Morgan, D., & Somera, P. (2014). The Future Shortage of
Doctoral Prepared Nurses and the Impact on the Nursing
Shortage. Nursing Administration Quarterly, 38(1), 22-26.
doi:10.1097/naq.0000000000000001
Thompson, M., & Donaway, A. (2018). AACN
Essentials. Transitioning From RN to MSN.
doi:10.1891/9780826138071.0012
Bottom of Form
Bottom of Form
Project: Bio-Psycho-Social Assessment
Assessing a client’s biological, psychological, and social
history is a holistic approach that is an essential aspect of social
work practice. Since one area often affects the other two, it is
important to get as accurate an assessment as possible when
working with a client. Social workers use the bio-psycho-social
tool to communicate specific information, and possible
conclusions, about a client to other professionals. It is, at once,
a summary of current issues and problems; a listing of past
factors that may be relevant to the current situation; and a
description of potential issues that may have an effect on the
client in the future. In addition to describing the client’s
challenges and problems, the assessment identifies strengths
and assets that are available to provide support. For this Project
you create a bio-psycho-social assessment.
By Day 7
Submit a 6- to 9-page paper that focuses on an adolescent from
one of the case studies presented in this course. For this Project,
complete a bio-psycho-social assessment and provide an
analysis of the assessment. This Project is divided into two
parts:
Part A: Bio-Psycho-Social Assessment: The assessment should
be written in professional language and include sections on each
of the following:
· Presenting issue (including referral source)
· Demographic information
· Current living situation
· Birth and developmental history
· School and social relationships
· Family members and relationships
· Health and medical issues (including psychological and
psychiatric functioning, substance abuse)
· Spiritual development
· Social, community, and recreational activities
· Client strengths, capacities, and resources
Part B: Analysis of Assessment. Address each of the following:
· Explain the challenges faced by the client(s)—for example,
drug addiction, lack of basic needs, victim of abuse, new school
environment, etc.
· Analyze how the social environment affects the client.
· Identify which human behavior or social theories may guide
your practice with this individual and explain how these
theories inform your assessment.
· Explain how you would use this assessment to develop
mutually agreed-upon goals to be met in order to address the
presenting issue and challenges face by the client.
· Explain how you would use the identified strengths of the
client(s) in a treatment plan.
· Explain how you would use evidence-based practice when
working with this client and recommend specific intervention
strategies (skills, knowledge, etc.) to address the presenting
issue.
· Analyze the ethical issues present in the case. Explain how
will you address them.
· Describe the issues will you need to address around cultural
competence.
Submission and Grading Information
To submit your completed Project for review and grading, do
the following:
· Please save your Project using the naming convention
“WK10Proj+last name+first initial.(extension)” as the name.
· Click the Week 10 Project Rubric to review the Grading
Criteria for the Project.
· Click the Week 10 Project link. You will also be able to
“View Rubric” for grading criteria from this area.
· Next, from the Attach File area, click on the Browse My
Computer button. Find the document you saved as
“WK10Proj+last name+first initial.(extension)” and click Open.
· If applicable: From the Plagiarism Tools area, click the
checkbox for I agree to submit my paper(s) to the Global
Reference Database.
· Click on the Submit button to complete your submission.
Grading Criteria
Please use some of these references
Melchert, T. P. (2015). Treatment. In Biopsychosocial practice:
A science-based framework for behavioral health (pp. 211-233).
Washington, District of Columbia: American Psychological
Association.
Note: You will access this article from the Walden Library
databases.
Goldbach, J. T., & Gibbs, J. (2015). Strategies employed by
sexual minority adolescents to cope with minority stress.
Psychology Of Sexual Orientation And Gender Diversity, 2(3),
297-306.
Note: You will access this article from the Walden Library
databases.
Kosciw, J. G., Greytak, E. A., Giga, N. M., Villenas, C.,
Danischewski, D. J., & Gay, L. (2016). The 2015 National
School Climate Survey: The Experiences of Lesbian, Gay,
Bisexual, Transgender, and Queer Youth in Our Nation's
Schools. Executive Summary.
Note: You will access this article from the Walden Library
databases.
Steensma, T. D., Kreukels, B. C., de Vries, A. C., & Cohen-
Kettenis, P. T. (2013). Gender identity development in
adolescence. Hormones And Behavior, 64(2), 288-297.
