Running head: COMPREHENSIVE QUALITY CARE 1
COMPREHENSIVE QUALITY CARE 10
Improving the Quality of Comprehensive Care for the OEF and OIF Veterans with Posttraumatic Stress Disorder (PTSD)
Ashlie Burnett
Capella University
2/15/15
Research Questions
1. How efficiently can quality of Comprehensive care be improved to ensure quality care to the OEF and OIF with posttraumatic stress disorder?
2. To what extent are the problems faced by the OEF and OIF with posttraumatic disorder matched by the available ways of serving them?
Research Objectives
1. The general objective of this research was to determine how efficiently quality of comprehensive care be improved to ensure quality care to the OEF and OIF with posttraumatic stress disorder.
2. The paper also sought to determine the extent to which the problems faced by the OEF and OIF with posttraumatic disorder matched by the available ways of serving them.
Sub-related questions
1. What are the most common problems facing the war veteran’s over the world?
2. What are the medical covers available for the victims of posttraumatic disorders?
3. What are the inefficiencies in the health care provision of the PSTD veterans?
Relevance of the Sub-related questions
The sub-related questions form the basis of finding the needed results for the general objectives of this paper. To find an effective measure of improving quality of health care for the victims of post traumatic disorder, the first question will help find the main problem to be addressed in order to avoid cases of mismatch of services and problems experienced. The second sub-related question on the will helps the available medical cover for the victims of posttraumatic disorder in order to help make any further recommendations on where and how to improve the services. Finally, the last sub-related question will assist in pointing the inefficiencies in the health care services offered to the PSTD veterans. Knowing these inefficiencies will help the researcher to make educated recommendations as per what measures can be taken to address them.
Important Information about the Issue and Types of Data to be collected
To understand the issue of quality of comprehensive care for the OEF and OIF veterans with posttraumatic stress disorder, the research must understand the kind of challenges these veterans go through in the battlefields. Also of importance is information on the available medical care options at the disposal of these veterans plus the number qualified personnel in this area. The data to be collected, on the other hand, will mostly be experiences and awareness of the victims. The research will also collect records of relevant institution that will be analyzed qualitatively.
Action Plan
The paper desired for a future in which medical programs offer the best possible financial and technical support to those who had sacrificed their comfort to help the OIF/OEF veterans. The policies must be able to authorize veterans to provide ...
Improving Comprehensive Carefor OEF and OIF Vetsby Aslie.docxbradburgess22840
Improving Comprehensive Care
for OEF and OIF Vets
by Aslie Burnett
FILE
T IME SUBMIT T ED 20- MAR- 2015 10:4 4 AM
SUBMISSION ID 51867 4 598
WORD COUNT 64 25
CHARACT ER COUNT 39906
DISSERT AT ION_PROPOSAL.DOC (125.5K)
18%
SIMILARIT Y INDEX
17%
INT ERNET SOURCES
16%
PUBLICAT IONS
15%
ST UDENT PAPERS
1 3%
2 2%
3 1%
4 1%
5 1%
6 1%
7 1%
8 1%
Improving Comprehensive Care for OEF and OIF Vets
ORIGINALITY REPORT
PRIMARY SOURCES
vets.arizona.edu
Int ernet Source
www.ejpt.net
Int ernet Source
Karen H. Seal. "VA mental health services
utilization in Iraq and Af ghanistan veterans in
the f irst year of receiving new mental health
diagnoses", Journal of Traumatic Stress, 2010
Publicat ion
www.f as.org
Int ernet Source
Submitted to Maryville University
St udent Paper
store.samhsa.gov
Int ernet Source
yellow-f ever.rki.de
Int ernet Source
cstsf orum.org
Int ernet Source
9 1%
10 1%
11 1%
12 1%
13 <1%
14 <1%
15 <1%
16 <1%
17 <1%
18 <1%
19 <1%
20
Submitted to Laureate Higher Education Group
St udent Paper
Submitted to EDMC
St udent Paper
akf sa.org
Int ernet Source
iris.lib.neu.edu
Int ernet Source
www.acpmh.ipag.f r
Int ernet Source
onlinelibrary.wiley.com
Int ernet Source
Submitted to University of Western Australia
St udent Paper
Submitted to University of Southern Calif ornia
St udent Paper
scindeks.nb.rs
Int ernet Source
cdn.intechopen.com
Int ernet Source
www.healthemotions.org
Int ernet Source
Submitted to Palo Alto University
<1%
21 <1%
22 <1%
23 <1%
24 <1%
25 <1%
26 <1%
27 <1%
28 <1%
29 <1%
St udent Paper
Submitted to La Trobe University
St udent Paper
amhi-treatingpreventing.oup.com
Int ernet Source
Submitted to Capella Education Company
St udent Paper
www.mindf ully.org
Int ernet Source
Submitted to Pennsylvania State System of
Higher Education
St udent Paper
www.rand.org
Int ernet Source
gradworks.umi.com
Int ernet Source
patriotoutreach.org
Int ernet Source
Ticknor, Bobbie and Tillinghast, Sherry. "Virtual
Reality and the Criminal Justice System: New
Possibilities f or Research, Training, and
Rehabilitation", Journal of Virtual Worlds
Research, 2011.
Publicat ion
30 <1%
31 <1%
32 <1%
33 <1%
34 <1%
35 <1%
Michael E. Smith. "Bilateral hippocampal
volume reduction in adults with post-traumatic
stress disorder: A meta-analysis of structural
MRI studies", Hippocampus, 2005
Publicat ion
etd.lib.f su.edu
Int ernet Source
digital.library.adelaide.edu.au
Int ernet Source
cdn.govexec.com
Int ernet Source
Yelena Bogdanova. "Cognitive Sequelae of
Blast-Induced Traumatic Brain Injury: Recovery
and Rehabilitation", Neuropsychology Review,
02/17/2012
Publicat ion
Nanda, U., H. L. B. Gaydos, K. Hathorn, and N.
Watkins. "Art and Posttraumatic Stress: A
Review of the Empirical Literature on the
Therapeutic Implications of Artwork f or War
Veterans With Posttraumatic Stress Disorder",
Environment and Behavior, 201.
Research Paper Assignment – Waste Management Purpose .docxverad6
Research Paper Assignment – Waste Management
Purpose: This assignment supports the following objective for the course: define waste
management and the strategies for achieving it.
Key Dates: The topic for your research paper is one that you can begin work on immediately.
While the final paper is not due until the end of the term, it is recommended from a time
management standpoint that you start early.
Key due dates are:
Detailed outline, including key conclusions, due by the end of Week 6.
Final report, containing all the elements below, due by the end of Week 8.
[Note an appendix is optional; it is not required for the paper to be complete.]
Research Topic: Should container deposit laws (bottle bills) be expanded to include
noncarbonated drinks?
Format: The paper must be submitted as a Word document using the APA format and
headings. It should be 1500 to 2500 words in length, written in 12 point font and double
spaced. For full credit it must contain each of the following elements:
Title Page.
Body of Paper - Based on your research:
o Briefly describe the history of container deposit laws.
o Describe how container deposit laws work.
o Explain why proponents believe bottle laws should be updated to include bottled
water, sports drinks, teas, and other noncarbonated beverages.
o Explain the position of those that oppose changing the law.
Conclusions (minimum 2 paragraphs): Based on the above state and defend your
position on whether states should expand their container deposit laws to include
noncarbonated beverages.
Bibliography: Include at least three sources not in the weekly reading assignments that
you used in this paper. (Wikipedia is not an acceptable source.)
Appendices (optional): Include appropriate charts, graphs, or other documents for extra
credit. (Note: Appendices do not count as part of the overall length requirement).
Psychological Services
Treatment Choice Among Veterans With PTSD Symptoms
and Substance-Related Problems: Examining the Role of
Preparatory Treatments in Trauma-Focused Therapy
Laura D. Wiedeman, Susan M. Hannan, Kelly P. Maieritsch, Cendrine Robinson, and Gregory
Bartoszek
Online First Publication, November 26, 2018. http://dx.doi.org/10.1037/ser0000313
CITATION
Wiedeman, L. D., Hannan, S. M., Maieritsch, K. P., Robinson, C., & Bartoszek, G. (2018, November
26). Treatment Choice Among Veterans With PTSD Symptoms and Substance-Related Problems:
Examining the Role of Preparatory Treatments in Trauma-Focused Therapy. Psychological
Services. Advance online publication. http://dx.doi.org/10.1037/ser0000313
Treatment Choice Among Veterans With PTSD Symptoms and Substance-
Related Problems: Examining the Role of Preparatory Treatments in
Trauma-Focused Therapy
Laura D. Wiedeman
Edward Hines Jr. Veterans Affairs Hospital, Hines, Illinois, and
Veterans Affairs Northern California Health Care System,
Martinez, Califor.
O R I G I N A L P A P E RCharacteristics of Patients Refer.docxcherishwinsland
O R I G I N A L P A P E R
Characteristics of Patients Referred to Psychiatric Emergency
Services by Crisis Intervention Team Police Officers
Beth Broussard • Joanne A. McGriff •
Berivan N. Demir Neubert • Barbara D’Orio •
Michael T. Compton
Received: 29 September 2009 / Accepted: 20 January 2010 / Published online: 7 February 2010
� Springer Science+Business Media, LLC 2010
Abstract The Crisis Intervention Team (CIT) program
trains police officers in crisis intervention skills and local
psychiatric resources. Because the safety and appropriate-
ness of any new intervention is a crucial consideration, it is
necessary to ensure that CIT training does not result in
excessive or inappropriate referrals to psychiatric emer-
gency services (PES). Yet, aside from one prior report by
Strauss et al. (2005) in Louisville, Kentucky, little is known
about the comparability of patients referred to PES by CIT-
trained officers in relation to other modes of referral. The
research questions driving this retrospective chart review
of patients referred to PES were: (1) What types of patients
do CIT-trained officers refer to PES?, and (2) Do mean-
ingful differences exist between patients referred by family
members, non-CIT officers, and CIT-trained officers?
Select sociodemographic and clinical variables were
abstracted from the medical records of 300 patients during
an eight-month period and compared by mode of referral.
Differences across the three groups were found regarding:
race, whether or not the patient was held on the locked
observation unit, severe agitation, recent substance abuse,
global functioning, and unkempt or bizarre appearance.
However, there were virtually no differences between
patients referred by CIT-trained and non-CIT officers.
Thus, while there were some expected differences between
patients referred by law enforcement and those referred by
family members, CIT-trained officers appear to refer
individuals appropriately to PES, as evidenced by such
patients differing little from those referred by traditional,
non-CIT police officers. Trained officers do not have a
narrower view of people in need of emergency services
(i.e., bringing in more severely ill individuals), and they do
not have a broader view (i.e., bringing in those not in need
of emergency services). Although CIT training does not
appear to affect the type of individuals referred to PES,
future research should examine the effect of CIT training
on the frequency of referrals or proportion of subjects
encountered that are referred, which may be expected to
differ between CIT-trained and non-CIT officers.
Keywords Crisis intervention team � Law enforcement �
Police officers � Psychiatric emergency services
Introduction
As first responders in crisis situations involving persons
with serious mental illnesses, law enforcement officers are
often the principal source of referral to psychiatric emer-
gency services (PES) and play an .
Improving Comprehensive Carefor OEF and OIF Vetsby Aslie.docxbradburgess22840
Improving Comprehensive Care
for OEF and OIF Vets
by Aslie Burnett
FILE
T IME SUBMIT T ED 20- MAR- 2015 10:4 4 AM
SUBMISSION ID 51867 4 598
WORD COUNT 64 25
CHARACT ER COUNT 39906
DISSERT AT ION_PROPOSAL.DOC (125.5K)
18%
SIMILARIT Y INDEX
17%
INT ERNET SOURCES
16%
PUBLICAT IONS
15%
ST UDENT PAPERS
1 3%
2 2%
3 1%
4 1%
5 1%
6 1%
7 1%
8 1%
Improving Comprehensive Care for OEF and OIF Vets
ORIGINALITY REPORT
PRIMARY SOURCES
vets.arizona.edu
Int ernet Source
www.ejpt.net
Int ernet Source
Karen H. Seal. "VA mental health services
utilization in Iraq and Af ghanistan veterans in
the f irst year of receiving new mental health
diagnoses", Journal of Traumatic Stress, 2010
Publicat ion
www.f as.org
Int ernet Source
Submitted to Maryville University
St udent Paper
store.samhsa.gov
Int ernet Source
yellow-f ever.rki.de
Int ernet Source
cstsf orum.org
Int ernet Source
9 1%
10 1%
11 1%
12 1%
13 <1%
14 <1%
15 <1%
16 <1%
17 <1%
18 <1%
19 <1%
20
Submitted to Laureate Higher Education Group
St udent Paper
Submitted to EDMC
St udent Paper
akf sa.org
Int ernet Source
iris.lib.neu.edu
Int ernet Source
www.acpmh.ipag.f r
Int ernet Source
onlinelibrary.wiley.com
Int ernet Source
Submitted to University of Western Australia
St udent Paper
Submitted to University of Southern Calif ornia
St udent Paper
scindeks.nb.rs
Int ernet Source
cdn.intechopen.com
Int ernet Source
www.healthemotions.org
Int ernet Source
Submitted to Palo Alto University
<1%
21 <1%
22 <1%
23 <1%
24 <1%
25 <1%
26 <1%
27 <1%
28 <1%
29 <1%
St udent Paper
Submitted to La Trobe University
St udent Paper
amhi-treatingpreventing.oup.com
Int ernet Source
Submitted to Capella Education Company
St udent Paper
www.mindf ully.org
Int ernet Source
Submitted to Pennsylvania State System of
Higher Education
St udent Paper
www.rand.org
Int ernet Source
gradworks.umi.com
Int ernet Source
patriotoutreach.org
Int ernet Source
Ticknor, Bobbie and Tillinghast, Sherry. "Virtual
Reality and the Criminal Justice System: New
Possibilities f or Research, Training, and
Rehabilitation", Journal of Virtual Worlds
Research, 2011.
Publicat ion
30 <1%
31 <1%
32 <1%
33 <1%
34 <1%
35 <1%
Michael E. Smith. "Bilateral hippocampal
volume reduction in adults with post-traumatic
stress disorder: A meta-analysis of structural
MRI studies", Hippocampus, 2005
Publicat ion
etd.lib.f su.edu
Int ernet Source
digital.library.adelaide.edu.au
Int ernet Source
cdn.govexec.com
Int ernet Source
Yelena Bogdanova. "Cognitive Sequelae of
Blast-Induced Traumatic Brain Injury: Recovery
and Rehabilitation", Neuropsychology Review,
02/17/2012
Publicat ion
Nanda, U., H. L. B. Gaydos, K. Hathorn, and N.
Watkins. "Art and Posttraumatic Stress: A
Review of the Empirical Literature on the
Therapeutic Implications of Artwork f or War
Veterans With Posttraumatic Stress Disorder",
Environment and Behavior, 201.
Research Paper Assignment – Waste Management Purpose .docxverad6
Research Paper Assignment – Waste Management
Purpose: This assignment supports the following objective for the course: define waste
management and the strategies for achieving it.
Key Dates: The topic for your research paper is one that you can begin work on immediately.
While the final paper is not due until the end of the term, it is recommended from a time
management standpoint that you start early.
Key due dates are:
Detailed outline, including key conclusions, due by the end of Week 6.
Final report, containing all the elements below, due by the end of Week 8.
[Note an appendix is optional; it is not required for the paper to be complete.]
Research Topic: Should container deposit laws (bottle bills) be expanded to include
noncarbonated drinks?
Format: The paper must be submitted as a Word document using the APA format and
headings. It should be 1500 to 2500 words in length, written in 12 point font and double
spaced. For full credit it must contain each of the following elements:
Title Page.
Body of Paper - Based on your research:
o Briefly describe the history of container deposit laws.
o Describe how container deposit laws work.
o Explain why proponents believe bottle laws should be updated to include bottled
water, sports drinks, teas, and other noncarbonated beverages.
o Explain the position of those that oppose changing the law.
Conclusions (minimum 2 paragraphs): Based on the above state and defend your
position on whether states should expand their container deposit laws to include
noncarbonated beverages.
Bibliography: Include at least three sources not in the weekly reading assignments that
you used in this paper. (Wikipedia is not an acceptable source.)
Appendices (optional): Include appropriate charts, graphs, or other documents for extra
credit. (Note: Appendices do not count as part of the overall length requirement).
Psychological Services
Treatment Choice Among Veterans With PTSD Symptoms
and Substance-Related Problems: Examining the Role of
Preparatory Treatments in Trauma-Focused Therapy
Laura D. Wiedeman, Susan M. Hannan, Kelly P. Maieritsch, Cendrine Robinson, and Gregory
Bartoszek
Online First Publication, November 26, 2018. http://dx.doi.org/10.1037/ser0000313
CITATION
Wiedeman, L. D., Hannan, S. M., Maieritsch, K. P., Robinson, C., & Bartoszek, G. (2018, November
26). Treatment Choice Among Veterans With PTSD Symptoms and Substance-Related Problems:
Examining the Role of Preparatory Treatments in Trauma-Focused Therapy. Psychological
Services. Advance online publication. http://dx.doi.org/10.1037/ser0000313
Treatment Choice Among Veterans With PTSD Symptoms and Substance-
Related Problems: Examining the Role of Preparatory Treatments in
Trauma-Focused Therapy
Laura D. Wiedeman
Edward Hines Jr. Veterans Affairs Hospital, Hines, Illinois, and
Veterans Affairs Northern California Health Care System,
Martinez, Califor.
