The Neuman System Model And Its Impact On Patients And...

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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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 content on Helpwriting.net ...
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,

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

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 Helpwriting.net ...
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

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 Helpwriting.net ...
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

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

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 Helpwriting.net ...
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

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

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,

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 on Helpwriting.net ...
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

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 on Helpwriting.net ...
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

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

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

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 more content on Helpwriting.net ...
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

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 on Helpwriting.net ...
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

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 Helpwriting.net ...
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

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

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

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

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

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 content on Helpwriting.net ...
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

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

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

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

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

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 Helpwriting.net ...
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

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,

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

Treatment of Cbt Did
Journal of Family Psychotherapy, 20:72–88, 2009 Copyright © Taylor & Francis Group, LLC ISSN: 0897–5353 print/1540–4080 online DOI: 10.1080
/08975350802716566 Journal 1540–4080 0897–5353 WJFP of Family Psychotherapy, Vol. 20, No. 1, January 2009: pp. 1
–25 Psychotherapy FAMILY
THERAPY AND MENTAL HEALTH, Edited by Malcolm MacFarlane, M.A. A Systemic Approach to the Treatment of Dissociative Identity Disorder
S. Pais Systemic Treatment of Dissociative Identity Disorder SHOBHA PAIS Department of Family Medicine, Indiana University, Indianapolis,
Indiana, USA Although dissociative identity disorder (DID) continues to be questioned by some clinicians, those who work with this population
understand the complexity of this... Show more content on Helpwriting.net ...
Essentially the self is believed to dissociate or split into separate and distinct personalities in an effort to repress the pain and suffering from some
traumatic event. The diagnosis of DID is often associated with a history of significant traumatization, usually in childhood. DID clients have a higher
rate of early childhood trauma than any other clinical group (Putnam et al., 1986). Severe, repetitive trauma can produce extreme states of experiences
in children and can result in the development of discrete personified behavioral states (Putnam et al., 1986). Despite skepticism there has been
considerable clinical recognition of dissociative conditions in the last several years resulting in significant progress in the diagnosis, assessment, and
treatment of dissociative disorders and DID. DID and dissociative disorders are not rare conditions. Clinical literature including case reports, treatment
outcome studies, as well as studies of psychophysiology, neurobiology, and neuroimaging have been collected from numerous countries such as
Australia, Canada, France, Germany, Great Britain, Italy, Israel, Japan, the Netherlands, New Zealand, Norway, Puerto Rico, Spain, Sweden,
Switzerland, Spain, Turkey, and the United States (International Society for Study of Dissociation, 2005). The main difficulties in diagnosing DID 74
S. Pais result from lack of education among clinicians about dissociation, dissociative disorders, and the effects of

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 content on Helpwriting.net ...
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,

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

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 Helpwriting.net ...
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

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

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 Helpwriting.net ...
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

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 ofsystems 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 ofstimuli:

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 content on Helpwriting.net ...
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

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

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,

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 on Helpwriting.net ...
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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