Note: You will access this article from the Walden Library
databases.
The case
The Logan Family Eboni Logan is a 16-year-old biracial
African American/Caucasian female in 11th grade. She is an
honors student, has been taking Advanced Placement courses,
and runs track. Eboni plans to go to college and major in
nursing. She is also active in choir and is a member of the
National Honor Society and the student council. For the last 6
months, Eboni has been working 10 hours a week at a fast food
restaurant. She recently passed her driver’s test and has
received her license. Eboni states that she believes in God, but
she and her mother do not belong to any organized religion. Her
father attends a Catholic church regularly and takes Eboni with
him on the weekends that she visits him. Eboni does not smoke
and denies any regular alcohol or drug usage. She does admit to
occasionally drinking when she is at parties with her friends,
but denies ever being drunk. There is no criminal history. She
has had no major health problems. Eboni has been dating Darian
for the past 4 months. He is a 17-year-old African American
male. According to Eboni, Darian is also on the track team and
does well in school. He is a B student and would like to go to
college, possibly for something computer related. Darian works
at a grocery store 10–15 hours a week. He is healthy and has no
criminal issues. Darian also denies smoking or regular alcohol
or drug usage. He has been drunk a few times, but Eboni reports
that he does not think it is a problem. Eboni and Darian became
sexually active soon after they started dating, and they were
using withdrawal for birth control. Eboni’s mother, Darlene, is
34 years old and also biracial African American/Caucasian. She
works as an administrative assistant for a local manufacturing
company. Eboni has lived with her mother and her maternal
grandmother, May, from the time she was born. May is a 55-
year-old African American woman who works as a
paraprofessional in an elementary school. They still live in the
same apartment where May raised Darlene. Darlene met Eboni’s
father, Anthony, when she was 17, the summer before their
senior year in high school. Anthony is 34 years old and
Caucasian. They casually dated for about a month, and after
they broke up, Darlene discovered she was pregnant and opted
to keep the baby. Although they never married each other,
Anthony has been married twice and divorced once. He has four
other children in addition to Eboni. She visits her father and
stepmother every other weekend. Anthony works as a mechanic
and pays child support to Darlene. Recently, Eboni took a
pregnancy test and learned that she is 2 months pregnant. She
actually did not know she was pregnant because her periods
were not always consistent and she thought she had just skipped
a couple of months. Eboni immediately told her best friend,
Brandy, and then Darian about her pregnancy. He was shocked
at first and suggested that it might be best to terminate. Darian
has not told her explicitly to get an abortion, but he feels he
cannot provide for her and the baby as he would like and thinks
they should wait to have children. He eventually told her he
would support her in any way he could, whatever she decides.
Brandy encouraged Eboni to meet with the school social worker.
During our first meeting, Eboni told me that she had taken a
pregnancy test the previous week and it was positive. At that
moment, the only people who knew she was pregnant were her
best friend and boyfriend. She had not told her parents and was
not sure how to tell them. She was very scared about what they
would say to her. We talked about how she could tell them and
discussed various responses she might receive. Eboni agreed she
would tell her parents over the weekend and see me the
following Monday. During our meeting I asked her if she used
contraception, and she told me that she used the withdrawal
method. Eboni met with me that following Monday, as planned,
and she was very tearful. She had told her parents and
grandmother over the weekend. Eboni shared that her mother
and grandmother had become visibly upset when they learned of
the pregnancy, and Darlene had yelled and called her a slut.
Darlene told Eboni she wanted her to have a different life than
she had had and told her she should have an abortion. May cried
and held Eboni in her arms for a long time. When Eboni told her
father, he was shocked and just kept shaking his head back and
forth, not saying a word. Then he told her that she had to have
this child because abortion was a sin. He offered to help her and
suggested that she move in with him and her stepmother.
Darlene did not speak to Eboni for the rest of the weekend. Her
grandmother said she was scheduling an appointment with the
doctor to make sure she really was pregnant. Eboni was
apprehensive about going to the doctor, so we discussed what
the first appointment usually entails. I approached the topic of
choices and decisions if it was confirmed that she was pregnant,
and she said she had no idea what she would do. PRINTED BY:
[email protected] Printing is for personal, private use only. No
part of this book may be reproduced or transmitted without
publisher's prior permission. Violators will be prosecuted.