O R I G I N A L P A P E RCharacteristics of Patients Refer.docxcherishwinsland
O R I G I N A L P A P E R
Characteristics of Patients Referred to Psychiatric Emergency
Services by Crisis Intervention Team Police Officers
Beth Broussard • Joanne A. McGriff •
Berivan N. Demir Neubert • Barbara D’Orio •
Michael T. Compton
Received: 29 September 2009 / Accepted: 20 January 2010 / Published online: 7 February 2010
� Springer Science+Business Media, LLC 2010
Abstract The Crisis Intervention Team (CIT) program
trains police officers in crisis intervention skills and local
psychiatric resources. Because the safety and appropriate-
ness of any new intervention is a crucial consideration, it is
necessary to ensure that CIT training does not result in
excessive or inappropriate referrals to psychiatric emer-
gency services (PES). Yet, aside from one prior report by
Strauss et al. (2005) in Louisville, Kentucky, little is known
about the comparability of patients referred to PES by CIT-
trained officers in relation to other modes of referral. The
research questions driving this retrospective chart review
of patients referred to PES were: (1) What types of patients
do CIT-trained officers refer to PES?, and (2) Do mean-
ingful differences exist between patients referred by family
members, non-CIT officers, and CIT-trained officers?
Select sociodemographic and clinical variables were
abstracted from the medical records of 300 patients during
an eight-month period and compared by mode of referral.
Differences across the three groups were found regarding:
race, whether or not the patient was held on the locked
observation unit, severe agitation, recent substance abuse,
global functioning, and unkempt or bizarre appearance.
However, there were virtually no differences between
patients referred by CIT-trained and non-CIT officers.
Thus, while there were some expected differences between
patients referred by law enforcement and those referred by
family members, CIT-trained officers appear to refer
individuals appropriately to PES, as evidenced by such
patients differing little from those referred by traditional,
non-CIT police officers. Trained officers do not have a
narrower view of people in need of emergency services
(i.e., bringing in more severely ill individuals), and they do
not have a broader view (i.e., bringing in those not in need
of emergency services). Although CIT training does not
appear to affect the type of individuals referred to PES,
future research should examine the effect of CIT training
on the frequency of referrals or proportion of subjects
encountered that are referred, which may be expected to
differ between CIT-trained and non-CIT officers.
Keywords Crisis intervention team � Law enforcement �
Police officers � Psychiatric emergency services
Introduction
As first responders in crisis situations involving persons
with serious mental illnesses, law enforcement officers are
often the principal source of referral to psychiatric emer-
gency services (PES) and play an .
Discussion post reply APA Format2 references for each discussiLyndonPelletier761
Discussion post reply
APA Format
2 references for each discussion post with intext citation.
Make it short and simple.
Post # one
Misty B
I have chosen to become a Psychiatric Mental Health Nurse Practitioner. I chose this path because I feel God is calling me to help guide and mentor people through this age of transition. With the increase of the digital age, social media specifically, and the COVID Pandemic, peoples’ mental health needs need to be cared for in a better manner than how they are currently being managed. “The role of the PMHNP is to assess, diagnose and treat the mental health needs of patients. Many PMHNPs provide therapy and prescribe medication for patients who have mental health disorders or substance abuse problems.” (American Association of Nurse Practitioners, n.d.) I believe your overall health begins with a healthy mind. When your mental health is not healthy you can spiral out of control and turn to substances (illicit drugs, alcohol, food, etc.) or self-harm. This can lead to other health problems such as obesity, diabetes, cardiovascular disorders, liver disorders, kidney disorders, etc. I feel as a PMHNP I will be able to start with the root cause of a patient’s overall health. I waxed and waned with my decision between a PMHNP and FNP. I feel starting with PMHNP is the best option for me at the moment and continuing afterward to have a dual certification as an FNP.
Professional Organization
“Another factor essential to a nurse’s professional development is active membership in 1 or more professional organization. Memberships provide exposure and access to education resources (eg, websites, webinars, publications, and conferences) and rewarding networking opportunities with peers and colleagues.” (Cherry et all, 2019)
Having been a member of the Emergency Nurses Association (ENA) for 8 years, I too feel it is important to become a member of your of an association for your nursing specialty. I have chosen to become a member of the American Psychiatric Nurses Association. Their mission statement and beliefs are parallel to my own.
APNA is committed to the practice of psychiatric-mental health nursing, health and wellness promotion through identification of mental health issues, prevention of mental health problems, and the care and treatment of persons with mental health disorders. APNA champions psychiatric-mental health nursing and mental health care through the development of positions on key issues, the dissemination of current knowledge and developments in PMH nursing, and collaboration with stakeholders to promote advances in recovery-focused assessment, diagnosis, treatment, and evaluation of persons with mental health disorders. (American Psychiatric Nurses Association, n.d.)
Becoming a member was as easy as going to their website www.apna.org and selecting your membership type, fill in the required information, and pay the fee. Being a member will give me access to educational oppo ...
BUSI 230Project 1 InstructionsBased on Larson & Farber sectio.docxRAHUL126667
BUSI 230
Project 1 Instructions
Based on Larson & Farber: section 2.1
Use the Project 1 Data Set to create the graphs and tables in Questions 1–4 and to answer both parts of Question 5. If you cannot figure out how to make the graphs and tables in Excel, you are welcome to draw them by hand and then submit them as a scanned document or photo.
1. Open a blank Excel file and create a grouped frequency distribution of the maximum daily temperatures for the 50 states for a 30 day period. Use 8 classes. (8 points)
2. Add midpoint, relative frequency, and cumulative frequency columns to your frequency distribution. (8 points)
3. Create a frequency histogram using Excel. You will probably need to load the Data Analysis add-in within Excel. If you do not know how to create a histogram in Excel, view the video located at: http://www.youtube.com/watch?v=_gQUcRwDiik. A simple bar graph will also work.
If you cannot get the histogram or bar graph features to work, you may draw a histogram by hand and then scan or take a photo (your phone can probably do this) of your drawing and email it to your instructor. (8 points)
4. Create a frequency polygon in Excel (or by hand). For help, view http://www.youtube.com/watch?v=7Q-KdmDJirg(8 points)
5. A. Do any of the temperatures appear to be unrealistic or in error? If yes, which ones and why? (4 points)
B. Explain how this affects your confidence in the validity of this data set. (4 points)
Project 1 is due by 11:59 p.m. (ET) on Monday of Module/Week 1.
International Journal o f Clinical and Health Psychology (2014) 14, 216-220
International Journal
of Clinical and Health Psychology
w w w .elsevier.es/ijchp
THEORETICAL ARTICLE
The end of mental illness thinking?
Richard Pemberton3 *, Tony Wainwrightb
<DCrossMark
ELSEVIER
DOYMA
a University o f Brighton, United Kingdom
b University o f Exeter, United Kingdom
Received 26 May 2014; accepted 15 June 2014
A vailable on lin e 9 July 2014
KEYWORDS A b s tra c t M ental he alth th e o ry and p ra ctice are in a s ta te o f sig nifica nt flu x . This th e o re t-
Diagnosis; ic a l a rtic le places th e position taken by th e British Psychological Society Division o f C linical
F o rm u la tio n ; Psychology (DCP) in th e c o n te x t o f c u rre n t p ra ctice and seeks to c ritic a lly exam ine some o f
DSM-5; th e key fa cto rs th a t are d rivin g these transfo rm a tion s. The im petus fo r a co m p le te overhaul
W e llb e in g ; o f existing th in k in g comes fro m th e m a n ife stly poor perform ance o f m e n ta l health services in
T h e o re tic a l s tu d y w hich those w ith serious m e n ta l health problem s have reduced life expectancy. It advocates
using th e advances in our understanding o f th e psychological, social and physical mechanisms
th a t underpin psychological w e llb e in g and m e n ta l distress, and re je c tin g th e disease m odel o f
m e n ta l distress as p a rt o f an ou td a te d paradi ...
Neuropsychological assessment
Kevin Atkinson, Bella Baron, Shonda Green, Bonita Hill, Ruby Lee, Brian McCullough, & Jessica Williams
Psych/655
March 30, 2020
Professor Dina Francisco
Introduction
Bonita
The purpose of this presentation we will discuss the purpose and magnitude of this instrument for those that suffer with PTSD. Also, express strongly about the use and legal consideration for this instrument. Finally, we want to explain ethical use of this instrument. Should there be any concerns after this presentation our team will be glad to assist with any questions.
The purpose of this presentation to give the audience more detail information regarding clinician Administered on the PTSD Scale. The PTSD scale was established in 1989 for the U.S. Department of Veteran Affairs National Center for PTSD. The definition and analytic criteria of PTSD, that CAPS has been modified to the DSM-5 criteria,4 and has proved excellent psychometric properties when linked to its previous form. In other words, scholars have been improving a great deal of knowledge regarding individual who suffers from PTSD. Research found that post-traumatic stress disorder (PTSD) have been challenging in academic and clinical study. PTSD play a major part that relate to individual that suffer with this illness for example, death, traumatic event, witness a death, and sexual event. Ehlersand Clark’s cognitive model of PTSD 3,4 advanced the negative interpretations of the traumatic memory outcomes in heightened level of stress. In other words when a person rumination about certain tragedies their level of stress becoming more stressful.
2
Clinician-Administered PTSD scale
for dsm-5 (caps-5)
(kevin)
Clinician-Administered PTSD scale
for dsm-5 (caps-5)
(kevin)
Purpose of the caps-5 (bella)
Trauma
PTSD
CAPS-5
U.S. Department of Veteran Affairs
https://www.google.com/imgres?imgurl=https%3A%2F%2Fwww.va.gov%2Fimg%2Fdesign%2Flogo%2Fva-og-twitter-image.png&imgrefurl=https%3A%2F%2Fwww.va.gov%2F&tbnid=LAWc9vWdLRtpdM&vet=12ahUKEwj-iNrl8rvoAhWGVjABHSpuD3gQMygCegUIARD7AQ..i&docid=qqLiDhLo7LS38M&w=1200&h=1200&q=us%20department%20of%20veterans%20affairs&client=safari&ved=2ahUKEwj-iNrl8rvoAhWGVjABHSpuD3gQMygCegUIARD7AQ
Trauma, in psychology, refers to a a wide range of intensifying stressful situations where an individual is exposed to increased levels of danger and fear where the intensity of the fear exceeds a normal capacity to cope (Fairbank, Ebert, & Caddel, 2004). These stressful situations are so intense that they cause increased symptoms of distress, because these experiences are outside of the range of normal human experience (Fairbank, Ebert & Caddel, 2004). Some examples of these uncommon, yet catastrophic events include, but is not limited to, war, sexual assault/rape, natural disasters, and torture. Evidence based practice requires careful assessment. While an initial assessment assist with treatment options, periodic assessments throughout care ca ...
Neuropsychological assessment
Kevin Atkinson, Bella Baron, Shonda Green, Bonita Hill, Ruby Lee, Brian McCullough, & Jessica Williams
Psych/655
March 30, 2020
Professor Dina Francisco
Introduction
Bonita
The purpose of this presentation we will discuss the purpose and magnitude of this instrument for those that suffer with PTSD. Also, express strongly about the use and legal consideration for this instrument. Finally, we want to explain ethical use of this instrument. Should there be any concerns after this presentation our team will be glad to assist with any questions.
The purpose of this presentation to give the audience more detail information regarding clinician Administered on the PTSD Scale. The PTSD scale was established in 1989 for the U.S. Department of Veteran Affairs National Center for PTSD. The definition and analytic criteria of PTSD, that CAPS has been modified to the DSM-5 criteria,4 and has proved excellent psychometric properties when linked to its previous form. In other words, scholars have been improving a great deal of knowledge regarding individual who suffers from PTSD. Research found that post-traumatic stress disorder (PTSD) have been challenging in academic and clinical study. PTSD play a major part that relate to individual that suffer with this illness for example, death, traumatic event, witness a death, and sexual event. Ehlersand Clark’s cognitive model of PTSD 3,4 advanced the negative interpretations of the traumatic memory outcomes in heightened level of stress. In other words when a person rumination about certain tragedies their level of stress becoming more stressful.
2
Clinician-Administered PTSD scale
for dsm-5 (caps-5)
(kevin)
Clinician-Administered PTSD scale
for dsm-5 (caps-5)
(kevin)
Purpose of the caps-5 (bella)
Trauma
PTSD
CAPS-5
U.S. Department of Veteran Affairs
https://www.google.com/imgres?imgurl=https%3A%2F%2Fwww.va.gov%2Fimg%2Fdesign%2Flogo%2Fva-og-twitter-image.png&imgrefurl=https%3A%2F%2Fwww.va.gov%2F&tbnid=LAWc9vWdLRtpdM&vet=12ahUKEwj-iNrl8rvoAhWGVjABHSpuD3gQMygCegUIARD7AQ..i&docid=qqLiDhLo7LS38M&w=1200&h=1200&q=us%20department%20of%20veterans%20affairs&client=safari&ved=2ahUKEwj-iNrl8rvoAhWGVjABHSpuD3gQMygCegUIARD7AQ
Trauma, in psychology, refers to a a wide range of intensifying stressful situations where an individual is exposed to increased levels of danger and fear where the intensity of the fear exceeds a normal capacity to cope (Fairbank, Ebert, & Caddel, 2004). These stressful situations are so intense that they cause increased symptoms of distress, because these experiences are outside of the range of normal human experience (Fairbank, Ebert & Caddel, 2004). Some examples of these uncommon, yet catastrophic events include, but is not limited to, war, sexual assault/rape, natural disasters, and torture. Evidence based practice requires careful assessment. While an initial assessment assist with treatment options, periodic assessments throughout care ca.
Running head PICOT STATEMENT 1PICOT STATEMENT 2.docxjeanettehully
Running head: PICOT STATEMENT 1
PICOT STATEMENT 2
PICOT Statement
Anna Uka
Grand Canyon University- NRS490
December 1st , 2019
P: Adults on an Acute Care floor
I: Required education on the Braden Scale
C: Standard Practice
O: Decrease in Hospital-Acquired Pressure Ulcers
PICOT QUESTION: Does the required education on the Braden scale increase nursing interventions for Adult patients on an acute care floor at risk of developing pressure ulcers during hospitalization?
Currently, most hospitals are faced with a clinical problem of acquired pressure ulcers. According to Pittman et al (2015), hospital-acquired pressure ulcers remain one of the persistent and relevant issues that need to be addressed in long-term hospital stay patients. Health care is attempting to implement evidence-based protocols, though patients continue to suffer from this prevalent and preventable injury. Health care institutions are facing a big challenge for the patients with this acquired condition because hospital bills continue to balloon and at the same time insurance companies stopped paying for this condition. Research shows that pressure ulcer is preventable; though, in spite of hospitals striving to integrate evidence-based approaches to curb the issue, it continues to remain a serious issue for long-term hospital stay patients. This PICOT statement this research paper is proposing to use is a Braden Scale which can be used by nurses in their practice to reduce hospital-acquired pressure injuries which will reduce the patient stay in the hospital as well as the bills burden in the hospital.
Evidence-Based
Solution
According to Engels et al (2016), “the importance of using evidence-based practice in long-term care hospitals to reduce prevalent pressure ulcers is to promote a safe cost-effective outcome for our patients, families, and the healthcare group. Research needs to be conducted and qualitative data collected when designing an evidence-based solution to hospital-acquired injuries”. Despite a lot of research being conducted from the past years concerning acquired pressure ulcers, many patients continue to get the disease. Evidence-based practice allows the nurse to get pooled in a team of experts where interdisciplinary collaboration becomes the ultimate objective for nurses to practice autonomy that enhances change in the nursing field based on data. “The nursing research utilizes qualitative and quantitative logical methods and an EBP approach aimed at around the study and change of patient consideration, understanding consideration frameworks, and patient results” (Mervis & Phillips, 2019). This PICOT question will effectively apply the Braden Scale to see how it can positively impact long-term hospital in reducing pressure ulcers injuries.
Nursing Intervention
When starting a nursing research project, ...
EMPIRICAL STUDYThe meaning of learning to live with medica.docxSALU18
EMPIRICAL STUDY
The meaning of learning to live with medically
unexplained symptoms as narrated by patients in primary
care: A phenomenological�hermeneutic study
EVA LIDÉN, PhD1, ELISABETH BJÖRK-BRÄMBERG, PhD2 &
STAFFAN SVENSSON, MD3
1Institute of Health and Care Sciences, The Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden, 2Institute
of Environmental Medicine, Karolinska Institutet, Solna, Sweden, and 3Angered Family Medicine Unit, Angered, Sweden
Abstract
Background: Although research about medically unexplained symptoms (MUS) is extensive, problems still affect a
large group of primary care patients. Most research seems to address the topic from a problem-oriented, medical
perspective, and there is a lack of research addressing the topic from a perspective viewing the patient as a capable person
with potential and resources to manage daily life. The aim of the present study is to describe and interpret the experiences of
learning to live with MUS as narrated by patients in primary health-care settings.
Methods: A phenomenological�hermeneutic method was used. Narrative interviews were performed with ten patients
suffering from MUS aged 24�61 years. Data were analysed in three steps: naive reading, structural analysis, and
comprehensive understanding.
