When addiction crept into my household 11 years ago, I retreated to a journal. The clean, white pages offered me refuge to pour out my anguish, fear, confusion, and shame. It was a safe place to unveil my secret.
Depression is a hard topics but as christian we need to recognize that it is rampant in our society and destigmatize it. By understanding depression and it's root causes, women can support each other in difficult time.
Depression is a hard topics but as christian we need to recognize that it is rampant in our society and destigmatize it. By understanding depression and it's root causes, women can support each other in difficult time.
Loved ones of those struggling with opioid addictionMrsunny4
I have worked for over thirty some years in the field of behavioral health as a therapist, university faculty member, and advanced practice nurse. My experience has covered more ground than I could or would want to share in this article. But there is an overwhelming occurrence happening right now to our adult children that drives me to comment.
The Muslim family is strong, as is the umma, or Muslim community. Such characteristics as loyalty, honor, avoiding shame, hospitality, and the relationship of man and women are key. One's identity is tied to the family group. In addition to the father, the eldest son has great responsablity. Women's chastity is vital for family honor.
The number of suicides in in India decade (2002–2012) has recorded an increase of 22.7% (1,35,445 in 2012 from 1,10,417 in 2002).
An increase in incidence of suicides was reported each year up to 2011.
The population has increased by 15.5% during the decade but the rate of suicides in 2012 was 11.2 which is marginally greater than 10.5 recorded in 2002. Hence an attempt to educate masses
As a Senior Vice President Investments of Stifel Nicolaus in Radford, VA, financial professional George Abie Williams assists clients in planning for a vast array of wealth management goals. Outside of his responsibilities at the Radford, VA firm, George Abie Williams holds active leadership roles in such community institutions as the Calvary Baptist Church, where he serves as a deacon and Sunday school teacher.
Courtship, Dating, and Marriage - MAPEH 8 (Health 2nd Quarter)Carlo Luna
NOTE: Please download and install first the fonts listed at the end of the presentation.
2nd Quarter Grade 8 HEALTH
Unit 2: Family Life
Leasson 1: Courtship, Dating, and Marriage
A. Infatuation or Love
B. Courtship
C. Dating
D. Engagement
E. Marriage
Loved ones of those struggling with opioid addictionMrsunny4
I have worked for over thirty some years in the field of behavioral health as a therapist, university faculty member, and advanced practice nurse. My experience has covered more ground than I could or would want to share in this article. But there is an overwhelming occurrence happening right now to our adult children that drives me to comment.
The Muslim family is strong, as is the umma, or Muslim community. Such characteristics as loyalty, honor, avoiding shame, hospitality, and the relationship of man and women are key. One's identity is tied to the family group. In addition to the father, the eldest son has great responsablity. Women's chastity is vital for family honor.
The number of suicides in in India decade (2002–2012) has recorded an increase of 22.7% (1,35,445 in 2012 from 1,10,417 in 2002).
An increase in incidence of suicides was reported each year up to 2011.
The population has increased by 15.5% during the decade but the rate of suicides in 2012 was 11.2 which is marginally greater than 10.5 recorded in 2002. Hence an attempt to educate masses
As a Senior Vice President Investments of Stifel Nicolaus in Radford, VA, financial professional George Abie Williams assists clients in planning for a vast array of wealth management goals. Outside of his responsibilities at the Radford, VA firm, George Abie Williams holds active leadership roles in such community institutions as the Calvary Baptist Church, where he serves as a deacon and Sunday school teacher.
Courtship, Dating, and Marriage - MAPEH 8 (Health 2nd Quarter)Carlo Luna
NOTE: Please download and install first the fonts listed at the end of the presentation.
2nd Quarter Grade 8 HEALTH
Unit 2: Family Life
Leasson 1: Courtship, Dating, and Marriage
A. Infatuation or Love
B. Courtship
C. Dating
D. Engagement
E. Marriage
Claudia Rangel · How you identify yourself when reflecting on yo.docxmonicafrancis71118
Claudia Rangel
· How you identify yourself when reflecting on your cultural heritage, age, religious affiliation, socioeconomic status, and so forth.