PRINTED BY: [email protected] Printing is for personal,
private use only. No part of this book may be reprodu

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Bio-Psycho-Social Assessment of Teen Pregnancy

  • 1. Running head: 1 BIO-PYSCHO-SOCIAL ASSESSMENT 1 2 BIO-PSCHO-SOCIAL ASSESSMENT 9 Bio-Psycho-Social Assessment Karidja Gohoure Walden University 2 Bio-Psycho-Social Assessment Bio-psycho-social assessment is a vital social tool in social work practice. A bio-psycho-social assessment helps social work professionals to understand clients’ problems. Usually, the assessment entails three dimensions of the problem; biological, psychological, and social (Melchert, 2015). The bio-psycho- social assessment facilitates the sharing of client’s information between the social workers and other professionals in the mental health environment. The tool helps in outlining various issues about the client, including their current health situation, potential issues that may affect the client in the future. This project focuses on the assessment of adolescent pregnancy. Part A: 2 Bio-Psycho-Social Assessment Presenting Issue The case study presents adolescent pregnancy as a social problem. 3Eboni Logan is a 16-year-old biracial student in the 11th grade. 4Eboni is an honors student and hopes to major in nursing once she joins college. 5 Eboni met Darian, a 17-year- old student four months ago and started dating. They become sexually active and but didn’t use protective methods. 6 Eboni and Darian used withdrawal for birth control. She discovered that she is 2-months pregnant after taking a pregnancy test recently. Now, she is a dilemma of whether to abort or keep the baby. Demographic Information Eboni, who is the client, in this case, is a biracial female student. 7 Her father, Anthony, is a Caucasian while her mother, Darlene, is a biracial African American/Caucasian. Eboni is 16 years old adolescent while both her parents are 34 years old. She an excellent 11th-grade
  • 2. student, and her dream is to become a nurse. 8 Eboni is a member of the student council, National Honors Society and an active choir member. 4 She has taken her driving test and works at the fast-food restaurant ten hours a week. 3 Current Living Situation Currently, Eboni lives with her mother Darlene and her grandmother May. 9 May is 55 years old and works as a paraprofessional in one of the elementary schools while her mother is an administrative assistant at the manufacturing company.1 Eboni lives in the same apartment where her grandmother raised her mother. 10 Although Eboni lives with her mother, she visits her father, who lives with every weekend. 9 Eboni’s father pays child support to Darlene. 11 Birth and Developmental History Eboni was born when her mother was 17 years old. 12 Darlene dated with Anthony for a month and discovered that she was pregnant after they had broken up. She decided to keep the pregnancy and May helped her to raise Eboni. Eboni spends most of the time with her mother and grandmother. She started dating Darian at age 16, and they became sexually active. 13She found out that she is pregnant four months later. 2 School and Social Relationships Eboni Logan an eleventh grade and a honors student. 14 She has been taking advanced placement courses and plans to major nursing when she joins college. 15 Eboni also runs track and is an active choir member. 8 Besides being an active choir member, Eboni also a member of the student council and the National Honors Society. 2 Family Members and Relationships Eboni is a daughter to Darlene and Anthony who are both 34 years old. 16 Her parents were never married. Her immediate family members include mother and grandmother. 17 Her grandmother, May is 55 years old African American women while her mother is biracial African American/Caucasian. May sympathize with Eboni’s situation; when she learns that Eboni is pregnant, she cried and held her in her arms for a long time. 18 Eboni father has married twice and divorced once.He
  • 3. has four children with Eboni’s stepmother. 3 Eboni visits them every weekend. 19 Health and Medical Issues Eboni has no history of major health and medical issues. 20 She does not smoke and denies indulging in any drug abuse or regular drinking. 18 She says that she only drinks with her friends during parties, but she has never been drunk. Eboni also does not have any psychiatric or psychological functioning problems. Her boyfriend, on the other hand, does not have any medical or health problems but has been drunk a few times though he denies drinking regularly or smoking. Spiritual Development 12 Eboni and her mother do belong to any organized religion. She, however, believes in God and often accompanies her father to church on weekends. 15 Her father attends a Catholic Church. 7 When Eboni told her father about the pregnancy, she advised her to keep the child because he believes it is a sin to abort. 2 Social, Community, and Recreational Activities 17 Eboni is an active student and participates in various social, community, and recreational activities. Some of the recreational activities that Eboni engages in include singing in the choir and runs track. She also attends parties with her friends. 14 Besides, she is a member of the student council and the National Honors Society. 21Furthermore, Eboni, for the last six months, has been working at the fast-food restaurant ten hours a week. 2 Client Strengths, Capacities, and Resources One of the major strengths of the client is that she is willing to share her predicament with the people around her. When Eboni learns that she is pregnant, she shares with her best friend, Brandy, and her boyfriend. Despite Darian not being ready to have children at the time, he promises to support her in every way he could. Eboni also shares her situation with the social worker who advises her to seek a response from her parents. Another strength of the client is that her father is supportive of her situation. He asks her to move in with him and her