Findings: The findings revealed a learning process that is presented in two themes. The first, feeling that the symptoms
overwhelm life, involved becoming restricted and dependent in daily life and losing the sense of self. The second, gaining
insights and moving on, was based on subthemes describing the patients’ search for explanations, learning to take care of
oneself, as well as learning to accept and becoming mindful. The findings were reflected against Antonovsky’s theory of sense
of coherence and Kelly’s personal construct theory. Possibilities and obstacles, on an individual as well as a structural level,
for promoting patients’ capacity and learning were illuminated.
Conclusions: Patients suffering from MUS constantly engage in a reflective process involving reasoning about and
interpretation of their symptoms. Their efforts to describe their symptoms to healthcare professionals are part of this
reflection and search for meaning. The role of healthcare professionals in the interpretative process should be acknowledged
as a conventional and necessary care activity.
Key words: MUS, primary care, person centred care, phenomenological-hermeneutics
(Accepted: 19 March 2015; Published: 16 April 2015)
Medically unexplained symptoms (MUS) is a condi-
tion that affects a large but heterogeneous group
of people. The health services have so far been
unsuccessful in addressing the healthcare needs of
these people, partly because of outdated theories and
diagnostic systems that fail to encompass the com-
plexity of the patients’ health problems (Fink &
Rosendal, 2008). The lack of a medical explanation
and cure leaves patients and healthcare professionals
in a ...
A Paper Session presented at the 2014 APA Convention in Washington, D.C., on Aug. 7, 2014. Title: TBI and Substance Abuse Correlates Within a Prison Therapeutic Community.
A Paper Session presented at the 2014 APA Convention in Washington, D.C., on Aug. 7, 2014. This presentation reviewed findings of my predoctoral dissertation, which looked at the relationship between substance-use disorders and traumatic brain injury on measures of cognition and physical and mental health. It also looked at the prevalence of TBI among offenders in a prison therapeutic community.
The goal of this webinar is to help hospice and healthcare professionals understand the history, philosophy, and practice of hospice and palliative care, including common misconceptions, typical diagnoses for hospice referrals, identification of hospice-eligible patients, reimbursement for hospice services, and the
benefits of advance care planning and early referrals.
Running head PSYCHOLOGY1PSYCHOLOGY5Empirical res.docxSUBHI7
Running head: PSYCHOLOGY
1
PSYCHOLOGY
5
Empirical research on the prevalence of PTSD on servicemen and veterans from combat
Developments in combat zone medicine infer more aggrieved servicemen and veterans are surviving their injuries; though, numerous injuries are not as noticeable such as missing appendages and other bodily wounds, explicitly distressing cognitive damages and post-traumatic stress writhed by both soldiers and citizens in the way of relatives and friends. The frequency of these injuries can be, and still are, not clear-cut. Moreover, the categorizations of these injuries have transformed over the course of time, touching on the way in which the sum of the aggrieved is tallied over and above the interventions presented (Angkaw et.al, 2015). An editorial in The Economist on March 2013 centered on the upsurge in the figure of war veterans pursuing medical assistance as a result of post-traumatic stress symptoms. The rise was realized amongst the newly repatriated officers, albeit similarly among elderly veterans of prior wars, and had resulted to a surge in America`s disabled former soldiers count by nearly 45% from the year 2000. A lot of empirical research reinforces the assertion made in the Economist piece, and investigation correspondingly demonstrates the long-term overheads will be a reality for many nations involved in the cross-border wars (Beckham et.al, 2014). Internationally, a rise in number of war veterans looking for assistance for psychological signs that are every so often well-matched with PTSD disorder explicate that the number of troupers affected with PTSD in the year 2013 will grow to over 300,000 persons in the United States. A similar predisposition is noticed in other nation state, and a recent research from Europe (particularly United Kingdom) pronounces late onset indications among servicemen. Our test hypothesis will appraise the prevalence and frequency of PTSD in servicemen and veteran from the warzone. From the prevalence then apt interventions can be devised to help assist all those who served and are affected with disorder.
How is PTSD perceived in a health perspective?
PTSD is a mental disorder, which is described and defined in the ensuing two classifications; the International Classification of Diseases (ICD-10) established by the World Health Organization (WHO), together with the Diagnostic and Statistical Manual of Mental Disorders (DMMD) instigated by the American Psychiatric Association (DSM-5). The analytical measures in the two classifications are articulated somewhat differently, but overall they are seen as alike. The analytical criteria consist of the following: experiencing a traumatic situation or event, short or long lasting, in which the person is exposed to fears of loss of life, grim harm or sexual abuse. The exposure is a due to circumstances with unswervingly involves the distressing event or observes the traumatic happening personally (Angkaw et.al, 2015). The social-b ...
Eastern European countries appear to have become dependent on Ru.docxjoellemurphey
Eastern European countries appear to have become dependent on Russian oil originally due to the country being a reliable supplier to the European countries (Bradshaw, 2014, p. 76). Though the countries were allies with the United States, they were trying to become less dependent on the Middle East and saw that Russia was a reliable source. Much of this reliance was due to the “iron curtain” as well as the fact that many of the Eastern European countries were part of the Soviet Union in some way or affiliated with them.
It appears that much of the reason as to why these countries reached energy accords with Russia is due to the convenience. There was “limited access to storage and alternative sources of gas supply” (Bradshaw, 2014, p. 77). This pushed these countries to depend more on Russia, which appeared to be an easier access to gas supplies. Another reason might have been due to fear as the Kremlin punished Ukraine for voting for an anti-Moscow government (Bradshaw, 2015, p. 77). This action shows that many of these countries may have reached these accords due to the pressure and encouragement of the Soviet Government. In the 1980’s the dependence of European countries on Russian gas resources was 50-60%. In the 1970’s, many of the Eastern European countries also became reliant on Russia due to a greater demand of oil and gas. The surrounding countries that were providing resources were not able to keep up with the demand and thus these countries sought to get their sources from Russia. It also helped that Russia’s prices appeared to be lower than that of the world market (Bradshaw, 2014, p. 87-88). Due to the price of oil and gas and the availability, Eastern European countries were able to grow and build in gas import and its infrastructure, thus in turn causing it to be dependent on Russia.
Bradshaw, M. (2014).
Global Energy Dilemmas: Energy Security, Globalization, and Climate Change
. Cambridge, UK: Polity Press.
Based on your considered review of this module’s readings as well as your reflection upon the first three modules, evaluate the questions below.
In retrospect it seems obvious, but exactly how and why did Eastern European countries come to depend on Russian oil and natural gas after World War II?
Why did the Western Europeans reach energy accords with the Russians in the 1970s and early 1980s, building large-scale natural gas import infrastructures and increasing their dependence on Russian gas?
.
EAS 209 Second Response Paper Topic Assignment Due .docxjoellemurphey
EAS 209
Second Response Paper Topic
>>>Assignment Due Date: Friday, October 12, 2018<<<
Write 350 words, excluding works cited and references, on the following topic:
Dipesh Chakrabarty cites John Stuart Mill to show one dimension of historicist
consciousness: “a recommendation to the colonized to wait.” What does Chakrabarty
mean by this phrase? Consider, e.g. why, according to Mill, “Indians, Africans, and other
‘rude’ nations” had to be consigned to what Chakrabarty called “an imaginary waiting
room of history.”
To respond to this question, you might find it helpful to consider Chakrabarty’s discussion
on historicism or “stagist theory of history.”
▪ Submit a hard copy in your Tutorial Section on Friday, October 12.
▪ Papers must be type-written, double-spaced, appearing in 12 points Times New Roman font or
its equivalent with 1” margins. Do not exceed 400 words. You are responsible for keeping an
extra copy of your own paper.
▪ The assignment does not ask you to conduct additional research. Papers that do not respond
to the given topic or do not follow the specific instructions described above will receive no
marks. No resubmission allowed.
▪ You need to present your argument logically and clearly, fully demonstrate the precise
understanding of Chakrabarty’s argument and substantiate your argument convincingly and
with details.
▪ Observe the Chicago Manual of Style referencing practice and properly cite the passages you
quote (i.e. author, title, page number, etc.). Works cited or references should not be counted
toward the 350 word limit.
▪ Any ideas or expressions that are not your own must be placed in quotation marks and
referenced with page number. Academic misconduct will not be tolerated. See:
http://www.artsci.utoronto.ca/osai/The-rules/what-is-academic-misconduct
▪ You may share notes and discuss your ideas with others for preparation. But the paper you
submit must be exclusively written by you alone and in your own words clearly distinguishable
from others’. Papers that plagiarize, replicate others, or contain identical or near-identical
passages that appear in other papers will not be accepted or credited.
▪ You must proof-read before submission. Sentences that are incomplete or unintelligible will
not be read or credited.
▪ Late submission and papers submitted via e-mail will not be accepted or credited unless
under extraordinary circumstances. ABSOLUTELY NO EXCPETION!
http://www.artsci.utoronto.ca/osai/The-rules/what-is-academic-misconduct
I N T R O D U C T I O N
The Idea of Provincializing Europe
Europe . . . since 1914 has become provincialized, . . .
only the natural sciences are able to call forth a
quick international echo.
(Hans-Georg Gadamer, 1977)
The West is a name for a subject which gathers itself in
discourse but is also an object constituted discursively;
it is, evidently, a name always associating itself with
those regions, communities, and peoples.
Earth Science LabIn what order do materials settle in waterSo t.docxjoellemurphey
Earth Science Lab:In what order do materials settle in water?
So this is my Topic:
In what order do materials settle in water? Design and carry out an experiment to determine the order in which different sized materials (e.g., sand, gravel, topsoil) settle out in water after they have been mixed up.
but i don't understand the question below:
What are some possible treatments you can use to answer your question? What are some variables that may influence your question, and are they variables that you can easily manipulate and test?
What can i write about the possible treatments?
.
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Discussion post reply APA Format2 references for each discussiLyndonPelletier761
Discussion post reply
APA Format
2 references for each discussion post with intext citation.
Make it short and simple.
Post # one
Misty B
I have chosen to become a Psychiatric Mental Health Nurse Practitioner. I chose this path because I feel God is calling me to help guide and mentor people through this age of transition. With the increase of the digital age, social media specifically, and the COVID Pandemic, peoples’ mental health needs need to be cared for in a better manner than how they are currently being managed. “The role of the PMHNP is to assess, diagnose and treat the mental health needs of patients. Many PMHNPs provide therapy and prescribe medication for patients who have mental health disorders or substance abuse problems.” (American Association of Nurse Practitioners, n.d.) I believe your overall health begins with a healthy mind. When your mental health is not healthy you can spiral out of control and turn to substances (illicit drugs, alcohol, food, etc.) or self-harm. This can lead to other health problems such as obesity, diabetes, cardiovascular disorders, liver disorders, kidney disorders, etc. I feel as a PMHNP I will be able to start with the root cause of a patient’s overall health. I waxed and waned with my decision between a PMHNP and FNP. I feel starting with PMHNP is the best option for me at the moment and continuing afterward to have a dual certification as an FNP.
Professional Organization
“Another factor essential to a nurse’s professional development is active membership in 1 or more professional organization. Memberships provide exposure and access to education resources (eg, websites, webinars, publications, and conferences) and rewarding networking opportunities with peers and colleagues.” (Cherry et all, 2019)
Having been a member of the Emergency Nurses Association (ENA) for 8 years, I too feel it is important to become a member of your of an association for your nursing specialty. I have chosen to become a member of the American Psychiatric Nurses Association. Their mission statement and beliefs are parallel to my own.
APNA is committed to the practice of psychiatric-mental health nursing, health and wellness promotion through identification of mental health issues, prevention of mental health problems, and the care and treatment of persons with mental health disorders. APNA champions psychiatric-mental health nursing and mental health care through the development of positions on key issues, the dissemination of current knowledge and developments in PMH nursing, and collaboration with stakeholders to promote advances in recovery-focused assessment, diagnosis, treatment, and evaluation of persons with mental health disorders. (American Psychiatric Nurses Association, n.d.)
Becoming a member was as easy as going to their website www.apna.org and selecting your membership type, fill in the required information, and pay the fee. Being a member will give me access to educational oppo ...
BUSI 230Project 1 InstructionsBased on Larson & Farber sectio.docxRAHUL126667
BUSI 230
Project 1 Instructions
Based on Larson & Farber: section 2.1
Use the Project 1 Data Set to create the graphs and tables in Questions 1–4 and to answer both parts of Question 5. If you cannot figure out how to make the graphs and tables in Excel, you are welcome to draw them by hand and then submit them as a scanned document or photo.
1. Open a blank Excel file and create a grouped frequency distribution of the maximum daily temperatures for the 50 states for a 30 day period. Use 8 classes. (8 points)
2. Add midpoint, relative frequency, and cumulative frequency columns to your frequency distribution. (8 points)
3. Create a frequency histogram using Excel. You will probably need to load the Data Analysis add-in within Excel. If you do not know how to create a histogram in Excel, view the video located at: http://www.youtube.com/watch?v=_gQUcRwDiik. A simple bar graph will also work.
If you cannot get the histogram or bar graph features to work, you may draw a histogram by hand and then scan or take a photo (your phone can probably do this) of your drawing and email it to your instructor. (8 points)
4. Create a frequency polygon in Excel (or by hand). For help, view http://www.youtube.com/watch?v=7Q-KdmDJirg(8 points)
5. A. Do any of the temperatures appear to be unrealistic or in error? If yes, which ones and why? (4 points)
B. Explain how this affects your confidence in the validity of this data set. (4 points)
Project 1 is due by 11:59 p.m. (ET) on Monday of Module/Week 1.
International Journal o f Clinical and Health Psychology (2014) 14, 216-220
International Journal
of Clinical and Health Psychology
w w w .elsevier.es/ijchp
THEORETICAL ARTICLE
The end of mental illness thinking?
Richard Pemberton3 *, Tony Wainwrightb
<DCrossMark
ELSEVIER
DOYMA
a University o f Brighton, United Kingdom
b University o f Exeter, United Kingdom
Received 26 May 2014; accepted 15 June 2014
A vailable on lin e 9 July 2014
KEYWORDS A b s tra c t M ental he alth th e o ry and p ra ctice are in a s ta te o f sig nifica nt flu x . This th e o re t-
Diagnosis; ic a l a rtic le places th e position taken by th e British Psychological Society Division o f C linical
F o rm u la tio n ; Psychology (DCP) in th e c o n te x t o f c u rre n t p ra ctice and seeks to c ritic a lly exam ine some o f
DSM-5; th e key fa cto rs th a t are d rivin g these transfo rm a tion s. The im petus fo r a co m p le te overhaul
W e llb e in g ; o f existing th in k in g comes fro m th e m a n ife stly poor perform ance o f m e n ta l health services in
T h e o re tic a l s tu d y w hich those w ith serious m e n ta l health problem s have reduced life expectancy. It advocates
using th e advances in our understanding o f th e psychological, social and physical mechanisms
th a t underpin psychological w e llb e in g and m e n ta l distress, and re je c tin g th e disease m odel o f
m e n ta l distress as p a rt o f an ou td a te d paradi ...
Neuropsychological assessment
Kevin Atkinson, Bella Baron, Shonda Green, Bonita Hill, Ruby Lee, Brian McCullough, & Jessica Williams
Psych/655
March 30, 2020
Professor Dina Francisco
Introduction
Bonita
The purpose of this presentation we will discuss the purpose and magnitude of this instrument for those that suffer with PTSD. Also, express strongly about the use and legal consideration for this instrument. Finally, we want to explain ethical use of this instrument. Should there be any concerns after this presentation our team will be glad to assist with any questions.
The purpose of this presentation to give the audience more detail information regarding clinician Administered on the PTSD Scale. The PTSD scale was established in 1989 for the U.S. Department of Veteran Affairs National Center for PTSD. The definition and analytic criteria of PTSD, that CAPS has been modified to the DSM-5 criteria,4 and has proved excellent psychometric properties when linked to its previous form. In other words, scholars have been improving a great deal of knowledge regarding individual who suffers from PTSD. Research found that post-traumatic stress disorder (PTSD) have been challenging in academic and clinical study. PTSD play a major part that relate to individual that suffer with this illness for example, death, traumatic event, witness a death, and sexual event. Ehlersand Clark’s cognitive model of PTSD 3,4 advanced the negative interpretations of the traumatic memory outcomes in heightened level of stress. In other words when a person rumination about certain tragedies their level of stress becoming more stressful.
2
Clinician-Administered PTSD scale
for dsm-5 (caps-5)
(kevin)
Clinician-Administered PTSD scale
for dsm-5 (caps-5)
(kevin)
Purpose of the caps-5 (bella)
Trauma
PTSD
CAPS-5
U.S. Department of Veteran Affairs
https://www.google.com/imgres?imgurl=https%3A%2F%2Fwww.va.gov%2Fimg%2Fdesign%2Flogo%2Fva-og-twitter-image.png&imgrefurl=https%3A%2F%2Fwww.va.gov%2F&tbnid=LAWc9vWdLRtpdM&vet=12ahUKEwj-iNrl8rvoAhWGVjABHSpuD3gQMygCegUIARD7AQ..i&docid=qqLiDhLo7LS38M&w=1200&h=1200&q=us%20department%20of%20veterans%20affairs&client=safari&ved=2ahUKEwj-iNrl8rvoAhWGVjABHSpuD3gQMygCegUIARD7AQ
Trauma, in psychology, refers to a a wide range of intensifying stressful situations where an individual is exposed to increased levels of danger and fear where the intensity of the fear exceeds a normal capacity to cope (Fairbank, Ebert, & Caddel, 2004). These stressful situations are so intense that they cause increased symptoms of distress, because these experiences are outside of the range of normal human experience (Fairbank, Ebert & Caddel, 2004). Some examples of these uncommon, yet catastrophic events include, but is not limited to, war, sexual assault/rape, natural disasters, and torture. Evidence based practice requires careful assessment. While an initial assessment assist with treatment options, periodic assessments throughout care ca ...