Mexican/American, age 42, Christian, Married, Military Family Oriented, HIV Case Management, Attending School Masters, C.A.S.A Volunteer.
· Your background and identification of family of origin
Grandparents from Sinaloa Mexico, Parents born in the United Stated,
· The values, beliefs, philosophies, attitudes, or opinions you hold that are similar to your family: Are they similar to the dominant culture? How and from whom did you learn them?
My values are different from my grandmother who raised me. I had to look at things different from her point of view as I got older and had more life experiences. Yet I still go back to my grandmother’s memories and lessons that she left behind. My attitude can be strong coming from the only child in the home raised by a hard working grandmother and I became self- independent at the age of 14 working as a babysitter and being responsible helping my grandmother pay the electric bill with every paycheck I got. She taught me that school was the only way to make it in America and that I as a woman had to take advantage of school so I wouldn’t depend on anyone later on in life.
· Religious, gender, or cultural influences or hindrances that occurred when you decided to become a counselor: Was anyone opposed to or supportive of your decision? Why?.
I was raised as a Christian were we went to church 3 times a week, prayed at the dinner table, attended Sunday bible study and even went to a Christian High School for 2 years. Being raised by a strong Hispanic grandmother to her religious was everything it was a way to better living and peace within yourself and God. In her culture the lessons that were passed down to me were that you had to be respectful in order to get respect back and also when I got married it was my job to attend to my husband cooking, cleaning, ironing, kids, etc.
With my second marriage being married to Military it was different my grandmother had passed away and my ways had changed to be more open and realize that times had changed regarding the way I am raising my kids now and how my marriage is now. Being married to my husband and working with HIV patients pushed me to take this route and become a counselor and help people like our military family or our veterans, including active or non-active veterans with HIV since there is a higher HIV population in the service.
· Personal biases, limitations, or prejudices held that may hinder your effectiveness as a counselor
At this point I think I can do well in any settings as a counselor as long as I have the education that I will need to be educated in the field that I choose. Being open minded, understanding, having knowledge and looking at things in both ways will allow me to become a better counselor.
· Personal strengths or abilities possessed that may positively influence your effectiv.
Hey grandma, can i live with you grandparents and the opioid epidemicMrsunny4
The other day I received a phone call from Helen. She and her husband Rick were beside themselves after learning their daughter, a 42-year-old PhD student, had relapsed into drug addiction. The couple, in their late-sixties, were not only charged with finding help again for their struggling daughter,
SOCIAL WORK CASE STUDIES FOUNDATION YEAR12Working Wit.docxwhitneyleman54422
SOCIAL WORK CASE STUDIES: FOUNDATION YEAR
12
Working With Families:
The Case of Carol and Joseph
Carol is a 23-year-old, heterosexual, Caucasian female and the
mother of a 1-year-old baby girl. She is currently unemployed,
having previously worked for a house cleaning company. The
baby is healthy and developmentally on target, and she and the
parents appear to be well bonded with one another. Carol lives in
a rented house with her husband, Joseph. Joseph is a 27-year-old,
heterosexual, Hispanic male. He was recently arrested at their
home for a drug deal, which he asserts was a setup. Both parents
were charged with child endangerment because weapons were
found in the child’s crib and drugs were found in the home. The
parents assert that the child never sleeps in the crib but in their
bed. As a result of the parents’ arrest, social services was notified,
and the child was temporarily placed in a kinship care arrange-
ment with the maternal grandmother, who resides nearby. As a
result of Joseph’s arrest, he was fired from the cleaning company
where he worked, and the family is now experiencing financial
difficulties.