  • 4. stepmother. This is a good gesture at this time when her mother and grandmother are upset after learning of her pregnancy. Part B: 20 Analysis of Assessment Challenges Faced by the Client The main challenge facing the client in this case study is the issue of early pregnancy. 13 Eboni Logan tested positive for pregnancy after a few months dating her boyfriend, Darian. Eboni commits that they have not been using any contraceptive despite being sexually active. 12 She says that they used a withdrawal method as birth control. Eboni is now in a dilemma of whether to keep the child or abort. Her mother has asked her to abort because she wants her to have a better life while her father believes abortion is a sin and that Eboni should keep the child. Eboni also faces a challenge of potential stress and psychological trauma. Her mother shouted at her and called a slut on learning that she was pregnant. She has a hard time coping up with the new realities. How the Social Environment Affects the Client The social environment surrounding the client affects how she is coping with the new reality. Even though Eboni has a right to make her decisions on whether to abort or keep the child, several other social factors influence her decision. First, she is afraid that her mother might disown her for keeping the child and, on the other hand, she is being pressured to keep the baby by her father. Also, the issue of social and cultural affects the client. According to Akella & Jordan (2014), the United States has the highest rate of teenage pregnancy among the first world countries. The study also shows that early childbirth is high among African Americans and other minority populations with low-income rates in the United States. Moreover, children born to teenage parents have a high likelihood to emulate and engage in sexual behaviors; hence, early pregnancies (Akella & Jordan, 2014). Eboni was born to teenage parents; both parents were 17 years old when she was born. Social Theories Social cognitive theory can be used to assess Eboni’s case. Social cognitive approach states that learning
  • 5. occurs in a social context where personal factors, environmental, and behavior interact. According to McLeod (2016), people acquire their behavior from the environment through the observation process. Children tend to interact and pay attention to people around and encode their behavior. This theory informs me as a social worker that Eboni might have learned her behavior by observing people around her. Her mother became pregnant in her adolescence, and this might have influenced Eboni’s sexual behavior. The assessment of the client will be used to address her situation. First, the assessment will be used to help the client to make her decisions. That is, the assessment evaluates all the pros and cons of carrying the child to term or aborting. All the assessment will help to analyze how the situation will affect her life. Eboni should put into consideration how pregnancy will affect her dream of becoming a nurse in the future. Therefore, the assessment will play an important role in reaching mutually agreed-upon goals and helping the client to face her challenges. Use of Identified Strengths in a Treatment Plan Eboni’s strengths in the issue play a vital role in her treatment. First, she is a honors student, which implies that a potential of achieving a lot in her dream. If Eboni decides to follow her dream, then she would have to abort the child and continue with her education. On the other hand, if she chooses the second strength; that her father is supportive and willing to help her in the situation, then she will have to keep a child. During the treatment, one of these strengths should be used to address the situation. Evidence-Based Practices Evidence-based practices will be used in addressing the client’s situation. A report by the Centers for Disease Control and Prevention (CDC) indicates that teenage pregnancy and birth are major contributors of high school dropout and that only 50% of teen mothers acquire their high school diploma at the age of 22- years (CDC, 2019). Evidence-based programs indicate that abstaining from sexual activities and using birth control