Neuropsychological assessment
Kevin Atkinson, Bella Baron, Shonda Green, Bonita Hill, Ruby Lee, Brian McCullough, & Jessica Williams
Psych/655
March 30, 2020
Professor Dina Francisco
Introduction
Bonita
The purpose of this presentation we will discuss the purpose and magnitude of this instrument for those that suffer with PTSD. Also, express strongly about the use and legal consideration for this instrument. Finally, we want to explain ethical use of this instrument. Should there be any concerns after this presentation our team will be glad to assist with any questions.
The purpose of this presentation to give the audience more detail information regarding clinician Administered on the PTSD Scale. The PTSD scale was established in 1989 for the U.S. Department of Veteran Affairs National Center for PTSD. The definition and analytic criteria of PTSD, that CAPS has been modified to the DSM-5 criteria,4 and has proved excellent psychometric properties when linked to its previous form. In other words, scholars have been improving a great deal of knowledge regarding individual who suffers from PTSD. Research found that post-traumatic stress disorder (PTSD) have been challenging in academic and clinical study. PTSD play a major part that relate to individual that suffer with this illness for example, death, traumatic event, witness a death, and sexual event. Ehlersand Clark’s cognitive model of PTSD 3,4 advanced the negative interpretations of the traumatic memory outcomes in heightened level of stress. In other words when a person rumination about certain tragedies their level of stress becoming more stressful.
2
Clinician-Administered PTSD scale
for dsm-5 (caps-5)
(kevin)
Clinician-Administered PTSD scale
for dsm-5 (caps-5)
(kevin)
Purpose of the caps-5 (bella)
Trauma
PTSD
CAPS-5
U.S. Department of Veteran Affairs
https://www.google.com/imgres?imgurl=https%3A%2F%2Fwww.va.gov%2Fimg%2Fdesign%2Flogo%2Fva-og-twitter-image.png&imgrefurl=https%3A%2F%2Fwww.va.gov%2F&tbnid=LAWc9vWdLRtpdM&vet=12ahUKEwj-iNrl8rvoAhWGVjABHSpuD3gQMygCegUIARD7AQ..i&docid=qqLiDhLo7LS38M&w=1200&h=1200&q=us%20department%20of%20veterans%20affairs&client=safari&ved=2ahUKEwj-iNrl8rvoAhWGVjABHSpuD3gQMygCegUIARD7AQ
Trauma, in psychology, refers to a a wide range of intensifying stressful situations where an individual is exposed to increased levels of danger and fear where the intensity of the fear exceeds a normal capacity to cope (Fairbank, Ebert, & Caddel, 2004). These stressful situations are so intense that they cause increased symptoms of distress, because these experiences are outside of the range of normal human experience (Fairbank, Ebert & Caddel, 2004). Some examples of these uncommon, yet catastrophic events include, but is not limited to, war, sexual assault/rape, natural disasters, and torture. Evidence based practice requires careful assessment. While an initial assessment assist with treatment options, periodic assessments throughout care ca.
Running head PICOT STATEMENT 1PICOT STATEMENT 2.docxjeanettehully
Running head: PICOT STATEMENT 1
PICOT STATEMENT 2
PICOT Statement
Anna Uka
Grand Canyon University- NRS490
December 1st , 2019
P: Adults on an Acute Care floor
I: Required education on the Braden Scale
C: Standard Practice
O: Decrease in Hospital-Acquired Pressure Ulcers
PICOT QUESTION: Does the required education on the Braden scale increase nursing interventions for Adult patients on an acute care floor at risk of developing pressure ulcers during hospitalization?
Currently, most hospitals are faced with a clinical problem of acquired pressure ulcers. According to Pittman et al (2015), hospital-acquired pressure ulcers remain one of the persistent and relevant issues that need to be addressed in long-term hospital stay patients. Health care is attempting to implement evidence-based protocols, though patients continue to suffer from this prevalent and preventable injury. Health care institutions are facing a big challenge for the patients with this acquired condition because hospital bills continue to balloon and at the same time insurance companies stopped paying for this condition. Research shows that pressure ulcer is preventable; though, in spite of hospitals striving to integrate evidence-based approaches to curb the issue, it continues to remain a serious issue for long-term hospital stay patients. This PICOT statement this research paper is proposing to use is a Braden Scale which can be used by nurses in their practice to reduce hospital-acquired pressure injuries which will reduce the patient stay in the hospital as well as the bills burden in the hospital.
Evidence-Based
Solution
According to Engels et al (2016), “the importance of using evidence-based practice in long-term care hospitals to reduce prevalent pressure ulcers is to promote a safe cost-effective outcome for our patients, families, and the healthcare group. Research needs to be conducted and qualitative data collected when designing an evidence-based solution to hospital-acquired injuries”. Despite a lot of research being conducted from the past years concerning acquired pressure ulcers, many patients continue to get the disease. Evidence-based practice allows the nurse to get pooled in a team of experts where interdisciplinary collaboration becomes the ultimate objective for nurses to practice autonomy that enhances change in the nursing field based on data. “The nursing research utilizes qualitative and quantitative logical methods and an EBP approach aimed at around the study and change of patient consideration, understanding consideration frameworks, and patient results” (Mervis & Phillips, 2019). This PICOT question will effectively apply the Braden Scale to see how it can positively impact long-term hospital in reducing pressure ulcers injuries.
Nursing Intervention
When starting a nursing research project, ...
EMPIRICAL STUDYThe meaning of learning to live with medica.docxSALU18
EMPIRICAL STUDY
The meaning of learning to live with medically
unexplained symptoms as narrated by patients in primary
care: A phenomenological�hermeneutic study
EVA LIDÉN, PhD1, ELISABETH BJÖRK-BRÄMBERG, PhD2 &
STAFFAN SVENSSON, MD3
1Institute of Health and Care Sciences, The Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden, 2Institute
of Environmental Medicine, Karolinska Institutet, Solna, Sweden, and 3Angered Family Medicine Unit, Angered, Sweden
Abstract
Background: Although research about medically unexplained symptoms (MUS) is extensive, problems still affect a
large group of primary care patients. Most research seems to address the topic from a problem-oriented, medical
perspective, and there is a lack of research addressing the topic from a perspective viewing the patient as a capable person
with potential and resources to manage daily life. The aim of the present study is to describe and interpret the experiences of
learning to live with MUS as narrated by patients in primary health-care settings.
Methods: A phenomenological�hermeneutic method was used. Narrative interviews were performed with ten patients
suffering from MUS aged 24�61 years. Data were analysed in three steps: naive reading, structural analysis, and
comprehensive understanding.
Findings: The findings revealed a learning process that is presented in two themes. The first, feeling that the symptoms
overwhelm life, involved becoming restricted and dependent in daily life and losing the sense of self. The second, gaining
insights and moving on, was based on subthemes describing the patients’ search for explanations, learning to take care of
oneself, as well as learning to accept and becoming mindful. The findings were reflected against Antonovsky’s theory of sense
of coherence and Kelly’s personal construct theory. Possibilities and obstacles, on an individual as well as a structural level,
for promoting patients’ capacity and learning were illuminated.
Conclusions: Patients suffering from MUS constantly engage in a reflective process involving reasoning about and
interpretation of their symptoms. Their efforts to describe their symptoms to healthcare professionals are part of this
reflection and search for meaning. The role of healthcare professionals in the interpretative process should be acknowledged
as a conventional and necessary care activity.
Key words: MUS, primary care, person centred care, phenomenological-hermeneutics
(Accepted: 19 March 2015; Published: 16 April 2015)
Medically unexplained symptoms (MUS) is a condi-
tion that affects a large but heterogeneous group
of people. The health services have so far been
unsuccessful in addressing the healthcare needs of
these people, partly because of outdated theories and
diagnostic systems that fail to encompass the com-
plexity of the patients’ health problems (Fink &
Rosendal, 2008). The lack of a medical explanation
and cure leaves patients and healthcare professionals
in a ...
A Paper Session presented at the 2014 APA Convention in Washington, D.C., on Aug. 7, 2014. Title: TBI and Substance Abuse Correlates Within a Prison Therapeutic Community.
A Paper Session presented at the 2014 APA Convention in Washington, D.C., on Aug. 7, 2014. This presentation reviewed findings of my predoctoral dissertation, which looked at the relationship between substance-use disorders and traumatic brain injury on measures of cognition and physical and mental health. It also looked at the prevalence of TBI among offenders in a prison therapeutic community.
The goal of this webinar is to help hospice and healthcare professionals understand the history, philosophy, and practice of hospice and palliative care, including common misconceptions, typical diagnoses for hospice referrals, identification of hospice-eligible patients, reimbursement for hospice services, and the
benefits of advance care planning and early referrals.
Running head PSYCHOLOGY1PSYCHOLOGY5Empirical res.docxSUBHI7
Running head: PSYCHOLOGY
1
PSYCHOLOGY
5
Empirical research on the prevalence of PTSD on servicemen and veterans from combat
Developments in combat zone medicine infer more aggrieved servicemen and veterans are surviving their injuries; though, numerous injuries are not as noticeable such as missing appendages and other bodily wounds, explicitly distressing cognitive damages and post-traumatic stress writhed by both soldiers and citizens in the way of relatives and friends. The frequency of these injuries can be, and still are, not clear-cut. Moreover, the categorizations of these injuries have transformed over the course of time, touching on the way in which the sum of the aggrieved is tallied over and above the interventions presented (Angkaw et.al, 2015). An editorial in The Economist on March 2013 centered on the upsurge in the figure of war veterans pursuing medical assistance as a result of post-traumatic stress symptoms. The rise was realized amongst the newly repatriated officers, albeit similarly among elderly veterans of prior wars, and had resulted to a surge in America`s disabled former soldiers count by nearly 45% from the year 2000. A lot of empirical research reinforces the assertion made in the Economist piece, and investigation correspondingly demonstrates the long-term overheads will be a reality for many nations involved in the cross-border wars (Beckham et.al, 2014). Internationally, a rise in number of war veterans looking for assistance for psychological signs that are every so often well-matched with PTSD disorder explicate that the number of troupers affected with PTSD in the year 2013 will grow to over 300,000 persons in the United States. A similar predisposition is noticed in other nation state, and a recent research from Europe (particularly United Kingdom) pronounces late onset indications among servicemen. Our test hypothesis will appraise the prevalence and frequency of PTSD in servicemen and veteran from the warzone. From the prevalence then apt interventions can be devised to help assist all those who served and are affected with disorder.
How is PTSD perceived in a health perspective?
PTSD is a mental disorder, which is described and defined in the ensuing two classifications; the International Classification of Diseases (ICD-10) established by the World Health Organization (WHO), together with the Diagnostic and Statistical Manual of Mental Disorders (DMMD) instigated by the American Psychiatric Association (DSM-5). The analytical measures in the two classifications are articulated somewhat differently, but overall they are seen as alike. The analytical criteria consist of the following: experiencing a traumatic situation or event, short or long lasting, in which the person is exposed to fears of loss of life, grim harm or sexual abuse. The exposure is a due to circumstances with unswervingly involves the distressing event or observes the traumatic happening personally (Angkaw et.al, 2015). The social-b ...
Eastern European countries appear to have become dependent on Ru.docxjoellemurphey
Eastern European countries appear to have become dependent on Russian oil originally due to the country being a reliable supplier to the European countries (Bradshaw, 2014, p. 76). Though the countries were allies with the United States, they were trying to become less dependent on the Middle East and saw that Russia was a reliable source. Much of this reliance was due to the “iron curtain” as well as the fact that many of the Eastern European countries were part of the Soviet Union in some way or affiliated with them.
It appears that much of the reason as to why these countries reached energy accords with Russia is due to the convenience. There was “limited access to storage and alternative sources of gas supply” (Bradshaw, 2014, p. 77). This pushed these countries to depend more on Russia, which appeared to be an easier access to gas supplies. Another reason might have been due to fear as the Kremlin punished Ukraine for voting for an anti-Moscow government (Bradshaw, 2015, p. 77). This action shows that many of these countries may have reached these accords due to the pressure and encouragement of the Soviet Government. In the 1980’s the dependence of European countries on Russian gas resources was 50-60%. In the 1970’s, many of the Eastern European countries also became reliant on Russia due to a greater demand of oil and gas. The surrounding countries that were providing resources were not able to keep up with the demand and thus these countries sought to get their sources from Russia. It also helped that Russia’s prices appeared to be lower than that of the world market (Bradshaw, 2014, p. 87-88). Due to the price of oil and gas and the availability, Eastern European countries were able to grow and build in gas import and its infrastructure, thus in turn causing it to be dependent on Russia.
Bradshaw, M. (2014).
Global Energy Dilemmas: Energy Security, Globalization, and Climate Change
. Cambridge, UK: Polity Press.
Based on your considered review of this module’s readings as well as your reflection upon the first three modules, evaluate the questions below.
In retrospect it seems obvious, but exactly how and why did Eastern European countries come to depend on Russian oil and natural gas after World War II?
Why did the Western Europeans reach energy accords with the Russians in the 1970s and early 1980s, building large-scale natural gas import infrastructures and increasing their dependence on Russian gas?
.
EAS 209 Second Response Paper Topic Assignment Due .docxjoellemurphey
EAS 209
Second Response Paper Topic
>>>Assignment Due Date: Friday, October 12, 2018<<<
Write 350 words, excluding works cited and references, on the following topic:
Dipesh Chakrabarty cites John Stuart Mill to show one dimension of historicist
consciousness: “a recommendation to the colonized to wait.” What does Chakrabarty
mean by this phrase? Consider, e.g. why, according to Mill, “Indians, Africans, and other
‘rude’ nations” had to be consigned to what Chakrabarty called “an imaginary waiting
room of history.”
To respond to this question, you might find it helpful to consider Chakrabarty’s discussion
on historicism or “stagist theory of history.”
▪ Submit a hard copy in your Tutorial Section on Friday, October 12.
▪ Papers must be type-written, double-spaced, appearing in 12 points Times New Roman font or
its equivalent with 1” margins. Do not exceed 400 words. You are responsible for keeping an
extra copy of your own paper.
▪ The assignment does not ask you to conduct additional research. Papers that do not respond
to the given topic or do not follow the specific instructions described above will receive no
marks. No resubmission allowed.
▪ You need to present your argument logically and clearly, fully demonstrate the precise
understanding of Chakrabarty’s argument and substantiate your argument convincingly and
with details.
▪ Observe the Chicago Manual of Style referencing practice and properly cite the passages you
quote (i.e. author, title, page number, etc.). Works cited or references should not be counted
toward the 350 word limit.
▪ Any ideas or expressions that are not your own must be placed in quotation marks and
referenced with page number. Academic misconduct will not be tolerated. See:
http://www.artsci.utoronto.ca/osai/The-rules/what-is-academic-misconduct
▪ You may share notes and discuss your ideas with others for preparation. But the paper you
submit must be exclusively written by you alone and in your own words clearly distinguishable
from others’. Papers that plagiarize, replicate others, or contain identical or near-identical
passages that appear in other papers will not be accepted or credited.
▪ You must proof-read before submission. Sentences that are incomplete or unintelligible will
not be read or credited.
▪ Late submission and papers submitted via e-mail will not be accepted or credited unless
under extraordinary circumstances. ABSOLUTELY NO EXCPETION!
http://www.artsci.utoronto.ca/osai/The-rules/what-is-academic-misconduct
I N T R O D U C T I O N
The Idea of Provincializing Europe
Europe . . . since 1914 has become provincialized, . . .
only the natural sciences are able to call forth a
quick international echo.
(Hans-Georg Gadamer, 1977)
The West is a name for a subject which gathers itself in
discourse but is also an object constituted discursively;
it is, evidently, a name always associating itself with
those regions, communities, and peoples.
Earth Science LabIn what order do materials settle in waterSo t.docxjoellemurphey
Earth Science Lab:In what order do materials settle in water?
So this is my Topic:
In what order do materials settle in water? Design and carry out an experiment to determine the order in which different sized materials (e.g., sand, gravel, topsoil) settle out in water after they have been mixed up.
but i don't understand the question below:
What are some possible treatments you can use to answer your question? What are some variables that may influence your question, and are they variables that you can easily manipulate and test?
What can i write about the possible treatments?
.
EarlyIntervention Strategies Paper (15 points)The pu.docxjoellemurphey
Early
Intervention Strategies Paper (15 points)
The purpose of the presentation is to help classmates understand different types of intervention strategies for early intervention. Students will be expected to write a 5-7 page paper that is comprised of two parts. In Part I, the student will discuss the role of each of the following professionals that can comprise a treatment team in a maximum of 3 pages:
Developmental Teacher Occupational Therapist Physical Therapist Speech/Language Pathologist
Audiologist Vision Consultant Psychologist Pediatrician
Part II: Furthermore, each student will set up a site visit at a local agency or provider of services to young children and will spend some time observing a particular facility or program that cares for and provides services to infants and young children. The following list should be used to guide the observations. The student should summarize thefollowing information in at least 3 pages:
Name of the facility or program
Ages of the children served
History and philosophy of the facility or program
Structure of the facility or program (Co-Op, Pre-K, )
Services provided
Activities and routines in which the children engage
Adult to child ratio
Types of delays and disabilities of the children who attend this program
Family involvement
Type of setting: inclusive setting, provisions for inclusion
Curriculum used
Would you recommend this facility to a family with a child with a disability? Why or why not?