After initial contact was made with the parents, a number of
concerns were noted and the family was recommended for addi-
tional case management. Carol’s mother indicated that she had
concerns about Carol’s drinking habits and stated that Carol’s
father and grandfather were alcoholics. She and the father sepa-
rated when Carol was a baby, and Carol has had only limited
contact with him. There appears to be significant tension between
the grandmother and Carol and Joseph. I addressed the alcohol
issue with both parents, who denied there was a problem, but
shortly after the discussion, Carol was involved in a serious car
accident with the baby in the car. She was determined to have been
under the influence of alcohol. I advised Carol that she could not
have any unsupervised contact with her child until she completed
intensive inpatient substance abuse treatment. I made arrange-
ments for her placement, but after a week, she was discharged
for noncompliance with the rules. She was then referred to an
intensive outpatient program and began therapy there. Initially
PRACTICE
13
her attendance was erratic because she had lost her license as a
result of the DUI. Eventually, however, she became engaged in the
program and began to address her issues. She acknowledged that
she had started using drugs at a very young age but said that she
had only begun drinking in the previous year or so. We discussed
the genetics of her family, and she said that she realized that she
had deteriorated rapidly since beginning to drink and knew that
she simply could not drink alcohol.
Joseph’s mother is deceased, and his father travels exten-
sively in his job and is not available as a support. Joseph was
very devoted to his mother and was devastated by her premature
death. We discussed the strengths that he and C.
Essay On Role Of Women In Society. Sample essay on womenMaggie Cooper
The Roles of Women in Modern Society Essay Example | StudyHippo.com. Essay on Role of Women in Society | Role of Women in Society Essay for .... The role of Women in today's society. - GCSE Sociology - Marked by .... ≫ The Changing Roles of Women in Society Free Essay Sample on Samploon.com. Women's role in society - GCSE Sociology - Marked by Teachers.com.
Sound familiar? Could be your angry son or daughter. Could be a teen, an adult, an addicted loved one. Whoever is spewing, it leaves you feeling like you drank poison and then took a stomach punch from Mike Tyson.
Where your md meets my jd when the doctor says yes but the treatment team say...Mrsunny4
According to the National Institute on Drug Abuse and several published studies1, 80 percent of heroin users reported using prescription opioids prior to heroin.
Living beyond the downside of sex and sexual expressionMrsunny4
Sex and sexuality have become more prevalent throughout our global community. Obtaining sexually related products, images, and information have become readily available for anyone, of any age, to obtain with an internet access. Undoubtedly the consequence of such materials being readily available has had a positive and negative effect upon our society.
Deadly adulterants new dangers of illicit drugsMrsunny4
The “cutting” or “adulteration” of street drugs is common practice in the manufacturing, distribution and selling of illicit drugs, all in the name of increased profit.
Why do we want to change how we feel about ourselves? Are our feelings pleasant or unpleasant? If our feelings are unpleasant, we drink, eat or take a pill to change them.
Danger zone teen substance use and treatmentMrsunny4
Of summer, poet Darcy Cummings wrote of a “child leaving a walled school for the first time, stumbling from cool hallways to a world dense with scent and sound”.
Dont be afraid to say the s word talking to kids about suicideMrsunny4
Through my work as Clinical Director of the Society for the Prevention of Teen Suicide, I frequently get asked by parents,” How do I talk to my child about suicide?
I define happiness as a feeling of contentment and peace about oneself. It’s the emotional response that the world is okay, there are better days ahead, and there’s room for possibility.
Anxiety, worry, stress, concern, apprehension, nervousness. It doesn’t matter what name you give it. It’s a horrible feeling. Anxiety comes when our minds focus on something in the future that feels like a threat.
For many parents, a child’s return to school may be met with a bag of mixed emotions, reservations and hesitations. They may have concerns about the potential of peer pressure, discrimination, school violence and exposure to various legal and illegal substances.
Relapse in most cases is not self-inflicted. Relapse-prone patients experience a gradual progression of symptoms that create so much pain that they become unable to function in sobriety.