  • 6. methods are the best ways of avoiding teenage pregnancies. Ethical Issues The main ethical issue, in this case, is abortion is right or wrong. While Eboni’s mother wants her daughter to abort the child and pursue her dreams, her father believes that abortion is a sin, and she should keep the child. I would advise Eboni to make own decision regarding the situation because whatever the case she is the one to bear most of the burden of raising the child. Issues around Cultural Competence Cultural competence refers to the ability to interact with people from other cultures effectively. In this case, I will observe all the cultural aspects of African Americans and Caucasians, given that Eboni is a mix of both races. Some of the cultural competence issues that will be addressed in the case include Eboni’s world point of view, cultural differences, and the knowledge of cultural practices. Addressing these issues will help in proving a practical solution to the presenting issue. References 8 Akella, D., & Jordan, M. (2014). 22 Impact of social and cultural factors on teenage pregnancy. 8 Journal of Health Disparities Research and Practice, 8(1), 3. CDC. (2019). 23 About Teen Pregnancy. Retrieved from https://www.cdc.gov/teenpregnancy/about/index.htm McLeod, S.(2016). 24 Bandura - Social Learning Theory. 25 Retrieved from https://www.simplypsychology.org/bandura.html Melchert, T. P. (2015). Treatment. 19 In Biopsychosocial practice: 9 A science-based framework for behavioral health (pp. 211- 233). 19 Washington, District of Columbia: 9 American Psychological Association. Yindra Isaac Amador Nursing Research Identifying where the source of infection and lack of sterilization is the first step in minimizing and eradicating hospital-transmitted diseases caused by lack of sterilization.
  • 7. Once determined, certain guidelines and rules must be put into practice in order to maintain a low-to-nonexistent rate of transmission. Within the institution, an average rate of 6%-7% of diseases transmitted within the hospital (such as urinary tract infections) has been established, which mirrors the average worldwide. The population for my study are patients contracting hospital- acquired diseases due to lack of successful sterilization. The population are participants over the age of 18. Some of the challenges in obtaining a sample of the population would include permission from the committee and risk management department in studying a sensitive group with the potential to engage in litigation against the facility. To overcome this challenge, participants will be recruited and a waiver would be obtained. References Klevens, R. Monina, et al. “Estimating Health Care-Associated Infections and Deaths in U.S. Hospitals.” Advances in Pediatrics., U.S. National Library of Medicine, 2007.
  • 8. Mercedes Yumar Nursing Research The population for my study are African Americans adults ages 19 years. The participants voluntarily signed a consent form once the project had been discussed with them. The 12-week project consisted of a one hour session each week which provided a 30-minute educational and a 30-minute physical activity session. The challenges for obtaining a sample from the population are consent and permission from the facility to identify who will qualify to participate. Another challenge is obtaining the tools needed for the research proposal: DASH Diet recommendation tools, action tool for implementation and training protocol for staff. Setting area for meetings, follow up guidelines after implementation, and software for data analysis. Other important tools include blood pressure machine, scale, and self-management tools. References Al-Bayan, Maliyhah, Nadia Islam, Shawneaqua Edwards, and Dustin T. Duncan. 2016. "Neighborhood perceptions and hypertension among low-income black women: a qualitative study." BMC Public Health 16, no. 1: 1-10. Health Policy Reference Center, EBSCOhost Muller Sanon Nursing Research
  • 9. The initial search will focus on CINAHL, PubMed, Cochrane, and Medline. Key search terms including CHF, congestive heart failure, chronic heart failure, post-discharge phone calls, discharge phone calls, hospital readmission, readmission, and re-hospitalization. Inclusion criteria will be adult patients with HF discharged from an acute care setting. Systematic reviews randomized controlled trials (RCTs), and observational studies will be the focus. Studies will be appraised to ensure they meet inclusion criteria, referred to risk of bias in the results, and include a well-defined sample. Studies will be excluded if they addressed patients discharged from a setting other than acute care. Team members will broaden the scope of the search to include interprofessional interventions as well as telephone calls to reduce hospital readmissions greater than 30 days for patients with HF. Interventions include telephone calls made to patients after hospital discharge to home compared to usual care. Usual care included follow up with physician or HF clinic, visit by a HF nurse specialist, discharge instructions, and patient education after hospital discharge. Additional interventions compared to discharge telephone calls included case management in which multiple disciplines (social workers, pharmacists, nurse specialists, trained volunteers, and physicians) followed up with the patient after discharge. References Orta, R., Messmer, P. R., Valdes, G. R., Turkel, M., Fields, S. D., & Cardenas Wei, C. (2016). Knowledge and Competency of Nursing Faculty Regarding Evidence-Based Practice. Journal of Continuing Education In Nursing, 47(9), 409. doi:10.3928/00220124-20160817-08.