.
Early Hominids & Australopithecus SubscribeWhat is a too.docxjoellemurphey
Early Hominids & Australopithecus
Subscribe
What is a tool? Did
Sahelanthropus
,
Orrorin
,
Ardipithecus, or Australopithecus
use tools? What evidence shows that they used tools?
What do these groups represent for human evolution? Why are these hominids unique in human evolutionary history?
.
Early scholarly and philosophical manuscripts were in Greek. However.docxjoellemurphey
Early scholarly and philosophical manuscripts were in Greek. However, by the 5th century CE – and onward – language was mainly spread by conquests, trades, religious affiliations, technological advancements or entertainment. (Gascoigne, 2001). For example, as the geographic territory under Roman control grew, the use of Latin as a common language also spread. In areas under Roman control, Latin was the spoken and written language of the courts and commerce, as well as the language of the Christian church. As the Roman Empire expanded, Latin served as a common language that allowed for people of diverse linguistic backgrounds to be able to communicate.
Onward and by the early 14th century, the trend toward the use of vernacular language had spread throughout most of Europe. As monarchies throughout the region began to consolidate, the use of vernacular languages contributed to an increasing nationalism, or feeling of pride in one’s own nation, and in this case among people of similar linguistic backgrounds. People began to feel more connected to local leaders than they did to influences from afar. These sociopolitical shifts, along with the development of moveable type (the printing press), helped to ensure the success of the vernacular languages during the Renaissance.
Assignment:
The goal of this assignment is to research and report on the origins of vernacular language, and its spread while also providing evidence of Latin’s influence on all Western languages.
Choose one native language spoken in Europe, discuss the origins of the vernacular language and describe how the language spread.
As a whole, in what ways has Latin influenced Western language development?
Prepare a 2-page essay (not including cover page and works cited page) answering the questions stated above in APA format.
.
Early Learning & Developmental Guidelines July 2017 1 .docxjoellemurphey
Early Learning &
Developmental Guidelines
July 2017 1
Early Learning and Developmental Guidelines
This document provides current Web links to all State early learning and development guidelines (ELGs). At this
time, all 56 States and Territories have developed ELGs for preschool children, and virtually all have ELGs for
infants and toddlers. The following table provides the website for ELGs from the States.
State ELG Name and Web Site
ELG Age
Range
Alabama Alabama Early Learning Guidelines
http://dhr.alabama.gov/large_docs/aelg.pdf
Birth to 5
years
Alaska Early Learning Guidelines (2007)
https://education.alaska.gov/publications/earlylearningguidelines.pdf
Birth to 5
years
Arizona Early Learning Standards (2013)
http://www.azed.gov/early-childhood/files/2011/11/arizona-early-learning-
standards-3rd-edition.pdf
3 to 5 years
Arizona’s Infant and Toddler Developmental Guidelines (Draft)
http://www.azftf.gov/Documents/Arizona%20Infant%20and%20Toddler%20
Developmental%20Guidelines%20DRAFT%20for%20VETTING.pdf
Birth to 3
years
Arkansas Arkansas Child Development and Early Learning Standards (2016)
http://www.arheadstart.org/Ark_Early_Learning_Standards%20(19)%20(1).p
df
Birth to 5
years
California California Infant/Toddler Learning & Development Foundations (2009)
http://www.cde.ca.gov/sp/cd/re/itfoundations.asp
Birth to 3
years
California Preschool Learning Foundations, Volumes 1-3
http://www.cde.ca.gov/sp/cd/re/psfoundations.asp
3 to 5 years
Colorado Colorado Early Learning & Development Guidelines (2013)
https://www.cde.state.co.us/early/eldgs
Birth to 5
years
Connecticut Guidelines for the Development of Infant & Toddler Early Learning
http://www.ct.gov/dss/lib/dss/dss_early_learning_guidelines.pdf
Birth to 3
years
Connecticut Early Learning and Development Standards (2014)
http://www.ct.gov/oec/lib/oec/earlycare/elds/ctelds.pdf
Birth to 5
years
Connecticut Preschool Assessment Framework (2008)
http://www.sde.ct.gov/sde/lib/sde/PDF/DEPS/Early/Preschool_Assessment_
Framework.pdf
3 to 5 years
http://dhr.alabama.gov/large_docs/aelg.pdf
https://education.alaska.gov/publications/earlylearningguidelines.pdf
http://www.azed.gov/early-childhood/files/2011/11/arizona-early-learning-standards-3rd-edition.pdf
http://www.azed.gov/early-childhood/files/2011/11/arizona-early-learning-standards-3rd-edition.pdf
http://www.azftf.gov/Documents/Arizona%20Infant%20and%20Toddler%20Developmental%20Guidelines%20DRAFT%20for%20VETTING.pdf
http://www.azftf.gov/Documents/Arizona%20Infant%20and%20Toddler%20Developmental%20Guidelines%20DRAFT%20for%20VETTING.pdf
http://www.cde.ca.gov/sp/cd/re/itfoundations.asp
http://www.cde.ca.gov/sp/cd/re/psfoundations.asp
https://www.cde.state.co.us/early/eldgs
http://www.ct.gov/dss/lib/dss/dss_early_learning_guidelines.pdf
http://www.ct.gov/oec/lib/oec/earlycare/elds/ctelds.pdf
http://www.sde.ct.gov/sde/lib/sde/PDF/DEPS/Early/Preschool.
Early Innovations and Their Impact Today Wilbur and Orville Wrig.docxjoellemurphey
Early Innovations and Their Impact Today
Wilbur and Orville Wright's innovative spirit allowed them to take their place in history. Their inventions have changed the way people live around the world. At the turn of the century, an explosion in technological achievements occurred. The same kind of energy that went into advances in aviation went into the development of automobiles, telephones, televisions, and immunizations to prevent diseases. These and other innovations and achievements continue to have an enormous impact on human life.
In this week's Discussion, you will analyze two technological innovations/achievements of the late 19th/early 20th century and describe the impact they have on life today.
To prepare for this Discussion:
Review Chapter 2 (pp.10–30) from this week's Learning Resources focusing on technological innovations and achievements around the globe.
Identify two significant technological innovations/achievements (such as the telephone, television, automobiles, and vaccinations) from the late 19th and early 20th centuries.
Consider the ways in which these technologies made an impact on society at the turn of the century.
Reflect on how these technologies continue to impact your life today.
Support your assertions by making at least 2 references, in proper APA format, to your course readings.
With these thoughts in mind:
Post by Day 3 a 2- to 3-paragraph analysis where you do the following:
Identify two significant technological innovations/achievements from the late 19th and early 20th centuries.
Describe, in your opinion, why you believe your choices were significant and created global impacts during that time period.
Explain how these two particular innovations/achievements impact the way you live today.
.
Early childhood professionals have an essential role in creating.docxjoellemurphey
Early childhood professionals have an essential role in creating and supporting stable, responsive environments that reduce and reverse the impact of adversity (Center on the Developing Child, 2015b). In this Discussion, you explore the impact of adverse experiences and the role of the early childhood professional in supporting healthy, nurturing developmental contexts.
.
Early Constitutional ControversiesIn 1788, Alexander Hamilton and .docxjoellemurphey
Early Constitutional Controversies
In 1788, Alexander Hamilton and James Madison, who had both played active roles at the Constitutional Convention, worked together to write
The Federalist Papers
, a series of articles originally published in New York newspapers to convince readers to back the ratification of the Constitution. Constitutional scholars often refer to these papers to gain an appreciation of the “original intention” of the Framers, how those men expected the federal government to operate under the Constitution, and the powers they sought to grant or deny the federal government. By the early 1790s, however, Hamilton and Madison had divided over basic constitutional questions such as whether or not the federal government could charter a national bank. The American electorate, which had ratified the Constitution, had split on the issue as well, dividing into rival Federalist and Republican parties.
For this assignment, explore
one
significant constitutional controversy, from the first two decades of the United States under the Constitution (1789 to 1821). Topics to consider include:
The incorporation of the Bank of the United States
Debt assumption
The Jay Treaty
The Alien and Sedition Acts
The Election of 1800
John Marshall’s use of judicial review
The Louisiana Purchase
The trial of Aaron Burr
Jefferson’s Embargo
Federalist opposition to the War of 1812
Missouri’s application for statehood
Describe opposing views of the topic under consideration, and explain how each side used the Constitution to support its position. Assess the validity of the two sides according to your own interpretation of the Constitution as well as according to how the Constitution and constitutional principles were understood at the time the controversy occurred.
The paper should draw from at least
one
primary source and
two
scholarly, secondary sources for a total of three sources (not including the Constitution itself). For assistance on the use of primary and secondary sources, please see sections 8.1 and 8.2 of the Ashford Writing Center. The secondary sources should be accessed through any of the academic databases available through the Ashford University library.
The paper must be three pages in length and formatted according to APA style. You must use at least three scholarly resources (at least two of which can be found in the Ashford Online Library) other than the textbook to support your claims and subclaims. Cite your resources in text and on the reference page. For information regarding APA samples and tutorials, visit the Ashford Writing Center, within the Learning Resources tab on the left navigation toolbar.
.
Early Civilizations MatrixUsing your readings and outside sour.docxjoellemurphey
Early Civilizations Matrix
Using your readings and outside sources complete the following matrix. Be sure to address the following in your matrix:
•
Provide names, titles, dates, brief descriptions of important events, and other details as necessary.
•
Note the details of key political, socioeconomic, technological, artistic, musical, architectural, philosophical, and literary developments for each civilization listed in the table, which were evidenced in the humanities.
Be sure to properly cite the sources that you use in completing this matrix.
.
Early childhood teachers need to stay connected to what is occurring.docxjoellemurphey
Early childhood teachers need to stay connected to what is occurring in the community outside the classroom politically and economically because these factors will influence their classroom. Items of recent debate include social and emotional development, as well as technology in the early childhood classrooms.
For this assignment, take on the role of an early childhood teacher. The principal of your school has placed you on a committee to create a 12-15 slide digital presentation to inform families about current trends in early childhood education. Explain the trends and discuss whether they are developmentally appropriate for young children. In addition, include a description of the effect this trend has on student outcomes. The presentation should discuss early childhood trends and influences on the early childhood classroom in the following areas:
Political (legislative and regulatory)
Economic
Social-emotional
Technological
One trend of choice (e.g., assessment, physical fitness, play in the classroom, emergent curriculums, recess, common core)
Include a title slide, reference slide, and speaker’s notes in your digital presentation.
Use 3-5 scholarly resources to support your research
.
Early and Middle Adulthood PaperPrepare a 1,050- to 1,400-word.docxjoellemurphey
Early and Middle Adulthood Paper
Prepare
a 1,050- to 1,400-word paper in which you examine the psychological adjustments to aging and lifestyle that occur within individuals during early and middle adulthood. Be sure to include the following:
Discuss how social and intimate relationships evolve and change during early and middle adulthood.
Identify various role changes that occur during early and middle adulthood.
Examine the immediate and future impact of healthy and unhealthy habits practiced during early and middle adulthood.
Use
a minimum of two peer-reviewed sources.
.
Earlier this semester, you participated in a class discussion about .docxjoellemurphey
Earlier this semester, you participated in a class discussion about the character of Bath de Chaucer's wife. You are aware of the complexity of her as a resourceful, cunning, open and ambitious woman. For this essay, I would like you to write a comparison / contrast essay in which you discuss the Wife of Bath as you compare or contrast one or more of these three well-known modern American women: Beyoncé Lil 'Kim, and / or Lady Gaga.
Think beyond and below cliches and perceptions. The comparison should not be disrespectful to these modern iconic women. Obviously, times have changed, and I am in no way suggesting that these modern women share all or even some of the qualities of the Wife of Bath, aside from her drive for independence, sovereignty, and success.
When developing the comparisons and contrasts of it, you should use AT LEAST THREE SOURCES to gather information and knowledge to support the claims and interpretations of it. These sources should be cited in the text and on a works cited page using a precise MLA documentation style.
You will write one essay of 500 - 600 words for this paper . This essay must be formatted in MLA Paper form.
Here is the reading about The character of Bath de Chaucer’s life
From The Canterbury Tales:
General Prologue
Here bygynneth the Book of the Tales of Caunterbury
Whan that Aprill, with his shoures soote
The droghte of March hath perced to the root
And he bathed every veyne in swich liquor,
Of which virtue begotten is the flour;
5 Whan Zephirus eek with his sweete breeth
Inspired hath in every holt and heeth
The tender croppes, and the yonge ring
Hath in the Ram his halfe cours yronne,
And smale foweles maken melodye,
10 That slepen al the nyght with open eye-
(So priketh hem Nature in hir corages);
Thanne longen folk to goon on pilgrimages
And palmeres for to seken straunge strondes
To ferne halwes, kowthe in probry londes;
15 And specially from every shires ende
Of Engelond, to Caunterbury they wende,
The hooly blisful martir for to seke
That hem hath holpen, whan that they were seeke.
Bifil that in that seson, on a day,
20 In Southwerk at the Tabard as I lay
Redy to wenden on my pilgrymage
To Caunterbury with ful devout courage,
At nyght was come into that hostelrye
Wel nyne and twenty in a compaignye
25 Of Sondry folk, by aventure yfalle
In felaweshipe, and pilgrimes were they alle,
That toward Caunterbury wolden ryde.
The rooms and the stables weren wyde,
And wel we weren esed att beste;
30 And shortly, whan the sonne was to rest,
So hadde I spoken with hem everichon
That I was of hir felaweshipe anon,
And made forward erly for to ryse
To take our wey, ther as I yow devyse.
35 But nathelees, whil I have tyme and space,
Er that I ferther in this tale pace,
Me thynketh it acordaunt to resoun
To tel yow to the conditio.
EAP1640 - Level 6 Writing (Virtual College, MDC)
Author: Professor Irasema Fernandez (do not copy or redistribute) (Unit 3: Lesson 1) Page 1 of 6
UNIT 3. LESSON 1 - Elements of Comparison and/or Contrast Essays
INTRODUCTION
In this lesson, we will focus on:
A. Methods of Organization
B. Organizational Patterns
C. Unity and Coherence
We use comparison and contrast essays to help us better understand (1) the similarities, (2) the
differences, and/or (3) the similarities and the differences between, or among, two or more things or
ideas.
These essays can help us make sense of the world around us and make better decisions about our
actions. They also can change or strengthen our opinions. In other words, they can help us to think
critically about a subject.
A. Methods of Organization
There are three Methods of Organization for Comparison and/or Contrast Essays:
• The Comparison Essay
• The Contrast Essay
• The Comparison and Contrast Essay
The comparison essay discusses how two things are alike; it compares or
discusses similarities.
Think about Thesis Statement A:
Thesis Statement A: The two major political parties, the Republican and the Democratic
Parties, are similar in their intention to protect the country, the people, and their own interests.
You can look at this thesis statement in the following way:
Topics
the Republican Party
the Democratic Party
Controlling Idea
(Method of Organization)
are similar in their intention to protect
Points
(or Categories)
the country
the people
their own interests
EAP1640 - Level 6 Writing (Virtual College, MDC)
Author: Professor Irasema Fernandez (do not copy or redistribute) (Unit 3: Lesson 1) Page 1 of 6
The thesis of the comparison essay includes:
• the topic (two topics to compare) = the Republican and Democratic parties
• the controlling idea (take a position) = are similar in their intention to protect
• the branches (points or categories) = the country, the people, and their own interests
Note: Comparisons can be less interesting than contrasts unless you write a comparison essay
when you know that the points to compare are interesting, unusual or unexpected.
The contrast essay discusses how two things are not similar; it contrasts or
discusses differences. The contrast essay presents a totally different point of view.
The thesis of the contrast essay also includes:
• the topic (two topics to contrast)
• the controlling idea (take a position)
• the branches (points or categories)
Thesis Statement B: The two major political parties, the Republican and the Democratic
Parties, are different in the way they protect the country, the people, and their own interests.
The comparison and contrast essay discusses how two things are similar and also different,
it compares and contrasts two points in one essay.
The thesis of the comparison and contrast essay also includes:
• the topic (two topics to compare and c.
Earlean, please write these notes for me. October 01, 20181. My .docxjoellemurphey
Earlean, please write these notes for me. October 01, 2018
1. My name is Brittney, this is my first day in group, I am from Lake worth, my age is 25, Originally from California, I have been clean 83 days. She grew up Catholic. She is pregnant with her first child 6 weeks states she wants to be a good mother, she went to doctor today it is confirmed. A BOY
Brittney’s does not believe in God she believes the Universe
Tell me one positive thing about yourself? I am FUNNY.
2. Tessa, I am 20 years old, I am from Missouri, I have been clean 8 months, and I’m going home Friday. I have a sister that just relapsed 4 days a go with an overdose, beaten etc. and I am showing her tough love. I got some news that my best friend in New York overdose, so my feelings have been going back and forth. And I am supposed to be the strong one. But I’m OK.
I am Out Going and Determined to make it.