Our evolved unique feel good circuits makes humans different from apesMrsunny4
The brain regions circuitry tied to pleasure are difficult toaccurately describe, partly, because of many different ways we can trigger enjoyment or “Feel Good.”
The word “trauma” originated in the late 17th century from the Greek language. The literal translation is to “wound or damage.” The Greek word was specific to physical injury and has been used in medical terminology since.
Compulsive gambling is a progressive disease, much like an addiction to alcohol or drugs. In many cases, the gambling addiction is hidden until the gambler becomes unable to function without gambling, and he or she begins to exclude all other activities from their lives.
Pets were first kept by human beings as long as 12,000 years ago as guards and hunters. That role shifted in the 17th century to pleasure and companionship and in modern times, pets are treated as family members, with 62% of Americans owning pets.
Regulation of depression by a new type of brain stimulation in addicted patie...Mrsunny4
Depression is also known as clinical depression and major depressive disorder (MDD). This severe medical illness affects 15 million American adults every year or about 5-8% of the adult population of the US. Women are nearly twice as likely as men to develop major depression.
College mental health a checklist for parentsMrsunny4
College mental health: Approximately four million students will enroll in college for the first time this year, and the transition to university life can be overwhelming.
Empowering ACOs: Leveraging Quality Management Tools for MIPS and BeyondHealth Catalyst
Join us as we delve into the crucial realm of quality reporting for MSSP (Medicare Shared Savings Program) Accountable Care Organizations (ACOs).
In this session, we will explore how a robust quality management solution can empower your organization to meet regulatory requirements and improve processes for MIPS reporting and internal quality programs. Learn how our MeasureAble application enables compliance and fosters continuous improvement.
Global launch of the Healthy Ageing and Prevention Index 2nd wave – alongside...ILC- UK
The Healthy Ageing and Prevention Index is an online tool created by ILC that ranks countries on six metrics including, life span, health span, work span, income, environmental performance, and happiness. The Index helps us understand how well countries have adapted to longevity and inform decision makers on what must be done to maximise the economic benefits that comes with living well for longer.
Alongside the 77th World Health Assembly in Geneva on 28 May 2024, we launched the second version of our Index, allowing us to track progress and give new insights into what needs to be done to keep populations healthier for longer.
The speakers included:
Professor Orazio Schillaci, Minister of Health, Italy
Dr Hans Groth, Chairman of the Board, World Demographic & Ageing Forum
Professor Ilona Kickbusch, Founder and Chair, Global Health Centre, Geneva Graduate Institute and co-chair, World Health Summit Council
Dr Natasha Azzopardi Muscat, Director, Country Health Policies and Systems Division, World Health Organisation EURO
Dr Marta Lomazzi, Executive Manager, World Federation of Public Health Associations
Dr Shyam Bishen, Head, Centre for Health and Healthcare and Member of the Executive Committee, World Economic Forum
Dr Karin Tegmark Wisell, Director General, Public Health Agency of Sweden
The Importance of Community Nursing Care.pdfAD Healthcare
NDIS and Community 24/7 Nursing Care is a specific type of support that may be provided under the NDIS for individuals with complex medical needs who require ongoing nursing care in a community setting, such as their home or a supported accommodation facility.
Defecation
Normal defecation begins with movement in the left colon, moving stool toward the anus. When stool reaches the rectum, the distention causes relaxation of the internal sphincter and an awareness of the need to defecate. At the time of defecation, the external sphincter relaxes, and abdominal muscles contract, increasing intrarectal pressure and forcing the stool out
The Valsalva maneuver exerts pressure to expel faeces through a voluntary contraction of the abdominal muscles while maintaining forced expiration against a closed airway. Patients with cardiovascular disease, glaucoma, increased intracranial pressure, or a new surgical wound are at greater risk for cardiac dysrhythmias and elevated blood pressure with the Valsalva maneuver and need to avoid straining to pass the stool.