  • 10. Alvarez Lizandra week 12 COLLAPSE Top of Form In order to understand and track down offspring obesity in regard to maternal obesity, the most appropriate researchable population would be women in maternal age. These women are followed throughout the pregnancy and throughout the first years of the child. This population can be difficult to access in order to obtain samples for research due to the time that it takes. Some challenges may be loss of contact throughout the years. Not enough information provided by the participants can also be a challenge of this population. In addition, the researcher may encounter that women are less likely to continue with the research once the baby is born or other complications. However, just like any other research all of these circumstances can be resolved in order to obtain appropriate data for investigation. Some things that can help the researcher and keep the participants engaged include following up with interviews and data collection at a constant rate. Providing reason for the research and possible outcomes to the participants to keep them informed. Also, finding ways to keep participants motivated to continue being part of the research. These interventions are proven to work in research, however the reality is that sometimes the populations being investigated will be lost with time specially of it’s a longitudinal experiment. With the right population the results of a research study can make a big difference.
  • 11. References: Banerjee, A., & Chaudhury, S. (2010). Statistics without tears: Populations and samples. Industrial psychiatry journal, 19(1), 60–65. doi:10.4103/0972-6748.77642 Korngiebel, D. M., Taualii, M., Forquera, R., Harris, R., & Buchwald, D. (2015). Addressing the Challenges of Research With Small Populations. American journal of public health, 105(9), 1744–1747. doi:10.2105/AJPH.2015.302783 magdaleine week 12 COLLAPSE Top of Form Factors Affecting Transition of Care: Medication Errors The transition of care in hospitals is where patients move from the hospital to an outpatient setting or a different department in the hospital. For example, a patient is moving from an Intensive Care Unit to a medicine ward. The transition of care usually is a vulnerable time for patients due to the challenges that it brings. Due to ineffective communication between the nurse who is handing over and the nurse who is receiving the patient, adverse events such as medication errors always occur (Tully,
  • 12. Hammond, Li, Jarrell & Kruer, 2019). This article is a part of the research that is focusing on the researchable population for the factors affecting the transition of care. It will also focus on the challenges of obtaining a sample and how to overcome them. The population of study focuses on patients admitted in a given hospital during a particular duration of time. Using patients and their treatment sheets for this research provides the most valid data because evidence of medication error can easily be noticed from the patients verbally or from the documentation on the treatment sheets. The most probable challenge when sampling includes using a sample size that is too small to detect correct information. The researcher should be able to balance between too small sample size and a large enough sample size to give high-quality information. References: Tully, A., Hammond, D., Li, C., Jarrell, A., & Kruer, R. (2019). Evaluation of Medication Errors at the Transition of Care From an ICU to Non-ICU Location. Critical Care Medicine, 47(4), 543-549. doi: 10.1097/ccm.0000000000003633
  • 13. Discussion # 6: Evelyn Dominquez COLLAPSE Top of Form Discussion 6 The topic selected for the research project is the burden of transitional care on chronically-ill patients and their care givers in the United States. The most appropriate research population for this project would be the nurses who are actually tasked with the responsibility of providing care for these patients. With the shortage of nurses’ epidemic, current nurses in District General Hospitals would be used in the study. Obtaining a sample from this population would prove challenging because of the amount of workload the few available nurses have on their hands. Most of them already have enough work-related stresses to take on a research project on their hands (Morgan & Somera, 2014). It would also be difficult to recruit nurses who will be available throughout the research project as the inclusion criteria dictates. The essential that would address these challenges would be organizational and systems leadership which recognizes the critical role that organization and leadership plays in the promotion of patient care that is of high quality and that is safe (Thompson & Donaway, 2018). Assuming leadership roles would help in the implementation of initiatives and policies which would make the nurses’ working environment better and less stressful for them. These initiative and policies would still be within the context of the inter-professional team as it will