Tessa has a Buddha faith says karma is a bitch
Tessa wants to co to college in January, she stated I am the SIT, says her self esteem is high.
3. Megan, I am 20-year-old from Colorado, Arizona… I am grateful and kind.
Megan believes FLDS Mormon latter-day saints, believes in God, he is loving and caring.
4. Elizabeth, I am 19 years old from St. Louis, Missouri, I was adopted, and I am very CARING. She explained to me before group she was given her meds Seroquel, and she has not had it for 4 days, so she was in and out asleep, but when I called her name she did respond politely. Believes in God
5. She is concerned about going to jail, would like to go to culinary school but this will be her first year.
6. Julian, I am 31 years old I am a Hard Worker I work two jobs Java Juice, and Brews.
Believes in God, and she prays every morning, se shared when she relapsed she did not pray that morning. July 28.
7. Dawn, originally from New York, I have been married a long time with 3children I been living in Florida. My family does not know I have another side I am like a camelina to my family my entire life they had no idea I was smoking crack an that I am a Junky I have lost everything facing divorce
Dawn was raised Catholic and she believes in God. And she would love forgiveness from husband and children, wants a chance to be understood. Teresa stated understand yourself and be accountable to you first.
When Dawn shared her story, it detoured the SPIRITUALITY meeting because Tessa gave the first feedback. And Codependency, cross addictions, service work, was discussed between them. The director Teresa interjected and explained the meaning you are replacing one thing with something else like, going to the GYM, SHOPPING, RELATIONSHIPS, any distraction to get you outside of yourself, or to get validated by someone else. You are hurting you to help someone else.
Breaktime
.
eam Assignment 4 Teaming Across Distance and Culture..docxjoellemurphey
eam Assignment 4: Teaming Across Distance and Culture.
1. What are the major effects of the physical separation of group members? How can distance, in some cases, be beneficial to groups and teams?
2. What other areas of organizational behavior or design are impacted by information technology, and what are the implications for organizational change?
3. Brainstorm some ways to “redesign” your office space (or an office space you have previously worked in) on paper using virtual or flexible space, or flexible furniture. How would this redesign enhance successful teamwork?
4. What are some of the ways that cross-cultural teams are distinguished from other types of teams? What are some of the benefits and difficulties of building a cross-cultural team?
250 Words
.
ead the following articleMother Tongue Maintenance Among North .docxjoellemurphey
ead the following article:
Mother Tongue Maintenance Among North American Ethnic Groups
, Robert W. Shrauf
Address the following:
What are some of the factors behind both the loss and persistence of native languages?
Does losing or maintaining one's native language have any impact on one's degree of acculturation or assimilation?
.
eActivityGo to the United States Equal Employment Oppo.docxjoellemurphey
eActivity
Go to the United States Equal Employment Opportunity Commission’s website to review discrimination types, located at
http://www.eeoc.gov/laws/types
. Be prepared to discuss.
Employment Relationship and Discrimination" Please respond to the following:
From the e-activity, visit the EEOC website link provided and select any three (3) types of discrimination and discuss. What key laws are applicable to the discrimination types you selected?
.
Each year on or around June 15, communities and municipalities aroun.docxjoellemurphey
Each year on or around June 15, communities and municipalities around the world plan activities and programs to recognize World Elder Abuse Awareness Day, a day set aside to spread awareness of the abuse of the elderly (Center of Excellence on Elder Abuse & Neglect, 2013). The abuse of older adults is a growing concern and statistics suggest that the number of elders experiencing abuse is an alarmingly high number. Research suggests that close to half the people diagnosed with dementia experience some form of abuse (Cooper, C., Selwood, A., Blanchard, M., Walker, Z., Blizard, R., & Livingston, G., 2009; Wiglesworth, A., Mosqueda, L., Mulnard, R., Liao, S., Gibbs, L., & Fitzgerald, W., 2010, as cited on http://www.ncea.aoa.gov/Library/Data/index.aspx). Elder abuse takes on many forms and can include physical, emotional, psychological, and economic abuse. The legendary American actor, Mickey Rooney, spoke to the United States Senate, describing his own experiences of pain and neglect at the hands of his stepson, asking legislators to take seriously the abuse of the elderly.
Respond to colleagues by suggesting alternative strategies. The Original posts are contained in the attachement.
Support your responses with specific references to the Learning Resources. Be sure to provide full APA citations for your references.
.
How to Make a Field invisible in Odoo 17Celine George
It is possible to hide or invisible some fields in odoo. Commonly using “invisible” attribute in the field definition to invisible the fields. This slide will show how to make a field invisible in odoo 17.
Palestine last event orientationfvgnh .pptxRaedMohamed3
An EFL lesson about the current events in Palestine. It is intended to be for intermediate students who wish to increase their listening skills through a short lesson in power point.
This is a presentation by Dada Robert in a Your Skill Boost masterclass organised by the Excellence Foundation for South Sudan (EFSS) on Saturday, the 25th and Sunday, the 26th of May 2024.
He discussed the concept of quality improvement, emphasizing its applicability to various aspects of life, including personal, project, and program improvements. He defined quality as doing the right thing at the right time in the right way to achieve the best possible results and discussed the concept of the "gap" between what we know and what we do, and how this gap represents the areas we need to improve. He explained the scientific approach to quality improvement, which involves systematic performance analysis, testing and learning, and implementing change ideas. He also highlighted the importance of client focus and a team approach to quality improvement.
Synthetic Fiber Construction in lab .pptxPavel ( NSTU)
Synthetic fiber production is a fascinating and complex field that blends chemistry, engineering, and environmental science. By understanding these aspects, students can gain a comprehensive view of synthetic fiber production, its impact on society and the environment, and the potential for future innovations. Synthetic fibers play a crucial role in modern society, impacting various aspects of daily life, industry, and the environment. ynthetic fibers are integral to modern life, offering a range of benefits from cost-effectiveness and versatility to innovative applications and performance characteristics. While they pose environmental challenges, ongoing research and development aim to create more sustainable and eco-friendly alternatives. Understanding the importance of synthetic fibers helps in appreciating their role in the economy, industry, and daily life, while also emphasizing the need for sustainable practices and innovation.
Read| The latest issue of The Challenger is here! We are thrilled to announce that our school paper has qualified for the NATIONAL SCHOOLS PRESS CONFERENCE (NSPC) 2024. Thank you for your unwavering support and trust. Dive into the stories that made us stand out!
The Indian economy is classified into different sectors to simplify the analysis and understanding of economic activities. For Class 10, it's essential to grasp the sectors of the Indian economy, understand their characteristics, and recognize their importance. This guide will provide detailed notes on the Sectors of the Indian Economy Class 10, using specific long-tail keywords to enhance comprehension.
For more information, visit-www.vavaclasses.com
Sectors of the Indian Economy - Class 10 Study Notes pdf
Running head COMPREHENSIVE QUALITY CARE1COMPREHENSIVE QUALIT.docx
1. Running head: COMPREHENSIVE QUALITY CARE 1
COMPREHENSIVE QUALITY CARE 10
Improving the Quality of Comprehensive Care for the OEF and
OIF Veterans with Posttraumatic Stress Disorder (PTSD)
Ashlie Burnett
Capella University
2/15/15
Research Questions
1. How efficiently can quality of Comprehensive care be
improved to ensure quality care to the OEF and OIF with
posttraumatic stress disorder?
2. To what extent are the problems faced by the OEF and OIF
with posttraumatic disorder matched by the available ways of
serving them?
Research Objectives
1. The general objective of this research was to determine how
efficiently quality of comprehensive care be improved to ensure
quality care to the OEF and OIF with posttraumatic stress
disorder.
2. 2. The paper also sought to determine the extent to which the
problems faced by the OEF and OIF with posttraumatic disorder
matched by the available ways of serving them.
Sub-related questions
1. What are the most common problems facing the war veteran’s
over the world?
2. What are the medical covers available for the victims of
posttraumatic disorders?
3. What are the inefficiencies in the health care provision of the
PSTD veterans?
Relevance of the Sub-related questions
The sub-related questions form the basis of finding the needed
results for the general objectives of this paper. To find an
effective measure of improving quality of health care for the
victims of post traumatic disorder, the first question will help
find the main problem to be addressed in order to avoid cases of
mismatch of services and problems experienced. The second
sub-related question on the will helps the available medical
cover for the victims of posttraumatic disorder in order to help
make any further recommendations on where and how to
improve the services. Finally, the last sub-related question will
assist in pointing the inefficiencies in the health care services
offered to the PSTD veterans. Knowing these inefficiencies will
help the researcher to make educated recommendations as per
what measures can be taken to address them.
Important Information about the Issue and Types of Data to be
collected
To understand the issue of quality of comprehensive care for the
OEF and OIF veterans with posttraumatic stress disorder, the
research must understand the kind of challenges these veterans
go through in the battlefields. Also of importance is information
on the available medical care options at the disposal of these
veterans plus the number qualified personnel in this area. The
data to be collected, on the other hand, will mostly be
experiences and awareness of the victims. The research will
also collect records of relevant institution that will be analyzed
3. qualitatively.
Action Plan
The paper desired for a future in which medical programs offer
the best possible financial and technical support to those who
had sacrificed their comfort to help the OIF/OEF veterans. The
policies must be able to authorize veterans to provide basic
caregivers of the OIF/OEF veterans with access to health care
services, psychological support, and mental counseling. The
paper proposes a program that will allow registered caregivers
to receive stipends in order to travel and attend appointments
with the veterans and their family members. In order to achieve
this, I will collaborate with the government and relevant
stakeholders to ensure proper implementation of the program.
Literature Review
Posttraumatic stress disorder (PTSD) is defined as a
psychological response to a traumatic situation (Resnik, 2011).
However, if history of trauma is taken into account, diagnosis
of posttraumatic stress disorder becomes more difficult.
Symptoms of posttraumatic stress disorder are categorized into
three categories (Creswell, 1994). The first category is called
re-experiencing. This stage involves recurring nightmares
associated with the traumatic event. The second category of
symptoms is called avoidance where the victim tend to avoid
conversation about the traumatic event (Jasper, 2009). Finally
yet importantly is arousal where the victim has difficulty in
sleeping. In order to be recommended for medical attention, the
symptoms must persist for at least a month and must show
evidence of clinically significant distress or simply impairment
in functioning.
Prevalence of PTSD among OEF/OIF Veterans Using VA Health
Care
The Department of Veterans Affairs, (VA) shows that the
prevalence of PTSD among users of its health care stands at
29% (Department of VA, 2010). This data is however taken with
limitation to condition that the figures presented by VA may be
overstated, understated and finally that the numbers provided by
4. the VA should not be extrapolated to all OEF/OIF veterans
(Jasper, 2009). The last limitation is because the OEF/OIF using
VA health care do not necessarily represent all OEF/OIF
veterans or the wider family of the veterans.
Prevalence of OEF/OIF Veterans Using VA Healthcare
Information about PTSD prevalence from other sources not
limited to users of VA health care vary widely. A 2010-RAND
analysis by Institute of Medicine shows that PTSD prevalence
varies within the range of 1% to 60% among OEF/OIF service
members (Department of VA, 2009). In 2012, the same
institution found out that recent estimate of PTSD prevalence
among OEF/OIF service members and veterans varies within a
range of 13% to 20% (Department of VA, 2008).
Treatment of PTSD; A case of VA Health Care System
The VA health care system requires that veterans who have
never received VA health care services start receiving a PTSD
screening (VA office of public health, 2010). The screening is
repeated every year for the initial five years and five years to
follow except when there is a sign of clinical need to screening
earlier. The policies of VA health care system also demand that
any referred patient or new case be given an initial assessment
within 24 hours and a full check-up within a period of fourteen
days (Creswell, 1994). Several reports too, as referenced, have
made a recommendation worth considering on the evaluation of
the VA’s PTSD screening and treatment efforts.
Research Plan
The success criteria this research will be based on the full
implementation of its proposal in improving quality of health
care by the Department of the Veterans Affairs. In collecting
5. baseline data, I will randomly sample my target audience, both
the OEF/OIF veterans and health officials. I will then measure
or collect data about their knowledge, attitude, skills and level
of satisfaction with the current state of medical care. To
determine if the intervention is successful, I will reassess the
baseline data by comparing what was happening before the
implementation of the program and what happens after. Apart
from baseline data, the research could have fulfilled these data
need by collecting raw data from past and present victims. This
need could have met through questionnaires, interviews or
actual observation in medical facilities offering services to
victims of PTSD.
Ethical Consideration
Since my research involves human beings who have gone
through a lot of harsh experiences, I will adhere to strict ethical
so, not to hurt this emotionally vulnerable population. I will,
therefore, distribute consent form to the identified individual
before carrying out the research. Important to the consent form
will be the victims’ national identity number, official names,
and signature. Potential ethical concerns such as mention names
or those of family and asking questions deemed personal will,
therefore, be treated as delicate as they deserve. Finally, all
study data will not be exposed or used for any other reason
apart from making the study relevant.
Dissemination Plan
This part gives a clear step by step milestone that I took in
doing my research. It gives a brief description and time allocate
to each milestone.
Management Plan Task Worksheet
Task or Activity
Person Responsible
Duration
Due Date
Resources Needed
Comments
Approximate Cost
6. Research Ethics Education Completion
Researcher
3hrs
July
2015
Description and nature of persons involved plus the kind of data
to be collected
Check address and directions
Travel: $20.00
Meeting the Committee to Approve the Topic
Researcher
1hr
July 2015
Description of research project
Check venue and direction
snacks $ 12.00
Meeting Mentor to approve Research Plan
Researcher
2hrs
July 2015
Description of the research plan
Check address and direction
Travel $ 15.00
Meeting the Committee to approved Research Plan
Researcher
2hrs
July 2015
Description of research plan
Confirm venue, time and direction
Snacks and Travel $ 21.00
Meeting the School to approved Research Plan
Researcher
2hrs
July 2015
Description of the research plan
Check the address and meeting room
7. Travel $ 10.00
Institutional Review Board (IRB) Approval
IRB
3hrs
July 2015
The research topic and plan
Check the registration and mobile number
Mail and printing $ 8.00
Pre-Data Collection Call
Mentor
30min
August 2015
-
-
-
Meeting mentor Approved Chapters 1 – 4
Researcher
2hrs
August 2015
Copies of chapter1-4
Check time and venue
Travel and printing $27.00
Meeting mentor for Approval of Chapter 5 and Final
Dissertation
Researcher
21/2hrs
August 2015
Copies of chapter 5 and the final dissertation
Check address and venue
Travel $ 10.00
Committee Approved Dissertation
Committee
2hrs
August 2015
Copy of dissertation
Check mail and office desk
8. Mail $ printing $ 30.00
School Approved Dissertation
School
2hrs
August 2015
Copy of dissertation
Check mail and office desk
Mail $ printing $ 30.00
Format Editing Completed
Researcher
3hrs
August 2015
Copy of dissertation
Check mail and address
Mail $ 1.00
Final Conference Call
mentor
15min
August 2015
-
-
-
Final Manuscript Approved
Researcher
1hr
August 2015
Final manuscript
Check mail and office desk
Mail and printing $ 32.00
Manuscript Submitted for Publication
Researcher
1hr
August 2015
Final manuscript
Check mail and office desk
Mail and printing $ 32.00
9. Dean’s Final Manuscript Approval
Dean
2hr
August 2015
Published manuscript
Check address and venue
Travel $ 11.0
The Budget
ITEM/DESCRIPTION
AMOUNT ($)
Travel
66
Mail & Printing
133
Snacks & travel
33
Travel & Printing
27
Total Budget
259
10. References
Creswell, J. W. (1994). Research Design: Qualitative &
Quantitative Approaches. New York, SAGE Publications.
Department of Veterans Affairs, Office of Inspector General,
Healthcare Inspection (September, 2008).Evaluation of Suicide
Prevention Program Implementation in Veterans Health
Administration Facilities January–June, 2009, Report Number
09-00326-223
Jasper, M. (2009). Veterans' rights and benefits. New York:
Oceana.
Resnik, D. B. (2011). What is ethics in research and why is it
important? New York: National Institute of Environmental
Health Sciences.
VA health care mild traumatic brain injury screening and
evaluation implemented for OEF/OIF veterans, but challenges
remain: Report to congressional requesters. (2008).Washington,
D.C.: U.S. Govt. Accountability Office.
VA Office of Public Health and Environmental Hazards.
(February, 2010). Analysis of VA health care utilization among
Operation Enduring Freedom (OEF) and Operation Iraqi
Freedom (OIF) veterans. Washington, DC: Author.
Sales
PTSD No PTSD 0.29000000000000009
0.71000000000000019
Running head: RESEARCH TOPIC
RESEARCH TOPIC
20
Improving the Quality of Comprehensive Care for the OEF and
11. OIF Veterans with Posttraumatic Stress Disorder (PTSD)
Ashlie Burnett
Capella University
12/19/14
Improving the Quality of Comprehensive Care for the OEF and
OIF Veterans with Posttraumatic Stress Disorder (PTSD)
To conduct a fruitful research, I have chosen to use Improving
the Quality of Comprehensive Care for the OEF and OIF with
Posttraumatic Stress Disorder (PTSD) as my research topic.