Normal defecation is painless, resulting in passage of soft, formed stool
CONSTIPATION
Constipation is a symptom, not a disease. Improper diet, reduced fluid intake, lack of exercise, and certain medications can cause constipation. For example, patients receiving opiates for pain after surgery often require a stool softener or laxative to prevent constipation. The signs of constipation include infrequent bowel movements (less than every 3 days), difficulty passing stools, excessive straining, inability to defecate at will, and hard feaces
IMPACTION
Fecal impaction results from unrelieved constipation. It is a collection of hardened feces wedged in the rectum that a person cannot expel. In cases of severe impaction the mass extends up into the sigmoid colon.
DIARRHEA
Diarrhea is an increase in the number of stools and the passage of liquid, unformed feces. It is associated with disorders affecting digestion, absorption, and secretion in the GI tract. Intestinal contents pass through the small and large intestine too quickly to allow for the usual absorption of fluid and nutrients. Irritation within the colon results in increased mucus secretion. As a result, feces become watery, and the patient is unable to control the urge to defecate. Normally an anal bag is safe and effective in long-term treatment of patients with fecal incontinence at home, in hospice, or in the hospital. Fecal incontinence is expensive and a potentially dangerous condition in terms of contamination and risk of skin ulceration
HEMORRHOIDS
Hemorrhoids are dilated, engorged veins in the lining of the rectum. They are either external or internal.
FLATULENCE
As gas accumulates in the lumen of the intestines, the bowel wall stretches and distends (flatulence). It is a common cause of abdominal fullness, pain, and cramping. Normally intestinal gas escapes through the mouth (belching) or the anus (passing of flatus)
FECAL INCONTINENCE
Fecal incontinence is the inability to control passage of feces and gas from the anus. Incontinence harms a patient’s body image
PREPARATION AND GIVING OF LAXATIVESACCORDING TO POTTER AND PERRY,
An enema is the instillation of a solution into the rectum and sig
CHAPTER 1 SEMESTER V PREVENTIVE-PEDIATRICS.pdfSachin Sharma
This content provides an overview of preventive pediatrics. It defines preventive pediatrics as preventing disease and promoting children's physical, mental, and social well-being to achieve positive health. It discusses antenatal, postnatal, and social preventive pediatrics. It also covers various child health programs like immunization, breastfeeding, ICDS, and the roles of organizations like WHO, UNICEF, and nurses in preventive pediatrics.
Explore our infographic on 'Essential Metrics for Palliative Care Management' which highlights key performance indicators crucial for enhancing the quality and efficiency of palliative care services.
This visual guide breaks down important metrics across four categories: Patient-Centered Metrics, Care Efficiency Metrics, Quality of Life Metrics, and Staff Metrics. Each section is designed to help healthcare professionals monitor and improve care delivery for patients facing serious illnesses. Understand how to implement these metrics in your palliative care practices for better outcomes and higher satisfaction levels.
The dimensions of healthcare quality refer to various attributes or aspects that define the standard of healthcare services. These dimensions are used to evaluate, measure, and improve the quality of care provided to patients. A comprehensive understanding of these dimensions ensures that healthcare systems can address various aspects of patient care effectively and holistically. Dimensions of Healthcare Quality and Performance of care include the following; Appropriateness, Availability, Competence, Continuity, Effectiveness, Efficiency, Efficacy, Prevention, Respect and Care, Safety as well as Timeliness.
Telehealth Psychology Building Trust with Clients.pptxThe Harvest Clinic
Telehealth psychology is a digital approach that offers psychological services and mental health care to clients remotely, using technologies like video conferencing, phone calls, text messaging, and mobile apps for communication.