  • 14. use effective communication. References Morgan, D., & Somera, P. (2014). The Future Shortage of Doctoral Prepared Nurses and the Impact on the Nursing Shortage. Nursing Administration Quarterly, 38(1), 22-26. doi:10.1097/naq.0000000000000001 Thompson, M., & Donaway, A. (2018). AACN Essentials. Transitioning From RN to MSN. doi:10.1891/9780826138071.0012 Bottom of Form Bottom of Form Project: Bio-Psycho-Social Assessment Assessing a client’s biological, psychological, and social history is a holistic approach that is an essential aspect of social work practice. Since one area often affects the other two, it is important to get as accurate an assessment as possible when working with a client. Social workers use the bio-psycho-social tool to communicate specific information, and possible conclusions, about a client to other professionals. It is, at once, a summary of current issues and problems; a listing of past factors that may be relevant to the current situation; and a description of potential issues that may have an effect on the client in the future. In addition to describing the client’s challenges and problems, the assessment identifies strengths and assets that are available to provide support. For this Project you create a bio-psycho-social assessment. By Day 7 Submit a 6- to 9-page paper that focuses on an adolescent from one of the case studies presented in this course. For this Project, complete a bio-psycho-social assessment and provide an analysis of the assessment. This Project is divided into two parts: Part A: Bio-Psycho-Social Assessment: The assessment should
  • 15. be written in professional language and include sections on each of the following: · Presenting issue (including referral source) · Demographic information · Current living situation · Birth and developmental history · School and social relationships · Family members and relationships · Health and medical issues (including psychological and psychiatric functioning, substance abuse) · Spiritual development · Social, community, and recreational activities · Client strengths, capacities, and resources Part B: Analysis of Assessment. Address each of the following: · Explain the challenges faced by the client(s)—for example, drug addiction, lack of basic needs, victim of abuse, new school environment, etc. · Analyze how the social environment affects the client. · Identify which human behavior or social theories may guide your practice with this individual and explain how these theories inform your assessment. · Explain how you would use this assessment to develop mutually agreed-upon goals to be met in order to address the presenting issue and challenges face by the client. · Explain how you would use the identified strengths of the client(s) in a treatment plan. · Explain how you would use evidence-based practice when working with this client and recommend specific intervention strategies (skills, knowledge, etc.) to address the presenting issue. · Analyze the ethical issues present in the case. Explain how will you address them. · Describe the issues will you need to address around cultural competence. Submission and Grading Information To submit your completed Project for review and grading, do
  • 16. the following: · Please save your Project using the naming convention “WK10Proj+last name+first initial.(extension)” as the name. · Click the Week 10 Project Rubric to review the Grading Criteria for the Project. · Click the Week 10 Project link. You will also be able to “View Rubric” for grading criteria from this area. · Next, from the Attach File area, click on the Browse My Computer button. Find the document you saved as “WK10Proj+last name+first initial.(extension)” and click Open. · If applicable: From the Plagiarism Tools area, click the checkbox for I agree to submit my paper(s) to the Global Reference Database. · Click on the Submit button to complete your submission. Grading Criteria Please use some of these references Melchert, T. P. (2015). Treatment. In Biopsychosocial practice: A science-based framework for behavioral health (pp. 211-233). Washington, District of Columbia: American Psychological Association. Note: You will access this article from the Walden Library databases. Goldbach, J. T., & Gibbs, J. (2015). Strategies employed by sexual minority adolescents to cope with minority stress. Psychology Of Sexual Orientation And Gender Diversity, 2(3), 297-306. Note: You will access this article from the Walden Library databases. Kosciw, J. G., Greytak, E. A., Giga, N. M., Villenas, C., Danischewski, D. J., & Gay, L. (2016). The 2015 National School Climate Survey: The Experiences of Lesbian, Gay, Bisexual, Transgender, and Queer Youth in Our Nation's Schools. Executive Summary. Note: You will access this article from the Walden Library databases.