This topic is very important because it will help in carrying out
studies aimed at focusing on the Operation Enduring Freedom
(OEF) and Operation Iraqi Freedom (OIF). These are US
Patriots who had dedicated their time to serve on active duty in
Iraq and Afghanistan. Since they are Title 38 of the US Code
(U.S.C.), Section 1710(e) (1) (D) guarantee them a free medical
care, this research will seek to find out how efficiently these
services can be improved to offer them the quality care that they
require. As a matter of fact, veterans coping with PTSD need to
be adequately cared for. This topic will help in conducting an
extensive research to help in understanding their problems and
look for the possible ways of serving them (VA Office of Public
Health and Environmental Hazards, 2010).
PTSD is a common problem facing the war veteran’s world
over. It results from their exposure to traumatizing war
conditions such as seeing the seriously wounded or dead bodies;
being shot at by their enemies; being ambushed; knowledge of
the slain colleagues; or getting a mortar fire. On the other hand,
women veterans might be of higher risks of suffering from this
condition because of their vulnerability to Military Sexual
Trauma (MST) that come as a result of repeated sexual cases of
sexual harassment and assaults experienced during the
peacetime, training and war. Since these conditions pose a
12. prolonged effect on the mental health of these veterans, a
comprehensive health care scheme needs to be implemented.
Healthcare provision to the Iraqi and Afghan veterans with
PTSD has become an issue of concern today. It is has posed a
great challenge to different health care providers in the country.
Hence, the Department of Veteran Affairs should take it so
seriously. A lot should be done to help these patriots to cope up
with such a stressful condition (Rothschild, 2000). Otherwise, it
might interfere with their mental health and eventually paralyze
their interpersonal relations (Rothschild, 2000). So, this
research will strive to unearth more information about these
veterans and look for measures through which they can be
assisted. To achieve this goal, the research will have to
advocate for the improvement in the quality of health care
offered to them and recommend the use of amore comprehensive
approach. These include, but not limited to, the use of social
services, counseling and research (Rothschild, 2000).
A part from being a major problem in my organization,
inefficiencies in health care provision of the PTSD veterans still
remains a scholarly problem. It is a sensitive area which has not
been properly explored by scholars (Rothschild, 2000). Thus,
more research still needs to be done to find out more abut it. It
properly done, appropriate measures will be taken to help in
improving the conditions of these veterans. Such changes will
be expected to help the Department of Veteran Affairs to look
for ways of improving mental health care services (American
Psychiatric Association, 2013). On the other hand, the
information got will be relied upon to know much about this
problem. As a condition, it is greatly affected by the level of
exposure and the gender of the victim. This explains why it
affects the male and female veterans in different ways.
In order to arrive at this topic, I had to carry out a vigorous
search. In my analysis, I went through the Health Care Action
Research Proposal Topic Selection Resources data base in
which I looked through the available research topics
13. (Rothschild, 2000). With the help of the US Department of
Veteran Affairs, I managed to get the appropriate topic for my
research. At first, I wanted to narrow down on veteran women
with PTSD, but opted to give it a broader approach. Therefore, I
chose to focus on both the female and male veterans who are at
a larger risk of succumbing to PTSD (Yano, E.M. et al., 2006).
In my point of view, these veterans area at a risk of losing their
interpersonal relations due to the gradual loss of their mental
capacity, a problem blamed on their stressful experiences at the
battlefield (Rothschild, 2000). I believe that the topic will be
useful in conducting a research aimed at helping to improve the
quality of medical services offered to these veterans.
There have been many calls for the care of people who
dedicated their time and lives to serve people in A. Risk factors
face these victims since they might end up drinking, risky
driving, smoking, and sexual behavior. They therefore need
compensation to live normal lives. A Veterans Affair study was
started in 2009. The study has already the study has already
analyzed the health status of 60,000 veterans who spent their
time in risky environments to help people suffering in
Afghanistan and Iraq (Bascetta, 2006).
Among these veterans, 30,000 were sent out as OIF/OEF and
another 30,000 were serving in other places at the same period.
The study included all veterans from different branches of
service who represented active duty, reserved, and acted as
guard personnel. Twenty percent of the sixty thousand veterans
that were contacted were women (Rothschild, 2000). During the
ten years of the study, Veterans were asked to participate in
surveys after every 3 years and studies may be added in this
initiative. The research will be very useful in the plan that will
effectively provide the best medical and moral care possible for
the countries latest generation of heroes. A follow-up of this
study revealed that most of the veterans had changed their
lifestyles despite returning to their normal lives due to the post
traumatic disorders that affected them after their mission in the
14. two countries (U.S. Govt. Accountability Office, 2008).
Many suggestions and efforts have been brought up to aid the
veterans settle into their lives. However, comprehensive
research should be employed to determine better ways to help
these veterans since most of the strategies implemented to help
them are not as effective as planned (Murray, 2013). Diagnosis
of the diseases that the affected the veterans during period after
the service have not been fruitful as intended. Better research
on method to help the veterans will definitely help the veterans.
Researchers have monitored numerous hazardous situations that
were experienced by the veterans in in Iraq and Afghanistan
(Murray, 2013). The efforts that will be put in this research will
also help other military operations in the other operations that
might arise in the future (Bascetta, 2006).
Many institutions have tried their best to help the victims of the
OEF and OIF. However, their efforts have been limited by lack
of ample knowledge to help the veterans. Recognizing that not
many of the OEF and OIF veterans may not be fully aware of
the effects of their exposure to the hazards they faced during,
can help in streamlining the research procedure (Murray, 2013).
Further research will also provide information to clinicians
regarding the problems of veterans that may not be within their
reach. Potential exposures of veterans of Iraq and Afghanistan
include particulate matter; burn pits; hexavalent chromium;
sulfur fires; and exposures to Qarmat Ali Water treatment plant
(Jasper, 2009).
There other fatal exposures such as contaminated drinking water
at their base camp Lejeune from 1953 to 1987. The veterans
were also exposed to harmful chemicals from a waste
incinerator that was close to the naval air facility that is based
at Atsugi, Japan, starting from the early 1980s to the late 2001
(Murray, 2013). Institutions working on the affairs of the
veterans with the department of defense seek to identify
methods of improving the care for the veterans and contact them
in case of any issues that make their lives uncomfortable.
15. Veterans who may have been unknowingly exposed to
hazardous environments are being sought after to get their
experiences. Their experience may be used to study the
problems of the war veterans of the OIF and OEF missions
(U.S. Govt. Accountability Office, 2008).
Researchers are calling for the implementation for a new
legislation that will allow veteran affairs authorities to provide
registered caregivers of the OIF and OEF veterans with
technical and financial support (Murray, 2013). Caregivers play
an essential role in the lives of the OEF and OIF veterans,
especially in this new era of younger and highly delicate
individual. Severely injured veterans returned from Iraq and
Afghanistan and did not get the best care as research has
revealed. Most of the caregivers are mostly family members and
those whore close to the veterans who dedicate their time and
effort to take care of the seriously injured OEF and OIF
veterans who need help daily (Bascetta, 2006).
Many partners have emerged to support the OIF/OEF veteran
health care and are willing to help the veterans regain their
normal lives in a short time. Researchers’ suggestions include
the development of a caregiver helpline, a detailed caregiver
web site (Murray, 2013). Other supports include a variety of
caregiver support and comprehensive training programs.
Veterans Affairs has been in consultations with other veterans’
organizations, as well as the families of the veterans to ensure
the best possible support for the OIF/OEF veterans (Bascetta,
2006).
New programs have been implemented to offer the best possible
financial and technical support to those who had sacrificed their
comfort to help others in trouble. The new regulations are
intended to authorize veterans to provide basic caregivers of the
OIF/OEF Veterans with access to health care services,
psychological support and mental healthcare counseling. The
proposed program also allows registered caregivers to receive
stipends to travel and attend appointments with the veterans and
their family members (Jasper, 2009).
16. Implementation of care programs will have many benefits. The
merits include adding to the range of existing compassionate
and practical programs meant to assist the veteran’s caregivers
that are registered to help OIF/OEF veterans. Other merits
include respite care, home-based and community–based care,
family support services, education and training (Jasper, 2009).
I will note an overview of the disorder effects that the OIF/OEF
veterans have to undergo. These care programs will particularly
help these OIF/OEF veterans through a number of efforts. As
known the main care or treatments for people suffering from
PTSD are medications, psychotherapy or both (American
Psychiatric Association, 2013). If these care programs are
implemented, OIF/OEF veterans and many more will have
access to whole-time mental health care providers who are very
experienced with this disorder (Rothschild, 2000).
Psychotherapy is a talk therapy involving having talks with
mental health professional. Such talk therapy lasts for 6-12
weeks or even more depending on the degree of trauma the
patient is undergoing. One of the most helpful therapies is the
Cognitive Behavioral Therapy (CBT) (Yano, 2006). CBT has
several parts to it; cognitive restructuring, exposure therapy and
stress inoculation training. Under the three parts, the OIF/OEF
veterans will be helped to control and face their fears
(Rothschild, 2000). They will be exposed, in a safe way, the
trauma that they have experienced. This therapy will also make
the OIF/OEF veterans make sense of the bad memories they
have. Through this therapy, the PTSD symptoms will reduce
through reduction of anxiety (American Psychiatric Association,
2013). Also this care program will provide medications as a
second treatment to the OIF/OEF veterans.
The U.S. Food and Drug Administration (FDA) already have an
approval of Sertraline and Paroxetine as the two medications for
adults with PTSD. These antidepressants can be used on
OIF/OEF veterans to help in controlling symptoms of PTSD like
worry, sadness, and anger. In certain cases, like that of
OIF/OEF veterans, the same event affected large numbers of
17. those soldier men and soldier women (Rothschild, 2000). For
instance, a lot of these people were in need of help after
stressful experienced at the battlefield and the attacks from
terrorists. Most of them will experience some PTSD symptoms
during the first few weeks after such events. This are expected
responses to the serious trauma and therefore the symptoms will
lessen with time for most people. Such can be helped with
support that’s basic such as seeing a doctor when injured,
getting to a safer place, getting water and food, etc (Murray,
2013). However, some of these OIF/OEF veterans do not get
well on their own. After a research I conducted from various
studies, I found out that, over time, most of them were having
issues with depression, PTSD, and also other related disorders
of the mental system. This pattern is very different from the
natural disasters recovery (Murray, 2013). As the OIF/OEF
veterans try to rebuild after such trauma, they experience much
difficulties from paying bills, finding houses, as well as getting
health care. Such delays in community recovery will therefore,
in turn, also pose a delay in recovery from PSTD (U.S. Govt.
Accountability Office, 2008).
Health care systems, hospitals and other health care providers
are greatly affected by these mass trauma effects generally, too.
Most researchers have taken much effort in learning about
PTSD and its related disorders. This is very important since
creating a fear-related and powerful memory is a major part of
this PTSD. My goal in supporting this implementation is to help
improve treatment especially (Jasper, 2009).
As of November 2008, more than 3,800 troops have been
murdered and more than 29,000 have returned with a range of
disabilities as well as visible wounds. Other 25-40 percent has
less wounds visible- neurological and psychological injuries.
These injuries are all associated with traumatic brain injury
(TBI) or PTSD (Murray, 2013). Although the defense
department and the Veterans administration (VA) have already
dedicated unprecedented resources as well as attention to
address this TBI and PTSD in the recent years, work must still
18. be done. In can say that despite the recognition of mental illness
burden and development of new programs for their treatment,
the current efforts and strategies are still inadequate the health
of our fighting services psychologically (U.S. Govt.
Accountability Office, 2008).
The Iraq and Afghanistan wars are effecting to injuries,
disabling for many, and even potentially for still more (Yano,
2006). They are also straining relationships and families, which
in turn, can help in backing to service member’s disability
severity over time. NCD agrees with the previous Commission’s
recommendations that there’s need for an all-inclusive
continuum of care for these psychological disorders that
includes TBI and PTSD (Jasper, 2009). This requires
satisfactory staffing as well as funding of DoD and VA health
systems. Also, I can add that it is certainly critical that early
intervention and prevention services be robust. Early
intervention, effective enough, can limit the long term disability
degree and is to the gain of the member of the service or
veteran, his/her family and the society in general (U.S. Govt.
Accountability Office, 2008).
Therefore from my research I can recommend that the early
intervention services, e.g. counseling for marital relationships
and interventions for early use substances as well as alcohol
should be strengthened and made accessible universally in
TRICARE and VA. VA and DoD should familiarize use to the
maximum, OIF/OEF veterans, in roles of rehabilitation for
which they are very qualified to include them as peer
counselors, outreach workers, as well as members of the staff.
Also, the current user of this program, and other DoD mental
health services have to be surveyed periodically by an
independent body that is competent, to assess their views and
perceptions (Bascetta, 2006)
As this report specifies, the scientific and medical knowledge in
need here, to address PTSD and it relations, is very incomplete.
However, many practices with a base of evidence do exist.
19. Unfortunately, OIF/OEF veterans face a number of obstructions
in trying to access these services including limited access to
services available; stigma; inadequate information; shortage of
these services in certain areas and also insufficient services to
upkeep families (Bascetta, 2006). Many educations and studies
as well as commissions have offered detailed recommendations
to show and address its needs. Therefore, there is a very critical
and urgent need to create into use, these recommendations
(Bascetta, 2006).
Research Design Method
Qualitative and quantitative design methods are the widely used
approaches in various researches. However, a researcher decides
on the design method considering the one that is favorable and
easy to apply. Thus, the study on ‘Improving the Quality of
Comprehensive Care for the OEF and OIF Veterans with
Posttraumatic Stress Disorder’ applies a qualitative design
method. This is a systematic and specific approach that is used
to describe and give meaning to general life experiences. It
aims at gaining insight and exploring the complexity, depth and
richness in the phenomenon of study (Creswel, 2009). Thus, this
paper is meant to discuss or rather describe how qualitative
design method is used in the above mentioned study.
To start with, “Improving the Quality of Comprehensive Care
for the OEF and OIF Veterans with Posttraumatic Stress
Disorder” is a topic that entails a number of life experiences.
For instance, it describes Posttraumatic Stress Disorder as a
common issue that faces war veterans globally. To analyze this
problem, the research uses a basic element of analysis; which is
words.
Moreover, a research using qualitative approach looks into the
kind of uniqueness in the life situations of war veterans. Reality
being subjective, the study examines the persons’ own reality in
20. order to meet its general objective (Creswel, 1994). Here, this
research points out that a number of individuals needed help
after different encounters in the battlefields and terror attacks
thus experiencing Posttraumatic Stress Disorder symptoms in
the first couple of weeks after the events.
Qualitative design method develops research questions in a
unique manner. In the context of the research in question, the
study seeks to answer questions related to the existence of a life
experience and how the entire phenomenon can be explored, the
necessary constituents of the experience and the nature of
human beings regarding this phenomenon (Pitton, 2002).
Methodology of this design method is quite simple and takes a
unique approach. It lacks clear or defined steps in order to
avoid limiting the researcher’s creativity. Thus, this research
describes the experiences of the phenomenon and writes a
general view of these experiences. In addition, qualitative
design method applies sampling and data collection in direct
observations, interviews, journals, field notes and videotape or
audio-recorded information. This study uses field notes and
journals that have already addressed the topic of study
(Creswel, 2009).The data analysis section of this research
design classifies and ranks data, examines the experiences of
human beings and their awareness which cannot be directly
communicated. Moreover, the analysis examines various themes
and concepts used in the entire paper, cluster and categorize
data according to different development of concepts applies
sampling of selective literature and subjects (Pitton, 2002).
The findings of this research, using qualitative deign, are
described or presented from the topic’s point-of-view. Thus, the
researcher identifies various themes that are associated with the
topic of study and develops a structural explanation of the
findings.
21. Therefore, qualitative deign method is a reliable and valid
research method over other methods. Thus, I chose this research
method over quantitative design method because of the
following reasons:
Firstly, unlike quantitative design method, qualitative design
method uses the researcher’s personality. Here, the researcher is
fully associated with the subject’s experiences and has the
ability to collect data and live with it until there is no any other
information or new data to replace the previous one. Secondly,
unlike quantitative design approach, the researcher can suspend
everything that was said and is known about the phenomenon in
question and come up with other information to support the
topic. In addition, they have the ability to set aside their own
preconceptions about the topic, keep and maintain an open
context. Thirdly, qualitative design method advocates for
intuition, whereby a researcher places his or her full focus,
awareness and energy on the topic of the study (Creswel, 1994).
Unlike quantitative design method, in qualitative deign method
requires absolute concentration and a complete absorption into
the phenomenon in question. Lastly, qualitative design method
is simpler to apply as compared to quantitative design method
which is used to describe, examine and test relationships of the
cause and effect of a given problem. Moreover, quantitative
design approach applies hard science, logistic and deductive
reasoning, tests theory, numbers in the analysis and
generalization and it is a formal, systematics and objective
approach to obtaining information globally (Pitton, 2002).
Ethical Considerations
Unarguably, research ethics provides guidelines for the
responsible conduct of research, especially those that involve
human beings as subjects. My research topic ‘Improving the
Quality of Comprehensive Care for the OEF and OIF Veterans
with Posttraumatic Stress Disorder’ majorly uses human
subjects to gather research data. Accordingly, as a researcher, I
22. am expected to adhere to strict ethical standards as a means of
protecting the human subjects who are involved in the research
project. According to Resnik (2011), ethics is important in
scientific studies that involve human beings since it defines the
methods, procedures and perspectives on how to act and analyze
issues that may arise during the study. In particular, ethics
serves important roles in my research project. These roles
involve promoting the aims of the research, for instance by
prohibiting against fabrication and misrepresentation of
research data (Corti, Day & Backhouse, 2000). In addition,
ethical considerations enhance the values that are equivocal to
collaborative work, like mutual trust, fairness and trust (Resnik,
2011). Finally, ethical considerations ensure that the researchers
are accountable to the public by guaranteeing that all the
conflicts of interests and possible research misconducts are
adequately addressed.