Health Education on prevention of hypertensionRadhika kulvi
Hypertension is a chronic condition of concern due to its role in the causation of coronary heart diseases. Hypertension is a worldwide epidemic and important risk factor for coronary artery disease, stroke and renal diseases. Blood pressure is the force exerted by the blood against the walls of the blood vessels and is sufficient to maintain tissue perfusion during activity and rest. Hypertension is sustained elevation of BP. In adults, HTN exists when systolic blood pressure is equal to or greater than 140mmHg or diastolic BP is equal to or greater than 90mmHg. The
Leading the Way in Nephrology: Dr. David Greene's Work with Stem Cells for Ki...Dr. David Greene Arizona
As we watch Dr. Greene's continued efforts and research in Arizona, it's clear that stem cell therapy holds a promising key to unlocking new doors in the treatment of kidney disease. With each study and trial, we step closer to a world where kidney disease is no longer a life sentence but a treatable condition, thanks to pioneers like Dr. David Greene.
1. 1/2
A SECRET NO MORE
thesoberworld.com/2018/01/01/a-secret-no-more
When addiction crept into my household 11 years ago, I retreated to a journal. The clean,
white pages offered me refuge to pour out my anguish, fear, confusion, and shame. It was
a safe place to unveil my secret.
My story unfolds in the capital city of Maryland where my family is well-known. My
husband is a former mayor and I was president of a large medical center foundation. We
have two children, a girl and a boy, and – or so I thought at the time – we lived an idyllic
life.
That all began to change one evening when a respected teacher at my son’s high school
phoned at the beginning of Jacob’s senior year. The teacher asked, did I know Jacob was
“smoking” and hanging out with a “different” crowd? MY first thought was he had the
wrong kid. While the call upended my world, I tried to soothe my worry by believing, or
hoping, that this was just a rite of passage, a normal stage in an adolescent’s maturation.
Surely, Jacob soon would grow out of it.
Meanwhile, Jacob’s disease worsened. I began shielding his drug use from colleagues,
friends, even close family. Unknown at the time, I was suffering the same feelings of fear,
shame, isolation, anxiety and depression as my son. The stigma of addiction barred me
from the consoling arms of colleagues at the medical center where I worked every day
alongside premier physicians, addiction specialists and other healthcare professionals.
Help was right in front of me, but I was loathing to reach out.
2. 2/2
Until finally, I did. An astute counselor suggested I set boundaries with Jacob. It was a
terrifying moment when I gave my son this ultimatum: continue to use, and you can’t live
in our house; agree to inpatient treatment, Dad and I will pay for it.
Fortunately, he accepted treatment. While he wasn’t ready to give up drug use, he
eventually entered a treatment center in South Florida and stayed for 100 days. When
Jacob left Maryland for Florida, the counselor asked me: “Okay, your son will have his
program. Now what are you going to do for yourself?”
Never a groupie, I soon found a 12-step program meant for families of addicts. Sharing
my feelings of shame and isolation with others experiencing the same anguish as I was,
gave me the courage to face addiction and how it was ravaging my life. Writing my
memoir forced me to relive and understand the years of my son’s addiction, and my
reaction to it, and to continue recovery. It was a painful process of letting go of control
and expectations, sharing my “secret” with colleagues and friends, finding strength in
support groups, and giving back to the addiction community. It is my hope that “Secret
No More” will comfort families facing addiction in a loved one. This is the book I wish
someone had given me when I needed it.
It’s humbling to visit South Florida, where the substance abuse and opioid addiction
epidemic is painfully prevalent. If sharing my story with the South Florida Jewish
community can help even one mom or dad, I will be truly glad. Jacob will, too.
About Ruth & Norman Rales Jewish Family Services (JFS)
For over 35 years JFS has provided help, hope and humanity
through a comprehensive range of programs and services for
people of all ages and beliefs. With locations in Boca Raton and
Delray Beach, JFS programs include food and financial assistance,
counseling and mental health services, senior services, services for
families and children, career and employment services, and many
volunteer opportunities. To learn more visit our website
www.ralesjfs.org or call (561) 852-3333.