  • 17. Steensma, T. D., Kreukels, B. C., de Vries, A. C., & Cohen- Kettenis, P. T. (2013). Gender identity development in adolescence. Hormones And Behavior, 64(2), 288-297. Note: You will access this article from the Walden Library databases. The case The Logan Family Eboni Logan is a 16-year-old biracial African American/Caucasian female in 11th grade. She is an honors student, has been taking Advanced Placement courses, and runs track. Eboni plans to go to college and major in nursing. She is also active in choir and is a member of the National Honor Society and the student council. For the last 6 months, Eboni has been working 10 hours a week at a fast food restaurant. She recently passed her driver’s test and has received her license. Eboni states that she believes in God, but she and her mother do not belong to any organized religion. Her father attends a Catholic church regularly and takes Eboni with him on the weekends that she visits him. Eboni does not smoke and denies any regular alcohol or drug usage. She does admit to occasionally drinking when she is at parties with her friends, but denies ever being drunk. There is no criminal history. She has had no major health problems. Eboni has been dating Darian for the past 4 months. He is a 17-year-old African American male. According to Eboni, Darian is also on the track team and does well in school. He is a B student and would like to go to college, possibly for something computer related. Darian works at a grocery store 10–15 hours a week. He is healthy and has no criminal issues. Darian also denies smoking or regular alcohol or drug usage. He has been drunk a few times, but Eboni reports that he does not think it is a problem. Eboni and Darian became sexually active soon after they started dating, and they were using withdrawal for birth control. Eboni’s mother, Darlene, is 34 years old and also biracial African American/Caucasian. She works as an administrative assistant for a local manufacturing
  • 18. company. Eboni has lived with her mother and her maternal grandmother, May, from the time she was born. May is a 55- year-old African American woman who works as a paraprofessional in an elementary school. They still live in the same apartment where May raised Darlene. Darlene met Eboni’s father, Anthony, when she was 17, the summer before their senior year in high school. Anthony is 34 years old and Caucasian. They casually dated for about a month, and after they broke up, Darlene discovered she was pregnant and opted to keep the baby. Although they never married each other, Anthony has been married twice and divorced once. He has four other children in addition to Eboni. She visits her father and stepmother every other weekend. Anthony works as a mechanic and pays child support to Darlene. Recently, Eboni took a pregnancy test and learned that she is 2 months pregnant. She actually did not know she was pregnant because her periods were not always consistent and she thought she had just skipped a couple of months. Eboni immediately told her best friend, Brandy, and then Darian about her pregnancy. He was shocked at first and suggested that it might be best to terminate. Darian has not told her explicitly to get an abortion, but he feels he cannot provide for her and the baby as he would like and thinks they should wait to have children. He eventually told her he would support her in any way he could, whatever she decides. Brandy encouraged Eboni to meet with the school social worker. During our first meeting, Eboni told me that she had taken a pregnancy test the previous week and it was positive. At that moment, the only people who knew she was pregnant were her best friend and boyfriend. She had not told her parents and was not sure how to tell them. She was very scared about what they would say to her. We talked about how she could tell them and discussed various responses she might receive. Eboni agreed she would tell her parents over the weekend and see me the following Monday. During our meeting I asked her if she used contraception, and she told me that she used the withdrawal method. Eboni met with me that following Monday, as planned,
  • 19. and she was very tearful. She had told her parents and grandmother over the weekend. Eboni shared that her mother and grandmother had become visibly upset when they learned of the pregnancy, and Darlene had yelled and called her a slut. Darlene told Eboni she wanted her to have a different life than she had had and told her she should have an abortion. May cried and held Eboni in her arms for a long time. When Eboni told her father, he was shocked and just kept shaking his head back and forth, not saying a word. Then he told her that she had to have this child because abortion was a sin. He offered to help her and suggested that she move in with him and her stepmother. Darlene did not speak to Eboni for the rest of the weekend. Her grandmother said she was scheduling an appointment with the doctor to make sure she really was pregnant. Eboni was apprehensive about going to the doctor, so we discussed what the first appointment usually entails. I approached the topic of choices and decisions if it was confirmed that she was pregnant, and she said she had no idea what she would do. PRINTED BY: [email protected] Printing is for personal, private use only. No part of this book may be reproduced or transmitted without publisher's prior permission. Violators will be prosecuted. PRINTED BY: [email protected] Printing is for personal, private use only. No part of this book may be reprodu