This document outlines assignments focusing on vignette analysis that require incorporating legal, ethical, cultural, and diversity considerations related to individuals with chronic health issues. Specific scenarios involve an elderly Native American woman named Anna facing independence challenges, and a culturally diverse support group for teens with Tourette syndrome. The assignments emphasize using course concepts, appropriate resource recommendations, and creative interventions while adhering to APA style and graduate-level writing standards.

1. Vignette Analysis III:
This assignment focuses on vignette analysis and direct
application of course concepts to the persons and situations
presented in the vignette for each question. All discussions must
take into account the legal and ethical considerations, as well as
issues of culture and human diversity that may pertain to the
situations presented below.
Use the reading assignments thoroughly in an integrative
discussion. Remember to reference all work cited or quoted by
the text authors. You should be doing this often in your
responses
Please keep your responses focused on what is presented in the
vignette. Do not add information but use your creativity to
support what you see in the vignette as written. Avoid
elaborations and assumptions. This assignment MUST be typed,
double-spaced, in APA style, and must be written in graduate
level English.
Your assignment should be 3-4 pages in length
per vignette
PLUS a title and reference page
Vignette Five (3-4 page response)
Anna, is an 83-years old Native-American woman who lives
alone, and takes numerous medications for heart disease, COPD
and an anxiety disorder. Recently, Anna has fallen several
times, but has sustained only minor bruising. Anna’s daughter
Betty and her husband have been discussing whether or not
Anna should continue to live alone. Anna is quite independent
although she no longer drives and is occasionally “forgetful”
about family birthdays and appointments. Anna has expressed

2. her concerns about retirement community, assisted living, or
nursing home living as she does not feel comfortable in strange
situations. Betty wonders if she should decrease her work hours
in order to spend more time at her mother’s house. Betty and
her husband are considering having someone live with Anna
part time or full time, but she worries about her mother’s safety
and her mother’s distrust of strangers. Finances are also an
issue and Betty is seeking information and referral resources to
assist the family’s informed decisions.
The decision about where and how to provide care for family
members who have chronic conditions is emotionally charged
and multifaceted. Reliance on family members as care providers
creates multiple stressors for the family. What types of stressors
might Anna, Betty, and other family members experience?
What are potential/actual policy, legal, ethical, emotional,
financial, and spiritual issues that Anna’s family may
experience? What resources can you offer to them?
Client and family education is “critical to successful coping
with chronic illnesses.” Clinicians must carefully approach
every client and family who may be similar in some respects to
others, yet be quite distinct. The clinician must consider
characteristics such as age, culture, socioeconomic status,
functional status, motivation, self-efficacy, and learning
capability. How will this assessment information guide your
work with Anna and Betty? What developmental stage
characteristics do you need to consider?
Vignette Six (3-4 page response)
A colleague and you decide to collaboratively work with a
culturally diverse support group of teens who have Tourette
Syndrome. The members’ self-identified cultural groups

3. include: African-American, Japanese- American, Mexican-
American, Jewish-American, and Anglo-American. You will
collect intake assessment data, facilitate support group meetings
for teens and families, use multiple media to provide
information and resource, work closely with the treating
physicians, psychiatrists and other health professionals to
coordinate care in an ethical format.Consider cultural myths
that you may encounter. What are elements of those cultural
myths in light of the definitions of cultural competency? How
might you investigate each teen’s cultural beliefs and values
about their health and their illness
Currently a variety of models, theories, and frameworks are
available to assist clinicians in providing appropriate care for
diverse populations. Which of these models, theories and
frameworks do you feel would facilitate a cohesive group for
these teens with Tourette Syndrome? What legal and ethical
issues might arise during group process?
For healthcare professionals, there is a paramount need to
incorporate appropriate strategies in all healthcare settings and
to allocate resources in ways that recognize the patterns and
lifeways of people of all cultures. From a holistic perspective, it
is important to advocate for the client’s cultural needs. What
creative interventions would you employ to assure culturally
competent care for teens in this group? How would you ensure
that the goals of this group align with those of
Healthy People 2020
to address health disparities?
References:
File
Chronic Illness and Mental Health
.

4. https://www.nimh.nih.gov/health/publications/chronic-illness-
mental-health/index.shtml
Book
Larsen, P.D., Whitney, F.W. (2016).
Chronic Illness: Impact and Intervention
. (9th edition). Burlington, MA Jones & Bartlett Learning.
ISBN: 978-1284049008
Book
American Psychiatric Association (2013).
Diagnostic and Statistical Manual of Mental Disorders
. (5th ed). Washington, D.C. APA.
http://proxy1.calsouthern.edu/login?url=http://dsm.psychiatryon
line.org/book.aspx?bookid=556
ISBN-13: 978-0890425558
Video
Acceptance and Commitment Therapy: Addressing Chronic
Illness with Steven C. Hayes, Ph.D
.
https://www.youtube.com/watch?v=1KA0JjkB10k
Video
Dr Mark Morningstar - Chronic Pain - Auto Immune Disorders 2
of 6
.
https://www.youtube.com/watch?v=LX89LfDKncA

5. Video
Dr Mark Morningstar Chronic Pain- Failed Back Surgery 6 of 6
.
https://www.youtube.com/watch?v=EzogsQy1Z_I
Video
Dr Mark Morningstar Chronic Pain- Fibromyalgia- 5 of 6
.
https://www.youtube.com/watch?v=MTPKEvD304s
Video
Dr Mark Morningstar- Chronic Pain- Lyme Disease 4 of 6
.
https://www.youtube.com/watch?v=BKdfDEQ2TJM
Video
Dr Mark Morningstar Chronic Pain Workshop- Sources Of Pain
1of 6
.
https://www.youtube.com/watch?v=GNNrAN_0F60
Video

6. Dr Morninstar Chronic Pain Workshop-Heavy Metal and
Chemical Toxicity 3 of 6
.
https://www.youtube.com/watch?v=KKmRMVzM8cc
Video
How to Live With a Chronic Illness
.
https://www.youtube.com/watch?v=DYnUaX67VbU
Video
Jon Kabat-Zinn - "The Healing Power of Mindfulness"
.
https://www.youtube.com/watch?v=_If4a-gHg_I