From the highlighted importance of ethics in research, I have
placed much emphasis that adheres to the set ethical standards
and federal regulations. There are particular ethical principles
that will form a basis of my research study. These principles
include coercion, anonymity, confidentiality, privacy and the
informed consent of all the participants of the research study. I
will discuss the potentials of each of these ethical issues with
regards to my research project and the role of the IRB process
in the protection of my human subjects during my research
project.
1. Coercion
According to Resnik (2011), for any scientific research
involving human subjects to be considered valid, the entire
subject’s participation must be voluntary. All the participants
must be sufficiently informed of the risks and benefits that their
involvement in the study may lead to. I will take great care to
ensure that there is no subject who is coerced to take part in the
23. study. I will be able to achieve this by making the participation
non-mandatory and with no financial inducements. In addition,
the registration of the human participants would be made
publicly in order to prevent any instance of direct solicitation.
2. Anonymity, Confidentiality and Privacy
According to Corti, Day and Backhouse (2000), there is a need
for all the data that have been collected on the human
participants to comply with the Data Protection Act 1998. The
DPA (1998) provides that all the personal information that have
been gathered on the participants must be considered
confidential in order to safeguard the integrity of the human
subjects and not to fringe upon the right to privacy of the
participants. In this regard, the identity of all the human
participants will remain anonymous and will not be disclosed to
any other third party or used for any other purpose other than
that of research (Corti, Day & Backhouse, 2000). This research
will strive to reduce the use of identifiable personal data as
much as possible as a way of ensuring the anonymity and
privacy of the participants. In addition, all the data that shall be
gathered during the study shall be considered confidential and
will only be accessed by the researchers and used for the
intended purpose of research.
3. Informed Consent
Informed consent refers to the knowing consent of the
individual interested in taking part in the research without any
undue inducement or force, fraud or form of coercion (Corti,
Day & Backhouse, 2000). Researchers involved in studies of
human subjects are required to obtain genuine informed consent
from the human participants. By so doing, the researchers would
be able to address questions and concerns of the human
participants before they append their signature on the prescribed
forms (Corti, Day & Backhouse, 2000). In particular, I would
24. educate all the participants on the risks and benefits of taking
part in the study. I would then seek their voluntary consent
before involving then in the research and consequently keep
them informed on the process of the research.
Importance of the role of IRB process
The role of IRB process in human subjects’ protection cannot be
underestimated. According to Bankert (2006), the main purpose
of the Institutional Review Board is to safeguard the welfare
and rights of the human participants. This is achieved by
ensuring that the social, physical, psychological and legal risks
that they may be exposed to are reduced as much as possible
during the research process. The IRB also ensures that there is
informed consent of the human participants and that the purpose
of the research is justified (Bankert, 2006). However, the IRB
does not only safeguard the human participants, but also the
researchers themselves. The IRB protects the researchers from
any apparent risks with the human participants through
providing research design assistance that adhere to the federal
regulations to the researchers.
Action research is utilized as a way of executing organizational
change particularly in complex social conditions where the
individuals whose lives or situations are being changed require
being involved in the design and implementation of the change
which affects them. Arthur (2011) used the words action inquiry
to embrace various approaches for learning (and research) via
systematic inquiry which used a repeated cycle of action,
evaluation, hypothesis, and new or revised actions depending on
the evaluation and hypotheses regarding what occurred in our
past action. Changes in intentional organizations are brought
about in numerous of ways. In one way, the motivation is
ignited by the expressions of discontent with the status quo by
stakeholders. Dissatisfaction can be globally expressed by
reducing revenues, dropping profit margins, dissatisfied clients,
low levels of workers satisfaction, or turnover.
25. Specific level for organizational change can also be identified
in a number of ways – focus groups, surveys, audits, or the
changing regulatory requirements. The change effort, propelled
by action research, may focus on these levels as replacing or
repairing something which does not work as competently as
required. AR helps the organization to capitalizing on fresh and
arising opportunities; or managing consistent dilemmas.
While it might be easy to single out what needs to be changed,
it is unclear and more complex to define how to set achievable
goals and design implementation plans while soliciting
stakeholder commitment to implementing those plans. However,
AR provides the methodology and skills which augment the
process of initiating organization development. Herr and
Anderson implied that action researchers experience a double
burden since they have to concentrate on both the action and
research. That is, the research ought to be of high quality while
at the same time the action researchers must move participants
towards a fruitful action outcome.
They contend that participation is key in action research since it
is an approach that demands the participants to perceive the
necessity to change and the will to play an active role in
research and change process. Clashes might arise in the course
of doing the research. It is essential that outside researchers
collaborating with practitioners need to obtain their trust and
consent to the rules of control of the data together with their
use, as well as recognizing how any possible conflict will be
resolved.
In order to handle democratic impulse feature, according to
Abdesslam (2006),the participants need to be considered equals.
The researcher`s role as an architect of change, consulting with
the participants not just on the course of action but also on how
the research will be evaluated. The main gain from this is that it
26. might make the entire research process and its outcomes more
meaningful to medical practitioner by anchoring these in reality
of daily practice. Throughout the whole research process the
outcomes are given back to the participants for validation. Due
to the formative process intricate in planning, observing, and
reflecting as well as re-planning, care must be taken in the
research since this might be threatening, something that is very
common in healthcare settings.
References
Abdesslam, B. (2006). The double burden of communicable and
non-communicable
diseases in developing countries, Trans R Soc Trop Med
Hyg,100 (3): 191-199.
American Psychiatric Association (2013). Diagnostic and
Statistical Manual of Mental
Disorders (5th ed.). Arlington, VA: American Psychiatric
Publishing.
Arthur, M. F. (2011). Using Action Learning for Organization
Development and Change, OD
Practitioner, Vol. 43, 20-21.
Bankert, E. (2006). Institutional Review Board: Management
and Function. New York: Jones & Bartlett Learning.
Bascetta, C. (2006). VA and DOD health care efforts to provide
seamless transition of care for
OEF and OIF servicemembers and veterans. Washington, DC:
U.S. Government
Accountability Office.
Corti, L., Day, A. & Backhouse, G. (2000). Confidentiality and
informed consent: Issues for consideration in the preservation
of and provision of access to qualitative data archives.
Qualitative Social Research, Vol. 1, No. 3, Art. 7, December
2000.
Creswell, J. W. (2009). Research Design: Qualitative,
27. quantitative and Mixed Method
Approaches. New York, SAGE Publications.
Creswell, J. W. (1994). Research Design: Qualitative &
Quantitative Approaches. New York,
SAGE Publications.
Jasper, M. (2009). Veterans' rights and benefits. New York:
Oceana.
Resnik, D. B. (2011). What is ethics in research and why is it
important? New York: National Institute of Environmental
Health Sciences.
Rothschild, B. (2000). The Body Remembers: The
Psychophysiology of Trauma and Trauma
Treatment. New York: W.W. Norton & Company.
Linda, D., & Karen, W. (1999). Action Research: Rethinking
Lewin, Management
Learning, vol.30 no. 2 127-140
Marry, B., Davydd, G., Patricia, M. (2003). Why Action
Research? Action Research, vol. 1 no. 1
9-28
Murray, C.L.; et al. (July 10, 2013). "The State of US Health,
1990–2010: Burden of Diseases,
Injuries, and Risk Factors." Journal of the American Medical
Association 310 (6): 591–
608.
Patton, Q. M. (2002). Qualitative Research & Evaluation
Methods. New York, SAGE
28. Publications.
Yano, E.M. et al. (2006) ‘Toward a VA Women's Health
Research Agenda: Setting Evidence-
based Priorities to Improve the Health and Health Care of
Women Veterans.’ The first
national VA Women's Health Research Agenda setting
conference, outlining VA's
research priorities for biomedical, clinical, rehabilitation, and
health services research. J
Gen Intern Med. 2006 March; 21(Suppl 3): S93-S101.
VA Office of Public Health and Environmental Hazards.
(February, 2010). Analysis of VA health
care utilization among Operation Enduring Freedom (OEF) and
Operation Iraqi Freedom (OIF) veterans. Washington, DC:
Author.
VA health care mild traumatic brain injury screening and
evaluation implemented for OEF/OIF
veterans, but challenges remain : Report to congressional
requesters. (2008).
Washington, D.C.: U.S. Govt. Accountability Office.
Running head: Quality of Comprehensive Care 1
Quality of Comprehensive Care 2
Improving the Quality of Comprehensive Care for the OEF and
OIF Veterans with Posttraumatic Stress Disorder
Ashlie Burnett
DHA 8013
29. Capella University
1/25/15
Improving the Quality of Comprehensive Care for the OEF and
OIF Veterans with Posttraumatic Stress Disorder
Introduction and statement of the project
The prevalence of the posttraumatic stress disorder (PTSD)
amongst the military veterans who have served in the
Afghanistan and Iraqi wars threatens the continued struggle to
achieve support from the society in the fight against terrorism.
The reason behind the challenges emanates from the health
disorders that many of the war veterans suffer from because of
the war experiences. Therefore, it is a necessary course to
embark on the identification of effective methods that would in
turn serve in the OEF (Operation Enduring Freedom) and OIF
(Operation Iraqi Freedom) successful outcomes. It is evident
that the military veterans risk vital issues in their lives by
offering their services in the war torn zones with the notion that
peace will be achieved. Studies have associated PTSD issues
amongst war veterans with the daunting events, which include
brutal murders, rapes, and tortures; hence, the research will
serve towards the identification of precautionary measures that
will reduce the chances of suffering from the disorder (Becker-
Blease & Freyd, 2005). In that case, the research will establish
the salient approaches of pursuing effective PTSD recovery
programs for the post-war veterans.
Importance of the research study to the society
According to Section 1710(e) (1) (D) of the US Code, the
veterans are entitled to free medical care; thus, health
practitioners should embrace the constitutional approach and
emulate the set ethics in ensuring that PTSD does not turn into a
lifetime health issue for the war veterans (Seal et al. 2009).
Citing to the experiences surrounding the military officers who
have served in the Iraq and Afghanistan wars, the society should
understand the vital role of establishing recovery methods as the
probability that the veterans will suffer from posttraumatic
30. stress disorders is high (Yehuda, 2011). On the other hand, the
Department of Veteran Affairs should pursue the acquisition of
positive approaches, which seem to be appropriate in resolving
the military traumas and other related war experiences (Cahill &
Foa, 2007). In emphasis, the research project will target the
identification of the appropriate social, health, counseling, and
research services that will reduce the PTSD cases whenever
used upon the veterans.
The identified need for change
Different scholars have researched on the subject of PTSD on
war veterans and have realized that the current approaches are
failing to establish long-lasting solutions for the victims of
PTSD (Tanielian & Jaycox, 2008). After identifying the
majority veterans who served from the Iraq and Afghanistan
warfare yet to recover from the psychological traumas that they
experienced, it is arguable that the current health care solutions
are insufficient. Hence, despite the medical practitioners’
struggle to achieve successful outcomes, it is critical to
acknowledge the use of new ideas as venerable to success
(Dalgleish & Power, 2013). The salient need of revamping the
healthcare remedies administered on the veterans emanates from
the inconsistencies witnessed in the current healthcare and
social approaches used in assisting the veterans in their
recuperation processes since many of the victims do not recover
fully from the PTSD cases (Hoge et al. 2012).
Theoretical foundation of the research project
Horowitz identified the Stress Response theory as a necessary
approach for health practitioners and PTSD victims to identify
the types of traumas that need to be addressed. According to the
researcher’s findings, human beings are vulnerable to trauma,
but they tend to fail in identifying the exact cause; hence,
worsening their health conditions (Schnurr et al. 2009).
Secondly, the theory of Shuttered Assumptions revolves around
the characteristic of people to establish facts out of mere
assumptions rather than investigating the main cause of a given
issue. The importance of the theory to this study is the
31. identification of the inevitable causes of PTSD on war veterans
with the notion that the worthwhile approach will lead to the
establishment of precise and correct examination results of the
victims for better medication (Monson, Taft, & Fredman, 2009).
The study will also include the conditioning and information-
processing theories in order to forecast the victims’ experiences
in the battlefield, which will aid the medication process.
Conclusion and investigator’s position
The US military operations in Iraq and Afghanistan regions
have turned out to be lengthy. Personally, I have realized that
over 50,000 military troops are likely to suffer from PTSD since
the terrorists use inhuman methods on the victims they kidnap
while retaliating against the invasions. With such knowledge in
mind, I have resolved to administer the identified theoretical
remedies in soliciting information from all war veterans
returning from the battlefield in order to identify the
seriousness of the PTSD cases and the appropriate medical
procedures that different victims should pursue (Michael et al.
2005).
References
Becker-Blease, K. A., & Freyd, J. J. (2005). Beyond PTSD An
Evolving Relationship Between Trauma Theory and Family
Violence Research. Journal of Interpersonal Violence, 20(4),
403-411.
Cahill, S. P., & Foa, E. B. (2007). Psychological theories of
PTSD. Handbook of PTSD: Science and practice, 55-77.
Dalgleish, T., & Power, M. J. (2013). Emotion-specific and
emotion-non-specific components of posttraumatic stress
disorder (PTSD): Implications for a taxonomy of related
psychopathology. Behaviour research and therapy, 42(9), 1069-
1088.
Hoge, C. W., Castro, C. A., Messer, S. C., McGurk, D., Cotting,
D. I., & Koffman, R. L. (2012). Combat duty in Iraq and
Afghanistan, mental health problems, and barriers to care. New
England Journal of Medicine, 351(1), 13-22.
32. Michael, T., Ehlers, A., Halligan, S. L., & Clark, D. M. (2005).
Unwanted memories of assault: what intrusion characteristics
are associated with PTSD?. Behaviour Research and Therapy,
43(5), 613-628.
Monson, C. M., Taft, C. T., & Fredman, S. J. (2009). Military-
related PTSD and intimate relationships: From description to
theory-driven research and intervention development. Clinical
Psychology Review, 29(8), 707-714.
Schnurr, P. P., Lunney, C. A., Bovin, M. J., & Marx, B. P.
(2009). Posttraumatic stress disorder and quality of life:
extension of findings to veterans of the wars in Iraq and
Afghanistan. Clinical psychology review, 29(8), 727-735.
Seal, K. H., Metzler, T. J., Gima, K. S., Bertenthal, D., Maguen,
S., & Marmar, C. R. (2009). Trends and risk factors for mental
health diagnoses among Iraq and Afghanistan veterans using
Department of Veterans Affairs health care, 2002–2008.
American Journal of Public Health, 99(9), 1651.
Tanielian, T. L., & Jaycox, L. (Eds.). (2008). Invisible wounds
of war: Psychological and cognitive injuries, their
consequences, and services to assist recovery (Vol. 1). Rand
Corporation.
Yehuda, R. (2011). Are glucocortoids responsible for putative
hippocampal damage in PTSD? How and when to decide.
Hippocampus, 11(2), 85-89.
Improving Comprehensive Care
for OEF and OIF Vets
by Aslie Burnett
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Improving Comprehensive Care for OEF and OIF Vets
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PRIMARY SOURCES
vets.arizona.edu
Int ernet Source
www.ejpt.net
Int ernet Source
Karen H. Seal. "VA mental health services
utilization in Iraq and Af ghanistan veterans in
the f irst year of receiving new mental health
diagnoses", Journal of Traumatic Stress, 2010
Publicat ion
www.f as.org
Int ernet Source
Submitted to Maryville University
St udent Paper
store.samhsa.gov
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www.acpmh.ipag.f r
Int ernet Source
37. onlinelibrary.wiley.com
Int ernet Source
Submitted to University of Western Australia
St udent Paper
Submitted to University of Southern Calif ornia
St udent Paper
scindeks.nb.rs
Int ernet Source
cdn.intechopen.com
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www.healthemotions.org
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www.mindf ully.org
Int ernet Source
Submitted to Pennsylvania State System of
Higher Education
St udent Paper
www.rand.org
Int ernet Source
gradworks.umi.com
Int ernet Source
patriotoutreach.org
Int ernet Source
Ticknor, Bobbie and Tillinghast, Sherry. "Virtual
Reality and the Criminal Justice System: New
Possibilities f or Research, Training, and
Rehabilitation", Journal of Virtual Worlds
Research, 2011.
Publicat ion
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Michael E. Smith. "Bilateral hippocampal
volume reduction in adults with post-traumatic
stress disorder: A meta-analysis of structural
MRI studies", Hippocampus, 2005
Publicat ion
etd.lib.f su.edu
Int ernet Source
digital.library.adelaide.edu.au
Int ernet Source
cdn.govexec.com
Int ernet Source
Yelena Bogdanova. "Cognitive Sequelae of
Blast-Induced Traumatic Brain Injury: Recovery
and Rehabilitation", Neuropsychology Review,
02/17/2012
Publicat ion
Nanda, U., H. L. B. Gaydos, K. Hathorn, and N.
Watkins. "Art and Posttraumatic Stress: A
Review of the Empirical Literature on the
Therapeutic Implications of Artwork f or War
Veterans With Posttraumatic Stress Disorder",
Environment and Behavior, 2010.
Publicat ion
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